Reads as: riskier than 76.5% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
17
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+20.2 vs natl
SHARON ROBERT
34 facilities
connection
Owner fleet enforcement cluster
80% fined
OM HOLDCO 2 LLC
5 facilities
connection
Owner fleet enforcement cluster
80% fined
OPTALIS LP INVESTORS 2 LLC
5 facilities
connection
Owner fleet enforcement cluster
56% fined
SIENA LENDING GROUP LLC
16 facilities
connection
Owner fleet enforcement cluster
55% fined
CHARLES FRANKLIN LLC
11 facilities
connection
Owner fleet enforcement cluster
53% fined
PAAR 108 LLC
15 facilities
connection
Owner fleet enforcement cluster
50% fined
HEMANT SHAH 2018 IRREVOCABLE TRUST
12 facilities
connection
Owner fleet enforcement cluster
50% fined
CHARLES WESTLAND LLC
10 facilities
connection
Owner fleet enforcement cluster
50% fined
SNW LLC
22 facilities
connection
Owner fleet enforcement cluster
46% fined
RAJAN G PATEL 2020 IRR FAM TR UAD 12 3 2020
13 facilities
connection
Owner fleet enforcement cluster
46% fined
PINAL R PATEL 2017 IRREVOCABLE TRUST F B O AARNA R PATEL
13 facilities
connection
Owner fleet enforcement cluster
46% fined
PINAL R PATEL 2017 IRREVOCABLE TRUST F B O ANSH R PATEL
13 facilities
connection
Owner fleet enforcement cluster
44% fined
DUNN CHARLES
27 facilities
connection
Owner fleet enforcement cluster
44% fined
SHAH HEMANT
27 facilities
connection
Owner fleet enforcement cluster
43% fined
PINAL R PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10 6 2020
14 facilities
connection
Owner fleet enforcement cluster
42% fined
PATEL RAJAN
36 facilities
connection
Owner fleet enforcement cluster
42% fined
OPTUM MANAGEMENT SOLUTIONS INC
36 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16
2025Q4 HPRD
This facility
OH median
National median
National p25–p75
Total nurse
3.71
3.24
3.28
2.90–3.77
RN
0.67
0.38
0.39
0.25–0.58
Weekend total
3.63
3.11
3.11
—
Weekday total
3.75
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
57.7
3.71
0.67
0.89
2.16
3.63
1.1%
2025Q3
92
56.6
3.86
0.65
1.03
2.18
3.65
1.0%
2025Q2
91
60.5
3.91
0.64
1.03
2.24
3.65
5.3%
2025Q1
90
59.6
3.87
0.70
1.00
2.16
3.62
6.4%
2024Q4
92
61.5
3.69
0.80
0.68
2.22
3.55
2.1%
2024Q3
92
60.8
3.85
0.95
0.81
2.09
3.41
0.9%
2024Q2
91
60.0
3.59
0.57
0.84
2.18
3.56
0.9%
2024Q1
91
60.1
3.60
0.53
0.85
2.22
3.47
1.1%
2023Q4
92
57.4
3.75
0.48
1.02
2.25
3.51
1.5%
2023Q3
92
60.0
3.78
0.42
1.05
2.31
3.58
1.8%
2023Q2
91
61.0
3.84
0.44
1.04
2.35
3.63
1.4%
2023Q1
90
61.0
3.88
0.33
1.10
2.45
3.77
13.2%
2022Q4
92
59.6
3.92
0.36
1.01
2.55
3.80
38.4%
2022Q3
92
59.9
3.70
0.32
0.90
2.48
3.46
45.7%
2022Q2
91
54.5
4.29
0.55
0.82
2.92
4.15
44.8%
2022Q1
90
54.3
3.95
0.63
0.90
2.42
3.88
26.5%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Reasonably accommodate the needs and preferences of each resident.
D
2025-03-14
2025-02-06
Health
F0567
Honor the resident's right to manage his or her financial affairs.
D
2025-03-14
2025-02-06
Health
F0569
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
D
2025-03-14
2025-02-06
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-03-14
2025-02-06
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2025-03-14
2025-02-06
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-03-14
2025-02-06
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-03-14
2025-02-06
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2025-03-14
2025-02-06
Health
F0760
Ensure that residents are free from significant medication errors.
D
2025-03-14
2025-02-06
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2025-03-14
2025-02-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-03-14
2025-02-06
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-03-14
2024-12-17
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-01-07
2024-12-17
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2025-01-07
2024-12-17
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-01-07
2024-11-20
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-12-05
2024-07-12
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-07-30
2023-07-12
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2023-07-31
2023-07-12
Health · complaint
F0660
Plan the resident's discharge to meet the resident's goals and needs.
D
2023-07-31
2023-07-12
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2023-07-31
2023-07-12
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-07-31
2022-08-22
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2022-09-29
2022-08-22
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2022-09-29
2022-08-22
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
C
2022-09-29
2022-08-22
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2022-09-29
2022-08-22
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2022-09-29
2022-08-22
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2022-09-29
2022-08-22
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2022-09-29
2022-08-22
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2022-09-29
2022-08-22
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2022-09-29
2022-08-22
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2022-09-29
2022-08-22
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2022-09-29
2022-08-22
Health
F0881
Implement a program that monitors antibiotic use.
D
2022-09-29
2019-12-28
Health
F0557
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
E
2020-01-23
2019-12-28
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2020-01-23
2019-12-28
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2020-01-23
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
33
Owner
Role
Pct
From
Status
Source
OM HOLDCO 2 LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-06-01
current
pecos_ownership
SNW LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
2022-06-01
current
pecos_ownership
OPTALIS LP INVESTORS 2 LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2022-06-01
current
pecos_ownership
CHARLES FRANKLIN LLC
ADP OF THE SNF
—
2022-06-01
current
pecos_ownership
CHARLES WESTLAND LLC
ADP OF THE SNF
—
2022-06-01
current
pecos_ownership
DUNN, CHARLES
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-11-25
current
pecos_ownership
GILLILAND, KACY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-06-01
current
pecos_ownership
GILLILAND, KACY
ADP OF THE SNF
—
2025-11-25
current
pecos_ownership
HEMANT SHAH 2018 IRREVOCABLE TRUST
ADP OF THE SNF
—
2022-06-01
current
pecos_ownership
NDIFE, ANITA
ADP OF THE SNF
—
2025-11-25
current
pecos_ownership
NDIFE, ANITA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
OPTUM MANAGEMENT SOLUTIONS. INC
ADP OF THE SNF
—
2025-11-25
current
pecos_ownership
OPTUM MANAGEMENT SOLUTIONS. INC
INDIRECT OWNERSHIP INTEREST
—
2022-06-01
current
pecos_ownership
OSSO, MELISSA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
PAAR 108 LLC
ADP OF THE SNF
—
2022-06-01
current
pecos_ownership
PATEL, RAJAN
MANAGING CONTROL - GOVERNING BODY
—
2022-06-01
current
pecos_ownership
PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL
ADP OF THE SNF
—
2022-06-01
current
pecos_ownership
PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL
ADP OF THE SNF
—
2022-06-01
current
pecos_ownership
PINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020
ADP OF THE SNF
—
2022-06-01
current
pecos_ownership
RAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020
ADP OF THE SNF
—
2022-06-01
current
pecos_ownership
SHAH, HEMANT
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-11-25
current
pecos_ownership
SHARON, ROBERT
ADP OF THE SNF
—
2022-06-01
current
pecos_ownership
SHARON, ROBERT
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-13
current
pecos_ownership
SIENA LENDING GROUP LLC
5% OR GREATER SECURITY INTEREST
—
2022-06-01
current
pecos_ownership
CHARLES A. DUNN AGREEMENT OF TRUST 3.14.2001
5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
2022-06-01
ended 2026-05-18
pecos_ownership
ANITA NDIFE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
ANITA NDIFE
ADP OF THE SNF
—
2025-11-25
ended 2026-05-18
pecos_ownership
KACY GILLILAND
ADP OF THE SNF
—
2025-11-25
ended 2026-05-18
pecos_ownership
KACY GILLILAND
OPERATIONAL/MANAGERIAL CONTROL
—
2022-06-01
ended 2026-05-18
pecos_ownership
MELISSA OSSO
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
RAJAN PATEL
MANAGING CONTROL - GOVERNING BODY
—
2022-06-01
ended 2026-05-18
pecos_ownership
ROBERT SHARON
MANAGING CONTROL - GOVERNING BODY
—
2024-05-13
ended 2026-05-18
pecos_ownership
ROBERT SHARON
ADP OF THE SNF
—
2022-06-01
ended 2026-05-18
pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$395,434
—
$395,434
—
—
1
—
2023-12-31
$404,190
—
$404,190
—
—
1
—
2022-12-31
$1,399,445
—
$427,559
—
—
1
—
2021-12-31
$534,507
—
$534,507
—
—
3
—
2020-12-31
$496,932
—
$496,932
—
—
3
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
35
Geo
Kind
BR
Amount
As of
Source
county 39049
acs median gross
0
$1,112
2024-12-31
CENSUS_ACS5
county 39049
fmr
0
$1,111
2025-10-01
HUD_USER_FMR
county 39049
acs median gross
1
$1,119
2024-12-31
CENSUS_ACS5
county 39049
fmr
1
$1,194
2025-10-01
HUD_USER_FMR
county 39049
acs median gross
2
$1,339
2024-12-31
CENSUS_ACS5
county 39049
fmr
2
$1,430
2025-10-01
HUD_USER_FMR
county 39049
acs median gross
3
$1,469
2024-12-31
CENSUS_ACS5
county 39049
fmr
3
$1,715
2025-10-01
HUD_USER_FMR
county 39049
acs median gross
4
$1,711
2024-12-31
CENSUS_ACS5
county 39049
fmr
4
$1,927
2025-10-01
HUD_USER_FMR
county 39049
acs median gross
5
$1,617
2024-12-31
CENSUS_ACS5
county 39049
acs median gross
$1,302
2024-12-31
CENSUS_ACS5
county 39049
acs recent mover gross
$1,444
2024-12-31
CENSUS_ACS5
zcta 43230
acs median gross
0
$1,155
2024-12-31
CENSUS_ACS5
zcta 43230
acs median gross
1
$1,197
2024-12-31
CENSUS_ACS5
zcta 43230
acs median gross
2
$1,597
2024-12-31
CENSUS_ACS5
zcta 43230
acs median gross
3
$1,912
2024-12-31
CENSUS_ACS5
zcta 43230
acs median gross
4
$2,076
2024-12-31
CENSUS_ACS5
zcta 43230
acs median gross
$1,463
2024-12-31
CENSUS_ACS5
zcta 43230
acs recent mover gross
$1,655
2024-12-31
CENSUS_ACS5
zip 43230
payment standard 110
0
$1,452
2025-10-01
HUD_USER_SAFMR
zip 43230
payment standard 90
0
$1,188
2025-10-01
HUD_USER_SAFMR
zip 43230
safmr
0
$1,320
2025-10-01
HUD_USER_SAFMR
zip 43230
payment standard 110
1
$1,562
2025-10-01
HUD_USER_SAFMR
zip 43230
payment standard 90
1
$1,278
2025-10-01
HUD_USER_SAFMR
zip 43230
safmr
1
$1,420
2025-10-01
HUD_USER_SAFMR
zip 43230
payment standard 110
2
$1,870
2025-10-01
HUD_USER_SAFMR
zip 43230
payment standard 90
2
$1,530
2025-10-01
HUD_USER_SAFMR
zip 43230
safmr
2
$1,700
2025-10-01
HUD_USER_SAFMR
zip 43230
payment standard 110
3
$2,244
2025-10-01
HUD_USER_SAFMR
zip 43230
payment standard 90
3
$1,836
2025-10-01
HUD_USER_SAFMR
zip 43230
safmr
3
$2,040
2025-10-01
HUD_USER_SAFMR
zip 43230
payment standard 110
4
$2,519
2025-10-01
HUD_USER_SAFMR
zip 43230
payment standard 90
4
$2,061
2025-10-01
HUD_USER_SAFMR
zip 43230
safmr
4
$2,290
2025-10-01
HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.