Reads as: riskier than 46.5% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet enforcement cluster
50% fined
COHEN DAVID
14 facilities
connection
Owner fleet enforcement cluster
50% fined
LIKHI RISHI
6 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 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
MA median
National median
National p25–p75
Total nurse
4.22
3.39
3.28
2.90–3.77
RN
1.06
0.39
0.39
0.25–0.58
Weekend total
4.00
3.26
3.11
—
Weekday total
4.31
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
89.1
4.22
1.06
0.79
2.38
4.00
3.9%
2025Q3
92
87.3
3.98
0.91
0.74
2.33
3.80
0.2%
2025Q2
91
85.9
4.09
0.87
0.83
2.40
3.97
1.4%
2025Q1
90
90.9
3.80
0.71
0.80
2.29
3.73
0.3%
2024Q4
92
92.6
3.77
0.60
0.91
2.26
3.65
0.2%
2024Q3
92
90.5
3.67
0.67
0.87
2.12
3.62
0.3%
2024Q2
91
88.8
3.83
0.79
0.95
2.08
3.69
3.6%
2024Q1
91
88.5
3.63
0.89
0.76
1.98
3.54
21.2%
2023Q4
92
86.6
3.74
1.00
0.69
2.06
3.70
39.0%
2023Q3
92
89.9
3.58
0.79
0.76
2.03
3.40
31.6%
2023Q2
91
90.0
3.80
0.91
0.72
2.17
3.60
26.4%
2023Q1
90
90.1
3.89
0.96
0.71
2.22
3.67
22.1%
2022Q4
92
90.6
3.62
0.70
0.83
2.09
3.55
17.8%
2022Q3
92
92.0
3.35
0.57
0.90
1.88
3.19
21.8%
2022Q2
91
90.0
3.04
0.58
0.73
1.73
2.91
17.1%
2022Q1
90
90.0
3.06
0.59
0.73
1.74
3.21
14.7%
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-05-16
2025-05-09
Health
F0678
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
J
2025-05-16
2025-05-09
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.
E
2025-05-16
2025-05-09
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-05-16
2025-05-09
Health
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
J
2025-05-16
2025-05-09
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
2025-05-16
2025-05-09
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-05-16
2025-05-09
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
2025-05-16
2024-05-23
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2024-06-21
2024-05-23
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
2024-06-21
2024-05-23
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-06-21
2024-05-23
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-06-21
2023-07-13
Health · complaint
F0637
Assess the resident when there is a significant change in condition
D
2023-07-16
2023-07-13
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
G
2023-07-16
2023-03-24
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2023-04-14
2023-03-24
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2023-04-14
2023-03-24
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
2023-04-14
2023-03-24
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-04-14
2023-03-24
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-04-14
2023-03-24
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2023-04-14
2023-03-24
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-04-14
2023-03-24
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
2023-04-14
2023-03-24
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-04-14
2023-03-24
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2023-04-14
2023-03-24
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
2023-04-14
2023-03-24
Health
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2023-04-14
2023-03-24
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-04-14
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
30
Owner
Role
Pct
From
Status
Source
NORTH END PROPERTY
Individual has financial interest in both related organization and provider
100%
2023-01-01
current
hcris_a_8_1
NORTH END PROPERTY
Individual has financial interest in both related organization and provider
100%
2024-01-01
current
hcris_a_8_1
YR 2013 INVESTMENT TR UA 03252013
5% OR GREATER INDIRECT OWNERSHIP INTEREST
23%
2017-10-28
current
pecos_ownership
BUCKLEY, STEPHEN
CORPORATE DIRECTOR
—
2025-02-26
current
pecos_ownership
COHEN, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2023-12-18
current
pecos_ownership
KOHN FAM TR GST EXEMPT UAD 3-25-13
ADP OF THE SNF
—
2021-12-31
current
pecos_ownership
LIKHI, RISHI
OPERATIONAL/MANAGERIAL CONTROL
—
2017-10-27
current
pecos_ownership
LTC COMPLIANCE INC
ADP OF THE SNF
—
2023-04-01
current
pecos_ownership
M&T BANK
5% OR GREATER SECURITY INTEREST
—
2017-10-28
current
pecos_ownership
MARQUIS LIMITED LLC
ADP OF THE SNF
—
2025-04-04
current
pecos_ownership
MARQUIS LIMITED LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-01
current
pecos_ownership
NEB PROPERTY LLC
ADP OF THE SNF
—
2017-10-28
current
pecos_ownership
NFR 2020 IRRV TR
ADP OF THE SNF
—
2021-12-31
current
pecos_ownership
POSEN, MINDEE
ADP OF THE SNF
—
2017-10-27
current
pecos_ownership
QUINTO GUARDIAN LLC
ADP OF THE SNF
—
2017-10-28
current
pecos_ownership
RELIANT PRO REHAB LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2017-12-13
current
pecos_ownership
RELIANT PRO REHAB LLC
ADP OF THE SNF
—
2025-07-02
current
pecos_ownership
RSBRMK HOLDINGS LLC
ADP OF THE SNF
—
2021-12-31
current
pecos_ownership
SK 2013 INVESTMENT TR UA 03252013
ADP OF THE SNF
—
2021-12-31
current
pecos_ownership
TRYKO GUARDIAN HOLDINGS LLC
ADP OF THE SNF
—
2017-10-28
current
pecos_ownership
UAK 2020 IRRV TR
ADP OF THE SNF
—
2021-12-31
current
pecos_ownership
UKR CONSULTING LLC
ADP OF THE SNF
—
2017-10-28
current
pecos_ownership
NORTH END PROPERTY
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
NORTH END PROPERTY
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
DANIEL COHEN
CORPORATE DIRECTOR
—
2021-11-29
ended 2026-04-01
pecos_ownership
DAVID COHEN
MANAGING CONTROL - GOVERNING BODY
—
2023-12-18
ended 2026-05-18
pecos_ownership
MINDEE POSEN
CORPORATE OFFICER
—
2017-10-27
ended 2026-05-18
pecos_ownership
NORTHEND PROPERTY
Individual has financial interest in both related organization and provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
RISHI LIKHI
ADP OF THE SNF
—
2017-10-27
ended 2026-05-18
pecos_ownership
STEPHEN BUCKLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-26
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
$3,288,778
—
—
—
$146,400
7
propco
2023-12-31
$2,836,720
—
—
—
$146,400
7
propco
2022-12-31
$2,307,364
—
—
—
$146,400
7
propco
2021-12-31
$2,025,208
—
—
—
$109,200
7
propco
2020-12-31
$1,210,973
$571,657
—
—
—
4
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
1
Close date
Price
Buyer
Seller
Evidence
2017-10-28
—
NEB OPERATOR LLC
SPAULDING NURSING AND THERAPY CENTER BRIGHTON, INC.
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
29
Geo
Kind
BR
Amount
As of
Source
county 25025
acs median gross
0
$1,947
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
1
$1,966
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
2
$2,210
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
3
$2,269
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
4
$2,554
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
5
$2,169
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
$2,129
2024-12-31
CENSUS_ACS5
county 25025
acs recent mover gross
$2,759
2024-12-31
CENSUS_ACS5
zcta 02109
acs median gross
0
$3,091
2024-12-31
CENSUS_ACS5
zcta 02109
acs median gross
1
$3,381
2024-12-31
CENSUS_ACS5
zcta 02109
acs median gross
2
$3,501
2024-12-31
CENSUS_ACS5
zcta 02109
acs median gross
3
$2,750
2024-12-31
CENSUS_ACS5
zcta 02109
acs median gross
$3,501
2024-12-31
CENSUS_ACS5
zcta 02109
acs recent mover gross
$3,501
2024-12-31
CENSUS_ACS5
zip 02109
payment standard 110
0
$3,894
2025-10-01
HUD_USER_SAFMR
zip 02109
payment standard 90
0
$3,186
2025-10-01
HUD_USER_SAFMR
zip 02109
safmr
0
$3,540
2025-10-01
HUD_USER_SAFMR
zip 02109
payment standard 110
1
$4,081
2025-10-01
HUD_USER_SAFMR
zip 02109
payment standard 90
1
$3,339
2025-10-01
HUD_USER_SAFMR
zip 02109
safmr
1
$3,710
2025-10-01
HUD_USER_SAFMR
zip 02109
payment standard 110
2
$4,851
2025-10-01
HUD_USER_SAFMR
zip 02109
payment standard 90
2
$3,969
2025-10-01
HUD_USER_SAFMR
zip 02109
safmr
2
$4,410
2025-10-01
HUD_USER_SAFMR
zip 02109
payment standard 110
3
$5,819
2025-10-01
HUD_USER_SAFMR
zip 02109
payment standard 90
3
$4,761
2025-10-01
HUD_USER_SAFMR
zip 02109
safmr
3
$5,290
2025-10-01
HUD_USER_SAFMR
zip 02109
payment standard 110
4
$6,424
2025-10-01
HUD_USER_SAFMR
zip 02109
payment standard 90
4
$5,256
2025-10-01
HUD_USER_SAFMR
zip 02109
safmr
4
$5,840
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.