Reads as: riskier than 44.2% 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.
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
CT median
National median
National p25–p75
Total nurse
3.51
3.46
3.28
2.90–3.77
RN
0.24
0.40
0.39
0.25–0.58
Weekend total
3.44
3.25
3.11
—
Weekday total
3.54
3.51
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
107.8
3.51
0.24
0.74
2.53
3.44
9.6%
2025Q3
92
112.5
3.33
0.25
0.67
2.41
3.28
11.7%
2025Q2
91
106.8
3.06
0.17
0.67
2.23
3.12
12.3%
2025Q1
90
104.6
3.19
0.17
0.74
2.28
3.22
7.9%
2024Q4
92
104.5
3.22
0.18
0.79
2.25
3.11
5.3%
2024Q3
92
103.1
3.68
0.41
0.79
2.48
3.43
4.3%
2024Q2
91
96.1
3.79
0.39
0.83
2.56
3.56
10.6%
2024Q1
91
95.5
3.33
0.36
0.84
2.14
3.28
15.1%
2023Q4
92
92.4
3.47
0.41
0.83
2.23
3.35
10.0%
2023Q3
92
84.1
3.60
0.43
0.85
2.32
3.42
5.3%
2023Q2
91
82.1
3.67
0.47
0.88
2.31
3.51
2.7%
2023Q1
90
82.2
3.87
0.58
0.94
2.36
3.67
2.7%
2022Q4
92
82.9
3.74
0.57
0.81
2.37
3.47
2.1%
2022Q3
92
84.3
3.59
0.56
0.60
2.43
3.23
0.0%
2022Q2
91
86.5
3.30
0.59
0.57
2.14
3.05
0.0%
2022Q1
90
84.1
3.44
0.59
0.68
2.17
3.29
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.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
22
D × 18E × 3G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-01
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
G
2026-05-13
2026-04-01
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-05-13
2024-12-10
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2025-01-21
2024-12-10
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.
D
2025-01-21
2024-12-10
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-01-21
2024-12-10
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-01-21
2024-12-10
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-01-21
2024-12-10
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-01-21
2024-12-10
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2025-01-21
2024-12-10
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-01-21
2024-12-10
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2025-01-21
2024-07-24
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2024-08-23
2024-05-28
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-07-02
2024-05-28
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-07-02
2022-08-31
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2022-10-12
2022-08-31
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2022-10-12
2022-08-31
Health
F0800
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
E
2022-10-12
2022-08-31
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2022-10-12
2022-08-31
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-10-12
2019-11-07
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2019-12-13
2019-11-07
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2019-12-13
2019-11-07
Health
F0880
Provide and implement an infection prevention and control program.
D
2019-12-13
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
62
Owner
Role
Pct
From
Status
Source
LEGACY LIFECARE, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-10-02
current
pecos_ownership
ALESSANDRO, JOSEPH
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
ANFANG, STUART
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-02
current
pecos_ownership
BERMAN, ADAM
CORPORATE OFFICER
—
2025-04-09
current
pecos_ownership
BERMAN, BARRY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-02
current
pecos_ownership
BIRLE, HANS
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-02
current
pecos_ownership
BRUDNICK, JEFFREY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-02
current
pecos_ownership
CHELSEA JEWISH LIFECARE INC
5% OR GREATER MORTGAGE INTEREST
—
2023-10-02
current
pecos_ownership
COE, LISA
ADP OF THE SNF
—
2024-12-23
current
pecos_ownership
CRESCENZO, DONNA
OPERATIONAL/MANAGERIAL CONTROL
—
2010-12-13
current
pecos_ownership
FIEBELKORN, DOUGLAS
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-02
current
pecos_ownership
FIEBELKORN, DOUGLAS
CORPORATE DIRECTOR
—
2026-01-21
current
pecos_ownership
FORMAN, SHARON
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-02
current
pecos_ownership
GALLUP, LORRAINE
OPERATIONAL/MANAGERIAL CONTROL
—
2012-06-12
current
pecos_ownership
GOLDSMITH, SUSAN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-02
current
pecos_ownership
GOLDSMITH, SUSAN
CORPORATE DIRECTOR
—
2026-01-21
current
pecos_ownership
GREENSPAN, HOWARD
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-02
current
pecos_ownership
KOWAL, MARISSA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-06-30
current
pecos_ownership
LAPOINTE, LAURENCE
CORPORATE DIRECTOR
—
2008-06-25
current
pecos_ownership
LEGACY LIFECARE, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-09
current
pecos_ownership
LEGACY LIFECARE, INC.
ADP OF THE SNF
—
2025-08-05
current
pecos_ownership
MACLELLAN, GENEVIEVE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-02
current
pecos_ownership
MILEWSKA, NANCY
CORPORATE DIRECTOR
—
2025-04-09
current
pecos_ownership
MULLEN, ELIZABETH
ADP OF THE SNF
—
2023-10-02
current
pecos_ownership
MULLEN, ELIZABETH
CORPORATE DIRECTOR
—
2025-04-09
current
pecos_ownership
O'BRIEN, TERRENCE
ADP OF THE SNF
—
2021-06-11
current
pecos_ownership
REIDY, RICHARD
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-09
current
pecos_ownership
RICHMAN, GILDA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-02
current
pecos_ownership
SANTERRE, JENNIFER
ADP OF THE SNF
—
2023-10-02
current
pecos_ownership
SANTERRE, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-09
current
pecos_ownership
SPIEKER, A. GARY
CORPORATE DIRECTOR
—
2025-04-09
current
pecos_ownership
WEISS, JUDY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-02
current
pecos_ownership
WHITTEN, ROBERT
CORPORATE OFFICER
—
2025-04-09
current
pecos_ownership
A. GARY SPIEKER
CORPORATE DIRECTOR
11%
2025-04-09
ended 2026-05-18
pecos_ownership
ADAM BERMAN
CORPORATE OFFICER
11%
2025-04-09
ended 2026-05-18
pecos_ownership
DOUGLAS FIEBELKORN
CORPORATE DIRECTOR
11%
2026-01-21
ended 2026-05-18
pecos_ownership
ELIZABETH MULLEN
CORPORATE DIRECTOR
11%
2025-04-09
ended 2026-05-18
pecos_ownership
JENNIFER SANTERRE
CORPORATE OFFICER
11%
2025-04-09
ended 2026-05-18
pecos_ownership
LAURENCE LAPOINTE
CORPORATE DIRECTOR
11%
2008-06-25
ended 2026-05-18
pecos_ownership
LORRAINE GALLUP
CORPORATE DIRECTOR
11%
2012-06-12
ended 2026-05-18
pecos_ownership
NANCY MILEWSKA
CORPORATE DIRECTOR
11%
2025-04-09
ended 2026-05-18
pecos_ownership
RICHARD REIDY
CORPORATE DIRECTOR
11%
2025-04-09
ended 2026-05-18
pecos_ownership
ROBERT WHITTEN
CORPORATE DIRECTOR
11%
2025-04-09
ended 2026-05-18
pecos_ownership
SUSAN GOLDSMITH
CORPORATE DIRECTOR
11%
2026-01-21
ended 2026-05-18
pecos_ownership
BARRY BERMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-02
ended 2026-05-18
pecos_ownership
DONNA CRESCENZO
OPERATIONAL/MANAGERIAL CONTROL
—
2010-12-13
ended 2026-05-18
pecos_ownership
DOUGLAS FIEBELKORN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-02
ended 2026-05-18
pecos_ownership
ELIZABETH MULLEN
ADP OF THE SNF
—
2023-10-02
ended 2026-05-18
pecos_ownership
GENEVIEVE MACLELLAN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-02
ended 2026-05-18
pecos_ownership
GILDA RICHMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-02
ended 2026-05-18
pecos_ownership
HANS BIRLE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-02
ended 2026-05-18
pecos_ownership
HOWARD GREENSPAN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-02
ended 2026-05-18
pecos_ownership
JEFFREY BRUDNICK
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-02
ended 2026-05-18
pecos_ownership
JENNIFER SANTERRE
ADP OF THE SNF
—
2023-10-02
ended 2026-05-18
pecos_ownership
JOSEPH ALESSANDRO
ADP OF THE SNF
—
2023-01-01
ended 2026-05-18
pecos_ownership
JUDY WEISS
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-02
ended 2026-05-18
pecos_ownership
LISA COE
ADP OF THE SNF
—
2024-12-23
ended 2026-05-18
pecos_ownership
MARISSA KOWAL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-06-30
ended 2026-05-18
pecos_ownership
SHARON FOREMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-02
ended 2026-05-18
pecos_ownership
STUART ANFANG
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-02
ended 2026-05-18
pecos_ownership
SUSAN GOLDSMITH
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-02
ended 2026-05-18
pecos_ownership
TERRENCE O'BRIEN
ADP OF THE SNF
—
2021-06-11
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
2024-09-30
$827,874
—
—
—
$104,508
0
—
2023-09-30
$1,120,165
—
—
—
$143,349
0
—
2022-09-30
$1,206,138
—
—
—
$163,597
0
—
2021-09-30
$1,313,895
—
—
—
$153,920
0
—
2020-09-30
$1,334,172
—
—
—
$155,059
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
25
Geo
Kind
BR
Amount
As of
Source
county 09180
acs median gross
0
$848
2024-12-31
CENSUS_ACS5
county 09180
acs median gross
1
$1,093
2024-12-31
CENSUS_ACS5
county 09180
acs median gross
2
$1,432
2024-12-31
CENSUS_ACS5
county 09180
acs median gross
3
$1,685
2024-12-31
CENSUS_ACS5
county 09180
acs median gross
4
$2,069
2024-12-31
CENSUS_ACS5
county 09180
acs median gross
5
$1,466
2024-12-31
CENSUS_ACS5
county 09180
acs median gross
$1,365
2024-12-31
CENSUS_ACS5
county 09180
acs recent mover gross
$1,654
2024-12-31
CENSUS_ACS5
zcta 06280
acs median gross
2
$1,734
2024-12-31
CENSUS_ACS5
zcta 06280
acs median gross
$1,731
2024-12-31
CENSUS_ACS5
zip 06280
payment standard 110
0
$1,826
2025-10-01
HUD_USER_SAFMR
zip 06280
payment standard 90
0
$1,494
2025-10-01
HUD_USER_SAFMR
zip 06280
safmr
0
$1,660
2025-10-01
HUD_USER_SAFMR
zip 06280
payment standard 110
1
$2,123
2025-10-01
HUD_USER_SAFMR
zip 06280
payment standard 90
1
$1,737
2025-10-01
HUD_USER_SAFMR
zip 06280
safmr
1
$1,930
2025-10-01
HUD_USER_SAFMR
zip 06280
payment standard 110
2
$2,651
2025-10-01
HUD_USER_SAFMR
zip 06280
payment standard 90
2
$2,169
2025-10-01
HUD_USER_SAFMR
zip 06280
safmr
2
$2,410
2025-10-01
HUD_USER_SAFMR
zip 06280
payment standard 110
3
$3,410
2025-10-01
HUD_USER_SAFMR
zip 06280
payment standard 90
3
$2,790
2025-10-01
HUD_USER_SAFMR
zip 06280
safmr
3
$3,100
2025-10-01
HUD_USER_SAFMR
zip 06280
payment standard 110
4
$4,235
2025-10-01
HUD_USER_SAFMR
zip 06280
payment standard 90
4
$3,465
2025-10-01
HUD_USER_SAFMR
zip 06280
safmr
4
$3,850
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.