Reads as: riskier than 11.6% 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.
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
CA median
National median
National p25–p75
Total nurse
3.96
3.95
3.28
2.90–3.77
RN
0.19
0.38
0.39
0.25–0.58
Weekend total
3.89
3.79
3.11
—
Weekday total
3.99
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
92.7
3.96
0.19
1.09
2.68
3.89
31.3%
2025Q3
92
89.5
3.93
0.20
1.11
2.63
3.86
22.4%
2025Q2
91
91.9
3.91
0.16
1.09
2.66
3.84
30.4%
2025Q1
90
92.5
3.89
0.18
1.07
2.65
3.80
31.8%
2024Q4
92
90.0
3.86
0.17
1.09
2.60
3.78
31.3%
2024Q3
92
87.2
3.91
0.17
1.12
2.62
3.82
29.6%
2024Q2
91
86.3
4.00
0.20
1.14
2.65
3.88
27.4%
2024Q1
91
92.8
4.01
0.22
1.11
2.67
3.90
24.8%
2023Q4
92
86.7
4.04
0.22
1.16
2.66
3.98
21.4%
2023Q3
92
89.5
3.87
0.22
1.07
2.58
3.82
15.7%
2023Q2
91
90.7
3.87
0.22
1.06
2.58
3.74
7.6%
2023Q1
90
90.3
3.79
0.17
1.07
2.54
3.72
6.8%
2022Q4
92
87.3
3.78
0.19
1.10
2.49
3.66
6.5%
2022Q3
92
85.9
3.77
0.21
1.18
2.39
3.56
2.5%
2022Q2
91
89.5
3.61
0.19
1.11
2.31
3.41
2.8%
2022Q1
90
89.2
3.38
0.19
1.11
2.08
3.26
3.3%
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
30
D × 20E × 10
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-01-29
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2026-02-28
2025-06-13
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-06-25
2025-06-13
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2025-06-25
2025-01-31
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-02-28
2025-01-31
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-02-28
2025-01-31
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
2025-02-28
2025-01-31
Health
F0802
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
E
2025-02-28
2025-01-31
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
E
2025-02-28
2025-01-31
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2025-02-28
2025-01-31
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2025-02-28
2025-01-31
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-02-28
2025-01-31
Health
F0814
Dispose of garbage and refuse properly.
D
2025-02-28
2025-01-31
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-02-28
2024-07-02
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-07-17
2024-04-19
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-05-03
2024-03-21
Health · complaint
F0814
Dispose of garbage and refuse properly.
D
2024-04-08
2023-12-11
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-01-27
2023-10-09
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-11-11
2023-09-14
Health · complaint
F0584
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
2023-09-20
2023-03-06
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-04-06
2023-03-06
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
2023-04-06
2023-03-06
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.
E
2023-04-06
2023-03-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-04-06
2019-09-26
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2019-10-22
2019-09-26
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2019-10-22
2019-09-26
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2019-10-22
2019-09-26
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2019-10-22
2019-09-26
Health
F0711
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
E
2019-10-22
2019-09-26
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2019-10-22
2019-09-26
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2019-10-22
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
22
Owner
Role
Pct
From
Status
Source
GC HOLDING COMPANY 2 LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
99%
2015-06-30
current
pecos_ownership
BLACK, JOHN
MANAGING CONTROL - GOVERNING BODY
—
2025-03-12
current
pecos_ownership
GRANCARE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2010-11-17
current
pecos_ownership
GRANCARE MONTEREY PALMS LLC
Other (financial or non-financial)
—
2023-01-01
current
hcris_a_8_1
GRANCARE MONTEREY PALMS LLC
Other (financial or non-financial)
—
2024-01-01
current
hcris_a_8_1
GRUNSTEIN, EMILY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2019-02-06
current
pecos_ownership
MARINER HEALTH CARE, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2010-11-17
current
pecos_ownership
MHC HOLDING COMPANY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2010-11-17
current
pecos_ownership
MHC WEST HOLDING COMPANY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2010-11-17
current
pecos_ownership
MONTEREY PALMS HOLDING COMPANY GP LLC
GENERAL PARTNERSHIP INTEREST
—
2014-08-27
current
pecos_ownership
NATIONAL SENIOR CARE, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2010-11-17
current
pecos_ownership
OLIVERA, CLAUDIA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-04-05
current
pecos_ownership
PRESSER, ERIC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-03-01
current
pecos_ownership
SARCAUGA, DENNIS
CORPORATE OFFICER
—
2025-02-06
current
pecos_ownership
EMILY GRUNSTEIN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2019-02-06
ended 2026-05-18
pecos_ownership
CLAUDIA OLIVERA
ADP OF THE SNF
—
2021-04-05
ended 2026-05-18
pecos_ownership
DENNIS SARCAUGA
ADP OF THE SNF
—
2025-02-06
ended 2026-05-18
pecos_ownership
ERIC PRESSER
OPERATIONAL/MANAGERIAL CONTROL
—
2023-03-01
ended 2026-05-18
pecos_ownership
GRANCARE MONTEREY PALMS LLC
Other (financial or non-financial)
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
GRANCARE MONTEREY PALMS LLC
Other (financial or non-financial)
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
GRANCARE MONTEREY PALMS LLC
Other (financial or non-financial)
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
JOHN BLACK
MANAGING CONTROL - GOVERNING BODY
—
2025-03-12
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
$1,970,098
$249,536
—
$1,168,544
$106,523
3
propco
2023-12-31
$1,990,000
$249,536
—
$1,200,439
$102,045
3
propco
2022-12-31
$1,960,472
$249,536
—
$1,065,105
$115,889
3
propco
2021-12-31
$1,682,812
$249,536
—
$811,706
$111,940
3
propco
2020-12-31
$1,536,903
$249,536
—
$836,075
$104,043
3
propco
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
36
Geo
Kind
BR
Amount
As of
Source
county 06065
acs median gross
0
$1,372
2024-12-31
CENSUS_ACS5
county 06065
fmr
0
$1,692
2025-10-01
HUD_USER_FMR
county 06065
acs median gross
1
$1,440
2024-12-31
CENSUS_ACS5
county 06065
fmr
1
$1,777
2025-10-01
HUD_USER_FMR
county 06065
acs median gross
2
$1,810
2024-12-31
CENSUS_ACS5
county 06065
fmr
2
$2,201
2025-10-01
HUD_USER_FMR
county 06065
acs median gross
3
$2,166
2024-12-31
CENSUS_ACS5
county 06065
fmr
3
$2,912
2025-10-01
HUD_USER_FMR
county 06065
acs median gross
4
$2,666
2024-12-31
CENSUS_ACS5
county 06065
fmr
4
$3,514
2025-10-01
HUD_USER_FMR
county 06065
acs median gross
5
$3,157
2024-12-31
CENSUS_ACS5
county 06065
acs median gross
$1,901
2024-12-31
CENSUS_ACS5
county 06065
acs recent mover gross
$2,268
2024-12-31
CENSUS_ACS5
zcta 92260
acs median gross
0
$1,304
2024-12-31
CENSUS_ACS5
zcta 92260
acs median gross
1
$1,623
2024-12-31
CENSUS_ACS5
zcta 92260
acs median gross
2
$1,826
2024-12-31
CENSUS_ACS5
zcta 92260
acs median gross
3
$1,914
2024-12-31
CENSUS_ACS5
zcta 92260
acs median gross
4
$1,662
2024-12-31
CENSUS_ACS5
zcta 92260
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
zcta 92260
acs median gross
$1,739
2024-12-31
CENSUS_ACS5
zcta 92260
acs recent mover gross
$2,139
2024-12-31
CENSUS_ACS5
zip 92260
payment standard 110
0
$1,958
2025-10-01
HUD_USER_SAFMR
zip 92260
payment standard 90
0
$1,602
2025-10-01
HUD_USER_SAFMR
zip 92260
safmr
0
$1,780
2025-10-01
HUD_USER_SAFMR
zip 92260
payment standard 110
1
$2,057
2025-10-01
HUD_USER_SAFMR
zip 92260
payment standard 90
1
$1,683
2025-10-01
HUD_USER_SAFMR
zip 92260
safmr
1
$1,870
2025-10-01
HUD_USER_SAFMR
zip 92260
payment standard 110
2
$2,552
2025-10-01
HUD_USER_SAFMR
zip 92260
payment standard 90
2
$2,088
2025-10-01
HUD_USER_SAFMR
zip 92260
safmr
2
$2,320
2025-10-01
HUD_USER_SAFMR
zip 92260
payment standard 110
3
$3,377
2025-10-01
HUD_USER_SAFMR
zip 92260
payment standard 90
3
$2,763
2025-10-01
HUD_USER_SAFMR
zip 92260
safmr
3
$3,070
2025-10-01
HUD_USER_SAFMR
zip 92260
payment standard 110
4
$4,070
2025-10-01
HUD_USER_SAFMR
zip 92260
payment standard 90
4
$3,330
2025-10-01
HUD_USER_SAFMR
zip 92260
safmr
4
$3,700
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.