Reads as: riskier than 60.2% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
11 chains
TWOMAGNETS LLC
45 facilities
connection
Owner spans multiple chains
6 chains
BONADIO CO LLP
9 facilities
connection
Owner spans multiple chains
5 chains
STEINBERG MOSHE
15 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
MA median
National median
National p25–p75
Total nurse
3.19
3.39
3.28
2.90–3.77
RN
0.30
0.39
0.39
0.25–0.58
Weekend total
3.12
3.26
3.11
—
Weekday total
3.22
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
123.2
3.19
0.30
0.79
2.10
3.12
17.4%
2025Q3
92
123.4
3.21
0.29
0.79
2.13
3.15
14.1%
2025Q2
91
127.3
3.28
0.32
0.75
2.21
3.10
16.5%
2025Q1
90
128.1
3.27
0.35
0.66
2.25
3.11
21.9%
2024Q4
92
121.3
3.26
0.41
0.71
2.14
3.10
22.8%
2024Q3
92
122.1
3.33
0.37
0.76
2.21
3.11
22.1%
2024Q2
91
114.7
3.31
0.26
0.93
2.12
3.12
34.3%
2024Q1
91
118.6
3.26
0.20
1.01
2.05
3.05
23.3%
2023Q4
92
126.8
3.38
0.16
1.09
2.12
3.12
22.9%
2023Q3
92
126.8
3.34
0.16
1.06
2.11
3.19
24.6%
2023Q2
91
127.7
3.37
0.17
1.01
2.18
3.22
26.2%
2023Q1
90
128.8
2.92
0.21
0.83
1.87
2.77
23.5%
2022Q4
92
97.4
3.08
0.21
0.84
2.02
2.85
16.5%
2022Q3
92
98.7
2.68
0.22
0.65
1.81
2.33
2.6%
2022Q2
91
103.3
2.98
0.26
0.92
1.80
2.72
21.4%
2022Q1
90
99.5
3.00
0.38
0.69
1.93
2.90
7.9%
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.
Assess the resident when there is a significant change in condition
B
2025-12-30
2025-12-03
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-12-30
2025-12-03
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-12-30
2025-12-03
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-12-30
2024-10-02
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
B
2024-10-24
2024-10-02
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2024-10-24
2024-10-02
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-10-24
2024-10-02
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
E
2024-10-24
2024-10-02
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
2024-10-24
2024-10-02
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-10-24
2024-10-02
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-10-24
2024-06-04
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2024-06-21
2024-06-04
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-06-21
2024-06-04
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2024-06-21
2024-06-04
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
2024-06-21
2024-01-30
Health · complaint
F0557
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
D
2024-01-29
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
19
Owner
Role
Pct
From
Status
Source
AL-MADI, SAMI
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-01
current
pecos_ownership
BONADIO & CO LLP
ADP OF THE SNF
—
2025-03-26
current
pecos_ownership
BONADIO & CO LLP
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-01
current
pecos_ownership
CHAPLER, YAAKOV
INDIRECT OWNERSHIP INTEREST
—
2022-05-12
current
pecos_ownership
CHAPLER, YAAKOV
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-01
current
pecos_ownership
GEDNEY, PETER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
current
pecos_ownership
MAJEKODUNMI, AKINDELE
ADP OF THE SNF
—
2025-01-06
current
pecos_ownership
RELIANT PRO REHAB, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-01
current
pecos_ownership
RELIANT PRO REHAB, LLC
ADP OF THE SNF
—
2025-03-26
current
pecos_ownership
STEINBERG, MOSHE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-01
current
pecos_ownership
TWOMAGNETS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-01
current
pecos_ownership
TWOMAGNETS LLC
ADP OF THE SNF
—
2025-03-26
current
pecos_ownership
CKSST HOLDING COMPANY LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-08-01
ended 2026-05-18
pecos_ownership
MOSHE STEINBERG
INDIRECT OWNERSHIP INTEREST
67%
2022-08-01
ended 2026-05-18
pecos_ownership
YAAKOV CHAPLER
INDIRECT OWNERSHIP INTEREST
33%
2022-05-12
ended 2026-05-18
pecos_ownership
AKINDELE MAJEKODUNMI
ADP OF THE SNF
—
2025-01-06
ended 2026-05-18
pecos_ownership
PETER GEDNEY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
ended 2026-05-18
pecos_ownership
SAMI AL-MADI
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-01
ended 2026-05-18
pecos_ownership
YAAKOV CHAPLER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-01
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
2
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2021-05-31
$815,870
—
$307,967
$456,029
$25,320
5
—
2020-12-31
$2,049,209
—
$739,121
$944,203
$288,298
9
—
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
27
Geo
Kind
BR
Amount
As of
Source
county 25005
acs median gross
0
$1,032
2024-12-31
CENSUS_ACS5
county 25005
acs median gross
1
$925
2024-12-31
CENSUS_ACS5
county 25005
acs median gross
2
$1,347
2024-12-31
CENSUS_ACS5
county 25005
acs median gross
3
$1,395
2024-12-31
CENSUS_ACS5
county 25005
acs median gross
4
$1,574
2024-12-31
CENSUS_ACS5
county 25005
acs median gross
5
$1,414
2024-12-31
CENSUS_ACS5
county 25005
acs median gross
$1,245
2024-12-31
CENSUS_ACS5
county 25005
acs recent mover gross
$1,554
2024-12-31
CENSUS_ACS5
zcta 02726
acs median gross
1
$631
2024-12-31
CENSUS_ACS5
zcta 02726
acs median gross
2
$1,365
2024-12-31
CENSUS_ACS5
zcta 02726
acs median gross
3
$1,555
2024-12-31
CENSUS_ACS5
zcta 02726
acs median gross
$1,275
2024-12-31
CENSUS_ACS5
zip 02726
payment standard 110
0
$1,540
2025-10-01
HUD_USER_SAFMR
zip 02726
payment standard 90
0
$1,260
2025-10-01
HUD_USER_SAFMR
zip 02726
safmr
0
$1,400
2025-10-01
HUD_USER_SAFMR
zip 02726
payment standard 110
1
$1,628
2025-10-01
HUD_USER_SAFMR
zip 02726
payment standard 90
1
$1,332
2025-10-01
HUD_USER_SAFMR
zip 02726
safmr
1
$1,480
2025-10-01
HUD_USER_SAFMR
zip 02726
payment standard 110
2
$2,013
2025-10-01
HUD_USER_SAFMR
zip 02726
payment standard 90
2
$1,647
2025-10-01
HUD_USER_SAFMR
zip 02726
safmr
2
$1,830
2025-10-01
HUD_USER_SAFMR
zip 02726
payment standard 110
3
$2,431
2025-10-01
HUD_USER_SAFMR
zip 02726
payment standard 90
3
$1,989
2025-10-01
HUD_USER_SAFMR
zip 02726
safmr
3
$2,210
2025-10-01
HUD_USER_SAFMR
zip 02726
payment standard 110
4
$2,893
2025-10-01
HUD_USER_SAFMR
zip 02726
payment standard 90
4
$2,367
2025-10-01
HUD_USER_SAFMR
zip 02726
safmr
4
$2,630
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.