Reads as: riskier than 42.5% 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
7 chains
BRIGHTON CONSULTING GROUP LLC
17 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
IA median
National median
National p25–p75
Total nurse
3.77
3.15
3.28
2.90–3.77
RN
0.83
0.46
0.39
0.25–0.58
Weekend total
3.27
2.96
3.11
—
Weekday total
3.96
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
24.2
3.77
0.83
0.39
2.54
3.27
10.5%
2025Q3
92
28.0
3.52
0.79
0.25
2.48
3.07
22.8%
2025Q2
91
29.2
3.42
0.57
0.47
2.37
3.14
23.0%
2025Q1
90
31.1
3.25
0.54
0.45
2.25
3.11
15.6%
2024Q4
92
30.1
3.49
0.67
0.45
2.37
3.32
6.3%
2024Q3
92
30.6
3.66
0.52
0.64
2.49
3.51
7.5%
2024Q2
91
27.6
3.56
0.59
0.56
2.40
3.27
14.1%
2024Q1
91
29.8
3.71
0.56
0.62
2.52
3.36
8.5%
2023Q4
92
30.2
3.61
0.47
0.63
2.50
3.36
12.5%
2023Q3
92
30.4
3.52
0.66
0.53
2.34
3.21
11.3%
2023Q2
91
32.4
3.36
0.60
0.41
2.36
3.03
11.3%
2023Q1
90
33.2
3.17
0.62
0.26
2.30
2.92
4.4%
2022Q4
92
31.5
3.18
0.49
0.41
2.29
2.83
4.3%
2022Q3
92
29.5
3.43
0.47
0.59
2.37
3.11
7.8%
2022Q2
91
27.2
3.73
0.55
0.68
2.50
3.29
17.6%
2022Q1
90
25.8
3.83
0.57
0.77
2.50
3.45
14.4%
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 care and assistance to perform activities of daily living for any resident who is unable.
D
—
2025-05-29
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.
D
2025-06-11
2025-05-29
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-06-11
2025-05-29
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-06-11
2024-03-13
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-03-17
2024-01-22
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2024-01-25
2024-01-22
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2024-01-25
2024-01-22
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E
2024-01-25
2024-01-22
Health · complaint
F0610
Respond appropriately to all alleged violations.
E
2024-01-25
2024-01-22
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.
D
2024-01-25
2024-01-22
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-01-25
2024-01-22
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2024-01-25
2024-01-22
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
2024-01-25
2024-01-22
Health
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
E
2024-01-25
2024-01-22
Health
F0944
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
E
2024-01-25
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
32
Owner
Role
Pct
From
Status
Source
THOMAS F JUCKETTE MARITAL TRUST
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2014-11-01
current
pecos_ownership
BALDWIN, CONNIE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-12-15
current
pecos_ownership
BELL, KIMBERLY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-15
current
pecos_ownership
BOYER, HATTIE
ADP OF THE SNF
—
2025-11-07
current
pecos_ownership
BOYER, HATTIE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-20
current
pecos_ownership
BRIGHTON CONSULTING GROUP LLC
ADP OF THE SNF
—
2024-10-01
current
pecos_ownership
CAPSTONE MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2014-11-01
current
pecos_ownership
CREATIVE PLANNING HOLD CO LLC
ADP OF THE SNF
—
2024-08-01
current
pecos_ownership
GUARDIAN PHARMACY OF IOWA LLC
ADP OF THE SNF
—
2021-01-31
current
pecos_ownership
HEALTH TECHNOLOGIES, INC
ADP OF THE SNF
—
2023-04-01
current
pecos_ownership
INTEGRATED HEALTH SYSTEMS INTERMEDIATE, LLC
ADP OF THE SNF
—
2015-08-25
current
pecos_ownership
IRVIN, VICKI
OPERATIONAL/MANAGERIAL CONTROL
—
2014-11-01
current
pecos_ownership
JUCKETTE, LINDA
OPERATIONAL/MANAGERIAL CONTROL
—
2014-11-01
current
pecos_ownership
JUCKETTE, LINDA
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-12-29
current
pecos_ownership
KEY REHABILITATION INC
ADP OF THE SNF
—
2016-01-01
current
pecos_ownership
LODDEN, TELFORD
TRUSTEE OF THE SNF
—
2014-11-01
current
pecos_ownership
MARTIN, TYLER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-19
current
pecos_ownership
RASHID, JOHN
ADP OF THE SNF
—
2025-11-07
current
pecos_ownership
RASHID, JOHN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-09-01
current
pecos_ownership
TRAVERSE POINT PANTHERS
ADP OF THE SNF
—
2015-08-25
current
pecos_ownership
VAN FLEET, PAIGE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-11-12
current
pecos_ownership
CONNIE BALDWIN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-12-15
ended 2026-05-18
pecos_ownership
HATTIE BOYER
ADP OF THE SNF
—
2025-11-07
ended 2026-05-18
pecos_ownership
HATTIE BOYER
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-20
ended 2026-05-18
pecos_ownership
JOHN RASHID
ADP OF THE SNF
—
2025-11-07
ended 2026-05-18
pecos_ownership
JOHN RASHID
OPERATIONAL/MANAGERIAL CONTROL
—
2023-09-01
ended 2026-05-18
pecos_ownership
KIMBERLY BELL
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-15
ended 2026-05-18
pecos_ownership
LINDA JUCKETTE
CORPORATE OFFICER
—
2014-11-01
ended 2026-05-18
pecos_ownership
PAIGE VAN FLEET
OPERATIONAL/MANAGERIAL CONTROL
—
2023-11-12
ended 2026-05-18
pecos_ownership
TELFORD LODDEN
TRUSTEE OF THE SNF
—
2014-11-01
ended 2026-05-18
pecos_ownership
TYLER MARTIN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-19
ended 2026-05-18
pecos_ownership
VICKI IRVIN
OPERATIONAL/MANAGERIAL CONTROL
—
2014-11-01
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
$57,814
—
$57,814
—
—
1
—
2023-12-31
$55,920
—
$55,920
—
—
1
—
2022-12-31
$57,588
—
$57,588
—
—
1
—
2021-12-31
$66,959
—
$66,959
—
—
1
—
2020-12-31
$50,187
—
—
—
—
1
—
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 19111
acs median gross
0
$631
2024-12-31
CENSUS_ACS5
county 19111
fmr
0
$663
2025-10-01
HUD_USER_FMR
county 19111
acs median gross
1
$436
2024-12-31
CENSUS_ACS5
county 19111
fmr
1
$733
2025-10-01
HUD_USER_FMR
county 19111
acs median gross
2
$847
2024-12-31
CENSUS_ACS5
county 19111
fmr
2
$962
2025-10-01
HUD_USER_FMR
county 19111
acs median gross
3
$1,108
2024-12-31
CENSUS_ACS5
county 19111
fmr
3
$1,270
2025-10-01
HUD_USER_FMR
county 19111
acs median gross
4
$1,324
2024-12-31
CENSUS_ACS5
county 19111
fmr
4
$1,330
2025-10-01
HUD_USER_FMR
county 19111
acs median gross
5
$978
2024-12-31
CENSUS_ACS5
county 19111
acs median gross
$835
2024-12-31
CENSUS_ACS5
county 19111
acs recent mover gross
$767
2024-12-31
CENSUS_ACS5
zcta 52656
acs median gross
1
$191
2024-12-31
CENSUS_ACS5
zcta 52656
acs median gross
2
$795
2024-12-31
CENSUS_ACS5
zcta 52656
acs median gross
$608
2024-12-31
CENSUS_ACS5
zip 52656
payment standard 110
0
$693
2025-10-01
HUD_USER_SAFMR
zip 52656
payment standard 90
0
$567
2025-10-01
HUD_USER_SAFMR
zip 52656
safmr
0
$630
2025-10-01
HUD_USER_SAFMR
zip 52656
payment standard 110
1
$770
2025-10-01
HUD_USER_SAFMR
zip 52656
payment standard 90
1
$630
2025-10-01
HUD_USER_SAFMR
zip 52656
safmr
1
$700
2025-10-01
HUD_USER_SAFMR
zip 52656
payment standard 110
2
$1,012
2025-10-01
HUD_USER_SAFMR
zip 52656
payment standard 90
2
$828
2025-10-01
HUD_USER_SAFMR
zip 52656
safmr
2
$920
2025-10-01
HUD_USER_SAFMR
zip 52656
payment standard 110
3
$1,331
2025-10-01
HUD_USER_SAFMR
zip 52656
payment standard 90
3
$1,089
2025-10-01
HUD_USER_SAFMR
zip 52656
safmr
3
$1,210
2025-10-01
HUD_USER_SAFMR
zip 52656
payment standard 110
4
$1,397
2025-10-01
HUD_USER_SAFMR
zip 52656
payment standard 90
4
$1,143
2025-10-01
HUD_USER_SAFMR
zip 52656
safmr
4
$1,270
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.