Reads as: riskier than 88.1% 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
16
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+34.8 vs natl
BODANSKY HERSHEL
6 facilities
connection
Owner fleet risk far above national
+33.9 vs natl
ELITE HC INVESTORS LLC
6 facilities
connection
Owner fleet risk far above national
+33.6 vs natl
WEISS CHAIM
6 facilities
connection
Owner fleet risk far above national
+32.4 vs natl
HELLER YESHAYA
5 facilities
connection
Owner fleet risk far above national
+31.8 vs natl
JIAN PETER
10 facilities
connection
Owner fleet risk far above national
+27.6 vs natl
RUFF MICHAEL
23 facilities
connection
Owner fleet risk far above national
+27.5 vs natl
FRIO HOSPITAL DISTRICT
22 facilities
connection
Owner spans multiple chains
7 chains
JIAN PETER
10 facilities
connection
Buyer assembling a chain (5+ takeovers/24mo)
6 facilities
FRIO HOSPITAL DISTRICT
6 facilities
connection
Owner fleet enforcement cluster
100% fined
HELLER YESHAYA
5 facilities
connection
Owner fleet enforcement cluster
100% fined
ELITE HC INVESTORS LLC
6 facilities
connection
Owner fleet enforcement cluster
100% fined
BODANSKY HERSHEL
6 facilities
connection
Owner fleet enforcement cluster
100% fined
WEISS CHAIM
6 facilities
connection
Owner fleet enforcement cluster
80% fined
JIAN PETER
10 facilities
connection
Owner fleet enforcement cluster
59% fined
FRIO HOSPITAL DISTRICT
22 facilities
connection
Owner fleet enforcement cluster
56% fined
RUFF MICHAEL
23 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
11
2025Q4 HPRD
This facility
TX median
National median
National p25–p75
Total nurse
2.95
2.67
3.28
2.90–3.77
RN
0.15
0.24
0.39
0.25–0.58
Weekend total
2.84
2.56
3.11
—
Weekday total
3.00
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
100.0
2.95
0.15
0.89
1.92
2.84
0.0%
2025Q3
92
99.5
3.10
0.20
0.86
2.04
2.97
0.0%
2025Q2
91
98.4
3.15
0.27
0.84
2.03
2.99
0.0%
2025Q1
90
101.1
3.08
0.24
0.99
1.84
2.82
0.0%
2024Q4
92
99.5
3.15
0.28
0.94
1.92
2.93
0.2%
2023Q3
92
98.5
3.21
0.23
0.93
2.06
3.17
0.1%
2023Q2
91
104.3
1.90
0.10
0.60
1.20
1.96
0.0%
2023Q1
90
101.4
2.31
0.12
0.67
1.53
2.24
0.0%
2022Q4
92
105.3
2.56
0.24
0.79
1.52
2.32
0.0%
2022Q2
91
104.3
3.08
0.12
0.91
2.05
3.05
17.9%
2022Q1
90
100.1
2.83
0.10
0.90
1.84
2.63
4.5%
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.
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
2026-01-23
2026-01-20
Health · complaint
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
2026-01-23
2026-01-20
Health · complaint
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
2026-01-23
2025-12-18
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
G
2025-12-22
2025-12-18
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2025-12-22
2025-12-10
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2025-12-11
2025-12-10
Health · complaint
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2025-12-11
2025-07-27
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
G
2025-08-11
2025-07-27
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-08-11
2025-07-27
Health
F0760
Ensure that residents are free from significant medication errors.
E
2025-08-11
2025-07-27
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
2025-08-11
2025-07-27
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-08-11
2025-07-27
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
C
2025-08-11
2025-03-27
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2025-04-12
2025-03-27
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2025-04-12
2025-03-27
Health · complaint
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
2025-04-12
2024-05-16
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2024-05-28
2024-05-03
Health
F0760
Ensure that residents are free from significant medication errors.
D
2024-05-28
2024-05-03
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-05-28
2024-05-03
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
D
2024-05-28
2024-03-20
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
K
2024-03-21
2024-03-20
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
K
2024-03-21
2024-03-20
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.
J
2024-03-21
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
27
Owner
Role
Pct
From
Status
Source
FRIO HOSPITAL DISTRICT
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-12-15
current
pecos_ownership
GOLFCREST HOLDINGS LLC
Corporation, partnership or other organization has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
BODANSKY, HERSHEL
5% OR GREATER MORTGAGE INTEREST
—
2024-12-15
current
pecos_ownership
BODANSKY, HERSHEL
ADP OF THE SNF
—
2024-12-18
current
pecos_ownership
DH GOLFCREST OPERATIONS, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-18
current
pecos_ownership
ELITE HC INVESTORS LLC
5% OR GREATER MORTGAGE INTEREST
—
2024-12-15
current
pecos_ownership
ELITE HC INVESTORS LLC
ADP OF THE SNF
—
2024-12-18
current
pecos_ownership
FRIO HOSPITAL DISTRICT
—
—
2024-12-15
current
tx_hhsc_directory
GAINES, MAURICE
ADP OF THE SNF
—
2024-12-15
current
pecos_ownership
GOLFCREST ACAPELLA, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-18
current
pecos_ownership
GOLFCREST HOLDINGS, LLC
5% OR GREATER MORTGAGE INTEREST
—
2024-12-15
current
pecos_ownership
GOLFCREST HOLDINGS, LLC
ADP OF THE SNF
—
2024-12-18
current
pecos_ownership
GOLFCREST OPERATING LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-18
current
pecos_ownership
GOLFCREST OPERATING, LLC
—
—
2024-12-15
current
tx_hhsc_directory
HELLER, YESHAYA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-15
current
pecos_ownership
JIAN, PETER
ADP OF THE SNF
—
2024-12-15
current
pecos_ownership
RUFF, MICHAEL
CORPORATE OFFICER
—
2024-12-30
current
pecos_ownership
WEISS, CHAIM
5% OR GREATER MORTGAGE INTEREST
—
2024-12-15
current
pecos_ownership
HACIENDA CARE VII
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-04-30
hcris_a_8_1
HACIENDA CARE VII
Individual has financial interest in both related organization and provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
CHAIM WEISS
5% OR GREATER MORTGAGE INTEREST
50%
2024-12-15
ended 2026-05-18
pecos_ownership
HERSHEL BODANSKY
5% OR GREATER MORTGAGE INTEREST
50%
2024-12-15
ended 2026-05-18
pecos_ownership
HERSHEL BODANSKY
ADP OF THE SNF
—
2024-12-18
ended 2026-05-18
pecos_ownership
MAURICE GAINES
ADP OF THE SNF
—
2024-12-15
ended 2026-05-18
pecos_ownership
MICHAEL RUFF
CORPORATE OFFICER
—
2024-12-30
ended 2026-05-18
pecos_ownership
PETER JIAN
ADP OF THE SNF
—
2024-12-15
ended 2026-05-18
pecos_ownership
YESHAYA HELLER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-15
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
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,417,163
$1,155,970
—
—
—
2
propco
2021-04-30
$28,896
$4,450
$16,010
—
—
4
propco
2020-12-31
$125,226
$48,891
$48,031
—
—
4
propco
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
35
Geo
Kind
BR
Amount
As of
Source
county 48201
acs median gross
0
$1,177
2024-12-31
CENSUS_ACS5
county 48201
fmr
0
$1,280
2025-10-01
HUD_USER_FMR
county 48201
acs median gross
1
$1,196
2024-12-31
CENSUS_ACS5
county 48201
fmr
1
$1,323
2025-10-01
HUD_USER_FMR
county 48201
acs median gross
2
$1,425
2024-12-31
CENSUS_ACS5
county 48201
fmr
2
$1,573
2025-10-01
HUD_USER_FMR
county 48201
acs median gross
3
$1,764
2024-12-31
CENSUS_ACS5
county 48201
fmr
3
$2,116
2025-10-01
HUD_USER_FMR
county 48201
acs median gross
4
$2,148
2024-12-31
CENSUS_ACS5
county 48201
fmr
4
$2,639
2025-10-01
HUD_USER_FMR
county 48201
acs median gross
5
$2,339
2024-12-31
CENSUS_ACS5
county 48201
acs median gross
$1,401
2024-12-31
CENSUS_ACS5
county 48201
acs recent mover gross
$1,495
2024-12-31
CENSUS_ACS5
zcta 77087
acs median gross
0
$1,056
2024-12-31
CENSUS_ACS5
zcta 77087
acs median gross
1
$845
2024-12-31
CENSUS_ACS5
zcta 77087
acs median gross
2
$1,147
2024-12-31
CENSUS_ACS5
zcta 77087
acs median gross
3
$1,516
2024-12-31
CENSUS_ACS5
zcta 77087
acs median gross
4
$1,789
2024-12-31
CENSUS_ACS5
zcta 77087
acs median gross
$1,082
2024-12-31
CENSUS_ACS5
zcta 77087
acs recent mover gross
$1,283
2024-12-31
CENSUS_ACS5
zip 77087
payment standard 110
0
$1,045
2025-10-01
HUD_USER_SAFMR
zip 77087
payment standard 90
0
$855
2025-10-01
HUD_USER_SAFMR
zip 77087
safmr
0
$950
2025-10-01
HUD_USER_SAFMR
zip 77087
payment standard 110
1
$1,078
2025-10-01
HUD_USER_SAFMR
zip 77087
payment standard 90
1
$882
2025-10-01
HUD_USER_SAFMR
zip 77087
safmr
1
$980
2025-10-01
HUD_USER_SAFMR
zip 77087
payment standard 110
2
$1,287
2025-10-01
HUD_USER_SAFMR
zip 77087
payment standard 90
2
$1,053
2025-10-01
HUD_USER_SAFMR
zip 77087
safmr
2
$1,170
2025-10-01
HUD_USER_SAFMR
zip 77087
payment standard 110
3
$1,727
2025-10-01
HUD_USER_SAFMR
zip 77087
payment standard 90
3
$1,413
2025-10-01
HUD_USER_SAFMR
zip 77087
safmr
3
$1,570
2025-10-01
HUD_USER_SAFMR
zip 77087
payment standard 110
4
$2,156
2025-10-01
HUD_USER_SAFMR
zip 77087
payment standard 90
4
$1,764
2025-10-01
HUD_USER_SAFMR
zip 77087
safmr
4
$1,960
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.