Reads as: riskier than 82.3% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
8 chains
FISCHEL MAYER
45 facilities
connection
Owner spans multiple chains
6 chains
LANDA BENJAMIN
28 facilities
connection
Owner spans multiple chains
5 chains
LEIFER JOEL
22 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
KY median
National median
National p25–p75
Total nurse
3.31
3.11
3.28
2.90–3.77
RN
0.32
0.41
0.39
0.25–0.58
Weekend total
3.09
3.01
3.11
—
Weekday total
3.40
3.16
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
77.8
3.31
0.32
0.71
2.28
3.09
0.0%
2025Q3
92
78.1
3.16
0.15
0.80
2.21
2.94
0.0%
2025Q2
91
78.9
3.01
0.14
0.81
2.06
2.87
0.0%
2025Q1
90
75.4
3.13
0.13
0.92
2.08
2.97
0.0%
2024Q4
92
76.6
3.01
0.15
0.77
2.09
2.80
0.0%
2024Q3
92
76.6
3.02
0.14
0.72
2.16
2.88
0.0%
2024Q2
91
77.2
2.97
0.18
0.75
2.04
2.73
0.0%
2024Q1
91
74.4
3.00
0.16
0.80
2.04
2.85
0.0%
2023Q4
92
74.2
3.24
0.23
0.89
2.12
3.00
0.0%
2023Q3
92
77.6
3.02
0.18
0.79
2.04
2.60
9.4%
2023Q2
91
77.5
2.84
0.18
0.67
1.99
2.67
12.4%
2023Q1
90
75.3
3.22
0.31
0.75
2.17
2.87
36.0%
2022Q4
92
77.9
3.19
0.27
0.72
2.20
2.91
35.6%
2022Q3
92
79.1
2.62
0.32
0.58
1.72
2.51
5.9%
2022Q2
91
72.2
2.76
0.34
0.59
1.83
2.59
3.5%
2022Q1
90
71.5
2.98
0.37
0.70
1.91
2.82
12.5%
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.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
J
2024-06-13
2024-07-27
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
J
2024-06-13
2020-10-23
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2020-11-13
2020-10-23
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2020-11-11
2020-10-23
Health
F0692
Provide enough food/fluids to maintain a resident's health.
E
2020-11-13
2020-10-23
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2020-11-04
2020-10-23
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
2020-11-04
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
36
Owner
Role
Pct
From
Status
Source
GRINSPAN, ELI
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2023-01-31
current
pecos_ownership
BEREA REALTY HOLDINGS LLC
5% OR GREATER MORTGAGE INTEREST
—
2023-01-31
current
pecos_ownership
BEREA REALTY HOLDINGS LLC
ADP OF THE SNF
—
2016-11-01
current
pecos_ownership
BERKOWITZ, CHESKEL
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-10
current
pecos_ownership
DAVID, ROCHEL
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-10
current
pecos_ownership
DEVERS, DUSTIN
ADP OF THE SNF
—
2017-10-01
current
pecos_ownership
EDELSTEIN, JOEL
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-10
current
pecos_ownership
FISCHEL, MAYER
CORPORATE OFFICER
—
2016-11-01
current
pecos_ownership
FREUND, ISRAEL
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-10
current
pecos_ownership
FRIEDMAN, LEAH
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-10
current
pecos_ownership
FUCHS, BERNARD
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-10
current
pecos_ownership
FUCHS, GERALD
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-10
current
pecos_ownership
FUCHS, TOVA
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-10
current
pecos_ownership
GRINSPAN, ELI
ADP OF THE SNF
—
2016-11-01
current
pecos_ownership
HOLLINS, CYNTHIA
ADP OF THE SNF
—
2023-06-12
current
pecos_ownership
HUNTINGTON BANK
5% OR GREATER MORTGAGE INTEREST
—
2023-01-31
current
pecos_ownership
LANDA, BENJAMIN
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
LEIFER, JOEL
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-10
current
pecos_ownership
MULLINS, CHRISTAL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-02
current
pecos_ownership
VALLEY STREAM OPERATOR I LLC
ADP OF THE SNF
—
2025-04-14
current
pecos_ownership
VALLEY STREAM OPERATOR I LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2016-11-01
current
pecos_ownership
ZAHLER, CHARLES
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-10
current
pecos_ownership
ZAHLER, CHAYA
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-10
current
pecos_ownership
ZAHLER, DAVID
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-10
current
pecos_ownership
ZAHLER, JACOB
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-10
current
pecos_ownership
ZUPNICK, JOEL
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-10
current
pecos_ownership
ZUPNICK, MIRIAM
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-10
current
pecos_ownership
ELI GRINSPAN
CORPORATE OFFICER
100%
2016-11-01
ended 2026-05-18
pecos_ownership
MAYER FISCHL
CORPORATE OFFICER
100%
2016-11-01
ended 2026-05-18
pecos_ownership
BENJAMIN LANDA
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2023-01-31
ended 2026-05-18
pecos_ownership
ELI GRINSPAN
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2023-01-31
ended 2026-05-18
pecos_ownership
MAYER FISCHL
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2023-01-31
ended 2026-05-18
pecos_ownership
BENJAMIN LANDA
ADP OF THE SNF
—
2023-01-01
ended 2026-05-18
pecos_ownership
CHRISTAL MULLINS
ADP OF THE SNF
—
2024-10-02
ended 2026-05-18
pecos_ownership
CYNTHIA HOLLINS
ADP OF THE SNF
—
2023-06-12
ended 2026-05-18
pecos_ownership
DUSTIN DEVERS
ADP OF THE SNF
—
2017-10-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$989,760
$538,624
—
—
—
2
—
2023-12-31
$968,951
$533,801
—
—
—
2
—
2022-12-31
$750,898
$330,744
$420,154
—
—
2
—
2021-12-31
$636,714
$259,766
$376,948
—
—
2
—
2020-12-31
$659,026
$275,766
$383,260
—
—
2
—
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
33
Geo
Kind
BR
Amount
As of
Source
county 21151
acs median gross
0
$714
2024-12-31
CENSUS_ACS5
county 21151
fmr
0
$666
2025-10-01
HUD_USER_FMR
county 21151
acs median gross
1
$735
2024-12-31
CENSUS_ACS5
county 21151
fmr
1
$785
2025-10-01
HUD_USER_FMR
county 21151
acs median gross
2
$882
2024-12-31
CENSUS_ACS5
county 21151
fmr
2
$904
2025-10-01
HUD_USER_FMR
county 21151
acs median gross
3
$1,063
2024-12-31
CENSUS_ACS5
county 21151
fmr
3
$1,257
2025-10-01
HUD_USER_FMR
county 21151
acs median gross
4
$1,344
2024-12-31
CENSUS_ACS5
county 21151
fmr
4
$1,416
2025-10-01
HUD_USER_FMR
county 21151
acs median gross
$889
2024-12-31
CENSUS_ACS5
county 21151
acs recent mover gross
$1,001
2024-12-31
CENSUS_ACS5
zcta 40403
acs median gross
1
$644
2024-12-31
CENSUS_ACS5
zcta 40403
acs median gross
2
$824
2024-12-31
CENSUS_ACS5
zcta 40403
acs median gross
3
$905
2024-12-31
CENSUS_ACS5
zcta 40403
acs median gross
4
$1,312
2024-12-31
CENSUS_ACS5
zcta 40403
acs median gross
$834
2024-12-31
CENSUS_ACS5
zcta 40403
acs recent mover gross
$948
2024-12-31
CENSUS_ACS5
zip 40403
payment standard 110
0
$737
2025-10-01
HUD_USER_SAFMR
zip 40403
payment standard 90
0
$603
2025-10-01
HUD_USER_SAFMR
zip 40403
safmr
0
$670
2025-10-01
HUD_USER_SAFMR
zip 40403
payment standard 110
1
$836
2025-10-01
HUD_USER_SAFMR
zip 40403
payment standard 90
1
$684
2025-10-01
HUD_USER_SAFMR
zip 40403
safmr
1
$760
2025-10-01
HUD_USER_SAFMR
zip 40403
payment standard 110
2
$968
2025-10-01
HUD_USER_SAFMR
zip 40403
payment standard 90
2
$792
2025-10-01
HUD_USER_SAFMR
zip 40403
safmr
2
$880
2025-10-01
HUD_USER_SAFMR
zip 40403
payment standard 110
3
$1,331
2025-10-01
HUD_USER_SAFMR
zip 40403
payment standard 90
3
$1,089
2025-10-01
HUD_USER_SAFMR
zip 40403
safmr
3
$1,210
2025-10-01
HUD_USER_SAFMR
zip 40403
payment standard 110
4
$1,496
2025-10-01
HUD_USER_SAFMR
zip 40403
payment standard 90
4
$1,224
2025-10-01
HUD_USER_SAFMR
zip 40403
safmr
4
$1,360
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.