Reads as: riskier than 80.3% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
4 chains
MILLER RICHARD
13 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 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
NY median
National median
National p25–p75
Total nurse
5.37
3.33
3.28
2.90–3.77
RN
1.78
0.43
0.39
0.25–0.58
Weekend total
5.17
3.03
3.11
—
Weekday total
5.44
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
104.3
5.37
1.78
0.73
2.86
5.17
0.0%
2025Q3
92
111.9
5.01
1.61
0.68
2.71
4.75
0.0%
2025Q2
91
112.2
5.31
1.83
0.71
2.76
5.03
0.0%
2025Q1
90
109.5
5.63
1.96
0.83
2.84
5.21
0.0%
2024Q4
92
107.9
5.57
1.88
0.85
2.84
5.10
0.0%
2024Q3
92
104.4
5.43
1.73
0.83
2.88
5.15
0.0%
2024Q2
91
109.7
5.38
1.85
0.81
2.71
5.08
0.0%
2024Q1
91
108.3
5.44
1.89
0.82
2.73
5.10
0.0%
2023Q4
92
104.8
5.67
1.99
0.82
2.86
5.34
5.1%
2023Q3
92
96.3
5.88
1.98
0.86
3.05
5.57
5.1%
2023Q2
91
101.2
5.69
1.89
0.84
2.96
5.32
0.0%
2023Q1
90
105.4
5.37
2.06
0.66
2.64
4.99
11.9%
2022Q4
92
103.7
5.58
1.95
0.62
3.01
5.24
0.0%
2022Q3
92
95.7
5.94
2.04
0.69
3.22
5.50
0.0%
2022Q2
91
95.7
6.19
2.27
0.64
3.28
5.85
0.0%
2022Q1
90
87.2
6.48
2.29
0.73
3.46
6.35
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.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-07-09
2025-05-16
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-07-09
2025-05-16
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-07-09
2024-08-02
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-09-10
2024-08-02
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
J
2024-09-10
2024-01-31
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-03-31
2024-01-31
Health
F0610
Respond appropriately to all alleged violations.
D
2024-03-31
2024-01-31
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-03-31
2024-01-31
Health
F0742
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
D
2024-03-31
2024-01-31
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-03-31
2022-01-31
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
2022-03-20
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
52
Owner
Role
Pct
From
Status
Source
NORTHWELL HEALTHCARE INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2015-07-01
current
pecos_ownership
BATTINELLI, DAVID
CORPORATE OFFICER
—
2021-01-01
current
pecos_ownership
CLASTER, MARK
CORPORATE OFFICER
—
2015-07-01
current
pecos_ownership
COSTALAS, KONSTANTINE
CORPORATE OFFICER
—
2021-01-01
current
pecos_ownership
CROTTY, MARGARET
CORPORATE OFFICER
—
2021-01-01
current
pecos_ownership
CUSACK, MICHELE
CORPORATE OFFICER
—
2017-09-12
current
pecos_ownership
DOWLING, MICHAEL
W-2 MANAGING EMPLOYEE
—
2015-07-01
current
pecos_ownership
DRUMMOND, DONNA
CORPORATE OFFICER
—
2021-01-01
current
pecos_ownership
EPSTEIN, MICHAEL
CORPORATE OFFICER
—
2021-01-01
current
pecos_ownership
GALLO, KATHLEEN
CORPORATE OFFICER
—
2021-01-01
current
pecos_ownership
GINDI, HARRY
CORPORATE OFFICER
—
2021-01-01
current
pecos_ownership
GLOADE, MARK
CORPORATE OFFICER
—
2021-01-01
current
pecos_ownership
GOLDSTEIN, RICHARD
CORPORATE OFFICER
—
2015-07-01
current
pecos_ownership
KRAEMER, LAURENCE
CORPORATE OFFICER
—
2021-01-01
current
pecos_ownership
KRAUT, JEFFREY
CORPORATE OFFICER
—
2021-01-01
current
pecos_ownership
LYNCH, CHRISTOPHER
W-2 MANAGING EMPLOYEE
—
2000-01-01
current
pecos_ownership
MACK, WILLIAM
CORPORATE OFFICER
—
2015-07-01
current
pecos_ownership
MILLER, RICHARD
CORPORATE OFFICER
—
2017-09-01
current
pecos_ownership
MOSCOLA, JOSEPH
CORPORATE OFFICER
—
2021-01-01
current
pecos_ownership
NAPPI, RALPH
CORPORATE OFFICER
—
2015-07-01
current
pecos_ownership
PHILIP, ARPAN
W-2 MANAGING EMPLOYEE
—
2000-01-01
current
pecos_ownership
ROSENTHAL, ROBERT
CORPORATE OFFICER
—
2021-01-01
current
pecos_ownership
RUBENSTEIN, BARRY
CORPORATE OFFICER
—
2015-07-01
current
pecos_ownership
SOLAZZO, MARK
W-2 MANAGING EMPLOYEE
—
2015-07-01
current
pecos_ownership
TANGNEY, EUGENE
CORPORATE OFFICER
—
2021-01-01
current
pecos_ownership
ZUCKER, DONALD
CORPORATE OFFICER
—
2015-07-01
current
pecos_ownership
ARPAN PHILIP
W-2 MANAGING EMPLOYEE
—
2000-01-01
ended 2026-05-18
pecos_ownership
BARRY RUBENSTEIN
CORPORATE OFFICER
—
2015-07-01
ended 2026-05-18
pecos_ownership
CHRISTOPHER LYNCH
W-2 MANAGING EMPLOYEE
—
2000-01-01
ended 2026-05-18
pecos_ownership
DAVID BATTINELLI
CORPORATE OFFICER
—
2021-01-01
ended 2026-05-18
pecos_ownership
DONALD ZUCKER
CORPORATE OFFICER
—
2015-07-01
ended 2026-05-18
pecos_ownership
DONNA DRUMMOND
CORPORATE OFFICER
—
2021-01-01
ended 2026-05-18
pecos_ownership
EUGENE TANGNEY
CORPORATE OFFICER
—
2021-01-01
ended 2026-05-18
pecos_ownership
HARRY GINDI
CORPORATE OFFICER
—
2021-01-01
ended 2026-05-18
pecos_ownership
JEFFREY KRAUT
CORPORATE OFFICER
—
2021-01-01
ended 2026-05-18
pecos_ownership
JOSEPH MOSCOLA
CORPORATE OFFICER
—
2021-01-01
ended 2026-05-18
pecos_ownership
KATHLEEN GALLO
CORPORATE OFFICER
—
2021-01-01
ended 2026-05-18
pecos_ownership
KONSTANTINE COSTALAS
CORPORATE OFFICER
—
2021-01-01
ended 2026-05-18
pecos_ownership
LAURENCE KRAEMER
CORPORATE OFFICER
—
2021-01-01
ended 2026-05-18
pecos_ownership
MARGARET CROTTY
CORPORATE OFFICER
—
2021-01-01
ended 2026-05-18
pecos_ownership
MARK CLASTER
CORPORATE OFFICER
—
2015-07-01
ended 2026-05-18
pecos_ownership
MARK GLOADE
CORPORATE OFFICER
—
2021-01-01
ended 2026-05-18
pecos_ownership
MARK SOLAZZO
W-2 MANAGING EMPLOYEE
—
2015-07-01
ended 2026-05-18
pecos_ownership
MICHAEL DOWLING
CORPORATE DIRECTOR
—
2015-07-01
ended 2026-05-18
pecos_ownership
MICHAEL EPSTEIN
CORPORATE OFFICER
—
2021-01-01
ended 2026-05-18
pecos_ownership
MICHELE CUSACK
W-2 MANAGING EMPLOYEE
—
2017-09-12
ended 2026-05-18
pecos_ownership
MICHELLE CUSACK
W-2 MANAGING EMPLOYEE
—
2017-09-12
ended 2026-04-01
pecos_ownership
RALPH NAPPI
CORPORATE OFFICER
—
2015-07-01
ended 2026-05-18
pecos_ownership
RICHARD GOLDSTEIN
CORPORATE OFFICER
—
2015-07-01
ended 2026-05-18
pecos_ownership
RICHARD MILLER
CORPORATE OFFICER
—
2017-09-01
ended 2026-05-18
pecos_ownership
ROBERT ROSENTHAL
CORPORATE OFFICER
—
2021-01-01
ended 2026-05-18
pecos_ownership
WILLIAM MACK
CORPORATE OFFICER
—
2015-07-01
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
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.
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 36059
acs median gross
0
$1,416
2024-12-31
CENSUS_ACS5
county 36059
fmr
0
$1,992
2025-10-01
HUD_USER_FMR
county 36059
acs median gross
1
$1,867
2024-12-31
CENSUS_ACS5
county 36059
fmr
1
$2,379
2025-10-01
HUD_USER_FMR
county 36059
acs median gross
2
$2,251
2024-12-31
CENSUS_ACS5
county 36059
fmr
2
$2,747
2025-10-01
HUD_USER_FMR
county 36059
acs median gross
3
$2,745
2024-12-31
CENSUS_ACS5
county 36059
fmr
3
$3,563
2025-10-01
HUD_USER_FMR
county 36059
acs median gross
4
$3,084
2024-12-31
CENSUS_ACS5
county 36059
fmr
4
$3,768
2025-10-01
HUD_USER_FMR
county 36059
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
county 36059
acs median gross
$2,252
2024-12-31
CENSUS_ACS5
county 36059
acs recent mover gross
$2,845
2024-12-31
CENSUS_ACS5
zcta 11580
acs median gross
1
$1,569
2024-12-31
CENSUS_ACS5
zcta 11580
acs median gross
2
$1,698
2024-12-31
CENSUS_ACS5
zcta 11580
acs median gross
3
$2,605
2024-12-31
CENSUS_ACS5
zcta 11580
acs median gross
4
$2,378
2024-12-31
CENSUS_ACS5
zcta 11580
acs median gross
$1,996
2024-12-31
CENSUS_ACS5
zcta 11580
acs recent mover gross
$3,501
2024-12-31
CENSUS_ACS5
zip 11580
payment standard 110
0
$2,387
2025-10-01
HUD_USER_SAFMR
zip 11580
payment standard 90
0
$1,953
2025-10-01
HUD_USER_SAFMR
zip 11580
safmr
0
$2,170
2025-10-01
HUD_USER_SAFMR
zip 11580
payment standard 110
1
$2,486
2025-10-01
HUD_USER_SAFMR
zip 11580
payment standard 90
1
$2,034
2025-10-01
HUD_USER_SAFMR
zip 11580
safmr
1
$2,260
2025-10-01
HUD_USER_SAFMR
zip 11580
payment standard 110
2
$2,871
2025-10-01
HUD_USER_SAFMR
zip 11580
payment standard 90
2
$2,349
2025-10-01
HUD_USER_SAFMR
zip 11580
safmr
2
$2,610
2025-10-01
HUD_USER_SAFMR
zip 11580
payment standard 110
3
$3,729
2025-10-01
HUD_USER_SAFMR
zip 11580
payment standard 90
3
$3,051
2025-10-01
HUD_USER_SAFMR
zip 11580
safmr
3
$3,390
2025-10-01
HUD_USER_SAFMR
zip 11580
payment standard 110
4
$3,938
2025-10-01
HUD_USER_SAFMR
zip 11580
payment standard 90
4
$3,222
2025-10-01
HUD_USER_SAFMR
zip 11580
safmr
4
$3,580
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.