Reads as: riskier than 93.0% 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.
ML signals — parallel engine
9
Kind
Finding
Signal
Subject
First seen
anomaly
Top-decile risk vs 4–5 star rating
7.0
this facility
2026-07-29
connection
Owner spans multiple chains
5 chains
MARX DAVID
26 facilities
connection
Owner spans multiple chains
5 chains
MDG REAL ESTATE GLOBAL LIMITED
19 facilities
connection
Owner spans multiple chains
5 chains
WOLFE ERIC
28 facilities
connection
Owner spans multiple chains
5 chains
SHATROV ANZHELIKA
28 facilities
connection
Owner spans multiple chains
5 chains
CHAMBERLAIN MARGARET
28 facilities
connection
Owner spans multiple chains
5 chains
REWA ANGELA
28 facilities
connection
Owner spans multiple chains
5 chains
RUSSELL ROBERT
28 facilities
connection
Owner spans multiple chains
5 chains
PRUITT PAUL
28 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
OH median
National median
National p25–p75
Total nurse
2.90
3.24
3.28
2.90–3.77
RN
0.17
0.38
0.39
0.25–0.58
Weekend total
2.84
3.11
3.11
—
Weekday total
2.93
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
72.5
2.90
0.17
0.97
1.77
2.84
0.0%
2025Q3
92
71.6
2.93
0.12
1.02
1.80
2.83
0.0%
2025Q2
91
77.2
2.76
0.10
0.98
1.68
2.60
0.0%
2025Q1
90
80.7
2.70
0.10
1.01
1.59
2.67
0.0%
2024Q4
92
77.5
2.63
0.08
0.92
1.63
2.71
0.0%
2024Q3
92
79.6
2.54
0.08
0.91
1.56
2.59
0.0%
2024Q2
91
78.8
2.58
0.08
0.88
1.62
2.55
0.0%
2024Q1
91
78.9
2.59
0.17
0.80
1.62
2.59
0.0%
2023Q4
92
77.0
2.85
0.21
0.95
1.68
2.83
0.1%
2023Q3
92
76.5
2.72
0.16
0.95
1.61
2.81
0.0%
2023Q2
91
79.5
2.61
0.16
0.91
1.55
2.57
0.0%
2023Q1
90
78.0
2.79
0.20
0.93
1.65
2.73
0.0%
2022Q4
92
78.6
3.32
0.16
1.01
2.15
3.27
0.0%
2022Q3
92
74.9
3.51
0.13
1.06
2.31
3.36
0.0%
2022Q2
91
71.6
3.59
0.18
1.14
2.27
3.48
0.0%
2022Q1
90
67.7
3.54
0.25
1.06
2.23
3.31
8.6%
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2026-05-26
2025-09-25
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-11-14
2025-09-25
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2025-11-14
2025-09-25
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-11-14
2023-10-19
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
2023-11-14
2023-10-19
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-11-14
2023-10-19
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2023-11-14
2023-10-19
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-11-14
2023-10-19
Health
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
2023-11-14
2023-10-19
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-11-14
2023-10-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-11-14
2023-10-19
Health
F0880
Provide and implement an infection prevention and control program.
F
2023-11-14
2023-10-19
Health
F0881
Implement a program that monitors antibiotic use.
F
2023-11-14
2023-10-19
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2023-11-14
2023-10-19
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
2023-11-14
2023-10-19
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2023-11-14
2021-05-27
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2021-07-27
2021-05-27
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
2021-07-27
2021-05-27
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2021-07-27
2021-05-27
Health
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
2021-07-27
2021-05-27
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2021-07-27
2021-05-27
Health
F0760
Ensure that residents are free from significant medication errors.
D
2021-07-27
2021-05-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2021-07-27
2021-05-27
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2021-07-27
2021-05-27
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2021-07-27
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
28
Owner
Role
Pct
From
Status
Source
MAJESTIC CARE OF TOLEDO OPERATIONS HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2021-12-17
current
pecos_ownership
TOLEDO PROP CO.
Corporation, partnership or other organization has financial interest in provider
100%
2023-01-01
current
hcris_a_8_1
TOLEDO REALTY
Corporation, partnership or other organization has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
131 NORTH WHEELING STREET LLC
ADP OF THE SNF
—
2021-12-17
current
pecos_ownership
131 NORTH WHEELING STREET LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
current
pecos_ownership
CHAMBERLAIN, MARGARET
OPERATIONAL/MANAGERIAL CONTROL
—
2023-09-11
current
pecos_ownership
MAJESTIC CARE OF TOLEDO REALTY HOLDINGS LLC
ADP OF THE SNF
—
2021-12-17
current
pecos_ownership
MAJESTIC MANAGEMENT LLC
ADP OF THE SNF
—
2025-07-11
current
pecos_ownership
MAJESTIC MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-17
current
pecos_ownership
MARX, DAVID
ADP OF THE SNF
—
2021-12-17
current
pecos_ownership
MDG REAL ESTATE GLOBAL LIMITED
ADP OF THE SNF
—
2021-12-17
current
pecos_ownership
POLISETTY, SUDHEER
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
PRUITT, PAUL
MANAGING CONTROL - GOVERNING BODY
—
2023-05-01
current
pecos_ownership
REWA, ANGELA
ADP OF THE SNF
—
2023-10-23
current
pecos_ownership
RUSSELL, ROBERT
ADP OF THE SNF
—
2024-04-08
current
pecos_ownership
SHATROV, ANZHELIKA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-02
current
pecos_ownership
VOYLES-BADEN, CATHLEEN
ADP OF THE SNF
—
2021-12-17
current
pecos_ownership
WOLFE, ERIC
ADP OF THE SNF
—
2023-09-11
current
pecos_ownership
DAVID MARX
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2021-12-17
ended 2026-05-18
pecos_ownership
ANGELA REWA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-23
ended 2026-05-18
pecos_ownership
ANZHELIKA SHATROV
ADP OF THE SNF
—
2024-12-02
ended 2026-05-18
pecos_ownership
CATHLEEN VOYLES-BADEN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-17
ended 2026-05-18
pecos_ownership
ERIC WOLFE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-09-11
ended 2026-05-18
pecos_ownership
MARGARET CHAMBERLAIN
ADP OF THE SNF
—
2023-09-11
ended 2026-05-18
pecos_ownership
PAUL PRUITT
MANAGING CONTROL - GOVERNING BODY
—
2023-05-01
ended 2026-05-18
pecos_ownership
ROBERT RUSSELL
ADP OF THE SNF
—
2024-04-08
ended 2026-05-18
pecos_ownership
SUDHEER POLISETTY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
TOLEDO PROP CO.
Corporation, partnership or other organization has financial interest in provider
—
2021-12-17
ended 2022-12-31
hcris_a_8_1
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
$2,044,479
$1,299,212
—
—
$93,441
14
propco
2023-12-31
$1,877,328
$1,260,280
—
—
$5,395
9
propco
2022-12-31
$1,522,402
$1,018,399
—
—
$941
6
propco
2021-12-16
$705,232
—
$705,232
—
—
1
—
2020-12-31
$823,605
—
$823,605
—
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 39095
acs median gross
0
$675
2024-12-31
CENSUS_ACS5
county 39095
fmr
0
$769
2025-10-01
HUD_USER_FMR
county 39095
acs median gross
1
$703
2024-12-31
CENSUS_ACS5
county 39095
fmr
1
$820
2025-10-01
HUD_USER_FMR
county 39095
acs median gross
2
$973
2024-12-31
CENSUS_ACS5
county 39095
fmr
2
$1,076
2025-10-01
HUD_USER_FMR
county 39095
acs median gross
3
$1,140
2024-12-31
CENSUS_ACS5
county 39095
fmr
3
$1,380
2025-10-01
HUD_USER_FMR
county 39095
acs median gross
4
$1,181
2024-12-31
CENSUS_ACS5
county 39095
fmr
4
$1,454
2025-10-01
HUD_USER_FMR
county 39095
acs median gross
5
$1,297
2024-12-31
CENSUS_ACS5
county 39095
acs median gross
$934
2024-12-31
CENSUS_ACS5
county 39095
acs recent mover gross
$982
2024-12-31
CENSUS_ACS5
zcta 43605
acs median gross
1
$490
2024-12-31
CENSUS_ACS5
zcta 43605
acs median gross
2
$755
2024-12-31
CENSUS_ACS5
zcta 43605
acs median gross
3
$1,021
2024-12-31
CENSUS_ACS5
zcta 43605
acs median gross
4
$1,081
2024-12-31
CENSUS_ACS5
zcta 43605
acs median gross
5
$1,226
2024-12-31
CENSUS_ACS5
zcta 43605
acs median gross
$835
2024-12-31
CENSUS_ACS5
zcta 43605
acs recent mover gross
$846
2024-12-31
CENSUS_ACS5
zip 43605
payment standard 110
0
$847
2025-10-01
HUD_USER_SAFMR
zip 43605
payment standard 90
0
$693
2025-10-01
HUD_USER_SAFMR
zip 43605
safmr
0
$770
2025-10-01
HUD_USER_SAFMR
zip 43605
payment standard 110
1
$902
2025-10-01
HUD_USER_SAFMR
zip 43605
payment standard 90
1
$738
2025-10-01
HUD_USER_SAFMR
zip 43605
safmr
1
$820
2025-10-01
HUD_USER_SAFMR
zip 43605
payment standard 110
2
$1,188
2025-10-01
HUD_USER_SAFMR
zip 43605
payment standard 90
2
$972
2025-10-01
HUD_USER_SAFMR
zip 43605
safmr
2
$1,080
2025-10-01
HUD_USER_SAFMR
zip 43605
payment standard 110
3
$1,529
2025-10-01
HUD_USER_SAFMR
zip 43605
payment standard 90
3
$1,251
2025-10-01
HUD_USER_SAFMR
zip 43605
safmr
3
$1,390
2025-10-01
HUD_USER_SAFMR
zip 43605
payment standard 110
4
$1,606
2025-10-01
HUD_USER_SAFMR
zip 43605
payment standard 90
4
$1,314
2025-10-01
HUD_USER_SAFMR
zip 43605
safmr
4
$1,460
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.