Reads as: riskier than 46.1% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet enforcement cluster
40% fined
MICHLIN BERNARD
5 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
CA median
National median
National p25–p75
Total nurse
4.21
3.95
3.28
2.90–3.77
RN
0.54
0.38
0.39
0.25–0.58
Weekend total
4.05
3.79
3.11
—
Weekday total
4.27
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
105.1
4.21
0.54
1.53
2.14
4.05
0.0%
2025Q3
92
100.6
4.40
0.61
1.63
2.16
4.15
0.0%
2025Q2
91
103.9
4.39
0.53
1.72
2.14
4.18
0.0%
2025Q1
90
102.5
4.30
0.57
1.64
2.09
4.21
0.0%
2024Q4
92
102.0
4.15
0.54
1.49
2.12
3.88
0.0%
2024Q3
92
100.3
4.21
0.54
1.58
2.09
4.06
0.0%
2024Q2
91
101.5
4.26
0.42
1.74
2.10
4.10
0.0%
2024Q1
91
100.2
4.28
0.45
1.74
2.09
4.07
0.0%
2023Q4
92
101.5
4.75
0.52
1.81
2.42
4.24
0.0%
2023Q3
92
106.4
4.53
0.47
1.69
2.36
4.20
0.8%
2023Q2
91
104.6
4.20
0.48
1.51
2.20
3.94
6.7%
2023Q1
90
108.9
4.11
0.34
1.66
2.11
3.82
0.0%
2022Q4
92
104.9
4.44
0.44
1.66
2.34
4.23
6.3%
2022Q3
92
106.3
4.72
0.41
1.80
2.51
4.49
7.2%
2022Q2
91
105.4
4.88
0.48
1.87
2.53
4.48
0.6%
2022Q1
90
107.0
4.28
0.32
1.74
2.22
3.89
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
27
D × 22E × 5
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-07-11
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-07-31
2025-02-13
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2025-03-13
2025-02-13
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-03-13
2025-02-13
Health
F0802
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
D
2025-03-13
2025-02-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-03-13
2025-02-13
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-03-13
2025-02-04
Health · complaint
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
2025-03-04
2025-02-04
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-03-04
2024-12-31
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.
D
2025-01-17
2024-08-05
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.
D
2024-09-04
2024-02-29
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-03-22
2024-02-29
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2024-03-22
2024-02-29
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-03-22
2024-02-29
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2024-03-22
2024-02-29
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
2024-03-22
2024-02-29
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
2024-03-22
2023-12-08
Health · complaint
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
2023-12-19
2021-10-21
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
2021-11-20
2021-10-21
Health
F0641
Ensure each resident receives an accurate assessment.
D
2021-11-20
2021-10-21
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2021-11-20
2021-10-21
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2021-11-20
2021-10-21
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2021-11-20
2021-10-21
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2021-11-20
2021-10-21
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2021-11-20
2021-10-21
Health
F0880
Provide and implement an infection prevention and control program.
D
2021-11-20
2021-10-21
Health
F0908
Keep all essential equipment working safely.
D
2021-11-20
2021-10-21
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2021-11-20
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
34
Owner
Role
Pct
From
Status
Source
ANDERSON, CHAD
ADP OF THE SNF
—
2023-06-01
current
pecos_ownership
BERNHOLZ, VICTORIA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-06-01
current
pecos_ownership
CARTER, MELISSA
ADP OF THE SNF
—
2023-11-01
current
pecos_ownership
CLAWSON, SCOTT
INDIRECT OWNERSHIP INTEREST
—
2023-06-01
current
pecos_ownership
DEGUZMAN, MYRNA
ADP OF THE SNF
—
2023-06-01
current
pecos_ownership
EARL, STEVEN
INDIRECT OWNERSHIP INTEREST
—
2023-06-01
current
pecos_ownership
FROJELIN, ANTONETTE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-01
current
pecos_ownership
LINKS HEALTHCARE GROUP LLC
ADP OF THE SNF
—
2023-06-01
current
pecos_ownership
LINKS SUPPORT SERVICES, LLC
ADP OF THE SNF
—
2023-06-01
current
pecos_ownership
MICHLIN, BERNARD
ADP OF THE SNF
—
2023-06-01
current
pecos_ownership
RAMIREZ, SHARON
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-01
current
pecos_ownership
RIVERA, REGINE
ADP OF THE SNF
—
2023-06-01
current
pecos_ownership
RODRIGUEZ, CURTIS
CORPORATE OFFICER
—
2023-06-01
current
pecos_ownership
SANOFSKY, JACK
INDIRECT OWNERSHIP INTEREST
—
2023-06-01
current
pecos_ownership
TILFORD, TOBY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-01
current
pecos_ownership
WHITE, CURTIS
ADP OF THE SNF
—
2023-06-01
current
pecos_ownership
TOBY TILFORD
5% OR GREATER INDIRECT OWNERSHIP INTEREST
47%
2023-06-01
ended 2026-05-18
pecos_ownership
CURTIS RODRIGUEZ
5% OR GREATER INDIRECT OWNERSHIP INTEREST
46%
2023-06-01
ended 2026-05-18
pecos_ownership
SCOTT CLAWSON
INDIRECT OWNERSHIP INTEREST
4%
2023-06-01
ended 2026-05-18
pecos_ownership
JACK SANOFSKY
INDIRECT OWNERSHIP INTEREST
2%
2023-06-01
ended 2026-05-18
pecos_ownership
STEVEN EARL
INDIRECT OWNERSHIP INTEREST
1%
2023-06-01
ended 2026-05-18
pecos_ownership
ANTONETTE FROJELIN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-01
ended 2026-05-18
pecos_ownership
BERNARD MICHLIN
ADP OF THE SNF
—
2023-06-01
ended 2026-05-18
pecos_ownership
CHAD ANDERSON
ADP OF THE SNF
—
2023-06-01
ended 2026-05-18
pecos_ownership
CURTIS WHITE
ADP OF THE SNF
—
2023-06-01
ended 2026-05-18
pecos_ownership
MELISSA CARTER
ADP OF THE SNF
—
2023-11-01
ended 2026-05-18
pecos_ownership
MO COMMUNITY
Corporation, partnership or other organization has financial interest in provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
MO COMMUNITY
Corporation, partnership or other organization has financial interest in provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
MO COMMUNITY
Corporation, partnership or other organization has financial interest in provider
—
2023-01-01
ended 2023-05-31
hcris_a_8_1
MO COMMUNITY
Corporation, partnership or other organization has financial interest in provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
MYRNA DEGUZMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-01
ended 2026-05-18
pecos_ownership
REGINE RIVERA
ADP OF THE SNF
—
2023-06-01
ended 2026-05-18
pecos_ownership
SHARON RAMIREZ
ADP OF THE SNF
—
2023-06-01
ended 2026-05-18
pecos_ownership
VICTORIA BERNHOLZ
OPERATIONAL/MANAGERIAL CONTROL
—
2024-06-01
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
$728,630
—
$728,630
—
—
1
—
2023-12-31
$393,458
—
$393,458
—
—
1
—
2023-05-31
$821,825
—
—
—
$99,806
3
propco
2022-12-31
$2,072,971
—
—
—
$241,252
3
propco
2021-12-31
$1,443,625
—
—
—
$170,512
3
propco
2020-12-31
$1,342,440
—
—
—
$135,629
3
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 06073
acs median gross
0
$1,761
2024-12-31
CENSUS_ACS5
county 06073
fmr
0
$2,288
2025-10-01
HUD_USER_FMR
county 06073
acs median gross
1
$1,888
2024-12-31
CENSUS_ACS5
county 06073
fmr
1
$2,459
2025-10-01
HUD_USER_FMR
county 06073
acs median gross
2
$2,290
2024-12-31
CENSUS_ACS5
county 06073
fmr
2
$3,001
2025-10-01
HUD_USER_FMR
county 06073
acs median gross
3
$2,826
2024-12-31
CENSUS_ACS5
county 06073
fmr
3
$3,998
2025-10-01
HUD_USER_FMR
county 06073
acs median gross
4
$3,451
2024-12-31
CENSUS_ACS5
county 06073
fmr
4
$4,845
2025-10-01
HUD_USER_FMR
county 06073
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
county 06073
acs median gross
$2,246
2024-12-31
CENSUS_ACS5
county 06073
acs recent mover gross
$2,729
2024-12-31
CENSUS_ACS5
zcta 91942
acs median gross
0
$1,622
2024-12-31
CENSUS_ACS5
zcta 91942
acs median gross
1
$1,803
2024-12-31
CENSUS_ACS5
zcta 91942
acs median gross
2
$2,270
2024-12-31
CENSUS_ACS5
zcta 91942
acs median gross
3
$2,679
2024-12-31
CENSUS_ACS5
zcta 91942
acs median gross
4
$2,595
2024-12-31
CENSUS_ACS5
zcta 91942
acs median gross
$2,032
2024-12-31
CENSUS_ACS5
zcta 91942
acs recent mover gross
$2,453
2024-12-31
CENSUS_ACS5
zip 91942
payment standard 110
0
$2,530
2025-10-01
HUD_USER_SAFMR
zip 91942
payment standard 90
0
$2,070
2025-10-01
HUD_USER_SAFMR
zip 91942
safmr
0
$2,300
2025-10-01
HUD_USER_SAFMR
zip 91942
payment standard 110
1
$2,717
2025-10-01
HUD_USER_SAFMR
zip 91942
payment standard 90
1
$2,223
2025-10-01
HUD_USER_SAFMR
zip 91942
safmr
1
$2,470
2025-10-01
HUD_USER_SAFMR
zip 91942
payment standard 110
2
$3,311
2025-10-01
HUD_USER_SAFMR
zip 91942
payment standard 90
2
$2,709
2025-10-01
HUD_USER_SAFMR
zip 91942
safmr
2
$3,010
2025-10-01
HUD_USER_SAFMR
zip 91942
payment standard 110
3
$4,411
2025-10-01
HUD_USER_SAFMR
zip 91942
payment standard 90
3
$3,609
2025-10-01
HUD_USER_SAFMR
zip 91942
safmr
3
$4,010
2025-10-01
HUD_USER_SAFMR
zip 91942
payment standard 110
4
$5,346
2025-10-01
HUD_USER_SAFMR
zip 91942
payment standard 90
4
$4,374
2025-10-01
HUD_USER_SAFMR
zip 91942
safmr
4
$4,860
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.