Reads as: riskier than 80.1% 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
NY median
National median
National p25–p75
Total nurse
3.08
3.33
3.28
2.90–3.77
RN
0.55
0.43
0.39
0.25–0.58
Weekend total
2.91
3.03
3.11
—
Weekday total
3.15
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
63.1
3.08
0.55
0.57
1.96
2.91
0.0%
2025Q3
92
62.8
3.21
0.55
0.56
2.10
2.97
0.0%
2025Q2
91
61.5
3.35
0.56
0.54
2.25
3.17
0.0%
2025Q1
90
60.1
3.30
0.60
0.45
2.25
3.13
0.0%
2024Q4
92
61.4
3.51
0.63
0.55
2.33
3.34
0.8%
2024Q3
92
58.9
3.53
0.75
0.50
2.28
3.28
2.3%
2024Q2
91
54.2
3.74
0.87
0.57
2.29
3.52
2.3%
2024Q1
91
53.7
3.85
0.80
0.69
2.36
3.66
2.9%
2023Q4
92
46.8
4.73
1.24
0.94
2.55
4.56
2.4%
2023Q3
92
49.3
4.79
1.09
1.05
2.65
4.48
20.8%
2023Q2
91
53.1
4.55
0.88
1.05
2.63
4.45
33.8%
2023Q1
90
51.3
4.81
0.79
1.09
2.94
4.70
33.1%
2022Q4
92
47.0
4.67
0.79
0.97
2.91
4.48
30.5%
2022Q3
92
47.6
4.22
0.75
0.91
2.56
4.07
28.2%
2022Q2
91
51.4
4.44
0.77
0.86
2.81
4.12
26.6%
2022Q1
90
53.0
4.40
0.78
0.82
2.79
4.17
13.1%
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.
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
17
B × 1D × 13E × 2F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-04-24
Health · complaint
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
2025-06-18
2024-10-29
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
2024-12-20
2024-10-29
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2024-12-20
2024-10-29
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2024-12-20
2024-10-29
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2024-12-20
2024-10-29
Health
F0841
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
D
2024-12-20
2024-10-29
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-12-20
2024-10-29
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F
2024-12-20
2022-10-31
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2022-11-23
2022-10-31
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
2022-11-23
2022-10-31
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-11-23
2022-10-31
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2022-11-23
2019-05-21
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
B
2019-07-19
2019-05-21
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
2019-07-19
2019-05-21
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
2019-07-19
2019-05-21
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2019-07-19
2019-05-21
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2019-07-19
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
40
Owner
Role
Pct
From
Status
Source
BON SECOURS CHARITY HEALTH SYSTEM, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2000-01-01
current
pecos_ownership
BAKER, PATRICK
CORPORATE DIRECTOR
—
2024-04-01
current
pecos_ownership
BON SECOURS MERCY HEALTH INC
INDIRECT OWNERSHIP INTEREST
—
2015-05-19
current
pecos_ownership
COSTELLO, ANTHONY
TRUSTEE OF THE SNF
—
2024-12-01
current
pecos_ownership
DIFIGLIA, MARIO
CORPORATE DIRECTOR
—
2024-03-31
current
pecos_ownership
EL-RAYESS, TAMER
TRUSTEE OF THE SNF
—
2019-01-01
current
pecos_ownership
GEVERTZ, SUSAN
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
GRANNUM, SANDRA
CORPORATE DIRECTOR
—
2014-01-01
current
pecos_ownership
GRANNUM, SANDRA
TRUSTEE OF THE SNF
—
2019-01-01
current
pecos_ownership
KELLY, CARL
ADP OF THE SNF
—
2025-02-07
current
pecos_ownership
KELLY, CARL
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
LUBARSKY, DAVID
CORPORATE OFFICER
—
2025-02-17
current
pecos_ownership
PICKENS, ANDREW
CORPORATE DIRECTOR
—
2025-06-26
current
pecos_ownership
RATNER, JOSHUA
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
ROGOWSKY, MARTIN
TRUSTEE OF THE SNF
—
2025-02-05
current
pecos_ownership
ROSENBLUT, MICHAEL
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
ROSENBLUT, MICHAEL
TRUSTEE OF THE SNF
—
2023-01-01
current
pecos_ownership
SCHARFENBERGER, DENNIS
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
SCHARFENBERGER, DENNIS
ADP OF THE SNF
—
2025-04-29
current
pecos_ownership
WESTCHESTER MEDICAL CENTER HEALTH NETWORK
ADP OF THE SNF
—
2025-10-08
current
pecos_ownership
WESTCHESTER MEDICAL CENTER HEALTH NETWORK
INDIRECT OWNERSHIP INTEREST
—
2025-09-12
current
pecos_ownership
YEZZO, MARIE
CORPORATE OFFICER
—
2025-01-01
current
pecos_ownership
ANDREW PICKENS
CORPORATE DIRECTOR
0%
2025-06-26
ended 2026-05-18
pecos_ownership
ANTHONY COSTELLO
CORPORATE DIRECTOR
0%
2024-12-01
ended 2026-05-18
pecos_ownership
DAVID LUBARSKY
CORPORATE DIRECTOR
0%
2025-02-17
ended 2026-05-18
pecos_ownership
DENNIS SCHARFENBERGER
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
JOSHUA RATNER
CORPORATE DIRECTOR
0%
2022-01-01
ended 2026-05-18
pecos_ownership
MARIO DIFIGLIA
CORPORATE DIRECTOR
0%
2024-03-31
ended 2026-05-18
pecos_ownership
MARTIN ROGOWSKY
CORPORATE DIRECTOR
0%
2025-02-05
ended 2026-05-18
pecos_ownership
PATRICK BAKER
CORPORATE DIRECTOR
0%
2024-04-01
ended 2026-05-18
pecos_ownership
SUSAN GEVERTZ
CORPORATE DIRECTOR
0%
2019-01-01
ended 2026-05-18
pecos_ownership
TAMER EL-RAYESS
CORPORATE DIRECTOR
0%
2019-01-01
ended 2026-05-18
pecos_ownership
CARL KELLY
ADP OF THE SNF
—
2025-02-07
ended 2026-05-18
pecos_ownership
CARL KELLY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
ended 2026-05-18
pecos_ownership
DENNIS SCHARFENBERGER
ADP OF THE SNF
—
2025-04-29
ended 2026-05-18
pecos_ownership
MARIE YEZZO
CORPORATE OFFICER
—
2025-01-01
ended 2026-05-18
pecos_ownership
MICHAEL ROSENBLUT
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
MICHAEL ROSENBLUT
TRUSTEE OF THE SNF
—
2023-01-01
ended 2026-05-18
pecos_ownership
SANDRA GRANNUM
CORPORATE DIRECTOR
—
2014-01-01
ended 2026-05-18
pecos_ownership
SANDRA GRANNUM
TRUSTEE OF THE SNF
—
2019-01-01
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
$459,159
—
—
—
—
1
—
2023-12-31
$465,130
—
—
—
—
2
—
2022-12-31
$601,192
—
—
—
—
2
—
2021-12-31
$572,926
—
—
—
—
2
—
2020-12-31
$630,071
—
—
—
—
2
—
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
33
Geo
Kind
BR
Amount
As of
Source
county 36071
acs median gross
0
$1,113
2024-12-31
CENSUS_ACS5
county 36071
fmr
0
$1,364
2025-10-01
HUD_USER_FMR
county 36071
acs median gross
1
$1,314
2024-12-31
CENSUS_ACS5
county 36071
fmr
1
$1,549
2025-10-01
HUD_USER_FMR
county 36071
acs median gross
2
$1,771
2024-12-31
CENSUS_ACS5
county 36071
fmr
2
$1,979
2025-10-01
HUD_USER_FMR
county 36071
acs median gross
3
$1,992
2024-12-31
CENSUS_ACS5
county 36071
fmr
3
$2,511
2025-10-01
HUD_USER_FMR
county 36071
acs median gross
4
$2,136
2024-12-31
CENSUS_ACS5
county 36071
fmr
4
$2,694
2025-10-01
HUD_USER_FMR
county 36071
acs median gross
5
$2,503
2024-12-31
CENSUS_ACS5
county 36071
acs median gross
$1,680
2024-12-31
CENSUS_ACS5
county 36071
acs recent mover gross
$2,113
2024-12-31
CENSUS_ACS5
zcta 10990
acs median gross
1
$1,216
2024-12-31
CENSUS_ACS5
zcta 10990
acs median gross
2
$1,901
2024-12-31
CENSUS_ACS5
zcta 10990
acs median gross
3
$1,909
2024-12-31
CENSUS_ACS5
zcta 10990
acs median gross
$1,453
2024-12-31
CENSUS_ACS5
zcta 10990
acs recent mover gross
$2,316
2024-12-31
CENSUS_ACS5
zip 10990
payment standard 110
0
$1,320
2025-10-01
HUD_USER_SAFMR
zip 10990
payment standard 90
0
$1,080
2025-10-01
HUD_USER_SAFMR
zip 10990
safmr
0
$1,200
2025-10-01
HUD_USER_SAFMR
zip 10990
payment standard 110
1
$1,496
2025-10-01
HUD_USER_SAFMR
zip 10990
payment standard 90
1
$1,224
2025-10-01
HUD_USER_SAFMR
zip 10990
safmr
1
$1,360
2025-10-01
HUD_USER_SAFMR
zip 10990
payment standard 110
2
$1,914
2025-10-01
HUD_USER_SAFMR
zip 10990
payment standard 90
2
$1,566
2025-10-01
HUD_USER_SAFMR
zip 10990
safmr
2
$1,740
2025-10-01
HUD_USER_SAFMR
zip 10990
payment standard 110
3
$2,431
2025-10-01
HUD_USER_SAFMR
zip 10990
payment standard 90
3
$1,989
2025-10-01
HUD_USER_SAFMR
zip 10990
safmr
3
$2,210
2025-10-01
HUD_USER_SAFMR
zip 10990
payment standard 110
4
$2,607
2025-10-01
HUD_USER_SAFMR
zip 10990
payment standard 90
4
$2,133
2025-10-01
HUD_USER_SAFMR
zip 10990
safmr
4
$2,370
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.