Reads as: riskier than 23.8% 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
9
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
47 chains
FORVIS MAZARS LLP
251 facilities
connection
Owner fleet enforcement cluster
50% fined
PHILIP M GREEN REVOCABLE TRUST
8 facilities
connection
Owner fleet enforcement cluster
46% fined
PITTS JACI
11 facilities
connection
Owner fleet enforcement cluster
46% fined
BELT MIRANDA
11 facilities
connection
Owner fleet enforcement cluster
46% fined
MITCHELL MARCINDA
11 facilities
connection
Owner fleet enforcement cluster
46% fined
TABOR ANGELA
11 facilities
connection
Owner fleet enforcement cluster
43% fined
TAYLOR SANDRA
14 facilities
connection
Owner fleet enforcement cluster
42% fined
MITCHELL ROBERT
12 facilities
connection
Owner fleet enforcement cluster
41% fined
MITCHELL KELLY
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
OK median
National median
National p25–p75
Total nurse
2.95
2.78
3.28
2.90–3.77
RN
0.38
0.18
0.39
0.25–0.58
Weekend total
2.62
2.72
3.11
—
Weekday total
3.08
2.80
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
52.6
2.95
0.38
0.61
1.97
2.62
0.0%
2025Q3
92
53.0
3.17
0.46
0.58
2.13
2.88
0.0%
2025Q2
91
52.8
3.25
0.46
0.64
2.15
2.92
0.0%
2025Q1
90
52.8
3.13
0.42
0.67
2.04
2.72
0.0%
2024Q4
92
51.2
3.10
0.37
0.67
2.06
2.91
0.0%
2024Q3
92
54.1
3.01
0.42
0.63
1.96
2.91
0.0%
2024Q2
91
54.9
3.44
0.48
0.65
2.31
3.32
0.0%
2024Q1
91
54.6
1.52
0.46
0.27
0.80
1.41
0.0%
2023Q4
92
56.6
3.40
0.48
0.64
2.29
2.87
0.0%
2023Q3
92
55.2
3.50
0.58
0.58
2.35
3.21
0.0%
2023Q2
91
59.2
3.25
0.45
0.67
2.14
2.84
0.0%
2023Q1
90
63.6
2.71
0.35
0.59
1.77
2.21
0.0%
2022Q4
92
61.0
3.13
0.25
0.81
2.07
2.76
0.0%
2022Q3
92
57.2
3.27
0.33
0.78
2.15
3.16
0.0%
2022Q2
91
57.9
3.36
0.39
0.74
2.23
3.03
0.0%
2022Q1
90
56.8
0.41
0.06
0.07
0.28
0.85
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.
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
6
D × 2E × 4
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-02-05
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
2025-02-28
2025-02-05
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-02-28
2022-12-02
Health
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
2022-12-31
2022-12-02
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2022-12-31
2022-12-02
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
2022-12-31
2022-12-02
Health
F0809
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
E
2022-12-31
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
45
Owner
Role
Pct
From
Status
Source
ADVANCED WOUND THERAPY
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
BELT, MIRANDA
CORPORATE OFFICER
—
2024-12-09
current
pecos_ownership
BOLING, FAITH
OPERATIONAL/MANAGERIAL CONTROL
—
2021-08-16
current
pecos_ownership
CABLE, RONALD
ADP OF THE SNF
—
2022-03-01
current
pecos_ownership
FORVIS MAZARS LLP
ADP OF THE SNF
—
2010-01-01
current
pecos_ownership
GORE, ANGELA
OPERATIONAL/MANAGERIAL CONTROL
—
2019-11-18
current
pecos_ownership
GREEN, PHILIP
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-01-29
current
pecos_ownership
HAMPTON, FONTELLA
OPERATIONAL/MANAGERIAL CONTROL
—
2020-05-20
current
pecos_ownership
HUBBARD, TERI
OPERATIONAL/MANAGERIAL CONTROL
—
2015-01-05
current
pecos_ownership
MITCHELL, KELLY
ADP OF THE SNF
—
2025-12-12
current
pecos_ownership
MITCHELL, KELLY
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2019-08-01
current
pecos_ownership
MITCHELL, MARCINDA
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2019-08-01
current
pecos_ownership
MITCHELL, ROBERT
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2019-08-01
current
pecos_ownership
MOBILE WOUND CARE LLC
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
NS GROUP CONSULTING DIVISION
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
PHARMCAREOK OF DURANT INC
ADP OF THE SNF
—
2024-10-01
current
pecos_ownership
PHILIP M. GREEN REVOCABLE TRUST
ADP OF THE SNF
—
2025-12-12
current
pecos_ownership
PHILIP M. GREEN REVOCABLE TRUST
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2019-08-01
current
pecos_ownership
PHILIP MARION GREEN EXEMPT TR CU GILBERT F GREEN TR
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2025-12-12
current
pecos_ownership
PITTS, JACI
CORPORATE OFFICER
—
2024-12-09
current
pecos_ownership
STEIN ANCILLARY SERVICES, LLC
ADP OF THE SNF
—
2015-11-01
current
pecos_ownership
STEWART, BRANDON
ADP OF THE SNF
—
2025-11-26
current
pecos_ownership
STEWART, BRANDON
OPERATIONAL/MANAGERIAL CONTROL
—
2021-11-15
current
pecos_ownership
STUMP, WILLIAM
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-03
current
pecos_ownership
TABOR, ANGELA
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2019-08-01
current
pecos_ownership
TAYLOR, SANDRA
CORPORATE OFFICER
—
2020-12-27
current
pecos_ownership
TIFFANY SEAY EXEMPT TR
ADP OF THE SNF
—
2025-12-12
current
pecos_ownership
TROW-FLORKE, ASHLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-07
current
pecos_ownership
KELLY MITCHELL
5% OR GREATER DIRECT OWNERSHIP INTEREST
22%
2019-08-01
ended 2026-05-18
pecos_ownership
ANGELA TABOR
5% OR GREATER DIRECT OWNERSHIP INTEREST
9%
2019-08-01
ended 2026-05-18
pecos_ownership
MARCINDA MITCHELL
5% OR GREATER DIRECT OWNERSHIP INTEREST
9%
2019-08-01
ended 2026-05-18
pecos_ownership
ROBERT MITCHELL
5% OR GREATER DIRECT OWNERSHIP INTEREST
9%
2019-08-01
ended 2026-05-18
pecos_ownership
ANGELA GORE
OPERATIONAL/MANAGERIAL CONTROL
—
2019-11-18
ended 2026-05-18
pecos_ownership
ASHLEY TROW-FLORKE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-07
ended 2026-05-18
pecos_ownership
BRANDON STEWART
OPERATIONAL/MANAGERIAL CONTROL
—
2021-11-15
ended 2026-05-18
pecos_ownership
BRANDON STEWART
ADP OF THE SNF
—
2025-11-26
ended 2026-05-18
pecos_ownership
FAITH BOLING
OPERATIONAL/MANAGERIAL CONTROL
—
2021-08-16
ended 2026-05-18
pecos_ownership
FONTELLA HAMPTON
OPERATIONAL/MANAGERIAL CONTROL
—
2020-05-20
ended 2026-05-18
pecos_ownership
JACI PITTS
CORPORATE OFFICER
—
2024-12-09
ended 2026-05-18
pecos_ownership
KELLY MITCHELL
ADP OF THE SNF
—
2025-12-12
ended 2026-05-18
pecos_ownership
MIRANDA BELT
CORPORATE OFFICER
—
2024-12-09
ended 2026-05-18
pecos_ownership
RONALD CABLE
ADP OF THE SNF
—
2022-03-01
ended 2026-05-18
pecos_ownership
SANDRA TAYLOR
CORPORATE OFFICER
—
2020-12-27
ended 2026-05-18
pecos_ownership
TERI HUBBARD
OPERATIONAL/MANAGERIAL CONTROL
—
2015-01-05
ended 2026-05-18
pecos_ownership
WILLIAM STUMP
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-03
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
$396,514
—
—
—
$35,643
4
—
2023-12-31
$406,489
—
—
—
$48,000
4
—
2022-12-31
$369,880
—
—
—
$47,368
4
—
2021-12-31
$468,149
—
$297,605
—
$8,120
4
—
2020-12-31
$182,061
—
—
—
—
3
—
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
33
Geo
Kind
BR
Amount
As of
Source
county 40073
acs median gross
0
$754
2024-12-31
CENSUS_ACS5
county 40073
fmr
0
$727
2025-10-01
HUD_USER_FMR
county 40073
acs median gross
1
$674
2024-12-31
CENSUS_ACS5
county 40073
fmr
1
$825
2025-10-01
HUD_USER_FMR
county 40073
acs median gross
2
$926
2024-12-31
CENSUS_ACS5
county 40073
fmr
2
$1,055
2025-10-01
HUD_USER_FMR
county 40073
acs median gross
3
$1,000
2024-12-31
CENSUS_ACS5
county 40073
fmr
3
$1,343
2025-10-01
HUD_USER_FMR
county 40073
acs median gross
4
$1,048
2024-12-31
CENSUS_ACS5
county 40073
fmr
4
$1,596
2025-10-01
HUD_USER_FMR
county 40073
acs median gross
$891
2024-12-31
CENSUS_ACS5
county 40073
acs recent mover gross
$888
2024-12-31
CENSUS_ACS5
zcta 73750
acs median gross
1
$653
2024-12-31
CENSUS_ACS5
zcta 73750
acs median gross
2
$1,069
2024-12-31
CENSUS_ACS5
zcta 73750
acs median gross
3
$1,287
2024-12-31
CENSUS_ACS5
zcta 73750
acs median gross
4
$1,113
2024-12-31
CENSUS_ACS5
zcta 73750
acs median gross
$889
2024-12-31
CENSUS_ACS5
zcta 73750
acs recent mover gross
$868
2024-12-31
CENSUS_ACS5
zip 73750
payment standard 110
0
$792
2025-10-01
HUD_USER_SAFMR
zip 73750
payment standard 90
0
$648
2025-10-01
HUD_USER_SAFMR
zip 73750
safmr
0
$720
2025-10-01
HUD_USER_SAFMR
zip 73750
payment standard 110
1
$902
2025-10-01
HUD_USER_SAFMR
zip 73750
payment standard 90
1
$738
2025-10-01
HUD_USER_SAFMR
zip 73750
safmr
1
$820
2025-10-01
HUD_USER_SAFMR
zip 73750
payment standard 110
2
$1,155
2025-10-01
HUD_USER_SAFMR
zip 73750
payment standard 90
2
$945
2025-10-01
HUD_USER_SAFMR
zip 73750
safmr
2
$1,050
2025-10-01
HUD_USER_SAFMR
zip 73750
payment standard 110
3
$1,474
2025-10-01
HUD_USER_SAFMR
zip 73750
payment standard 90
3
$1,206
2025-10-01
HUD_USER_SAFMR
zip 73750
safmr
3
$1,340
2025-10-01
HUD_USER_SAFMR
zip 73750
payment standard 110
4
$1,749
2025-10-01
HUD_USER_SAFMR
zip 73750
payment standard 90
4
$1,431
2025-10-01
HUD_USER_SAFMR
zip 73750
safmr
4
$1,590
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.