Reads as: riskier than 96.9% 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
anomaly
Top-decile risk vs 4–5 star rating
10.9
this facility
2026-07-29
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
WA median
National median
National p25–p75
Total nurse
3.90
3.70
3.28
2.90–3.77
RN
0.93
0.62
0.39
0.25–0.58
Weekend total
3.63
3.51
3.11
—
Weekday total
4.01
3.79
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
80.9
3.90
0.93
0.70
2.27
3.63
0.0%
2025Q3
92
81.3
3.83
0.81
0.73
2.29
3.67
0.0%
2025Q2
91
83.1
3.86
0.84
0.68
2.34
3.72
0.0%
2025Q1
90
82.2
4.04
0.88
0.77
2.39
3.83
0.0%
2024Q4
92
75.9
4.04
0.85
0.92
2.27
3.77
0.0%
2024Q3
92
71.9
3.84
0.67
1.01
2.16
3.58
0.0%
2024Q2
91
71.6
3.76
0.73
0.94
2.09
3.50
2.4%
2024Q1
91
65.3
3.77
0.73
0.94
2.10
3.58
1.1%
2023Q4
92
65.3
3.81
0.71
1.07
2.03
3.42
1.8%
2023Q3
92
70.1
3.71
0.62
1.11
1.98
3.30
1.6%
2023Q2
91
74.5
3.63
0.76
0.96
1.91
3.08
0.0%
2023Q1
90
80.1
3.24
0.64
1.09
1.51
2.57
0.0%
2022Q4
92
78.2
3.08
0.63
1.02
1.44
2.53
2.6%
2022Q3
92
77.7
2.90
0.51
1.02
1.37
2.46
7.4%
2022Q2
91
79.5
2.80
0.40
1.05
1.36
2.50
1.9%
2022Q1
90
80.0
2.82
0.42
0.98
1.42
2.65
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.
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
E
2026-03-31
2026-02-24
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2026-03-31
2026-02-24
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2026-03-31
2026-02-24
Health
F0679
Provide activities to meet all resident's needs.
D
2026-03-31
2025-08-29
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-10-08
2025-08-29
Health · complaint
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
E
2025-10-08
2025-08-29
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-10-08
2025-08-29
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.
E
2025-10-08
2025-08-29
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2025-10-08
2025-03-17
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-04-23
2025-03-17
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-04-23
2025-03-17
Health · complaint
F0610
Respond appropriately to all alleged violations.
E
2025-04-23
2025-03-17
Health · complaint
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
E
2025-04-23
2025-03-17
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2025-04-23
2025-03-17
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-04-23
2025-03-17
Health
F0679
Provide activities to meet all resident's needs.
D
2025-04-23
2025-03-17
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-04-23
2025-03-17
Health
F0745
Provide medically-related social services to help each resident achieve the highest possible quality of life.
D
2025-04-23
2025-03-17
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.
E
2025-04-23
2025-03-17
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
2025-04-23
2025-03-17
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.
E
2025-04-23
2025-03-17
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2025-04-23
2025-03-17
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2025-04-23
2024-10-01
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E
2024-11-14
2024-03-06
Health · complaint
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
2024-03-19
2024-02-07
Health · complaint
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
E
2024-02-28
2024-02-07
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
J
2024-03-12
2024-02-07
Health · complaint
F0947
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
E
2024-03-12
2023-12-29
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.
E
2024-01-26
2023-12-29
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-01-26
2023-09-20
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2023-10-18
2023-09-20
Health · complaint
F0610
Respond appropriately to all alleged violations.
E
2023-10-18
2023-09-20
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2023-10-18
2023-09-20
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.
L
2023-10-18
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
22
Owner
Role
Pct
From
Status
Source
BERG, MICHAEL
CORPORATE OFFICER
—
2012-12-01
current
pecos_ownership
BRIDGEFORD, LAURA
CORPORATE OFFICER
—
2024-04-01
current
pecos_ownership
CHALLAGOLLA, UDAYCHOWDARY
ADP OF THE SNF
—
2024-04-04
current
pecos_ownership
GEN OPERATIONS I LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2012-12-01
current
pecos_ownership
GEN OPERATIONS II LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2012-12-01
current
pecos_ownership
GENESIS HEALTHCARE INC. (PUBLICLY TRADED)
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-02-02
current
pecos_ownership
GENESIS HEALTHCARE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2012-12-01
current
pecos_ownership
GENESIS HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-02-02
current
pecos_ownership
MENDELSON, AVI
CORPORATE OFFICER
—
2024-04-01
current
pecos_ownership
SUN HEALTHCARE GROUP INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2012-12-01
current
pecos_ownership
WHITMAN, ARNOLD
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-02-02
current
pecos_ownership
AVI MENDELSON
CORPORATE OFFICER
100%
2024-04-01
ended 2026-05-18
pecos_ownership
FC-GEN OPERATIONS INVESTMENT LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2012-12-01
ended 2026-05-18
pecos_ownership
LAURA BRIDGEFORD
CORPORATE OFFICER
100%
2024-04-01
ended 2026-05-18
pecos_ownership
MICHAEL BERG
CORPORATE OFFICER
100%
2012-12-01
ended 2026-05-18
pecos_ownership
ARNOLD WHITMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
11%
2015-02-02
ended 2026-05-18
pecos_ownership
HCCF MANAGEMENT GROUP XI LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
11%
2012-12-01
ended 2026-05-18
pecos_ownership
STEVEN FISHMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2015-02-02
ended 2026-05-18
pecos_ownership
ZAC PROPERTIES XI LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2012-12-01
ended 2026-05-18
pecos_ownership
WELLTOWER OP, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
6%
2012-12-01
ended 2026-05-18
pecos_ownership
SUNDANCE REHABILITATION HOLDCO INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2012-12-01
ended 2026-05-18
pecos_ownership
UDAYCHOWDARY CHALLAGOLLA
ADP OF THE SNF
—
2024-04-04
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
2024-12-31
$1,020,725
—
$537,681
$454,075
$28,969
3
—
2023-12-31
$1,039,431
—
$496,844
$536,347
$6,240
3
—
2022-12-31
$1,537,722
—
$708,718
$638,858
$190,146
5
—
2021-12-31
$1,297,408
—
$654,576
$634,621
$8,211
4
—
2020-12-31
$1,445,034
—
$672,178
$589,576
$183,280
4
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
36
Geo
Kind
BR
Amount
As of
Source
county 53061
acs median gross
0
$1,577
2024-12-31
CENSUS_ACS5
county 53061
fmr
0
$2,074
2025-10-01
HUD_USER_FMR
county 53061
acs median gross
1
$1,637
2024-12-31
CENSUS_ACS5
county 53061
fmr
1
$2,146
2025-10-01
HUD_USER_FMR
county 53061
acs median gross
2
$1,936
2024-12-31
CENSUS_ACS5
county 53061
fmr
2
$2,501
2025-10-01
HUD_USER_FMR
county 53061
acs median gross
3
$2,366
2024-12-31
CENSUS_ACS5
county 53061
fmr
3
$3,272
2025-10-01
HUD_USER_FMR
county 53061
acs median gross
4
$2,922
2024-12-31
CENSUS_ACS5
county 53061
fmr
4
$3,847
2025-10-01
HUD_USER_FMR
county 53061
acs median gross
5
$3,283
2024-12-31
CENSUS_ACS5
county 53061
acs median gross
$1,949
2024-12-31
CENSUS_ACS5
county 53061
acs recent mover gross
$2,089
2024-12-31
CENSUS_ACS5
zcta 98204
acs median gross
0
$1,663
2024-12-31
CENSUS_ACS5
zcta 98204
acs median gross
1
$1,603
2024-12-31
CENSUS_ACS5
zcta 98204
acs median gross
2
$1,834
2024-12-31
CENSUS_ACS5
zcta 98204
acs median gross
3
$2,153
2024-12-31
CENSUS_ACS5
zcta 98204
acs median gross
4
$2,551
2024-12-31
CENSUS_ACS5
zcta 98204
acs median gross
5
$2,606
2024-12-31
CENSUS_ACS5
zcta 98204
acs median gross
$1,794
2024-12-31
CENSUS_ACS5
zcta 98204
acs recent mover gross
$1,899
2024-12-31
CENSUS_ACS5
zip 98204
payment standard 110
0
$1,980
2025-10-01
HUD_USER_SAFMR
zip 98204
payment standard 90
0
$1,620
2025-10-01
HUD_USER_SAFMR
zip 98204
safmr
0
$1,800
2025-10-01
HUD_USER_SAFMR
zip 98204
payment standard 110
1
$2,035
2025-10-01
HUD_USER_SAFMR
zip 98204
payment standard 90
1
$1,665
2025-10-01
HUD_USER_SAFMR
zip 98204
safmr
1
$1,850
2025-10-01
HUD_USER_SAFMR
zip 98204
payment standard 110
2
$2,376
2025-10-01
HUD_USER_SAFMR
zip 98204
payment standard 90
2
$1,944
2025-10-01
HUD_USER_SAFMR
zip 98204
safmr
2
$2,160
2025-10-01
HUD_USER_SAFMR
zip 98204
payment standard 110
3
$3,135
2025-10-01
HUD_USER_SAFMR
zip 98204
payment standard 90
3
$2,565
2025-10-01
HUD_USER_SAFMR
zip 98204
safmr
3
$2,850
2025-10-01
HUD_USER_SAFMR
zip 98204
payment standard 110
4
$3,652
2025-10-01
HUD_USER_SAFMR
zip 98204
payment standard 90
4
$2,988
2025-10-01
HUD_USER_SAFMR
zip 98204
safmr
4
$3,320
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.