Reads as: riskier than 68.8% 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.
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 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.
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
11
2024Q3 HPRD
This facility
IL median
National median
National p25–p75
Total nurse
4.47
3.13
3.28
2.90–3.77
RN
2.99
0.49
0.39
0.25–0.58
Weekend total
4.19
2.93
3.11
—
Weekday total
4.59
3.23
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2024Q3
92
16.2
4.47
2.99
0.00
1.48
4.19
0.0%
2024Q2
91
17.2
4.29
2.91
0.00
1.38
4.20
3.6%
2024Q1
91
23.2
4.27
2.54
0.00
1.73
4.23
7.9%
2023Q4
92
21.1
4.49
2.44
0.00
2.05
4.40
8.3%
2023Q3
92
16.1
5.04
3.10
0.00
1.94
4.70
7.7%
2023Q2
91
19.3
4.70
3.11
0.00
1.58
4.42
12.3%
2023Q1
90
46.6
1.98
1.49
0.00
0.48
2.01
26.7%
2022Q4
92
70.7
1.25
0.87
0.00
0.38
1.24
25.5%
2022Q3
92
18.0
5.47
3.29
0.00
2.18
5.07
35.4%
2022Q2
91
15.9
5.60
3.70
0.00
1.90
5.09
28.7%
2022Q1
90
15.9
2.43
1.93
0.00
0.51
2.64
4.6%
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
14
D × 9E × 2F × 2G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-02
Health · complaint
F0627
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
G
—
2026-04-02
Health · complaint
F0845
Submit a timely, acceptable plan for facility closure, including notification of the appropriate entities and ensuring residents are transferred in a safe and orderly manner.
F
—
2024-10-10
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2024-11-15
2024-10-10
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
2024-11-15
2024-10-10
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2024-11-15
2023-09-28
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-10-27
2023-09-28
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-10-27
2023-09-28
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-10-27
2023-09-28
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
D
2023-10-27
2023-09-28
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-10-27
2023-09-28
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2023-10-27
2023-09-28
Health
F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
D
2023-10-27
2022-08-25
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.
E
2022-09-19
2022-08-25
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
F
2022-09-19
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
7
Owner
Role
Pct
From
Status
Source
AUM GLOBAL HEALTHCARE MANAGEMENT, LLC
DIRECT OWNERSHIP INTEREST
—
2022-12-03
current
pecos_ownership
GREENBERG, MICHELE
INDIRECT OWNERSHIP INTEREST
—
2022-12-03
current
pecos_ownership
PATLOLA, RATHNAKER
ADP OF THE SNF
—
2022-12-03
current
pecos_ownership
PRASAD, MANOJ
OPERATIONAL/MANAGERIAL CONTROL
—
2022-12-03
current
pecos_ownership
MANOJ PRASAD
CORPORATE OFFICER
60%
2022-12-03
ended 2026-05-18
pecos_ownership
RATHNAKER PATLOLA
INDIRECT OWNERSHIP INTEREST
40%
2022-12-03
ended 2026-05-18
pecos_ownership
MICHELE GREENBERG
INDIRECT OWNERSHIP INTEREST
0%
2022-12-03
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
1
Close date
Price
Buyer
Seller
Evidence
2019-01-28
—
RESILIENCE HEALTHCARE - WEST SUBURBAN MEDICAL CENTER, LLC
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 17031
acs median gross
0
$1,230
2024-12-31
CENSUS_ACS5
county 17031
fmr
0
$1,480
2025-10-01
HUD_USER_FMR
county 17031
acs median gross
1
$1,271
2024-12-31
CENSUS_ACS5
county 17031
fmr
1
$1,581
2025-10-01
HUD_USER_FMR
county 17031
acs median gross
2
$1,454
2024-12-31
CENSUS_ACS5
county 17031
fmr
2
$1,781
2025-10-01
HUD_USER_FMR
county 17031
acs median gross
3
$1,693
2024-12-31
CENSUS_ACS5
county 17031
fmr
3
$2,294
2025-10-01
HUD_USER_FMR
county 17031
acs median gross
4
$1,909
2024-12-31
CENSUS_ACS5
county 17031
fmr
4
$2,653
2025-10-01
HUD_USER_FMR
county 17031
acs median gross
5
$1,794
2024-12-31
CENSUS_ACS5
county 17031
acs median gross
$1,435
2024-12-31
CENSUS_ACS5
county 17031
acs recent mover gross
$1,752
2024-12-31
CENSUS_ACS5
zcta 60302
acs median gross
0
$1,134
2024-12-31
CENSUS_ACS5
zcta 60302
acs median gross
1
$1,277
2024-12-31
CENSUS_ACS5
zcta 60302
acs median gross
2
$1,804
2024-12-31
CENSUS_ACS5
zcta 60302
acs median gross
3
$2,421
2024-12-31
CENSUS_ACS5
zcta 60302
acs median gross
$1,437
2024-12-31
CENSUS_ACS5
zcta 60302
acs recent mover gross
$1,571
2024-12-31
CENSUS_ACS5
zip 60302
payment standard 110
0
$1,639
2025-10-01
HUD_USER_SAFMR
zip 60302
payment standard 90
0
$1,341
2025-10-01
HUD_USER_SAFMR
zip 60302
safmr
0
$1,490
2025-10-01
HUD_USER_SAFMR
zip 60302
payment standard 110
1
$1,749
2025-10-01
HUD_USER_SAFMR
zip 60302
payment standard 90
1
$1,431
2025-10-01
HUD_USER_SAFMR
zip 60302
safmr
1
$1,590
2025-10-01
HUD_USER_SAFMR
zip 60302
payment standard 110
2
$1,969
2025-10-01
HUD_USER_SAFMR
zip 60302
payment standard 90
2
$1,611
2025-10-01
HUD_USER_SAFMR
zip 60302
safmr
2
$1,790
2025-10-01
HUD_USER_SAFMR
zip 60302
payment standard 110
3
$2,541
2025-10-01
HUD_USER_SAFMR
zip 60302
payment standard 90
3
$2,079
2025-10-01
HUD_USER_SAFMR
zip 60302
safmr
3
$2,310
2025-10-01
HUD_USER_SAFMR
zip 60302
payment standard 110
4
$2,937
2025-10-01
HUD_USER_SAFMR
zip 60302
payment standard 90
4
$2,403
2025-10-01
HUD_USER_SAFMR
zip 60302
safmr
4
$2,670
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.