Reads as: riskier than 97.0% 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
6
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+28.7 vs natl
LINCOLN JUDY
55 facilities
connection
Owner fleet risk far above national
+28.6 vs natl
ERGO MIDWEST INC
57 facilities
connection
Owner fleet risk far above national
+28.6 vs natl
SYSTEMS LEASING INC
57 facilities
connection
Owner fleet risk far above national
+28.5 vs natl
LTC MANAGEMENT SERVICES LLC
37 facilities
connection
Owner fleet risk far above national
+27.5 vs natl
LINCOLN JAMES
56 facilities
connection
Owner spans multiple chains
4 chains
ERGO MIDWEST INC
38 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
MO median
National median
National p25–p75
Total nurse
1.28
2.41
3.28
2.90–3.77
RN
0.20
0.25
0.39
0.25–0.58
Weekend total
1.10
2.24
3.11
—
Weekday total
1.35
2.49
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
70.2
1.28
0.20
0.44
0.63
1.10
0.0%
2025Q3
92
69.6
1.28
0.13
0.43
0.72
1.17
0.0%
2025Q2
91
67.8
1.66
0.20
0.51
0.94
1.48
0.0%
2025Q1
90
72.5
1.58
0.30
0.33
0.96
1.27
0.0%
2024Q4
92
74.1
1.41
0.35
0.26
0.80
0.98
0.0%
2024Q3
92
76.1
1.21
0.26
0.25
0.70
0.92
0.0%
2024Q2
91
71.5
1.37
0.30
0.26
0.82
1.04
0.0%
2024Q1
91
69.0
1.24
0.23
0.24
0.78
1.08
0.0%
2023Q4
92
65.7
1.62
0.27
0.26
1.09
1.23
0.0%
2023Q3
92
66.6
1.68
0.16
0.40
1.12
1.53
0.0%
2023Q2
91
61.5
1.70
0.14
0.40
1.16
1.46
0.0%
2023Q1
90
57.5
2.01
0.14
0.44
1.44
1.82
0.0%
2022Q4
92
56.9
2.02
0.15
0.53
1.33
1.65
1.8%
2022Q3
92
52.5
1.75
0.11
0.65
0.99
1.49
5.0%
2022Q2
91
46.4
2.23
0.14
0.63
1.46
1.93
10.0%
2022Q1
90
46.6
2.22
0.25
0.58
1.39
1.81
13.5%
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.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
33
D × 14E × 13F × 5G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-16
Health · complaint
F0557
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
D
2026-05-02
2026-03-16
Health · complaint
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
2026-05-02
2026-01-06
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-02-23
2025-05-23
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
2025-07-07
2025-05-23
Health
F0637
Assess the resident when there is a significant change in condition
D
2025-07-07
2025-05-23
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-07-07
2025-05-23
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2025-07-07
2025-05-23
Health
F0760
Ensure that residents are free from significant medication errors.
E
2025-07-07
2025-05-23
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F
2025-07-07
2025-05-23
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2025-07-07
2025-05-23
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-07-07
2025-05-23
Health
F0880
Provide and implement an infection prevention and control program.
F
2025-07-07
2025-05-23
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
2025-07-07
2025-02-25
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2025-03-26
2025-02-25
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2025-03-26
2025-02-25
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2025-03-26
2023-10-06
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-11-20
2023-10-06
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2023-11-20
2023-10-06
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
2023-11-20
2023-10-06
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.
E
2023-11-20
2023-10-06
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-11-20
2023-10-06
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2023-11-20
2023-10-06
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-11-20
2023-10-06
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.
E
2023-11-20
2023-10-06
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2023-11-20
2023-10-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-11-20
2023-10-06
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-11-20
2021-04-05
Health
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
E
2021-05-17
2021-04-05
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2021-05-17
2021-04-05
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2021-05-17
2021-04-05
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2021-05-17
2021-04-05
Health
F0760
Ensure that residents are free from significant medication errors.
E
2021-05-17
2021-04-05
Health
F0880
Provide and implement an infection prevention and control program.
E
2021-05-17
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
17
Owner
Role
Pct
From
Status
Source
ERGO MIDWEST INC
Individual has financial interest in both related organization and provider
100%
2024-01-01
current
hcris_a_8_1
ERGO MIDWEST INC
Individual has financial interest in both related organization and provider
100%
2023-01-01
current
hcris_a_8_1
SYSTEMS LEASING INC
Individual has financial interest in both related organization and provider
100%
2024-01-01
current
hcris_a_8_1
SYSTEMS LEASING INC
Individual has financial interest in both related organization and provider
100%
2023-01-01
current
hcris_a_8_1
LINCOLN, JAMES
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2014-12-01
current
pecos_ownership
LINCOLN, JUDY
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2014-12-01
current
pecos_ownership
KNIGHT, THERESA
W-2 MANAGING EMPLOYEE
—
2022-04-25
current
pecos_ownership
LTC MANAGEMENT SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2014-12-01
current
pecos_ownership
ERGO MIDWEST INC
Individual has financial interest in both related organization and provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
ERGO MIDWEST INC
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
ERGO MIDWEST INC
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
SYSTEMS LEASING INC
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
SYSTEMS LEASING INC
Individual has financial interest in both related organization and provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
SYSTEMS LEASING INC
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
THERESA KNIGHT
W-2 MANAGING EMPLOYEE
100%
2022-04-25
ended 2026-05-18
pecos_ownership
JAMES LINCOLN
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2014-12-01
ended 2026-05-18
pecos_ownership
JUDY LINCOLN
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2014-12-01
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
$1,402,116
—
—
$324,550
$178,448
13
propco
2023-12-31
$1,467,077
—
—
$380,061
$179,965
13
propco
2022-12-31
$1,388,433
—
—
$307,252
$210,486
14
propco
2021-12-31
$1,429,294
—
—
$332,917
$257,975
12
propco
2020-12-31
$1,650,834
—
—
$404,272
$210,605
12
propco
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 29105
acs median gross
0
$556
2024-12-31
CENSUS_ACS5
county 29105
fmr
0
$671
2025-10-01
HUD_USER_FMR
county 29105
acs median gross
1
$516
2024-12-31
CENSUS_ACS5
county 29105
fmr
1
$688
2025-10-01
HUD_USER_FMR
county 29105
acs median gross
2
$788
2024-12-31
CENSUS_ACS5
county 29105
fmr
2
$903
2025-10-01
HUD_USER_FMR
county 29105
acs median gross
3
$1,052
2024-12-31
CENSUS_ACS5
county 29105
fmr
3
$1,182
2025-10-01
HUD_USER_FMR
county 29105
acs median gross
4
$966
2024-12-31
CENSUS_ACS5
county 29105
fmr
4
$1,482
2025-10-01
HUD_USER_FMR
county 29105
acs median gross
$809
2024-12-31
CENSUS_ACS5
county 29105
acs recent mover gross
$837
2024-12-31
CENSUS_ACS5
zcta 65536
acs median gross
0
$556
2024-12-31
CENSUS_ACS5
zcta 65536
acs median gross
1
$514
2024-12-31
CENSUS_ACS5
zcta 65536
acs median gross
2
$789
2024-12-31
CENSUS_ACS5
zcta 65536
acs median gross
3
$1,068
2024-12-31
CENSUS_ACS5
zcta 65536
acs median gross
4
$966
2024-12-31
CENSUS_ACS5
zcta 65536
acs median gross
$824
2024-12-31
CENSUS_ACS5
zcta 65536
acs recent mover gross
$893
2024-12-31
CENSUS_ACS5
zip 65536
payment standard 110
0
$748
2025-10-01
HUD_USER_SAFMR
zip 65536
payment standard 90
0
$612
2025-10-01
HUD_USER_SAFMR
zip 65536
safmr
0
$680
2025-10-01
HUD_USER_SAFMR
zip 65536
payment standard 110
1
$770
2025-10-01
HUD_USER_SAFMR
zip 65536
payment standard 90
1
$630
2025-10-01
HUD_USER_SAFMR
zip 65536
safmr
1
$700
2025-10-01
HUD_USER_SAFMR
zip 65536
payment standard 110
2
$1,012
2025-10-01
HUD_USER_SAFMR
zip 65536
payment standard 90
2
$828
2025-10-01
HUD_USER_SAFMR
zip 65536
safmr
2
$920
2025-10-01
HUD_USER_SAFMR
zip 65536
payment standard 110
3
$1,331
2025-10-01
HUD_USER_SAFMR
zip 65536
payment standard 90
3
$1,089
2025-10-01
HUD_USER_SAFMR
zip 65536
safmr
3
$1,210
2025-10-01
HUD_USER_SAFMR
zip 65536
payment standard 110
4
$1,661
2025-10-01
HUD_USER_SAFMR
zip 65536
payment standard 90
4
$1,359
2025-10-01
HUD_USER_SAFMR
zip 65536
safmr
4
$1,510
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.