Reads as: riskier than 52.3% 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.
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
NY median
National median
National p25–p75
Total nurse
4.29
3.33
3.28
2.90–3.77
RN
0.49
0.43
0.39
0.25–0.58
Weekend total
3.88
3.03
3.11
—
Weekday total
4.46
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
118.3
4.29
0.49
1.22
2.59
3.88
0.3%
2025Q3
92
118.9
4.28
0.49
1.29
2.50
3.79
0.2%
2025Q2
91
120.7
4.26
0.48
1.21
2.58
3.72
0.2%
2025Q1
90
116.7
4.44
0.48
1.23
2.73
3.91
0.2%
2024Q4
92
116.3
4.43
0.44
1.25
2.75
3.73
0.1%
2024Q3
92
117.1
4.36
0.48
1.27
2.61
3.73
0.5%
2024Q2
91
112.4
4.41
0.44
1.21
2.76
3.71
2.1%
2024Q1
91
112.3
4.37
0.52
1.10
2.75
3.79
0.8%
2023Q4
92
112.0
4.32
0.49
1.11
2.72
3.74
1.5%
2023Q3
92
113.1
4.08
0.49
1.07
2.52
3.52
1.6%
2023Q2
91
116.7
4.09
0.59
0.90
2.61
3.58
5.6%
2023Q1
90
119.0
4.02
0.61
0.92
2.49
3.53
8.4%
2022Q4
92
120.7
3.75
0.65
0.97
2.13
3.22
13.3%
2022Q3
92
113.9
3.28
0.56
0.98
1.74
2.89
16.4%
2022Q2
91
113.1
3.19
0.51
1.02
1.66
2.80
18.9%
2022Q1
90
106.6
3.67
0.45
1.04
2.18
3.18
19.9%
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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-04-09
2026-02-23
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2026-04-09
2024-04-05
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2024-05-08
2024-04-05
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2024-05-08
2024-04-05
Health
F0810
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
D
2024-05-08
2024-04-05
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F
2024-05-08
2022-02-04
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
2022-03-10
2022-02-04
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2022-03-10
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
30
Owner
Role
Pct
From
Status
Source
BARBIERI, MARILYN
OPERATIONAL/MANAGERIAL CONTROL
—
2014-10-14
current
pecos_ownership
BECKLES, LUK
CORPORATE OFFICER
—
2024-06-01
current
pecos_ownership
BOLAND, ELIZABETH
CORPORATE OFFICER
—
2013-07-01
current
pecos_ownership
EISENBERG, SPENCER
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
FISHER, JUSTIN
CORPORATE OFFICER
—
2024-06-01
current
pecos_ownership
LEVY, LILLIAN
CORPORATE OFFICER
—
2021-06-01
current
pecos_ownership
MOYER, TREVOR
CORPORATE OFFICER
—
2024-06-01
current
pecos_ownership
ROMA, CHRISTOPHER
CORPORATE OFFICER
—
2023-06-01
current
pecos_ownership
SHADDUCK, JAMES
ADP OF THE SNF
—
2025-02-24
current
pecos_ownership
SHADDUCK, JAMES
OPERATIONAL/MANAGERIAL CONTROL
—
2021-11-19
current
pecos_ownership
STANK, LISA
OPERATIONAL/MANAGERIAL CONTROL
—
2019-01-07
current
pecos_ownership
THALACKER, GAIL
CORPORATE OFFICER
—
2024-06-01
current
pecos_ownership
THOMAS, PEGGY
CORPORATE OFFICER
—
2023-06-01
current
pecos_ownership
WIESNER, LAWRENCE
CORPORATE OFFICER
—
2023-06-01
current
pecos_ownership
YAPLE, SHARON LEE
CORPORATE OFFICER
—
2014-07-01
current
pecos_ownership
CHRISTOPHER ROMA
CORPORATE OFFICER
0%
2023-06-01
ended 2026-05-18
pecos_ownership
ELIZABETH BOLAND
CORPORATE OFFICER
0%
2013-07-01
ended 2026-05-18
pecos_ownership
GAIL THALACKER
CORPORATE OFFICER
0%
2024-06-01
ended 2026-05-18
pecos_ownership
JUSTIN FISHER
CORPORATE OFFICER
0%
2024-06-01
ended 2026-05-18
pecos_ownership
LAWRENCE WIESNER
CORPORATE OFFICER
0%
2023-06-01
ended 2026-05-18
pecos_ownership
LILLIAN LEVY
CORPORATE OFFICER
0%
2021-06-01
ended 2026-05-18
pecos_ownership
LUK BECKLES
CORPORATE OFFICER
0%
2024-06-01
ended 2026-05-18
pecos_ownership
PEGGY THOMAS
CORPORATE OFFICER
0%
2023-06-01
ended 2026-05-18
pecos_ownership
SHARON LEE YAPLE
CORPORATE OFFICER
0%
2014-07-01
ended 2026-05-18
pecos_ownership
TREVOR MOYER
CORPORATE OFFICER
0%
2024-06-01
ended 2026-05-18
pecos_ownership
JAMES SHADDUCK
OPERATIONAL/MANAGERIAL CONTROL
—
2021-11-19
ended 2026-05-18
pecos_ownership
JAMES SHADDUCK
ADP OF THE SNF
—
2025-02-24
ended 2026-05-18
pecos_ownership
LISA STANK
OPERATIONAL/MANAGERIAL CONTROL
—
2019-01-07
ended 2026-05-18
pecos_ownership
MARILYN BARBIERI
OPERATIONAL/MANAGERIAL CONTROL
—
2014-10-14
ended 2026-05-18
pecos_ownership
SPENCER EISENBERG
ADP OF THE SNF
—
2024-01-01
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
2024-12-31
$171,853
—
—
—
$47,522
3
—
2023-12-31
$130,079
—
—
—
$30,000
3
—
2022-12-31
$143,045
—
—
—
$42,692
3
—
2021-12-31
$318,413
—
—
—
$196,000
3
—
2020-12-31
$372,834
—
—
$37,971
$272,123
3
—
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 36007
acs median gross
0
$726
2024-12-31
CENSUS_ACS5
county 36007
fmr
0
$783
2025-10-01
HUD_USER_FMR
county 36007
acs median gross
1
$755
2024-12-31
CENSUS_ACS5
county 36007
fmr
1
$868
2025-10-01
HUD_USER_FMR
county 36007
acs median gross
2
$988
2024-12-31
CENSUS_ACS5
county 36007
fmr
2
$1,103
2025-10-01
HUD_USER_FMR
county 36007
acs median gross
3
$1,139
2024-12-31
CENSUS_ACS5
county 36007
fmr
3
$1,412
2025-10-01
HUD_USER_FMR
county 36007
acs median gross
4
$1,212
2024-12-31
CENSUS_ACS5
county 36007
fmr
4
$1,622
2025-10-01
HUD_USER_FMR
county 36007
acs median gross
5
$1,408
2024-12-31
CENSUS_ACS5
county 36007
acs median gross
$941
2024-12-31
CENSUS_ACS5
county 36007
acs recent mover gross
$1,183
2024-12-31
CENSUS_ACS5
zcta 13760
acs median gross
0
$705
2024-12-31
CENSUS_ACS5
zcta 13760
acs median gross
1
$780
2024-12-31
CENSUS_ACS5
zcta 13760
acs median gross
2
$949
2024-12-31
CENSUS_ACS5
zcta 13760
acs median gross
3
$1,097
2024-12-31
CENSUS_ACS5
zcta 13760
acs median gross
4
$1,346
2024-12-31
CENSUS_ACS5
zcta 13760
acs median gross
5
$1,320
2024-12-31
CENSUS_ACS5
zcta 13760
acs median gross
$903
2024-12-31
CENSUS_ACS5
zcta 13760
acs recent mover gross
$942
2024-12-31
CENSUS_ACS5
zip 13760
payment standard 110
0
$869
2025-10-01
HUD_USER_SAFMR
zip 13760
payment standard 90
0
$711
2025-10-01
HUD_USER_SAFMR
zip 13760
safmr
0
$790
2025-10-01
HUD_USER_SAFMR
zip 13760
payment standard 110
1
$935
2025-10-01
HUD_USER_SAFMR
zip 13760
payment standard 90
1
$765
2025-10-01
HUD_USER_SAFMR
zip 13760
safmr
1
$850
2025-10-01
HUD_USER_SAFMR
zip 13760
payment standard 110
2
$1,188
2025-10-01
HUD_USER_SAFMR
zip 13760
payment standard 90
2
$972
2025-10-01
HUD_USER_SAFMR
zip 13760
safmr
2
$1,080
2025-10-01
HUD_USER_SAFMR
zip 13760
payment standard 110
3
$1,518
2025-10-01
HUD_USER_SAFMR
zip 13760
payment standard 90
3
$1,242
2025-10-01
HUD_USER_SAFMR
zip 13760
safmr
3
$1,380
2025-10-01
HUD_USER_SAFMR
zip 13760
payment standard 110
4
$1,749
2025-10-01
HUD_USER_SAFMR
zip 13760
payment standard 90
4
$1,431
2025-10-01
HUD_USER_SAFMR
zip 13760
safmr
4
$1,590
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.