Reads as: riskier than 0.7% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
47 chains
FORVIS MAZARS LLP
251 facilities
connection
Owner spans multiple chains
9 chains
PHARMERICA DRUG SYSTEMS LLC
32 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
PA median
National median
National p25–p75
Total nurse
5.96
3.38
3.28
2.90–3.77
RN
1.55
0.45
0.39
0.25–0.58
Weekend total
5.56
3.27
3.11
—
Weekday total
6.12
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
32.4
5.96
1.55
0.67
3.74
5.56
0.0%
2025Q3
92
32.2
6.04
1.57
0.59
3.88
5.68
55.3%
2025Q2
91
31.7
5.97
1.54
0.63
3.80
5.53
41.1%
2025Q1
90
34.5
5.50
1.46
0.58
3.46
5.04
0.0%
2024Q4
92
35.6
5.56
1.43
0.54
3.59
5.18
0.0%
2024Q3
92
35.8
5.60
1.34
0.65
3.61
5.29
0.0%
2024Q2
91
36.8
5.50
1.57
0.41
3.53
5.19
0.0%
2024Q1
91
37.8
5.35
1.44
0.41
3.50
4.99
0.0%
2023Q4
92
37.0
5.40
1.52
0.37
3.51
4.88
0.0%
2023Q3
92
35.3
5.63
1.58
0.39
3.67
5.17
0.0%
2023Q2
91
37.2
5.34
1.49
0.39
3.46
4.88
0.0%
2023Q1
90
38.0
5.17
1.40
0.36
3.41
4.82
0.0%
2022Q4
92
38.5
4.95
1.26
0.47
3.22
4.62
0.0%
2022Q3
92
35.0
5.34
1.37
0.51
3.46
4.89
0.0%
2022Q2
91
35.7
4.77
1.32
0.36
3.09
4.97
0.0%
2022Q1
90
36.1
5.04
1.44
0.37
3.23
4.70
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
2
D × 2
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-08-15
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
2024-09-04
2024-08-15
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-10-14
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
58
Owner
Role
Pct
From
Status
Source
BALAMUTH, MARGARET
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
BENCHMARK THERAPIES, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
BENCHMARK THERAPIES, INC.
ADP OF THE SNF
—
2025-04-09
current
pecos_ownership
BENSON, BARBARA
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
BREISH, CHARLES
TRUSTEE OF THE SNF
—
2018-04-01
current
pecos_ownership
BREISH, CHARLES
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
BURKE, MARY KATHRYN
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
CAULDER, MARY
OPERATIONAL/MANAGERIAL CONTROL
—
2021-02-03
current
pecos_ownership
DAY, ADAM
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-05
current
pecos_ownership
EISNER AMPER, LLC
ADP OF THE SNF
—
2025-04-09
current
pecos_ownership
EISNER AMPER, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
EISNER AMPER, LLP
ADP OF THE SNF
—
2025-04-09
current
pecos_ownership
EISNER AMPER, LLP
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
FORVIS MAZARS LLP
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
FORVIS MAZARS LLP
ADP OF THE SNF
—
2025-04-09
current
pecos_ownership
HARDING, MARJORIE
OPERATIONAL/MANAGERIAL CONTROL
—
2016-12-19
current
pecos_ownership
KENDRA, SUSAN
CORPORATE OFFICER
—
2011-07-01
current
pecos_ownership
KENDRA, SUSAN
TRUSTEE OF THE SNF
—
2007-01-02
current
pecos_ownership
KLING, BRADFORD
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
LANE-CRASKEY, CHRISTY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-11-14
current
pecos_ownership
MAIN LINE HEALTHCARE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
MAIN LINE HEALTHCARE
ADP OF THE SNF
—
2025-04-09
current
pecos_ownership
MERCER INVESTMENTS, LLC.
ADP OF THE SNF
—
2025-04-09
current
pecos_ownership
MERCER INVESTMENTS, LLC.
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
MORRIS, MARTHA
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
MUTUAL OF AMERICA
ADP OF THE SNF
—
2025-04-09
current
pecos_ownership
MUTUAL OF AMERICA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
NEILSON, META
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
PEDUZZI, JOSEPH
CORPORATE DIRECTOR
—
2013-08-19
current
pecos_ownership
PHARMERICA DRUG SYSTEMS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
PHARMERICA DRUG SYSTEMS LLC
ADP OF THE SNF
—
2025-04-09
current
pecos_ownership
ROBERTS, MARK
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-06
current
pecos_ownership
SLATTERY, FRANK
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
SPARKMAN, THORNE
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
STEINBERG, MARVIN
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
VITAL HEALTHCARE SOLUTIONS
ADP OF THE SNF
—
2025-04-09
current
pecos_ownership
VITAL HEALTHCARE SOLUTIONS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
WILMINGTON SAVINGS FUND SOCIETY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
WILMINGTON SAVINGS FUND SOCIETY
ADP OF THE SNF
—
2025-04-09
current
pecos_ownership
JOSEPH PEDUZZI
CORPORATE OFFICER
100%
2013-08-19
ended 2026-05-18
pecos_ownership
CHRISTY LANE-CRASKEY
CORPORATE DIRECTOR
0%
2022-11-14
ended 2026-05-18
pecos_ownership
SUSAN KENDRA
CORPORATE OFFICER
0%
2011-07-01
ended 2026-05-18
pecos_ownership
ADAM DAY
ADP OF THE SNF
—
2024-08-05
ended 2026-05-18
pecos_ownership
BARBARA BENSON
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
BRADFORD KLING
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
CHARLES BREISH
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
CHARLES BREISH
TRUSTEE OF THE SNF
—
2018-04-01
ended 2026-05-18
pecos_ownership
FRANK SLATTERY
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
MARGARET BALAMUTH
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
MARJORIE HARDING
OPERATIONAL/MANAGERIAL CONTROL
—
2016-12-19
ended 2026-05-18
pecos_ownership
MARK ROBERTS
ADP OF THE SNF
—
2021-12-06
ended 2026-05-18
pecos_ownership
MARTHA MORRIS
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
MARVIN STEINBERG
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
MARY CAULDER
ADP OF THE SNF
—
2021-02-03
ended 2026-05-18
pecos_ownership
MARY KATHRYN BURKE
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
META NEILSON
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
SUSAN KENDRA
TRUSTEE OF THE SNF
—
2007-01-02
ended 2026-05-18
pecos_ownership
THORNE SPARKMAN
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
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
$4,589,388
—
—
—
—
0
propco
2023-12-31
$3,839,084
—
—
—
—
0
propco
2022-12-31
$3,515,270
—
—
—
—
0
propco
2021-12-31
$3,501,465
—
—
—
—
0
propco
2020-12-31
$3,333,873
—
—
—
—
0
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
35
Geo
Kind
BR
Amount
As of
Source
county 42091
acs median gross
0
$1,347
2024-12-31
CENSUS_ACS5
county 42091
fmr
0
$1,397
2025-10-01
HUD_USER_FMR
county 42091
acs median gross
1
$1,467
2024-12-31
CENSUS_ACS5
county 42091
fmr
1
$1,520
2025-10-01
HUD_USER_FMR
county 42091
acs median gross
2
$1,781
2024-12-31
CENSUS_ACS5
county 42091
fmr
2
$1,810
2025-10-01
HUD_USER_FMR
county 42091
acs median gross
3
$2,029
2024-12-31
CENSUS_ACS5
county 42091
fmr
3
$2,170
2025-10-01
HUD_USER_FMR
county 42091
acs median gross
4
$2,103
2024-12-31
CENSUS_ACS5
county 42091
fmr
4
$2,423
2025-10-01
HUD_USER_FMR
county 42091
acs median gross
5
$2,343
2024-12-31
CENSUS_ACS5
county 42091
acs median gross
$1,683
2024-12-31
CENSUS_ACS5
county 42091
acs recent mover gross
$1,838
2024-12-31
CENSUS_ACS5
zcta 19010
acs median gross
0
$1,835
2024-12-31
CENSUS_ACS5
zcta 19010
acs median gross
1
$1,670
2024-12-31
CENSUS_ACS5
zcta 19010
acs median gross
2
$2,112
2024-12-31
CENSUS_ACS5
zcta 19010
acs median gross
3
$2,558
2024-12-31
CENSUS_ACS5
zcta 19010
acs median gross
4
$3,500
2024-12-31
CENSUS_ACS5
zcta 19010
acs median gross
$1,918
2024-12-31
CENSUS_ACS5
zcta 19010
acs recent mover gross
$2,413
2024-12-31
CENSUS_ACS5
zip 19010
payment standard 110
0
$2,057
2025-10-01
HUD_USER_SAFMR
zip 19010
payment standard 90
0
$1,683
2025-10-01
HUD_USER_SAFMR
zip 19010
safmr
0
$1,870
2025-10-01
HUD_USER_SAFMR
zip 19010
payment standard 110
1
$2,233
2025-10-01
HUD_USER_SAFMR
zip 19010
payment standard 90
1
$1,827
2025-10-01
HUD_USER_SAFMR
zip 19010
safmr
1
$2,030
2025-10-01
HUD_USER_SAFMR
zip 19010
payment standard 110
2
$2,662
2025-10-01
HUD_USER_SAFMR
zip 19010
payment standard 90
2
$2,178
2025-10-01
HUD_USER_SAFMR
zip 19010
safmr
2
$2,420
2025-10-01
HUD_USER_SAFMR
zip 19010
payment standard 110
3
$3,190
2025-10-01
HUD_USER_SAFMR
zip 19010
payment standard 90
3
$2,610
2025-10-01
HUD_USER_SAFMR
zip 19010
safmr
3
$2,900
2025-10-01
HUD_USER_SAFMR
zip 19010
payment standard 110
4
$3,564
2025-10-01
HUD_USER_SAFMR
zip 19010
payment standard 90
4
$2,916
2025-10-01
HUD_USER_SAFMR
zip 19010
safmr
4
$3,240
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.