Reads as: riskier than 34.8% 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
3.48
3.11
3.28
2.90–3.77
RN
0.20
0.41
0.39
0.25–0.58
Weekend total
3.35
3.01
3.11
—
Weekday total
3.53
3.16
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
92.3
3.48
0.20
0.81
2.47
3.35
1.3%
2025Q3
92
87.2
3.63
0.33
0.81
2.49
3.45
0.0%
2025Q2
91
86.3
3.61
0.09
0.88
2.63
3.28
0.0%
2025Q1
90
88.5
3.31
0.23
0.74
2.34
3.13
0.4%
2024Q4
92
89.8
3.22
0.19
0.75
2.28
2.96
0.0%
2024Q3
92
90.2
3.35
0.20
0.85
2.30
3.09
0.0%
2024Q2
91
91.5
3.24
0.15
0.90
2.19
3.04
0.7%
2024Q1
91
97.6
3.07
0.16
0.83
2.09
2.80
0.0%
2023Q4
92
99.0
3.03
0.17
0.81
2.05
2.72
0.4%
2023Q3
92
94.4
3.27
0.15
0.97
2.14
3.02
3.9%
2023Q2
91
92.6
3.17
0.11
0.94
2.11
2.85
3.9%
2023Q1
90
93.3
3.11
0.09
0.90
2.12
2.73
4.8%
2022Q4
92
90.8
3.41
0.11
0.99
2.30
3.14
1.6%
2022Q3
92
91.8
3.44
0.14
0.96
2.33
3.25
0.0%
2022Q2
91
88.8
3.54
0.15
1.05
2.34
3.30
21.1%
2022Q1
90
87.8
3.13
0.09
1.01
2.02
2.88
16.6%
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
24
D × 10E × 3F × 3J × 4K × 2L × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-05-08
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2025-06-04
2025-05-08
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-06-04
2025-05-08
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2025-06-04
2025-05-08
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-06-04
2025-05-08
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
2025-06-04
2025-05-08
Health
F0760
Ensure that residents are free from significant medication errors.
D
2025-06-04
2025-05-08
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-06-04
2022-03-31
Health
F0557
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
J
2022-05-02
2022-03-31
Health
F0559
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
K
2022-05-02
2022-03-31
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2022-05-02
2022-03-31
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
J
2022-05-02
2022-03-31
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
J
2022-05-02
2022-03-31
Health
F0745
Provide medically-related social services to help each resident achieve the highest possible quality of life.
K
2022-05-02
2022-03-31
Health
F0802
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F
2022-05-02
2022-03-31
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
E
2022-05-02
2022-03-31
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F
2022-05-02
2022-03-31
Health
F0809
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
F
2022-05-02
2022-03-31
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
L
2022-05-02
2022-03-31
Health
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
L
2022-05-02
2019-08-08
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2019-09-06
2019-08-08
Health
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
2019-09-06
2019-08-08
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
2019-09-06
2019-08-08
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2019-09-06
2019-08-08
Health
F0880
Provide and implement an infection prevention and control program.
D
2019-09-06
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
31
Owner
Role
Pct
From
Status
Source
KY EQUITY PARTNERS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
21%
2023-01-01
current
pecos_ownership
GRINSPAN, ELI
5% OR GREATER DIRECT OWNERSHIP INTEREST
15%
2023-01-01
current
pecos_ownership
KENNEDY KY HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
14%
2023-01-01
current
pecos_ownership
BERKOWITZ, CHESKEL
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
BUTROS, REZKALLA
ADP OF THE SNF
—
2019-11-14
current
pecos_ownership
FISCHEL, MAYER
ADP OF THE SNF
—
2016-11-01
current
pecos_ownership
GREYSTONE SERVICING COMPANY, LLC, A DELAWARE LIMITED LIABILITY COMPANY
5% OR GREATER MORTGAGE INTEREST
—
2019-08-28
current
pecos_ownership
GRINSPAN, ELI
ADP OF THE SNF
—
2016-11-01
current
pecos_ownership
KY 90 EQUITIES LLC
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
LANDA, BENJAMIN
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
LEIFER, JOEL
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
RIDGEWAY NRF REALTY LLC
5% OR GREATER MORTGAGE INTEREST
—
2016-11-01
current
pecos_ownership
TATMAN, BRITTANY
ADP OF THE SNF
—
2025-03-10
current
pecos_ownership
VALLEY STREAM OPERATOR I LLC
ADP OF THE SNF
—
2025-03-17
current
pecos_ownership
VALLEY STREAM OPERATOR I LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2016-11-01
current
pecos_ownership
VIARS, CHRISTY
ADP OF THE SNF
—
2016-07-26
current
pecos_ownership
ZF REALTY LLC
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
ZUPNICK, JOEL
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
ZUPNICK, MIRIAM
INDIRECT OWNERSHIP INTEREST
—
2023-01-01
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
30%
2023-01-01
ended 2026-05-18
pecos_ownership
ELI GRINSPAN
5% OR GREATER DIRECT OWNERSHIP INTEREST
15%
2023-01-01
ended 2026-05-18
pecos_ownership
MAYER FISCHL
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2023-01-01
ended 2026-05-18
pecos_ownership
CHESKEL BERKOWITZ
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2023-01-01
ended 2026-05-18
pecos_ownership
JOEL LEIFER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2023-01-01
ended 2026-05-18
pecos_ownership
JOEL ZUPNICK
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2023-01-01
ended 2026-05-18
pecos_ownership
MIRIAM ZUPNICK
INDIRECT OWNERSHIP INTEREST
3%
2023-01-01
ended 2026-05-18
pecos_ownership
BRITTANY TATMAN
ADP OF THE SNF
—
2025-03-10
ended 2026-05-18
pecos_ownership
CHRISTY VIARS
ADP OF THE SNF
—
2016-07-26
ended 2026-05-18
pecos_ownership
REZKALLA BUTROS
ADP OF THE SNF
—
2019-11-14
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
$775,142
$241,884
—
—
—
2
—
2023-12-31
$712,390
$252,844
—
—
—
2
—
2022-12-31
$737,912
$248,583
$489,329
—
—
2
—
2021-12-31
$685,254
$245,084
$440,170
—
—
2
—
2020-12-31
$699,073
$271,306
$427,767
—
—
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
31
Geo
Kind
BR
Amount
As of
Source
county 21011
fmr
0
$619
2025-10-01
HUD_USER_FMR
county 21011
acs median gross
1
$406
2024-12-31
CENSUS_ACS5
county 21011
fmr
1
$668
2025-10-01
HUD_USER_FMR
county 21011
acs median gross
2
$759
2024-12-31
CENSUS_ACS5
county 21011
fmr
2
$866
2025-10-01
HUD_USER_FMR
county 21011
acs median gross
3
$756
2024-12-31
CENSUS_ACS5
county 21011
fmr
3
$1,124
2025-10-01
HUD_USER_FMR
county 21011
acs median gross
4
$725
2024-12-31
CENSUS_ACS5
county 21011
fmr
4
$1,360
2025-10-01
HUD_USER_FMR
county 21011
acs median gross
$659
2024-12-31
CENSUS_ACS5
county 21011
acs recent mover gross
$695
2024-12-31
CENSUS_ACS5
zcta 40360
acs median gross
1
$433
2024-12-31
CENSUS_ACS5
zcta 40360
acs median gross
2
$764
2024-12-31
CENSUS_ACS5
zcta 40360
acs median gross
3
$945
2024-12-31
CENSUS_ACS5
zcta 40360
acs median gross
$584
2024-12-31
CENSUS_ACS5
zcta 40360
acs recent mover gross
$779
2024-12-31
CENSUS_ACS5
zip 40360
payment standard 110
0
$682
2025-10-01
HUD_USER_SAFMR
zip 40360
payment standard 90
0
$558
2025-10-01
HUD_USER_SAFMR
zip 40360
safmr
0
$620
2025-10-01
HUD_USER_SAFMR
zip 40360
payment standard 110
1
$737
2025-10-01
HUD_USER_SAFMR
zip 40360
payment standard 90
1
$603
2025-10-01
HUD_USER_SAFMR
zip 40360
safmr
1
$670
2025-10-01
HUD_USER_SAFMR
zip 40360
payment standard 110
2
$957
2025-10-01
HUD_USER_SAFMR
zip 40360
payment standard 90
2
$783
2025-10-01
HUD_USER_SAFMR
zip 40360
safmr
2
$870
2025-10-01
HUD_USER_SAFMR
zip 40360
payment standard 110
3
$1,232
2025-10-01
HUD_USER_SAFMR
zip 40360
payment standard 90
3
$1,008
2025-10-01
HUD_USER_SAFMR
zip 40360
safmr
3
$1,120
2025-10-01
HUD_USER_SAFMR
zip 40360
payment standard 110
4
$1,485
2025-10-01
HUD_USER_SAFMR
zip 40360
payment standard 90
4
$1,215
2025-10-01
HUD_USER_SAFMR
zip 40360
safmr
4
$1,350
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.