14260 SOUTH DENNY BOULEVARD, LITCHFIELD PARK, AZ 85340 · CCN 035264 · chain SUN HEALTH SERVICES
Composite
66.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
43
Model
v1.2
Reads as: riskier than 66.3% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
47 chains
FORVIS MAZARS LLP
251 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 lease_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
14
2025Q4 HPRD
This facility
AZ median
National median
National p25–p75
Total nurse
4.30
3.53
3.28
2.90–3.77
RN
0.00
0.43
0.39
0.25–0.58
Weekend total
4.14
3.35
3.11
—
Weekday total
4.36
3.62
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
37.1
4.30
0.00
1.46
2.84
4.14
0.0%
2025Q3
92
39.5
4.76
0.67
1.32
2.77
4.65
3.0%
2025Q2
91
38.0
4.82
0.69
1.28
2.85
4.75
3.3%
2025Q1
90
41.3
4.31
0.68
1.14
2.49
4.18
7.7%
2024Q4
92
37.8
4.01
0.60
1.07
2.34
3.71
0.0%
2024Q2
91
40.5
3.92
0.58
1.04
2.31
3.83
1.3%
2024Q1
91
40.6
4.39
0.61
1.25
2.52
4.20
6.1%
2023Q4
92
36.9
4.51
0.66
1.10
2.75
4.61
6.8%
2023Q3
92
32.1
4.56
0.70
1.02
2.84
4.46
8.5%
2023Q2
91
33.3
4.37
0.68
1.15
2.54
4.33
6.5%
2023Q1
90
30.6
4.61
0.69
1.21
2.72
4.54
3.2%
2022Q4
92
28.1
5.01
0.55
1.37
3.10
5.05
2.2%
2022Q3
92
26.6
5.06
0.54
1.47
3.05
4.99
1.2%
2022Q2
91
33.2
4.45
0.45
1.39
2.62
4.37
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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2025-10-29
2025-06-25
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-08-31
2025-03-28
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-05-10
2025-03-28
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
E
2025-05-10
2025-03-28
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
2025-05-10
2025-03-28
Health
F0691
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
D
2025-05-10
2025-03-28
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
E
2025-05-10
2025-03-28
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F
2025-05-10
2025-03-28
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2025-05-10
2025-03-28
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-05-10
2024-02-23
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2024-04-29
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
46
Owner
Role
Pct
From
Status
Source
CAVANAUGH-MARSH, MARY
CORPORATE DIRECTOR
—
2023-07-01
current
pecos_ownership
FORVIS MAZARS LLP
ADP OF THE SNF
—
2025-05-16
current
pecos_ownership
FORVIS MAZARS LLP
OPERATIONAL/MANAGERIAL CONTROL
—
2021-03-11
current
pecos_ownership
GILSTRAP, GREG
CORPORATE DIRECTOR
—
2023-07-01
current
pecos_ownership
HASKELL, CORNELIUS
CORPORATE DIRECTOR
—
2022-07-01
current
pecos_ownership
HOFFMAN, SINTRA
CORPORATE DIRECTOR
—
2025-02-17
current
pecos_ownership
HUNTER, DARRYLL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-24
current
pecos_ownership
JUDE, REBECCA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-15
current
pecos_ownership
KOVALA, IRENE
CORPORATE DIRECTOR
—
2017-07-01
current
pecos_ownership
LA LOMA SENIOR LIVING SERVICES, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2018-07-01
current
pecos_ownership
LA RUE, JOSEPH
CORPORATE DIRECTOR
—
2018-07-01
current
pecos_ownership
LAKSHMIPATHY, ARUN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
LAKSHMIPATHY, ARUN
ADP OF THE SNF
—
2005-10-11
current
pecos_ownership
LANCASTER, LEWIS
CORPORATE DIRECTOR
—
2017-09-21
current
pecos_ownership
MARRER, GARY
CORPORATE DIRECTOR
—
2022-07-01
current
pecos_ownership
ORCUTT, HERMAN
CORPORATE DIRECTOR
—
2012-07-01
current
pecos_ownership
ORLOPP, SHARON
CORPORATE DIRECTOR
—
2024-07-01
current
pecos_ownership
REIFSTECK, MARK
CORPORATE DIRECTOR
—
2023-09-01
current
pecos_ownership
RIVERA, REY
CORPORATE DIRECTOR
—
2024-07-01
current
pecos_ownership
RUNGE, AMY
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
SALTMARSH
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
SALTMARSH
ADP OF THE SNF
—
2025-05-16
current
pecos_ownership
SOLOMON, GERALD
CORPORATE DIRECTOR
—
2017-07-01
current
pecos_ownership
SUN HEALTH SENIOR LIVING LLC
ADP OF THE SNF
—
2025-04-14
current
pecos_ownership
SUN HEALTH SENIOR LIVING LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2011-06-24
current
pecos_ownership
SUN HEALTH SERVICES
ADP OF THE SNF
—
2010-08-31
current
pecos_ownership
THOMPSON, KIMBERLEY
CORPORATE OFFICER
—
2023-03-27
current
pecos_ownership
JOSEPH LA RUE
OPERATIONAL/MANAGERIAL CONTROL
100%
2018-07-01
ended 2026-05-18
pecos_ownership
AMY RUNGE
CORPORATE OFFICER
—
2024-01-01
ended 2026-05-18
pecos_ownership
ARUN LAKSHMIPATHY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
ARUN LAKSHMIPATHY
ADP OF THE SNF
—
2005-10-11
ended 2026-05-18
pecos_ownership
CORNELIUS HASKELL
CORPORATE DIRECTOR
—
2022-07-01
ended 2026-05-18
pecos_ownership
DARRYLL HUNTER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-24
ended 2026-05-18
pecos_ownership
GARY MARRER
CORPORATE DIRECTOR
—
2022-07-01
ended 2026-05-18
pecos_ownership
GERALD SOLOMON
CORPORATE DIRECTOR
—
2017-07-01
ended 2026-05-18
pecos_ownership
GREG GILSTRAP
CORPORATE DIRECTOR
—
2023-07-01
ended 2026-05-18
pecos_ownership
HERMAN ORCUTT
CORPORATE DIRECTOR
—
2012-07-01
ended 2026-05-18
pecos_ownership
IRENE KOVALA
CORPORATE DIRECTOR
—
2017-07-01
ended 2026-05-18
pecos_ownership
KIMBERLEY THOMPSON
OPERATIONAL/MANAGERIAL CONTROL
—
2023-03-27
ended 2026-05-18
pecos_ownership
LEWIS LANCASTER
CORPORATE DIRECTOR
—
2017-09-21
ended 2026-05-18
pecos_ownership
MARK REIFSTECK
CORPORATE DIRECTOR
—
2023-09-01
ended 2026-05-18
pecos_ownership
MARY CAVANAUGH-MARSH
CORPORATE DIRECTOR
—
2023-07-01
ended 2026-05-18
pecos_ownership
REBECCA JUDE
ADP OF THE SNF
—
2025-01-15
ended 2026-05-18
pecos_ownership
REY RIVERA
CORPORATE DIRECTOR
—
2024-07-01
ended 2026-05-18
pecos_ownership
SHARON ORLOPP
CORPORATE DIRECTOR
—
2024-07-01
ended 2026-05-18
pecos_ownership
SINTRA HOFFMAN
CORPORATE DIRECTOR
—
2025-02-17
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
2025-06-30
$1,264,796
—
$1,264,796
—
—
2
—
2024-06-30
$936,361
—
$936,361
—
—
2
—
2023-06-30
$591,763
—
$591,763
—
—
2
—
2022-06-30
$379,801
—
$379,801
—
—
2
—
2021-06-30
$315,855
—
$315,855
—
—
2
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 04013
acs median gross
0
$1,383
2024-12-31
CENSUS_ACS5
county 04013
fmr
0
$1,457
2025-10-01
HUD_USER_FMR
county 04013
acs median gross
1
$1,453
2024-12-31
CENSUS_ACS5
county 04013
fmr
1
$1,583
2025-10-01
HUD_USER_FMR
county 04013
acs median gross
2
$1,698
2024-12-31
CENSUS_ACS5
county 04013
fmr
2
$1,839
2025-10-01
HUD_USER_FMR
county 04013
acs median gross
3
$2,027
2024-12-31
CENSUS_ACS5
county 04013
fmr
3
$2,452
2025-10-01
HUD_USER_FMR
county 04013
acs median gross
4
$2,312
2024-12-31
CENSUS_ACS5
county 04013
fmr
4
$2,720
2025-10-01
HUD_USER_FMR
county 04013
acs median gross
5
$2,632
2024-12-31
CENSUS_ACS5
county 04013
acs median gross
$1,708
2024-12-31
CENSUS_ACS5
county 04013
acs recent mover gross
$1,867
2024-12-31
CENSUS_ACS5
zcta 85340
acs median gross
1
$1,612
2024-12-31
CENSUS_ACS5
zcta 85340
acs median gross
2
$1,833
2024-12-31
CENSUS_ACS5
zcta 85340
acs median gross
3
$1,945
2024-12-31
CENSUS_ACS5
zcta 85340
acs median gross
4
$2,579
2024-12-31
CENSUS_ACS5
zcta 85340
acs median gross
$2,072
2024-12-31
CENSUS_ACS5
zcta 85340
acs recent mover gross
$2,771
2024-12-31
CENSUS_ACS5
zip 85340
payment standard 110
0
$1,969
2025-10-01
HUD_USER_SAFMR
zip 85340
payment standard 90
0
$1,611
2025-10-01
HUD_USER_SAFMR
zip 85340
safmr
0
$1,790
2025-10-01
HUD_USER_SAFMR
zip 85340
payment standard 110
1
$2,145
2025-10-01
HUD_USER_SAFMR
zip 85340
payment standard 90
1
$1,755
2025-10-01
HUD_USER_SAFMR
zip 85340
safmr
1
$1,950
2025-10-01
HUD_USER_SAFMR
zip 85340
payment standard 110
2
$2,486
2025-10-01
HUD_USER_SAFMR
zip 85340
payment standard 90
2
$2,034
2025-10-01
HUD_USER_SAFMR
zip 85340
safmr
2
$2,260
2025-10-01
HUD_USER_SAFMR
zip 85340
payment standard 110
3
$3,322
2025-10-01
HUD_USER_SAFMR
zip 85340
payment standard 90
3
$2,718
2025-10-01
HUD_USER_SAFMR
zip 85340
safmr
3
$3,020
2025-10-01
HUD_USER_SAFMR
zip 85340
payment standard 110
4
$3,718
2025-10-01
HUD_USER_SAFMR
zip 85340
payment standard 90
4
$3,042
2025-10-01
HUD_USER_SAFMR
zip 85340
safmr
4
$3,380
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.