Reads as: riskier than 93.7% 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
5
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+36.8 vs natl
SYED ASIF
6 facilities
connection
Owner spans multiple chains
6 chains
SYED ASIF
6 facilities
connection
Owner spans multiple chains
5 chains
BOSWELL DARREN
9 facilities
connection
Owner spans multiple chains
5 chains
LEONARD JOSHUA
9 facilities
connection
Owner spans multiple chains
4 chains
EDEN JAMES
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 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
2.88
2.67
3.28
2.90–3.77
RN
0.19
0.24
0.39
0.25–0.58
Weekend total
2.96
2.56
3.11
—
Weekday total
2.85
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
24.8
2.88
0.19
0.82
1.87
2.96
34.5%
2025Q3
92
24.9
2.78
0.14
0.84
1.80
2.73
45.7%
2025Q2
91
25.4
2.91
0.39
0.76
1.75
2.97
21.4%
2025Q1
90
24.5
2.77
0.40
0.72
1.65
2.84
32.7%
2024Q4
92
24.0
2.85
0.32
0.77
1.76
2.87
24.0%
2024Q3
92
25.1
2.97
0.41
0.72
1.83
3.02
26.4%
2024Q2
91
30.0
2.62
0.04
0.98
1.59
2.59
37.3%
2024Q1
91
30.8
2.96
0.12
1.06
1.78
2.74
29.2%
2023Q4
92
36.3
2.43
0.01
0.84
1.58
2.17
14.7%
2023Q3
92
42.5
2.06
0.00
0.70
1.36
1.89
1.7%
2023Q2
91
38.3
2.47
0.00
0.70
1.77
2.12
3.8%
2023Q1
90
42.6
2.68
0.14
0.72
1.82
2.63
32.6%
2022Q4
92
46.8
1.85
0.15
0.40
1.31
1.73
11.8%
2022Q3
92
44.4
1.86
0.31
0.49
1.06
1.74
5.4%
2022Q2
91
43.4
2.29
0.32
0.64
1.34
1.98
3.1%
2022Q1
90
47.4
1.90
0.28
0.40
1.22
1.70
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2026-04-10
2025-09-04
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-10-10
2025-09-04
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
C
2025-10-10
2025-09-04
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.
E
2025-10-10
2025-09-04
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
E
2025-10-10
2025-09-04
Health
F0810
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
D
2025-10-10
2025-09-04
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-10-10
2025-04-09
Health · complaint
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2025-06-05
2025-01-17
Health · complaint
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
2025-02-15
2025-01-17
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-02-15
2024-08-08
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
E
2024-09-18
2024-08-08
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.
E
2024-09-18
2024-08-08
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2024-09-18
2024-08-08
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-09-18
2024-08-08
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-09-18
2024-08-08
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
2024-09-18
2024-08-08
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2024-09-18
2024-08-08
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-09-18
2024-08-08
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-09-18
2024-08-08
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2024-09-18
2023-12-15
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
K
2023-12-17
2023-12-15
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.
K
2024-01-26
2023-08-16
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
G
2023-08-17
2023-06-28
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
2023-07-28
2023-06-28
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-07-28
2023-06-28
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.
G
2023-07-28
2023-06-28
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-07-28
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
18
Owner
Role
Pct
From
Status
Source
APOLINAR, ADAM
CORPORATE OFFICER
—
2017-04-01
current
pecos_ownership
BOSWELL, DARREN
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-14
current
pecos_ownership
CONTRERAS, TERRI
CORPORATE OFFICER
—
2019-04-29
current
pecos_ownership
EDEN, JAMES
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-14
current
pecos_ownership
LEONARD, JOSHUA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
current
pecos_ownership
LLAN-TEX FACILITY, LLC
5% OR GREATER MORTGAGE INTEREST
—
2013-04-05
current
pecos_ownership
SLP LLANO LLC
—
—
2026-04-01
current
tx_hhsc_directory
SLP LLANO LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2017-04-01
current
pecos_ownership
SYED, ASIF
ADP OF THE SNF
—
2017-04-01
current
pecos_ownership
TROCINO, SUSAN
ADP OF THE SNF
—
2017-04-01
current
pecos_ownership
UVALDE COUNTY HOSPITAL AUTHORITY
—
—
2026-04-01
current
tx_hhsc_directory
WHITWORTH, GARY
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-14
current
pecos_ownership
UVALDE COUNTY HOSPITAL AUTHORITY
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2017-04-01
ended 2026-05-18
pecos_ownership
ADAM APOLINAR
CORPORATE OFFICER
0%
2017-04-01
ended 2026-05-18
pecos_ownership
TERRI CONTRERAS
CORPORATE OFFICER
0%
2019-04-29
ended 2026-05-18
pecos_ownership
ASIF SYED
ADP OF THE SNF
—
2017-04-01
ended 2026-05-18
pecos_ownership
JOSHUA LEONARD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
ended 2026-05-18
pecos_ownership
SUSAN TROCINO
ADP OF THE SNF
—
2017-04-01
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
2025-06-30
$12,014
—
—
—
—
1
—
2024-06-30
$12,014
—
—
—
—
1
—
2023-06-30
$14,511
—
—
—
—
1
—
2022-06-30
$10,520
—
—
—
—
1
—
2021-06-30
$8,779
—
—
—
—
1
—
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
32
Geo
Kind
BR
Amount
As of
Source
county 48299
acs median gross
0
$785
2024-12-31
CENSUS_ACS5
county 48299
fmr
0
$839
2025-10-01
HUD_USER_FMR
county 48299
acs median gross
1
$700
2024-12-31
CENSUS_ACS5
county 48299
fmr
1
$845
2025-10-01
HUD_USER_FMR
county 48299
acs median gross
2
$885
2024-12-31
CENSUS_ACS5
county 48299
fmr
2
$1,097
2025-10-01
HUD_USER_FMR
county 48299
acs median gross
3
$1,316
2024-12-31
CENSUS_ACS5
county 48299
fmr
3
$1,526
2025-10-01
HUD_USER_FMR
county 48299
acs median gross
4
$1,650
2024-12-31
CENSUS_ACS5
county 48299
fmr
4
$1,665
2025-10-01
HUD_USER_FMR
county 48299
acs median gross
$998
2024-12-31
CENSUS_ACS5
county 48299
acs recent mover gross
$1,193
2024-12-31
CENSUS_ACS5
zcta 78643
acs median gross
1
$729
2024-12-31
CENSUS_ACS5
zcta 78643
acs median gross
2
$885
2024-12-31
CENSUS_ACS5
zcta 78643
acs median gross
3
$1,271
2024-12-31
CENSUS_ACS5
zcta 78643
acs median gross
$1,077
2024-12-31
CENSUS_ACS5
zcta 78643
acs recent mover gross
$1,143
2024-12-31
CENSUS_ACS5
zip 78643
payment standard 110
0
$880
2025-10-01
HUD_USER_SAFMR
zip 78643
payment standard 90
0
$720
2025-10-01
HUD_USER_SAFMR
zip 78643
safmr
0
$800
2025-10-01
HUD_USER_SAFMR
zip 78643
payment standard 110
1
$880
2025-10-01
HUD_USER_SAFMR
zip 78643
payment standard 90
1
$720
2025-10-01
HUD_USER_SAFMR
zip 78643
safmr
1
$800
2025-10-01
HUD_USER_SAFMR
zip 78643
payment standard 110
2
$1,144
2025-10-01
HUD_USER_SAFMR
zip 78643
payment standard 90
2
$936
2025-10-01
HUD_USER_SAFMR
zip 78643
safmr
2
$1,040
2025-10-01
HUD_USER_SAFMR
zip 78643
payment standard 110
3
$1,595
2025-10-01
HUD_USER_SAFMR
zip 78643
payment standard 90
3
$1,305
2025-10-01
HUD_USER_SAFMR
zip 78643
safmr
3
$1,450
2025-10-01
HUD_USER_SAFMR
zip 78643
payment standard 110
4
$1,738
2025-10-01
HUD_USER_SAFMR
zip 78643
payment standard 90
4
$1,422
2025-10-01
HUD_USER_SAFMR
zip 78643
safmr
4
$1,580
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.