Reads as: riskier than 18.0% 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.
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 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
PA median
National median
National p25–p75
Total nurse
5.86
3.38
3.28
2.90–3.77
RN
1.11
0.45
0.39
0.25–0.58
Weekend total
5.80
3.27
3.11
—
Weekday total
5.88
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
25.0
5.86
1.11
1.53
3.22
5.80
0.0%
2025Q3
92
25.2
5.61
1.04
1.52
3.05
5.44
4.0%
2025Q2
91
27.6
5.22
0.93
1.41
2.88
5.13
8.7%
2025Q1
90
25.9
5.43
1.02
1.46
2.95
5.39
7.8%
2024Q4
92
24.7
5.56
1.18
1.43
2.95
5.34
3.0%
2024Q3
92
22.4
6.05
1.19
1.66
3.20
5.92
0.0%
2024Q2
91
26.6
5.23
0.95
1.49
2.79
5.13
0.0%
2024Q1
91
23.9
5.70
1.13
1.54
3.03
5.69
0.0%
2023Q4
92
25.0
5.42
1.04
1.47
2.91
5.47
0.0%
2023Q3
92
22.1
5.89
1.27
1.57
3.06
5.83
0.0%
2023Q2
91
28.1
4.72
0.91
1.40
2.42
4.50
0.0%
2023Q1
90
28.6
4.59
0.89
1.32
2.38
4.41
0.0%
2022Q4
92
31.4
4.32
0.81
1.26
2.25
4.17
0.0%
2022Q3
92
27.9
4.70
0.86
1.43
2.42
4.66
0.0%
2022Q2
91
22.9
5.80
1.03
1.96
2.82
5.71
0.0%
2022Q1
90
23.6
5.58
1.06
1.73
2.78
5.41
0.0%
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 each resident receives an accurate assessment.
B
2026-01-05
2025-12-11
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2026-01-05
2025-12-11
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2026-01-05
2025-02-21
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-03-26
2025-02-21
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-03-26
2024-05-03
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
2024-06-03
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
ALLIED HEALTH CARE SERVICES
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2014-06-01
current
pecos_ownership
ALLIED SERVICES FOUNDATION
DIRECT OWNERSHIP INTEREST
—
2002-06-19
current
pecos_ownership
ALLIED SERVICES INSTITUTE OF REHABILITATION MEDICINE
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2014-06-01
current
pecos_ownership
AVVISATO, MICHAEL
CORPORATE OFFICER
—
2014-03-01
current
pecos_ownership
BRISLIN, JAY
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
CONABOY, WILLIAM
CORPORATE OFFICER
—
2014-03-01
current
pecos_ownership
CONABOY, WILLIAM
ADP OF THE SNF
—
2002-06-19
current
pecos_ownership
FAZZINI, CHRISTOPHER
ADP OF THE SNF
—
2021-04-01
current
pecos_ownership
GENTILEZZA, KENNETH
ADP OF THE SNF
—
2002-06-19
current
pecos_ownership
KEARNEY, KAREN
INDIRECT OWNERSHIP INTEREST
—
2002-06-01
current
pecos_ownership
KROKOS, SANDRA
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
MELONE, THOMAS
CORPORATE OFFICER
—
2023-01-01
current
pecos_ownership
SCRANTON, WILLIAM
CORPORATE DIRECTOR
—
2014-03-01
current
pecos_ownership
WEINBERGER, RICHARD
CORPORATE DIRECTOR
—
2014-03-01
current
pecos_ownership
ALLIED SERVICES FOUNDATION
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
—
ended 2026-05-18
pecos_ownership
JAY BRISLIN
CORPORATE DIRECTOR
10%
2020-01-01
ended 2026-05-18
pecos_ownership
MICHAEL AVVISATO
CORPORATE OFFICER
10%
2014-03-01
ended 2026-05-18
pecos_ownership
RICHARD WEINBERGER
CORPORATE DIRECTOR
10%
2014-03-01
ended 2026-05-18
pecos_ownership
SANDRA KROKOS
CORPORATE DIRECTOR
10%
2020-01-01
ended 2026-05-18
pecos_ownership
WILLIAM CONABOY
CORPORATE OFFICER
10%
2014-03-01
ended 2026-05-18
pecos_ownership
WILLIAM SCRANTON
CORPORATE DIRECTOR
10%
2014-03-01
ended 2026-05-18
pecos_ownership
CHRISTOPHER FAZZINI
DIRECT OWNERSHIP INTEREST
0%
2021-04-01
ended 2026-05-18
pecos_ownership
KAREN KEARNEY
ADP OF THE SNF
—
2002-06-01
ended 2026-05-18
pecos_ownership
KENNETH GENTILEZZA
ADP OF THE SNF
—
2002-06-19
ended 2026-05-18
pecos_ownership
THOMAS MELONE
CORPORATE OFFICER
—
2023-01-01
ended 2026-05-18
pecos_ownership
WILLIAM CONABOY
TRUSTEE OF THE SNF
—
2002-06-19
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 42069
acs median gross
0
$823
2024-12-31
CENSUS_ACS5
county 42069
fmr
0
$863
2025-10-01
HUD_USER_FMR
county 42069
acs median gross
1
$776
2024-12-31
CENSUS_ACS5
county 42069
fmr
1
$1,028
2025-10-01
HUD_USER_FMR
county 42069
acs median gross
2
$988
2024-12-31
CENSUS_ACS5
county 42069
fmr
2
$1,252
2025-10-01
HUD_USER_FMR
county 42069
acs median gross
3
$1,213
2024-12-31
CENSUS_ACS5
county 42069
fmr
3
$1,631
2025-10-01
HUD_USER_FMR
county 42069
acs median gross
4
$1,380
2024-12-31
CENSUS_ACS5
county 42069
fmr
4
$1,766
2025-10-01
HUD_USER_FMR
county 42069
acs median gross
5
$1,292
2024-12-31
CENSUS_ACS5
county 42069
acs median gross
$1,007
2024-12-31
CENSUS_ACS5
county 42069
acs recent mover gross
$1,337
2024-12-31
CENSUS_ACS5
zcta 18508
acs median gross
0
$1,577
2024-12-31
CENSUS_ACS5
zcta 18508
acs median gross
1
$1,007
2024-12-31
CENSUS_ACS5
zcta 18508
acs median gross
2
$909
2024-12-31
CENSUS_ACS5
zcta 18508
acs median gross
3
$1,136
2024-12-31
CENSUS_ACS5
zcta 18508
acs median gross
4
$1,185
2024-12-31
CENSUS_ACS5
zcta 18508
acs median gross
$1,037
2024-12-31
CENSUS_ACS5
zcta 18508
acs recent mover gross
$1,375
2024-12-31
CENSUS_ACS5
zip 18508
payment standard 110
0
$1,012
2025-10-01
HUD_USER_SAFMR
zip 18508
payment standard 90
0
$828
2025-10-01
HUD_USER_SAFMR
zip 18508
safmr
0
$920
2025-10-01
HUD_USER_SAFMR
zip 18508
payment standard 110
1
$1,199
2025-10-01
HUD_USER_SAFMR
zip 18508
payment standard 90
1
$981
2025-10-01
HUD_USER_SAFMR
zip 18508
safmr
1
$1,090
2025-10-01
HUD_USER_SAFMR
zip 18508
payment standard 110
2
$1,463
2025-10-01
HUD_USER_SAFMR
zip 18508
payment standard 90
2
$1,197
2025-10-01
HUD_USER_SAFMR
zip 18508
safmr
2
$1,330
2025-10-01
HUD_USER_SAFMR
zip 18508
payment standard 110
3
$1,903
2025-10-01
HUD_USER_SAFMR
zip 18508
payment standard 90
3
$1,557
2025-10-01
HUD_USER_SAFMR
zip 18508
safmr
3
$1,730
2025-10-01
HUD_USER_SAFMR
zip 18508
payment standard 110
4
$2,068
2025-10-01
HUD_USER_SAFMR
zip 18508
payment standard 90
4
$1,692
2025-10-01
HUD_USER_SAFMR
zip 18508
safmr
4
$1,880
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.