Reads as: riskier than 51.3% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+37.0 vs natl
ATTINGER JEFFERY
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 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
IN median
National median
National p25–p75
Total nurse
2.51
2.85
3.28
2.90–3.77
RN
0.35
0.40
0.39
0.25–0.58
Weekend total
2.34
2.71
3.11
—
Weekday total
2.58
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
49.4
2.51
0.35
0.43
1.74
2.34
14.6%
2025Q3
92
44.8
2.95
0.53
0.43
2.00
2.72
11.8%
2025Q2
91
46.4
2.90
0.65
0.40
1.84
2.65
20.3%
2025Q1
90
49.9
2.77
0.53
0.44
1.79
2.66
14.2%
2024Q4
92
52.4
2.90
0.52
0.41
1.97
2.69
4.7%
2024Q3
92
55.5
2.81
0.54
0.37
1.90
2.66
7.2%
2024Q2
91
56.3
2.62
0.45
0.34
1.83
2.43
7.3%
2024Q1
91
53.3
2.87
0.45
0.51
1.91
2.76
0.6%
2023Q4
92
51.5
3.08
0.45
0.55
2.09
2.92
0.0%
2023Q3
92
50.7
2.77
0.51
0.47
1.78
2.59
0.0%
2023Q2
91
40.0
2.80
0.57
0.52
1.70
2.70
0.0%
2023Q1
90
35.4
3.05
0.66
0.57
1.82
2.89
0.0%
2022Q4
92
36.7
3.12
0.77
0.55
1.80
2.84
0.1%
2022Q3
92
37.0
3.11
0.77
0.56
1.77
2.79
0.0%
2022Q2
91
39.0
3.18
0.64
0.67
1.86
2.88
0.0%
2022Q1
90
37.7
2.88
0.64
0.58
1.65
2.67
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
21
D × 19E × 1F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-11-13
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-12-04
2025-08-22
Health
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
2025-09-12
2025-08-22
Health
F0627
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
D
2025-09-12
2025-08-22
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-09-12
2025-08-22
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
2025-09-12
2025-08-22
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-09-12
2025-08-22
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
2025-09-12
2025-08-22
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-09-12
2025-08-22
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-09-12
2025-08-22
Health
F0881
Implement a program that monitors antibiotic use.
D
2025-09-12
2025-02-04
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-02-21
2025-02-04
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-02-21
2024-08-21
Health · complaint
F0583
Keep residents' personal and medical records private and confidential.
D
2024-08-01
2024-07-26
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
2024-08-12
2024-07-26
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
2024-08-12
2024-07-26
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2024-08-12
2024-01-17
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-02-01
2023-08-24
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-09-15
2023-08-24
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-09-15
2023-08-24
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2023-09-15
2023-08-24
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-09-15
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
31
Owner
Role
Pct
From
Status
Source
ATTINGER, JEFFERY
OPERATIONAL/MANAGERIAL CONTROL
—
2019-04-06
current
pecos_ownership
BARRY, CAITLIN
CORPORATE OFFICER
—
2020-11-30
current
pecos_ownership
BENNETT, ADAM
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
BERKSHIRE, RANA
W-2 MANAGING EMPLOYEE
—
2003-03-27
current
pecos_ownership
HUTTON, CHARLES
CORPORATE DIRECTOR
—
2014-08-27
current
pecos_ownership
JAROSINSKI, STEPHEN
CORPORATE OFFICER
—
2022-01-01
current
pecos_ownership
KAUFFMAN, CLINTON
CORPORATE DIRECTOR
—
2019-08-01
current
pecos_ownership
LEMAN, VALERIE
CORPORATE DIRECTOR
—
2012-09-25
current
pecos_ownership
MALOTT, GREGG
W-2 MANAGING EMPLOYEE
—
2007-04-09
current
pecos_ownership
MCKAY, MICHAEL
CORPORATE DIRECTOR
—
2022-07-01
current
pecos_ownership
MCKINLEY, SHARON
CONTRACTED MANAGING EMPLOYEE
—
2012-11-01
current
pecos_ownership
MCKINLEY, SHARON
W-2 MANAGING EMPLOYEE
—
2014-01-28
current
pecos_ownership
NEWMAN, MARILYN
CORPORATE DIRECTOR
—
2018-11-01
current
pecos_ownership
PULASKI HEALTH FOUNDATION INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2012-11-01
current
pecos_ownership
SMITH, JENNIFER
CORPORATE DIRECTOR
—
2022-02-22
current
pecos_ownership
WEBB, LINDA
CORPORATE OFFICER
—
2012-11-01
current
pecos_ownership
ADAM BENNETT
CORPORATE DIRECTOR
14%
2022-01-01
ended 2026-05-18
pecos_ownership
CHARLES HUTTON
CORPORATE DIRECTOR
14%
2014-08-27
ended 2026-05-18
pecos_ownership
JENNIFER SMITH
CORPORATE DIRECTOR
14%
2022-02-22
ended 2026-05-18
pecos_ownership
MARILYN NEWMAN
CORPORATE DIRECTOR
14%
2018-11-01
ended 2026-05-18
pecos_ownership
MICHAEL MCKAY
CORPORATE DIRECTOR
14%
2022-07-01
ended 2026-05-18
pecos_ownership
VALERIE LEMAN
CORPORATE DIRECTOR
14%
2012-09-25
ended 2026-05-18
pecos_ownership
CAITLIN BARRY
CORPORATE OFFICER
—
2020-11-30
ended 2026-05-18
pecos_ownership
CLINTON KAUFFMAN
CORPORATE DIRECTOR
—
2019-08-01
ended 2026-05-18
pecos_ownership
GREGG MALOTT
W-2 MANAGING EMPLOYEE
—
2007-04-09
ended 2026-05-18
pecos_ownership
JEFFERY ATTINGER
W-2 MANAGING EMPLOYEE
—
2019-04-06
ended 2026-05-18
pecos_ownership
LINDA WEBB
CORPORATE OFFICER
—
2012-11-01
ended 2026-05-18
pecos_ownership
RANA BERKSHIRE
W-2 MANAGING EMPLOYEE
—
2003-03-27
ended 2026-05-18
pecos_ownership
SHARON MCKINLEY
CONTRACTED MANAGING EMPLOYEE
—
2012-11-01
ended 2026-05-18
pecos_ownership
SHARON MCKINLEY
W-2 MANAGING EMPLOYEE
—
2014-01-28
ended 2026-05-18
pecos_ownership
STEPHEN JAROSINSKI
CORPORATE OFFICER
—
2022-01-01
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
2024-09-30
$151,111
—
—
—
—
3
—
2023-09-30
$125,488
—
—
—
—
3
—
2022-09-30
$111,566
—
—
—
—
3
—
2021-09-30
$111,616
—
—
—
—
3
—
2020-09-30
$223,665
—
—
—
—
3
—
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
32
Geo
Kind
BR
Amount
As of
Source
county 18131
acs median gross
0
$675
2024-12-31
CENSUS_ACS5
county 18131
fmr
0
$685
2025-10-01
HUD_USER_FMR
county 18131
acs median gross
1
$572
2024-12-31
CENSUS_ACS5
county 18131
fmr
1
$872
2025-10-01
HUD_USER_FMR
county 18131
acs median gross
2
$782
2024-12-31
CENSUS_ACS5
county 18131
fmr
2
$956
2025-10-01
HUD_USER_FMR
county 18131
acs median gross
3
$1,008
2024-12-31
CENSUS_ACS5
county 18131
fmr
3
$1,330
2025-10-01
HUD_USER_FMR
county 18131
acs median gross
4
$971
2024-12-31
CENSUS_ACS5
county 18131
fmr
4
$1,604
2025-10-01
HUD_USER_FMR
county 18131
acs median gross
$772
2024-12-31
CENSUS_ACS5
county 18131
acs recent mover gross
$915
2024-12-31
CENSUS_ACS5
zcta 46996
acs median gross
1
$545
2024-12-31
CENSUS_ACS5
zcta 46996
acs median gross
2
$796
2024-12-31
CENSUS_ACS5
zcta 46996
acs median gross
3
$629
2024-12-31
CENSUS_ACS5
zcta 46996
acs median gross
$725
2024-12-31
CENSUS_ACS5
zcta 46996
acs recent mover gross
$835
2024-12-31
CENSUS_ACS5
zip 46996
payment standard 110
0
$759
2025-10-01
HUD_USER_SAFMR
zip 46996
payment standard 90
0
$621
2025-10-01
HUD_USER_SAFMR
zip 46996
safmr
0
$690
2025-10-01
HUD_USER_SAFMR
zip 46996
payment standard 110
1
$957
2025-10-01
HUD_USER_SAFMR
zip 46996
payment standard 90
1
$783
2025-10-01
HUD_USER_SAFMR
zip 46996
safmr
1
$870
2025-10-01
HUD_USER_SAFMR
zip 46996
payment standard 110
2
$1,056
2025-10-01
HUD_USER_SAFMR
zip 46996
payment standard 90
2
$864
2025-10-01
HUD_USER_SAFMR
zip 46996
safmr
2
$960
2025-10-01
HUD_USER_SAFMR
zip 46996
payment standard 110
3
$1,463
2025-10-01
HUD_USER_SAFMR
zip 46996
payment standard 90
3
$1,197
2025-10-01
HUD_USER_SAFMR
zip 46996
safmr
3
$1,330
2025-10-01
HUD_USER_SAFMR
zip 46996
payment standard 110
4
$1,760
2025-10-01
HUD_USER_SAFMR
zip 46996
payment standard 90
4
$1,440
2025-10-01
HUD_USER_SAFMR
zip 46996
safmr
4
$1,600
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.