Reads as: riskier than 87.7% 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
14
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+31.9 vs natl
DEPIANO RICH
7 facilities
connection
Owner fleet risk far above national
+31.9 vs natl
SENIOR HEALTH SOUTH EX LLC
7 facilities
connection
Owner fleet risk far above national
+29.9 vs natl
SENIOR HEALTH PROPERTIES SOUTH INC
8 facilities
connection
Owner fleet risk far above national
+26.5 vs natl
RICHMOND PENNY
25 facilities
connection
Owner fleet risk far above national
+25.7 vs natl
FACILITY SUPPORT COMPANY LLC
37 facilities
connection
Owner fleet risk far above national
+25.7 vs natl
KANE FINANCIAL SERVICES LLC
37 facilities
connection
Owner fleet risk far above national
+25.7 vs natl
CONSULTING SUPPORT SERVICES LLC
37 facilities
connection
Owner fleet risk far above national
+25.5 vs natl
ELEUS HEALTH MANAGEMENT LLC
9 facilities
connection
Owner fleet risk far above national
+25.4 vs natl
JAFFE HOWARD
37 facilities
connection
Owner fleet risk far above national
+20.3 vs natl
MULLEN ANN
10 facilities
connection
Owner spans multiple chains
8 chains
SELECT REHABILITATION LLC
50 facilities
connection
Owner spans multiple chains
7 chains
OMEGA HEALTHCARE INVESTORS INC
44 facilities
connection
Owner fleet enforcement cluster
43% fined
DEPIANO RICH
7 facilities
connection
Owner fleet enforcement cluster
43% fined
SENIOR HEALTH SOUTH EX LLC
7 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
FL median
National median
National p25–p75
Total nurse
3.00
3.42
3.28
2.90–3.77
RN
0.27
0.45
0.39
0.25–0.58
Weekend total
3.06
3.31
3.11
—
Weekday total
2.98
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
130.7
3.00
0.27
0.65
2.07
3.06
0.1%
2025Q3
92
131.8
2.98
0.26
0.64
2.09
3.03
0.1%
2025Q2
91
132.2
2.97
0.22
0.65
2.10
3.08
0.1%
2025Q1
90
135.3
3.06
0.21
0.73
2.12
3.13
0.1%
2024Q4
92
136.6
3.05
0.27
0.66
2.13
3.19
0.0%
2024Q3
92
136.2
3.06
0.26
0.64
2.16
3.22
0.1%
2024Q2
91
136.2
3.01
0.21
0.70
2.10
3.02
0.0%
2024Q1
91
132.3
3.05
0.24
0.74
2.07
3.01
0.1%
2023Q4
92
131.5
2.93
0.19
0.73
2.01
2.88
0.1%
2023Q3
92
125.6
2.95
0.19
0.74
2.02
2.86
0.0%
2023Q2
91
106.1
3.00
0.20
0.68
2.12
2.84
0.1%
2023Q1
90
108.9
2.87
0.26
0.58
2.03
2.63
0.0%
2022Q4
92
116.7
2.93
0.34
0.56
2.03
2.87
0.0%
2022Q3
92
121.9
2.90
0.35
0.53
2.02
2.89
0.0%
2022Q2
91
126.4
2.97
0.35
0.55
2.07
2.91
0.9%
2022Q1
90
129.1
3.43
0.25
0.71
2.47
3.36
5.2%
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.
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
2024-11-28
2024-01-24
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-02-24
2024-01-24
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.
E
2024-02-24
2024-01-24
Health · complaint
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
E
2024-02-24
2024-01-24
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
E
2024-02-24
2024-01-24
Health · complaint
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
2024-02-24
2024-01-24
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-02-24
2024-01-24
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2024-02-24
2024-01-24
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
2024-02-24
2024-01-24
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-02-24
2024-01-24
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
2024-02-24
2024-01-24
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-02-24
2024-01-24
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.
D
2024-02-24
2021-10-22
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
E
2021-11-21
2021-10-22
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.
E
2021-11-21
2021-10-22
Health
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
E
2021-11-21
2021-10-22
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.
D
2021-11-21
2021-10-22
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2021-11-21
2021-10-22
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
2021-11-21
2021-10-22
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2021-11-21
2020-02-07
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2020-03-07
2020-02-07
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
2020-03-07
2020-02-07
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2020-03-07
2020-02-07
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2020-03-07
2020-02-07
Health
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2020-03-07
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
25
Owner
Role
Pct
From
Status
Source
SENIOR HEALTH SOUTH EX LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2000-11-20
current
pecos_ownership
BROWN, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
—
2019-03-26
current
pecos_ownership
CONSULTING SUPPORT SERVICES, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2011-06-28
current
pecos_ownership
CONSULTING SUPPORT SERVICES, LLC
ADP OF THE SNF
—
2025-03-26
current
pecos_ownership
DEPIANO, RICH
CORPORATE OFFICER
—
2014-07-01
current
pecos_ownership
ELEUS HEALTH MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2009-09-01
current
pecos_ownership
ELEUS HEALTH MANAGEMENT LLC
ADP OF THE SNF
—
2025-04-18
current
pecos_ownership
FACILITY SUPPORT COMPANY, LLC
ADP OF THE SNF
—
2025-03-26
current
pecos_ownership
FACILITY SUPPORT COMPANY, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2010-12-13
current
pecos_ownership
JAFFE, HOWARD
CORPORATE OFFICER
—
2014-07-01
current
pecos_ownership
KANE FINANCIAL SERVICES, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2012-06-06
current
pecos_ownership
KANE FINANCIAL SERVICES, LLC
ADP OF THE SNF
—
2025-10-28
current
pecos_ownership
MULLEN, ANN
CORPORATE OFFICER
—
2014-07-01
current
pecos_ownership
OMEGA HEALTHCARE INVESTORS, INC
5% OR GREATER SECURITY INTEREST
—
2005-09-01
current
pecos_ownership
RICHMOND, PENNY
CORPORATE OFFICER
—
2014-07-01
current
pecos_ownership
ROBINSON-BRADY, ALEXIA
OPERATIONAL/MANAGERIAL CONTROL
—
2019-07-16
current
pecos_ownership
SELECT REHABILITATION, LLC
ADP OF THE SNF
—
2016-08-19
current
pecos_ownership
SENIOR HEALTH PROPERTIES SOUTH, INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2000-11-30
current
pecos_ownership
SENIOR HEALTH SOUTH EX LLC
ADP OF THE SNF
—
2025-07-08
current
pecos_ownership
ANN MULLEN
CORPORATE OFFICER
0%
2014-07-01
ended 2026-05-18
pecos_ownership
HOWARD JAFFE
CORPORATE OFFICER
0%
2014-07-01
ended 2026-05-18
pecos_ownership
PENNY RICHMOND
CORPORATE OFFICER
0%
2014-07-01
ended 2026-05-18
pecos_ownership
RICH DEPIANO
CORPORATE OFFICER
0%
2014-07-01
ended 2026-05-18
pecos_ownership
ALEXIA ROBINSON-BRADY
ADP OF THE SNF
—
2019-07-16
ended 2026-05-18
pecos_ownership
JENNIFER BROWN
OPERATIONAL/MANAGERIAL CONTROL
—
2019-03-26
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
$137,716
—
—
—
—
1
—
2023-12-31
$167,099
—
—
—
—
1
—
2022-12-31
$160,016
—
—
—
—
1
—
2021-12-31
$159,950
—
—
—
—
1
—
2020-12-31
$126,277
—
—
—
—
1
—
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 12105
acs median gross
0
$1,033
2024-12-31
CENSUS_ACS5
county 12105
fmr
0
$1,226
2025-10-01
HUD_USER_FMR
county 12105
acs median gross
1
$1,044
2024-12-31
CENSUS_ACS5
county 12105
fmr
1
$1,230
2025-10-01
HUD_USER_FMR
county 12105
acs median gross
2
$1,242
2024-12-31
CENSUS_ACS5
county 12105
fmr
2
$1,497
2025-10-01
HUD_USER_FMR
county 12105
acs median gross
3
$1,644
2024-12-31
CENSUS_ACS5
county 12105
fmr
3
$2,023
2025-10-01
HUD_USER_FMR
county 12105
acs median gross
4
$2,115
2024-12-31
CENSUS_ACS5
county 12105
fmr
4
$2,511
2025-10-01
HUD_USER_FMR
county 12105
acs median gross
5
$1,815
2024-12-31
CENSUS_ACS5
county 12105
acs median gross
$1,363
2024-12-31
CENSUS_ACS5
county 12105
acs recent mover gross
$1,718
2024-12-31
CENSUS_ACS5
zcta 33880
acs median gross
0
$947
2024-12-31
CENSUS_ACS5
zcta 33880
acs median gross
1
$958
2024-12-31
CENSUS_ACS5
zcta 33880
acs median gross
2
$1,127
2024-12-31
CENSUS_ACS5
zcta 33880
acs median gross
3
$1,580
2024-12-31
CENSUS_ACS5
zcta 33880
acs median gross
4
$2,334
2024-12-31
CENSUS_ACS5
zcta 33880
acs median gross
$1,194
2024-12-31
CENSUS_ACS5
zcta 33880
acs recent mover gross
$1,800
2024-12-31
CENSUS_ACS5
zip 33880
payment standard 110
0
$1,210
2025-10-01
HUD_USER_SAFMR
zip 33880
payment standard 90
0
$990
2025-10-01
HUD_USER_SAFMR
zip 33880
safmr
0
$1,100
2025-10-01
HUD_USER_SAFMR
zip 33880
payment standard 110
1
$1,210
2025-10-01
HUD_USER_SAFMR
zip 33880
payment standard 90
1
$990
2025-10-01
HUD_USER_SAFMR
zip 33880
safmr
1
$1,100
2025-10-01
HUD_USER_SAFMR
zip 33880
payment standard 110
2
$1,474
2025-10-01
HUD_USER_SAFMR
zip 33880
payment standard 90
2
$1,206
2025-10-01
HUD_USER_SAFMR
zip 33880
safmr
2
$1,340
2025-10-01
HUD_USER_SAFMR
zip 33880
payment standard 110
3
$1,991
2025-10-01
HUD_USER_SAFMR
zip 33880
payment standard 90
3
$1,629
2025-10-01
HUD_USER_SAFMR
zip 33880
safmr
3
$1,810
2025-10-01
HUD_USER_SAFMR
zip 33880
payment standard 110
4
$2,475
2025-10-01
HUD_USER_SAFMR
zip 33880
payment standard 90
4
$2,025
2025-10-01
HUD_USER_SAFMR
zip 33880
safmr
4
$2,250
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.