Reads as: riskier than 89.4% 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 lease_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
3.70
3.42
3.28
2.90–3.77
RN
0.56
0.45
0.39
0.25–0.58
Weekend total
3.64
3.31
3.11
—
Weekday total
3.72
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
31.3
3.70
0.56
0.56
2.58
3.64
0.1%
2025Q3
92
32.9
3.33
0.50
0.61
2.21
3.22
9.8%
2025Q2
91
33.0
3.10
0.40
0.65
2.05
2.90
2.4%
2025Q1
90
34.2
2.99
0.33
0.73
1.94
2.88
0.2%
2024Q4
92
36.1
3.15
0.39
0.66
2.10
3.17
0.0%
2024Q3
92
32.3
3.20
0.35
0.78
2.08
3.10
0.2%
2024Q2
91
34.3
3.15
0.21
0.92
2.02
3.16
0.4%
2024Q1
91
33.3
3.25
0.18
1.02
2.05
3.23
0.0%
2023Q4
92
32.6
3.05
0.28
0.68
2.09
3.00
2.4%
2023Q3
92
31.4
3.23
0.27
0.91
2.05
3.28
0.0%
2023Q2
91
30.1
3.28
0.31
0.87
2.10
3.29
0.0%
2023Q1
90
30.4
3.29
0.32
0.87
2.10
3.25
0.2%
2022Q4
92
31.9
3.23
0.32
0.82
2.08
3.19
0.2%
2022Q3
92
31.6
3.17
0.45
0.67
2.05
3.23
0.6%
2022Q2
91
34.7
3.17
0.49
0.57
2.11
3.20
1.2%
2022Q1
90
33.2
3.60
0.38
0.75
2.47
3.56
2.4%
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.
Reasonably accommodate the needs and preferences of each resident.
D
2025-10-10
2025-09-10
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
K
2025-10-10
2025-09-10
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K
2025-10-10
2025-09-10
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
K
2025-10-10
2025-04-23
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2025-05-16
2025-04-23
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-05-16
2025-04-23
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2025-05-16
2025-04-23
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-05-12
2025-03-07
Health · complaint
F0675
Honor each resident's preferences, choices, values and beliefs.
D
2025-04-07
2025-03-07
Health · complaint
F0908
Keep all essential equipment working safely.
D
2025-04-07
2024-05-09
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
2024-06-09
2024-05-09
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
2024-06-09
2024-05-09
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2024-06-09
2024-05-09
Health
F0908
Keep all essential equipment working safely.
E
2024-06-09
2022-03-09
Health
F0679
Provide activities to meet all resident's needs.
D
2022-04-09
2022-03-09
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2022-04-09
2021-03-05
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
2021-04-05
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
SENIOR HEALTH PROPERTIES SOUTH, INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2000-11-30
current
pecos_ownership
SENIOR HEALTH SOUTH EX LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2000-11-20
current
pecos_ownership
AMES, ANGELIQUE
ADP OF THE SNF
—
2018-01-15
current
pecos_ownership
CONSULTING SUPPORT SERVICES, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2011-06-28
current
pecos_ownership
CONSULTING SUPPORT SERVICES, LLC
ADP OF THE SNF
—
2025-03-25
current
pecos_ownership
DEPIANO, RICH
CORPORATE OFFICER
—
2012-01-01
current
pecos_ownership
ELEUS HEALTH MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2009-09-01
current
pecos_ownership
ELEUS HEALTH MANAGEMENT LLC
ADP OF THE SNF
—
2025-05-05
current
pecos_ownership
FACILITY SUPPORT COMPANY, LLC
ADP OF THE SNF
—
2025-03-21
current
pecos_ownership
FACILITY SUPPORT COMPANY, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2010-12-13
current
pecos_ownership
JACKSON, MARCIA
OPERATIONAL/MANAGERIAL CONTROL
—
2017-02-03
current
pecos_ownership
JAFFE, HOWARD
MANAGING CONTROL - GOVERNING BODY
—
2012-01-01
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
—
2012-01-01
current
pecos_ownership
OMEGA HEALTHCARE INVESTORS, INC
ADP OF THE SNF
—
2003-07-01
current
pecos_ownership
OMEGA HEALTHCARE INVESTORS, INC
5% OR GREATER SECURITY INTEREST
—
2005-09-01
current
pecos_ownership
RICHMOND, PENNY
CORPORATE OFFICER
—
2012-01-01
current
pecos_ownership
SELECT REHABILITATION, LLC
ADP OF THE SNF
—
2016-08-19
current
pecos_ownership
SENIOR HEALTH SOUTH EX LLC
ADP OF THE SNF
—
2025-05-05
current
pecos_ownership
ANN MULLEN
CORPORATE OFFICER
0%
2012-01-01
ended 2026-05-18
pecos_ownership
PENNY RICHMOND
CORPORATE OFFICER
0%
2012-01-01
ended 2026-05-18
pecos_ownership
RICH DEPIANO
CORPORATE OFFICER
0%
2012-01-01
ended 2026-05-18
pecos_ownership
ANGELIQUE AMES
OPERATIONAL/MANAGERIAL CONTROL
—
2018-01-15
ended 2026-05-18
pecos_ownership
HOWARD JAFFE
OPERATIONAL/MANAGERIAL CONTROL
—
2012-01-01
ended 2026-05-18
pecos_ownership
MARCIA JACKSON
ADP OF THE SNF
—
2017-02-03
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
$179,834
$29,581
—
—
—
7
—
2023-12-31
$155,332
$27,286
—
—
—
7
—
2022-12-31
$144,246
—
—
—
—
6
—
2021-12-31
$135,884
—
—
—
—
6
—
2020-12-31
$138,802
—
—
—
—
6
—
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 12103
acs median gross
0
$1,353
2024-12-31
CENSUS_ACS5
county 12103
fmr
0
$1,593
2025-10-01
HUD_USER_FMR
county 12103
acs median gross
1
$1,391
2024-12-31
CENSUS_ACS5
county 12103
fmr
1
$1,696
2025-10-01
HUD_USER_FMR
county 12103
acs median gross
2
$1,712
2024-12-31
CENSUS_ACS5
county 12103
fmr
2
$1,977
2025-10-01
HUD_USER_FMR
county 12103
acs median gross
3
$2,050
2024-12-31
CENSUS_ACS5
county 12103
fmr
3
$2,527
2025-10-01
HUD_USER_FMR
county 12103
acs median gross
4
$2,324
2024-12-31
CENSUS_ACS5
county 12103
fmr
4
$3,077
2025-10-01
HUD_USER_FMR
county 12103
acs median gross
5
$2,476
2024-12-31
CENSUS_ACS5
county 12103
acs median gross
$1,642
2024-12-31
CENSUS_ACS5
county 12103
acs recent mover gross
$1,906
2024-12-31
CENSUS_ACS5
zcta 33701
acs median gross
0
$1,270
2024-12-31
CENSUS_ACS5
zcta 33701
acs median gross
1
$1,564
2024-12-31
CENSUS_ACS5
zcta 33701
acs median gross
2
$2,398
2024-12-31
CENSUS_ACS5
zcta 33701
acs median gross
3
$3,361
2024-12-31
CENSUS_ACS5
zcta 33701
acs median gross
4
$1,670
2024-12-31
CENSUS_ACS5
zcta 33701
acs median gross
$1,711
2024-12-31
CENSUS_ACS5
zcta 33701
acs recent mover gross
$2,502
2024-12-31
CENSUS_ACS5
zip 33701
payment standard 110
0
$1,914
2025-10-01
HUD_USER_SAFMR
zip 33701
payment standard 90
0
$1,566
2025-10-01
HUD_USER_SAFMR
zip 33701
safmr
0
$1,740
2025-10-01
HUD_USER_SAFMR
zip 33701
payment standard 110
1
$2,035
2025-10-01
HUD_USER_SAFMR
zip 33701
payment standard 90
1
$1,665
2025-10-01
HUD_USER_SAFMR
zip 33701
safmr
1
$1,850
2025-10-01
HUD_USER_SAFMR
zip 33701
payment standard 110
2
$2,376
2025-10-01
HUD_USER_SAFMR
zip 33701
payment standard 90
2
$1,944
2025-10-01
HUD_USER_SAFMR
zip 33701
safmr
2
$2,160
2025-10-01
HUD_USER_SAFMR
zip 33701
payment standard 110
3
$3,036
2025-10-01
HUD_USER_SAFMR
zip 33701
payment standard 90
3
$2,484
2025-10-01
HUD_USER_SAFMR
zip 33701
safmr
3
$2,760
2025-10-01
HUD_USER_SAFMR
zip 33701
payment standard 110
4
$3,696
2025-10-01
HUD_USER_SAFMR
zip 33701
payment standard 90
4
$3,024
2025-10-01
HUD_USER_SAFMR
zip 33701
safmr
4
$3,360
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.