Reads as: riskier than 90.5% 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
7
Kind
Finding
Signal
Subject
First seen
anomaly
Top-decile risk vs 4–5 star rating
5.5
this facility
2026-07-29
connection
Owner fleet risk far above national
+20.9 vs natl
COOPER BENJAMIN
10 facilities
connection
Owner fleet risk far above national
+20.9 vs natl
COOPER JAMES
10 facilities
connection
Owner fleet risk far above national
+20.9 vs natl
HEALTH CARE SOLUTIONS LLC
10 facilities
connection
Owner spans multiple chains
4 chains
PHARMACY CONSULTS LLC
35 facilities
connection
Owner spans multiple chains
4 chains
MCGINNIS LARRY
36 facilities
connection
Owner fleet enforcement cluster
40% fined
CAHOONE PATRICIA
5 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
AR median
National median
National p25–p75
Total nurse
2.86
3.38
3.28
2.90–3.77
RN
0.14
0.15
0.39
0.25–0.58
Weekend total
3.12
3.09
3.11
—
Weekday total
2.76
3.46
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
41.7
2.86
0.14
0.87
1.85
3.12
0.0%
2025Q3
92
40.7
2.98
0.25
0.77
1.96
3.05
0.0%
2025Q2
91
42.2
2.91
0.24
0.69
1.97
2.90
0.0%
2025Q1
90
43.1
2.76
0.29
0.69
1.78
2.82
0.0%
2024Q4
92
41.1
3.02
0.26
0.69
2.06
3.17
0.0%
2024Q3
92
42.6
3.24
0.23
0.64
2.38
3.31
0.0%
2024Q2
91
39.6
3.53
0.29
0.74
2.50
3.57
0.0%
2024Q1
91
42.3
2.94
0.23
0.73
1.98
2.81
0.0%
2023Q4
92
41.6
3.01
0.19
0.76
2.06
2.99
0.0%
2023Q3
92
35.2
3.27
0.15
0.91
2.21
3.17
0.0%
2023Q2
91
34.6
3.36
0.22
0.94
2.19
3.32
0.0%
2023Q1
90
35.6
3.39
0.21
0.92
2.26
3.26
0.0%
2022Q4
92
37.4
3.21
0.24
0.84
2.12
3.01
0.0%
2022Q3
92
38.2
2.89
0.26
0.74
1.90
2.69
0.0%
2022Q2
91
38.0
3.02
0.21
0.78
2.02
2.93
0.0%
2022Q1
90
35.2
3.00
0.12
0.92
1.95
2.96
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-02-26
2024-06-13
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2024-06-30
2024-06-13
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2024-06-30
2024-06-13
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
2024-06-30
2023-04-14
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2023-05-14
2023-04-14
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-05-14
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
39
Owner
Role
Pct
From
Status
Source
ADAMS, ANTHONY
CORPORATE OFFICER
—
2013-11-01
current
pecos_ownership
ADAMS, BRYAN
CORPORATE OFFICER
—
2013-11-01
current
pecos_ownership
CAHOONE, PATRICIA
ADP OF THE SNF
—
2024-08-28
current
pecos_ownership
COOPER, BENJAMIN
ADP OF THE SNF
—
2019-10-24
current
pecos_ownership
COOPER, JAMES
ADP OF THE SNF
—
2019-10-24
current
pecos_ownership
COOPER, ROBERT
ADP OF THE SNF
—
2019-10-24
current
pecos_ownership
ELLIS, JOHN
ADP OF THE SNF
—
2013-11-01
current
pecos_ownership
HEALTH CARE SOLUTIONS, LLC
ADP OF THE SNF
—
2019-10-24
current
pecos_ownership
INCITE REHAB, LLC
ADP OF THE SNF
—
2013-11-01
current
pecos_ownership
KOEHLER, TOBEY
ADP OF THE SNF
—
2013-11-01
current
pecos_ownership
LTC SYSTEMS/RX, LLC
ADP OF THE SNF
—
2013-11-01
current
pecos_ownership
MAINORD, WILLIAM
ADP OF THE SNF
—
2013-11-01
current
pecos_ownership
MCGINNIS, LARRY
ADP OF THE SNF
—
2013-11-01
current
pecos_ownership
OLIVER, CRYSTAL
OPERATIONAL/MANAGERIAL CONTROL
—
2022-04-06
current
pecos_ownership
PEDIGO, RITA
ADP OF THE SNF
—
2005-08-10
current
pecos_ownership
PHARMACY CONSULTS, LLC
ADP OF THE SNF
—
2013-11-01
current
pecos_ownership
RELIANCE HEALTH CARE, INC.
ADP OF THE SNF
—
2013-11-01
current
pecos_ownership
SHERIDAN, JAMES
ADP OF THE SNF
—
2024-08-28
current
pecos_ownership
TALBOT, LAUREN
MANAGING CONTROL - GOVERNING BODY
—
2024-08-28
current
pecos_ownership
THE HEARTLAND AGENCY
Corporation, partnership or other organization has financial interest in provider
—
2023-01-01
current
hcris_a_8_1
THE HEARTLAND AGENCY
Corporation, partnership or other organization has financial interest in provider
—
2024-01-01
current
hcris_a_8_1
EAGLE HEALTH SYSTEMS INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2013-11-01
ended 2026-05-18
pecos_ownership
ANTHONY ADAMS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2013-11-01
ended 2026-05-18
pecos_ownership
BRYAN ADAMS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2013-11-01
ended 2026-05-18
pecos_ownership
BENJAMIN COOPER
ADP OF THE SNF
—
2019-10-24
ended 2026-05-18
pecos_ownership
CRYSTAL OLIVER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-04-06
ended 2026-05-18
pecos_ownership
JAMES COOPER
ADP OF THE SNF
—
2019-10-24
ended 2026-05-18
pecos_ownership
JAMES SHERIDAN
ADP OF THE SNF
—
2024-08-28
ended 2026-05-18
pecos_ownership
JOHN ELLIS
ADP OF THE SNF
—
2013-11-01
ended 2026-05-18
pecos_ownership
LARRY MCGINNIS
ADP OF THE SNF
—
2013-11-01
ended 2026-05-18
pecos_ownership
LAUREN TALBOT
MANAGING CONTROL - GOVERNING BODY
—
2024-08-28
ended 2026-05-18
pecos_ownership
PATRICIA CAHOONE
ADP OF THE SNF
—
2024-08-28
ended 2026-05-18
pecos_ownership
RITA PEDIGO
ADP OF THE SNF
—
2005-08-10
ended 2026-05-18
pecos_ownership
ROBERT COOPER
ADP OF THE SNF
—
2019-10-24
ended 2026-05-18
pecos_ownership
THE HEARTLAND AGENCY
Corporation, partnership or other organization has financial interest in provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
THE HEARTLAND AGENCY
Corporation, partnership or other organization has financial interest in provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
THE HEARTLAND AGENCY
Corporation, partnership or other organization has financial interest in provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
TOBEY KOEHLER
ADP OF THE SNF
—
2013-11-01
ended 2026-05-18
pecos_ownership
WILLIAM MAINORD
ADP OF THE SNF
—
2013-11-01
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
$442,350
—
—
$113,262
$73,867
13
—
2023-12-31
$484,092
—
—
$112,809
$71,404
13
—
2022-12-31
$443,074
—
—
$133,550
$67,240
13
—
2021-12-31
$368,990
—
—
$132,853
$59,519
13
—
2020-12-31
$451,136
—
—
$176,379
$74,029
13
—
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
32
Geo
Kind
BR
Amount
As of
Source
county 05021
acs median gross
0
$453
2024-12-31
CENSUS_ACS5
county 05021
fmr
0
$658
2025-10-01
HUD_USER_FMR
county 05021
acs median gross
1
$390
2024-12-31
CENSUS_ACS5
county 05021
fmr
1
$671
2025-10-01
HUD_USER_FMR
county 05021
acs median gross
2
$707
2024-12-31
CENSUS_ACS5
county 05021
fmr
2
$880
2025-10-01
HUD_USER_FMR
county 05021
acs median gross
3
$841
2024-12-31
CENSUS_ACS5
county 05021
fmr
3
$1,191
2025-10-01
HUD_USER_FMR
county 05021
acs median gross
4
$879
2024-12-31
CENSUS_ACS5
county 05021
fmr
4
$1,240
2025-10-01
HUD_USER_FMR
county 05021
acs median gross
$707
2024-12-31
CENSUS_ACS5
county 05021
acs recent mover gross
$746
2024-12-31
CENSUS_ACS5
zcta 72461
acs median gross
1
$364
2024-12-31
CENSUS_ACS5
zcta 72461
acs median gross
2
$725
2024-12-31
CENSUS_ACS5
zcta 72461
acs median gross
3
$694
2024-12-31
CENSUS_ACS5
zcta 72461
acs median gross
$674
2024-12-31
CENSUS_ACS5
zcta 72461
acs recent mover gross
$1,357
2024-12-31
CENSUS_ACS5
zip 72461
payment standard 110
0
$726
2025-10-01
HUD_USER_SAFMR
zip 72461
payment standard 90
0
$594
2025-10-01
HUD_USER_SAFMR
zip 72461
safmr
0
$660
2025-10-01
HUD_USER_SAFMR
zip 72461
payment standard 110
1
$759
2025-10-01
HUD_USER_SAFMR
zip 72461
payment standard 90
1
$621
2025-10-01
HUD_USER_SAFMR
zip 72461
safmr
1
$690
2025-10-01
HUD_USER_SAFMR
zip 72461
payment standard 110
2
$968
2025-10-01
HUD_USER_SAFMR
zip 72461
payment standard 90
2
$792
2025-10-01
HUD_USER_SAFMR
zip 72461
safmr
2
$880
2025-10-01
HUD_USER_SAFMR
zip 72461
payment standard 110
3
$1,309
2025-10-01
HUD_USER_SAFMR
zip 72461
payment standard 90
3
$1,071
2025-10-01
HUD_USER_SAFMR
zip 72461
safmr
3
$1,190
2025-10-01
HUD_USER_SAFMR
zip 72461
payment standard 110
4
$1,386
2025-10-01
HUD_USER_SAFMR
zip 72461
payment standard 90
4
$1,134
2025-10-01
HUD_USER_SAFMR
zip 72461
safmr
4
$1,260
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.