Reads as: riskier than 22.9% 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
4.15
3.95
3.28
2.90–3.77
RN
0.34
0.38
0.39
0.25–0.58
Weekend total
4.13
3.79
3.11
—
Weekday total
4.15
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
60.1
4.15
0.34
0.86
2.95
4.13
0.0%
2025Q3
92
64.5
3.81
0.25
0.89
2.68
3.86
0.0%
2025Q2
91
68.3
3.60
0.23
0.82
2.54
3.57
0.0%
2025Q1
90
63.4
3.77
0.21
0.90
2.66
3.77
0.0%
2024Q4
92
61.5
3.73
0.26
0.88
2.60
3.68
0.0%
2024Q3
92
63.3
3.79
0.27
0.81
2.71
3.83
0.0%
2024Q2
91
61.1
3.77
0.28
0.87
2.62
3.79
0.0%
2024Q1
91
57.3
3.88
0.25
0.96
2.68
3.87
0.0%
2023Q4
92
56.3
3.90
0.29
0.90
2.72
3.86
0.0%
2023Q3
92
60.5
3.72
0.34
0.81
2.57
3.65
0.0%
2023Q2
91
62.5
3.60
0.38
0.70
2.52
3.54
0.0%
2023Q1
90
62.4
3.67
0.31
0.83
2.53
3.68
0.0%
2022Q4
92
64.1
3.65
0.27
0.81
2.57
3.65
0.0%
2022Q3
92
63.1
3.72
0.31
0.82
2.60
3.73
0.0%
2022Q2
91
58.8
3.88
0.30
0.94
2.64
3.75
0.0%
2022Q1
90
61.7
3.83
0.32
0.87
2.63
3.69
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2026-01-20
2026-01-15
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
2026-01-20
2026-01-15
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-01-20
2026-01-15
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-01-20
2024-10-10
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-10-29
2024-10-03
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2024-10-22
2024-10-03
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2024-10-22
2024-10-03
Health
F0791
Provide or obtain dental services for each resident.
D
2024-10-22
2024-10-03
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2024-10-22
2024-10-03
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-10-22
2024-10-03
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-10-22
2023-10-06
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2023-10-06
2023-10-06
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
2023-10-06
2023-10-06
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2023-10-06
2023-10-06
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2023-10-06
2023-10-06
Health
F0745
Provide medically-related social services to help each resident achieve the highest possible quality of life.
E
2023-10-06
2023-10-06
Health
F0791
Provide or obtain dental services for each resident.
E
2023-10-06
2023-10-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-10-06
2023-10-06
Health
F0880
Provide and implement an infection prevention and control program.
F
2023-10-06
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
33
Owner
Role
Pct
From
Status
Source
MSSM LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-01-01
current
pecos_ownership
THE BENTZION MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2023-01-01
current
pecos_ownership
SIMCHA AND JANET MANDELBAUM FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2021-09-01
current
pecos_ownership
THE JANET MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO 2
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2021-12-01
current
pecos_ownership
THE SIMCHA MANDELBAUM 2021 IRREVOCABLE GIFT TRUST NO. 2
5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
2023-01-01
current
pecos_ownership
1201 WALNUT AVENUE LLC
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
ALBERT, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-09
current
pecos_ownership
CASTRO-GARCIA, MARIA
CORPORATE OFFICER
—
2019-11-06
current
pecos_ownership
HANSEN
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
HUANG, JIMMY
OPERATIONAL/MANAGERIAL CONTROL
—
2019-02-20
current
pecos_ownership
MANDELBAUM, BRENDA
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-06-30
current
pecos_ownership
MANDELBAUM, JANET
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
MANDELBAUM, SIMCHA
TRUSTEE OF THE SNF
—
2023-01-01
current
pecos_ownership
MERIDA, JASON
OPERATIONAL/MANAGERIAL CONTROL
—
2023-03-27
current
pecos_ownership
MONROY, ALEJANDRO
ADP OF THE SNF
—
2017-06-01
current
pecos_ownership
MUNOZ, CARLO
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-09
current
pecos_ownership
PHAM, JULIE
CORPORATE OFFICER
—
2000-03-16
current
pecos_ownership
RAMOS, MARIA
ADP OF THE SNF
—
2021-08-23
current
pecos_ownership
SANCHEZ, RAMON
ADP OF THE SNF
—
2020-11-02
current
pecos_ownership
SKILLSERVE INC
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
WILLIAMS, CLINTON
OPERATIONAL/MANAGERIAL CONTROL
—
2010-05-04
current
pecos_ownership
ALEJANDRO MONROY
OPERATIONAL/MANAGERIAL CONTROL
—
2017-06-01
ended 2026-05-18
pecos_ownership
CARLO MUNOZ
ADP OF THE SNF
—
2023-10-09
ended 2026-05-18
pecos_ownership
CLINTON WILLIAMS
CORPORATE OFFICER
—
2010-05-04
ended 2026-05-18
pecos_ownership
JANET MANDELBAUM
CORPORATE DIRECTOR
—
2023-01-01
ended 2026-05-18
pecos_ownership
JASON MERIDA
ADP OF THE SNF
—
2023-03-27
ended 2026-05-18
pecos_ownership
JENNIFER ALBERT
ADP OF THE SNF
—
2023-10-09
ended 2026-05-18
pecos_ownership
JIMMY HUANG
OPERATIONAL/MANAGERIAL CONTROL
—
2019-02-20
ended 2026-05-18
pecos_ownership
JULIE PHAM
ADP OF THE SNF
—
2000-03-16
ended 2026-05-18
pecos_ownership
MARIA CASTRO-GARCIA
CORPORATE DIRECTOR
—
2019-11-06
ended 2026-05-18
pecos_ownership
MARIA RAMOS
ADP OF THE SNF
—
2021-08-23
ended 2026-05-18
pecos_ownership
RAMON SANCHEZ
OPERATIONAL/MANAGERIAL CONTROL
—
2020-11-02
ended 2026-05-18
pecos_ownership
SIMCHA MANDELBAUM
TRUSTEE OF THE SNF
—
2023-01-01
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
$562,900
—
$336,932
$169
—
2
—
2023-12-31
$489,127
—
$311,374
$1,033
—
2
—
2022-12-31
$481,119
—
$303,366
$1,033
—
2
—
2021-12-31
$504,040
—
$304,072
$654
—
2
—
2020-12-31
$523,618
—
$317,793
—
—
2
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 06037
acs median gross
0
$1,523
2024-12-31
CENSUS_ACS5
county 06037
fmr
0
$1,863
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
1
$1,724
2024-12-31
CENSUS_ACS5
county 06037
fmr
1
$2,085
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
2
$2,127
2024-12-31
CENSUS_ACS5
county 06037
fmr
2
$2,601
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
3
$2,484
2024-12-31
CENSUS_ACS5
county 06037
fmr
3
$3,298
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
4
$2,866
2024-12-31
CENSUS_ACS5
county 06037
fmr
4
$3,672
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
5
$2,767
2024-12-31
CENSUS_ACS5
county 06037
acs median gross
$1,954
2024-12-31
CENSUS_ACS5
county 06037
acs recent mover gross
$2,358
2024-12-31
CENSUS_ACS5
zcta 90813
acs median gross
0
$1,334
2024-12-31
CENSUS_ACS5
zcta 90813
acs median gross
1
$1,426
2024-12-31
CENSUS_ACS5
zcta 90813
acs median gross
2
$1,801
2024-12-31
CENSUS_ACS5
zcta 90813
acs median gross
3
$2,219
2024-12-31
CENSUS_ACS5
zcta 90813
acs median gross
4
$2,120
2024-12-31
CENSUS_ACS5
zcta 90813
acs median gross
$1,618
2024-12-31
CENSUS_ACS5
zcta 90813
acs recent mover gross
$1,747
2024-12-31
CENSUS_ACS5
zip 90813
payment standard 110
0
$1,980
2025-10-01
HUD_USER_SAFMR
zip 90813
payment standard 90
0
$1,620
2025-10-01
HUD_USER_SAFMR
zip 90813
safmr
0
$1,800
2025-10-01
HUD_USER_SAFMR
zip 90813
payment standard 110
1
$2,211
2025-10-01
HUD_USER_SAFMR
zip 90813
payment standard 90
1
$1,809
2025-10-01
HUD_USER_SAFMR
zip 90813
safmr
1
$2,010
2025-10-01
HUD_USER_SAFMR
zip 90813
payment standard 110
2
$2,761
2025-10-01
HUD_USER_SAFMR
zip 90813
payment standard 90
2
$2,259
2025-10-01
HUD_USER_SAFMR
zip 90813
safmr
2
$2,510
2025-10-01
HUD_USER_SAFMR
zip 90813
payment standard 110
3
$3,498
2025-10-01
HUD_USER_SAFMR
zip 90813
payment standard 90
3
$2,862
2025-10-01
HUD_USER_SAFMR
zip 90813
safmr
3
$3,180
2025-10-01
HUD_USER_SAFMR
zip 90813
payment standard 110
4
$3,894
2025-10-01
HUD_USER_SAFMR
zip 90813
payment standard 90
4
$3,186
2025-10-01
HUD_USER_SAFMR
zip 90813
safmr
4
$3,540
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.