5200 MARYMOUNT VILLAGE DRIVE, GARFIELD HEIGHTS, OH 44125 · CCN 366335 · chain SRI NIGHTINGALE LLC
Composite
81.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
130
Model
v1.2
Reads as: riskier than 81.8% 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
5
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+20.5 vs natl
GOTTESMAN DANIEL
26 facilities
connection
Owner spans multiple chains
8 chains
TAUB JACOB
20 facilities
connection
Owner spans multiple chains
8 chains
GUTMAN ISAAC
22 facilities
connection
Owner spans multiple chains
7 chains
GOTTESMAN DANIEL
24 facilities
connection
Owner fleet enforcement cluster
40% fined
SRI FAMILY IRREVOCABLE TRUST
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
OH median
National median
National p25–p75
Total nurse
3.52
3.24
3.28
2.90–3.77
RN
0.12
0.38
0.39
0.25–0.58
Weekend total
3.46
3.11
3.11
—
Weekday total
3.54
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
111.3
3.52
0.12
1.24
2.15
3.46
0.0%
2025Q3
92
101.3
3.98
0.17
1.51
2.31
3.68
0.5%
2025Q2
91
101.9
4.10
0.23
1.49
2.38
3.89
7.4%
2025Q1
90
105.3
3.76
0.22
1.51
2.03
3.55
16.5%
2024Q4
92
94.7
4.64
0.23
1.95
2.47
4.22
16.3%
2024Q3
92
90.0
4.71
0.21
2.07
2.43
4.33
15.0%
2024Q2
91
84.2
4.86
0.23
1.95
2.68
4.54
22.7%
2024Q1
91
94.9
4.53
0.27
1.66
2.60
4.48
33.8%
2023Q4
92
101.7
4.78
0.35
1.91
2.52
4.48
44.7%
2023Q3
92
100.9
4.47
0.49
1.78
2.20
4.31
33.8%
2023Q2
91
93.2
4.62
0.58
1.77
2.27
4.53
29.8%
2023Q1
90
97.2
4.46
0.54
1.81
2.10
4.17
21.3%
2022Q4
92
94.9
4.46
0.51
1.62
2.33
3.98
21.5%
2022Q3
92
92.6
5.08
0.84
1.87
2.37
4.24
24.7%
2022Q2
91
86.0
4.96
0.97
1.40
2.59
4.47
23.4%
2022Q1
90
84.8
4.41
0.99
1.27
2.14
4.03
16.8%
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-04-05
2025-03-13
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-04-05
2025-03-13
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-04-05
2025-03-13
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-04-05
2025-03-13
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2025-04-05
2025-03-13
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F
2025-04-05
2025-03-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-04-05
2025-03-13
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F
2025-04-05
2025-03-13
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-04-05
2025-03-13
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2025-04-05
2024-12-16
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-11-19
2024-12-16
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-01-10
2024-12-16
Health · complaint
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
2025-01-10
2024-12-16
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-01-10
2024-02-20
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-03-24
2024-02-20
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-03-24
2024-02-20
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2024-03-24
2023-11-30
Health · complaint
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
2023-12-05
2023-11-30
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-12-05
2023-11-30
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-12-05
2023-11-30
Health
F0880
Provide and implement an infection prevention and control program.
F
2023-12-05
2023-11-08
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2023-11-30
2023-11-08
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2023-11-30
2023-11-08
Health · complaint
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
2023-12-05
2021-06-04
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2021-07-20
2021-06-04
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2021-07-20
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
32
Owner
Role
Pct
From
Status
Source
MARYMOUNT HEALTHCARE HOLDCO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-06-30
current
pecos_ownership
MARYMOUNT REALTY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2023-06-30
current
hcris_a_8_1
MARYMOUNT REALTY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
BRAUN, DOV
MANAGING CONTROL - GOVERNING BODY
—
2023-06-30
current
pecos_ownership
CORRIGAN, KIMBERLY
ADP OF THE SNF
—
2025-12-03
current
pecos_ownership
CORRIGAN, KIMBERLY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-12
current
pecos_ownership
CTH IRREVOCABLE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-30
current
pecos_ownership
CTH NIGHTINGALE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-30
current
pecos_ownership
CUTLASS OP FAMILY TRUST II
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-30
current
pecos_ownership
CUTLASS OP HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-30
current
pecos_ownership
GOTTESMAN, DANIEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-30
current
pecos_ownership
GUTMAN, ISAAC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-30
current
pecos_ownership
JAKOBOWITCH, DAVID
ADP OF THE SNF
—
2023-06-30
current
pecos_ownership
RASTOGI, VIJAY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-11-01
current
pecos_ownership
SRI FAMILY IRREVOCABLE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-30
current
pecos_ownership
SRI NIGHTINGALE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-30
current
pecos_ownership
TAUB, JACOB
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-30
current
pecos_ownership
WELLSPRING AT MARYMOUNT LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-30
current
pecos_ownership
VLG PROP HLDG
Corporation, partnership or other organization has financial interest in provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
VLG PROP HLDG
Corporation, partnership or other organization has financial interest in provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
VLG PROP HLDG
Corporation, partnership or other organization has financial interest in provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
VLG PROP HLDG
Corporation, partnership or other organization has financial interest in provider
100%
2023-01-01
ended 2023-06-29
hcris_a_8_1
ISAAC GUTMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2023-06-30
ended 2026-05-18
pecos_ownership
JACOB TAUB
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2023-06-30
ended 2026-05-18
pecos_ownership
DANIEL GOTTESMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
16%
2023-06-30
ended 2026-05-18
pecos_ownership
AVIVA BRAUN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2023-06-30
ended 2026-05-18
pecos_ownership
CUTLASS OP FAMILY TRUST I
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2023-06-30
ended 2026-05-18
pecos_ownership
DOV BRAUN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2023-06-30
ended 2026-05-18
pecos_ownership
DAVID JAKOBOWITCH
INDIRECT OWNERSHIP INTEREST
1%
2023-06-30
ended 2026-05-18
pecos_ownership
KIMBERLY CORRIGAN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-12
ended 2026-05-18
pecos_ownership
KIMBERLY CORRIGAN
ADP OF THE SNF
—
2025-12-03
ended 2026-05-18
pecos_ownership
VIJAY RASTOGI
ADP OF THE SNF
—
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$600,539
—
—
—
—
1
propco
2023-12-31
$522,421
—
—
—
—
1
propco
2023-06-29
$854,245
—
—
—
—
1
propco
2022-12-31
$1,708,490
—
—
—
—
1
propco
2021-12-31
$1,821,121
—
—
—
—
1
propco
2020-12-31
$1,834,226
—
—
—
—
1
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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
34
Geo
Kind
BR
Amount
As of
Source
county 39035
acs median gross
0
$792
2024-12-31
CENSUS_ACS5
county 39035
fmr
0
$933
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
1
$859
2024-12-31
CENSUS_ACS5
county 39035
fmr
1
$1,058
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
2
$1,106
2024-12-31
CENSUS_ACS5
county 39035
fmr
2
$1,279
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
3
$1,290
2024-12-31
CENSUS_ACS5
county 39035
fmr
3
$1,646
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
4
$1,442
2024-12-31
CENSUS_ACS5
county 39035
fmr
4
$1,760
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
5
$1,548
2024-12-31
CENSUS_ACS5
county 39035
acs median gross
$1,060
2024-12-31
CENSUS_ACS5
county 39035
acs recent mover gross
$1,218
2024-12-31
CENSUS_ACS5
zcta 44125
acs median gross
1
$797
2024-12-31
CENSUS_ACS5
zcta 44125
acs median gross
2
$1,111
2024-12-31
CENSUS_ACS5
zcta 44125
acs median gross
3
$1,310
2024-12-31
CENSUS_ACS5
zcta 44125
acs median gross
4
$1,253
2024-12-31
CENSUS_ACS5
zcta 44125
acs median gross
$1,146
2024-12-31
CENSUS_ACS5
zcta 44125
acs recent mover gross
$1,255
2024-12-31
CENSUS_ACS5
zip 44125
payment standard 110
0
$1,111
2025-10-01
HUD_USER_SAFMR
zip 44125
payment standard 90
0
$909
2025-10-01
HUD_USER_SAFMR
zip 44125
safmr
0
$1,010
2025-10-01
HUD_USER_SAFMR
zip 44125
payment standard 110
1
$1,265
2025-10-01
HUD_USER_SAFMR
zip 44125
payment standard 90
1
$1,035
2025-10-01
HUD_USER_SAFMR
zip 44125
safmr
1
$1,150
2025-10-01
HUD_USER_SAFMR
zip 44125
payment standard 110
2
$1,529
2025-10-01
HUD_USER_SAFMR
zip 44125
payment standard 90
2
$1,251
2025-10-01
HUD_USER_SAFMR
zip 44125
safmr
2
$1,390
2025-10-01
HUD_USER_SAFMR
zip 44125
payment standard 110
3
$1,969
2025-10-01
HUD_USER_SAFMR
zip 44125
payment standard 90
3
$1,611
2025-10-01
HUD_USER_SAFMR
zip 44125
safmr
3
$1,790
2025-10-01
HUD_USER_SAFMR
zip 44125
payment standard 110
4
$2,101
2025-10-01
HUD_USER_SAFMR
zip 44125
payment standard 90
4
$1,719
2025-10-01
HUD_USER_SAFMR
zip 44125
safmr
4
$1,910
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.