Reads as: riskier than 25.8% 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
10
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
9 chains
ROSCOE BRANDON
14 facilities
connection
Owner spans multiple chains
6 chains
WASHINGTON STATE INVESTMENT BOARD
77 facilities
connection
Owner spans multiple chains
6 chains
GEARY PROPERTY HOLDINGS LLC
21 facilities
connection
Owner spans multiple chains
5 chains
BEVERLY HEALTH AND REHABILITIATION SERVICES INC
18 facilities
connection
Owner spans multiple chains
5 chains
BEVERLY ENTERPRISES PENNSYLVANIA INC
17 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
3.18
3.38
3.28
2.90–3.77
RN
0.36
0.45
0.39
0.25–0.58
Weekend total
3.15
3.27
3.11
—
Weekday total
3.19
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
113.0
3.18
0.36
0.87
1.96
3.15
5.5%
2025Q3
92
113.1
3.16
0.32
0.90
1.94
3.12
15.4%
2025Q2
91
115.1
3.23
0.33
0.89
2.02
3.16
15.1%
2025Q1
90
116.0
3.18
0.33
0.88
1.97
3.17
13.5%
2024Q4
92
115.8
2.89
0.30
0.77
1.81
2.88
6.9%
2024Q3
92
117.8
3.15
0.34
0.83
1.98
3.14
6.7%
2024Q2
91
117.8
2.95
0.26
0.81
1.88
2.91
5.5%
2024Q1
91
115.8
2.93
0.24
0.84
1.84
2.91
2.9%
2023Q4
92
116.5
2.88
0.28
0.80
1.80
2.86
1.3%
2023Q3
92
116.0
2.93
0.29
0.84
1.80
2.92
2.4%
2023Q2
91
114.9
2.67
0.29
0.84
1.55
2.67
0.1%
2023Q1
90
116.2
2.78
0.29
0.83
1.65
2.79
0.0%
2022Q4
92
116.3
2.81
0.28
0.90
1.62
2.84
0.0%
2022Q3
92
117.7
2.91
0.30
0.92
1.69
2.80
0.0%
2022Q2
91
118.3
2.94
0.30
0.94
1.70
2.77
0.0%
2022Q1
90
117.4
2.89
0.26
0.92
1.72
2.86
0.1%
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
26
C × 1D × 18E × 7
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-17
Health
F0641
Ensure each resident receives an accurate assessment.
D
—
2026-04-17
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
—
2026-04-17
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
—
2026-04-17
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
—
2026-04-17
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
—
2026-04-17
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
—
2026-04-17
Health
F0880
Provide and implement an infection prevention and control program.
E
—
2026-04-17
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
—
2025-05-09
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-06-10
2025-05-09
Health
F0641
Ensure each resident receives an accurate assessment.
E
2025-06-10
2025-05-09
Health · complaint
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
2025-06-10
2025-05-09
Health
F0732
Post nurse staffing information every day.
C
2025-06-10
2025-05-09
Health · complaint
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
2025-06-10
2025-05-09
Health
F0791
Provide or obtain dental services for each resident.
E
2025-06-10
2025-05-09
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.
E
2025-06-10
2024-06-25
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
2024-07-24
2024-06-25
Health
F0637
Assess the resident when there is a significant change in condition
D
2024-07-24
2024-06-25
Health
F0641
Ensure each resident receives an accurate assessment.
E
2024-07-24
2024-06-25
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
2024-07-24
2024-06-25
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-07-24
2024-06-25
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2024-07-24
2024-06-25
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2024-07-24
2024-06-25
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-07-24
2024-06-25
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
2024-07-24
2024-06-25
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-07-24
2024-06-25
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-07-24
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
41
Owner
Role
Pct
From
Status
Source
ANDREWS, HEATHER
ADP OF THE SNF
—
2024-10-29
current
pecos_ownership
BEVERLY ENTERPRISES - PENNSYLVANIA, INC.
ADP OF THE SNF
—
2024-12-20
current
pecos_ownership
BEVERLY ENTERPRISES LLC
ADP OF THE SNF
—
2024-12-20
current
pecos_ownership
BEVERLY HEALTH AND REHABILITIATION SERVICES, INC
ADP OF THE SNF
—
2024-12-20
current
pecos_ownership
DRUMM INTERMEDIARY SUB CO LLC
ADP OF THE SNF
—
2024-12-20
current
pecos_ownership
DRUMM MERGER CO
ADP OF THE SNF
—
2024-12-20
current
pecos_ownership
DRUMM MERGER CO SUB LLC
ADP OF THE SNF
—
2024-12-20
current
pecos_ownership
FILLMORE STRATEGIC INVESTORS LLC
ADP OF THE SNF
—
2024-12-20
current
pecos_ownership
FINN, NICHOLAS
ADP OF THE SNF
—
2024-10-29
current
pecos_ownership
FRANCO, AHARON
ADP OF THE SNF
—
2024-10-29
current
pecos_ownership
GEARY PROPERTY HOLDINGS LLC
ADP OF THE SNF
—
2024-12-20
current
pecos_ownership
GPH LEWISTOWN LP
ADP OF THE SNF
—
2024-12-20
current
pecos_ownership
KARITY, SARAH
TRUSTEE OF THE SNF
—
2024-10-29
current
pecos_ownership
LINAM, KIM
ADP OF THE SNF
—
2024-10-29
current
pecos_ownership
MILLER, JEAN
ADP OF THE SNF
—
2024-11-15
current
pecos_ownership
PEARL SENIOR CARE, LLC.
ADP OF THE SNF
—
2024-12-20
current
pecos_ownership
RAMI, ISAAC
ADP OF THE SNF
—
2024-10-29
current
pecos_ownership
RASMUSSEN-JONES, HOLLY
ADP OF THE SNF
—
2024-10-29
current
pecos_ownership
ROSCOE, BRANDON
ADP OF THE SNF
—
2024-12-20
current
pecos_ownership
SURETY COMPLIANCE
ADP OF THE SNF
—
2024-10-29
current
pecos_ownership
TRAXLER, TANA
ADP OF THE SNF
—
2024-12-20
current
pecos_ownership
VALLEY WEST HEALTH LLC
ADP OF THE SNF
—
2024-12-20
current
pecos_ownership
VALLEY WEST HEALTH LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-15
current
pecos_ownership
WASHINGTON STATE INVESTMENT BOARD
ADP OF THE SNF
—
2024-12-20
current
pecos_ownership
WESTERN PA OPCO HOLDINGS I LLC
ADP OF THE SNF
—
2024-12-19
current
pecos_ownership
WESTERN PA OPCO HOLDINGS I LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2024-10-29
current
pecos_ownership
WILLOW, TERESA
ADP OF THE SNF
—
2024-12-20
current
pecos_ownership
ISKEB 2024 TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
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
KEYSTONE VENTURES LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2024-10-29
ended 2026-05-18
pecos_ownership
AHARON FRANCO
ADP OF THE SNF
—
2024-10-29
ended 2026-05-18
pecos_ownership
BRANDON ROSCOE
ADP OF THE SNF
—
2024-12-20
ended 2026-05-18
pecos_ownership
HEATHER ANDREWS
ADP OF THE SNF
—
2024-10-29
ended 2026-05-18
pecos_ownership
HOLLY RASMUSSEN-JONES
ADP OF THE SNF
—
2024-10-29
ended 2026-05-18
pecos_ownership
ISAAC RAMI
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
KIM LINAM
ADP OF THE SNF
—
2024-10-29
ended 2026-05-18
pecos_ownership
NICHOLAS FINN
ADP OF THE SNF
—
2024-10-29
ended 2026-05-18
pecos_ownership
SARAH KARITY
TRUSTEE OF THE SNF
—
2024-10-29
ended 2026-05-18
pecos_ownership
TANA TRAXLER
ADP OF THE SNF
—
2024-12-20
ended 2026-05-18
pecos_ownership
TERESA WILLOW
ADP OF THE SNF
—
2024-12-20
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
$1,790,379
—
$543,593
$853,903
$20,092
4
—
2023-12-31
$2,133,768
—
$604,556
$1,107,682
$20,549
4
—
2022-12-31
$2,031,111
—
$587,878
$1,076,555
$14,985
4
—
2021-12-31
$1,932,946
—
$472,378
$1,064,679
$13,580
4
—
2020-12-31
$1,848,103
—
$411,820
$1,030,912
$10,620
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 42087
acs median gross
0
$768
2024-12-31
CENSUS_ACS5
county 42087
fmr
0
$770
2025-10-01
HUD_USER_FMR
county 42087
acs median gross
1
$615
2024-12-31
CENSUS_ACS5
county 42087
fmr
1
$786
2025-10-01
HUD_USER_FMR
county 42087
acs median gross
2
$790
2024-12-31
CENSUS_ACS5
county 42087
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 42087
acs median gross
3
$979
2024-12-31
CENSUS_ACS5
county 42087
fmr
3
$1,283
2025-10-01
HUD_USER_FMR
county 42087
acs median gross
4
$1,079
2024-12-31
CENSUS_ACS5
county 42087
fmr
4
$1,288
2025-10-01
HUD_USER_FMR
county 42087
acs median gross
5
$759
2024-12-31
CENSUS_ACS5
county 42087
acs median gross
$822
2024-12-31
CENSUS_ACS5
county 42087
acs recent mover gross
$842
2024-12-31
CENSUS_ACS5
zcta 17044
acs median gross
0
$763
2024-12-31
CENSUS_ACS5
zcta 17044
acs median gross
1
$625
2024-12-31
CENSUS_ACS5
zcta 17044
acs median gross
2
$781
2024-12-31
CENSUS_ACS5
zcta 17044
acs median gross
3
$975
2024-12-31
CENSUS_ACS5
zcta 17044
acs median gross
4
$1,309
2024-12-31
CENSUS_ACS5
zcta 17044
acs median gross
$814
2024-12-31
CENSUS_ACS5
zcta 17044
acs recent mover gross
$825
2024-12-31
CENSUS_ACS5
zip 17044
payment standard 110
0
$847
2025-10-01
HUD_USER_SAFMR
zip 17044
payment standard 90
0
$693
2025-10-01
HUD_USER_SAFMR
zip 17044
safmr
0
$770
2025-10-01
HUD_USER_SAFMR
zip 17044
payment standard 110
1
$869
2025-10-01
HUD_USER_SAFMR
zip 17044
payment standard 90
1
$711
2025-10-01
HUD_USER_SAFMR
zip 17044
safmr
1
$790
2025-10-01
HUD_USER_SAFMR
zip 17044
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 17044
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 17044
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 17044
payment standard 110
3
$1,408
2025-10-01
HUD_USER_SAFMR
zip 17044
payment standard 90
3
$1,152
2025-10-01
HUD_USER_SAFMR
zip 17044
safmr
3
$1,280
2025-10-01
HUD_USER_SAFMR
zip 17044
payment standard 110
4
$1,419
2025-10-01
HUD_USER_SAFMR
zip 17044
payment standard 90
4
$1,161
2025-10-01
HUD_USER_SAFMR
zip 17044
safmr
4
$1,290
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.