Reads as: riskier than 45.3% 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
7
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
6 chains
WASHINGTON STATE INVESTMENT BOARD
77 facilities
connection
Owner spans multiple chains
5 chains
BEVERLY HEALTH AND REHABILITIATION SERVICES INC
18 facilities
connection
Owner spans multiple chains
4 chains
PEARL SENIOR CARE LLC
18 facilities
connection
Owner spans multiple chains
4 chains
DRUMM MERGER CO SUB LLC
19 facilities
connection
Owner spans multiple chains
4 chains
DRUMM MERGER CO
19 facilities
connection
Owner spans multiple chains
4 chains
DRUMM INTERMEDIARY SUB CO LLC
18 facilities
connection
Owner spans multiple chains
4 chains
LINAM KIM
16 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
PA median
National median
National p25–p75
Total nurse
3.26
3.38
3.28
2.90–3.77
RN
0.46
0.45
0.39
0.25–0.58
Weekend total
3.26
3.27
3.11
—
Weekday total
3.26
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
104.0
3.26
0.46
0.79
2.01
3.26
15.0%
2025Q3
92
107.3
3.23
0.39
0.81
2.04
3.20
11.8%
2025Q2
91
104.4
3.34
0.38
0.91
2.05
3.32
10.0%
2025Q1
90
102.4
3.38
0.40
0.92
2.06
3.35
7.8%
2024Q4
92
102.3
3.32
0.36
0.95
2.01
3.30
6.4%
2024Q3
92
100.2
3.28
0.34
0.95
2.00
3.28
4.8%
2024Q2
91
100.2
3.15
0.39
0.83
1.92
3.17
4.1%
2024Q1
91
100.9
3.19
0.43
0.82
1.94
3.14
2.4%
2023Q4
92
102.8
3.28
0.37
0.88
2.03
3.32
3.3%
2023Q3
92
107.9
3.24
0.33
0.91
2.00
3.25
5.6%
2023Q2
91
101.8
3.20
0.30
0.98
1.91
3.22
10.5%
2023Q1
90
98.2
3.17
0.30
1.01
1.86
3.17
9.6%
2022Q4
92
101.4
3.21
0.34
1.03
1.84
3.17
9.5%
2022Q3
92
102.3
3.11
0.32
1.02
1.77
3.02
17.5%
2022Q2
91
100.0
2.96
0.37
0.97
1.62
2.78
12.5%
2022Q1
90
101.1
3.08
0.47
1.02
1.59
3.00
22.2%
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
10
D × 6E × 4
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-05-22
Health
F0641
Ensure each resident receives an accurate assessment.
E
2025-06-25
2025-05-22
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
2025-06-25
2025-05-22
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-06-25
2025-05-22
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-06-25
2024-06-28
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2024-07-29
2024-06-28
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
2024-07-29
2024-03-21
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2024-04-15
2023-07-14
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.
E
2023-08-15
2023-07-14
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-08-15
2023-07-14
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-08-15
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
38
Owner
Role
Pct
From
Status
Source
WESTERN PA OPCO HOLDINGS I LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-10-29
current
pecos_ownership
ANDREWS, HEATHER
MANAGING CONTROL - GOVERNING BODY
—
2021-09-03
current
pecos_ownership
BEVERLY ENTERPRISES LLC
ADP OF THE SNF
—
2018-12-20
current
pecos_ownership
BEVERLY HEALTH AND REHABILITIATION SERVICES, INC
ADP OF THE SNF
—
2024-10-29
current
pecos_ownership
DRUMM INTERMEDIARY SUB CO LLC
ADP OF THE SNF
—
2017-06-18
current
pecos_ownership
DRUMM MERGER CO
ADP OF THE SNF
—
2017-06-18
current
pecos_ownership
DRUMM MERGER CO SUB LLC
ADP OF THE SNF
—
2017-06-18
current
pecos_ownership
FILLMORE STRATEGIC INVESTORS LLC
ADP OF THE SNF
—
2016-09-27
current
pecos_ownership
FINN, NICHOLAS
MANAGING CONTROL - GOVERNING BODY
—
2021-09-03
current
pecos_ownership
FRANCO, AHARON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-29
current
pecos_ownership
GADE, JAMES
ADP OF THE SNF
—
2024-10-29
current
pecos_ownership
KARITY, SARAH
TRUSTEE OF THE SNF
—
2024-10-29
current
pecos_ownership
LINAM, KIM
MANAGING CONTROL - GOVERNING BODY
—
2023-09-27
current
pecos_ownership
MILLER, JEAN
ADP OF THE SNF
—
2024-11-15
current
pecos_ownership
PEARL SENIOR CARE, LLC.
ADP OF THE SNF
—
2018-12-20
current
pecos_ownership
RAMI, ISAAC
ADP OF THE SNF
—
2024-10-29
current
pecos_ownership
RASMUSSEN-JONES, HOLLY
MANAGING CONTROL - GOVERNING BODY
—
2016-09-26
current
pecos_ownership
SPECTRA HEALTHCARE ALLIANCE VI LLC
ADP OF THE SNF
—
2008-06-19
current
pecos_ownership
SPECTRA HEALTHCARE ALLIANCE, INC
ADP OF THE SNF
—
2020-05-20
current
pecos_ownership
SURETY COMPLIANCE
ADP OF THE SNF
—
2024-10-29
current
pecos_ownership
SWEENEY, MEGAN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-29
current
pecos_ownership
VALLEY WEST HEALTH LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-15
current
pecos_ownership
VELEZ, JOSHUA
ADP OF THE SNF
—
2024-10-29
current
pecos_ownership
WASHINGTON STATE INVESTMENT BOARD
ADP OF THE SNF
—
2006-03-15
current
pecos_ownership
ISKEB 2024 TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
95%
2024-10-29
ended 2026-05-18
pecos_ownership
ISKEB WESTERN PA LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
95%
2024-10-29
ended 2026-05-18
pecos_ownership
SARAH KARITY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
95%
2024-10-29
ended 2026-05-18
pecos_ownership
AHARON FRANCO
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2024-10-29
ended 2026-05-18
pecos_ownership
KEYSTONE VENTURES LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2024-10-29
ended 2026-05-18
pecos_ownership
HEATHER ANDREWS
MANAGING CONTROL - GOVERNING BODY
—
2021-09-03
ended 2026-05-18
pecos_ownership
HOLLY RASMUSSEN-JONES
MANAGING CONTROL - GOVERNING BODY
—
2016-09-26
ended 2026-05-18
pecos_ownership
ISAAC RAMI
ADP OF THE SNF
—
2024-10-29
ended 2026-05-18
pecos_ownership
JAMES GADE
ADP OF THE SNF
—
2024-10-29
ended 2026-05-18
pecos_ownership
JEAN MILLER
ADP OF THE SNF
—
2024-11-15
ended 2026-05-18
pecos_ownership
JOSHUA VELEZ
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-29
ended 2026-05-18
pecos_ownership
KIM LINAM
MANAGING CONTROL - GOVERNING BODY
—
2023-09-27
ended 2026-05-18
pecos_ownership
MEGAN SWEENEY
ADP OF THE SNF
—
2024-10-29
ended 2026-05-18
pecos_ownership
NICHOLAS FINN
MANAGING CONTROL - GOVERNING BODY
—
2021-09-03
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
2024-10-28
$1,260,632
—
$494,256
$505,205
$19,554
4
—
2023-12-31
$1,609,205
—
$570,956
$712,672
$22,589
4
—
2022-12-31
$1,915,500
—
$547,981
$771,122
$292,528
4
—
2021-12-31
$2,073,036
—
$506,507
$956,798
$154,775
4
—
2020-12-31
$1,441,620
—
$404,741
$743,257
$9,569
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
35
Geo
Kind
BR
Amount
As of
Source
county 42049
acs median gross
0
$621
2024-12-31
CENSUS_ACS5
county 42049
fmr
0
$836
2025-10-01
HUD_USER_FMR
county 42049
acs median gross
1
$709
2024-12-31
CENSUS_ACS5
county 42049
fmr
1
$945
2025-10-01
HUD_USER_FMR
county 42049
acs median gross
2
$949
2024-12-31
CENSUS_ACS5
county 42049
fmr
2
$1,212
2025-10-01
HUD_USER_FMR
county 42049
acs median gross
3
$1,044
2024-12-31
CENSUS_ACS5
county 42049
fmr
3
$1,499
2025-10-01
HUD_USER_FMR
county 42049
acs median gross
4
$1,265
2024-12-31
CENSUS_ACS5
county 42049
fmr
4
$1,683
2025-10-01
HUD_USER_FMR
county 42049
acs median gross
5
$1,151
2024-12-31
CENSUS_ACS5
county 42049
acs median gross
$904
2024-12-31
CENSUS_ACS5
county 42049
acs recent mover gross
$1,024
2024-12-31
CENSUS_ACS5
zcta 16506
acs median gross
0
$1,697
2024-12-31
CENSUS_ACS5
zcta 16506
acs median gross
1
$808
2024-12-31
CENSUS_ACS5
zcta 16506
acs median gross
2
$1,250
2024-12-31
CENSUS_ACS5
zcta 16506
acs median gross
3
$1,221
2024-12-31
CENSUS_ACS5
zcta 16506
acs median gross
4
$1,494
2024-12-31
CENSUS_ACS5
zcta 16506
acs median gross
$1,216
2024-12-31
CENSUS_ACS5
zcta 16506
acs recent mover gross
$1,250
2024-12-31
CENSUS_ACS5
zip 16506
payment standard 110
0
$1,166
2025-10-01
HUD_USER_SAFMR
zip 16506
payment standard 90
0
$954
2025-10-01
HUD_USER_SAFMR
zip 16506
safmr
0
$1,060
2025-10-01
HUD_USER_SAFMR
zip 16506
payment standard 110
1
$1,320
2025-10-01
HUD_USER_SAFMR
zip 16506
payment standard 90
1
$1,080
2025-10-01
HUD_USER_SAFMR
zip 16506
safmr
1
$1,200
2025-10-01
HUD_USER_SAFMR
zip 16506
payment standard 110
2
$1,694
2025-10-01
HUD_USER_SAFMR
zip 16506
payment standard 90
2
$1,386
2025-10-01
HUD_USER_SAFMR
zip 16506
safmr
2
$1,540
2025-10-01
HUD_USER_SAFMR
zip 16506
payment standard 110
3
$2,090
2025-10-01
HUD_USER_SAFMR
zip 16506
payment standard 90
3
$1,710
2025-10-01
HUD_USER_SAFMR
zip 16506
safmr
3
$1,900
2025-10-01
HUD_USER_SAFMR
zip 16506
payment standard 110
4
$2,354
2025-10-01
HUD_USER_SAFMR
zip 16506
payment standard 90
4
$1,926
2025-10-01
HUD_USER_SAFMR
zip 16506
safmr
4
$2,140
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.