Reads as: riskier than 79.6% 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 spans multiple chains
6 chains
SUMMATION FINANCIAL SERVICES LLC
48 facilities
connection
Owner spans multiple chains
5 chains
CLINICAL CONSULTING SERVICES LLC
42 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
1.94
3.38
3.28
2.90–3.77
RN
0.01
0.45
0.39
0.25–0.58
Weekend total
1.82
3.27
3.11
—
Weekday total
1.99
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
99.0
1.94
0.01
0.16
1.78
1.82
1.7%
2025Q3
92
93.6
1.87
0.00
0.14
1.72
1.84
1.0%
2025Q2
91
90.7
1.99
0.02
0.24
1.73
1.92
1.2%
2025Q1
90
80.0
1.99
0.01
0.25
1.73
1.94
0.1%
2024Q4
92
76.7
2.90
0.30
0.73
1.86
2.85
11.4%
2024Q3
92
67.0
3.19
0.51
0.96
1.71
3.05
30.1%
2024Q2
91
59.9
2.85
0.45
0.82
1.58
2.65
36.2%
2024Q1
91
65.5
2.77
0.51
0.83
1.43
2.60
38.2%
2023Q4
92
68.7
2.94
0.50
0.83
1.61
2.83
40.7%
2023Q3
92
67.1
3.08
0.60
0.80
1.68
3.10
38.6%
2023Q2
91
67.3
2.84
0.52
0.87
1.45
2.85
30.0%
2023Q1
90
74.0
2.74
0.46
0.81
1.48
2.73
30.5%
2022Q4
92
78.3
2.80
0.40
0.73
1.68
2.78
43.8%
2022Q3
92
78.5
2.79
0.40
0.75
1.64
2.77
46.0%
2022Q2
91
78.4
2.69
0.38
0.75
1.56
2.66
45.1%
2022Q1
90
79.2
2.70
0.40
0.73
1.57
2.63
44.4%
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.
Ensure each resident receives an accurate assessment.
D
2026-01-13
2025-12-11
Health
F0730
Observe each nurse aide's job performance and give regular training.
D
2026-01-13
2025-09-04
Health · complaint
F0627
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
D
2025-09-23
2024-12-05
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
2025-01-07
2024-12-05
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-01-07
2024-12-05
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
2025-01-07
2024-12-05
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
2025-01-07
2024-12-05
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-01-07
2024-12-05
Health
F0810
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
D
2025-01-07
2024-12-05
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2025-01-07
2024-12-05
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
D
2025-01-07
2024-05-08
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-04-25
2024-01-10
Health
F0637
Assess the resident when there is a significant change in condition
D
2024-02-14
2024-01-10
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-02-14
2024-01-10
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-02-14
2024-01-10
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.
D
2024-02-14
2024-01-10
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.
E
2024-02-14
2024-01-10
Health
F0692
Provide enough food/fluids to maintain a resident's health.
E
2024-02-14
2024-01-10
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
2024-02-14
2024-01-10
Health
F0790
Provide routine and 24-hour emergency dental care for each resident.
E
2024-02-14
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
24
Owner
Role
Pct
From
Status
Source
PREMIER MEMBERS
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2017-09-18
current
pecos_ownership
EL BUCKEYE EAST LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2017-09-18
current
pecos_ownership
GAMZEH, KATHLEEN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2017-09-18
current
pecos_ownership
GLATZER, AKIVA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2017-09-18
current
pecos_ownership
213 E MAIN STREET PROPCO LLC
ADP OF THE SNF
—
2017-09-18
current
pecos_ownership
BRANDT, SUZETTE
OPERATIONAL/MANAGERIAL CONTROL
—
2017-09-18
current
pecos_ownership
BRANDT, SUZETTE
ADP OF THE SNF
—
2025-04-07
current
pecos_ownership
CLINICAL CONSULTING SERVICES LLC
ADP OF THE SNF
—
2025-05-14
current
pecos_ownership
CLINICAL CONSULTING SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-01-01
current
pecos_ownership
CREPS, STEVEN
OPERATIONAL/MANAGERIAL CONTROL
—
2017-09-18
current
pecos_ownership
CREPS, STEVEN
ADP OF THE SNF
—
2025-05-14
current
pecos_ownership
PRIORITY CARE GROUP LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-01-01
current
pecos_ownership
SCHAFFER, DANIEL
GENERAL PARTNERSHIP INTEREST
—
2017-09-18
current
pecos_ownership
SUMMATION FINANCIAL SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-01-01
current
pecos_ownership
SUMMATION FINANCIAL SERVICES LLC
ADP OF THE SNF
—
2025-05-14
current
pecos_ownership
PREMIER MEMBERS PROPCO
Corporation, partnership or other organization has financial interest in provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
PREMIER MEMBERS PROPCO
Corporation, partnership or other organization has financial interest in provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
AKIVA GLATZER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2017-09-18
ended 2026-05-18
pecos_ownership
DANIEL SCHAFFER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2017-09-18
ended 2026-05-18
pecos_ownership
KATHLEEN GAMZEH
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2017-09-18
ended 2026-05-18
pecos_ownership
STEVEN CREPS
ADP OF THE SNF
—
2025-05-14
ended 2026-05-18
pecos_ownership
STEVEN CREPS
OPERATIONAL/MANAGERIAL CONTROL
—
2017-09-18
ended 2026-05-18
pecos_ownership
SUZETTE BRANDT
ADP OF THE SNF
—
2025-04-07
ended 2026-05-18
pecos_ownership
SUZETTE BRANDT
OPERATIONAL/MANAGERIAL CONTROL
—
2017-09-18
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
$1,128,412
—
$162,410
$364,467
$154,570
9
—
2023-12-31
$869,805
—
$95,635
$288,113
$120,605
10
—
2022-12-31
$995,355
—
$154,138
$311,925
$111,754
10
—
2021-12-31
$2,136,279
$993,609
$159,136
$368,890
$107,953
11
propco
2020-12-31
$1,422,912
$1,012,655
$165,052
—
—
4
propco
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
31
Geo
Kind
BR
Amount
As of
Source
county 42099
acs median gross
0
$528
2024-12-31
CENSUS_ACS5
county 42099
fmr
0
$1,058
2025-10-01
HUD_USER_FMR
county 42099
acs median gross
1
$763
2024-12-31
CENSUS_ACS5
county 42099
fmr
1
$1,212
2025-10-01
HUD_USER_FMR
county 42099
acs median gross
2
$877
2024-12-31
CENSUS_ACS5
county 42099
fmr
2
$1,493
2025-10-01
HUD_USER_FMR
county 42099
acs median gross
3
$970
2024-12-31
CENSUS_ACS5
county 42099
fmr
3
$1,920
2025-10-01
HUD_USER_FMR
county 42099
acs median gross
4
$1,046
2024-12-31
CENSUS_ACS5
county 42099
fmr
4
$1,977
2025-10-01
HUD_USER_FMR
county 42099
acs median gross
5
$1,000
2024-12-31
CENSUS_ACS5
county 42099
acs median gross
$874
2024-12-31
CENSUS_ACS5
county 42099
acs recent mover gross
$1,114
2024-12-31
CENSUS_ACS5
zcta 17068
acs median gross
2
$992
2024-12-31
CENSUS_ACS5
zcta 17068
acs median gross
3
$920
2024-12-31
CENSUS_ACS5
zcta 17068
acs median gross
$964
2024-12-31
CENSUS_ACS5
zip 17068
payment standard 110
0
$968
2025-10-01
HUD_USER_SAFMR
zip 17068
payment standard 90
0
$792
2025-10-01
HUD_USER_SAFMR
zip 17068
safmr
0
$880
2025-10-01
HUD_USER_SAFMR
zip 17068
payment standard 110
1
$1,111
2025-10-01
HUD_USER_SAFMR
zip 17068
payment standard 90
1
$909
2025-10-01
HUD_USER_SAFMR
zip 17068
safmr
1
$1,010
2025-10-01
HUD_USER_SAFMR
zip 17068
payment standard 110
2
$1,364
2025-10-01
HUD_USER_SAFMR
zip 17068
payment standard 90
2
$1,116
2025-10-01
HUD_USER_SAFMR
zip 17068
safmr
2
$1,240
2025-10-01
HUD_USER_SAFMR
zip 17068
payment standard 110
3
$1,760
2025-10-01
HUD_USER_SAFMR
zip 17068
payment standard 90
3
$1,440
2025-10-01
HUD_USER_SAFMR
zip 17068
safmr
3
$1,600
2025-10-01
HUD_USER_SAFMR
zip 17068
payment standard 110
4
$1,804
2025-10-01
HUD_USER_SAFMR
zip 17068
payment standard 90
4
$1,476
2025-10-01
HUD_USER_SAFMR
zip 17068
safmr
4
$1,640
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.