Reads as: riskier than 96.6% 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
5
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+30.0 vs natl
THE ENS FAMILY TRUST
13 facilities
connection
Owner fleet risk far above national
+30.0 vs natl
ENS HOLDINGS LLC
13 facilities
connection
Owner fleet risk far above national
+27.1 vs natl
CHRH EQUITIES LLC
11 facilities
connection
Owner fleet risk far above national
+27.1 vs natl
YMCS EQUITIES LLC
11 facilities
connection
Owner spans multiple chains
8 chains
HERZKA YISROEL
70 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
PA median
National median
National p25–p75
Total nurse
2.77
3.38
3.28
2.90–3.77
RN
0.01
0.45
0.39
0.25–0.58
Weekend total
2.81
3.27
3.11
—
Weekday total
2.76
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
128.0
2.77
0.01
0.94
1.83
2.81
12.6%
2025Q3
92
127.1
2.83
0.04
0.92
1.88
2.87
10.1%
2025Q2
91
129.0
2.87
0.06
0.92
1.89
2.87
12.8%
2025Q1
90
125.8
2.73
0.07
0.93
1.73
2.75
9.2%
2024Q4
92
132.2
2.69
0.07
0.90
1.73
2.74
9.9%
2024Q3
92
128.6
2.75
0.06
0.89
1.81
2.79
24.9%
2024Q2
91
131.4
2.83
0.22
0.86
1.75
2.78
30.8%
2024Q1
91
130.6
2.71
0.14
0.86
1.72
2.73
37.9%
2023Q4
92
126.7
2.90
0.10
0.95
1.85
2.89
41.9%
2023Q3
92
130.9
3.18
0.15
1.01
2.02
3.23
44.5%
2023Q2
91
128.2
2.98
0.13
0.93
1.91
2.99
35.9%
2023Q1
90
126.2
2.90
0.19
0.89
1.83
3.06
35.4%
2022Q4
92
123.7
2.94
0.18
0.89
1.86
2.94
31.1%
2022Q3
92
125.1
3.04
0.23
0.98
1.83
2.95
28.3%
2022Q2
91
125.9
3.32
0.26
1.07
2.00
3.31
36.7%
2022Q1
90
122.4
3.23
0.25
1.02
1.96
3.15
36.4%
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.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-04-07
2025-12-03
Health · complaint
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
2025-12-04
2025-09-10
Health · complaint
F0559
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
D
2025-10-08
2025-09-10
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
C
2025-10-10
2025-09-10
Health · complaint
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
2025-10-10
2025-09-10
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-10-10
2025-09-10
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
2025-10-10
2025-07-22
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-08-12
2024-11-10
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
G
2024-10-21
2024-09-25
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
2024-11-20
2024-09-25
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-11-20
2024-09-25
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-11-20
2024-09-25
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
2024-11-20
2024-09-25
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
E
2024-11-20
2024-09-25
Health
F0776
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
D
2024-11-20
2024-09-25
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-11-20
2024-06-13
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-07-29
2024-06-13
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-07-29
2024-03-05
Health · complaint
F0635
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
D
—
2023-10-20
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
2023-11-29
2023-10-20
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-11-29
2023-10-20
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-11-29
2023-10-20
Health
F0730
Observe each nurse aide's job performance and give regular training.
E
2023-11-29
2023-10-20
Health
F0947
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F
2023-11-29
2023-09-07
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-10-18
2023-09-07
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
D
2023-10-18
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
12
Owner
Role
Pct
From
Status
Source
IMPERIAL HH SNF OPERATIONS HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2020-01-03
current
pecos_ownership
BEECH III, FRANK
W-2 MANAGING EMPLOYEE
—
2020-01-03
current
pecos_ownership
CH HH SNF HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-07-22
current
pecos_ownership
CHRH EQUITIES LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-07-22
current
pecos_ownership
ENS HOLDINGS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-07-22
current
pecos_ownership
HERZKA, YISROEL
CORPORATE OFFICER
—
2021-07-22
current
pecos_ownership
THE ENS FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-07-22
current
pecos_ownership
YMCS EQUITIES LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-07-22
current
pecos_ownership
YISROEL HERZKA
CORPORATE OFFICER
100%
2021-07-22
ended 2026-05-18
pecos_ownership
SHAUL KOPELOWITZ
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2020-01-03
ended 2026-05-18
pecos_ownership
41 NEWPORT AVENUE SNF REALITY LLC
OTHER
—
2020-01-03
ended 2026-05-18
pecos_ownership
FRANK BEECH III
W-2 MANAGING EMPLOYEE
—
2020-01-03
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
4
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2023-06-30
$2,363,286
$1,598,896
—
—
—
2
—
2022-06-30
$1,390,632
$722,259
—
—
—
2
—
2021-06-30
$1,221,250
$986,585
—
—
—
2
—
2020-06-30
$533,135
$301,567
—
—
—
2
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
1
Close date
Price
Buyer
Seller
Evidence
2020-01-03
—
NEWPORT MEADOWS HEALTH AND REHABILITATION CENTER LLC
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 42071
acs median gross
0
$995
2024-12-31
CENSUS_ACS5
county 42071
fmr
0
$1,102
2025-10-01
HUD_USER_FMR
county 42071
acs median gross
1
$1,124
2024-12-31
CENSUS_ACS5
county 42071
fmr
1
$1,220
2025-10-01
HUD_USER_FMR
county 42071
acs median gross
2
$1,381
2024-12-31
CENSUS_ACS5
county 42071
fmr
2
$1,526
2025-10-01
HUD_USER_FMR
county 42071
acs median gross
3
$1,544
2024-12-31
CENSUS_ACS5
county 42071
fmr
3
$1,980
2025-10-01
HUD_USER_FMR
county 42071
acs median gross
4
$1,540
2024-12-31
CENSUS_ACS5
county 42071
fmr
4
$2,020
2025-10-01
HUD_USER_FMR
county 42071
acs median gross
5
$1,503
2024-12-31
CENSUS_ACS5
county 42071
acs median gross
$1,357
2024-12-31
CENSUS_ACS5
county 42071
acs recent mover gross
$1,490
2024-12-31
CENSUS_ACS5
zcta 17509
acs median gross
1
$871
2024-12-31
CENSUS_ACS5
zcta 17509
acs median gross
2
$929
2024-12-31
CENSUS_ACS5
zcta 17509
acs median gross
3
$1,364
2024-12-31
CENSUS_ACS5
zcta 17509
acs median gross
5
$1,007
2024-12-31
CENSUS_ACS5
zcta 17509
acs median gross
$1,057
2024-12-31
CENSUS_ACS5
zcta 17509
acs recent mover gross
$1,086
2024-12-31
CENSUS_ACS5
zip 17509
payment standard 110
0
$1,012
2025-10-01
HUD_USER_SAFMR
zip 17509
payment standard 90
0
$828
2025-10-01
HUD_USER_SAFMR
zip 17509
safmr
0
$920
2025-10-01
HUD_USER_SAFMR
zip 17509
payment standard 110
1
$1,122
2025-10-01
HUD_USER_SAFMR
zip 17509
payment standard 90
1
$918
2025-10-01
HUD_USER_SAFMR
zip 17509
safmr
1
$1,020
2025-10-01
HUD_USER_SAFMR
zip 17509
payment standard 110
2
$1,408
2025-10-01
HUD_USER_SAFMR
zip 17509
payment standard 90
2
$1,152
2025-10-01
HUD_USER_SAFMR
zip 17509
safmr
2
$1,280
2025-10-01
HUD_USER_SAFMR
zip 17509
payment standard 110
3
$1,826
2025-10-01
HUD_USER_SAFMR
zip 17509
payment standard 90
3
$1,494
2025-10-01
HUD_USER_SAFMR
zip 17509
safmr
3
$1,660
2025-10-01
HUD_USER_SAFMR
zip 17509
payment standard 110
4
$1,859
2025-10-01
HUD_USER_SAFMR
zip 17509
payment standard 90
4
$1,521
2025-10-01
HUD_USER_SAFMR
zip 17509
safmr
4
$1,690
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.