Reads as: riskier than 52.6% 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
23
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+29.7 vs natl
CHASE OFFICE LLC
82 facilities
connection
Owner fleet risk far above national
+28.1 vs natl
TUROFSKY STEVEN
87 facilities
connection
Owner fleet risk far above national
+27.4 vs natl
SPECTOR JENNIFER
93 facilities
connection
Owner fleet risk far above national
+26.3 vs natl
BERKOWITZ DAVID
77 facilities
connection
Owner fleet risk far above national
+26.2 vs natl
MEYSTEL YOSEF
77 facilities
connection
Owner fleet risk far above national
+25.9 vs natl
APERION CARE INC
29 facilities
connection
Owner fleet risk far above national
+24.6 vs natl
ULBERT LISA
30 facilities
connection
Owner fleet risk far above national
+24.3 vs natl
HOFFMAN JOSHUA
16 facilities
connection
Owner fleet risk far above national
+21.9 vs natl
GOLDFARB BRIAN
30 facilities
connection
Owner spans multiple chains
13 chains
CHASE OFFICE LLC
75 facilities
connection
Owner spans multiple chains
9 chains
SPECTOR JENNIFER
90 facilities
connection
Owner spans multiple chains
9 chains
TUROFSKY STEVEN
84 facilities
connection
Owner spans multiple chains
8 chains
MEYSTEL YOSEF
73 facilities
connection
Owner spans multiple chains
8 chains
BERKOWITZ DAVID
73 facilities
connection
Owner spans multiple chains
8 chains
APERION CARE INC
28 facilities
connection
Owner spans multiple chains
8 chains
ULBERT LISA
29 facilities
connection
Owner fleet enforcement cluster
60% fined
GOLDFARB BRIAN
30 facilities
connection
Owner fleet enforcement cluster
56% fined
HOFFMAN JOSHUA
16 facilities
connection
Owner fleet enforcement cluster
53% fined
SPECTOR JENNIFER
93 facilities
connection
Owner fleet enforcement cluster
52% fined
TUROFSKY STEVEN
87 facilities
connection
Owner fleet enforcement cluster
51% fined
MEYSTEL YOSEF
77 facilities
connection
Owner fleet enforcement cluster
51% fined
BERKOWITZ DAVID
77 facilities
connection
Owner fleet enforcement cluster
44% fined
CHASE OFFICE LLC
82 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
IN median
National median
National p25–p75
Total nurse
2.35
2.85
3.28
2.90–3.77
RN
0.28
0.40
0.39
0.25–0.58
Weekend total
2.06
2.71
3.11
—
Weekday total
2.47
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
52.0
2.35
0.28
0.56
1.51
2.06
0.0%
2025Q3
92
50.8
2.33
0.27
0.59
1.47
2.13
0.0%
2025Q2
91
50.5
2.34
0.25
0.59
1.50
2.20
0.0%
2025Q1
90
50.4
2.32
0.32
0.53
1.47
2.25
0.2%
2024Q4
92
51.3
2.27
0.23
0.62
1.42
2.19
0.1%
2024Q3
92
50.4
2.10
0.20
0.59
1.32
2.04
0.0%
2024Q2
91
47.2
2.32
0.22
0.67
1.43
2.33
1.4%
2024Q1
91
47.3
2.21
0.19
0.59
1.43
2.12
1.8%
2023Q4
92
40.3
2.51
0.13
0.73
1.66
2.49
1.9%
2023Q3
92
40.4
2.72
0.12
0.87
1.73
2.59
1.7%
2023Q2
91
39.3
2.75
0.10
0.90
1.75
2.74
4.8%
2023Q1
90
42.6
2.65
0.16
0.88
1.61
2.53
1.1%
2022Q4
92
43.6
2.61
0.20
0.80
1.61
2.52
0.0%
2022Q3
92
47.5
2.49
0.17
0.76
1.55
2.25
0.3%
2022Q2
91
45.9
2.26
0.18
0.74
1.34
2.11
6.9%
2022Q1
90
43.1
2.02
0.15
0.78
1.10
2.08
7.3%
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
31
D × 25E × 5F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-09-30
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-10-15
2025-09-30
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-10-15
2025-09-30
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2025-10-15
2025-09-30
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-10-15
2025-09-30
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
2025-10-15
2025-09-30
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-10-15
2025-09-30
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.
D
2025-10-15
2024-10-15
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-10-23
2024-08-30
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
E
2024-09-17
2024-08-30
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
2024-08-30
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
E
2024-09-17
2024-08-30
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2024-09-17
2024-08-30
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-09-17
2024-08-30
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2024-09-17
2024-08-30
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2024-09-17
2024-08-30
Health
F0679
Provide activities to meet all resident's needs.
D
2024-09-17
2024-08-30
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-09-17
2024-08-30
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2024-09-17
2024-08-30
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-09-17
2024-08-30
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-09-17
2024-08-30
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.
D
2024-09-17
2024-08-30
Health
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2024-09-17
2024-08-30
Health
F0791
Provide or obtain dental services for each resident.
D
2024-09-17
2024-08-30
Health
F0814
Dispose of garbage and refuse properly.
F
2024-09-17
2024-08-30
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-09-17
2024-08-30
Health
F0881
Implement a program that monitors antibiotic use.
D
2024-09-17
2023-06-27
Health
F0557
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
D
2023-07-27
2023-06-27
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
2023-07-27
2023-06-27
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-07-27
2023-06-27
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
2023-07-27
2023-06-27
Health
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.
D
2023-07-27
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
35
Owner
Role
Pct
From
Status
Source
DAVIESS COUNTY HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2017-09-01
current
pecos_ownership
5430 W HWY 40
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
ADAMS, JENNIFER
CONTRACTED MANAGING EMPLOYEE
—
2024-03-01
current
pecos_ownership
APERION CARE GREENFIELD, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-01
current
pecos_ownership
APERION CARE INC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-01
current
pecos_ownership
BERKOWITZ, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-01
current
pecos_ownership
CHASE OFFICE LLC
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
CONROY, TRACY
CORPORATE OFFICER
—
2017-09-01
current
pecos_ownership
GOLDFARB, BRIAN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-01
current
pecos_ownership
HOFFMAN, JOSHUA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-01
current
pecos_ownership
MEYSTEL, JAY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-01
current
pecos_ownership
MEYSTEL, YOSEF
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-01
current
pecos_ownership
RODEWALD, AMANDA
CORPORATE OFFICER
—
2017-09-01
current
pecos_ownership
ROSSELOT, CARLA
CONTRACTED MANAGING EMPLOYEE
—
2024-03-01
current
pecos_ownership
SPECTOR, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-01
current
pecos_ownership
STEINER, DERON
CORPORATE DIRECTOR
—
2017-09-01
current
pecos_ownership
SUMMIT PROPCO
Other (financial or non-financial)
—
2023-01-01
current
hcris_a_8_1
TUROFSKY, STEVEN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-01
current
pecos_ownership
ULBERT, LISA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-01
current
pecos_ownership
AMANDA RODEWALD
CORPORATE OFFICER
100%
2017-09-01
ended 2026-05-18
pecos_ownership
BRIAN GOLDFARB
OPERATIONAL/MANAGERIAL CONTROL
100%
2024-03-01
ended 2026-05-18
pecos_ownership
CARLA ROSSELOT
CONTRACTED MANAGING EMPLOYEE
100%
2024-03-01
ended 2026-05-18
pecos_ownership
DAVID BERKOWITZ
OPERATIONAL/MANAGERIAL CONTROL
100%
2024-03-01
ended 2026-05-18
pecos_ownership
DERON STEINER
CORPORATE DIRECTOR
100%
2017-09-01
ended 2026-05-18
pecos_ownership
JAY MEYSTEL
OPERATIONAL/MANAGERIAL CONTROL
100%
2024-03-01
ended 2026-05-18
pecos_ownership
JENNIFER ADAMS
CONTRACTED MANAGING EMPLOYEE
100%
2024-03-01
ended 2026-05-18
pecos_ownership
JENNIFER SPECTOR
OPERATIONAL/MANAGERIAL CONTROL
100%
2024-03-01
ended 2026-05-18
pecos_ownership
JOSHUA HOFFMAN
OPERATIONAL/MANAGERIAL CONTROL
100%
2024-03-01
ended 2026-05-18
pecos_ownership
LISA ULBERT
OPERATIONAL/MANAGERIAL CONTROL
100%
2024-03-01
ended 2026-05-18
pecos_ownership
STEVEN TUROFSKY
OPERATIONAL/MANAGERIAL CONTROL
100%
2024-03-01
ended 2026-05-18
pecos_ownership
TRACY CONROY
CORPORATE OFFICER
100%
2017-09-01
ended 2026-05-18
pecos_ownership
YOSEF MEYSTEL
OPERATIONAL/MANAGERIAL CONTROL
100%
2024-03-01
ended 2026-05-18
pecos_ownership
SUMMIT PROPCO
Other (financial or non-financial)
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
SUMMIT PROPCO
Other (financial or non-financial)
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
SUMMIT PROPCO
Other (financial or non-financial)
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
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
$952,329
$559,427
—
—
$29,470
13
propco
2023-12-31
$1,468,565
$625,687
—
$177,381
—
12
propco
2022-12-31
$1,295,416
$606,744
—
$226,246
—
11
propco
2021-12-31
$1,250,141
$606,744
—
$198,008
—
11
propco
2020-12-31
$1,197,373
$690,200
—
$196,065
—
12
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
33
Geo
Kind
BR
Amount
As of
Source
county 18059
fmr
0
$1,118
2025-10-01
HUD_USER_FMR
county 18059
acs median gross
1
$937
2024-12-31
CENSUS_ACS5
county 18059
fmr
1
$1,267
2025-10-01
HUD_USER_FMR
county 18059
acs median gross
2
$1,128
2024-12-31
CENSUS_ACS5
county 18059
fmr
2
$1,473
2025-10-01
HUD_USER_FMR
county 18059
acs median gross
3
$1,572
2024-12-31
CENSUS_ACS5
county 18059
fmr
3
$1,907
2025-10-01
HUD_USER_FMR
county 18059
acs median gross
4
$2,159
2024-12-31
CENSUS_ACS5
county 18059
fmr
4
$2,338
2025-10-01
HUD_USER_FMR
county 18059
acs median gross
$1,203
2024-12-31
CENSUS_ACS5
county 18059
acs recent mover gross
$1,329
2024-12-31
CENSUS_ACS5
zcta 46140
acs median gross
0
$810
2024-12-31
CENSUS_ACS5
zcta 46140
acs median gross
1
$928
2024-12-31
CENSUS_ACS5
zcta 46140
acs median gross
2
$1,165
2024-12-31
CENSUS_ACS5
zcta 46140
acs median gross
3
$1,430
2024-12-31
CENSUS_ACS5
zcta 46140
acs median gross
4
$2,166
2024-12-31
CENSUS_ACS5
zcta 46140
acs median gross
$1,154
2024-12-31
CENSUS_ACS5
zcta 46140
acs recent mover gross
$1,189
2024-12-31
CENSUS_ACS5
zip 46140
payment standard 110
0
$1,144
2025-10-01
HUD_USER_SAFMR
zip 46140
payment standard 90
0
$936
2025-10-01
HUD_USER_SAFMR
zip 46140
safmr
0
$1,040
2025-10-01
HUD_USER_SAFMR
zip 46140
payment standard 110
1
$1,298
2025-10-01
HUD_USER_SAFMR
zip 46140
payment standard 90
1
$1,062
2025-10-01
HUD_USER_SAFMR
zip 46140
safmr
1
$1,180
2025-10-01
HUD_USER_SAFMR
zip 46140
payment standard 110
2
$1,507
2025-10-01
HUD_USER_SAFMR
zip 46140
payment standard 90
2
$1,233
2025-10-01
HUD_USER_SAFMR
zip 46140
safmr
2
$1,370
2025-10-01
HUD_USER_SAFMR
zip 46140
payment standard 110
3
$1,947
2025-10-01
HUD_USER_SAFMR
zip 46140
payment standard 90
3
$1,593
2025-10-01
HUD_USER_SAFMR
zip 46140
safmr
3
$1,770
2025-10-01
HUD_USER_SAFMR
zip 46140
payment standard 110
4
$2,387
2025-10-01
HUD_USER_SAFMR
zip 46140
payment standard 90
4
$1,953
2025-10-01
HUD_USER_SAFMR
zip 46140
safmr
4
$2,170
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.