Reads as: riskier than 21.1% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
16 chains
BAKER TILLY ADVISORY GROUP LP
77 facilities
connection
Owner spans multiple chains
15 chains
BAKER TILLY US LLP
63 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
MA median
National median
National p25–p75
Total nurse
4.15
3.39
3.28
2.90–3.77
RN
0.40
0.39
0.39
0.25–0.58
Weekend total
4.15
3.26
3.11
—
Weekday total
4.15
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
140.8
4.15
0.40
0.80
2.96
4.15
0.0%
2025Q3
92
139.4
4.25
0.32
0.94
2.99
4.14
0.0%
2025Q2
91
139.2
4.28
0.35
0.89
3.04
4.18
0.0%
2025Q1
90
142.3
4.09
0.33
0.86
2.89
4.16
0.0%
2024Q4
92
140.9
4.17
0.29
0.91
2.97
4.22
0.0%
2024Q3
92
139.7
4.13
0.35
0.83
2.95
4.14
0.4%
2024Q2
91
140.3
4.14
0.34
0.83
2.97
4.10
0.0%
2024Q1
91
143.2
4.02
0.32
0.85
2.85
3.95
0.0%
2023Q4
92
143.1
4.04
0.35
0.81
2.88
3.98
0.0%
2023Q3
92
144.7
3.95
0.42
0.72
2.81
3.86
0.0%
2023Q2
91
145.3
4.23
0.38
0.73
3.12
4.11
0.0%
2023Q1
90
144.9
4.17
0.34
0.78
3.06
4.20
0.0%
2022Q4
92
137.4
4.29
0.49
0.73
3.07
4.31
0.0%
2022Q3
92
138.6
4.30
0.53
0.71
3.05
4.29
0.0%
2022Q2
91
132.9
4.64
0.49
0.73
3.42
4.46
0.0%
2022Q1
90
134.4
4.56
0.47
0.76
3.33
4.50
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-03-02
2025-01-30
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-03-02
2025-01-30
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2025-03-02
2025-01-30
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2025-03-02
2024-02-01
Health
F0637
Assess the resident when there is a significant change in condition
D
2024-03-17
2024-02-01
Health
F0641
Ensure each resident receives an accurate assessment.
E
2024-03-17
2024-02-01
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
2024-03-17
2024-02-01
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-03-17
2024-02-01
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2024-03-17
2024-02-01
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-03-17
2024-02-01
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2024-03-17
2024-02-01
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-03-17
2024-02-01
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2024-03-17
2024-02-01
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2024-03-17
2024-02-01
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
2024-03-17
2024-02-01
Health
F0810
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
D
2024-03-17
2024-02-01
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-03-17
2024-02-01
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-03-17
2022-12-22
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2023-02-03
2022-12-22
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2023-02-03
2022-12-22
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
2023-02-03
2022-12-22
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-02-03
2022-12-22
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
2023-02-03
2022-12-22
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.
E
2023-02-03
2022-12-22
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-02-03
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
64
Owner
Role
Pct
From
Status
Source
CHELSEA JEWISH LIFECARE INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2017-01-01
current
pecos_ownership
LEGACY LIFECARE INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2021-01-01
current
pecos_ownership
ANFANG, STUART
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
BAKER TILLY ADVISORY GROUP, LP
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-19
current
pecos_ownership
BAKER TILLY ADVISORY GROUP, LP
ADP OF THE SNF
—
2025-04-03
current
pecos_ownership
BAKER TILLY US, LLP
ADP OF THE SNF
—
2025-04-03
current
pecos_ownership
BAKER TILLY US, LLP
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-19
current
pecos_ownership
BERMAN, ADAM
CORPORATE OFFICER
—
2014-11-26
current
pecos_ownership
BERMAN, ADAM
OPERATIONAL/MANAGERIAL CONTROL
—
2012-01-01
current
pecos_ownership
BERMAN, BARRY
CORPORATE OFFICER
—
2014-11-26
current
pecos_ownership
BERMAN, BARRY
OPERATIONAL/MANAGERIAL CONTROL
—
—
current
pecos_ownership
BRUDNICK, JEFFREY
CORPORATE DIRECTOR
—
2014-11-26
current
pecos_ownership
CHELSEA JEWISH LIFECARE INC
ADP OF THE SNF
—
2025-03-28
current
pecos_ownership
CHELSEA JEWISH LIFECARE INC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-01
current
pecos_ownership
CRESCENZO, DONNA
OPERATIONAL/MANAGERIAL CONTROL
—
2010-12-13
current
pecos_ownership
DESESA, VANESSA
OPERATIONAL/MANAGERIAL CONTROL
—
2026-01-05
current
pecos_ownership
FIEBELKORN, DOUGLAS
OPERATIONAL/MANAGERIAL CONTROL
—
2022-11-01
current
pecos_ownership
FORMAN, SHARON
OPERATIONAL/MANAGERIAL CONTROL
—
2016-11-26
current
pecos_ownership
FORMAN, SHARON
CORPORATE DIRECTOR
—
2014-11-26
current
pecos_ownership
GOLDSMITH, SUSAN
CORPORATE DIRECTOR
—
2018-05-01
current
pecos_ownership
GOMEZ, MARCO
ADP OF THE SNF
—
2007-12-03
current
pecos_ownership
GREENSPAN, HOWARD
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
HENTOSH, MAUREEN
ADP OF THE SNF
—
2018-05-21
current
pecos_ownership
MILLARD, MICHAEL
ADP OF THE SNF
—
2013-04-08
current
pecos_ownership
MULLEN, ELIZABETH
CORPORATE OFFICER
—
2014-11-26
current
pecos_ownership
RICHMAN, GILDA
CORPORATE OFFICER
—
2014-11-26
current
pecos_ownership
RICHMAN, GILDA
OPERATIONAL/MANAGERIAL CONTROL
—
2015-11-26
current
pecos_ownership
RODRIGUEZ, HERNANDO
ADP OF THE SNF
—
2017-04-18
current
pecos_ownership
ROSEN, RONALD
OPERATIONAL/MANAGERIAL CONTROL
—
2007-11-01
current
pecos_ownership
ROSEN, RONALD
ADP OF THE SNF
—
2025-04-03
current
pecos_ownership
SACCO, ASHLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2019-09-10
current
pecos_ownership
SANTERRE, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
—
2021-07-01
current
pecos_ownership
STARION, TAMMY
OPERATIONAL/MANAGERIAL CONTROL
—
2016-08-22
current
pecos_ownership
STARION, TAMMY
ADP OF THE SNF
—
2016-02-16
current
pecos_ownership
VAN ECK, LISA
ADP OF THE SNF
—
2007-02-25
current
pecos_ownership
WEISS, JUDY
OPERATIONAL/MANAGERIAL CONTROL
—
2014-11-26
current
pecos_ownership
ADAM BERMAN
CORPORATE OFFICER
10%
2014-11-26
ended 2026-05-18
pecos_ownership
BARRY BERMAN
CORPORATE DIRECTOR
10%
—
ended 2026-05-18
pecos_ownership
BARRY BERMAN
CORPORATE OFFICER
10%
2014-11-26
ended 2026-05-18
pecos_ownership
DOUGLAS FIEBELKORN
CORPORATE DIRECTOR
10%
2022-11-01
ended 2026-05-18
pecos_ownership
ELIZABETH MULLEN
CORPORATE OFFICER
10%
2014-11-26
ended 2026-05-18
pecos_ownership
GILDA RICHMAN
CORPORATE DIRECTOR
10%
2014-11-26
ended 2026-05-18
pecos_ownership
JEFFREY BRUDNICK
CORPORATE DIRECTOR
10%
2014-11-26
ended 2026-05-18
pecos_ownership
JUDY WEISS
CORPORATE DIRECTOR
10%
2014-11-26
ended 2026-05-18
pecos_ownership
STUART ANFANG
CORPORATE DIRECTOR
10%
2020-01-01
ended 2026-05-18
pecos_ownership
SUSAN GOLDSMITH
CORPORATE DIRECTOR
10%
2018-05-01
ended 2026-05-18
pecos_ownership
ADAM BERMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2012-01-01
ended 2026-05-18
pecos_ownership
ASHLEY SACCO
OPERATIONAL/MANAGERIAL CONTROL
—
2019-09-10
ended 2026-05-18
pecos_ownership
DONNA CRESCENZO
OPERATIONAL/MANAGERIAL CONTROL
—
2010-12-13
ended 2026-05-18
pecos_ownership
GILDA RICHMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2015-11-26
ended 2026-05-18
pecos_ownership
HERNANDO RODRIGUEZ
ADP OF THE SNF
—
2017-04-18
ended 2026-05-18
pecos_ownership
HOWARD GREENSPAN
CORPORATE DIRECTOR
—
2018-01-01
ended 2026-05-18
pecos_ownership
JENNIFER SANTERRE
CORPORATE OFFICER
—
2021-07-01
ended 2026-05-18
pecos_ownership
LISA VAN ECK
OPERATIONAL/MANAGERIAL CONTROL
—
2007-02-25
ended 2026-05-18
pecos_ownership
MARCO GOMEZ
ADP OF THE SNF
—
2007-12-03
ended 2026-05-18
pecos_ownership
MAUREEN HENTOSH
ADP OF THE SNF
—
2018-05-21
ended 2026-05-18
pecos_ownership
MICHAEL MILLARD
ADP OF THE SNF
—
2013-04-08
ended 2026-05-18
pecos_ownership
RONALD ROSEN
ADP OF THE SNF
—
2025-04-03
ended 2026-05-18
pecos_ownership
RONALD ROSEN
OPERATIONAL/MANAGERIAL CONTROL
—
2007-11-01
ended 2026-05-18
pecos_ownership
SHARON FOREMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2016-11-26
ended 2026-05-18
pecos_ownership
SHARON FOREMAN
CORPORATE DIRECTOR
—
2014-11-26
ended 2026-05-18
pecos_ownership
TAMMY STARION
OPERATIONAL/MANAGERIAL CONTROL
—
2016-08-22
ended 2026-05-18
pecos_ownership
TAMMY STARION
ADP OF THE SNF
—
2016-02-16
ended 2026-05-18
pecos_ownership
VANESSA DESESA
ADP OF THE SNF
—
2026-01-05
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
$1,280,145
—
—
—
—
1
—
2023-12-31
$1,128,930
—
—
—
—
1
—
2022-12-31
$975,453
—
—
—
—
1
—
2021-12-31
$845,247
—
—
—
—
1
—
2020-12-31
$728,482
—
—
—
—
1
—
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
30
Geo
Kind
BR
Amount
As of
Source
county 25009
acs median gross
0
$1,355
2024-12-31
CENSUS_ACS5
county 25009
acs median gross
1
$1,383
2024-12-31
CENSUS_ACS5
county 25009
acs median gross
2
$1,864
2024-12-31
CENSUS_ACS5
county 25009
acs median gross
3
$1,998
2024-12-31
CENSUS_ACS5
county 25009
acs median gross
4
$2,198
2024-12-31
CENSUS_ACS5
county 25009
acs median gross
5
$2,425
2024-12-31
CENSUS_ACS5
county 25009
acs median gross
$1,756
2024-12-31
CENSUS_ACS5
county 25009
acs recent mover gross
$2,174
2024-12-31
CENSUS_ACS5
zcta 01960
acs median gross
0
$1,721
2024-12-31
CENSUS_ACS5
zcta 01960
acs median gross
1
$1,796
2024-12-31
CENSUS_ACS5
zcta 01960
acs median gross
2
$2,028
2024-12-31
CENSUS_ACS5
zcta 01960
acs median gross
3
$2,237
2024-12-31
CENSUS_ACS5
zcta 01960
acs median gross
4
$3,021
2024-12-31
CENSUS_ACS5
zcta 01960
acs median gross
$1,950
2024-12-31
CENSUS_ACS5
zcta 01960
acs recent mover gross
$2,113
2024-12-31
CENSUS_ACS5
zip 01960
payment standard 110
0
$2,244
2025-10-01
HUD_USER_SAFMR
zip 01960
payment standard 90
0
$1,836
2025-10-01
HUD_USER_SAFMR
zip 01960
safmr
0
$2,040
2025-10-01
HUD_USER_SAFMR
zip 01960
payment standard 110
1
$2,376
2025-10-01
HUD_USER_SAFMR
zip 01960
payment standard 90
1
$1,944
2025-10-01
HUD_USER_SAFMR
zip 01960
safmr
1
$2,160
2025-10-01
HUD_USER_SAFMR
zip 01960
payment standard 110
2
$2,816
2025-10-01
HUD_USER_SAFMR
zip 01960
payment standard 90
2
$2,304
2025-10-01
HUD_USER_SAFMR
zip 01960
safmr
2
$2,560
2025-10-01
HUD_USER_SAFMR
zip 01960
payment standard 110
3
$3,388
2025-10-01
HUD_USER_SAFMR
zip 01960
payment standard 90
3
$2,772
2025-10-01
HUD_USER_SAFMR
zip 01960
safmr
3
$3,080
2025-10-01
HUD_USER_SAFMR
zip 01960
payment standard 110
4
$3,729
2025-10-01
HUD_USER_SAFMR
zip 01960
payment standard 90
4
$3,051
2025-10-01
HUD_USER_SAFMR
zip 01960
safmr
4
$3,390
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.