Reads as: riskier than 34.9% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
9 chains
ROSCOE BRANDON
14 facilities
connection
Owner spans multiple chains
8 chains
CAPITAL FUNDING LLC
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
PA median
National median
National p25–p75
Total nurse
3.91
3.38
3.28
2.90–3.77
RN
0.53
0.45
0.39
0.25–0.58
Weekend total
3.86
3.27
3.11
—
Weekday total
3.93
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
48.8
3.91
0.53
1.01
2.37
3.86
11.1%
2025Q3
92
48.8
4.09
0.51
1.11
2.48
3.95
18.1%
2025Q2
91
46.5
4.26
0.54
1.13
2.58
4.09
15.7%
2025Q1
90
47.4
4.21
0.63
1.18
2.40
3.85
23.4%
2024Q4
92
48.8
4.37
0.63
1.23
2.50
4.34
26.0%
2024Q3
92
50.2
4.25
0.75
0.97
2.53
4.15
28.8%
2024Q2
91
49.8
3.94
1.01
0.56
2.37
3.74
39.5%
2024Q1
91
49.7
3.77
0.93
0.59
2.25
3.57
35.9%
2023Q4
92
48.0
3.78
0.83
0.72
2.23
3.51
30.6%
2023Q3
92
50.5
3.71
0.58
0.83
2.30
3.58
55.1%
2023Q2
91
51.5
3.92
0.50
1.00
2.42
3.83
68.3%
2023Q1
90
50.1
3.73
0.47
0.94
2.32
3.54
68.3%
2022Q4
92
49.7
3.62
0.42
1.17
2.02
3.31
64.7%
2022Q3
92
46.5
2.45
0.35
0.63
1.47
1.67
22.2%
2022Q2
91
48.0
3.25
0.67
0.63
1.95
3.02
31.1%
2022Q1
90
50.5
3.26
0.74
0.58
1.93
3.18
27.8%
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
29
B × 1C × 1D × 19E × 6F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-27
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2026-04-07
2025-07-17
Health
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
E
2025-09-15
2025-07-17
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
E
2025-09-15
2025-07-17
Health
F0637
Assess the resident when there is a significant change in condition
D
2025-09-15
2025-07-17
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-09-15
2025-07-17
Health
F0691
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
D
2025-09-15
2025-07-17
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2025-09-15
2025-07-17
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
2025-09-15
2025-07-17
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2025-09-15
2025-07-17
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2025-09-15
2025-07-17
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-09-15
2025-07-17
Health
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2025-09-15
2025-07-17
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
D
2025-09-15
2025-07-17
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-09-15
2024-10-18
Health
F0622
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
D
2024-11-15
2024-10-18
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-11-15
2024-10-18
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
2024-11-15
2024-10-18
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
2024-11-15
2024-10-18
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-11-15
2024-10-18
Health
F0730
Observe each nurse aide's job performance and give regular training.
D
2024-11-15
2024-10-18
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.
E
2024-11-15
2024-10-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-11-15
2024-10-18
Health
F0847
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
E
2024-11-15
2024-10-18
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
D
2024-11-15
2024-08-07
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-08-02
2023-11-16
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
B
2023-12-15
2023-11-16
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
C
2023-12-15
2023-11-16
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
2023-12-15
2023-11-16
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-12-15
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
39
Owner
Role
Pct
From
Status
Source
GEM FAMILY 2020 NGCG NEVADA TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
67%
2024-03-19
current
pecos_ownership
LIMESTONE ENTERPRISES LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
67%
2024-03-19
current
pecos_ownership
MOSKOWITZ, YISROEL
5% OR GREATER DIRECT OWNERSHIP INTEREST
30%
2024-03-19
current
pecos_ownership
CAM-ELM COMPANY LLC
ADP OF THE SNF
—
2025-01-21
current
pecos_ownership
CAPITAL FUNDING LLC
5% OR GREATER MORTGAGE INTEREST
—
2024-03-19
current
pecos_ownership
COHEN, CHAYA
ADP OF THE SNF
—
2025-01-21
current
pecos_ownership
GESTETNER, COLEV
MANAGING CONTROL - GOVERNING BODY
—
2024-03-19
current
pecos_ownership
GESTETNER, COLEV
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-21
current
pecos_ownership
GESTETNER, ELLIOTT
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2024-03-19
current
pecos_ownership
GESTETNER, MIRIAM
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-02-28
current
pecos_ownership
KROHN, SIMCHA
ADP OF THE SNF
—
2025-01-21
current
pecos_ownership
MEYER, DAMON
MANAGING CONTROL - GOVERNING BODY
—
2024-12-16
current
pecos_ownership
MEYER, DAMON
ADP OF THE SNF
—
2025-01-21
current
pecos_ownership
MOSKOWITZ, YISROEL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-21
current
pecos_ownership
MTL HEALTHCARE LLC
ADP OF THE SNF
—
2025-01-21
current
pecos_ownership
OCEAN FISCAL SERVICES LLC
ADP OF THE SNF
—
2025-01-21
current
pecos_ownership
ROSCOE, BRANDON
ADP OF THE SNF
—
2025-01-21
current
pecos_ownership
ROSCOE, BRANDON
MANAGING CONTROL - GOVERNING BODY
—
2024-03-19
current
pecos_ownership
SCHRON, AVI
ADP OF THE SNF
—
2025-01-21
current
pecos_ownership
SMV INTERMEDIATE HOLDINGS I-B LLC
ADP OF THE SNF
—
2025-01-21
current
pecos_ownership
SMV INTERMEDIATE HOLDINGS II LLC
ADP OF THE SNF
—
2025-01-21
current
pecos_ownership
SMV INTERMEDIATE HOLDINGS III LLC
ADP OF THE SNF
—
2025-01-21
current
pecos_ownership
SMV INTERMEDIATE HOLDINGS IV LLC
ADP OF THE SNF
—
2025-01-21
current
pecos_ownership
SMV PROPERTY HOLDINGS LLC
ADP OF THE SNF
—
2025-01-21
current
pecos_ownership
SMV REAL ESTATE HOLDINGS LLC
ADP OF THE SNF
—
2025-01-21
current
pecos_ownership
SMV WEXFORD LLC
ADP OF THE SNF
—
2025-01-21
current
pecos_ownership
UB LLC
ADP OF THE SNF
—
2025-01-21
current
pecos_ownership
COLEV GESTETNER
CORPORATE OFFICER
100%
2024-03-19
ended 2026-05-18
pecos_ownership
YISROEL MOSKOWITZ
5% OR GREATER DIRECT OWNERSHIP INTEREST
30%
2024-03-19
ended 2026-05-18
pecos_ownership
ELLIOTT GESTETNER
5% OR GREATER DIRECT OWNERSHIP INTEREST
3%
2024-03-19
ended 2026-05-18
pecos_ownership
AVI SCHRON
ADP OF THE SNF
—
2025-01-21
ended 2026-05-18
pecos_ownership
BRANDON ROSCOE
MANAGING CONTROL - GOVERNING BODY
—
2024-03-19
ended 2026-05-18
pecos_ownership
BRANDON ROSCOE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-21
ended 2026-05-18
pecos_ownership
CHAYA COHEN
ADP OF THE SNF
—
2025-01-21
ended 2026-05-18
pecos_ownership
COLEV GESTETNER
ADP OF THE SNF
—
2025-01-21
ended 2026-05-18
pecos_ownership
DAMON MEYER
ADP OF THE SNF
—
2025-01-21
ended 2026-05-18
pecos_ownership
DAMON MEYER
MANAGING CONTROL - GOVERNING BODY
—
2024-12-16
ended 2026-05-18
pecos_ownership
SIMCHA KROHN
ADP OF THE SNF
—
2025-01-21
ended 2026-05-18
pecos_ownership
YISROEL MOSKOWITZ
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-21
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
4
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-03-18
$165,842
—
—
—
—
3
—
2023-06-30
$294,931
—
—
—
—
3
—
2022-06-08
$422,854
—
$422,854
—
—
2
—
2021-06-30
$386,273
—
$386,273
—
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 42003
acs median gross
0
$1,022
2024-12-31
CENSUS_ACS5
county 42003
fmr
0
$1,001
2025-10-01
HUD_USER_FMR
county 42003
acs median gross
1
$965
2024-12-31
CENSUS_ACS5
county 42003
fmr
1
$1,077
2025-10-01
HUD_USER_FMR
county 42003
acs median gross
2
$1,201
2024-12-31
CENSUS_ACS5
county 42003
fmr
2
$1,299
2025-10-01
HUD_USER_FMR
county 42003
acs median gross
3
$1,426
2024-12-31
CENSUS_ACS5
county 42003
fmr
3
$1,661
2025-10-01
HUD_USER_FMR
county 42003
acs median gross
4
$1,624
2024-12-31
CENSUS_ACS5
county 42003
fmr
4
$1,789
2025-10-01
HUD_USER_FMR
county 42003
acs median gross
5
$1,697
2024-12-31
CENSUS_ACS5
county 42003
acs median gross
$1,153
2024-12-31
CENSUS_ACS5
county 42003
acs recent mover gross
$1,351
2024-12-31
CENSUS_ACS5
zcta 15090
acs median gross
0
$1,225
2024-12-31
CENSUS_ACS5
zcta 15090
acs median gross
1
$1,337
2024-12-31
CENSUS_ACS5
zcta 15090
acs median gross
2
$1,592
2024-12-31
CENSUS_ACS5
zcta 15090
acs median gross
3
$2,715
2024-12-31
CENSUS_ACS5
zcta 15090
acs median gross
$1,891
2024-12-31
CENSUS_ACS5
zcta 15090
acs recent mover gross
$1,818
2024-12-31
CENSUS_ACS5
zip 15090
payment standard 110
0
$1,650
2025-10-01
HUD_USER_SAFMR
zip 15090
payment standard 90
0
$1,350
2025-10-01
HUD_USER_SAFMR
zip 15090
safmr
0
$1,500
2025-10-01
HUD_USER_SAFMR
zip 15090
payment standard 110
1
$1,782
2025-10-01
HUD_USER_SAFMR
zip 15090
payment standard 90
1
$1,458
2025-10-01
HUD_USER_SAFMR
zip 15090
safmr
1
$1,620
2025-10-01
HUD_USER_SAFMR
zip 15090
payment standard 110
2
$2,145
2025-10-01
HUD_USER_SAFMR
zip 15090
payment standard 90
2
$1,755
2025-10-01
HUD_USER_SAFMR
zip 15090
safmr
2
$1,950
2025-10-01
HUD_USER_SAFMR
zip 15090
payment standard 110
3
$2,739
2025-10-01
HUD_USER_SAFMR
zip 15090
payment standard 90
3
$2,241
2025-10-01
HUD_USER_SAFMR
zip 15090
safmr
3
$2,490
2025-10-01
HUD_USER_SAFMR
zip 15090
payment standard 110
4
$2,959
2025-10-01
HUD_USER_SAFMR
zip 15090
payment standard 90
4
$2,421
2025-10-01
HUD_USER_SAFMR
zip 15090
safmr
4
$2,690
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.