Reads as: riskier than 34.5% 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
MN median
National median
National p25–p75
Total nurse
3.02
3.49
3.28
2.90–3.77
RN
0.96
0.65
0.39
0.25–0.58
Weekend total
3.06
3.32
3.11
—
Weekday total
3.01
3.59
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
64.1
3.02
0.96
0.25
1.81
3.06
0.0%
2025Q3
92
63.0
3.02
0.94
0.27
1.81
3.01
0.0%
2025Q2
91
63.5
2.92
0.96
0.24
1.72
2.86
0.0%
2025Q1
90
63.6
2.82
0.94
0.21
1.67
2.87
0.0%
2024Q4
92
65.2
2.85
0.88
0.24
1.73
2.78
0.0%
2024Q3
92
61.4
2.79
0.88
0.24
1.67
2.77
0.0%
2024Q2
91
59.5
2.78
0.86
0.23
1.69
2.75
0.0%
2024Q1
91
60.8
2.78
0.89
0.27
1.63
2.73
0.0%
2023Q4
92
61.6
2.67
0.92
0.30
1.45
2.62
0.0%
2023Q3
92
60.0
2.90
0.90
0.23
1.77
2.77
0.0%
2023Q2
91
62.4
2.67
0.99
0.16
1.52
2.56
0.0%
2023Q1
90
62.4
2.71
0.95
0.26
1.50
2.62
0.0%
2022Q4
92
56.8
3.08
1.04
0.32
1.73
3.25
0.0%
2022Q3
92
56.8
2.86
0.89
0.30
1.67
2.95
0.0%
2022Q2
91
59.4
2.84
0.88
0.29
1.67
2.88
0.0%
2022Q1
90
58.7
2.78
0.96
0.30
1.51
2.79
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
33
B × 1C × 1D × 29E × 1G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-23
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2026-05-21
2026-04-23
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2026-05-21
2026-04-23
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2026-05-21
2026-04-23
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
2026-05-21
2026-04-23
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-05-21
2026-04-23
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2026-05-21
2026-04-23
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2026-05-21
2025-01-30
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
2025-03-10
2025-01-30
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2025-03-10
2025-01-30
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-03-10
2025-01-30
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-03-10
2025-01-30
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2025-03-10
2025-01-30
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-03-10
2025-01-30
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-03-10
2025-01-30
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2025-03-10
2025-01-30
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
2025-03-10
2025-01-30
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2025-03-10
2025-01-30
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-03-10
2024-09-04
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-09-30
2024-01-05
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-01-20
2024-01-05
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-01-20
2023-12-12
Health · complaint
F0572
Give residents a notice of rights, rules, services and charges.
D
2024-01-03
2023-12-12
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-01-03
2023-11-08
Health
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2023-12-15
2023-11-08
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2023-12-15
2023-11-08
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
B
2023-12-15
2023-11-08
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-12-15
2023-11-08
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-12-15
2023-11-08
Health
F0732
Post nurse staffing information every day.
C
2023-12-15
2023-11-08
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
2023-12-15
2023-11-08
Health
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
2023-12-15
2023-08-01
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-08-18
2023-08-01
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2023-08-18
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
15
Owner
Role
Pct
From
Status
Source
HALPERT, MARC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
2017-03-01
current
pecos_ownership
LEGUM, JOSHUA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
2017-03-01
current
pecos_ownership
SPARTAN HEALTHCARE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
30%
2017-03-01
current
pecos_ownership
YAZOMA HOLDINGS, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
30%
2017-03-01
current
pecos_ownership
STERN, WILLIAM
5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
2017-03-01
current
pecos_ownership
AREM, JEFFREY
5% OR GREATER DIRECT OWNERSHIP INTEREST
7%
2017-03-01
current
pecos_ownership
HML LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
7%
2017-03-01
current
pecos_ownership
JAFFA, NOAM
5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
2017-03-01
current
pecos_ownership
NIJ LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
7%
2017-03-01
current
pecos_ownership
MONARCH HEALTHCARE OPERATING IV LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2017-03-01
current
pecos_ownership
JOSHUA LEGUM
5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
2017-03-01
ended 2026-05-18
pecos_ownership
MARC HALPERT
CORPORATE DIRECTOR
30%
2017-03-01
ended 2026-05-18
pecos_ownership
WILLIAM STERN
5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
2017-03-01
ended 2026-05-18
pecos_ownership
NOAM JAFFA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
2017-03-01
ended 2026-05-18
pecos_ownership
JEFFREY AREM
5% OR GREATER DIRECT OWNERSHIP INTEREST
7%
2017-03-01
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
$851,309
—
—
—
$18,000
4
—
2023-12-31
$1,288,812
—
—
$602,563
—
3
—
2022-12-31
$1,395,335
—
—
$662,581
—
4
—
2021-12-31
$1,284,139
—
—
$722,943
—
3
—
2020-12-31
$1,160,744
—
—
$632,386
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 27053
acs median gross
0
$1,141
2024-12-31
CENSUS_ACS5
county 27053
fmr
0
$1,242
2025-10-01
HUD_USER_FMR
county 27053
acs median gross
1
$1,293
2024-12-31
CENSUS_ACS5
county 27053
fmr
1
$1,405
2025-10-01
HUD_USER_FMR
county 27053
acs median gross
2
$1,677
2024-12-31
CENSUS_ACS5
county 27053
fmr
2
$1,709
2025-10-01
HUD_USER_FMR
county 27053
acs median gross
3
$1,963
2024-12-31
CENSUS_ACS5
county 27053
fmr
3
$2,262
2025-10-01
HUD_USER_FMR
county 27053
acs median gross
4
$2,216
2024-12-31
CENSUS_ACS5
county 27053
fmr
4
$2,531
2025-10-01
HUD_USER_FMR
county 27053
acs median gross
5
$1,999
2024-12-31
CENSUS_ACS5
county 27053
acs median gross
$1,487
2024-12-31
CENSUS_ACS5
county 27053
acs recent mover gross
$1,628
2024-12-31
CENSUS_ACS5
zcta 55420
acs median gross
0
$1,088
2024-12-31
CENSUS_ACS5
zcta 55420
acs median gross
1
$1,187
2024-12-31
CENSUS_ACS5
zcta 55420
acs median gross
2
$1,303
2024-12-31
CENSUS_ACS5
zcta 55420
acs median gross
3
$1,713
2024-12-31
CENSUS_ACS5
zcta 55420
acs median gross
4
$1,775
2024-12-31
CENSUS_ACS5
zcta 55420
acs median gross
5
$1,360
2024-12-31
CENSUS_ACS5
zcta 55420
acs median gross
$1,283
2024-12-31
CENSUS_ACS5
zcta 55420
acs recent mover gross
$1,224
2024-12-31
CENSUS_ACS5
zip 55420
payment standard 110
0
$1,276
2025-10-01
HUD_USER_SAFMR
zip 55420
payment standard 90
0
$1,044
2025-10-01
HUD_USER_SAFMR
zip 55420
safmr
0
$1,160
2025-10-01
HUD_USER_SAFMR
zip 55420
payment standard 110
1
$1,441
2025-10-01
HUD_USER_SAFMR
zip 55420
payment standard 90
1
$1,179
2025-10-01
HUD_USER_SAFMR
zip 55420
safmr
1
$1,310
2025-10-01
HUD_USER_SAFMR
zip 55420
payment standard 110
2
$1,749
2025-10-01
HUD_USER_SAFMR
zip 55420
payment standard 90
2
$1,431
2025-10-01
HUD_USER_SAFMR
zip 55420
safmr
2
$1,590
2025-10-01
HUD_USER_SAFMR
zip 55420
payment standard 110
3
$2,310
2025-10-01
HUD_USER_SAFMR
zip 55420
payment standard 90
3
$1,890
2025-10-01
HUD_USER_SAFMR
zip 55420
safmr
3
$2,100
2025-10-01
HUD_USER_SAFMR
zip 55420
payment standard 110
4
$2,585
2025-10-01
HUD_USER_SAFMR
zip 55420
payment standard 90
4
$2,115
2025-10-01
HUD_USER_SAFMR
zip 55420
safmr
4
$2,350
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.