Reads as: riskier than 87.5% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+24.2 vs natl
CONTINUUM HEALTHCARE I INC
10 facilities
connection
Owner fleet risk far above national
+22.1 vs natl
BRUCKSTEIN DANIEL
11 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
3.00
3.38
3.28
2.90–3.77
RN
0.01
0.45
0.39
0.25–0.58
Weekend total
2.97
3.27
3.11
—
Weekday total
3.01
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
86.0
3.00
0.01
0.94
2.06
2.97
4.8%
2025Q3
92
85.8
2.99
0.01
0.96
2.02
2.96
14.1%
2025Q2
91
86.4
2.96
0.01
0.92
2.04
2.92
11.7%
2025Q1
90
82.8
3.06
0.02
0.96
2.08
3.08
11.5%
2024Q4
92
75.6
3.29
0.14
0.97
2.17
3.19
21.3%
2024Q3
92
67.3
3.52
0.50
0.99
2.03
3.55
20.2%
2024Q2
91
70.9
3.30
0.49
1.02
1.78
3.31
12.8%
2024Q1
91
70.1
3.42
0.50
1.08
1.84
3.41
19.8%
2023Q4
92
69.7
3.37
0.49
1.07
1.81
3.21
23.7%
2023Q3
92
72.1
3.30
0.55
1.01
1.74
3.15
17.7%
2023Q2
91
74.8
3.18
0.51
0.94
1.73
3.05
9.6%
2023Q1
90
76.3
3.11
0.52
0.83
1.76
3.09
3.3%
2022Q4
92
79.1
2.87
0.44
0.81
1.62
2.78
3.8%
2022Q3
92
78.4
2.86
0.42
0.87
1.57
2.78
4.5%
2022Q2
91
76.8
2.91
0.47
0.86
1.57
2.80
6.4%
2022Q1
90
69.6
3.00
0.43
0.88
1.69
2.96
2.6%
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
30
B × 1C × 1D × 18E × 9F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-07-10
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2025-08-19
2025-07-10
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
E
2025-08-19
2025-07-10
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2025-08-19
2025-07-10
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-08-19
2025-07-10
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.
E
2025-08-19
2025-07-10
Health
F0692
Provide enough food/fluids to maintain a resident's health.
E
2025-08-19
2025-07-10
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-08-19
2025-07-10
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2025-08-19
2025-07-10
Health
F0730
Observe each nurse aide's job performance and give regular training.
E
2025-08-19
2025-07-10
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
E
2025-08-19
2025-07-10
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.
D
2025-08-19
2025-07-10
Health
F0791
Provide or obtain dental services for each resident.
D
2025-08-19
2025-07-10
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-08-19
2025-07-10
Health
F0814
Dispose of garbage and refuse properly.
C
2025-08-19
2025-07-10
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2025-08-19
2025-07-10
Health
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
2025-08-19
2024-12-11
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.
D
2025-01-22
2024-08-02
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-09-10
2024-08-02
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
B
2024-09-10
2024-08-02
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2024-09-10
2024-08-02
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-09-10
2024-08-02
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2024-09-10
2024-08-02
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-09-10
2024-08-02
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2024-09-10
2023-08-25
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
2023-10-17
2023-08-25
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-10-17
2023-08-25
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2023-10-17
2023-08-25
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
2023-10-17
2023-08-25
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-10-17
2023-08-25
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-10-17
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
19
Owner
Role
Pct
From
Status
Source
ANDERSON, AMY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
ANDREW TOBIAS 2021 FAMILY TRUST
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
BRISMAN, YAACOV
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
BRUCKSTEIN, DANIEL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
CONTINUUM HEALTHCARE I INC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
DORNCARE HOLDINGS LLC
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
HALBERSTAM, BENJAMIN
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
LAVERY, DORIANN
ADP OF THE SNF
—
2025-12-01
current
pecos_ownership
MILLINDER, TRAVIS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
PHILLIPSBURG SNF REALTY LLC
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
RUDNIK CAPITAL LLC DEFINED BENEFIT PLAN
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
TOBIAS, LAUREN
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
DANIEL BRUCKSTEIN
DIRECT OWNERSHIP INTEREST
100%
2024-11-01
ended 2026-05-18
pecos_ownership
AMY ANDERSON
ADP OF THE SNF
—
2024-11-01
ended 2026-05-18
pecos_ownership
BENJAMIN HALBERSTAM
ADP OF THE SNF
—
2024-11-01
ended 2026-05-18
pecos_ownership
DORIANN LAVERY
ADP OF THE SNF
—
2025-12-01
ended 2026-05-18
pecos_ownership
LAUREN TOBIAS
ADP OF THE SNF
—
2024-11-01
ended 2026-05-18
pecos_ownership
TRAVIS MILLINDER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
YAACOV BRISMAN
ADP OF THE SNF
—
2024-11-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-10-31
$1,254,181
—
—
$377,164
—
3
—
2023-12-31
$1,585,476
—
—
$570,940
—
3
—
2022-12-31
$1,507,935
—
—
$520,720
—
3
—
2021-12-31
$1,103,408
—
—
—
—
2
—
2020-12-31
$1,382,646
—
—
—
—
2
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
1
Close date
Price
Buyer
Seller
Evidence
2024-11-01
—
PHILLIPSBURG SNF OPCO LLC
PRESBYTERIAN HOMES IN THE PRESBYTERY OF HUNTINGDON
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
34
Geo
Kind
BR
Amount
As of
Source
county 42027
acs median gross
0
$1,166
2024-12-31
CENSUS_ACS5
county 42027
fmr
0
$1,187
2025-10-01
HUD_USER_FMR
county 42027
acs median gross
1
$986
2024-12-31
CENSUS_ACS5
county 42027
fmr
1
$1,194
2025-10-01
HUD_USER_FMR
county 42027
acs median gross
2
$1,237
2024-12-31
CENSUS_ACS5
county 42027
fmr
2
$1,406
2025-10-01
HUD_USER_FMR
county 42027
acs median gross
3
$1,439
2024-12-31
CENSUS_ACS5
county 42027
fmr
3
$1,760
2025-10-01
HUD_USER_FMR
county 42027
acs median gross
4
$1,343
2024-12-31
CENSUS_ACS5
county 42027
fmr
4
$1,862
2025-10-01
HUD_USER_FMR
county 42027
acs median gross
5
$1,845
2024-12-31
CENSUS_ACS5
county 42027
acs median gross
$1,207
2024-12-31
CENSUS_ACS5
county 42027
acs recent mover gross
$1,206
2024-12-31
CENSUS_ACS5
zcta 16866
acs median gross
1
$612
2024-12-31
CENSUS_ACS5
zcta 16866
acs median gross
2
$779
2024-12-31
CENSUS_ACS5
zcta 16866
acs median gross
3
$866
2024-12-31
CENSUS_ACS5
zcta 16866
acs median gross
4
$1,139
2024-12-31
CENSUS_ACS5
zcta 16866
acs median gross
$758
2024-12-31
CENSUS_ACS5
zcta 16866
acs recent mover gross
$1,066
2024-12-31
CENSUS_ACS5
zip 16866
payment standard 110
0
$1,221
2025-10-01
HUD_USER_SAFMR
zip 16866
payment standard 90
0
$999
2025-10-01
HUD_USER_SAFMR
zip 16866
safmr
0
$1,110
2025-10-01
HUD_USER_SAFMR
zip 16866
payment standard 110
1
$1,232
2025-10-01
HUD_USER_SAFMR
zip 16866
payment standard 90
1
$1,008
2025-10-01
HUD_USER_SAFMR
zip 16866
safmr
1
$1,120
2025-10-01
HUD_USER_SAFMR
zip 16866
payment standard 110
2
$1,419
2025-10-01
HUD_USER_SAFMR
zip 16866
payment standard 90
2
$1,161
2025-10-01
HUD_USER_SAFMR
zip 16866
safmr
2
$1,290
2025-10-01
HUD_USER_SAFMR
zip 16866
payment standard 110
3
$1,727
2025-10-01
HUD_USER_SAFMR
zip 16866
payment standard 90
3
$1,413
2025-10-01
HUD_USER_SAFMR
zip 16866
safmr
3
$1,570
2025-10-01
HUD_USER_SAFMR
zip 16866
payment standard 110
4
$1,881
2025-10-01
HUD_USER_SAFMR
zip 16866
payment standard 90
4
$1,539
2025-10-01
HUD_USER_SAFMR
zip 16866
safmr
4
$1,710
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.