Reads as: riskier than 46.8% 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.
ML signals — parallel engine
4
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+28.6 vs natl
ZEFFREN EITAN
14 facilities
connection
Owner fleet risk far above national
+25.8 vs natl
KUSHNER FAMILY IDF LLC
6 facilities
connection
Owner fleet risk far above national
+23.5 vs natl
REG 2018 IRREVOCABLE TRUST U A D 1 1 18
6 facilities
connection
Owner fleet enforcement cluster
43% fined
ZEFFREN EITAN
14 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
3.24
3.13
3.28
2.90–3.77
RN
0.77
0.49
0.39
0.25–0.58
Weekend total
2.93
2.93
3.11
—
Weekday total
3.36
3.23
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
116.9
3.24
0.77
0.62
1.85
2.93
1.6%
2025Q3
92
120.4
3.24
0.74
0.66
1.84
2.89
1.4%
2025Q2
91
118.4
3.21
0.69
0.66
1.85
2.81
1.4%
2025Q1
90
123.8
2.94
0.46
0.67
1.81
2.68
1.7%
2024Q4
92
125.8
2.78
0.47
0.61
1.71
2.60
2.0%
2024Q3
92
127.4
2.70
0.43
0.61
1.65
2.54
1.9%
2024Q2
91
121.8
2.90
0.52
0.59
1.78
2.69
3.3%
2024Q1
91
125.1
2.71
0.40
0.62
1.69
2.59
2.2%
2023Q4
92
122.9
2.76
0.51
0.53
1.72
2.58
0.6%
2023Q3
92
125.2
2.78
0.57
0.55
1.66
2.52
6.6%
2023Q2
91
118.7
2.82
0.55
0.58
1.69
2.68
6.7%
2023Q1
90
117.1
2.64
0.56
0.52
1.57
2.47
3.3%
2022Q4
92
117.8
2.75
0.50
0.63
1.62
2.57
3.2%
2022Q3
92
117.3
2.73
0.51
0.65
1.58
2.46
8.3%
2022Q2
91
112.8
2.69
0.58
0.61
1.50
2.43
17.4%
2022Q1
90
114.3
2.59
0.43
0.72
1.44
2.29
11.2%
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
30
D × 19E × 7F × 2G × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-10
Health · complaint
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2026-04-16
2026-04-10
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-04-16
2025-12-19
Health · complaint
F0926
Have policies on smoking.
E
2025-12-26
2025-11-26
Health · complaint
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
2025-12-08
2025-08-13
Health · complaint
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-08-15
2025-03-27
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2025-04-16
2025-03-27
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-04-16
2025-03-27
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
2025-04-16
2025-03-27
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-04-16
2025-03-27
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2025-04-16
2025-03-14
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-03-21
2024-12-20
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-12-27
2024-12-20
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2024-12-27
2024-12-20
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-12-27
2024-10-28
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-11-04
2024-08-01
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-08-19
2024-06-12
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
E
2024-06-24
2024-02-09
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-02-16
2024-02-09
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2024-02-16
2024-02-09
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.
E
2024-02-16
2024-02-09
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-02-16
2024-02-09
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-02-16
2023-10-27
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2023-11-01
2023-10-27
Health · complaint
F0808
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
D
2023-11-01
2023-07-27
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-08-04
2022-12-16
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2022-12-22
2022-12-16
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2022-12-22
2022-12-16
Health
F0760
Ensure that residents are free from significant medication errors.
D
2022-12-22
2022-12-16
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.
E
2022-12-22
2022-12-16
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2022-12-22
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
13
Owner
Role
Pct
From
Status
Source
ZEFFREN, EITAN
5% OR GREATER DIRECT OWNERSHIP INTEREST
60%
2018-11-01
current
pecos_ownership
JOEZEE MEADOWS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
6%
2018-11-01
current
pecos_ownership
KUSHNER FAMILY IDF LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
6%
2018-11-01
current
pecos_ownership
REG 2018 IRREVOCABLE TRUST U/A/D 1/1/18
5% OR GREATER DIRECT OWNERSHIP INTEREST
6%
2018-11-01
current
pecos_ownership
HALBERSTAM, BENJAMIN
5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
2018-11-01
current
pecos_ownership
MAGENCE, MEYER
5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
2018-11-05
current
pecos_ownership
BERG, KATHRYN
W-2 MANAGING EMPLOYEE
—
2018-11-01
current
pecos_ownership
SCHMIDT, MICHELE
W-2 MANAGING EMPLOYEE
—
2018-11-01
current
pecos_ownership
EITAN ZEFFREN
5% OR GREATER DIRECT OWNERSHIP INTEREST
60%
2018-11-01
ended 2026-05-18
pecos_ownership
BENJAMIN HALBERSTAM
5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
2018-11-01
ended 2026-05-18
pecos_ownership
MEYER MAGENCE
5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
2018-11-05
ended 2026-05-18
pecos_ownership
KATHRYN BERG
W-2 MANAGING EMPLOYEE
—
2018-11-01
ended 2026-05-18
pecos_ownership
MICHELE SCHMIDT
W-2 MANAGING EMPLOYEE
—
2018-11-01
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
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$438,789
—
—
—
—
2
—
2023-12-31
$370,305
—
—
—
$88,639
3
—
2022-12-31
$314,992
—
—
—
$72,151
3
—
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
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 60008
acs median gross
0
$1,381
2024-12-31
CENSUS_ACS5
zcta 60008
acs median gross
1
$1,397
2024-12-31
CENSUS_ACS5
zcta 60008
acs median gross
2
$1,554
2024-12-31
CENSUS_ACS5
zcta 60008
acs median gross
3
$2,088
2024-12-31
CENSUS_ACS5
zcta 60008
acs median gross
$1,599
2024-12-31
CENSUS_ACS5
zcta 60008
acs recent mover gross
$2,204
2024-12-31
CENSUS_ACS5
zip 60008
payment standard 110
0
$1,771
2025-10-01
HUD_USER_SAFMR
zip 60008
payment standard 90
0
$1,449
2025-10-01
HUD_USER_SAFMR
zip 60008
safmr
0
$1,610
2025-10-01
HUD_USER_SAFMR
zip 60008
payment standard 110
1
$1,892
2025-10-01
HUD_USER_SAFMR
zip 60008
payment standard 90
1
$1,548
2025-10-01
HUD_USER_SAFMR
zip 60008
safmr
1
$1,720
2025-10-01
HUD_USER_SAFMR
zip 60008
payment standard 110
2
$2,134
2025-10-01
HUD_USER_SAFMR
zip 60008
payment standard 90
2
$1,746
2025-10-01
HUD_USER_SAFMR
zip 60008
safmr
2
$1,940
2025-10-01
HUD_USER_SAFMR
zip 60008
payment standard 110
3
$2,750
2025-10-01
HUD_USER_SAFMR
zip 60008
payment standard 90
3
$2,250
2025-10-01
HUD_USER_SAFMR
zip 60008
safmr
3
$2,500
2025-10-01
HUD_USER_SAFMR
zip 60008
payment standard 110
4
$3,179
2025-10-01
HUD_USER_SAFMR
zip 60008
payment standard 90
4
$2,601
2025-10-01
HUD_USER_SAFMR
zip 60008
safmr
4
$2,890
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.