Reads as: riskier than 50.0% 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
40% fined
LANDA STEVEN
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
NY median
National median
National p25–p75
Total nurse
3.51
3.33
3.28
2.90–3.77
RN
0.45
0.43
0.39
0.25–0.58
Weekend total
3.06
3.03
3.11
—
Weekday total
3.69
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
74.5
3.51
0.45
0.71
2.36
3.06
0.0%
2025Q3
92
75.3
3.72
0.42
0.85
2.45
3.37
0.0%
2025Q2
91
74.4
3.54
0.40
0.84
2.29
3.35
0.9%
2025Q1
90
75.6
3.61
0.53
0.79
2.30
3.33
0.3%
2024Q4
92
75.8
3.60
0.54
0.82
2.24
3.18
0.0%
2024Q3
92
72.7
3.64
0.55
0.78
2.30
3.18
0.0%
2024Q2
91
74.7
3.52
0.60
0.77
2.16
3.04
0.0%
2024Q1
91
75.0
3.35
0.45
0.79
2.11
2.98
0.0%
2023Q4
92
74.5
2.94
0.25
0.61
2.08
2.84
2.0%
2023Q3
92
73.6
3.19
0.28
0.78
2.13
2.88
3.7%
2023Q2
91
67.4
3.42
0.36
0.80
2.26
3.06
5.8%
2023Q1
90
67.6
2.49
0.36
0.65
1.49
2.23
15.7%
2022Q4
92
67.7
2.65
0.37
0.78
1.50
2.61
11.8%
2022Q3
92
67.5
2.53
0.37
0.78
1.37
2.34
14.5%
2022Q2
91
68.8
2.39
0.44
0.69
1.27
2.20
10.8%
2022Q1
90
62.9
2.65
0.48
0.74
1.43
2.39
9.1%
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.
G
2025-07-03
2024-11-15
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
B
2025-01-14
2024-11-15
Health
F0583
Keep residents' personal and medical records private and confidential.
F
2025-01-14
2024-11-15
Health · complaint
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.
F
2025-01-14
2024-11-15
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2025-01-14
2024-11-15
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-01-14
2024-11-15
Health
F0847
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
D
2025-01-14
2024-11-15
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2025-01-14
2022-10-14
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2022-11-22
2022-10-14
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.
D
2022-11-22
2020-03-04
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2020-03-20
2020-03-04
Health
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.
D
2020-03-20
2020-03-04
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
2020-03-20
2020-03-04
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2020-03-20
2020-03-04
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2020-03-20
2020-03-04
Health
F0880
Provide and implement an infection prevention and control program.
D
2020-03-20
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
26
Owner
Role
Pct
From
Status
Source
RIVER VIEW 510 HOLDING LLC
Individual has financial interest in both related organization and provider
100%
2024-01-01
current
hcris_a_8_1
RIVER VIEW 510 HOLDING LLC
Individual has financial interest in both related organization and provider
100%
2023-01-01
current
hcris_a_8_1
APPEL, ANNA
5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
2014-04-01
current
pecos_ownership
KLEIN, RIVKY
5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
2014-04-01
current
pecos_ownership
LANDA, HINDA
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2014-04-01
current
pecos_ownership
MAJEROVIC, HELEN
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2014-04-01
current
pecos_ownership
REICH, SURI
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2014-04-01
current
pecos_ownership
LANDA, STEVEN
5% OR GREATER DIRECT OWNERSHIP INTEREST
8%
2014-04-01
current
pecos_ownership
BERMAN, MORDECHAI
5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
2014-04-01
current
pecos_ownership
MAYER, ANDREA
5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
2014-04-01
current
pecos_ownership
GEWIRTZ, JONATHAN
CORPORATE OFFICER
—
2019-02-11
current
pecos_ownership
SULEIMAN, SAMER
W-2 MANAGING EMPLOYEE
—
2019-02-11
current
pecos_ownership
RIVER VIEW 510 HOLDING LLC
Individual has financial interest in both related organization and provider
82%
2020-01-01
ended 2020-12-31
hcris_a_8_1
RIVER VIEW 510 HOLDING LLC
Individual has financial interest in both related organization and provider
82%
2022-01-01
ended 2022-12-31
hcris_a_8_1
RIVER VIEW 510 HOLDING LLC
Individual has financial interest in both related organization and provider
82%
2021-01-01
ended 2021-12-31
hcris_a_8_1
ANNA APPEL
5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
2014-04-01
ended 2026-05-18
pecos_ownership
RIVKY KLEIN
5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
2014-04-01
ended 2026-05-18
pecos_ownership
HELEN MAJEROVIC
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2014-04-01
ended 2026-05-18
pecos_ownership
HINDA LANDA
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2014-04-01
ended 2026-05-18
pecos_ownership
SURI REICH
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2014-04-01
ended 2026-05-18
pecos_ownership
YOSSIE MAYER
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2014-04-01
ended 2026-05-18
pecos_ownership
STEVEN LANDA
5% OR GREATER DIRECT OWNERSHIP INTEREST
8%
2014-04-01
ended 2026-05-18
pecos_ownership
ANDREA MAYER
5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
2014-04-01
ended 2026-05-18
pecos_ownership
MORDECHAI BERMAN
CORPORATE OFFICER
5%
2014-04-01
ended 2026-05-18
pecos_ownership
JONATHAN GEWIRTZ
CORPORATE OFFICER
—
2019-02-11
ended 2026-05-18
pecos_ownership
SAMER SULEIMAN
W-2 MANAGING EMPLOYEE
—
2019-02-11
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
$326,856
—
—
—
—
1
propco
2023-12-31
$338,925
—
—
—
—
1
propco
2022-12-31
$352,143
—
—
—
—
1
propco
2021-12-31
$368,274
—
—
—
—
1
propco
2020-12-31
$408,212
—
—
—
—
1
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
33
Geo
Kind
BR
Amount
As of
Source
county 36107
acs median gross
0
$626
2024-12-31
CENSUS_ACS5
county 36107
fmr
0
$783
2025-10-01
HUD_USER_FMR
county 36107
acs median gross
1
$767
2024-12-31
CENSUS_ACS5
county 36107
fmr
1
$868
2025-10-01
HUD_USER_FMR
county 36107
acs median gross
2
$946
2024-12-31
CENSUS_ACS5
county 36107
fmr
2
$1,103
2025-10-01
HUD_USER_FMR
county 36107
acs median gross
3
$1,051
2024-12-31
CENSUS_ACS5
county 36107
fmr
3
$1,412
2025-10-01
HUD_USER_FMR
county 36107
acs median gross
4
$1,379
2024-12-31
CENSUS_ACS5
county 36107
fmr
4
$1,622
2025-10-01
HUD_USER_FMR
county 36107
acs median gross
5
$885
2024-12-31
CENSUS_ACS5
county 36107
acs median gross
$928
2024-12-31
CENSUS_ACS5
county 36107
acs recent mover gross
$1,051
2024-12-31
CENSUS_ACS5
zcta 13827
acs median gross
1
$812
2024-12-31
CENSUS_ACS5
zcta 13827
acs median gross
2
$969
2024-12-31
CENSUS_ACS5
zcta 13827
acs median gross
3
$948
2024-12-31
CENSUS_ACS5
zcta 13827
acs median gross
$915
2024-12-31
CENSUS_ACS5
zcta 13827
acs recent mover gross
$1,083
2024-12-31
CENSUS_ACS5
zip 13827
payment standard 110
0
$880
2025-10-01
HUD_USER_SAFMR
zip 13827
payment standard 90
0
$720
2025-10-01
HUD_USER_SAFMR
zip 13827
safmr
0
$800
2025-10-01
HUD_USER_SAFMR
zip 13827
payment standard 110
1
$957
2025-10-01
HUD_USER_SAFMR
zip 13827
payment standard 90
1
$783
2025-10-01
HUD_USER_SAFMR
zip 13827
safmr
1
$870
2025-10-01
HUD_USER_SAFMR
zip 13827
payment standard 110
2
$1,221
2025-10-01
HUD_USER_SAFMR
zip 13827
payment standard 90
2
$999
2025-10-01
HUD_USER_SAFMR
zip 13827
safmr
2
$1,110
2025-10-01
HUD_USER_SAFMR
zip 13827
payment standard 110
3
$1,562
2025-10-01
HUD_USER_SAFMR
zip 13827
payment standard 90
3
$1,278
2025-10-01
HUD_USER_SAFMR
zip 13827
safmr
3
$1,420
2025-10-01
HUD_USER_SAFMR
zip 13827
payment standard 110
4
$1,793
2025-10-01
HUD_USER_SAFMR
zip 13827
payment standard 90
4
$1,467
2025-10-01
HUD_USER_SAFMR
zip 13827
safmr
4
$1,630
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.