Reads as: riskier than 7.9% 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.
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
MD median
National median
National p25–p75
Total nurse
4.21
3.32
3.28
2.90–3.77
RN
0.91
0.47
0.39
0.25–0.58
Weekend total
3.72
3.17
3.11
—
Weekday total
4.41
3.36
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
135.6
4.21
0.91
1.06
2.25
3.72
0.0%
2025Q3
92
137.6
4.38
0.96
1.17
2.25
3.77
1.1%
2025Q2
91
126.4
4.24
0.86
1.18
2.20
3.82
9.4%
2025Q1
90
100.8
4.27
1.07
1.07
2.14
3.86
0.0%
2024Q4
92
99.0
4.21
1.10
1.00
2.11
3.85
0.1%
2024Q3
92
98.3
4.17
1.07
0.95
2.15
3.77
3.3%
2024Q2
91
105.0
3.94
1.08
0.80
2.06
3.54
4.1%
2024Q1
91
130.5
3.78
1.01
0.77
2.00
3.45
7.1%
2023Q4
92
141.1
4.00
0.98
0.77
2.25
3.61
19.3%
2023Q3
92
141.9
3.73
0.99
0.72
2.02
3.44
20.4%
2023Q2
91
137.4
3.96
1.23
0.69
2.04
3.56
28.6%
2023Q1
90
142.7
3.74
1.11
0.69
1.94
3.44
29.0%
2022Q4
92
131.6
3.90
1.07
0.85
1.98
3.70
21.8%
2022Q3
92
131.1
3.85
1.04
0.78
2.03
3.49
19.6%
2022Q2
91
132.1
4.20
1.05
0.92
2.23
3.79
31.2%
2022Q1
90
134.5
3.96
0.86
0.97
2.12
3.74
32.6%
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
21
D × 20E × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-04
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
2026-03-31
2026-02-04
Health
F0730
Observe each nurse aide's job performance and give regular training.
D
2026-03-31
2026-02-04
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2026-03-31
2026-02-04
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-03-31
2024-09-20
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-10-31
2024-09-20
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
2024-10-31
2024-09-20
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-10-31
2024-09-20
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-10-31
2024-09-20
Health · complaint
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
2024-10-31
2024-09-20
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-10-31
2024-09-20
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-10-31
2024-09-20
Health · complaint
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
D
2024-10-31
2019-08-22
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2019-09-24
2019-08-22
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2019-09-24
2019-08-22
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2019-09-24
2019-08-22
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
2019-09-24
2019-08-22
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2019-09-24
2019-08-22
Health
F0730
Observe each nurse aide's job performance and give regular training.
D
2019-09-24
2019-08-22
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
2019-09-24
2019-08-22
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2019-09-24
2019-08-22
Health
F0880
Provide and implement an infection prevention and control program.
D
2019-09-24
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
38
Owner
Role
Pct
From
Status
Source
POWERS, MARK
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2025-12-01
current
pecos_ownership
JEFFREY ATTMON TRUST UA DTD 122686 ATTMON PHYLLIS TTEE
5% OR GREATER DIRECT OWNERSHIP INTEREST
8%
2009-06-01
current
pecos_ownership
ALVIN POWERS RESIDUARY TRUST FBO JEFFREY POWERS
DIRECT OWNERSHIP INTEREST
—
2025-12-01
current
pecos_ownership
ALVIN POWERS RESIDUARY TRUST FBO MARK POWERS
ADP OF THE SNF
—
2025-12-01
current
pecos_ownership
ATTMAN, GARY
DIRECT OWNERSHIP INTEREST
—
2009-06-01
current
pecos_ownership
ATTMAN, JEFFREY
INDIRECT OWNERSHIP INTEREST
—
2009-06-01
current
pecos_ownership
ATTMAN, LEONARD
DIRECT OWNERSHIP INTEREST
—
2009-06-01
current
pecos_ownership
BAY MANOR G.P., INC.
ADP OF THE SNF
—
2009-06-01
current
pecos_ownership
BAY MANOR RE
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
BAY MANOR RE
Individual has financial interest in both related organization and provider
—
2023-01-01
current
hcris_a_8_1
BAY MANOR REAL ESTATE LIMITED PARTNERSHIP
ADP OF THE SNF
—
2025-12-22
current
pecos_ownership
FINGLASS, BRIAN
OPERATIONAL/MANAGERIAL CONTROL
—
2009-06-01
current
pecos_ownership
FUTURE CARE HEALTH AND MANAGEMENT CORPORATION
OPERATIONAL/MANAGERIAL CONTROL
—
2009-06-01
current
pecos_ownership
FUTURE CARE HEALTH AND MANAGEMENT CORPORATION
ADP OF THE SNF
—
2025-12-24
current
pecos_ownership
FUTURE CARE HEALTH AND MANAGEMENT OF CHESAPEAKE INC
OPERATIONAL/MANAGERIAL CONTROL
—
2009-06-01
current
pecos_ownership
FUTURE CARE HEALTH AND MANAGEMENT OF CHESAPEAKE INC
ADP OF THE SNF
—
2025-07-16
current
pecos_ownership
GILDEN, SHELLYE
INDIRECT OWNERSHIP INTEREST
—
2009-06-01
current
pecos_ownership
LEONARD J ATTMAN TR UA FBO WENDE ATTMAN PHYLLIS TTEE
DIRECT OWNERSHIP INTEREST
—
2009-06-01
current
pecos_ownership
LEVITAS, WENDE
INDIRECT OWNERSHIP INTEREST
—
2009-06-01
current
pecos_ownership
MAIN, REBECCA JO
ADP OF THE SNF
—
2017-01-01
current
pecos_ownership
NEGI, MOHIT
ADP OF THE SNF
—
2025-09-02
current
pecos_ownership
POWERS, JEFFREY
INDIRECT OWNERSHIP INTEREST
—
2025-12-01
current
pecos_ownership
SHELLYE ATTMAN GILDEN TR UA DTD ATTMAN PHYLLIS TTEE
DIRECT OWNERSHIP INTEREST
—
2009-06-01
current
pecos_ownership
SPADARO, JOHN
OPERATIONAL/MANAGERIAL CONTROL
—
2013-05-05
current
pecos_ownership
GARY ATTMAN
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2009-06-01
ended 2026-05-18
pecos_ownership
LEONARD ATTMAN
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2009-06-01
ended 2026-05-18
pecos_ownership
JEFFREY POWERS
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2025-12-01
ended 2026-05-18
pecos_ownership
MARK POWERS
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2025-12-01
ended 2026-05-18
pecos_ownership
JEFFREY ATTMAN
INDIRECT OWNERSHIP INTEREST
8%
2009-06-01
ended 2026-05-18
pecos_ownership
SHELLYE GILDEN
INDIRECT OWNERSHIP INTEREST
8%
2009-06-01
ended 2026-05-18
pecos_ownership
WENDE LEVITAS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2009-06-01
ended 2026-05-18
pecos_ownership
BRIAN FINGLASS
CORPORATE OFFICER
0%
2009-06-01
ended 2026-05-18
pecos_ownership
BAY MANOR RE
Individual has financial interest in both related organization and provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
BAY MANOR RE
Individual has financial interest in both related organization and provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
BAY MANOR RE
Individual has financial interest in both related organization and provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
JOHN SPADARO
ADP OF THE SNF
—
2013-05-05
ended 2026-05-18
pecos_ownership
MOHIT NEGI
ADP OF THE SNF
—
2025-09-02
ended 2026-05-18
pecos_ownership
REBECCA JO MAIN
ADP OF THE SNF
—
2017-01-01
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
$2,704,302
$172,170
$1,375,112
$889,425
$267,595
9
propco
2023-12-31
$3,208,373
$180,118
$1,466,791
$1,410,214
$151,250
9
propco
2022-12-31
$3,163,229
$187,669
$1,432,453
$1,393,388
$149,719
9
propco
2021-12-31
$2,834,934
$190,793
$1,164,287
$1,317,890
$161,964
9
propco
2020-12-31
$2,958,301
$174,805
$1,157,548
$1,447,850
$178,098
9
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 24003
acs median gross
0
$1,855
2024-12-31
CENSUS_ACS5
county 24003
fmr
0
$1,362
2025-10-01
HUD_USER_FMR
county 24003
acs median gross
1
$1,702
2024-12-31
CENSUS_ACS5
county 24003
fmr
1
$1,511
2025-10-01
HUD_USER_FMR
county 24003
acs median gross
2
$2,023
2024-12-31
CENSUS_ACS5
county 24003
fmr
2
$1,857
2025-10-01
HUD_USER_FMR
county 24003
acs median gross
3
$2,306
2024-12-31
CENSUS_ACS5
county 24003
fmr
3
$2,358
2025-10-01
HUD_USER_FMR
county 24003
acs median gross
4
$2,695
2024-12-31
CENSUS_ACS5
county 24003
fmr
4
$2,611
2025-10-01
HUD_USER_FMR
county 24003
acs median gross
5
$2,932
2024-12-31
CENSUS_ACS5
county 24003
acs median gross
$2,071
2024-12-31
CENSUS_ACS5
county 24003
acs recent mover gross
$2,281
2024-12-31
CENSUS_ACS5
zcta 21012
acs median gross
1
$2,005
2024-12-31
CENSUS_ACS5
zcta 21012
acs median gross
2
$1,900
2024-12-31
CENSUS_ACS5
zcta 21012
acs median gross
3
$2,600
2024-12-31
CENSUS_ACS5
zcta 21012
acs median gross
4
$2,286
2024-12-31
CENSUS_ACS5
zcta 21012
acs median gross
$2,166
2024-12-31
CENSUS_ACS5
zcta 21012
acs recent mover gross
$2,107
2024-12-31
CENSUS_ACS5
zip 21012
payment standard 110
0
$2,013
2025-10-01
HUD_USER_SAFMR
zip 21012
payment standard 90
0
$1,647
2025-10-01
HUD_USER_SAFMR
zip 21012
safmr
0
$1,830
2025-10-01
HUD_USER_SAFMR
zip 21012
payment standard 110
1
$2,233
2025-10-01
HUD_USER_SAFMR
zip 21012
payment standard 90
1
$1,827
2025-10-01
HUD_USER_SAFMR
zip 21012
safmr
1
$2,030
2025-10-01
HUD_USER_SAFMR
zip 21012
payment standard 110
2
$2,739
2025-10-01
HUD_USER_SAFMR
zip 21012
payment standard 90
2
$2,241
2025-10-01
HUD_USER_SAFMR
zip 21012
safmr
2
$2,490
2025-10-01
HUD_USER_SAFMR
zip 21012
payment standard 110
3
$3,476
2025-10-01
HUD_USER_SAFMR
zip 21012
payment standard 90
3
$2,844
2025-10-01
HUD_USER_SAFMR
zip 21012
safmr
3
$3,160
2025-10-01
HUD_USER_SAFMR
zip 21012
payment standard 110
4
$3,850
2025-10-01
HUD_USER_SAFMR
zip 21012
payment standard 90
4
$3,150
2025-10-01
HUD_USER_SAFMR
zip 21012
safmr
4
$3,500
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.