Reads as: riskier than 58.2% 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 spans multiple chains
4 chains
MATHEW STANLEY
12 facilities
connection
Owner fleet enforcement cluster
42% fined
FRIEDMAN BENJAMIN
26 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
IL median
National median
National p25–p75
Total nurse
3.62
3.13
3.28
2.90–3.77
RN
0.19
0.49
0.39
0.25–0.58
Weekend total
2.85
2.93
3.11
—
Weekday total
3.93
3.23
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
38.3
3.62
0.19
0.73
2.70
2.85
0.1%
2025Q3
92
39.3
3.63
0.35
0.67
2.62
2.97
1.6%
2025Q2
91
40.8
3.92
0.44
0.65
2.84
3.00
0.0%
2025Q1
90
39.6
3.85
0.34
0.78
2.73
3.18
2.4%
2024Q4
92
37.4
3.83
0.40
0.76
2.67
3.22
3.4%
2024Q3
92
36.8
3.30
0.04
0.88
2.39
2.85
1.4%
2024Q2
91
37.9
3.35
0.16
0.86
2.34
2.88
2.1%
2024Q1
91
37.6
3.07
0.35
0.58
2.15
2.80
0.5%
2023Q4
92
35.7
3.17
0.44
0.68
2.05
2.61
0.0%
2023Q3
92
34.7
3.20
0.52
0.70
1.98
2.88
0.0%
2023Q2
91
37.0
3.24
0.43
0.75
2.06
2.65
0.0%
2023Q1
90
36.2
3.14
0.44
0.73
1.97
2.68
0.0%
2022Q4
92
36.8
3.22
0.44
0.78
2.00
2.98
0.0%
2022Q3
92
35.6
3.23
0.33
0.88
2.02
2.87
0.0%
2022Q2
91
34.2
3.33
0.29
0.94
2.10
2.79
0.0%
2022Q1
90
33.9
3.27
0.40
0.88
1.99
2.89
0.0%
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 × 10E × 2F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-11-26
Health · complaint
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-11-28
2025-09-19
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-09-30
2025-09-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-09-22
2025-05-02
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2025-05-07
2025-05-02
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-05-09
2024-09-12
Health
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
2024-09-28
2024-09-12
Health
F0742
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
D
2024-09-28
2024-09-12
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2024-09-28
2023-08-11
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2023-08-30
2023-08-11
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-08-30
2023-08-11
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2023-08-30
2023-08-11
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2023-08-30
2023-08-11
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2023-08-30
2023-08-11
Health
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F
2023-08-30
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
37
Owner
Role
Pct
From
Status
Source
CET OFFICE HOLDINGS LLC
Individual has financial interest in both related organization and provider
—
2023-01-01
current
hcris_a_8_1
CET OFFICE HOLDINGS LLC
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
E NEWHOUSE FAMILY TRUST
INDIRECT OWNERSHIP INTEREST
—
2017-12-01
current
pecos_ownership
ERBLICH, AVRAHAM
MANAGING CONTROL - GOVERNING BODY
—
2017-12-01
current
pecos_ownership
ETN FAMILY HOLDINGS LLC
DIRECT OWNERSHIP INTEREST
—
2017-12-01
current
pecos_ownership
ETN FAMILY HOLDINGS LLC
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
FRIEDMAN, BENJAMIN
MANAGING CONTROL - GOVERNING BODY
—
2017-12-01
current
pecos_ownership
GALLATIN PROPCO LLC
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
GALLATIN PROPCO LLC
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
GALLATIN PROPCO LLC
Individual has financial interest in both related organization and provider
—
2023-01-01
current
hcris_a_8_1
JACKSON, WARREN
ADP OF THE SNF
—
2021-02-17
current
pecos_ownership
MATHEW, STANLEY
MANAGING CONTROL - GOVERNING BODY
—
2025-03-01
current
pecos_ownership
MATHEW, STANLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-01
current
pecos_ownership
MILLMAN, CHAIM
OPERATIONAL/MANAGERIAL CONTROL
—
2017-12-01
current
pecos_ownership
NEWHOUSE, ERIC
MANAGING CONTROL - GOVERNING BODY
—
2017-12-01
current
pecos_ownership
SHEPS, BORUCH
ADP OF THE SNF
—
2017-12-01
current
pecos_ownership
STERN THERAPY CONSULTANTS LLC
ADP OF THE SNF
—
2017-12-01
current
pecos_ownership
STERN, BEZALEL
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
T NEWHOUSE FAMILY TRUST
INDIRECT OWNERSHIP INTEREST
—
2017-12-01
current
pecos_ownership
BORUCH SHEPS
OPERATIONAL/MANAGERIAL CONTROL
50%
2017-12-01
ended 2026-05-18
pecos_ownership
CHAIM MILLMAN
OPERATIONAL/MANAGERIAL CONTROL
50%
2017-12-01
ended 2026-05-18
pecos_ownership
AVRAHAM ERBLICH
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2017-12-01
ended 2026-05-18
pecos_ownership
BENJAMIN FRIEDMAN
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2017-12-01
ended 2026-05-18
pecos_ownership
BEZALEL STERN
5% OR GREATER DIRECT OWNERSHIP INTEREST
9%
2017-12-01
ended 2026-05-18
pecos_ownership
ERIC NEWHOUSE
INDIRECT OWNERSHIP INTEREST
0%
2017-12-01
ended 2026-05-18
pecos_ownership
AZM HOLDING LLC
Individual has financial interest in both related organization and provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
AZM HOLDING LLC
Individual has financial interest in both related organization and provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
BEZALEL STERN
ADP OF THE SNF
—
2021-06-01
ended 2026-05-18
pecos_ownership
CET OFFICE HOLDINGS LLC
Individual has financial interest in both related organization and provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
CET OFFICE HOLDINGS LLC
Individual has financial interest in both related organization and provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
CET OFFICE HOLDINGS LLC
Individual has financial interest in both related organization and provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
GALLATIN PROPCO LLC
Individual has financial interest in both related organization and provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
GALLATIN PROPCO LLC
Individual has financial interest in both related organization and provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
GALLATIN PROPCO LLC
Individual has financial interest in both related organization and provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
STANLEY MATHEW
MANAGING CONTROL - GOVERNING BODY
—
2025-03-01
ended 2026-05-18
pecos_ownership
STANLEY MATHEW
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-01
ended 2026-05-18
pecos_ownership
WARREN JACKSON
ADP OF THE SNF
—
2021-02-17
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
$535,436
—
—
—
$37,439
5
propco
2023-12-31
$340,742
—
—
—
$14,210
5
propco
2022-12-31
$530,398
—
—
—
$30,825
5
propco
2021-12-31
$527,845
—
$282,165
—
—
6
propco
2020-12-31
$517,162
—
$310,685
—
—
4
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
28
Geo
Kind
BR
Amount
As of
Source
county 17059
fmr
0
$632
2025-10-01
HUD_USER_FMR
county 17059
acs median gross
1
$423
2024-12-31
CENSUS_ACS5
county 17059
fmr
1
$698
2025-10-01
HUD_USER_FMR
county 17059
acs median gross
2
$524
2024-12-31
CENSUS_ACS5
county 17059
fmr
2
$916
2025-10-01
HUD_USER_FMR
county 17059
acs median gross
3
$642
2024-12-31
CENSUS_ACS5
county 17059
fmr
3
$1,098
2025-10-01
HUD_USER_FMR
county 17059
fmr
4
$1,308
2025-10-01
HUD_USER_FMR
county 17059
acs median gross
$541
2024-12-31
CENSUS_ACS5
zcta 62979
acs median gross
1
$421
2024-12-31
CENSUS_ACS5
zcta 62979
acs median gross
2
$657
2024-12-31
CENSUS_ACS5
zcta 62979
acs median gross
3
$790
2024-12-31
CENSUS_ACS5
zcta 62979
acs median gross
$667
2024-12-31
CENSUS_ACS5
zip 62979
payment standard 110
0
$704
2025-10-01
HUD_USER_SAFMR
zip 62979
payment standard 90
0
$576
2025-10-01
HUD_USER_SAFMR
zip 62979
safmr
0
$640
2025-10-01
HUD_USER_SAFMR
zip 62979
payment standard 110
1
$781
2025-10-01
HUD_USER_SAFMR
zip 62979
payment standard 90
1
$639
2025-10-01
HUD_USER_SAFMR
zip 62979
safmr
1
$710
2025-10-01
HUD_USER_SAFMR
zip 62979
payment standard 110
2
$1,023
2025-10-01
HUD_USER_SAFMR
zip 62979
payment standard 90
2
$837
2025-10-01
HUD_USER_SAFMR
zip 62979
safmr
2
$930
2025-10-01
HUD_USER_SAFMR
zip 62979
payment standard 110
3
$1,232
2025-10-01
HUD_USER_SAFMR
zip 62979
payment standard 90
3
$1,008
2025-10-01
HUD_USER_SAFMR
zip 62979
safmr
3
$1,120
2025-10-01
HUD_USER_SAFMR
zip 62979
payment standard 110
4
$1,463
2025-10-01
HUD_USER_SAFMR
zip 62979
payment standard 90
4
$1,197
2025-10-01
HUD_USER_SAFMR
zip 62979
safmr
4
$1,330
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.