Reads as: riskier than 24.7% 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 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
8.24
3.33
3.28
2.90–3.77
RN
4.73
0.43
0.39
0.25–0.58
Weekend total
7.60
3.03
3.11
—
Weekday total
8.48
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
13.4
8.24
4.73
0.00
3.51
7.60
0.0%
2025Q3
92
13.2
8.41
4.99
0.00
3.42
7.32
0.0%
2025Q2
91
11.4
9.51
5.60
0.00
3.90
8.21
0.0%
2025Q1
90
13.0
8.44
5.01
0.00
3.43
7.51
0.0%
2024Q4
92
13.6
7.98
4.53
0.00
3.45
7.32
0.0%
2024Q3
92
12.8
8.73
5.42
0.00
3.31
7.48
0.0%
2024Q2
91
13.1
9.38
5.97
0.00
3.40
7.56
0.0%
2024Q1
91
13.4
8.81
5.47
0.00
3.35
6.82
0.0%
2023Q4
92
14.6
7.57
4.66
0.00
2.92
6.46
0.0%
2023Q3
92
14.4
7.40
4.62
0.00
2.78
5.92
0.0%
2023Q2
91
13.0
8.59
5.23
0.00
3.35
6.95
0.0%
2023Q1
90
12.4
8.03
5.36
0.00
2.67
6.64
0.0%
2022Q4
92
12.3
8.25
5.33
0.00
2.92
6.81
0.0%
2022Q3
92
10.6
9.53
5.89
0.00
3.65
8.03
0.0%
2022Q2
91
9.1
10.06
6.38
0.00
3.68
8.32
0.0%
2022Q1
90
8.5
9.85
5.65
0.00
4.20
8.06
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
12
C × 2D × 8E × 1F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-05-23
Health
F0635
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
D
2025-07-18
2025-05-23
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-07-18
2025-05-23
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-07-18
2025-05-23
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-07-21
2025-05-23
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
C
2025-07-18
2025-05-23
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-07-18
2025-05-23
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
D
2025-07-18
2024-06-20
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2024-08-15
2024-06-20
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
D
2024-08-15
2024-06-20
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-08-15
2022-10-05
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
C
2022-11-21
2022-10-05
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2022-11-21
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
67
Owner
Role
Pct
From
Status
Source
NORTHWELL HEALTHCARE INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2018-01-01
current
pecos_ownership
BELLO, STEPHEN
CORPORATE DIRECTOR
—
2019-09-01
current
pecos_ownership
BLUMENCRANZ, ROGER
CORPORATE DIRECTOR
—
2018-02-01
current
pecos_ownership
BRITTON, BETSY
CORPORATE DIRECTOR
—
—
current
pecos_ownership
COLSON, MARVIN
CORPORATE DIRECTOR
—
2019-07-01
current
pecos_ownership
CRAIG, NICHOLAS
CORPORATE OFFICER
—
2017-01-01
current
pecos_ownership
CUSACK, MICHELE
CORPORATE OFFICER
—
2018-01-01
current
pecos_ownership
DANOWSKI, JAMES
CORPORATE OFFICER
—
2004-11-01
current
pecos_ownership
DIAZ, SYLVIA
CORPORATE DIRECTOR
—
2019-07-01
current
pecos_ownership
DIVINEY, JOHN
CORPORATE DIRECTOR
—
2019-04-01
current
pecos_ownership
DIVINEY, JOHN
OPERATIONAL/MANAGERIAL CONTROL
—
2014-05-01
current
pecos_ownership
DONNELLY, SHARON
W-2 MANAGING EMPLOYEE
—
2016-09-12
current
pecos_ownership
ENGELHARDT, DEBRA
CORPORATE DIRECTOR
—
2015-09-01
current
pecos_ownership
FREY, KATHRYN
CORPORATE DIRECTOR
—
2005-07-01
current
pecos_ownership
FREY, KATHRYN
CORPORATE OFFICER
—
2005-10-01
current
pecos_ownership
GLYNN, TIMOTHY
OPERATIONAL/MANAGERIAL CONTROL
—
2011-12-01
current
pecos_ownership
IADANZA, CHRISTINA
W-2 MANAGING EMPLOYEE
—
2016-09-12
current
pecos_ownership
KUHN, KONRAD
CORPORATE DIRECTOR
—
—
current
pecos_ownership
LIPPENCOTT, DONALD
CORPORATE DIRECTOR
—
2019-07-01
current
pecos_ownership
LIVRERI, CHRISTINE
CORPORATE DIRECTOR
—
2016-09-12
current
pecos_ownership
MADER, WILLIAM
W-2 MANAGING EMPLOYEE
—
2023-08-01
current
pecos_ownership
NAPPI, RALPH
CORPORATE DIRECTOR
—
—
current
pecos_ownership
NAPPI, RALPH
CORPORATE OFFICER
—
2018-01-01
current
pecos_ownership
NG, JOSEPH
W-2 MANAGING EMPLOYEE
—
2023-08-01
current
pecos_ownership
ROBERTS, KENNETH
CORPORATE DIRECTOR
—
—
current
pecos_ownership
RUGGIERO, CHRISTINE
CORPORATE DIRECTOR
—
2019-04-01
current
pecos_ownership
SINI, JOHN
CORPORATE DIRECTOR
—
—
current
pecos_ownership
STERNLICHT, LEO
CORPORATE OFFICER
—
2004-11-01
current
pecos_ownership
TRANCHON, HAROLD
CORPORATE DIRECTOR
—
—
current
pecos_ownership
WEISS, EDWARD
CORPORATE OFFICER
—
—
current
pecos_ownership
WISNOSKI, JOSEPH
OPERATIONAL/MANAGERIAL CONTROL
—
2013-07-16
current
pecos_ownership
WISNOSKI, JOSEPH
W-2 MANAGING EMPLOYEE
—
2016-07-12
current
pecos_ownership
WISNOSKI, JOSEPH
CORPORATE DIRECTOR
—
2009-06-01
current
pecos_ownership
YU, JOHN
CORPORATE DIRECTOR
—
2019-04-01
current
pecos_ownership
JOSEPH NG
W-2 MANAGING EMPLOYEE
0%
2023-08-01
ended 2026-05-18
pecos_ownership
WILLIAM MADER
W-2 MANAGING EMPLOYEE
0%
2023-08-01
ended 2026-05-18
pecos_ownership
BETSY BRITTON
CORPORATE DIRECTOR
—
—
ended 2026-05-18
pecos_ownership
CHRISTINA IADANZA
OPERATIONAL/MANAGERIAL CONTROL
—
2016-09-12
ended 2026-05-18
pecos_ownership
CHRISTINE LIVRERI
OPERATIONAL/MANAGERIAL CONTROL
—
2016-09-12
ended 2026-05-18
pecos_ownership
CHRISTINE RUGGIERO
CORPORATE DIRECTOR
—
2019-04-01
ended 2026-05-18
pecos_ownership
DEBRA ENGELHARDT
CORPORATE DIRECTOR
—
2015-09-01
ended 2026-05-18
pecos_ownership
DONALD LIPPENCOTT
CORPORATE DIRECTOR
—
2019-07-01
ended 2026-05-18
pecos_ownership
EDWARD WEISS
CORPORATE OFFICER
—
—
ended 2026-05-18
pecos_ownership
HAROLD TRANCHON
CORPORATE OFFICER
—
—
ended 2026-05-18
pecos_ownership
JAMES DANOWSKI
CORPORATE OFFICER
—
2004-11-01
ended 2026-05-18
pecos_ownership
JOHN DIVINEY
OPERATIONAL/MANAGERIAL CONTROL
—
2014-05-01
ended 2026-05-18
pecos_ownership
JOHN DIVINEY
CORPORATE DIRECTOR
—
2019-04-01
ended 2026-05-18
pecos_ownership
JOHN SINI
CORPORATE DIRECTOR
—
—
ended 2026-05-18
pecos_ownership
JOHN YU
CORPORATE DIRECTOR
—
2019-04-01
ended 2026-05-18
pecos_ownership
JOSEPH WISNOSKI
OPERATIONAL/MANAGERIAL CONTROL
—
2013-07-16
ended 2026-05-18
pecos_ownership
JOSEPH WISNOSKI
W-2 MANAGING EMPLOYEE
—
2016-07-12
ended 2026-05-18
pecos_ownership
JOSEPH WISNOSKI
CORPORATE DIRECTOR
—
2009-06-01
ended 2026-05-18
pecos_ownership
KATHRYN FREY
OPERATIONAL/MANAGERIAL CONTROL
—
2005-10-01
ended 2026-05-18
pecos_ownership
KATHRYN FREY
CORPORATE DIRECTOR
—
2005-07-01
ended 2026-05-18
pecos_ownership
KENNETH ROBERTS
OPERATIONAL/MANAGERIAL CONTROL
—
—
ended 2026-05-18
pecos_ownership
KONRAD KUHN
OPERATIONAL/MANAGERIAL CONTROL
—
—
ended 2026-05-18
pecos_ownership
LEO STERNLICHT
CORPORATE OFFICER
—
2004-11-01
ended 2026-05-18
pecos_ownership
MARVIN COLSON
CORPORATE DIRECTOR
—
2019-07-01
ended 2026-05-18
pecos_ownership
MICHELE CUSACK
CORPORATE OFFICER
—
2018-01-01
ended 2026-05-18
pecos_ownership
NICHOLAS CRAIG
CORPORATE OFFICER
—
2017-01-01
ended 2026-05-18
pecos_ownership
RALPH NAPPI
CORPORATE OFFICER
—
2018-01-01
ended 2026-05-18
pecos_ownership
RALPH NAPPI
CORPORATE DIRECTOR
—
—
ended 2026-05-18
pecos_ownership
ROGER BLUMENCRANZ
CORPORATE DIRECTOR
—
2018-02-01
ended 2026-05-18
pecos_ownership
SHARON DONNELLY
CORPORATE DIRECTOR
—
2016-09-12
ended 2026-05-18
pecos_ownership
STEPHEN BELLO
CORPORATE DIRECTOR
—
2019-09-01
ended 2026-05-18
pecos_ownership
SYLVIA DIAZ
CORPORATE DIRECTOR
—
2019-07-01
ended 2026-05-18
pecos_ownership
TIMOTHY GLYNN
OPERATIONAL/MANAGERIAL CONTROL
—
2011-12-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 36103
acs median gross
0
$1,765
2024-12-31
CENSUS_ACS5
county 36103
fmr
0
$1,992
2025-10-01
HUD_USER_FMR
county 36103
acs median gross
1
$1,944
2024-12-31
CENSUS_ACS5
county 36103
fmr
1
$2,379
2025-10-01
HUD_USER_FMR
county 36103
acs median gross
2
$2,332
2024-12-31
CENSUS_ACS5
county 36103
fmr
2
$2,747
2025-10-01
HUD_USER_FMR
county 36103
acs median gross
3
$2,669
2024-12-31
CENSUS_ACS5
county 36103
fmr
3
$3,563
2025-10-01
HUD_USER_FMR
county 36103
acs median gross
4
$2,795
2024-12-31
CENSUS_ACS5
county 36103
fmr
4
$3,768
2025-10-01
HUD_USER_FMR
county 36103
acs median gross
5
$2,721
2024-12-31
CENSUS_ACS5
county 36103
acs median gross
$2,255
2024-12-31
CENSUS_ACS5
county 36103
acs recent mover gross
$2,479
2024-12-31
CENSUS_ACS5
zcta 11777
acs median gross
0
$2,132
2024-12-31
CENSUS_ACS5
zcta 11777
acs median gross
1
$2,195
2024-12-31
CENSUS_ACS5
zcta 11777
acs median gross
2
$2,314
2024-12-31
CENSUS_ACS5
zcta 11777
acs median gross
3
$2,781
2024-12-31
CENSUS_ACS5
zcta 11777
acs median gross
4
$2,795
2024-12-31
CENSUS_ACS5
zcta 11777
acs median gross
$2,359
2024-12-31
CENSUS_ACS5
zcta 11777
acs recent mover gross
$2,906
2024-12-31
CENSUS_ACS5
zip 11777
payment standard 110
0
$2,255
2025-10-01
HUD_USER_SAFMR
zip 11777
payment standard 90
0
$1,845
2025-10-01
HUD_USER_SAFMR
zip 11777
safmr
0
$2,050
2025-10-01
HUD_USER_SAFMR
zip 11777
payment standard 110
1
$2,695
2025-10-01
HUD_USER_SAFMR
zip 11777
payment standard 90
1
$2,205
2025-10-01
HUD_USER_SAFMR
zip 11777
safmr
1
$2,450
2025-10-01
HUD_USER_SAFMR
zip 11777
payment standard 110
2
$3,113
2025-10-01
HUD_USER_SAFMR
zip 11777
payment standard 90
2
$2,547
2025-10-01
HUD_USER_SAFMR
zip 11777
safmr
2
$2,830
2025-10-01
HUD_USER_SAFMR
zip 11777
payment standard 110
3
$4,037
2025-10-01
HUD_USER_SAFMR
zip 11777
payment standard 90
3
$3,303
2025-10-01
HUD_USER_SAFMR
zip 11777
safmr
3
$3,670
2025-10-01
HUD_USER_SAFMR
zip 11777
payment standard 110
4
$4,268
2025-10-01
HUD_USER_SAFMR
zip 11777
payment standard 90
4
$3,492
2025-10-01
HUD_USER_SAFMR
zip 11777
safmr
4
$3,880
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.