Reads as: riskier than 51.4% 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
6 chains
HARRISON JOHN
71 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
TN median
National median
National p25–p75
Total nurse
3.12
3.28
3.28
2.90–3.77
RN
0.27
0.34
0.39
0.25–0.58
Weekend total
2.92
3.10
3.11
—
Weekday total
3.19
3.36
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
76.4
3.12
0.27
0.79
2.05
2.92
0.0%
2025Q3
92
76.4
3.10
0.44
0.71
1.95
2.99
0.0%
2025Q2
91
77.3
3.24
0.42
0.71
2.11
3.08
0.0%
2025Q1
90
82.5
2.95
0.42
0.75
1.77
2.89
0.0%
2024Q4
92
78.2
3.11
0.44
0.87
1.80
3.01
0.0%
2024Q3
92
85.4
2.90
0.37
0.85
1.68
2.66
0.0%
2024Q2
91
83.5
3.17
0.35
0.94
1.88
2.95
0.0%
2024Q1
91
83.8
3.19
0.36
0.99
1.84
3.06
0.0%
2023Q4
92
87.6
2.92
0.32
0.97
1.63
2.64
0.0%
2023Q3
92
84.5
3.07
0.30
1.10
1.67
2.77
0.0%
2023Q2
91
79.3
3.21
0.43
0.98
1.80
2.99
0.0%
2023Q1
90
75.6
3.09
0.43
1.07
1.58
2.91
0.0%
2022Q4
92
73.4
3.16
0.38
1.01
1.77
2.89
0.0%
2022Q3
92
75.6
3.05
0.32
1.09
1.63
2.82
0.1%
2022Q2
91
71.9
3.02
0.41
0.94
1.67
2.86
2.0%
2022Q1
90
75.7
2.99
0.39
0.97
1.63
2.78
0.5%
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
13
D × 11F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-03-04
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2025-03-28
2025-03-04
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-03-28
2025-03-04
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2025-03-28
2025-01-15
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-01-24
2025-01-15
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-05-21
2019-09-24
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2019-11-08
2019-09-24
Health
F0610
Respond appropriately to all alleged violations.
D
2019-11-08
2019-09-24
Health
F0881
Implement a program that monitors antibiotic use.
F
2019-11-08
2018-10-24
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2018-11-08
2018-10-24
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2018-11-08
2018-10-24
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2018-11-08
2018-10-24
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
2018-11-08
2018-10-24
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2018-11-08
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
16
Owner
Role
Pct
From
Status
Source
LP CR HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2007-11-01
current
pecos_ownership
SHC LP HOLDINGS II LLC
Corporation, partnership or other organization has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
SHC LP HOLDINGS III LLC
Corporation, partnership or other organization has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
AGEMO HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2016-10-01
current
pecos_ownership
CLABEUAX, DAWN
W-2 MANAGING EMPLOYEE
—
2022-12-29
current
pecos_ownership
HARRISON, JOHN
CORPORATE OFFICER
—
2007-11-01
current
pecos_ownership
JJLA LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2007-11-01
current
pecos_ownership
LPSNF II LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2016-10-01
current
pecos_ownership
STEIER III, ELMER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2007-11-01
current
pecos_ownership
WHEATEN LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2007-11-01
current
pecos_ownership
ELMER STEIER III
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2007-11-01
ended 2026-05-18
pecos_ownership
IRA SMEDRA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
12%
2007-11-01
ended 2026-05-18
pecos_ownership
SIGNATURE HEALTHCARE CONSULTING SERVICES LLC
OTHER
0%
2007-11-01
ended 2026-05-18
pecos_ownership
SIGNATURE HEALTHCARE LLC
OTHER
0%
2007-11-01
ended 2026-05-18
pecos_ownership
DAWN CLABEUAX
W-2 MANAGING EMPLOYEE
—
2022-12-29
ended 2026-05-18
pecos_ownership
JOHN HARRISON
CORPORATE OFFICER
—
2007-11-01
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
$1,673,333
—
$561,687
$596,844
$395,273
34
propco
2023-12-31
$1,249,250
—
$519,072
$542,595
$4,200
22
—
2022-12-31
$1,028,347
—
$450,265
$432,136
$14,925
25
—
2021-12-31
$896,552
—
$395,628
$413,715
$18,118
23
—
2020-12-31
$989,068
—
$384,377
$518,826
$20,022
19
—
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
31
Geo
Kind
BR
Amount
As of
Source
county 47141
acs median gross
0
$622
2024-12-31
CENSUS_ACS5
county 47141
fmr
0
$752
2025-10-01
HUD_USER_FMR
county 47141
acs median gross
1
$715
2024-12-31
CENSUS_ACS5
county 47141
fmr
1
$818
2025-10-01
HUD_USER_FMR
county 47141
acs median gross
2
$914
2024-12-31
CENSUS_ACS5
county 47141
fmr
2
$1,014
2025-10-01
HUD_USER_FMR
county 47141
acs median gross
3
$1,126
2024-12-31
CENSUS_ACS5
county 47141
fmr
3
$1,409
2025-10-01
HUD_USER_FMR
county 47141
acs median gross
4
$1,199
2024-12-31
CENSUS_ACS5
county 47141
fmr
4
$1,557
2025-10-01
HUD_USER_FMR
county 47141
acs median gross
$908
2024-12-31
CENSUS_ACS5
county 47141
acs recent mover gross
$1,109
2024-12-31
CENSUS_ACS5
zcta 38574
acs median gross
2
$726
2024-12-31
CENSUS_ACS5
zcta 38574
acs median gross
3
$1,420
2024-12-31
CENSUS_ACS5
zcta 38574
acs median gross
$754
2024-12-31
CENSUS_ACS5
zcta 38574
acs recent mover gross
$931
2024-12-31
CENSUS_ACS5
zip 38574
payment standard 110
0
$770
2025-10-01
HUD_USER_SAFMR
zip 38574
payment standard 90
0
$630
2025-10-01
HUD_USER_SAFMR
zip 38574
safmr
0
$700
2025-10-01
HUD_USER_SAFMR
zip 38574
payment standard 110
1
$814
2025-10-01
HUD_USER_SAFMR
zip 38574
payment standard 90
1
$666
2025-10-01
HUD_USER_SAFMR
zip 38574
safmr
1
$740
2025-10-01
HUD_USER_SAFMR
zip 38574
payment standard 110
2
$1,023
2025-10-01
HUD_USER_SAFMR
zip 38574
payment standard 90
2
$837
2025-10-01
HUD_USER_SAFMR
zip 38574
safmr
2
$930
2025-10-01
HUD_USER_SAFMR
zip 38574
payment standard 110
3
$1,397
2025-10-01
HUD_USER_SAFMR
zip 38574
payment standard 90
3
$1,143
2025-10-01
HUD_USER_SAFMR
zip 38574
safmr
3
$1,270
2025-10-01
HUD_USER_SAFMR
zip 38574
payment standard 110
4
$1,606
2025-10-01
HUD_USER_SAFMR
zip 38574
payment standard 90
4
$1,314
2025-10-01
HUD_USER_SAFMR
zip 38574
safmr
4
$1,460
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.