Reads as: riskier than 69.3% 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
11
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
15 chains
CIBC BANK USA
155 facilities
connection
Owner spans multiple chains
7 chains
PEARLSTEIN ROBERT
16 facilities
connection
Owner spans multiple chains
4 chains
MARTIN FRIEDMAN CPA PC
10 facilities
connection
Owner fleet enforcement cluster
83% fined
HARKINS ANDREA
6 facilities
connection
Owner fleet enforcement cluster
53% fined
MARTIN FRIEDMAN CPA PC
17 facilities
connection
Owner fleet enforcement cluster
47% fined
STRAUSS JONATHAN
19 facilities
connection
Owner fleet enforcement cluster
45% fined
PEARLSTEIN ROBERT
20 facilities
connection
Owner fleet enforcement cluster
43% fined
LOWDEN THOMAS
14 facilities
connection
Owner fleet enforcement cluster
43% fined
KADIMA HEALTHCARE GROUP INC
14 facilities
connection
Owner fleet enforcement cluster
41% fined
PINNACLE HEALTHCARE SOLUTIONS INC
17 facilities
connection
Owner fleet enforcement cluster
40% fined
MORRIS DANIEL
15 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
2.91
3.38
3.28
2.90–3.77
RN
0.92
0.45
0.39
0.25–0.58
Weekend total
2.87
3.27
3.11
—
Weekday total
2.93
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
33.7
2.91
0.92
0.53
1.46
2.87
0.0%
2025Q3
92
35.1
3.13
0.85
0.58
1.69
2.97
0.0%
2025Q2
91
32.4
3.54
0.82
0.88
1.85
3.37
43.5%
2025Q1
90
33.7
3.58
0.59
0.98
2.01
3.38
45.8%
2024Q4
92
38.0
2.62
0.63
0.75
1.24
2.50
42.1%
2024Q3
92
39.1
2.90
0.63
0.75
1.51
2.83
44.0%
2024Q2
91
39.4
2.74
0.59
0.64
1.51
2.70
29.5%
2024Q1
91
35.8
3.02
0.71
0.63
1.68
2.96
19.3%
2023Q4
92
37.3
3.03
0.69
0.77
1.56
2.94
18.8%
2023Q3
92
36.9
2.87
0.45
0.74
1.68
2.71
23.9%
2023Q2
91
38.4
2.65
0.23
0.78
1.64
2.53
5.4%
2023Q1
90
36.7
2.73
0.54
0.62
1.57
2.65
0.2%
2022Q4
92
37.4
2.62
0.57
0.56
1.50
2.50
3.5%
2022Q3
92
38.2
2.68
0.56
0.46
1.66
2.57
17.0%
2022Q2
91
35.8
2.23
0.46
0.51
1.27
2.11
30.4%
2022Q1
90
35.3
2.25
0.26
0.62
1.36
2.25
56.4%
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.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-12-20
2025-11-20
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-12-20
2025-11-20
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-12-20
2025-11-20
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2025-12-20
2025-11-20
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-12-20
2025-11-20
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-12-20
2025-03-28
Health · complaint
F0567
Honor the resident's right to manage his or her financial affairs.
D
2025-04-08
2025-03-28
Health · complaint
F0624
Prepare residents for a safe transfer or discharge from the nursing home.
D
2025-04-09
2025-02-27
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K
2025-03-16
2025-02-27
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
E
2025-03-16
2025-02-27
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-03-16
2024-12-30
Health · complaint
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2025-01-26
2024-11-27
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
L
2024-12-30
2024-11-27
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.
L
2024-12-30
2024-11-27
Health · complaint
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F
2025-01-26
2024-11-27
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F
2024-12-30
2024-10-25
Health
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
2024-12-16
2024-10-25
Health
F0641
Ensure each resident receives an accurate assessment.
E
2024-12-16
2024-10-25
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-12-16
2024-10-25
Health
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
2024-12-16
2024-10-25
Health
F0692
Provide enough food/fluids to maintain a resident's health.
E
2025-01-26
2024-10-25
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-12-16
2024-10-25
Health
F0838
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
C
2024-12-16
2024-10-25
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-12-16
2024-06-14
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-08-05
2023-11-06
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
2024-01-05
2023-11-06
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2024-01-05
2023-11-06
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.
L
2024-01-05
2023-11-06
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2024-01-05
2023-11-06
Health
F0641
Ensure each resident receives an accurate assessment.
E
2024-01-05
2023-11-06
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-01-05
2023-11-06
Health
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F
2024-01-05
2023-11-06
Health
F0838
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
C
2024-01-05
2023-11-06
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F
2024-01-05
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
23
Owner
Role
Pct
From
Status
Source
BOIDE, WILLIAM
ADP OF THE SNF
—
2025-02-10
current
pecos_ownership
CIBC BANK USA
5% OR GREATER MORTGAGE INTEREST
—
2025-08-06
current
pecos_ownership
HARKINS, ANDREA
ADP OF THE SNF
—
2025-09-15
current
pecos_ownership
KADIMA HEALTHCARE GROUP INC
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-29
current
pecos_ownership
KADIMA HEALTHCARE GROUP INC
ADP OF THE SNF
—
2025-11-26
current
pecos_ownership
LOWDEN, THOMAS
ADP OF THE SNF
—
2025-10-01
current
pecos_ownership
MARTIN FRIEDMAN CPA PC
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
MORRIS, DANIEL
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-29
current
pecos_ownership
PARSONS, MICHELLE
ADP OF THE SNF
—
2025-06-02
current
pecos_ownership
PEARLSTEIN, ROBERT
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
PINNACLE HEALTHCARE SOLUTIONS INC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
PINNACLE HEALTHCARE SOLUTIONS INC
ADP OF THE SNF
—
2025-11-26
current
pecos_ownership
POTTSTOWN PROPERTY MANAGEMENT LLC
ADP OF THE SNF
—
2018-08-29
current
pecos_ownership
STRAUSS, JONATHAN
ADP OF THE SNF
—
2018-08-29
current
pecos_ownership
DANIEL MORRIS
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2024-11-01
ended 2026-05-18
pecos_ownership
JONATHAN STRAUSS
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2024-11-01
ended 2026-05-18
pecos_ownership
ANDREA HARKINS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-09-15
ended 2026-05-18
pecos_ownership
DANIEL MORRIS
ADP OF THE SNF
—
2018-08-29
ended 2026-05-18
pecos_ownership
JONATHAN STRAUSS
ADP OF THE SNF
—
2018-08-29
ended 2026-05-18
pecos_ownership
MICHELLE PARSONS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-02
ended 2026-05-18
pecos_ownership
ROBERT PEARLSTEIN
ADP OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
THOMAS LOWDEN
ADP OF THE SNF
—
2025-10-01
ended 2026-05-18
pecos_ownership
WILLIAM BOIDE
ADP OF THE SNF
—
2025-02-10
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
2023-12-31
$183,198
—
—
—
—
1
—
2021-12-31
$188,022
—
—
—
—
1
—
2020-12-31
$197,943
—
—
—
—
1
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 42029
acs median gross
0
$1,440
2024-12-31
CENSUS_ACS5
county 42029
fmr
0
$1,397
2025-10-01
HUD_USER_FMR
county 42029
acs median gross
1
$1,604
2024-12-31
CENSUS_ACS5
county 42029
fmr
1
$1,520
2025-10-01
HUD_USER_FMR
county 42029
acs median gross
2
$1,870
2024-12-31
CENSUS_ACS5
county 42029
fmr
2
$1,810
2025-10-01
HUD_USER_FMR
county 42029
acs median gross
3
$1,942
2024-12-31
CENSUS_ACS5
county 42029
fmr
3
$2,170
2025-10-01
HUD_USER_FMR
county 42029
acs median gross
4
$1,944
2024-12-31
CENSUS_ACS5
county 42029
fmr
4
$2,423
2025-10-01
HUD_USER_FMR
county 42029
acs median gross
5
$2,291
2024-12-31
CENSUS_ACS5
county 42029
acs median gross
$1,763
2024-12-31
CENSUS_ACS5
county 42029
acs recent mover gross
$2,005
2024-12-31
CENSUS_ACS5
zcta 19464
acs median gross
0
$816
2024-12-31
CENSUS_ACS5
zcta 19464
acs median gross
1
$1,041
2024-12-31
CENSUS_ACS5
zcta 19464
acs median gross
2
$1,351
2024-12-31
CENSUS_ACS5
zcta 19464
acs median gross
3
$1,771
2024-12-31
CENSUS_ACS5
zcta 19464
acs median gross
4
$1,823
2024-12-31
CENSUS_ACS5
zcta 19464
acs median gross
5
$2,419
2024-12-31
CENSUS_ACS5
zcta 19464
acs median gross
$1,320
2024-12-31
CENSUS_ACS5
zcta 19464
acs recent mover gross
$1,608
2024-12-31
CENSUS_ACS5
zip 19464
payment standard 110
0
$1,364
2025-10-01
HUD_USER_SAFMR
zip 19464
payment standard 90
0
$1,116
2025-10-01
HUD_USER_SAFMR
zip 19464
safmr
0
$1,240
2025-10-01
HUD_USER_SAFMR
zip 19464
payment standard 110
1
$1,485
2025-10-01
HUD_USER_SAFMR
zip 19464
payment standard 90
1
$1,215
2025-10-01
HUD_USER_SAFMR
zip 19464
safmr
1
$1,350
2025-10-01
HUD_USER_SAFMR
zip 19464
payment standard 110
2
$1,771
2025-10-01
HUD_USER_SAFMR
zip 19464
payment standard 90
2
$1,449
2025-10-01
HUD_USER_SAFMR
zip 19464
safmr
2
$1,610
2025-10-01
HUD_USER_SAFMR
zip 19464
payment standard 110
3
$2,123
2025-10-01
HUD_USER_SAFMR
zip 19464
payment standard 90
3
$1,737
2025-10-01
HUD_USER_SAFMR
zip 19464
safmr
3
$1,930
2025-10-01
HUD_USER_SAFMR
zip 19464
payment standard 110
4
$2,376
2025-10-01
HUD_USER_SAFMR
zip 19464
payment standard 90
4
$1,944
2025-10-01
HUD_USER_SAFMR
zip 19464
safmr
4
$2,160
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.