Reads as: riskier than 57.0% 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
9
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+32.3 vs natl
MASHIACH YECHIEL
10 facilities
connection
Owner fleet risk far above national
+31.4 vs natl
MASHIACH YAACOV
9 facilities
connection
Owner fleet risk far above national
+30.2 vs natl
MIRETZKY STEVEN
10 facilities
connection
Owner fleet risk far above national
+24.8 vs natl
WISSATI IRREVOCABLE TRUST
7 facilities
connection
Owner fleet risk far above national
+22.4 vs natl
MASHIACH RHONDA
5 facilities
connection
Owner fleet risk far above national
+21.4 vs natl
GRASSO ALBERT
5 facilities
connection
Owner fleet risk far above national
+20.7 vs natl
LIPSHITZ RITA
6 facilities
connection
Owner fleet enforcement cluster
50% fined
MIRETZKY STEVEN
10 facilities
connection
Owner fleet enforcement cluster
43% fined
WISSATI IRREVOCABLE TRUST
7 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 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
11
2025Q4 HPRD
This facility
IL median
National median
National p25–p75
Total nurse
2.16
3.13
3.28
2.90–3.77
RN
0.16
0.49
0.39
0.25–0.58
Weekend total
1.86
2.93
3.11
—
Weekday total
2.28
3.23
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
138.1
2.16
0.16
0.63
1.37
1.86
0.0%
2025Q3
92
138.2
2.09
0.14
0.56
1.39
1.84
0.0%
2025Q2
91
137.6
2.00
0.13
0.53
1.34
1.80
0.0%
2025Q1
90
139.9
2.07
0.15
0.58
1.34
1.84
0.6%
2024Q4
92
140.7
2.00
0.15
0.60
1.25
1.78
0.3%
2024Q3
92
138.8
1.95
0.15
0.58
1.22
1.75
0.0%
2024Q2
91
135.3
1.96
0.17
0.55
1.25
1.78
0.0%
2024Q1
91
133.7
1.93
0.17
0.53
1.23
1.78
0.0%
2023Q4
92
134.8
1.82
0.17
0.47
1.17
1.75
0.0%
2023Q3
92
135.9
1.84
0.16
0.48
1.20
1.69
0.0%
2023Q2
91
108.0
2.26
0.18
0.63
1.45
2.13
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
34
D × 15E × 9F × 8G × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-27
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2026-05-29
2025-05-23
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2025-06-11
2025-05-09
Health · complaint
F0567
Honor the resident's right to manage his or her financial affairs.
D
2025-05-22
2025-05-09
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-06-11
2025-04-11
Health
F0557
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
D
2025-04-25
2025-04-11
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2025-04-25
2025-04-11
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2025-04-25
2025-04-11
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2025-04-25
2025-04-11
Health
F0691
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
D
2025-04-25
2025-04-11
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-04-25
2025-04-11
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2025-04-25
2025-04-11
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-04-25
2025-04-11
Health
F0880
Provide and implement an infection prevention and control program.
F
2025-04-25
2025-04-11
Health
F0881
Implement a program that monitors antibiotic use.
D
2025-04-25
2025-04-11
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
E
2025-04-25
2025-01-08
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
2025-01-20
2024-10-21
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F
2024-12-05
2024-10-11
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-10-21
2024-08-29
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-09-11
2024-08-05
Health · complaint
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F
2024-08-09
2024-03-07
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2024-03-26
2024-03-07
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2024-03-26
2024-03-07
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-03-26
2024-03-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-03-26
2024-03-07
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-03-26
2024-03-07
Health
F0914
Provide bedrooms that don't allow residents to see each other when privacy is needed.
E
2024-03-26
2024-03-07
Health
F0924
Put firmly secured handrails on each side of hallways.
E
2024-03-26
2023-12-20
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-01-02
2023-05-04
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-05-18
2023-05-04
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2023-05-18
2023-05-04
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-05-18
2023-05-04
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
D
2023-05-18
2023-05-04
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2023-05-18
2023-05-04
Health
F0924
Put firmly secured handrails on each side of hallways.
E
2023-05-18
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
19
Owner
Role
Pct
From
Status
Source
ALL AMERICAN VILLAGE PROPERTY LLC
Individual has financial interest in both related organization and provider
—
2023-01-01
current
hcris_a_8_1
ARJONA, ORLANDO
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-01
current
pecos_ownership
GRASSO, ALBERT
TRUSTEE OF THE SNF
—
2022-07-01
current
pecos_ownership
LIPSHITZ, RITA
ADP OF THE SNF
—
2022-07-01
current
pecos_ownership
MASHIACH, RHONDA
ADP OF THE SNF
—
2022-07-01
current
pecos_ownership
MASHIACH, YAACOV
ADP OF THE SNF
—
2022-07-01
current
pecos_ownership
MASHIACH, YECHIEL
ADP OF THE SNF
—
2022-07-01
current
pecos_ownership
MIDLAND STATES BANCORP INC
5% OR GREATER SECURITY INTEREST
—
2024-12-11
current
pecos_ownership
MIRETZKY, STEVEN
TRUSTEE OF THE SNF
—
2022-07-01
current
pecos_ownership
SHAH, BHARAT
ADP OF THE SNF
—
2022-07-01
current
pecos_ownership
WISSATI IRREVOCABLE TRUST
ADP OF THE SNF
—
2022-07-01
current
pecos_ownership
YAACOV MASHIACH
5% OR GREATER DIRECT OWNERSHIP INTEREST
23%
2022-07-01
ended 2026-05-18
pecos_ownership
YECHIEL MASHIACH
5% OR GREATER DIRECT OWNERSHIP INTEREST
23%
2022-07-01
ended 2026-05-18
pecos_ownership
RHONDA MASHIACH
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2022-07-01
ended 2026-05-18
pecos_ownership
RITA LIPSHITZ
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2022-07-01
ended 2026-05-18
pecos_ownership
ALBERT GRASSO
TRUSTEE OF THE SNF
—
2022-07-01
ended 2026-05-18
pecos_ownership
BHARAT SHAH
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-01
ended 2026-05-18
pecos_ownership
ORLANDO ARJONA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-01
ended 2026-05-18
pecos_ownership
STEVEN MIRETZKY
TRUSTEE OF THE SNF
—
2022-07-01
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
2
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,881,396
$1,624,397
—
—
—
2
—
2023-12-31
$2,170,755
—
$423,157
—
—
3
propco
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
35
Geo
Kind
BR
Amount
As of
Source
county 17031
acs median gross
0
$1,230
2024-12-31
CENSUS_ACS5
county 17031
fmr
0
$1,480
2025-10-01
HUD_USER_FMR
county 17031
acs median gross
1
$1,271
2024-12-31
CENSUS_ACS5
county 17031
fmr
1
$1,581
2025-10-01
HUD_USER_FMR
county 17031
acs median gross
2
$1,454
2024-12-31
CENSUS_ACS5
county 17031
fmr
2
$1,781
2025-10-01
HUD_USER_FMR
county 17031
acs median gross
3
$1,693
2024-12-31
CENSUS_ACS5
county 17031
fmr
3
$2,294
2025-10-01
HUD_USER_FMR
county 17031
acs median gross
4
$1,909
2024-12-31
CENSUS_ACS5
county 17031
fmr
4
$2,653
2025-10-01
HUD_USER_FMR
county 17031
acs median gross
5
$1,794
2024-12-31
CENSUS_ACS5
county 17031
acs median gross
$1,435
2024-12-31
CENSUS_ACS5
county 17031
acs recent mover gross
$1,752
2024-12-31
CENSUS_ACS5
zcta 60640
acs median gross
0
$1,121
2024-12-31
CENSUS_ACS5
zcta 60640
acs median gross
1
$1,326
2024-12-31
CENSUS_ACS5
zcta 60640
acs median gross
2
$1,838
2024-12-31
CENSUS_ACS5
zcta 60640
acs median gross
3
$2,135
2024-12-31
CENSUS_ACS5
zcta 60640
acs median gross
4
$1,827
2024-12-31
CENSUS_ACS5
zcta 60640
acs median gross
$1,413
2024-12-31
CENSUS_ACS5
zcta 60640
acs recent mover gross
$1,662
2024-12-31
CENSUS_ACS5
zip 60640
payment standard 110
0
$2,101
2025-10-01
HUD_USER_SAFMR
zip 60640
payment standard 90
0
$1,719
2025-10-01
HUD_USER_SAFMR
zip 60640
safmr
0
$1,910
2025-10-01
HUD_USER_SAFMR
zip 60640
payment standard 110
1
$2,244
2025-10-01
HUD_USER_SAFMR
zip 60640
payment standard 90
1
$1,836
2025-10-01
HUD_USER_SAFMR
zip 60640
safmr
1
$2,040
2025-10-01
HUD_USER_SAFMR
zip 60640
payment standard 110
2
$2,530
2025-10-01
HUD_USER_SAFMR
zip 60640
payment standard 90
2
$2,070
2025-10-01
HUD_USER_SAFMR
zip 60640
safmr
2
$2,300
2025-10-01
HUD_USER_SAFMR
zip 60640
payment standard 110
3
$3,256
2025-10-01
HUD_USER_SAFMR
zip 60640
payment standard 90
3
$2,664
2025-10-01
HUD_USER_SAFMR
zip 60640
safmr
3
$2,960
2025-10-01
HUD_USER_SAFMR
zip 60640
payment standard 110
4
$3,773
2025-10-01
HUD_USER_SAFMR
zip 60640
payment standard 90
4
$3,087
2025-10-01
HUD_USER_SAFMR
zip 60640
safmr
4
$3,430
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.