Reads as: riskier than 64.7% 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
4
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+28.7 vs natl
BE SMARTS TR
6 facilities
connection
Owner fleet risk far above national
+28.1 vs natl
LAHASKY FAMILY TRUST
6 facilities
connection
Owner spans multiple chains
6 chains
GEARY PROPERTY HOLDINGS LLC
21 facilities
connection
Owner fleet enforcement cluster
42% fined
KATZ LARRY
19 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
3.07
3.38
3.28
2.90–3.77
RN
0.21
0.45
0.39
0.25–0.58
Weekend total
3.04
3.27
3.11
—
Weekday total
3.08
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
64.9
3.07
0.21
0.90
1.97
3.04
35.1%
2025Q3
92
65.1
3.04
0.23
0.91
1.90
3.06
46.8%
2025Q2
91
66.6
3.01
0.20
0.86
1.95
2.93
42.9%
2025Q1
90
65.2
3.09
0.23
0.84
2.02
2.91
52.4%
2024Q4
92
66.1
3.09
0.19
0.87
2.03
2.93
46.9%
2024Q3
92
63.2
2.95
0.19
0.82
1.94
2.80
42.1%
2024Q2
91
59.0
2.90
0.18
0.74
1.98
2.86
38.0%
2024Q1
91
56.2
3.37
0.33
0.83
2.21
3.23
42.0%
2023Q4
92
50.5
3.58
0.36
0.85
2.36
3.47
30.0%
2023Q3
92
50.9
4.42
0.44
1.06
2.92
4.30
26.1%
2023Q2
91
50.6
3.47
0.42
0.89
2.16
3.21
15.8%
2023Q1
90
51.9
3.15
0.38
0.76
2.01
2.96
24.1%
2022Q4
92
55.6
3.24
0.36
0.71
2.17
3.04
38.4%
2022Q3
92
56.0
2.94
0.36
0.56
2.02
2.42
28.6%
2022Q2
91
56.1
2.78
0.29
0.61
1.88
2.60
30.6%
2022Q1
90
55.5
2.63
0.30
0.54
1.79
2.46
27.4%
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
32
D × 29E × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-26
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-04-06
2025-09-08
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.
D
2025-10-17
2025-09-08
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2025-10-17
2025-09-08
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.
D
2025-10-17
2025-09-08
Health
F0610
Respond appropriately to all alleged violations.
E
2025-10-17
2025-09-08
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
2025-10-17
2025-09-08
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-10-17
2025-09-08
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2025-10-17
2025-09-08
Health
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2025-10-17
2025-09-08
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2025-10-17
2025-09-08
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-10-17
2025-09-08
Health
F0908
Keep all essential equipment working safely.
E
2025-10-17
2024-10-11
Health · complaint
F0583
Keep residents' personal and medical records private and confidential.
D
2024-11-25
2024-10-11
Health · complaint
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2024-11-25
2024-10-11
Health · complaint
F0637
Assess the resident when there is a significant change in condition
D
2024-11-25
2024-10-11
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2024-11-25
2024-10-11
Health · complaint
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2024-11-25
2024-10-11
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-11-25
2024-10-11
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-11-25
2024-06-25
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2024-07-17
2024-05-15
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2024-06-19
2024-02-01
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
2024-03-05
2024-02-01
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2024-03-05
2024-02-01
Health
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2024-03-05
2024-02-01
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
2024-03-05
2024-02-01
Health
F0947
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
D
2024-03-05
2023-11-28
Health · complaint
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.
D
2023-12-19
2023-10-11
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-11-13
2023-09-28
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2023-11-13
2023-09-28
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-11-13
2023-09-28
Health · complaint
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2023-11-13
2023-09-28
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2023-11-13
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
25
Owner
Role
Pct
From
Status
Source
BLES HEALTHCARE MANAGEMENT LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2018-05-14
current
pecos_ownership
BE SMARTS TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2018-05-14
current
pecos_ownership
BFSNMC LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2018-05-14
current
pecos_ownership
BORENSTEIN, PHILLIP
INDIRECT OWNERSHIP INTEREST
—
2018-05-14
current
pecos_ownership
BRAUNSTEIN, BARRY
OPERATIONAL/MANAGERIAL CONTROL
—
2018-05-14
current
pecos_ownership
FEUER, SAMUEL
CORPORATE OFFICER
—
2018-05-14
current
pecos_ownership
GEARY PROPERTY HOLDINGS LLC
ADP OF THE SNF
—
2018-05-14
current
pecos_ownership
GPH ROSEMONT LP
ADP OF THE SNF
—
2018-05-14
current
pecos_ownership
HAMILTON 3P LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2018-05-14
current
pecos_ownership
HMSNMC LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2018-05-14
current
pecos_ownership
KATZ, LARRY
CORPORATE OFFICER
—
2018-05-14
current
pecos_ownership
LAHASKY FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2018-05-14
current
pecos_ownership
LESHKOWITZ, ELI
CORPORATE OFFICER
—
2018-05-14
current
pecos_ownership
LEWIS, STEVEN
MANAGING CONTROL - GOVERNING BODY
—
2018-05-14
current
pecos_ownership
ROSENSTOCK, YITZCHOK
ADP OF THE SNF
—
2025-07-16
current
pecos_ownership
ROSENSTOCK, YITZCHOK
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-17
current
pecos_ownership
BARRY BRAUNSTEIN
OPERATIONAL/MANAGERIAL CONTROL
100%
2018-05-14
ended 2026-05-18
pecos_ownership
ELI LESHKOWITZ
CORPORATE OFFICER
100%
2018-05-14
ended 2026-05-18
pecos_ownership
LARRY KATZ
CORPORATE OFFICER
100%
2018-05-14
ended 2026-05-18
pecos_ownership
SAMUEL FEUER
CORPORATE OFFICER
100%
2018-05-14
ended 2026-05-18
pecos_ownership
LME FAMILY HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
24%
2018-05-14
ended 2026-05-18
pecos_ownership
PHILLIP BORENSTEIN
INDIRECT OWNERSHIP INTEREST
4%
2018-05-14
ended 2026-05-18
pecos_ownership
STEVEN LEWIS
MANAGING CONTROL - GOVERNING BODY
—
2018-05-14
ended 2026-05-18
pecos_ownership
YITZCHOK ROSENSTOCK
ADP OF THE SNF
—
2025-07-16
ended 2026-05-18
pecos_ownership
YITZCHOK ROSENSTOCK
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-17
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
$225,551
—
—
—
—
1
—
2023-12-31
$221,566
—
—
—
—
1
—
2022-12-31
$310,769
—
—
—
—
1
—
2021-12-31
$307,234
—
—
—
—
1
—
2020-12-31
$341,165
—
—
—
—
1
—
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 42091
acs median gross
0
$1,347
2024-12-31
CENSUS_ACS5
county 42091
fmr
0
$1,397
2025-10-01
HUD_USER_FMR
county 42091
acs median gross
1
$1,467
2024-12-31
CENSUS_ACS5
county 42091
fmr
1
$1,520
2025-10-01
HUD_USER_FMR
county 42091
acs median gross
2
$1,781
2024-12-31
CENSUS_ACS5
county 42091
fmr
2
$1,810
2025-10-01
HUD_USER_FMR
county 42091
acs median gross
3
$2,029
2024-12-31
CENSUS_ACS5
county 42091
fmr
3
$2,170
2025-10-01
HUD_USER_FMR
county 42091
acs median gross
4
$2,103
2024-12-31
CENSUS_ACS5
county 42091
fmr
4
$2,423
2025-10-01
HUD_USER_FMR
county 42091
acs median gross
5
$2,343
2024-12-31
CENSUS_ACS5
county 42091
acs median gross
$1,683
2024-12-31
CENSUS_ACS5
county 42091
acs recent mover gross
$1,838
2024-12-31
CENSUS_ACS5
zcta 19010
acs median gross
0
$1,835
2024-12-31
CENSUS_ACS5
zcta 19010
acs median gross
1
$1,670
2024-12-31
CENSUS_ACS5
zcta 19010
acs median gross
2
$2,112
2024-12-31
CENSUS_ACS5
zcta 19010
acs median gross
3
$2,558
2024-12-31
CENSUS_ACS5
zcta 19010
acs median gross
4
$3,500
2024-12-31
CENSUS_ACS5
zcta 19010
acs median gross
$1,918
2024-12-31
CENSUS_ACS5
zcta 19010
acs recent mover gross
$2,413
2024-12-31
CENSUS_ACS5
zip 19010
payment standard 110
0
$2,057
2025-10-01
HUD_USER_SAFMR
zip 19010
payment standard 90
0
$1,683
2025-10-01
HUD_USER_SAFMR
zip 19010
safmr
0
$1,870
2025-10-01
HUD_USER_SAFMR
zip 19010
payment standard 110
1
$2,233
2025-10-01
HUD_USER_SAFMR
zip 19010
payment standard 90
1
$1,827
2025-10-01
HUD_USER_SAFMR
zip 19010
safmr
1
$2,030
2025-10-01
HUD_USER_SAFMR
zip 19010
payment standard 110
2
$2,662
2025-10-01
HUD_USER_SAFMR
zip 19010
payment standard 90
2
$2,178
2025-10-01
HUD_USER_SAFMR
zip 19010
safmr
2
$2,420
2025-10-01
HUD_USER_SAFMR
zip 19010
payment standard 110
3
$3,190
2025-10-01
HUD_USER_SAFMR
zip 19010
payment standard 90
3
$2,610
2025-10-01
HUD_USER_SAFMR
zip 19010
safmr
3
$2,900
2025-10-01
HUD_USER_SAFMR
zip 19010
payment standard 110
4
$3,564
2025-10-01
HUD_USER_SAFMR
zip 19010
payment standard 90
4
$2,916
2025-10-01
HUD_USER_SAFMR
zip 19010
safmr
4
$3,240
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.