Reads as: riskier than 44.5% 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 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
7.01
3.95
3.28
2.90–3.77
RN
3.84
0.38
0.39
0.25–0.58
Weekend total
6.77
3.79
3.11
—
Weekday total
7.10
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
31.7
7.01
3.84
0.17
3.00
6.77
0.0%
2025Q3
92
31.0
7.27
3.79
0.24
3.24
7.09
0.0%
2025Q2
91
30.0
7.24
3.78
0.24
3.22
6.95
0.0%
2025Q1
90
28.4
7.61
4.00
0.18
3.43
7.80
0.0%
2024Q4
92
28.9
7.34
3.79
0.25
3.30
7.14
0.0%
2024Q3
92
24.9
7.74
4.04
0.13
3.57
7.59
0.0%
2024Q2
91
28.9
7.56
3.95
0.26
3.36
7.47
0.0%
2024Q1
91
27.8
7.25
3.87
0.21
3.16
7.00
0.0%
2023Q4
92
25.8
7.67
4.16
0.18
3.33
7.50
0.0%
2023Q3
92
25.3
7.69
4.08
0.14
3.48
7.76
0.0%
2023Q2
91
27.5
7.33
3.81
0.12
3.40
7.52
0.0%
2023Q1
90
28.7
7.69
3.93
0.19
3.56
7.47
0.0%
2022Q4
92
22.7
8.57
4.39
0.23
3.94
8.11
0.0%
2022Q3
92
19.9
8.59
4.63
0.31
3.65
8.17
0.0%
2022Q2
91
19.9
8.82
4.92
0.40
3.50
8.86
0.0%
2022Q1
90
18.8
8.64
5.04
0.33
3.26
8.40
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
28
B × 1D × 21E × 4F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-15
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2026-04-15
2026-03-15
Health
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2026-04-15
2026-03-15
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-04-15
2025-01-19
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-02-18
2025-01-19
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-02-18
2025-01-19
Health
F0732
Post nurse staffing information every day.
B
2025-02-18
2025-01-19
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2025-02-18
2025-01-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-02-18
2025-01-19
Health
F0881
Implement a program that monitors antibiotic use.
D
2025-02-18
2024-01-14
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-02-23
2024-01-14
Health
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2024-02-23
2024-01-14
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2024-02-23
2024-01-14
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
2024-02-23
2024-01-14
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-02-23
2024-01-14
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
2024-02-23
2024-01-14
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
2024-02-23
2024-01-14
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2024-02-23
2024-01-14
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
E
2024-02-23
2024-01-14
Health
F0760
Ensure that residents are free from significant medication errors.
D
2024-02-23
2024-01-14
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
2024-02-23
2024-01-14
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-02-23
2024-01-14
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
D
2024-02-23
2024-01-14
Health
F0838
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F
2024-02-23
2024-01-14
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-02-23
2024-01-14
Health
F0881
Implement a program that monitors antibiotic use.
D
2024-02-23
2024-01-14
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
D
2024-02-23
2024-01-14
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2024-02-23
2023-11-06
Health · complaint
F0825
Provide or get specialized rehabilitative services as required for a resident.
E
2023-11-20
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
60
Owner
Role
Pct
From
Status
Source
ALI-JONES, RASHAAN
CORPORATE OFFICER
—
2024-11-15
current
pecos_ownership
BERZ, DEREK
CORPORATE OFFICER
—
2023-11-01
current
pecos_ownership
CEDARS-SINAI HEALTH SYSTEM
OPERATIONAL/MANAGERIAL CONTROL
—
2018-02-01
current
pecos_ownership
COBB, INGRID
CORPORATE OFFICER
—
2023-11-01
current
pecos_ownership
CRANE, KATHLEEN
CORPORATE OFFICER
—
2024-11-15
current
pecos_ownership
DOBIE, LINDA
CORPORATE DIRECTOR
—
2023-11-01
current
pecos_ownership
DUPERRON, DONNA
CORPORATE OFFICER
—
2024-11-15
current
pecos_ownership
FIORITO, ERIN
CORPORATE DIRECTOR
—
2023-11-01
current
pecos_ownership
GEIGER, GREGORY
CORPORATE OFFICER
—
2024-05-01
current
pecos_ownership
GRAY, ZACHARY
CORPORATE OFFICER
—
2023-11-01
current
pecos_ownership
HALL, SHANNA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-11-01
current
pecos_ownership
HALL, SHANNA
ADP OF THE SNF
—
2025-06-27
current
pecos_ownership
HOBBS, KEITH
CORPORATE OFFICER
—
2023-11-01
current
pecos_ownership
HOHM, JOE
CORPORATE OFFICER
—
2024-11-15
current
pecos_ownership
KRAMER, SHERRY
CORPORATE OFFICER
—
2013-05-01
current
pecos_ownership
LARSON, WILLIAM
CORPORATE OFFICER
—
2011-01-07
current
pecos_ownership
LEACH, CRAIG
CORPORATE OFFICER
—
2023-11-01
current
pecos_ownership
MCRAE, ELAINE
CORPORATE DIRECTOR
—
2023-11-01
current
pecos_ownership
MILEFCHIK, ERIC
CORPORATE DIRECTOR
—
2024-11-15
current
pecos_ownership
REID, BERNEDETTE
CORPORATE OFFICER
—
2023-11-01
current
pecos_ownership
ROGERS, CHRISTOPHER
CORPORATE OFFICER
—
2023-11-01
current
pecos_ownership
SCHENASI, LAURA
CORPORATE OFFICER
—
2023-11-01
current
pecos_ownership
SENNER, CONNIE
CORPORATE DIRECTOR
—
2023-11-01
current
pecos_ownership
SHAY, HEATHER
CORPORATE DIRECTOR
—
2023-11-01
current
pecos_ownership
SHIN, VICTORIA
CORPORATE OFFICER
—
2024-11-15
current
pecos_ownership
TARNG, WILLIAM
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-15
current
pecos_ownership
TARNG, WILLIAM
ADP OF THE SNF
—
2025-06-12
current
pecos_ownership
TORRANCE HEALTH ASSOCIATION INC
OPERATIONAL/MANAGERIAL CONTROL
—
—
current
pecos_ownership
UNDERWOOD, TRACY
CORPORATE OFFICER
—
2024-11-15
current
pecos_ownership
WELCH, SUSAN
CORPORATE OFFICER
—
2024-11-15
current
pecos_ownership
WRIGHT, MARY
CORPORATE OFFICER
—
2023-11-01
current
pecos_ownership
BERNEDETTE REID
CORPORATE OFFICER
—
2023-11-01
ended 2026-05-18
pecos_ownership
CHRISTOPHER ROGERS
CORPORATE OFFICER
—
2023-11-01
ended 2026-05-18
pecos_ownership
CONNIE SENNER
CORPORATE DIRECTOR
—
2023-11-01
ended 2026-05-18
pecos_ownership
CRAIG LEACH
CORPORATE OFFICER
—
2023-11-01
ended 2026-05-18
pecos_ownership
DEREK BERZ
CORPORATE OFFICER
—
2023-11-01
ended 2026-05-18
pecos_ownership
DONNA DUPERRON
CORPORATE OFFICER
—
2024-11-15
ended 2026-05-18
pecos_ownership
ELAINE MCRAE
CORPORATE DIRECTOR
—
2023-11-01
ended 2026-05-18
pecos_ownership
ERIC MILEFCHIK
CORPORATE DIRECTOR
—
2024-11-15
ended 2026-05-18
pecos_ownership
ERIN FIORITO
CORPORATE DIRECTOR
—
2023-11-01
ended 2026-05-18
pecos_ownership
GREGORY GEIGER
CORPORATE OFFICER
—
2024-05-01
ended 2026-05-18
pecos_ownership
HEATHER SHAY
CORPORATE DIRECTOR
—
2023-11-01
ended 2026-05-18
pecos_ownership
INGRID COBB
CORPORATE OFFICER
—
2023-11-01
ended 2026-05-18
pecos_ownership
JOE HOHM
CORPORATE OFFICER
—
2024-11-15
ended 2026-05-18
pecos_ownership
KATHLEEN CRANE
CORPORATE OFFICER
—
2024-11-15
ended 2026-05-18
pecos_ownership
KEITH HOBBS
OPERATIONAL/MANAGERIAL CONTROL
—
2023-11-01
ended 2026-05-18
pecos_ownership
LAURA SCHENASI
CORPORATE OFFICER
—
2023-11-01
ended 2026-05-18
pecos_ownership
LINDA DOBIE
CORPORATE DIRECTOR
—
2023-11-01
ended 2026-05-18
pecos_ownership
MARY WRIGHT
CORPORATE OFFICER
—
2023-11-01
ended 2026-05-18
pecos_ownership
RASHAAN ALI-JONES
CORPORATE OFFICER
—
2024-11-15
ended 2026-05-18
pecos_ownership
SHANNA HALL
ADP OF THE SNF
—
2025-06-27
ended 2026-05-18
pecos_ownership
SHANNA HALL
CORPORATE DIRECTOR
—
2023-11-01
ended 2026-05-18
pecos_ownership
SHERRY KRAMER
CORPORATE OFFICER
—
2013-05-01
ended 2026-05-18
pecos_ownership
SUSAN WELCH
CORPORATE OFFICER
—
2024-11-15
ended 2026-05-18
pecos_ownership
TRACY UNDERWOOD
CORPORATE OFFICER
—
2024-11-15
ended 2026-05-18
pecos_ownership
VICTORIA SHIN
CORPORATE OFFICER
—
2024-11-15
ended 2026-05-18
pecos_ownership
WILLIAM LARSON
CORPORATE OFFICER
—
2011-01-07
ended 2026-05-18
pecos_ownership
WILLIAM TARNG
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-15
ended 2026-05-18
pecos_ownership
WILLIAM TARNG
ADP OF THE SNF
—
2025-06-12
ended 2026-05-18
pecos_ownership
ZACHARY GRAY
CORPORATE OFFICER
—
2023-11-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 90505
acs median gross
0
$1,815
2024-12-31
CENSUS_ACS5
zcta 90505
acs median gross
1
$2,037
2024-12-31
CENSUS_ACS5
zcta 90505
acs median gross
2
$2,547
2024-12-31
CENSUS_ACS5
zcta 90505
acs median gross
3
$3,501
2024-12-31
CENSUS_ACS5
zcta 90505
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 90505
acs median gross
$2,387
2024-12-31
CENSUS_ACS5
zcta 90505
acs recent mover gross
$2,965
2024-12-31
CENSUS_ACS5
zip 90505
payment standard 110
0
$2,739
2025-10-01
HUD_USER_SAFMR
zip 90505
payment standard 90
0
$2,241
2025-10-01
HUD_USER_SAFMR
zip 90505
safmr
0
$2,490
2025-10-01
HUD_USER_SAFMR
zip 90505
payment standard 110
1
$3,058
2025-10-01
HUD_USER_SAFMR
zip 90505
payment standard 90
1
$2,502
2025-10-01
HUD_USER_SAFMR
zip 90505
safmr
1
$2,780
2025-10-01
HUD_USER_SAFMR
zip 90505
payment standard 110
2
$3,817
2025-10-01
HUD_USER_SAFMR
zip 90505
payment standard 90
2
$3,123
2025-10-01
HUD_USER_SAFMR
zip 90505
safmr
2
$3,470
2025-10-01
HUD_USER_SAFMR
zip 90505
payment standard 110
3
$4,840
2025-10-01
HUD_USER_SAFMR
zip 90505
payment standard 90
3
$3,960
2025-10-01
HUD_USER_SAFMR
zip 90505
safmr
3
$4,400
2025-10-01
HUD_USER_SAFMR
zip 90505
payment standard 110
4
$5,390
2025-10-01
HUD_USER_SAFMR
zip 90505
payment standard 90
4
$4,410
2025-10-01
HUD_USER_SAFMR
zip 90505
safmr
4
$4,900
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.