Reads as: riskier than 62.4% 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
anomaly
Quarter-over-quarter staffing cliff
−45% QoQ
this facility
2026-07-29
anomaly
Staffing collapse vs state peers
2.5σ below
this facility
2026-07-29
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
3.41
3.38
3.28
2.90–3.77
RN
0.28
0.45
0.39
0.25–0.58
Weekend total
3.13
3.27
3.11
—
Weekday total
3.53
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
108.9
3.41
0.28
1.00
2.14
3.13
0.0%
2025Q3
92
111.2
1.82
0.17
0.54
1.12
1.63
0.0%
2025Q2
91
112.1
3.34
0.25
1.03
2.06
3.12
17.6%
2025Q1
90
115.0
3.40
0.34
0.96
2.11
3.12
23.0%
2024Q4
92
114.2
3.53
0.37
1.08
2.07
3.20
24.9%
2024Q3
92
114.6
3.17
0.40
1.00
1.77
2.81
11.7%
2024Q2
91
118.0
3.34
0.42
1.02
1.90
2.98
13.9%
2024Q1
91
116.8
3.32
0.42
1.05
1.84
2.96
7.8%
2023Q4
92
116.0
3.22
0.28
1.08
1.86
2.97
13.2%
2023Q3
92
119.1
3.21
0.28
1.13
1.80
2.94
10.3%
2023Q2
91
124.3
2.45
0.11
0.85
1.50
2.43
26.0%
2023Q1
90
136.3
3.43
0.13
1.17
2.13
3.29
27.7%
2022Q4
92
146.9
3.31
0.13
1.15
2.03
3.13
25.4%
2022Q3
92
141.6
3.36
0.14
1.21
2.02
3.18
21.8%
2022Q2
91
144.4
3.39
0.17
1.28
1.95
3.18
32.2%
2022Q1
90
137.7
3.46
0.14
1.35
1.97
3.08
33.5%
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 residents are fully informed and understand their health status, care and treatments.
D
2026-03-31
2026-02-13
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
B
2026-03-31
2026-02-13
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2026-03-31
2026-02-13
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2026-03-31
2026-02-13
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2026-03-31
2026-02-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-03-31
2025-05-09
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2025-06-24
2025-05-09
Health
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.
D
2025-06-24
2025-05-09
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
B
2025-06-24
2025-05-09
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2025-06-24
2025-05-09
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-06-24
2025-05-09
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2025-06-24
2025-05-09
Health
F0808
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
D
2025-06-24
2025-05-09
Health
F0848
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
B
2025-06-24
2024-08-16
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-09-17
2024-08-16
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2024-09-17
2024-08-16
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
D
2024-09-17
2024-07-19
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2024-09-17
2024-07-19
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.
D
2024-09-17
2024-07-19
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
2024-09-17
2024-07-19
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
2024-09-17
2024-07-19
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
E
2024-09-17
2024-07-19
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2024-09-17
2024-07-19
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-09-17
2024-07-19
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2024-09-17
2024-07-19
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
2024-09-17
2024-07-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-09-17
2024-05-14
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-05-27
2023-08-22
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-09-15
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
55
Owner
Role
Pct
From
Status
Source
AUGUSTINE, EMIL
CORPORATE DIRECTOR
—
2017-05-31
current
pecos_ownership
BALWIERCZAK, MORGAN
CORPORATE OFFICER
—
2025-08-01
current
pecos_ownership
BETZ, EDWIN
CORPORATE DIRECTOR
—
2003-05-28
current
pecos_ownership
BYRNE COLLING, KATHLEEN
CORPORATE DIRECTOR
—
2014-08-27
current
pecos_ownership
DIRHAN, COLEMAN
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
GRILLINI, CATHERINE
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
HERTEL, ALAN
CORPORATE DIRECTOR
—
2020-01-29
current
pecos_ownership
HORN, JANICE
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
JOHNSON, MARYANN
CORPORATE DIRECTOR
—
2011-05-25
current
pecos_ownership
KINSMAN, ALLAN
CORPORATE DIRECTOR
—
2002-05-23
current
pecos_ownership
LAMANTIA, SALVATORE
CORPORATE DIRECTOR
—
2017-10-03
current
pecos_ownership
LEE, LISA
CORPORATE DIRECTOR
—
2016-05-26
current
pecos_ownership
LEWIS, SHARRON
CORPORATE DIRECTOR
—
2016-08-31
current
pecos_ownership
LEWIS, WILLIAM
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
MULLIGAN, ROSEANNE
CORPORATE DIRECTOR
—
2014-08-27
current
pecos_ownership
OLAVIANY, TANYA
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
PICCHINI, BRIAN
CORPORATE OFFICER
—
2012-01-01
current
pecos_ownership
RAY, MARGARET
CORPORATE DIRECTOR
—
2018-08-29
current
pecos_ownership
REID, PHILIP
CORPORATE DIRECTOR
—
2016-05-26
current
pecos_ownership
SMITH, BLENDA
CORPORATE DIRECTOR
—
2014-11-19
current
pecos_ownership
STARR, WILLIAM
CORPORATE DIRECTOR
—
2017-05-31
current
pecos_ownership
TESTA, KENDRA
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
THOMAS, CHARLOTTE
CORPORATE DIRECTOR
—
2018-05-30
current
pecos_ownership
UMH PA CORP
OPERATIONAL/MANAGERIAL CONTROL
—
2007-05-23
current
pecos_ownership
VALENTI, SAMUEL
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
current
pecos_ownership
VALENTI, SAMUEL
ADP OF THE SNF
—
2026-01-26
current
pecos_ownership
YASHINSKY, ERIC
ADP OF THE SNF
—
2025-12-08
current
pecos_ownership
YASHINSKY, ERIC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
current
pecos_ownership
ALAN HERTEL
CORPORATE DIRECTOR
—
2020-01-29
ended 2026-05-18
pecos_ownership
ALLAN KINSMAN
CORPORATE DIRECTOR
—
2002-05-23
ended 2026-05-18
pecos_ownership
BLENDA SMITH
CORPORATE DIRECTOR
—
2014-11-19
ended 2026-05-18
pecos_ownership
BRIAN PICCHINI
CORPORATE OFFICER
—
2012-01-01
ended 2026-05-18
pecos_ownership
CATHERINE GRILLINI
CORPORATE DIRECTOR
—
2024-01-01
ended 2026-05-18
pecos_ownership
CHARLOTTE THOMAS
CORPORATE DIRECTOR
—
2018-05-30
ended 2026-05-18
pecos_ownership
COLEMAN DIRHAN
CORPORATE DIRECTOR
—
2024-01-01
ended 2026-05-18
pecos_ownership
EDWIN BETZ
CORPORATE DIRECTOR
—
2003-05-28
ended 2026-05-18
pecos_ownership
EMIL AUGUSTINE
CORPORATE DIRECTOR
—
2017-05-31
ended 2026-05-18
pecos_ownership
ERIC YASHINSKY
ADP OF THE SNF
—
2025-12-08
ended 2026-05-18
pecos_ownership
ERIC YASHINSKY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
ended 2026-05-18
pecos_ownership
JANICE HORN
CORPORATE DIRECTOR
—
2024-01-01
ended 2026-05-18
pecos_ownership
KATHLEEN BYRNE COLLING
CORPORATE DIRECTOR
—
2014-08-27
ended 2026-05-18
pecos_ownership
KENDRA TESTA
CORPORATE DIRECTOR
—
2024-01-01
ended 2026-05-18
pecos_ownership
LISA LEE
CORPORATE DIRECTOR
—
2016-05-26
ended 2026-05-18
pecos_ownership
MARGARET RAY
CORPORATE DIRECTOR
—
2018-08-29
ended 2026-05-18
pecos_ownership
MARYANN JOHNSON
CORPORATE DIRECTOR
—
2011-05-25
ended 2026-05-18
pecos_ownership
MORGAN BALWIERCZAK
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-01
ended 2026-05-18
pecos_ownership
PHILIP REID
CORPORATE DIRECTOR
—
2016-05-26
ended 2026-05-18
pecos_ownership
ROSEANNE MULLIGAN
CORPORATE DIRECTOR
—
2014-08-27
ended 2026-05-18
pecos_ownership
SALVATORE LAMANTIA
CORPORATE DIRECTOR
—
2017-10-03
ended 2026-05-18
pecos_ownership
SAMUEL VALENTI
ADP OF THE SNF
—
2026-01-26
ended 2026-05-18
pecos_ownership
SAMUEL VALENTI
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
ended 2026-05-18
pecos_ownership
SHARRON LEWIS
CORPORATE DIRECTOR
—
2016-08-31
ended 2026-05-18
pecos_ownership
TANYA OLAVIANY
CORPORATE DIRECTOR
—
2024-01-01
ended 2026-05-18
pecos_ownership
WILLIAM LEWIS
CORPORATE DIRECTOR
—
2024-01-01
ended 2026-05-18
pecos_ownership
WILLIAM STARR
CORPORATE DIRECTOR
—
2017-05-31
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
$1,455,060
—
$1,455,060
—
—
1
—
2023-12-31
$1,532,751
—
$1,532,751
—
—
1
—
2022-12-31
$1,539,123
—
$1,539,123
—
—
1
—
2021-12-31
$1,407,678
—
$1,407,678
—
—
1
—
2020-12-31
$1,490,452
—
$1,490,452
—
—
1
—
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 42079
acs median gross
0
$600
2024-12-31
CENSUS_ACS5
county 42079
fmr
0
$863
2025-10-01
HUD_USER_FMR
county 42079
acs median gross
1
$752
2024-12-31
CENSUS_ACS5
county 42079
fmr
1
$1,028
2025-10-01
HUD_USER_FMR
county 42079
acs median gross
2
$1,016
2024-12-31
CENSUS_ACS5
county 42079
fmr
2
$1,252
2025-10-01
HUD_USER_FMR
county 42079
acs median gross
3
$1,194
2024-12-31
CENSUS_ACS5
county 42079
fmr
3
$1,631
2025-10-01
HUD_USER_FMR
county 42079
acs median gross
4
$1,306
2024-12-31
CENSUS_ACS5
county 42079
fmr
4
$1,766
2025-10-01
HUD_USER_FMR
county 42079
acs median gross
5
$1,428
2024-12-31
CENSUS_ACS5
county 42079
acs median gross
$1,004
2024-12-31
CENSUS_ACS5
county 42079
acs recent mover gross
$1,218
2024-12-31
CENSUS_ACS5
zcta 18640
acs median gross
1
$619
2024-12-31
CENSUS_ACS5
zcta 18640
acs median gross
2
$1,019
2024-12-31
CENSUS_ACS5
zcta 18640
acs median gross
3
$1,171
2024-12-31
CENSUS_ACS5
zcta 18640
acs median gross
$959
2024-12-31
CENSUS_ACS5
zcta 18640
acs recent mover gross
$1,393
2024-12-31
CENSUS_ACS5
zip 18640
payment standard 110
0
$990
2025-10-01
HUD_USER_SAFMR
zip 18640
payment standard 90
0
$810
2025-10-01
HUD_USER_SAFMR
zip 18640
safmr
0
$900
2025-10-01
HUD_USER_SAFMR
zip 18640
payment standard 110
1
$1,188
2025-10-01
HUD_USER_SAFMR
zip 18640
payment standard 90
1
$972
2025-10-01
HUD_USER_SAFMR
zip 18640
safmr
1
$1,080
2025-10-01
HUD_USER_SAFMR
zip 18640
payment standard 110
2
$1,441
2025-10-01
HUD_USER_SAFMR
zip 18640
payment standard 90
2
$1,179
2025-10-01
HUD_USER_SAFMR
zip 18640
safmr
2
$1,310
2025-10-01
HUD_USER_SAFMR
zip 18640
payment standard 110
3
$1,881
2025-10-01
HUD_USER_SAFMR
zip 18640
payment standard 90
3
$1,539
2025-10-01
HUD_USER_SAFMR
zip 18640
safmr
3
$1,710
2025-10-01
HUD_USER_SAFMR
zip 18640
payment standard 110
4
$2,035
2025-10-01
HUD_USER_SAFMR
zip 18640
payment standard 90
4
$1,665
2025-10-01
HUD_USER_SAFMR
zip 18640
safmr
4
$1,850
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.