Reads as: riskier than 66.0% 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
25
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+33.9 vs natl
STERNSHEIN JENNIFER
49 facilities
connection
Owner fleet risk far above national
+33.8 vs natl
HAGINS ELIZABETH
52 facilities
connection
Owner fleet risk far above national
+33.0 vs natl
THE WRIGHT GROUP CONSULTING LLC
18 facilities
connection
Owner fleet risk far above national
+32.5 vs natl
ZIMMERMAN CAROLINE
35 facilities
connection
Owner fleet risk far above national
+32.2 vs natl
OPCO NM SKILLED MGMT LLC
16 facilities
connection
Owner fleet risk far above national
+32.1 vs natl
GARETZ DAVID
66 facilities
connection
Owner fleet risk far above national
+32.0 vs natl
MINDLE ADAM
56 facilities
connection
Owner fleet risk far above national
+30.5 vs natl
KAPLAN ESTHER
55 facilities
connection
Owner fleet risk far above national
+29.4 vs natl
KAPLAN MOSHA
23 facilities
connection
Owner fleet risk far above national
+29.0 vs natl
FIRST SWEETZER HOLDINGS LLC
26 facilities
connection
Owner fleet risk far above national
+29.0 vs natl
OPCO CA SKILLED MGMT INC
41 facilities
connection
Owner fleet risk far above national
+28.9 vs natl
UNGER JEFFREY
46 facilities
connection
Owner fleet risk far above national
+28.8 vs natl
GURWITZ SOLOMON
42 facilities
connection
Owner fleet risk far above national
+28.3 vs natl
HALLMARK ADVISORS LLC
8 facilities
connection
Owner fleet risk far above national
+28.2 vs natl
CONTINUUM REHAB GROUP LLC
36 facilities
connection
Owner fleet risk far above national
+26.2 vs natl
HATTERAS INVESTMENTS LLC
19 facilities
connection
Owner spans multiple chains
12 chains
GARETZ DAVID
61 facilities
connection
Owner spans multiple chains
11 chains
HAGINS ELIZABETH
48 facilities
connection
Owner spans multiple chains
11 chains
KAPLAN ESTHER
54 facilities
connection
Owner spans multiple chains
11 chains
MINDLE ADAM
52 facilities
connection
Owner spans multiple chains
10 chains
HANSEN HUNTER LLC
28 facilities
connection
Owner spans multiple chains
10 chains
STERNSHEIN JENNIFER
44 facilities
connection
Owner spans multiple chains
10 chains
GURWITZ SOLOMON
41 facilities
connection
Owner spans multiple chains
9 chains
UNGER JEFFREY
45 facilities
connection
Owner spans multiple chains
9 chains
OPCO CA SKILLED MGMT INC
40 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
NM median
National median
National p25–p75
Total nurse
2.67
2.82
3.28
2.90–3.77
RN
0.69
0.41
0.39
0.25–0.58
Weekend total
2.46
2.65
3.11
—
Weekday total
2.76
2.88
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
58.5
2.67
0.69
0.10
1.89
2.46
4.8%
2025Q3
92
57.4
2.63
0.70
0.12
1.81
2.32
5.3%
2025Q2
91
58.4
2.61
0.53
0.22
1.86
2.48
4.7%
2025Q1
90
58.7
2.64
0.46
0.34
1.84
2.56
0.0%
2024Q4
92
59.8
2.48
0.41
0.36
1.72
2.46
5.2%
2024Q3
92
59.0
2.47
0.42
0.35
1.70
2.34
0.0%
2024Q2
91
57.0
2.63
0.47
0.42
1.74
2.37
0.0%
2024Q1
91
56.9
2.79
0.34
0.48
1.97
2.72
3.5%
2023Q4
92
56.5
2.93
0.49
0.35
2.09
2.78
6.8%
2023Q3
92
58.7
2.81
0.41
0.42
1.98
2.58
9.4%
2023Q2
91
58.1
2.65
0.27
0.64
1.75
2.56
7.7%
2023Q1
90
60.3
2.31
0.37
0.45
1.49
2.34
8.9%
2022Q4
92
56.4
2.55
0.39
0.50
1.66
2.51
3.5%
2022Q3
92
52.2
2.40
0.36
0.51
1.53
2.48
9.6%
2022Q2
91
51.2
2.39
0.39
0.45
1.55
2.28
4.3%
2022Q1
90
53.7
2.44
0.35
0.43
1.65
2.37
3.8%
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
20
D × 12E × 4F × 3J × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-01-23
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2026-02-13
2026-01-23
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2026-02-13
2026-01-23
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2026-02-13
2026-01-23
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-02-13
2026-01-23
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-02-13
2026-01-23
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2026-02-13
2024-12-18
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-01-28
2024-12-18
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
J
2025-01-28
2024-10-10
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-11-10
2024-10-10
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2024-11-10
2024-10-10
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-11-10
2024-10-10
Health
F0848
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
E
2024-11-10
2023-06-16
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
2023-07-26
2023-06-16
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-07-26
2023-06-16
Health
F0679
Provide activities to meet all resident's needs.
D
2023-07-26
2023-06-16
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
2023-07-26
2023-06-16
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2023-07-26
2023-06-16
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
2023-07-26
2023-06-16
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-07-26
2023-06-16
Health
F0880
Provide and implement an infection prevention and control program.
F
2023-07-26
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
29
Owner
Role
Pct
From
Status
Source
306 E NIZHONI BLVD NM LLC
Individual has financial interest in both related organization and provider
100%
2024-09-01
current
hcris_a_8_1
306 E NIZHONI BLVD NM LLC
Individual has financial interest in both related organization and provider
100%
2023-08-11
current
hcris_a_8_1
306 E NIZHONI BLVD NM, LLC
ADP OF THE SNF
—
2023-06-12
current
pecos_ownership
ACER REALTY INVESTORS, LLC
ADP OF THE SNF
—
2023-06-12
current
pecos_ownership
CALISTO HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2023-06-12
current
pecos_ownership
CONTINUUM REHAB GROUP LLC
ADP OF THE SNF
—
2023-06-12
current
pecos_ownership
FIRST SWEETZER HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2023-06-12
current
pecos_ownership
GARETZ, DAVID
CORPORATE OFFICER
—
2023-06-12
current
pecos_ownership
GREENBERG, DAVID
ADP OF THE SNF
—
2025-03-19
current
pecos_ownership
GURWITZ, SOLOMON
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-18
current
pecos_ownership
HAGINS, ELIZABETH
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-18
current
pecos_ownership
HALLMARK ADVISORS, LLC
ADP OF THE SNF
—
2023-06-12
current
pecos_ownership
HANSEN HUNTER LLC
ADP OF THE SNF
—
2025-07-18
current
pecos_ownership
HATTERAS INVESTMENTS LLC
INDIRECT OWNERSHIP INTEREST
—
2023-06-12
current
pecos_ownership
ISAACSON, SHEENA
ADP OF THE SNF
—
2024-04-22
current
pecos_ownership
KAPLAN, ESTHER
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-18
current
pecos_ownership
KAPLAN, MOSHA
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-18
current
pecos_ownership
MINDLE, ADAM
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-18
current
pecos_ownership
OPCO CA SKILLED MGMT INC.
ADP OF THE SNF
—
2023-06-12
current
pecos_ownership
OPCO NM SKILLED MGMT, LLC
ADP OF THE SNF
—
2023-06-12
current
pecos_ownership
STERNSHEIN, JENNIFER
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-07
current
pecos_ownership
THE WRIGHT GROUP CONSULTING, LLC
ADP OF THE SNF
—
2024-04-01
current
pecos_ownership
UNGER, JEFFREY
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-18
current
pecos_ownership
WALNUT SUMMER LLC
DIRECT OWNERSHIP INTEREST
—
2023-06-12
current
pecos_ownership
ZIMMERMAN, CAROLINE
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-07
current
pecos_ownership
DAVID GARETZ
CORPORATE OFFICER
0%
2023-06-12
ended 2026-05-18
pecos_ownership
DAVID GREENBERG
ADP OF THE SNF
—
2025-03-19
ended 2026-05-18
pecos_ownership
HANSEN HUNTER LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
ended 2026-05-18
pecos_ownership
SHEENA ISAACSON
ADP OF THE SNF
—
2024-04-22
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
2025-08-31
$1,451,466
$1,183,614
—
$49,066
—
4
propco
2024-08-31
$971,319
$648,521
—
$51,600
—
4
propco
2023-08-10
$220,525
—
$220,525
—
—
1
—
2022-12-31
$1,234,085
—
$360,949
$380,966
$492,170
5
—
2021-12-31
$368,643
—
$322,666
—
$45,977
2
—
2020-12-31
$482,605
—
$302,620
—
$179,985
3
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 35031
acs median gross
0
$612
2024-12-31
CENSUS_ACS5
county 35031
fmr
0
$752
2025-10-01
HUD_USER_FMR
county 35031
acs median gross
1
$724
2024-12-31
CENSUS_ACS5
county 35031
fmr
1
$894
2025-10-01
HUD_USER_FMR
county 35031
acs median gross
2
$890
2024-12-31
CENSUS_ACS5
county 35031
fmr
2
$1,090
2025-10-01
HUD_USER_FMR
county 35031
acs median gross
3
$1,014
2024-12-31
CENSUS_ACS5
county 35031
fmr
3
$1,307
2025-10-01
HUD_USER_FMR
county 35031
acs median gross
4
$753
2024-12-31
CENSUS_ACS5
county 35031
fmr
4
$1,443
2025-10-01
HUD_USER_FMR
county 35031
acs median gross
5
$1,000
2024-12-31
CENSUS_ACS5
county 35031
acs median gross
$859
2024-12-31
CENSUS_ACS5
county 35031
acs recent mover gross
$996
2024-12-31
CENSUS_ACS5
zcta 87301
acs median gross
0
$611
2024-12-31
CENSUS_ACS5
zcta 87301
acs median gross
1
$735
2024-12-31
CENSUS_ACS5
zcta 87301
acs median gross
2
$942
2024-12-31
CENSUS_ACS5
zcta 87301
acs median gross
3
$1,347
2024-12-31
CENSUS_ACS5
zcta 87301
acs median gross
$930
2024-12-31
CENSUS_ACS5
zcta 87301
acs recent mover gross
$1,085
2024-12-31
CENSUS_ACS5
zip 87301
payment standard 110
0
$847
2025-10-01
HUD_USER_SAFMR
zip 87301
payment standard 90
0
$693
2025-10-01
HUD_USER_SAFMR
zip 87301
safmr
0
$770
2025-10-01
HUD_USER_SAFMR
zip 87301
payment standard 110
1
$1,001
2025-10-01
HUD_USER_SAFMR
zip 87301
payment standard 90
1
$819
2025-10-01
HUD_USER_SAFMR
zip 87301
safmr
1
$910
2025-10-01
HUD_USER_SAFMR
zip 87301
payment standard 110
2
$1,221
2025-10-01
HUD_USER_SAFMR
zip 87301
payment standard 90
2
$999
2025-10-01
HUD_USER_SAFMR
zip 87301
safmr
2
$1,110
2025-10-01
HUD_USER_SAFMR
zip 87301
payment standard 110
3
$1,463
2025-10-01
HUD_USER_SAFMR
zip 87301
payment standard 90
3
$1,197
2025-10-01
HUD_USER_SAFMR
zip 87301
safmr
3
$1,330
2025-10-01
HUD_USER_SAFMR
zip 87301
payment standard 110
4
$1,617
2025-10-01
HUD_USER_SAFMR
zip 87301
payment standard 90
4
$1,323
2025-10-01
HUD_USER_SAFMR
zip 87301
safmr
4
$1,470
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.