Reads as: riskier than 81.3% 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
12
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+25.0 vs natl
OPTALIS LP INVESTORS 5 LLC
8 facilities
connection
Owner fleet risk far above national
+23.1 vs natl
OM HOLDCO 5 LLC
9 facilities
connection
Owner fleet risk far above national
+22.4 vs natl
CONNER MARIANNE
25 facilities
connection
Owner fleet risk far above national
+20.2 vs natl
SHARON ROBERT
34 facilities
connection
Owner spans multiple chains
20 chains
CLIFTONLARSONALLEN LLP
98 facilities
connection
Owner fleet enforcement cluster
56% fined
SIENA LENDING GROUP LLC
16 facilities
connection
Owner fleet enforcement cluster
50% fined
SNW LLC
22 facilities
connection
Owner fleet enforcement cluster
44% fined
SHAH HEMANT
27 facilities
connection
Owner fleet enforcement cluster
44% fined
OM HOLDCO 5 LLC
9 facilities
connection
Owner fleet enforcement cluster
44% fined
DUNN CHARLES
27 facilities
connection
Owner fleet enforcement cluster
42% fined
OPTUM MANAGEMENT SOLUTIONS INC
36 facilities
connection
Owner fleet enforcement cluster
42% fined
PATEL RAJAN
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
MI median
National median
National p25–p75
Total nurse
3.58
3.52
3.28
2.90–3.77
RN
0.41
0.47
0.39
0.25–0.58
Weekend total
3.51
3.32
3.11
—
Weekday total
3.60
3.61
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
97.9
3.58
0.41
1.04
2.12
3.51
0.0%
2025Q3
92
103.4
3.51
0.43
1.06
2.02
3.33
5.8%
2025Q2
91
107.2
3.42
0.41
1.10
1.91
3.31
13.2%
2025Q1
90
107.1
2.95
0.35
0.99
1.60
2.86
7.1%
2024Q4
92
92.5
3.00
0.24
1.05
1.71
2.93
0.0%
2024Q3
92
91.3
3.12
0.42
0.92
1.78
3.03
0.0%
2024Q2
91
92.6
3.41
0.39
1.10
1.93
3.24
0.0%
2024Q1
91
96.5
3.38
0.32
1.14
1.92
3.19
0.0%
2023Q4
92
86.3
3.63
0.30
1.24
2.10
3.44
0.0%
2023Q3
92
91.2
3.35
0.33
1.16
1.86
3.09
0.0%
2023Q2
91
82.4
3.67
0.30
1.30
2.07
3.46
0.0%
2023Q1
90
86.2
3.63
0.32
1.26
2.05
3.45
0.0%
2022Q4
92
77.2
3.49
0.26
1.31
1.92
3.23
0.0%
2022Q3
92
84.9
3.31
0.31
1.29
1.71
3.05
0.0%
2022Q2
91
89.8
3.23
0.32
1.28
1.63
2.99
0.0%
2022Q1
90
88.3
3.59
0.34
1.40
1.85
3.35
0.0%
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2026-05-21
2026-04-30
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2026-04-07
2026-02-06
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2026-03-17
2026-02-06
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2026-03-17
2026-02-06
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2026-03-17
2026-02-06
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-03-17
2026-02-06
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2026-03-17
2026-02-06
Health
F0687
Provide appropriate foot care.
D
2026-03-17
2026-02-06
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2026-03-17
2026-02-06
Health
F0761
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
2026-03-17
2026-02-06
Health · complaint
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2026-03-17
2026-02-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-03-17
2026-02-06
Health
F0847
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
D
2026-03-17
2026-02-06
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2026-03-17
2025-04-01
Health · complaint
F0825
Provide or get specialized rehabilitative services as required for a resident.
D
2025-04-15
2025-02-11
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-03-04
2025-02-11
Health · complaint
F0880
Provide and implement an infection prevention and control program.
F
2025-03-04
2024-11-21
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2024-12-17
2024-11-21
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-12-17
2024-11-21
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2024-12-17
2024-11-21
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-12-17
2024-11-21
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2024-12-17
2024-11-21
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-12-17
2023-11-20
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.
G
2023-12-05
2023-09-27
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D
2023-10-12
2023-09-27
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2023-10-12
2023-09-27
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2023-10-12
2023-09-27
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2023-10-12
2023-09-27
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-10-12
2023-09-27
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-10-12
2023-09-27
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2023-10-12
2023-09-27
Health · complaint
F0790
Provide routine and 24-hour emergency dental care for each resident.
D
2023-10-12
2023-09-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-10-12
2023-09-27
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-10-12
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
34
Owner
Role
Pct
From
Status
Source
OM HOLDCO 5 LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-04-07
current
pecos_ownership
SNW LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
2023-04-07
current
pecos_ownership
OPTALIS LP INVESTORS 5 LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2023-04-07
current
pecos_ownership
CLIFTONLARSONALLEN LLP
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
CONNER, MARIANNE
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
DABAJA, ABED
ADP OF THE SNF
—
2025-12-18
current
pecos_ownership
DABAJA, ABED
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
DUNN, CHARLES
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-11-28
current
pecos_ownership
MCMILLAN, DARLENE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-07
current
pecos_ownership
MCMILLAN, DARLENE
ADP OF THE SNF
—
2025-11-28
current
pecos_ownership
OPTUM MANAGEMENT SOLUTIONS. INC
INDIRECT OWNERSHIP INTEREST
—
2023-04-07
current
pecos_ownership
OPTUM MANAGEMENT SOLUTIONS. INC
ADP OF THE SNF
—
2025-11-28
current
pecos_ownership
PATEL, RAJAN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-07
current
pecos_ownership
ROSS, TALISHA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-07
current
pecos_ownership
SCHLAUPITZ MADHAVAN
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
SHAH, HEMANT
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-11-28
current
pecos_ownership
SHARON, ROBERT
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-13
current
pecos_ownership
SIENA LENDING GROUP LLC
5% OR GREATER SECURITY INTEREST
—
2023-04-07
current
pecos_ownership
CHARLES A. DUNN AGREEMENT OF TRUST 3.14.2001
5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
2023-04-07
ended 2026-05-18
pecos_ownership
CHARLES FRANKLIN LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
2023-04-07
ended 2026-05-18
pecos_ownership
PAAR 108 LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
2023-04-07
ended 2026-05-18
pecos_ownership
HEMANT SHAH 2018 IRREVOCABLE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
2023-04-07
ended 2026-05-18
pecos_ownership
PINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2023-04-07
ended 2026-05-18
pecos_ownership
RAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2023-04-07
ended 2026-05-18
pecos_ownership
PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2023-04-07
ended 2026-05-18
pecos_ownership
PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2023-04-07
ended 2026-05-18
pecos_ownership
ABED DABAJA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
ABED DABAJA
ADP OF THE SNF
—
2025-12-18
ended 2026-05-18
pecos_ownership
DARLENE MCMILLAN
ADP OF THE SNF
—
2025-11-28
ended 2026-05-18
pecos_ownership
DARLENE MCMILLAN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-07
ended 2026-05-18
pecos_ownership
MARIANNE CONNER
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
RAJAN PATEL
MANAGING CONTROL - GOVERNING BODY
—
2023-04-07
ended 2026-05-18
pecos_ownership
ROBERT SHARON
MANAGING CONTROL - GOVERNING BODY
—
2024-05-13
ended 2026-05-18
pecos_ownership
TALISHA ROSS
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-07
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2025-04-30
$1,566,119
—
—
$1,052,674
—
6
—
2024-04-30
$1,529,775
—
—
$1,081,411
—
6
—
2023-04-06
$118,218
—
$118,218
—
—
2
—
2022-12-31
$449,476
—
$449,476
—
—
2
—
2021-12-31
$493,227
—
$493,227
—
—
2
—
2020-12-31
$451,113
—
$451,113
—
—
2
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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
34
Geo
Kind
BR
Amount
As of
Source
county 26163
acs median gross
0
$876
2024-12-31
CENSUS_ACS5
county 26163
fmr
0
$1,009
2025-10-01
HUD_USER_FMR
county 26163
acs median gross
1
$876
2024-12-31
CENSUS_ACS5
county 26163
fmr
1
$1,122
2025-10-01
HUD_USER_FMR
county 26163
acs median gross
2
$1,144
2024-12-31
CENSUS_ACS5
county 26163
fmr
2
$1,411
2025-10-01
HUD_USER_FMR
county 26163
acs median gross
3
$1,310
2024-12-31
CENSUS_ACS5
county 26163
fmr
3
$1,724
2025-10-01
HUD_USER_FMR
county 26163
acs median gross
4
$1,395
2024-12-31
CENSUS_ACS5
county 26163
fmr
4
$1,868
2025-10-01
HUD_USER_FMR
county 26163
acs median gross
5
$1,431
2024-12-31
CENSUS_ACS5
county 26163
acs median gross
$1,132
2024-12-31
CENSUS_ACS5
county 26163
acs recent mover gross
$1,309
2024-12-31
CENSUS_ACS5
zcta 48127
acs median gross
0
$1,135
2024-12-31
CENSUS_ACS5
zcta 48127
acs median gross
1
$1,043
2024-12-31
CENSUS_ACS5
zcta 48127
acs median gross
2
$1,413
2024-12-31
CENSUS_ACS5
zcta 48127
acs median gross
3
$1,627
2024-12-31
CENSUS_ACS5
zcta 48127
acs median gross
$1,323
2024-12-31
CENSUS_ACS5
zcta 48127
acs recent mover gross
$1,423
2024-12-31
CENSUS_ACS5
zip 48127
payment standard 110
0
$1,155
2025-10-01
HUD_USER_SAFMR
zip 48127
payment standard 90
0
$945
2025-10-01
HUD_USER_SAFMR
zip 48127
safmr
0
$1,050
2025-10-01
HUD_USER_SAFMR
zip 48127
payment standard 110
1
$1,287
2025-10-01
HUD_USER_SAFMR
zip 48127
payment standard 90
1
$1,053
2025-10-01
HUD_USER_SAFMR
zip 48127
safmr
1
$1,170
2025-10-01
HUD_USER_SAFMR
zip 48127
payment standard 110
2
$1,617
2025-10-01
HUD_USER_SAFMR
zip 48127
payment standard 90
2
$1,323
2025-10-01
HUD_USER_SAFMR
zip 48127
safmr
2
$1,470
2025-10-01
HUD_USER_SAFMR
zip 48127
payment standard 110
3
$1,980
2025-10-01
HUD_USER_SAFMR
zip 48127
payment standard 90
3
$1,620
2025-10-01
HUD_USER_SAFMR
zip 48127
safmr
3
$1,800
2025-10-01
HUD_USER_SAFMR
zip 48127
payment standard 110
4
$2,145
2025-10-01
HUD_USER_SAFMR
zip 48127
payment standard 90
4
$1,755
2025-10-01
HUD_USER_SAFMR
zip 48127
safmr
4
$1,950
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.