Reads as: riskier than 82.3% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
7 chains
HEALTHCARE SERVICES GROUP INC
15 facilities
connection
Owner spans multiple chains
6 chains
ZIMMET HEALTHCARE SERVICES GROUP LLC
11 facilities
connection
Owner spans multiple chains
4 chains
PETERSON DANIELLE
4 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
3.24
3.42
3.28
2.90–3.77
RN
0.39
0.45
0.39
0.25–0.58
Weekend total
3.19
3.31
3.11
—
Weekday total
3.26
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
203.5
3.24
0.39
0.71
2.14
3.19
0.2%
2025Q3
92
204.0
3.23
0.40
0.70
2.13
3.15
0.3%
2025Q2
91
194.3
3.24
0.42
0.73
2.09
3.15
0.2%
2025Q1
90
173.1
3.29
0.47
0.72
2.10
3.21
0.4%
2024Q4
92
161.2
3.25
0.48
0.71
2.05
3.12
0.1%
2024Q3
92
156.9
3.22
0.44
0.74
2.04
3.02
0.6%
2024Q2
91
139.7
3.40
0.51
0.77
2.12
3.11
5.5%
2024Q1
91
148.1
3.27
0.44
0.80
2.03
3.01
13.1%
2023Q4
92
150.7
3.16
0.46
0.71
1.99
2.92
19.3%
2023Q3
92
146.4
3.17
0.54
0.57
2.07
2.98
13.5%
2023Q2
91
145.2
3.31
0.57
0.58
2.16
3.11
14.9%
2023Q1
90
145.9
3.23
0.44
0.67
2.12
3.07
15.3%
2022Q4
92
145.8
3.05
0.45
0.65
1.95
2.85
13.1%
2022Q3
92
138.1
3.45
0.53
0.69
2.23
3.26
19.3%
2022Q2
91
138.5
3.87
0.53
0.68
2.66
3.56
19.9%
2022Q1
90
127.1
3.47
0.56
0.69
2.23
3.26
10.1%
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.
PASARR screening for Mental disorders or Intellectual Disabilities
D
2025-12-31
2025-12-04
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-12-31
2025-12-04
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-12-31
2025-12-04
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-12-31
2025-09-02
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2025-09-30
2024-04-24
Health · complaint
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
E
2024-05-24
2023-11-16
Health
F0610
Respond appropriately to all alleged violations.
D
2024-01-12
2023-11-16
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-01-12
2023-11-16
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2024-01-12
2023-11-16
Health
F0679
Provide activities to meet all resident's needs.
D
2024-01-12
2023-11-16
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-01-12
2023-11-16
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-01-12
2023-11-16
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2024-01-12
2023-11-16
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-01-17
2023-11-16
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
2024-02-13
2023-11-16
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-01-12
2023-09-12
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-10-27
2022-01-27
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
2022-03-23
2022-01-27
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2022-03-23
2022-01-27
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-03-23
2022-01-27
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2022-03-23
2022-01-27
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2022-03-23
2022-01-27
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2022-03-23
2022-01-27
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2022-03-23
2022-01-27
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
2022-03-23
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
41
Owner
Role
Pct
From
Status
Source
CEDARBRIDGE FINANCIAL SERVICES LLC
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
CLINICAL CARE CONSULTANTS LLC
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
DELUCA, MARISA
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
FLAGLER, OSHER
TRUSTEE OF THE SNF
—
2024-05-01
current
pecos_ownership
HARMAN, DINA
MANAGING CONTROL - GOVERNING BODY
—
2024-05-01
current
pecos_ownership
HEALTHCARE SERVICES GROUP INC
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
HEALTHCARE SERVICES GROUP INC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
current
pecos_ownership
ISRAEL DISCOUNT BANK OF NEW YORK - IDB BANK OF YORK
5% OR GREATER SECURITY INTEREST
—
2024-05-01
current
pecos_ownership
KAHANOW, AVIVA
INDIRECT OWNERSHIP INTEREST
—
2024-05-01
current
pecos_ownership
LEVOVITZ, TZVI
TRUSTEE OF THE SNF
—
2024-05-01
current
pecos_ownership
MARQUIS HEALTH CONSULTING SERVICES LLC
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
NARVEL, RAVISH
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
NFR 2020 IRRV TR
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
PETERS, DANIEL
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
POSEN, MINDEE
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
QUINTO NEXGEN LLC
DIRECT OWNERSHIP INTEREST
—
2024-05-01
current
pecos_ownership
RELIANT PRO REHAB, LLC
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
RIVERSIDE REAL PROPERTY LLC
ADP OF THE SNF
—
2025-02-24
current
pecos_ownership
ROKEACH, FRAIDE
INDIRECT OWNERSHIP INTEREST
—
2024-05-01
current
pecos_ownership
ROKOWSKY, YITZCHOK
TRUSTEE OF THE SNF
—
2024-05-01
current
pecos_ownership
RSBRMK HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2024-05-01
current
pecos_ownership
SK NEXGEN TR
INDIRECT OWNERSHIP INTEREST
—
2024-05-01
current
pecos_ownership
SKILLED VENTURE LLC
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
TRYKO NEXGEN HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2024-05-01
current
pecos_ownership
UAK 2020 IRRV TR
INDIRECT OWNERSHIP INTEREST
—
2024-05-01
current
pecos_ownership
UKR NEXGEN LLC
DIRECT OWNERSHIP INTEREST
—
2024-05-01
current
pecos_ownership
VIROJA, YOGESH
MANAGING CONTROL - GOVERNING BODY
—
2024-05-01
current
pecos_ownership
YK NEXGEN TR
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
YR NEXGEN TR
INDIRECT OWNERSHIP INTEREST
—
2024-05-01
current
pecos_ownership
ZIMMET HEALTHCARE SERVICES GROUP LLC
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
AVIVA KAHANOW
INDIRECT OWNERSHIP INTEREST
0%
2024-05-01
ended 2026-05-18
pecos_ownership
FRAIDE ROKEACH
INDIRECT OWNERSHIP INTEREST
0%
2024-05-01
ended 2026-05-18
pecos_ownership
DANIEL PETERS
ADP OF THE SNF
—
2024-05-01
ended 2026-05-18
pecos_ownership
DINA HARMAN
MANAGING CONTROL - GOVERNING BODY
—
2024-05-01
ended 2026-05-18
pecos_ownership
MARISA DELUCA
ADP OF THE SNF
—
2024-05-01
ended 2026-05-18
pecos_ownership
MINDEE POSEN
CORPORATE OFFICER
—
2024-05-01
ended 2026-05-18
pecos_ownership
OSHER FLAGLER
TRUSTEE OF THE SNF
—
2024-05-01
ended 2026-05-18
pecos_ownership
RAVISH NARVEL
ADP OF THE SNF
—
2024-05-01
ended 2026-05-18
pecos_ownership
TZVI LEVOVITZ
TRUSTEE OF THE SNF
—
2024-05-01
ended 2026-05-18
pecos_ownership
YITZCHOK ROKOWSKY
TRUSTEE OF THE SNF
—
2024-05-01
ended 2026-05-18
pecos_ownership
YOGESH VIROJA
MANAGING CONTROL - GOVERNING BODY
—
2024-05-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,808,542
—
—
—
$220,000
0
—
2024-04-30
$3,117,892
—
—
—
$712,285
0
—
2023-06-30
$3,731,248
—
—
—
$852,407
0
—
2022-06-30
$3,832,974
—
—
—
$986,570
0
—
2021-06-30
$4,484,345
—
—
—
$1,166,173
0
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 12031
acs median gross
0
$1,218
2024-12-31
CENSUS_ACS5
county 12031
fmr
0
$1,355
2025-10-01
HUD_USER_FMR
county 12031
acs median gross
1
$1,245
2024-12-31
CENSUS_ACS5
county 12031
fmr
1
$1,382
2025-10-01
HUD_USER_FMR
county 12031
acs median gross
2
$1,508
2024-12-31
CENSUS_ACS5
county 12031
fmr
2
$1,658
2025-10-01
HUD_USER_FMR
county 12031
acs median gross
3
$1,665
2024-12-31
CENSUS_ACS5
county 12031
fmr
3
$2,043
2025-10-01
HUD_USER_FMR
county 12031
acs median gross
4
$1,935
2024-12-31
CENSUS_ACS5
county 12031
fmr
4
$2,561
2025-10-01
HUD_USER_FMR
county 12031
acs median gross
5
$1,899
2024-12-31
CENSUS_ACS5
county 12031
acs median gross
$1,475
2024-12-31
CENSUS_ACS5
county 12031
acs recent mover gross
$1,642
2024-12-31
CENSUS_ACS5
zcta 32204
acs median gross
0
$661
2024-12-31
CENSUS_ACS5
zcta 32204
acs median gross
1
$1,123
2024-12-31
CENSUS_ACS5
zcta 32204
acs median gross
2
$1,306
2024-12-31
CENSUS_ACS5
zcta 32204
acs median gross
3
$1,449
2024-12-31
CENSUS_ACS5
zcta 32204
acs median gross
$1,167
2024-12-31
CENSUS_ACS5
zcta 32204
acs recent mover gross
$1,364
2024-12-31
CENSUS_ACS5
zip 32204
payment standard 110
0
$1,265
2025-10-01
HUD_USER_SAFMR
zip 32204
payment standard 90
0
$1,035
2025-10-01
HUD_USER_SAFMR
zip 32204
safmr
0
$1,150
2025-10-01
HUD_USER_SAFMR
zip 32204
payment standard 110
1
$1,287
2025-10-01
HUD_USER_SAFMR
zip 32204
payment standard 90
1
$1,053
2025-10-01
HUD_USER_SAFMR
zip 32204
safmr
1
$1,170
2025-10-01
HUD_USER_SAFMR
zip 32204
payment standard 110
2
$1,551
2025-10-01
HUD_USER_SAFMR
zip 32204
payment standard 90
2
$1,269
2025-10-01
HUD_USER_SAFMR
zip 32204
safmr
2
$1,410
2025-10-01
HUD_USER_SAFMR
zip 32204
payment standard 110
3
$1,914
2025-10-01
HUD_USER_SAFMR
zip 32204
payment standard 90
3
$1,566
2025-10-01
HUD_USER_SAFMR
zip 32204
safmr
3
$1,740
2025-10-01
HUD_USER_SAFMR
zip 32204
payment standard 110
4
$2,398
2025-10-01
HUD_USER_SAFMR
zip 32204
payment standard 90
4
$1,962
2025-10-01
HUD_USER_SAFMR
zip 32204
safmr
4
$2,180
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.