Reads as: riskier than 50.7% 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
3.26
3.33
3.28
2.90–3.77
RN
0.23
0.43
0.39
0.25–0.58
Weekend total
2.99
3.03
3.11
—
Weekday total
3.36
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
119.8
3.26
0.23
1.02
2.01
2.99
0.0%
2025Q3
92
120.7
3.33
0.10
1.11
2.12
3.01
0.0%
2025Q2
91
119.4
3.43
0.19
1.15
2.10
3.08
0.0%
2025Q1
90
120.8
3.50
0.21
1.21
2.08
3.03
0.0%
2024Q4
92
116.8
3.60
0.19
1.22
2.20
3.21
0.0%
2024Q3
92
118.7
3.59
0.27
1.17
2.15
3.02
0.0%
2024Q2
91
119.2
3.72
0.27
1.25
2.19
3.27
0.0%
2024Q1
91
119.9
3.87
0.29
1.35
2.24
3.45
1.0%
2023Q4
92
119.7
3.84
0.21
1.35
2.27
3.28
5.1%
2023Q3
92
116.5
3.89
0.42
1.20
2.27
3.35
8.9%
2023Q2
91
121.6
3.00
0.34
0.82
1.84
2.38
16.8%
2023Q1
90
121.0
3.15
0.39
0.90
1.86
2.57
15.6%
2022Q4
92
119.6
3.37
0.47
0.91
2.00
2.81
16.8%
2022Q3
92
119.0
3.44
0.43
0.97
2.04
2.95
19.8%
2022Q2
91
120.4
3.20
0.34
1.03
1.83
2.65
24.5%
2022Q1
90
120.8
3.08
0.34
1.01
1.72
2.67
18.4%
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.
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.
G
2026-05-28
2026-04-22
Health · complaint
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F
2026-05-28
2026-04-22
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
F
2026-05-28
2026-04-22
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F
2026-05-28
2026-04-22
Health · complaint
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
D
2026-05-28
2025-01-14
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-03-05
2025-01-14
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2025-03-05
2025-01-14
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.
E
2025-03-05
2025-01-14
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2025-03-05
2025-01-14
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-03-05
2025-01-14
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
2025-03-05
2025-01-14
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-03-05
2025-01-14
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-03-05
2025-01-14
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-03-05
2025-01-14
Health
F0732
Post nurse staffing information every day.
B
2025-03-05
2025-01-14
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
2025-03-05
2025-01-14
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2025-03-05
2025-01-14
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2025-03-05
2024-04-19
Health · complaint
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
E
2024-05-29
2023-10-31
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-12-13
2023-10-31
Health · complaint
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
J
2023-12-13
2023-10-31
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2023-12-13
2023-10-31
Health · complaint
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2023-12-13
2023-10-31
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-12-13
2023-10-31
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.
E
2023-12-13
2023-10-31
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2023-12-13
2021-10-26
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2021-12-15
2021-10-26
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.
E
2021-12-15
2021-10-26
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2021-12-15
2021-10-26
Health
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
2021-12-15
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
22
Owner
Role
Pct
From
Status
Source
ROZENBERG, KENNETH
5% OR GREATER DIRECT OWNERSHIP INTEREST
90%
2022-05-27
current
pecos_ownership
ABRAMCHIK, AMIR
5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
2021-03-22
current
pecos_ownership
GREENBERG, DAVID
5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
2021-03-22
current
pecos_ownership
ABRAMCHIK, AMIR
ADP OF THE SNF
—
2018-10-15
current
pecos_ownership
GOLDMAN, NATHAN
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
HAGLER, DARYL
ADP OF THE SNF
—
2018-10-15
current
pecos_ownership
HENDRIX, HEIDI
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
LANTZITSKY, AHARON
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
LEVINSON-COVERT, SEAN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-24
current
pecos_ownership
PULCINO, TIFFANY
ADP OF THE SNF
—
2025-06-23
current
pecos_ownership
ROZENBERG, KENNETH
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
KENNETH ROZENBERG
5% OR GREATER DIRECT OWNERSHIP INTEREST
90%
2022-05-27
ended 2026-05-18
pecos_ownership
AMIR ABRAMCHIK
5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
2021-03-22
ended 2026-05-18
pecos_ownership
DAVID GREENBERG
5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
2021-03-22
ended 2026-05-18
pecos_ownership
AHARON LANTZITSKY
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
AMIR ABRAMCHIK
ADP OF THE SNF
—
2018-10-15
ended 2026-05-18
pecos_ownership
DARYL HAGLER
ADP OF THE SNF
—
2018-10-15
ended 2026-05-18
pecos_ownership
HEIDI HENDRIX
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
KENNETH ROZENBERG
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
NATHAN GOLDMAN
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
SEAN LEVINSON-COVERT
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-24
ended 2026-05-18
pecos_ownership
TIFFANY PULCINO
ADP OF THE SNF
—
2025-06-23
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
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$2,505,150
—
—
—
$8,285
4
—
2023-12-31
$1,613,175
—
—
—
$258
4
—
2022-12-31
$1,499,716
—
—
—
$43,902
4
—
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 36055
acs median gross
0
$857
2024-12-31
CENSUS_ACS5
county 36055
fmr
0
$1,116
2025-10-01
HUD_USER_FMR
county 36055
acs median gross
1
$985
2024-12-31
CENSUS_ACS5
county 36055
fmr
1
$1,256
2025-10-01
HUD_USER_FMR
county 36055
acs median gross
2
$1,268
2024-12-31
CENSUS_ACS5
county 36055
fmr
2
$1,573
2025-10-01
HUD_USER_FMR
county 36055
acs median gross
3
$1,407
2024-12-31
CENSUS_ACS5
county 36055
fmr
3
$1,895
2025-10-01
HUD_USER_FMR
county 36055
acs median gross
4
$1,510
2024-12-31
CENSUS_ACS5
county 36055
fmr
4
$2,083
2025-10-01
HUD_USER_FMR
county 36055
acs median gross
5
$1,736
2024-12-31
CENSUS_ACS5
county 36055
acs median gross
$1,173
2024-12-31
CENSUS_ACS5
county 36055
acs recent mover gross
$1,340
2024-12-31
CENSUS_ACS5
zcta 14624
acs median gross
1
$1,166
2024-12-31
CENSUS_ACS5
zcta 14624
acs median gross
2
$1,293
2024-12-31
CENSUS_ACS5
zcta 14624
acs median gross
3
$1,648
2024-12-31
CENSUS_ACS5
zcta 14624
acs median gross
4
$2,004
2024-12-31
CENSUS_ACS5
zcta 14624
acs median gross
$1,310
2024-12-31
CENSUS_ACS5
zcta 14624
acs recent mover gross
$1,185
2024-12-31
CENSUS_ACS5
zip 14624
payment standard 110
0
$1,386
2025-10-01
HUD_USER_SAFMR
zip 14624
payment standard 90
0
$1,134
2025-10-01
HUD_USER_SAFMR
zip 14624
safmr
0
$1,260
2025-10-01
HUD_USER_SAFMR
zip 14624
payment standard 110
1
$1,551
2025-10-01
HUD_USER_SAFMR
zip 14624
payment standard 90
1
$1,269
2025-10-01
HUD_USER_SAFMR
zip 14624
safmr
1
$1,410
2025-10-01
HUD_USER_SAFMR
zip 14624
payment standard 110
2
$1,947
2025-10-01
HUD_USER_SAFMR
zip 14624
payment standard 90
2
$1,593
2025-10-01
HUD_USER_SAFMR
zip 14624
safmr
2
$1,770
2025-10-01
HUD_USER_SAFMR
zip 14624
payment standard 110
3
$2,343
2025-10-01
HUD_USER_SAFMR
zip 14624
payment standard 90
3
$1,917
2025-10-01
HUD_USER_SAFMR
zip 14624
safmr
3
$2,130
2025-10-01
HUD_USER_SAFMR
zip 14624
payment standard 110
4
$2,574
2025-10-01
HUD_USER_SAFMR
zip 14624
payment standard 90
4
$2,106
2025-10-01
HUD_USER_SAFMR
zip 14624
safmr
4
$2,340
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.