Reads as: riskier than 81.3% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+27.1 vs natl
MIKE FLANK TRUST
5 facilities
connection
Owner fleet enforcement cluster
40% fined
MIKE FLANK TRUST
5 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 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
OH median
National median
National p25–p75
Total nurse
3.43
3.24
3.28
2.90–3.77
RN
0.43
0.38
0.39
0.25–0.58
Weekend total
3.37
3.11
3.11
—
Weekday total
3.46
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
98.3
3.43
0.43
1.11
1.90
3.37
0.0%
2025Q3
92
96.9
3.56
0.53
1.12
1.91
3.46
0.0%
2025Q2
91
98.1
3.44
0.50
1.08
1.86
3.42
0.0%
2025Q1
90
98.7
3.43
0.47
1.07
1.88
3.22
0.0%
2024Q4
92
97.2
3.42
0.43
1.04
1.94
3.20
0.0%
2024Q3
92
94.2
3.64
0.45
1.13
2.07
3.31
2.3%
2024Q2
91
89.9
3.60
0.49
1.06
2.05
3.37
0.1%
2024Q1
91
97.5
3.50
0.70
0.91
1.89
3.17
0.2%
2023Q4
92
93.4
3.71
0.60
1.05
2.06
3.40
20.0%
2023Q3
92
83.5
3.79
0.47
1.21
2.11
3.59
19.6%
2023Q2
91
75.9
3.66
0.44
1.06
2.15
3.60
11.4%
2023Q1
90
66.4
3.60
0.65
1.05
1.91
3.36
2.8%
2022Q4
92
64.1
4.10
0.47
1.36
2.26
3.68
0.0%
2022Q3
92
63.1
4.29
0.50
1.41
2.38
3.83
0.0%
2022Q2
91
55.1
3.49
0.64
0.95
1.90
3.18
17.2%
2022Q1
90
63.7
3.95
0.55
1.19
2.22
3.62
45.2%
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2026-01-12
2025-12-17
Health · complaint
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.
E
2026-01-12
2025-12-17
Health · complaint
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
2026-01-12
2025-12-17
Health · complaint
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
2026-01-12
2025-12-17
Health · complaint
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
2026-01-12
2025-12-17
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
E
2026-01-12
2025-12-17
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2026-01-12
2024-09-04
Health · complaint
F0732
Post nurse staffing information every day.
C
2024-09-05
2024-05-10
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-05-13
2024-05-10
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-05-13
2024-04-09
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2024-05-13
2024-04-09
Health · complaint
F0637
Assess the resident when there is a significant change in condition
D
2024-05-13
2024-04-09
Health · complaint
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2024-05-13
2024-04-09
Health · complaint
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
2024-05-13
2024-04-09
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2024-05-13
2024-04-09
Health · complaint
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
2024-05-13
2024-02-15
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2023-09-21
2024-02-15
Health · complaint
F0729
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
F
2024-02-16
2023-11-28
Health · complaint
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
2023-12-11
2023-11-28
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2023-12-11
2023-10-17
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-10-20
2023-09-18
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-10-20
2023-09-18
Health · complaint
F0777
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
D
2023-10-20
2023-02-22
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-03-24
2023-02-22
Health
F0573
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
D
2023-03-24
2023-02-22
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
2023-03-24
2023-02-22
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2023-03-24
2023-02-22
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-03-24
2023-02-22
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2023-03-24
2023-02-22
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-03-24
2023-02-22
Health
F0760
Ensure that residents are free from significant medication errors.
D
2023-03-24
2023-02-22
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-03-24
2023-02-22
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2023-03-24
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
41
Owner
Role
Pct
From
Status
Source
PROGRESSIVE NORTH RIDGEVILLE PARTNERS, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2018-06-21
current
pecos_ownership
RE AVENUE AT NORTH RIDGEVILLE
Individual has financial interest in both related organization and provider
100%
2024-01-01
current
hcris_a_8_1
RE AVENUE AT NORTH RIDGEVILLE
Individual has financial interest in both related organization and provider
100%
2023-01-01
current
hcris_a_8_1
COLONNA, JULIAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2018-06-21
current
pecos_ownership
COLONNA, VITO
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2018-06-21
current
pecos_ownership
MIKE FLANK TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
13%
2022-09-09
current
pecos_ownership
FLANK, EITAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2018-06-21
current
pecos_ownership
FLANK, LIAT
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2018-06-21
current
pecos_ownership
FLANK, MATAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2018-06-21
current
pecos_ownership
FLANK, SHAUL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2018-06-21
current
pecos_ownership
SAUSEN, JOEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2018-06-21
current
pecos_ownership
BHIMANI, JAYANTILAL
OPERATIONAL/MANAGERIAL CONTROL
—
2020-07-08
current
pecos_ownership
COLONNA, JULIAN
CORPORATE OFFICER
—
2018-06-15
current
pecos_ownership
COLONNA, VITO
CORPORATE OFFICER
—
2018-06-15
current
pecos_ownership
DORSEY, KATHRYN
ADP OF THE SNF
—
2025-01-09
current
pecos_ownership
FLANK, EITAN
ADP OF THE SNF
—
2018-06-15
current
pecos_ownership
FLANK, LIAT
CORPORATE OFFICER
—
2018-06-15
current
pecos_ownership
FLANK, MATAN
CORPORATE OFFICER
—
2018-06-15
current
pecos_ownership
FLANK, SHAUL
CORPORATE OFFICER
—
2018-06-15
current
pecos_ownership
PROGRESSIVE QUALITY CARE INC
OPERATIONAL/MANAGERIAL CONTROL
—
2018-06-15
current
pecos_ownership
PROGRESSIVE QUALITY CARE INC
ADP OF THE SNF
—
2025-05-13
current
pecos_ownership
SHILLER, DANIEL
ADP OF THE SNF
—
2018-06-15
current
pecos_ownership
RE AVENUE AT NORTH RIDGEVILLE
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
JULIAN COLONNA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2018-06-21
ended 2026-05-18
pecos_ownership
VITO COLONNA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2018-06-21
ended 2026-05-18
pecos_ownership
EITAN FLANK
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2018-06-21
ended 2026-05-18
pecos_ownership
JOEL SAUSEN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2018-06-21
ended 2026-05-18
pecos_ownership
LIAT FLANK
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2018-06-21
ended 2026-05-18
pecos_ownership
MATAN FLANK
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2018-06-21
ended 2026-05-18
pecos_ownership
SHAUL FLANK
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2018-06-21
ended 2026-05-18
pecos_ownership
DANIEL SHILLER
CORPORATE OFFICER
—
2018-06-15
ended 2026-05-18
pecos_ownership
EITAN FLANK
ADP OF THE SNF
—
2018-06-15
ended 2026-05-18
pecos_ownership
JAYANTILAL BHIMANI
OPERATIONAL/MANAGERIAL CONTROL
—
2020-07-08
ended 2026-05-18
pecos_ownership
JULIAN COLONNA
CORPORATE OFFICER
—
2018-06-15
ended 2026-05-18
pecos_ownership
KATHRYN DORSEY
ADP OF THE SNF
—
2025-01-09
ended 2026-05-18
pecos_ownership
LIAT FLANK
CORPORATE OFFICER
—
2018-06-15
ended 2026-05-18
pecos_ownership
MATAN FLANK
CORPORATE OFFICER
—
2018-06-15
ended 2026-05-18
pecos_ownership
RE AVENUE AT NORTH RIDGEVILLE
Individual has financial interest in both related organization and provider
—
2020-06-17
ended 2020-12-31
hcris_a_8_1
RE AVENUE AT NORTH RIDGEVILLE
Individual has financial interest in both related organization and provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
SHAUL FLANK
CORPORATE OFFICER
—
2018-06-15
ended 2026-05-18
pecos_ownership
VITO COLONNA
CORPORATE OFFICER
—
2018-06-15
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
$2,104,902
—
$496,482
—
—
2
propco
2023-12-31
$1,988,835
—
$375,836
—
—
2
propco
2022-12-31
$1,436,852
—
$353,986
—
—
2
propco
2021-12-31
$1,318,999
—
$205,824
—
—
2
propco
2020-12-31
$409,719
—
$39,259
—
—
2
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
34
Geo
Kind
BR
Amount
As of
Source
county 39093
acs median gross
0
$599
2024-12-31
CENSUS_ACS5
county 39093
fmr
0
$933
2025-10-01
HUD_USER_FMR
county 39093
acs median gross
1
$734
2024-12-31
CENSUS_ACS5
county 39093
fmr
1
$1,058
2025-10-01
HUD_USER_FMR
county 39093
acs median gross
2
$966
2024-12-31
CENSUS_ACS5
county 39093
fmr
2
$1,279
2025-10-01
HUD_USER_FMR
county 39093
acs median gross
3
$1,129
2024-12-31
CENSUS_ACS5
county 39093
fmr
3
$1,646
2025-10-01
HUD_USER_FMR
county 39093
acs median gross
4
$1,175
2024-12-31
CENSUS_ACS5
county 39093
fmr
4
$1,760
2025-10-01
HUD_USER_FMR
county 39093
acs median gross
5
$1,391
2024-12-31
CENSUS_ACS5
county 39093
acs median gross
$966
2024-12-31
CENSUS_ACS5
county 39093
acs recent mover gross
$1,070
2024-12-31
CENSUS_ACS5
zcta 44039
acs median gross
1
$775
2024-12-31
CENSUS_ACS5
zcta 44039
acs median gross
2
$985
2024-12-31
CENSUS_ACS5
zcta 44039
acs median gross
3
$1,601
2024-12-31
CENSUS_ACS5
zcta 44039
acs median gross
4
$2,087
2024-12-31
CENSUS_ACS5
zcta 44039
acs median gross
$1,116
2024-12-31
CENSUS_ACS5
zcta 44039
acs recent mover gross
$1,725
2024-12-31
CENSUS_ACS5
zip 44039
payment standard 110
0
$1,056
2025-10-01
HUD_USER_SAFMR
zip 44039
payment standard 90
0
$864
2025-10-01
HUD_USER_SAFMR
zip 44039
safmr
0
$960
2025-10-01
HUD_USER_SAFMR
zip 44039
payment standard 110
1
$1,199
2025-10-01
HUD_USER_SAFMR
zip 44039
payment standard 90
1
$981
2025-10-01
HUD_USER_SAFMR
zip 44039
safmr
1
$1,090
2025-10-01
HUD_USER_SAFMR
zip 44039
payment standard 110
2
$1,452
2025-10-01
HUD_USER_SAFMR
zip 44039
payment standard 90
2
$1,188
2025-10-01
HUD_USER_SAFMR
zip 44039
safmr
2
$1,320
2025-10-01
HUD_USER_SAFMR
zip 44039
payment standard 110
3
$1,870
2025-10-01
HUD_USER_SAFMR
zip 44039
payment standard 90
3
$1,530
2025-10-01
HUD_USER_SAFMR
zip 44039
safmr
3
$1,700
2025-10-01
HUD_USER_SAFMR
zip 44039
payment standard 110
4
$2,002
2025-10-01
HUD_USER_SAFMR
zip 44039
payment standard 90
4
$1,638
2025-10-01
HUD_USER_SAFMR
zip 44039
safmr
4
$1,820
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.