Reads as: riskier than 63.7% 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 spans multiple chains
8 chains
LAHASKY EPHRAM
23 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
2.65
3.38
3.28
2.90–3.77
RN
0.45
0.45
0.39
0.25–0.58
Weekend total
2.58
3.27
3.11
—
Weekday total
2.67
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
154.0
2.65
0.45
0.73
1.47
2.58
30.6%
2025Q3
92
154.7
2.73
0.53
0.76
1.43
2.61
30.2%
2025Q2
91
151.3
2.75
0.51
0.78
1.45
2.73
29.0%
2025Q1
90
142.0
2.99
0.47
0.90
1.62
3.01
29.9%
2024Q4
92
140.6
3.04
0.43
0.84
1.76
3.13
26.8%
2024Q3
92
146.0
2.77
0.33
0.85
1.59
2.79
14.1%
2024Q2
91
152.7
2.75
0.46
0.93
1.36
2.70
34.9%
2024Q1
91
156.3
2.96
0.57
0.94
1.46
2.87
43.1%
2023Q4
92
148.4
3.02
0.49
0.97
1.56
2.84
38.1%
2023Q3
92
139.5
3.11
0.62
0.89
1.60
2.92
38.1%
2023Q2
91
147.1
2.85
0.51
0.75
1.59
2.72
39.1%
2023Q1
90
152.5
2.69
0.55
0.72
1.43
2.66
33.0%
2022Q4
92
156.1
2.76
0.64
0.65
1.48
2.60
27.7%
2022Q3
92
155.7
2.77
0.57
0.57
1.64
2.75
41.0%
2022Q2
91
151.9
2.88
0.55
0.60
1.73
2.75
43.0%
2022Q1
90
149.7
2.81
0.60
0.60
1.61
2.68
34.2%
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.
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
2026-03-24
2026-02-26
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
C
2026-03-24
2026-02-26
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-03-24
2026-02-26
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2026-03-24
2026-02-26
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2026-03-24
2026-02-26
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-03-24
2025-05-28
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
2025-05-29
2025-05-15
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-05-23
2025-05-15
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-05-23
2025-03-06
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
2025-04-01
2025-03-06
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-04-01
2025-03-06
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-04-01
2025-03-06
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.
E
2025-04-01
2025-03-06
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-04-01
2025-01-03
Health · complaint
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2025-01-22
2024-08-28
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2024-08-25
2024-07-25
Health · complaint
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
D
2024-08-16
2024-03-19
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-04-04
2024-02-14
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2024-03-14
2024-02-14
Health · complaint
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
2024-03-14
2024-02-14
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-03-14
2024-02-14
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-03-14
2024-02-14
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2024-03-14
2024-02-14
Health
F0732
Post nurse staffing information every day.
C
2024-03-14
2024-02-14
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
2024-03-14
2024-02-14
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-03-14
2024-02-14
Health
F0814
Dispose of garbage and refuse properly.
C
2024-03-14
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
18
Owner
Role
Pct
From
Status
Source
LG- VALLEY MANOR HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
40%
2022-12-01
current
pecos_ownership
GUTMAN, LEIBEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2022-12-01
current
pecos_ownership
AI- VALLEY MANOR HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
2022-12-01
current
pecos_ownership
BK- VALLEY MANOR HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
2022-12-01
current
pecos_ownership
EL- VALLEY MANOR HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
2022-12-01
current
pecos_ownership
AKIKO FAMILY HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
13%
2022-12-01
current
pecos_ownership
AKIKO IKE 2021 FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
13%
2022-12-01
current
pecos_ownership
JOSEF YUNGER FAMILY 2012 TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
2022-12-01
current
pecos_ownership
BEHMLANDER, JENELLE
W-2 MANAGING EMPLOYEE
—
2022-08-30
current
pecos_ownership
LAHASKY, EPHRAM
CORPORATE OFFICER
—
2022-12-01
current
pecos_ownership
EPHRAM LAHASKY
CORPORATE OFFICER
100%
2022-12-01
ended 2026-05-18
pecos_ownership
JENELLE BEHMLANDER
W-2 MANAGING EMPLOYEE
100%
2022-08-30
ended 2026-05-18
pecos_ownership
LEIBEL GUTMAN
CORPORATE OFFICER
100%
2022-12-01
ended 2026-05-18
pecos_ownership
AKIKO IKE
OTHER
40%
2022-12-01
ended 2026-05-18
pecos_ownership
EPHRAM LAHASKY
OTHER
10%
2018-05-14
ended 2026-05-18
pecos_ownership
LME FAMILY HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2022-12-01
ended 2026-05-18
pecos_ownership
ML FAMILY TREE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2022-12-01
ended 2026-05-18
pecos_ownership
BRIAN KOHN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2022-12-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 42017
acs median gross
0
$1,234
2024-12-31
CENSUS_ACS5
county 42017
fmr
0
$1,397
2025-10-01
HUD_USER_FMR
county 42017
acs median gross
1
$1,375
2024-12-31
CENSUS_ACS5
county 42017
fmr
1
$1,520
2025-10-01
HUD_USER_FMR
county 42017
acs median gross
2
$1,702
2024-12-31
CENSUS_ACS5
county 42017
fmr
2
$1,810
2025-10-01
HUD_USER_FMR
county 42017
acs median gross
3
$1,942
2024-12-31
CENSUS_ACS5
county 42017
fmr
3
$2,170
2025-10-01
HUD_USER_FMR
county 42017
acs median gross
4
$2,322
2024-12-31
CENSUS_ACS5
county 42017
fmr
4
$2,423
2025-10-01
HUD_USER_FMR
county 42017
acs median gross
5
$2,410
2024-12-31
CENSUS_ACS5
county 42017
acs median gross
$1,605
2024-12-31
CENSUS_ACS5
county 42017
acs recent mover gross
$1,835
2024-12-31
CENSUS_ACS5
zcta 18036
acs median gross
0
$1,243
2024-12-31
CENSUS_ACS5
zcta 18036
acs median gross
1
$797
2024-12-31
CENSUS_ACS5
zcta 18036
acs median gross
2
$1,095
2024-12-31
CENSUS_ACS5
zcta 18036
acs median gross
3
$1,853
2024-12-31
CENSUS_ACS5
zcta 18036
acs median gross
4
$3,030
2024-12-31
CENSUS_ACS5
zcta 18036
acs median gross
$1,342
2024-12-31
CENSUS_ACS5
zcta 18036
acs recent mover gross
$2,017
2024-12-31
CENSUS_ACS5
zip 18036
payment standard 110
0
$1,111
2025-10-01
HUD_USER_SAFMR
zip 18036
payment standard 90
0
$909
2025-10-01
HUD_USER_SAFMR
zip 18036
safmr
0
$1,010
2025-10-01
HUD_USER_SAFMR
zip 18036
payment standard 110
1
$1,298
2025-10-01
HUD_USER_SAFMR
zip 18036
payment standard 90
1
$1,062
2025-10-01
HUD_USER_SAFMR
zip 18036
safmr
1
$1,180
2025-10-01
HUD_USER_SAFMR
zip 18036
payment standard 110
2
$1,584
2025-10-01
HUD_USER_SAFMR
zip 18036
payment standard 90
2
$1,296
2025-10-01
HUD_USER_SAFMR
zip 18036
safmr
2
$1,440
2025-10-01
HUD_USER_SAFMR
zip 18036
payment standard 110
3
$2,002
2025-10-01
HUD_USER_SAFMR
zip 18036
payment standard 90
3
$1,638
2025-10-01
HUD_USER_SAFMR
zip 18036
safmr
3
$1,820
2025-10-01
HUD_USER_SAFMR
zip 18036
payment standard 110
4
$2,123
2025-10-01
HUD_USER_SAFMR
zip 18036
payment standard 90
4
$1,737
2025-10-01
HUD_USER_SAFMR
zip 18036
safmr
4
$1,930
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.