Reads as: riskier than 68.0% 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
GA median
National median
National p25–p75
Total nurse
2.93
3.02
3.28
2.90–3.77
RN
0.13
0.26
0.39
0.25–0.58
Weekend total
2.66
2.76
3.11
—
Weekday total
3.04
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
144.4
2.93
0.13
1.09
1.72
2.66
2.2%
2025Q3
92
141.1
2.98
0.17
1.02
1.79
2.71
2.3%
2025Q2
91
145.6
2.82
0.14
1.01
1.68
2.61
2.4%
2025Q1
90
144.8
2.91
0.11
1.11
1.69
2.72
2.3%
2024Q4
92
145.2
2.87
0.09
1.02
1.76
2.70
5.0%
2024Q3
92
144.0
2.77
0.13
0.94
1.70
2.61
2.3%
2024Q2
91
141.6
2.89
0.15
0.94
1.79
2.69
2.8%
2024Q1
91
149.6
2.73
0.09
0.84
1.80
2.43
3.9%
2023Q4
92
134.6
2.94
0.13
0.77
2.04
2.82
26.6%
2023Q3
92
118.1
2.78
0.22
0.80
1.76
2.68
29.8%
2023Q2
91
111.0
2.89
0.14
0.95
1.80
2.68
29.2%
2023Q1
90
98.7
2.78
0.19
1.07
1.52
2.33
18.5%
2022Q4
92
96.7
3.01
0.27
1.10
1.65
2.50
26.9%
2022Q3
92
99.0
3.15
0.23
1.10
1.83
2.59
15.6%
2022Q2
91
100.0
3.46
0.33
1.10
2.03
2.88
12.8%
2022Q1
90
103.7
2.95
0.31
0.95
1.69
2.37
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.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F
2026-03-06
2026-01-22
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2026-03-06
2026-01-22
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2026-03-06
2026-01-22
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-03-06
2026-01-22
Health
F0814
Dispose of garbage and refuse properly.
F
2026-03-06
2026-01-22
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-03-06
2026-01-22
Health
F0881
Implement a program that monitors antibiotic use.
F
2026-03-06
2026-01-22
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2026-03-06
2026-01-22
Health
F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
D
2026-03-06
2024-10-18
Health · complaint
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2024-11-21
2024-10-18
Health · complaint
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2024-11-21
2024-10-18
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
J
2024-11-21
2024-10-18
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-11-21
2024-10-18
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
J
2024-11-21
2024-10-18
Health · complaint
F0691
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
D
2024-11-21
2022-08-11
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2022-09-25
2022-08-11
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2022-09-25
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
20
Owner
Role
Pct
From
Status
Source
ENSH CONSULTING LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
95%
2023-02-01
current
pecos_ownership
GA1 PROPCO LLC
Individual has financial interest in both related organization and provider
95%
2024-07-01
current
hcris_a_8_1
GA1 PROPCO LLC
Individual has financial interest in both related organization and provider
95%
2023-07-01
current
hcris_a_8_1
DONATH, BARRY
W-2 MANAGING EMPLOYEE
—
2023-02-01
current
pecos_ownership
EMPIRE CARE CENTERS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-04
current
pecos_ownership
HELLER, SHLOMO
CORPORATE OFFICER
—
2023-02-01
current
pecos_ownership
NG, SCOTT
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-01
current
pecos_ownership
NUSSBAUM, EPHRAIM
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-01
current
pecos_ownership
SWERDLOFF, ARYEH
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-01
current
pecos_ownership
SJ WESTBURY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2021-07-01
ended 2022-06-30
hcris_a_8_1
SJ WESTBURY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2020-07-01
ended 2021-06-30
hcris_a_8_1
SJ WESTBURY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2022-07-01
ended 2023-01-31
hcris_a_8_1
GA1 PROPCO LLC
Individual has financial interest in both related organization and provider
95%
2023-02-01
ended 2023-06-30
hcris_a_8_1
EPHRAIM NUSSBAUM
5% OR GREATER INDIRECT OWNERSHIP INTEREST
48%
2021-05-01
ended 2026-05-18
pecos_ownership
SHLOMO HELLER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
48%
2022-10-01
ended 2026-05-18
pecos_ownership
ARYEH SWERDLOFF
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2023-02-01
ended 2026-05-18
pecos_ownership
BARRY DONATH
W-2 MANAGING EMPLOYEE
—
2023-02-01
ended 2026-05-18
pecos_ownership
EPHRAIM NUSSBAUM
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-01
ended 2026-05-18
pecos_ownership
SCOTT NG
W-2 MANAGING EMPLOYEE
—
2023-02-01
ended 2026-05-18
pecos_ownership
SHLOMO HELLER
CORPORATE OFFICER
—
2023-02-01
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
2025-06-30
$2,357,186
—
$19,126
—
—
6
propco
2024-06-30
$2,207,290
—
$15,723
—
—
5
propco
2023-06-30
$577,902
—
$3,299
—
—
5
propco
2023-01-31
$158,162
—
—
—
—
1
propco
2022-06-30
$287,162
—
—
—
—
1
propco
2021-06-30
$287,645
—
—
—
—
1
propco
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
35
Geo
Kind
BR
Amount
As of
Source
county 13013
acs median gross
0
$1,317
2024-12-31
CENSUS_ACS5
county 13013
fmr
0
$1,585
2025-10-01
HUD_USER_FMR
county 13013
acs median gross
1
$975
2024-12-31
CENSUS_ACS5
county 13013
fmr
1
$1,660
2025-10-01
HUD_USER_FMR
county 13013
acs median gross
2
$1,069
2024-12-31
CENSUS_ACS5
county 13013
fmr
2
$1,820
2025-10-01
HUD_USER_FMR
county 13013
acs median gross
3
$1,613
2024-12-31
CENSUS_ACS5
county 13013
fmr
3
$2,182
2025-10-01
HUD_USER_FMR
county 13013
acs median gross
4
$2,045
2024-12-31
CENSUS_ACS5
county 13013
fmr
4
$2,605
2025-10-01
HUD_USER_FMR
county 13013
acs median gross
5
$2,028
2024-12-31
CENSUS_ACS5
county 13013
acs median gross
$1,318
2024-12-31
CENSUS_ACS5
county 13013
acs recent mover gross
$1,498
2024-12-31
CENSUS_ACS5
zcta 30680
acs median gross
1
$909
2024-12-31
CENSUS_ACS5
zcta 30680
acs median gross
2
$1,056
2024-12-31
CENSUS_ACS5
zcta 30680
acs median gross
3
$1,496
2024-12-31
CENSUS_ACS5
zcta 30680
acs median gross
4
$1,596
2024-12-31
CENSUS_ACS5
zcta 30680
acs median gross
5
$1,682
2024-12-31
CENSUS_ACS5
zcta 30680
acs median gross
$1,220
2024-12-31
CENSUS_ACS5
zcta 30680
acs recent mover gross
$1,091
2024-12-31
CENSUS_ACS5
zip 30680
payment standard 110
0
$1,375
2025-10-01
HUD_USER_SAFMR
zip 30680
payment standard 90
0
$1,125
2025-10-01
HUD_USER_SAFMR
zip 30680
safmr
0
$1,250
2025-10-01
HUD_USER_SAFMR
zip 30680
payment standard 110
1
$1,441
2025-10-01
HUD_USER_SAFMR
zip 30680
payment standard 90
1
$1,179
2025-10-01
HUD_USER_SAFMR
zip 30680
safmr
1
$1,310
2025-10-01
HUD_USER_SAFMR
zip 30680
payment standard 110
2
$1,584
2025-10-01
HUD_USER_SAFMR
zip 30680
payment standard 90
2
$1,296
2025-10-01
HUD_USER_SAFMR
zip 30680
safmr
2
$1,440
2025-10-01
HUD_USER_SAFMR
zip 30680
payment standard 110
3
$1,903
2025-10-01
HUD_USER_SAFMR
zip 30680
payment standard 90
3
$1,557
2025-10-01
HUD_USER_SAFMR
zip 30680
safmr
3
$1,730
2025-10-01
HUD_USER_SAFMR
zip 30680
payment standard 110
4
$2,266
2025-10-01
HUD_USER_SAFMR
zip 30680
payment standard 90
4
$1,854
2025-10-01
HUD_USER_SAFMR
zip 30680
safmr
4
$2,060
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.