Reads as: riskier than 95.5% 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.
ML signals — parallel engine
4
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+26.3 vs natl
HELLMAN YOSEF
20 facilities
connection
Owner fleet risk far above national
+20.1 vs natl
SILVERBERG NISANEL
21 facilities
connection
Owner spans multiple chains
5 chains
HELLMAN YOSEF
19 facilities
connection
Owner fleet enforcement cluster
45% fined
HELLMAN YOSEF
20 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
IL median
National median
National p25–p75
Total nurse
3.14
3.13
3.28
2.90–3.77
RN
0.55
0.49
0.39
0.25–0.58
Weekend total
2.79
2.93
3.11
—
Weekday total
3.28
3.23
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
79.8
3.14
0.55
0.67
1.92
2.79
0.0%
2025Q3
92
83.6
3.19
0.55
0.67
1.97
2.78
0.0%
2025Q2
91
81.5
3.36
0.59
0.76
2.00
2.95
0.0%
2025Q1
90
80.2
3.37
0.69
0.63
2.06
3.02
0.7%
2024Q4
92
77.1
3.44
0.66
0.67
2.12
3.19
1.8%
2024Q3
92
81.8
3.28
0.57
0.66
2.05
2.97
1.9%
2024Q2
91
82.5
3.13
0.35
0.75
2.04
2.74
2.1%
2024Q1
91
77.6
3.31
0.33
0.84
2.14
2.94
0.3%
2023Q4
92
82.4
3.19
0.34
0.82
2.03
2.82
3.3%
2023Q3
92
87.0
2.96
0.33
0.75
1.88
2.69
6.3%
2023Q2
91
86.4
2.93
0.28
0.82
1.82
2.60
5.9%
2023Q1
90
92.6
2.71
0.28
0.79
1.64
2.42
8.2%
2022Q4
92
88.2
2.84
0.34
0.78
1.71
2.73
8.2%
2022Q3
92
89.4
2.67
0.34
0.81
1.51
2.38
0.5%
2022Q2
91
84.4
2.77
0.38
0.89
1.50
2.27
4.1%
2022Q1
90
89.4
2.46
0.29
0.76
1.41
2.22
4.1%
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.
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
35
D × 21E × 7F × 6G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-09
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2026-04-10
2026-04-09
Health · complaint
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
F
2026-04-10
2025-03-13
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-03-14
2025-03-13
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-03-14
2025-03-13
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2025-03-14
2025-03-13
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-03-14
2025-03-13
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
2025-03-14
2025-03-13
Health
F0790
Provide routine and 24-hour emergency dental care for each resident.
D
2025-03-14
2025-03-13
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2025-03-14
2025-03-13
Health
F0880
Provide and implement an infection prevention and control program.
F
2025-03-14
2024-08-15
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2024-08-19
2024-08-15
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-08-19
2024-02-09
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2024-02-13
2024-02-09
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-02-12
2024-02-09
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-02-12
2024-02-09
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2024-02-13
2024-02-09
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
2024-02-13
2024-02-09
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-02-13
2024-02-09
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
2024-02-13
2024-02-09
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-02-16
2024-02-09
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2024-02-15
2023-11-09
Health · complaint
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
E
2023-12-08
2023-11-09
Health · complaint
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
2023-12-08
2023-11-09
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-12-08
2023-11-09
Health · complaint
F0850
Hire a qualified full-time social worker in a facility with more than 120 beds.
F
2023-12-08
2023-06-18
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-06-26
2023-04-27
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2023-05-04
2023-04-27
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
2023-05-04
2023-04-27
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-05-04
2023-04-27
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-05-04
2023-04-27
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-05-04
2023-04-27
Health
F0732
Post nurse staffing information every day.
F
2023-05-04
2023-04-27
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2023-05-04
2023-04-27
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
2023-05-04
2023-04-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-05-04
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
5
Owner
Role
Pct
From
Status
Source
NJ CHICAGO OPCO HOLDCO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2021-06-29
current
pecos_ownership
SILVERBERG, NISANEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2021-06-29
current
pecos_ownership
HELLMAN, YOSEF
W-2 MANAGING EMPLOYEE
—
2021-06-29
current
pecos_ownership
NISANEL SILVERBERG
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2021-06-29
ended 2026-05-18
pecos_ownership
YOSEF HELLMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2021-06-29
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
$1,512,843
$1,512,843
—
—
—
1
—
2023-12-31
$1,790,060
$1,790,060
—
—
—
1
—
2022-12-31
$1,257,806
$1,257,806
—
—
—
1
—
2021-12-31
$812,721
$613,116
—
—
—
2
—
2021-06-28
$807,434
$632,927
—
—
—
2
—
2020-12-31
$1,723,394
$1,265,854
—
—
—
2
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 17031
acs median gross
0
$1,230
2024-12-31
CENSUS_ACS5
county 17031
fmr
0
$1,480
2025-10-01
HUD_USER_FMR
county 17031
acs median gross
1
$1,271
2024-12-31
CENSUS_ACS5
county 17031
fmr
1
$1,581
2025-10-01
HUD_USER_FMR
county 17031
acs median gross
2
$1,454
2024-12-31
CENSUS_ACS5
county 17031
fmr
2
$1,781
2025-10-01
HUD_USER_FMR
county 17031
acs median gross
3
$1,693
2024-12-31
CENSUS_ACS5
county 17031
fmr
3
$2,294
2025-10-01
HUD_USER_FMR
county 17031
acs median gross
4
$1,909
2024-12-31
CENSUS_ACS5
county 17031
fmr
4
$2,653
2025-10-01
HUD_USER_FMR
county 17031
acs median gross
5
$1,794
2024-12-31
CENSUS_ACS5
county 17031
acs median gross
$1,435
2024-12-31
CENSUS_ACS5
county 17031
acs recent mover gross
$1,752
2024-12-31
CENSUS_ACS5
zcta 60640
acs median gross
0
$1,121
2024-12-31
CENSUS_ACS5
zcta 60640
acs median gross
1
$1,326
2024-12-31
CENSUS_ACS5
zcta 60640
acs median gross
2
$1,838
2024-12-31
CENSUS_ACS5
zcta 60640
acs median gross
3
$2,135
2024-12-31
CENSUS_ACS5
zcta 60640
acs median gross
4
$1,827
2024-12-31
CENSUS_ACS5
zcta 60640
acs median gross
$1,413
2024-12-31
CENSUS_ACS5
zcta 60640
acs recent mover gross
$1,662
2024-12-31
CENSUS_ACS5
zip 60640
payment standard 110
0
$2,101
2025-10-01
HUD_USER_SAFMR
zip 60640
payment standard 90
0
$1,719
2025-10-01
HUD_USER_SAFMR
zip 60640
safmr
0
$1,910
2025-10-01
HUD_USER_SAFMR
zip 60640
payment standard 110
1
$2,244
2025-10-01
HUD_USER_SAFMR
zip 60640
payment standard 90
1
$1,836
2025-10-01
HUD_USER_SAFMR
zip 60640
safmr
1
$2,040
2025-10-01
HUD_USER_SAFMR
zip 60640
payment standard 110
2
$2,530
2025-10-01
HUD_USER_SAFMR
zip 60640
payment standard 90
2
$2,070
2025-10-01
HUD_USER_SAFMR
zip 60640
safmr
2
$2,300
2025-10-01
HUD_USER_SAFMR
zip 60640
payment standard 110
3
$3,256
2025-10-01
HUD_USER_SAFMR
zip 60640
payment standard 90
3
$2,664
2025-10-01
HUD_USER_SAFMR
zip 60640
safmr
3
$2,960
2025-10-01
HUD_USER_SAFMR
zip 60640
payment standard 110
4
$3,773
2025-10-01
HUD_USER_SAFMR
zip 60640
payment standard 90
4
$3,087
2025-10-01
HUD_USER_SAFMR
zip 60640
safmr
4
$3,430
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.