Reads as: riskier than 30.4% 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 fleet enforcement cluster
80% fined
MURRAY DANIEL
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
WA median
National median
National p25–p75
Total nurse
5.71
3.70
3.28
2.90–3.77
RN
1.19
0.62
0.39
0.25–0.58
Weekend total
5.34
3.51
3.11
—
Weekday total
5.85
3.79
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
78.0
5.71
1.19
0.02
4.50
5.34
0.1%
2025Q3
92
78.0
5.68
1.13
0.04
4.51
5.19
0.3%
2025Q2
91
77.2
5.92
1.18
0.05
4.70
5.47
0.1%
2025Q1
90
74.8
6.27
1.24
0.03
5.01
5.99
0.0%
2024Q4
92
77.2
5.97
1.19
0.04
4.74
5.64
0.2%
2024Q3
92
77.1
5.76
1.11
0.10
4.56
5.37
0.6%
2024Q2
91
76.2
5.79
1.07
0.15
4.57
5.33
0.0%
2024Q1
91
77.9
5.64
1.05
0.20
4.38
5.27
0.1%
2023Q4
92
77.2
5.66
1.20
0.11
4.35
5.22
0.3%
2023Q3
92
77.4
4.97
1.05
0.13
3.79
4.54
3.1%
2023Q2
91
70.0
5.56
1.17
0.13
4.26
5.07
2.8%
2023Q1
90
60.7
5.63
1.33
0.15
4.14
5.03
3.6%
2022Q4
92
59.1
5.28
1.20
0.17
3.91
4.98
18.9%
2022Q3
92
58.5
5.22
1.07
0.16
3.99
4.26
15.6%
2022Q2
91
59.6
5.15
1.31
0.01
3.84
4.46
15.8%
2022Q1
90
60.1
5.12
1.27
0.01
3.85
4.61
14.5%
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2026-05-15
2026-04-14
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2026-05-15
2026-04-14
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-05-15
2026-02-27
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2026-04-03
2026-02-27
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
E
2026-04-03
2026-02-27
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-04-03
2026-02-27
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2026-04-03
2026-02-27
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2026-04-03
2026-02-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-04-03
2026-02-27
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
2026-04-03
2026-02-27
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
D
2026-04-03
2025-12-04
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2026-01-05
2025-11-17
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-12-03
2024-12-16
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-01-24
2024-12-16
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-01-24
2024-12-16
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2025-01-24
2024-12-16
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
2025-01-24
2024-12-16
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
2025-01-24
2024-12-16
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-01-24
2024-12-16
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2025-01-24
2024-12-16
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2025-01-24
2024-12-16
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-01-24
2024-11-18
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-12-20
2024-09-16
Health · complaint
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
2024-10-18
2024-03-07
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-04-05
2023-11-17
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2023-12-22
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
16
Owner
Role
Pct
From
Status
Source
WASHINGTON STATE DEPARTMENT OF VETE
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2017-02-15
current
pecos_ownership
GILBERT, SOLOMON
MANAGING CONTROL - GOVERNING BODY
—
2023-05-22
current
pecos_ownership
GOMEZ BAUTISTA, JOSE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-02
current
pecos_ownership
GOMEZ BAUTISTA, JOSE
ADP OF THE SNF
—
2025-07-16
current
pecos_ownership
LENO, LONNA
ADP OF THE SNF
—
2025-07-16
current
pecos_ownership
LENO, LONNA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-11-16
current
pecos_ownership
MURRAY, DANIEL
MANAGING CONTROL - GOVERNING BODY
—
2021-11-16
current
pecos_ownership
PUENTE, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2023-02-01
current
pecos_ownership
WESTHOFF, TERRANCE
OPERATIONAL/MANAGERIAL CONTROL
—
2020-09-01
current
pecos_ownership
DAVID PUENTE
CORPORATE DIRECTOR
40%
2023-02-01
ended 2026-05-18
pecos_ownership
SOLOMON GILBERT
CORPORATE OFFICER
25%
2023-05-22
ended 2026-05-18
pecos_ownership
DANIEL MURRAY
CORPORATE DIRECTOR
20%
2021-11-16
ended 2026-05-18
pecos_ownership
LONNA LENO
W-2 MANAGING EMPLOYEE
10%
2021-11-16
ended 2026-05-18
pecos_ownership
TERRANCE WESTHOFF
CORPORATE OFFICER
5%
2020-09-01
ended 2026-05-18
pecos_ownership
DAVID PUENTE
W-2 MANAGING EMPLOYEE
—
2020-02-01
ended 2026-05-18
pecos_ownership
LONNA LENO
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-18
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
$2,261,439
—
—
—
—
3
—
2024-06-30
$1,939,761
—
—
—
—
2
—
2023-06-30
$1,780,720
—
—
—
—
2
—
2022-06-30
$1,457,081
—
—
—
—
1
—
2021-06-30
$1,524,087
—
—
—
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 53071
acs median gross
0
$954
2024-12-31
CENSUS_ACS5
county 53071
fmr
0
$1,074
2025-10-01
HUD_USER_FMR
county 53071
acs median gross
1
$823
2024-12-31
CENSUS_ACS5
county 53071
fmr
1
$1,181
2025-10-01
HUD_USER_FMR
county 53071
acs median gross
2
$1,343
2024-12-31
CENSUS_ACS5
county 53071
fmr
2
$1,550
2025-10-01
HUD_USER_FMR
county 53071
acs median gross
3
$1,631
2024-12-31
CENSUS_ACS5
county 53071
fmr
3
$2,118
2025-10-01
HUD_USER_FMR
county 53071
acs median gross
4
$1,029
2024-12-31
CENSUS_ACS5
county 53071
fmr
4
$2,600
2025-10-01
HUD_USER_FMR
county 53071
acs median gross
$1,218
2024-12-31
CENSUS_ACS5
county 53071
acs recent mover gross
$1,686
2024-12-31
CENSUS_ACS5
zcta 99362
acs median gross
0
$966
2024-12-31
CENSUS_ACS5
zcta 99362
acs median gross
1
$871
2024-12-31
CENSUS_ACS5
zcta 99362
acs median gross
2
$1,396
2024-12-31
CENSUS_ACS5
zcta 99362
acs median gross
3
$1,731
2024-12-31
CENSUS_ACS5
zcta 99362
acs median gross
4
$1,540
2024-12-31
CENSUS_ACS5
zcta 99362
acs median gross
$1,293
2024-12-31
CENSUS_ACS5
zcta 99362
acs recent mover gross
$1,729
2024-12-31
CENSUS_ACS5
zip 99362
payment standard 110
0
$1,232
2025-10-01
HUD_USER_SAFMR
zip 99362
payment standard 90
0
$1,008
2025-10-01
HUD_USER_SAFMR
zip 99362
safmr
0
$1,120
2025-10-01
HUD_USER_SAFMR
zip 99362
payment standard 110
1
$1,353
2025-10-01
HUD_USER_SAFMR
zip 99362
payment standard 90
1
$1,107
2025-10-01
HUD_USER_SAFMR
zip 99362
safmr
1
$1,230
2025-10-01
HUD_USER_SAFMR
zip 99362
payment standard 110
2
$1,771
2025-10-01
HUD_USER_SAFMR
zip 99362
payment standard 90
2
$1,449
2025-10-01
HUD_USER_SAFMR
zip 99362
safmr
2
$1,610
2025-10-01
HUD_USER_SAFMR
zip 99362
payment standard 110
3
$2,420
2025-10-01
HUD_USER_SAFMR
zip 99362
payment standard 90
3
$1,980
2025-10-01
HUD_USER_SAFMR
zip 99362
safmr
3
$2,200
2025-10-01
HUD_USER_SAFMR
zip 99362
payment standard 110
4
$2,970
2025-10-01
HUD_USER_SAFMR
zip 99362
payment standard 90
4
$2,430
2025-10-01
HUD_USER_SAFMR
zip 99362
safmr
4
$2,700
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.