Reads as: riskier than 52.9% 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
4
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
4 chains
MATHEW STANLEY
12 facilities
connection
Owner fleet enforcement cluster
42% fined
FRIEDMAN BENJAMIN
26 facilities
connection
Owner fleet enforcement cluster
40% fined
NEWHOUSE TEMI
10 facilities
connection
Owner fleet enforcement cluster
40% fined
PLEW ANDREA
15 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
IL median
National median
National p25–p75
Total nurse
3.53
3.13
3.28
2.90–3.77
RN
0.64
0.49
0.39
0.25–0.58
Weekend total
2.64
2.93
3.11
—
Weekday total
3.88
3.23
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
54.8
3.53
0.64
0.42
2.47
2.64
0.0%
2025Q3
92
55.0
3.43
0.64
0.30
2.49
2.56
0.0%
2025Q2
91
55.0
3.39
0.58
0.33
2.47
2.73
0.0%
2025Q1
90
54.6
3.34
0.56
0.41
2.37
2.91
0.2%
2024Q4
92
49.2
3.37
0.33
0.56
2.47
2.64
0.0%
2024Q3
92
46.3
3.47
0.26
0.71
2.51
2.75
0.0%
2024Q2
91
47.6
2.73
0.31
0.56
1.86
2.33
1.9%
2024Q1
91
50.6
3.20
0.28
0.68
2.23
2.86
6.4%
2023Q4
92
47.0
2.98
0.53
0.56
1.90
2.71
0.0%
2023Q3
92
42.6
3.07
0.52
0.53
2.01
2.71
0.0%
2023Q2
91
41.5
3.37
0.80
0.31
2.25
2.91
0.0%
2023Q1
90
41.3
3.62
0.96
0.28
2.38
3.03
0.0%
2022Q4
92
43.8
3.44
0.86
0.33
2.26
2.99
0.0%
2022Q3
92
44.7
3.49
0.70
0.46
2.33
3.01
0.0%
2022Q2
91
43.4
3.31
0.78
0.39
2.14
2.95
0.0%
2022Q1
90
43.7
3.22
0.85
0.51
1.86
2.82
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
29
C × 1D × 20E × 2F × 4G × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-04-17
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-04-30
2025-04-17
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.
F
2025-04-30
2025-04-17
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F
2025-04-30
2025-04-17
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-04-30
2024-10-23
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-10-24
2024-10-23
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
G
2024-10-24
2024-06-05
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-06-07
2024-06-05
Health · complaint
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2024-06-07
2024-06-05
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-06-14
2024-06-05
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-06-07
2024-02-23
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
2024-03-07
2024-02-23
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-03-07
2024-02-23
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-03-07
2024-02-23
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-03-07
2024-02-23
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
2024-03-07
2024-02-23
Health
F0847
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
C
2024-02-24
2023-12-23
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2023-12-24
2023-12-23
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
2023-12-24
2023-12-23
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-12-24
2023-10-04
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
E
2023-10-23
2023-01-13
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2023-01-23
2023-01-13
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
2023-01-23
2023-01-13
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
2023-01-26
2023-01-13
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-01-26
2023-01-13
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2023-01-23
2023-01-13
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
2023-01-23
2023-01-13
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-01-23
2023-01-13
Health
F0808
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
D
2023-01-26
2023-01-13
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-01-23
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
37
Owner
Role
Pct
From
Status
Source
CET OFFICE HOLDINGS LLC
Individual has financial interest in both related organization and provider
—
2023-01-01
current
hcris_a_8_1
CET OFFICE HOLDINGS LLC
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
COOK, WINDY
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-01
current
pecos_ownership
E NEWHOUSE FAMILY TRUST
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
ERBLICH, AVRAHAM
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
ETN FAMILY HOLDINGS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-01
current
pecos_ownership
FRIEDMAN, BENJAMIN
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
MACOMB REALTY
Individual has financial interest in both related organization and provider
—
2023-01-01
current
hcris_a_8_1
MACOMB REALTY
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
MACOMB REALTY LLC
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
MATHEW, STANLEY
MANAGING CONTROL - GOVERNING BODY
—
2025-05-01
current
pecos_ownership
MAYHUGH, KIMBERLY
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
MAYHUGH, KIMBERLY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-20
current
pecos_ownership
MILLMAN, CHAIM
MANAGING CONTROL - GOVERNING BODY
—
2021-06-01
current
pecos_ownership
NEWHOUSE, ERIC
TRUSTEE OF THE SNF
—
2021-06-01
current
pecos_ownership
NEWHOUSE, TEMI
TRUSTEE OF THE SNF
—
2021-06-01
current
pecos_ownership
PLEW, ANDREA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-01
current
pecos_ownership
SHEPS, BORUCH
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-01
current
pecos_ownership
STERN THERAPY CONSULTANTS LLC
ADP OF THE SNF
—
2025-05-25
current
pecos_ownership
STERN THERAPY CONSULTANTS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-01
current
pecos_ownership
T NEWHOUSE FAMILY TRUST
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
BORUCH SHEPS
OPERATIONAL/MANAGERIAL CONTROL
50%
2021-06-01
ended 2026-05-18
pecos_ownership
CHAIM MILLMAN
OPERATIONAL/MANAGERIAL CONTROL
50%
2021-06-01
ended 2026-05-18
pecos_ownership
BENJAMIN FRIEDMAN
5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
2021-06-01
ended 2026-05-18
pecos_ownership
AVRAHAM ERBLICH
5% OR GREATER DIRECT OWNERSHIP INTEREST
12%
2021-06-01
ended 2026-05-18
pecos_ownership
BEZALEL STERN
5% OR GREATER DIRECT OWNERSHIP INTEREST
12%
2021-06-01
ended 2026-05-18
pecos_ownership
ERIC NEWHOUSE
INDIRECT OWNERSHIP INTEREST
0%
2021-06-01
ended 2026-05-18
pecos_ownership
ANDREA PLEW
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-01
ended 2026-05-18
pecos_ownership
CET OFFICE HOLDINGS LLC
Individual has financial interest in both related organization and provider
—
2021-06-01
ended 2021-12-31
hcris_a_8_1
CET OFFICE HOLDINGS LLC
Individual has financial interest in both related organization and provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
KIMBERLY MAYHUGH
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-20
ended 2026-05-18
pecos_ownership
KIMBERLY MAYHUGH
ADP OF THE SNF
—
2021-06-01
ended 2026-05-18
pecos_ownership
MACOMB REALTY
Individual has financial interest in both related organization and provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
MACOMB REALTY
Individual has financial interest in both related organization and provider
—
2021-06-01
ended 2021-12-31
hcris_a_8_1
STANLEY MATHEW
ADP OF THE SNF
—
2025-05-01
ended 2026-05-18
pecos_ownership
TEMI NEWHOUSE
TRUSTEE OF THE SNF
—
2021-06-01
ended 2026-05-18
pecos_ownership
WINDY COOK
ADP OF THE SNF
—
2021-06-01
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
$890,246
—
—
—
$37,439
5
propco
2023-12-31
$617,706
—
—
—
$16,778
5
propco
2022-12-31
$444,137
—
—
—
$36,850
5
propco
2021-12-31
$244,633
—
$171,584
—
—
5
propco
2021-05-31
$87,822
—
$87,822
—
—
2
—
2020-12-31
$212,284
—
$212,284
—
—
2
—
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 17109
acs median gross
0
$502
2024-12-31
CENSUS_ACS5
county 17109
fmr
0
$656
2025-10-01
HUD_USER_FMR
county 17109
acs median gross
1
$602
2024-12-31
CENSUS_ACS5
county 17109
fmr
1
$728
2025-10-01
HUD_USER_FMR
county 17109
acs median gross
2
$836
2024-12-31
CENSUS_ACS5
county 17109
fmr
2
$951
2025-10-01
HUD_USER_FMR
county 17109
acs median gross
3
$945
2024-12-31
CENSUS_ACS5
county 17109
fmr
3
$1,231
2025-10-01
HUD_USER_FMR
county 17109
acs median gross
4
$817
2024-12-31
CENSUS_ACS5
county 17109
fmr
4
$1,512
2025-10-01
HUD_USER_FMR
county 17109
acs median gross
5
$1,629
2024-12-31
CENSUS_ACS5
county 17109
acs median gross
$761
2024-12-31
CENSUS_ACS5
county 17109
acs recent mover gross
$816
2024-12-31
CENSUS_ACS5
zcta 61455
acs median gross
0
$439
2024-12-31
CENSUS_ACS5
zcta 61455
acs median gross
1
$621
2024-12-31
CENSUS_ACS5
zcta 61455
acs median gross
2
$845
2024-12-31
CENSUS_ACS5
zcta 61455
acs median gross
3
$1,038
2024-12-31
CENSUS_ACS5
zcta 61455
acs median gross
4
$907
2024-12-31
CENSUS_ACS5
zcta 61455
acs median gross
$768
2024-12-31
CENSUS_ACS5
zcta 61455
acs recent mover gross
$813
2024-12-31
CENSUS_ACS5
zip 61455
payment standard 110
0
$748
2025-10-01
HUD_USER_SAFMR
zip 61455
payment standard 90
0
$612
2025-10-01
HUD_USER_SAFMR
zip 61455
safmr
0
$680
2025-10-01
HUD_USER_SAFMR
zip 61455
payment standard 110
1
$836
2025-10-01
HUD_USER_SAFMR
zip 61455
payment standard 90
1
$684
2025-10-01
HUD_USER_SAFMR
zip 61455
safmr
1
$760
2025-10-01
HUD_USER_SAFMR
zip 61455
payment standard 110
2
$1,089
2025-10-01
HUD_USER_SAFMR
zip 61455
payment standard 90
2
$891
2025-10-01
HUD_USER_SAFMR
zip 61455
safmr
2
$990
2025-10-01
HUD_USER_SAFMR
zip 61455
payment standard 110
3
$1,408
2025-10-01
HUD_USER_SAFMR
zip 61455
payment standard 90
3
$1,152
2025-10-01
HUD_USER_SAFMR
zip 61455
safmr
3
$1,280
2025-10-01
HUD_USER_SAFMR
zip 61455
payment standard 110
4
$1,727
2025-10-01
HUD_USER_SAFMR
zip 61455
payment standard 90
4
$1,413
2025-10-01
HUD_USER_SAFMR
zip 61455
safmr
4
$1,570
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.