Reads as: riskier than 81.6% 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
4
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
47 chains
FORVIS MAZARS LLP
251 facilities
connection
Owner fleet risk far above national
+25.1 vs natl
HMG HEALTHCARE LLC
8 facilities
connection
Owner spans multiple chains
15 chains
CIBC BANK USA
155 facilities
connection
Owner fleet enforcement cluster
50% fined
HMG HEALTHCARE LLC
8 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 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
TX median
National median
National p25–p75
Total nurse
3.74
2.67
3.28
2.90–3.77
RN
0.67
0.24
0.39
0.25–0.58
Weekend total
3.35
2.56
3.11
—
Weekday total
3.90
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
78.1
3.74
0.67
1.23
1.85
3.35
0.0%
2025Q3
92
78.0
3.95
0.51
1.39
2.05
3.57
0.0%
2025Q2
91
87.0
3.97
0.46
1.36
2.15
3.59
0.0%
2025Q1
90
89.9
3.73
0.39
1.27
2.07
3.43
0.0%
2024Q4
92
82.9
3.96
0.38
1.40
2.19
3.59
0.2%
2024Q3
92
81.9
3.97
0.37
1.45
2.15
3.56
0.1%
2024Q2
91
73.5
4.30
0.51
1.60
2.19
3.77
0.0%
2024Q1
91
86.9
4.49
0.56
1.60
2.33
4.08
0.0%
2023Q4
92
84.3
4.05
0.44
1.67
1.95
3.61
0.0%
2023Q3
92
72.5
4.12
0.44
1.86
1.81
3.82
0.0%
2023Q2
91
81.6
4.48
0.37
2.19
1.92
3.93
4.9%
2023Q1
90
84.0
4.13
0.42
1.99
1.72
3.41
1.3%
2022Q4
92
68.8
4.54
0.32
2.13
2.09
3.83
1.1%
2022Q3
92
73.0
4.36
0.33
2.03
2.00
3.61
2.5%
2022Q2
91
61.9
5.57
0.26
2.55
2.76
4.71
3.7%
2022Q1
90
74.7
5.64
0.22
2.91
2.52
4.81
22.9%
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-12-11
2025-12-10
Health · complaint
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.
E
2025-12-11
2025-12-10
Health · complaint
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2025-12-11
2025-12-05
Health · complaint
F0576
Ensure residents have reasonable access to and privacy in their use of communication methods.
E
2025-12-06
2025-12-05
Health · complaint
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
2025-12-06
2025-06-27
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2025-06-30
2025-06-27
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-06-28
2025-06-27
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2025-06-28
2025-06-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-06-28
2025-06-27
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
E
2025-06-28
2025-06-27
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-06-30
2025-05-08
Health · complaint
F0637
Assess the resident when there is a significant change in condition
D
2025-05-09
2025-05-08
Health · complaint
F0642
Ensure a qualified health professional conducts resident assessments.
E
2025-05-09
2025-05-08
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.
E
2025-05-09
2025-05-08
Health · complaint
F0660
Plan the resident's discharge to meet the resident's goals and needs.
J
2025-05-09
2025-05-08
Health · complaint
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
J
2025-05-09
2025-05-08
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
J
2025-05-09
2025-02-05
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
2025-02-06
2025-02-05
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2025-02-02
2025-02-05
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
K
2025-02-03
2025-02-05
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2025-02-02
2024-07-15
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-07-16
2024-05-17
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-05-31
2024-05-17
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-06-10
2023-06-06
Health · complaint
F0624
Prepare residents for a safe transfer or discharge from the nursing home.
D
2023-06-07
2023-03-23
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2023-03-25
2023-03-23
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
2023-04-20
2023-03-23
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
2023-03-24
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
51
Owner
Role
Pct
From
Status
Source
ANTHAMATTEN, DUSTIN
CORPORATE OFFICER
—
2019-11-01
current
pecos_ownership
ANTHAMATTEN, DUSTIN
ADP OF THE SNF
—
2020-03-15
current
pecos_ownership
BALSAMO, KRYSTAL
ADP OF THE SNF
—
2018-04-01
current
pecos_ownership
CIBC BANK USA
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2018-04-01
current
pecos_ownership
CIBC BANK USA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-04-01
current
pecos_ownership
CULP, ROLAND
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
current
pecos_ownership
DASPIT, LAURENCE
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
current
pecos_ownership
DASPIT, LAURENCE
CORPORATE OFFICER
—
2019-11-01
current
pecos_ownership
DAVIS, GEORGETTE
ADP OF THE SNF
—
2023-01-14
current
pecos_ownership
DAVIS, GEORGETTE
OPERATIONAL/MANAGERIAL CONTROL
—
2001-08-20
current
pecos_ownership
DESOTO REHABILITATION INSTITUTE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-11-01
current
pecos_ownership
DOHN, WILLIAM
ADP OF THE SNF
—
2018-04-01
current
pecos_ownership
FORVIS MAZARS LLP
ADP OF THE SNF
—
2018-04-01
current
pecos_ownership
GLOBAL PRIME HEALTH, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
current
pecos_ownership
GLOBAL PRIME HEALTH, LLC
ADP OF THE SNF
—
2020-03-15
current
pecos_ownership
HMG HEALTHCARE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2019-11-01
current
pecos_ownership
LAUKAITIS, FRANCES W
ADP OF THE SNF
—
2020-03-15
current
pecos_ownership
LAUKAITIS, FRANCES W
CORPORATE OFFICER
—
2019-11-01
current
pecos_ownership
METHODIST HOSPITALS OF DALLAS
ADP OF THE SNF
—
2020-03-15
current
pecos_ownership
METHODIST HOSPITALS OF DALLAS
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2019-11-01
current
pecos_ownership
METHODIST HOSPITALS OF DALLAS
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
current
pecos_ownership
METHODIST TRANSITIONAL CARE CENTER-DESOTO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2020-03-15
current
pecos_ownership
PERKINS, CATINA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-15
current
pecos_ownership
PICO, ANA
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
current
pecos_ownership
PRINCE, DEREK
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-08-26
current
pecos_ownership
PRINCE, DEREK
ADP OF THE SNF
—
2018-04-01
current
pecos_ownership
REINARZ, CHRISTIAN
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
current
pecos_ownership
SEDIGHI, HOOMAN
ADP OF THE SNF
—
2020-03-15
current
pecos_ownership
STANBRIDGE, NORMA
ADP OF THE SNF
—
2018-04-01
current
pecos_ownership
VEGA, BRANDI
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-15
current
pecos_ownership
ZIONS BANCORPORATION
ADP OF THE SNF
—
2018-04-01
current
pecos_ownership
ZIONS BANCORPORATION
OPERATIONAL/MANAGERIAL CONTROL
—
2021-04-01
current
pecos_ownership
ANA PICO
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2018-04-01
ended 2026-05-18
pecos_ownership
ROLAND CULP
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2018-04-01
ended 2026-05-18
pecos_ownership
DEREK PRINCE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
16%
2019-11-01
ended 2026-05-18
pecos_ownership
LAURENCE DASPIT
5% OR GREATER INDIRECT OWNERSHIP INTEREST
16%
2019-11-01
ended 2026-05-18
pecos_ownership
BRANDI VEGA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-15
ended 2026-05-18
pecos_ownership
CATINA PERKINS
ADP OF THE SNF
—
2024-04-15
ended 2026-05-18
pecos_ownership
CHRISTIAN REINARZ
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
ended 2026-05-18
pecos_ownership
DEREK PRINCE
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
ended 2026-05-18
pecos_ownership
DUSTIN ANTHAMATTEN
CORPORATE OFFICER
—
2019-11-01
ended 2026-05-18
pecos_ownership
DUSTIN ANTHAMATTEN
ADP OF THE SNF
—
2020-03-15
ended 2026-05-18
pecos_ownership
FRANCES W LAUKAITIS
ADP OF THE SNF
—
2020-03-15
ended 2026-05-18
pecos_ownership
FRANCES W LAUKAITIS
CORPORATE OFFICER
—
2019-11-01
ended 2026-05-18
pecos_ownership
GEORGETTE DAVIS
OPERATIONAL/MANAGERIAL CONTROL
—
2001-08-20
ended 2026-05-18
pecos_ownership
GEORGETTE DAVIS
ADP OF THE SNF
—
2023-01-14
ended 2026-05-18
pecos_ownership
HOOMAN SEDIGHI
ADP OF THE SNF
—
2020-03-15
ended 2026-05-18
pecos_ownership
KRYSTAL BALSAMO
ADP OF THE SNF
—
2018-04-01
ended 2026-05-18
pecos_ownership
LAURENCE DASPIT
ADP OF THE SNF
—
2018-04-01
ended 2026-05-18
pecos_ownership
NORMA STANBRIDGE
ADP OF THE SNF
—
2018-04-01
ended 2026-05-18
pecos_ownership
WILLIAM DOHN
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
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
$480,102
—
—
—
—
2
—
2023-12-31
$496,632
—
—
—
—
2
—
2022-12-31
$344,081
—
—
—
—
2
—
2021-12-31
$350,795
—
—
—
—
2
—
2020-12-31
$55,668
—
—
—
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 48113
acs median gross
0
$1,385
2024-12-31
CENSUS_ACS5
county 48113
fmr
0
$1,582
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
1
$1,400
2024-12-31
CENSUS_ACS5
county 48113
fmr
1
$1,648
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
2
$1,638
2024-12-31
CENSUS_ACS5
county 48113
fmr
2
$1,931
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
3
$1,823
2024-12-31
CENSUS_ACS5
county 48113
fmr
3
$2,431
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
4
$2,241
2024-12-31
CENSUS_ACS5
county 48113
fmr
4
$3,091
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
5
$2,432
2024-12-31
CENSUS_ACS5
county 48113
acs median gross
$1,565
2024-12-31
CENSUS_ACS5
county 48113
acs recent mover gross
$1,745
2024-12-31
CENSUS_ACS5
zcta 75115
acs median gross
0
$1,171
2024-12-31
CENSUS_ACS5
zcta 75115
acs median gross
1
$1,372
2024-12-31
CENSUS_ACS5
zcta 75115
acs median gross
2
$1,700
2024-12-31
CENSUS_ACS5
zcta 75115
acs median gross
3
$2,024
2024-12-31
CENSUS_ACS5
zcta 75115
acs median gross
4
$2,217
2024-12-31
CENSUS_ACS5
zcta 75115
acs median gross
5
$3,103
2024-12-31
CENSUS_ACS5
zcta 75115
acs median gross
$1,666
2024-12-31
CENSUS_ACS5
zcta 75115
acs recent mover gross
$1,794
2024-12-31
CENSUS_ACS5
zip 75115
payment standard 110
0
$1,716
2025-10-01
HUD_USER_SAFMR
zip 75115
payment standard 90
0
$1,404
2025-10-01
HUD_USER_SAFMR
zip 75115
safmr
0
$1,560
2025-10-01
HUD_USER_SAFMR
zip 75115
payment standard 110
1
$1,782
2025-10-01
HUD_USER_SAFMR
zip 75115
payment standard 90
1
$1,458
2025-10-01
HUD_USER_SAFMR
zip 75115
safmr
1
$1,620
2025-10-01
HUD_USER_SAFMR
zip 75115
payment standard 110
2
$2,090
2025-10-01
HUD_USER_SAFMR
zip 75115
payment standard 90
2
$1,710
2025-10-01
HUD_USER_SAFMR
zip 75115
safmr
2
$1,900
2025-10-01
HUD_USER_SAFMR
zip 75115
payment standard 110
3
$2,629
2025-10-01
HUD_USER_SAFMR
zip 75115
payment standard 90
3
$2,151
2025-10-01
HUD_USER_SAFMR
zip 75115
safmr
3
$2,390
2025-10-01
HUD_USER_SAFMR
zip 75115
payment standard 110
4
$3,344
2025-10-01
HUD_USER_SAFMR
zip 75115
payment standard 90
4
$2,736
2025-10-01
HUD_USER_SAFMR
zip 75115
safmr
4
$3,040
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.