Reads as: riskier than 11.4% 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.
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
NY median
National median
National p25–p75
Total nurse
3.46
3.33
3.28
2.90–3.77
RN
0.27
0.43
0.39
0.25–0.58
Weekend total
3.12
3.03
3.11
—
Weekday total
3.59
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
78.6
3.46
0.27
0.91
2.28
3.12
0.0%
2025Q3
92
79.7
3.35
0.26
0.89
2.20
2.96
0.0%
2025Q2
91
78.3
3.58
0.28
0.85
2.45
3.15
0.0%
2025Q1
90
78.8
3.20
0.22
0.83
2.14
2.84
0.0%
2024Q4
92
78.5
3.26
0.19
0.86
2.21
2.97
0.0%
2024Q3
92
77.0
3.23
0.22
0.83
2.18
3.00
0.0%
2024Q2
91
75.6
3.40
0.29
0.79
2.32
2.95
0.0%
2024Q1
91
76.6
3.35
0.30
0.75
2.30
2.94
0.0%
2023Q4
92
77.7
3.35
0.26
0.78
2.32
3.09
0.0%
2023Q3
92
76.1
3.28
0.17
0.90
2.21
2.96
0.0%
2023Q2
91
77.2
3.19
0.23
0.76
2.21
2.85
0.0%
2023Q1
90
76.4
2.83
0.29
0.55
2.00
2.69
0.0%
2022Q4
92
75.6
3.00
0.28
0.62
2.10
2.87
0.0%
2022Q3
92
77.5
2.81
0.28
0.59
1.94
2.64
0.0%
2022Q2
91
78.1
2.40
0.32
0.52
1.55
2.21
0.0%
2022Q1
90
80.5
2.52
0.34
0.49
1.68
2.34
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 × 1D × 10E × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-11
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.
E
2026-04-24
2026-03-11
Health
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
2026-04-24
2026-03-11
Health
F0732
Post nurse staffing information every day.
C
2026-04-24
2026-03-11
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2026-04-24
2026-03-11
Health
F0909
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
D
2026-04-24
2024-06-04
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2024-08-02
2024-06-04
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-08-02
2024-06-04
Health · complaint
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2024-08-02
2022-06-28
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
2022-08-26
2022-06-28
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2022-08-26
2022-06-28
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2022-08-26
2022-06-28
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
2022-08-26
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
20
Owner
Role
Pct
From
Status
Source
MAXIMUS 909 LINCOLN
Individual has financial interest in both related organization and provider
27%
2024-01-01
current
hcris_a_8_1
MAXIMUS 909 LINCOLN
Individual has financial interest in both related organization and provider
27%
2023-01-01
current
hcris_a_8_1
HIRSCH, NISSON
CORPORATE OFFICER
—
2015-03-25
current
pecos_ownership
MAXIMUS LOCKPORT HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-03-25
current
pecos_ownership
MINZER, NAFTALI
CORPORATE OFFICER
—
2016-03-25
current
pecos_ownership
MINZER, NAFTALI
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-03-25
current
pecos_ownership
SNYDER, AARON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-10-06
current
pecos_ownership
SNYDER, AARON
ADP OF THE SNF
—
2025-12-19
current
pecos_ownership
WEITMAN, YAAKOV
CORPORATE OFFICER
—
2015-03-25
current
pecos_ownership
MAXIMUS 909 LINCOLN
Individual has financial interest in both related organization and provider
27%
2021-01-01
ended 2021-12-31
hcris_a_8_1
MAXIMUS 909 LINCOLN
Individual has financial interest in both related organization and provider
27%
2020-01-01
ended 2020-12-31
hcris_a_8_1
MAXIMUS 909 LINCOLN
Individual has financial interest in both related organization and provider
27%
2022-01-01
ended 2022-12-31
hcris_a_8_1
NISSON HIRSCH
5% OR GREATER INDIRECT OWNERSHIP INTEREST
27%
2016-03-25
ended 2026-05-18
pecos_ownership
YISROEL BORNSTEIN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
27%
2015-03-25
ended 2026-05-18
pecos_ownership
NISSON HIRSCH
CORPORATE OFFICER
13%
2015-03-25
ended 2026-05-18
pecos_ownership
NAFTALI MINZER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2015-03-25
ended 2026-05-18
pecos_ownership
NAFTALI MINZER
CORPORATE OFFICER
10%
2016-03-25
ended 2026-05-18
pecos_ownership
YAAKOV WEITMAN
CORPORATE OFFICER
10%
2015-03-25
ended 2026-05-18
pecos_ownership
AARON SNYDER
ADP OF THE SNF
—
2025-12-19
ended 2026-05-18
pecos_ownership
AARON SNYDER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-10-06
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
$1,977,416
$1,240,708
—
—
—
6
propco
2023-12-31
$1,984,859
$1,278,614
—
—
—
8
propco
2022-12-31
$1,719,557
$986,471
—
—
—
8
propco
2021-12-31
$1,543,614
$884,115
—
—
—
6
propco
2020-12-31
$1,599,363
$963,712
—
—
—
6
propco
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
35
Geo
Kind
BR
Amount
As of
Source
county 36063
acs median gross
0
$625
2024-12-31
CENSUS_ACS5
county 36063
fmr
0
$1,105
2025-10-01
HUD_USER_FMR
county 36063
acs median gross
1
$691
2024-12-31
CENSUS_ACS5
county 36063
fmr
1
$1,139
2025-10-01
HUD_USER_FMR
county 36063
acs median gross
2
$915
2024-12-31
CENSUS_ACS5
county 36063
fmr
2
$1,343
2025-10-01
HUD_USER_FMR
county 36063
acs median gross
3
$1,143
2024-12-31
CENSUS_ACS5
county 36063
fmr
3
$1,640
2025-10-01
HUD_USER_FMR
county 36063
acs median gross
4
$1,088
2024-12-31
CENSUS_ACS5
county 36063
fmr
4
$1,869
2025-10-01
HUD_USER_FMR
county 36063
acs median gross
5
$1,027
2024-12-31
CENSUS_ACS5
county 36063
acs median gross
$899
2024-12-31
CENSUS_ACS5
county 36063
acs recent mover gross
$1,069
2024-12-31
CENSUS_ACS5
zcta 14094
acs median gross
0
$651
2024-12-31
CENSUS_ACS5
zcta 14094
acs median gross
1
$594
2024-12-31
CENSUS_ACS5
zcta 14094
acs median gross
2
$950
2024-12-31
CENSUS_ACS5
zcta 14094
acs median gross
3
$1,216
2024-12-31
CENSUS_ACS5
zcta 14094
acs median gross
4
$1,305
2024-12-31
CENSUS_ACS5
zcta 14094
acs median gross
$894
2024-12-31
CENSUS_ACS5
zcta 14094
acs recent mover gross
$920
2024-12-31
CENSUS_ACS5
zip 14094
payment standard 110
0
$1,122
2025-10-01
HUD_USER_SAFMR
zip 14094
payment standard 90
0
$918
2025-10-01
HUD_USER_SAFMR
zip 14094
safmr
0
$1,020
2025-10-01
HUD_USER_SAFMR
zip 14094
payment standard 110
1
$1,155
2025-10-01
HUD_USER_SAFMR
zip 14094
payment standard 90
1
$945
2025-10-01
HUD_USER_SAFMR
zip 14094
safmr
1
$1,050
2025-10-01
HUD_USER_SAFMR
zip 14094
payment standard 110
2
$1,364
2025-10-01
HUD_USER_SAFMR
zip 14094
payment standard 90
2
$1,116
2025-10-01
HUD_USER_SAFMR
zip 14094
safmr
2
$1,240
2025-10-01
HUD_USER_SAFMR
zip 14094
payment standard 110
3
$1,661
2025-10-01
HUD_USER_SAFMR
zip 14094
payment standard 90
3
$1,359
2025-10-01
HUD_USER_SAFMR
zip 14094
safmr
3
$1,510
2025-10-01
HUD_USER_SAFMR
zip 14094
payment standard 110
4
$1,903
2025-10-01
HUD_USER_SAFMR
zip 14094
payment standard 90
4
$1,557
2025-10-01
HUD_USER_SAFMR
zip 14094
safmr
4
$1,730
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.