Reads as: riskier than 17.4% 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 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
VA median
National median
National p25–p75
Total nurse
3.17
3.13
3.28
2.90–3.77
RN
0.50
0.30
0.39
0.25–0.58
Weekend total
2.80
2.96
3.11
—
Weekday total
3.32
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
104.6
3.17
0.50
0.68
2.00
2.80
0.0%
2025Q3
92
107.1
3.06
0.44
0.65
1.97
2.68
0.0%
2025Q2
91
106.0
3.04
0.45
0.67
1.92
2.71
0.0%
2025Q1
90
108.5
2.71
0.44
0.69
1.58
2.48
0.0%
2024Q4
92
108.8
2.85
0.43
0.65
1.77
2.56
0.0%
2024Q3
92
105.1
2.87
0.34
0.70
1.82
2.60
0.0%
2024Q2
91
102.6
2.82
0.33
0.75
1.74
2.49
0.0%
2024Q1
91
105.8
2.64
0.40
0.70
1.54
2.39
0.0%
2023Q4
92
97.3
2.97
0.44
0.74
1.78
2.74
0.0%
2023Q3
92
106.2
2.94
0.46
0.69
1.79
2.65
0.0%
2023Q2
91
107.4
3.05
0.43
0.64
1.98
2.58
0.0%
2023Q1
90
106.9
2.76
0.33
0.66
1.77
2.39
0.0%
2022Q4
92
109.5
2.86
0.33
0.70
1.83
2.51
0.0%
2022Q3
92
109.2
2.77
0.35
0.70
1.71
2.46
0.0%
2022Q2
91
105.1
1.93
0.18
0.55
1.20
1.62
0.0%
2022Q1
90
95.0
1.98
0.15
0.57
1.26
1.98
12.2%
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
19
C × 1D × 13E × 5
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2023-05-24
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-06-27
2023-05-24
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
2023-06-27
2023-05-24
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-06-27
2023-05-24
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-06-27
2021-08-18
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2021-09-14
2021-08-18
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2021-09-14
2021-08-18
Health
F0691
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
E
2021-09-14
2021-08-18
Health
F0800
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
D
2021-09-14
2021-08-18
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2021-09-14
2021-08-18
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
E
2021-09-14
2021-08-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2021-09-14
2021-08-18
Health
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2021-09-14
2019-08-22
Health
F0583
Keep residents' personal and medical records private and confidential.
C
2019-09-09
2019-08-22
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2019-09-09
2019-08-22
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2019-09-09
2019-08-22
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2019-09-09
2019-08-22
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
2019-09-09
2019-08-22
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
2019-09-09
2019-08-22
Health
F0880
Provide and implement an infection prevention and control program.
E
2019-09-09
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
ALTAVISTA RE GROUP
Corporation, partnership or other organization has financial interest in provider
—
2023-01-01
current
hcris_a_8_1
ALTAVISTA RE GROUP
Corporation, partnership or other organization has financial interest in provider
—
2024-01-01
current
hcris_a_8_1
ALTAVISTA REAL ESTATE HOLDINGS, LLC
ADP OF THE SNF
—
2025-02-01
current
pecos_ownership
BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020)
INDIRECT OWNERSHIP INTEREST
—
2023-01-01
current
pecos_ownership
BNV DYNASTY LLC
INDIRECT OWNERSHIP INTEREST
—
2023-01-01
current
pecos_ownership
CITRIN COOPERMAN ADVISORS LLC
ADP OF THE SNF
—
2020-02-01
current
pecos_ownership
DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020
INDIRECT OWNERSHIP INTEREST
—
2023-01-01
current
pecos_ownership
MCCLURE, CHRISTI
OPERATIONAL/MANAGERIAL CONTROL
—
2020-02-01
current
pecos_ownership
NICOLUZAKIS, GREGORY
ADP OF THE SNF
—
2020-02-01
current
pecos_ownership
SABER GOVERNANCE LLC
ADP OF THE SNF
—
2019-09-01
current
pecos_ownership
SABER HEALTHCARE GROUP LLC
ADP OF THE SNF
—
2020-02-01
current
pecos_ownership
SHG 4 MT, LLC
ADP OF THE SNF
—
2025-09-24
current
pecos_ownership
SHG MANAGEMENT LLC
ADP OF THE SNF
—
2019-09-01
current
pecos_ownership
STAPLES, EMILY
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
VOLPE, BENJAMIN
CORPORATE DIRECTOR
—
2020-02-01
current
pecos_ownership
WALKER & ASSOCIATES PC
ADP OF THE SNF
—
2020-02-01
current
pecos_ownership
WEISBERG, WILLIAM
CORPORATE DIRECTOR
—
2020-02-01
current
pecos_ownership
WIW DYNASTY LLC
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
AUTUMN CORPORATION
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2020-02-01
ended 2026-05-18
pecos_ownership
CHRISTI MCCLURE
W-2 MANAGING EMPLOYEE
100%
2020-02-01
ended 2026-05-18
pecos_ownership
CHRISTI MCCLURE
OPERATIONAL/MANAGERIAL CONTROL
100%
2022-04-01
ended 2026-05-18
pecos_ownership
SABER GOVERNANCE LLC
OPERATIONAL/MANAGERIAL CONTROL
100%
2020-02-01
ended 2026-05-18
pecos_ownership
SABER HEALTHCARE HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2020-02-01
ended 2026-05-18
pecos_ownership
SHG AUTUMN, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2020-02-01
ended 2026-05-18
pecos_ownership
SHH HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2020-02-01
ended 2026-05-18
pecos_ownership
WWBV HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2020-02-01
ended 2026-05-18
pecos_ownership
ALTAVISTA RE GROUP
Corporation, partnership or other organization has financial interest in provider
50%
2022-01-01
ended 2022-12-31
hcris_a_8_1
BENJAMIN VOLPE
CORPORATE DIRECTOR
50%
2020-02-01
ended 2026-05-18
pecos_ownership
WILLIAM WEISBERG
CORPORATE DIRECTOR
50%
2020-02-01
ended 2026-05-18
pecos_ownership
GREGORY NICOLUZAKIS
CORPORATE OFFICER
—
2020-02-01
ended 2026-05-18
pecos_ownership
SHG MANAGEMENT LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-02-01
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$2,054,790
—
—
$461,172
$12,871
6
propco
2023-12-31
$1,871,188
—
—
$385,388
$12,895
6
propco
2022-12-31
$1,934,082
—
—
$399,499
$25,371
6
propco
2021-12-31
$2,014,538
—
—
$530,271
$18,895
4
—
2020-12-31
$2,003,971
—
—
$564,774
$1,385
4
—
2020-01-31
$107,603
—
—
$67,003
$198
4
—
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
32
Geo
Kind
BR
Amount
As of
Source
county 51031
acs median gross
0
$595
2024-12-31
CENSUS_ACS5
county 51031
fmr
0
$1,027
2025-10-01
HUD_USER_FMR
county 51031
acs median gross
1
$787
2024-12-31
CENSUS_ACS5
county 51031
fmr
1
$1,033
2025-10-01
HUD_USER_FMR
county 51031
acs median gross
2
$866
2024-12-31
CENSUS_ACS5
county 51031
fmr
2
$1,187
2025-10-01
HUD_USER_FMR
county 51031
acs median gross
3
$970
2024-12-31
CENSUS_ACS5
county 51031
fmr
3
$1,635
2025-10-01
HUD_USER_FMR
county 51031
acs median gross
4
$1,414
2024-12-31
CENSUS_ACS5
county 51031
fmr
4
$1,750
2025-10-01
HUD_USER_FMR
county 51031
acs median gross
5
$1,436
2024-12-31
CENSUS_ACS5
county 51031
acs median gross
$891
2024-12-31
CENSUS_ACS5
county 51031
acs recent mover gross
$1,319
2024-12-31
CENSUS_ACS5
zcta 24517
acs median gross
1
$581
2024-12-31
CENSUS_ACS5
zcta 24517
acs median gross
2
$900
2024-12-31
CENSUS_ACS5
zcta 24517
acs median gross
3
$1,116
2024-12-31
CENSUS_ACS5
zcta 24517
acs median gross
$894
2024-12-31
CENSUS_ACS5
zip 24517
payment standard 110
0
$1,034
2025-10-01
HUD_USER_SAFMR
zip 24517
payment standard 90
0
$846
2025-10-01
HUD_USER_SAFMR
zip 24517
safmr
0
$940
2025-10-01
HUD_USER_SAFMR
zip 24517
payment standard 110
1
$1,056
2025-10-01
HUD_USER_SAFMR
zip 24517
payment standard 90
1
$864
2025-10-01
HUD_USER_SAFMR
zip 24517
safmr
1
$960
2025-10-01
HUD_USER_SAFMR
zip 24517
payment standard 110
2
$1,188
2025-10-01
HUD_USER_SAFMR
zip 24517
payment standard 90
2
$972
2025-10-01
HUD_USER_SAFMR
zip 24517
safmr
2
$1,080
2025-10-01
HUD_USER_SAFMR
zip 24517
payment standard 110
3
$1,639
2025-10-01
HUD_USER_SAFMR
zip 24517
payment standard 90
3
$1,341
2025-10-01
HUD_USER_SAFMR
zip 24517
safmr
3
$1,490
2025-10-01
HUD_USER_SAFMR
zip 24517
payment standard 110
4
$1,771
2025-10-01
HUD_USER_SAFMR
zip 24517
payment standard 90
4
$1,449
2025-10-01
HUD_USER_SAFMR
zip 24517
safmr
4
$1,610
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.