Reads as: riskier than 61.4% 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
15
2025Q4 HPRD
This facility
OH median
National median
National p25–p75
Total nurse
2.93
3.24
3.28
2.90–3.77
RN
0.44
0.38
0.39
0.25–0.58
Weekend total
2.91
3.11
3.11
—
Weekday total
2.94
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
38.3
2.93
0.44
0.88
1.62
2.91
6.6%
2025Q3
92
41.3
2.90
0.53
0.66
1.72
2.84
13.8%
2025Q2
91
41.6
2.87
0.60
0.61
1.66
2.84
23.8%
2025Q1
90
41.3
2.72
0.45
0.72
1.55
2.65
26.8%
2024Q4
92
40.6
2.91
0.53
0.68
1.71
2.92
17.3%
2024Q3
92
44.4
2.68
0.38
0.65
1.65
2.54
22.9%
2024Q2
91
37.0
2.92
0.49
0.46
1.97
2.94
14.6%
2024Q1
91
37.2
2.68
0.31
0.84
1.53
2.68
4.3%
2023Q4
92
33.1
2.63
0.06
1.05
1.53
2.60
0.5%
2023Q3
92
37.7
2.80
0.23
0.91
1.66
2.61
0.6%
2023Q2
91
37.2
2.90
0.39
0.65
1.86
2.75
0.2%
2023Q1
90
34.6
3.30
0.28
1.12
1.90
3.38
1.4%
2022Q4
92
35.8
2.21
0.13
0.40
1.68
1.92
0.0%
2022Q2
91
39.4
2.56
0.40
0.51
1.64
2.34
17.5%
2022Q1
90
41.7
2.25
0.13
0.54
1.58
1.90
23.2%
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
31
D × 24E × 3F × 3G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-12-15
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.
D
2025-12-16
2025-09-11
Health
F0610
Respond appropriately to all alleged violations.
D
2025-10-08
2025-09-11
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-10-08
2025-09-11
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-10-08
2025-09-11
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-10-08
2025-09-11
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-10-08
2025-09-11
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-10-08
2025-09-11
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-10-08
2024-03-05
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-03-08
2024-02-07
Health · complaint
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
F
2024-02-08
2023-10-12
Health · complaint
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
2023-10-16
2023-08-07
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2023-08-11
2023-04-24
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-05-09
2023-04-24
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
2023-05-09
2023-04-24
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.
D
2023-05-09
2023-04-24
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2023-05-09
2023-04-24
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
2023-05-09
2023-04-24
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2023-05-09
2023-04-24
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2023-05-09
2023-04-24
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-05-09
2023-04-24
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-05-09
2023-04-24
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
2023-05-09
2023-04-24
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2023-05-09
2023-04-24
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2023-05-09
2023-04-24
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2023-05-09
2023-04-24
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-05-09
2019-12-18
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2020-01-15
2019-12-18
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
2020-01-15
2019-12-18
Health
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2020-01-15
2019-12-18
Health
F0790
Provide routine and 24-hour emergency dental care for each resident.
D
2020-01-15
2019-12-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2020-01-15
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
16
Owner
Role
Pct
From
Status
Source
LIONSTONE HZ OPCO HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-01-01
current
pecos_ownership
KAZARNOVSKY, SOLOMON
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2023-01-01
current
pecos_ownership
STEIN, ABBA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2023-01-01
current
pecos_ownership
CUSNER, ADAM
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-27
current
pecos_ownership
DEGYANSKY, JEFFREY
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
DEGYANSKY, JEFFREY
CORPORATE OFFICER
—
2020-01-01
current
pecos_ownership
GOLDISH, ELIEZER
CORPORATE OFFICER
—
2023-10-09
current
pecos_ownership
PAULDING MEDICAL LAND LLC
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
PAULDING MEDICAL LAND LLC
Individual has financial interest in both related organization and provider
100%
2020-07-01
ended 2020-12-31
hcris_a_8_1
PAULDING MEDICAL LAND LLC
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
ABBA STEIN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2023-01-01
ended 2026-05-18
pecos_ownership
SOLOMON KAZARNOVSKY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2023-01-01
ended 2026-05-18
pecos_ownership
ADAM CUSNER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-27
ended 2026-05-18
pecos_ownership
ELIEZER GOLDISH
CORPORATE OFFICER
—
2023-10-09
ended 2026-05-18
pecos_ownership
JEFFREY DEGYANSKY
ADP OF THE SNF
—
2023-01-01
ended 2026-05-18
pecos_ownership
JEFFREY DEGYANSKY
CORPORATE OFFICER
—
2020-01-01
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
4
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2022-12-31
$370,954
—
—
—
—
1
propco
2021-12-31
$201,459
—
—
—
—
1
propco
2020-12-31
$115,645
—
—
—
—
1
propco
2020-06-30
$111,659
—
$111,659
—
—
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
31
Geo
Kind
BR
Amount
As of
Source
county 39125
acs median gross
0
$775
2024-12-31
CENSUS_ACS5
county 39125
fmr
0
$736
2025-10-01
HUD_USER_FMR
county 39125
acs median gross
1
$592
2024-12-31
CENSUS_ACS5
county 39125
fmr
1
$780
2025-10-01
HUD_USER_FMR
county 39125
acs median gross
2
$791
2024-12-31
CENSUS_ACS5
county 39125
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 39125
acs median gross
3
$827
2024-12-31
CENSUS_ACS5
county 39125
fmr
3
$1,343
2025-10-01
HUD_USER_FMR
county 39125
acs median gross
4
$1,321
2024-12-31
CENSUS_ACS5
county 39125
fmr
4
$1,530
2025-10-01
HUD_USER_FMR
county 39125
acs median gross
5
$1,045
2024-12-31
CENSUS_ACS5
county 39125
acs median gross
$812
2024-12-31
CENSUS_ACS5
county 39125
acs recent mover gross
$867
2024-12-31
CENSUS_ACS5
zcta 45879
acs median gross
2
$840
2024-12-31
CENSUS_ACS5
zcta 45879
acs median gross
3
$853
2024-12-31
CENSUS_ACS5
zcta 45879
acs median gross
$843
2024-12-31
CENSUS_ACS5
zip 45879
payment standard 110
0
$814
2025-10-01
HUD_USER_SAFMR
zip 45879
payment standard 90
0
$666
2025-10-01
HUD_USER_SAFMR
zip 45879
safmr
0
$740
2025-10-01
HUD_USER_SAFMR
zip 45879
payment standard 110
1
$858
2025-10-01
HUD_USER_SAFMR
zip 45879
payment standard 90
1
$702
2025-10-01
HUD_USER_SAFMR
zip 45879
safmr
1
$780
2025-10-01
HUD_USER_SAFMR
zip 45879
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 45879
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 45879
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 45879
payment standard 110
3
$1,474
2025-10-01
HUD_USER_SAFMR
zip 45879
payment standard 90
3
$1,206
2025-10-01
HUD_USER_SAFMR
zip 45879
safmr
3
$1,340
2025-10-01
HUD_USER_SAFMR
zip 45879
payment standard 110
4
$1,683
2025-10-01
HUD_USER_SAFMR
zip 45879
payment standard 90
4
$1,377
2025-10-01
HUD_USER_SAFMR
zip 45879
safmr
4
$1,530
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.