Reads as: riskier than 47.5% 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
6
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+31.4 vs natl
GPN FAMILY TRUST U A D 4 28 08
74 facilities
connection
Owner fleet risk far above national
+30.1 vs natl
DOROS GENERATION TRUST U A D 1 3 12
72 facilities
connection
Owner fleet risk far above national
+26.2 vs natl
LEGACY HEALTHCARE FINANCIAL SERVICES LLC
79 facilities
connection
Owner fleet risk far above national
+25.1 vs natl
OAKWAY OPERATIONS LLC
44 facilities
connection
Owner fleet risk far above national
+24.2 vs natl
SHABAT MENACHEM
85 facilities
connection
Owner spans multiple chains
5 chains
RAJCHENBACH CHAIM
49 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
IA median
National median
National p25–p75
Total nurse
3.17
3.15
3.28
2.90–3.77
RN
0.39
0.46
0.39
0.25–0.58
Weekend total
3.01
2.96
3.11
—
Weekday total
3.23
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
47.8
3.17
0.39
0.45
2.33
3.01
11.5%
2025Q3
92
49.8
3.07
0.49
0.34
2.24
2.98
11.8%
2025Q2
91
45.3
3.14
0.53
0.38
2.23
2.96
5.1%
2025Q1
90
48.6
3.36
0.56
0.45
2.35
3.17
11.9%
2024Q4
92
49.1
3.06
0.43
0.36
2.28
2.92
16.9%
2024Q3
92
47.0
2.99
0.44
0.31
2.24
2.47
5.9%
2024Q2
91
44.0
3.00
0.38
0.32
2.30
2.40
3.2%
2024Q1
91
40.7
2.99
0.34
0.36
2.29
2.49
0.9%
2023Q4
92
37.3
3.19
0.32
0.56
2.31
2.71
6.9%
2023Q3
92
38.5
3.27
0.30
0.77
2.20
2.98
16.2%
2023Q2
91
38.3
3.30
0.43
0.65
2.22
2.78
1.3%
2023Q1
90
38.8
3.39
0.41
0.49
2.48
3.12
0.0%
2022Q4
92
41.3
3.20
0.40
0.57
2.23
2.98
7.4%
2022Q3
92
39.3
2.96
0.45
0.50
2.02
2.60
28.9%
2022Q2
91
35.2
3.35
0.39
0.65
2.31
2.84
35.7%
2022Q1
90
36.0
3.04
0.46
0.48
2.10
2.68
27.8%
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2026-04-28
2026-04-16
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2026-03-13
2024-11-14
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
2024-12-10
2024-11-14
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
2024-12-10
2024-11-14
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-12-10
2024-11-14
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2024-12-10
2024-11-14
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-12-10
2024-11-14
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
2024-12-10
2024-11-14
Health
F0760
Ensure that residents are free from significant medication errors.
D
2024-12-10
2024-11-14
Health · complaint
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
2024-12-10
2024-11-14
Health · complaint
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2024-12-10
2023-10-26
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-11-26
2023-10-26
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-11-26
2023-10-26
Health · complaint
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
E
2023-11-26
2023-10-26
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-11-26
2023-10-26
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-11-26
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
58
Owner
Role
Pct
From
Status
Source
BEASLEY, KARLA
ADP OF THE SNF
—
2024-08-15
current
pecos_ownership
BEHOUNEK, LINSEY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-15
current
pecos_ownership
BORCHERDING, JENNY
ADP OF THE SNF
—
2024-08-15
current
pecos_ownership
BURKEN, SHERI
ADP OF THE SNF
—
2024-08-15
current
pecos_ownership
CASCADE CAPITAL HOLDINGS LLC
ADP OF THE SNF
—
2024-08-15
current
pecos_ownership
CASCADE CAPITAL PARTNERS LLC
ADP OF THE SNF
—
2024-08-15
current
pecos_ownership
CCG GORGONA LLC
ADP OF THE SNF
—
2024-08-15
current
pecos_ownership
CHATMAN, DEBRA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-15
current
pecos_ownership
DOROS GENERATION TRUST U/A/D 1/3/12
INDIRECT OWNERSHIP INTEREST
—
2024-08-15
current
pecos_ownership
FRIEDENBERG, LAURA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-15
current
pecos_ownership
FRIEDMAN, BRIAN
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-03-17
current
pecos_ownership
GORGONA HOLDCO LLC
ADP OF THE SNF
—
2024-08-15
current
pecos_ownership
GORGONA PROPCO HOLDINGS LLC
ADP OF THE SNF
—
2024-08-15
current
pecos_ownership
GORGONA SUB HOLDCO LLC
ADP OF THE SNF
—
2024-08-15
current
pecos_ownership
GPN FAMILY TRUST U/A/D 4/28/08
ADP OF THE SNF
—
2024-08-15
current
pecos_ownership
HEDBERG, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-15
current
pecos_ownership
HESS, STEVEN
ADP OF THE SNF
—
2024-08-15
current
pecos_ownership
HEYING, LARINA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-15
current
pecos_ownership
HOUSTON, MINDY
ADP OF THE SNF
—
2024-08-15
current
pecos_ownership
IOWA PORTFOLIO OPCO HOLDINGS LLC
DIRECT OWNERSHIP INTEREST
—
2024-08-15
current
pecos_ownership
JAEGER, KRYSTLE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-15
current
pecos_ownership
LARSON, MELISSA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-15
current
pecos_ownership
LEGACY HEALTHCARE FINANCIAL SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-15
current
pecos_ownership
MCCLURE, DOROTHY
ADP OF THE SNF
—
2024-08-15
current
pecos_ownership
MN8 RH HOLDCO LLC
ADP OF THE SNF
—
2024-08-15
current
pecos_ownership
NEVADA IA PROPERTY HOLDINGS, LLC
ADP OF THE SNF
—
2024-08-15
current
pecos_ownership
OAKWAY OPERATIONS LLC
INDIRECT OWNERSHIP INTEREST
—
2024-08-15
current
pecos_ownership
OTTERBECK, PATRICIA
ADP OF THE SNF
—
2024-08-15
current
pecos_ownership
RAJCHENBACH, AVRUM
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-03-17
current
pecos_ownership
RAJCHENBACH, CHAIM
ADP OF THE SNF
—
2024-08-15
current
pecos_ownership
RAJCHENBACH, RIVKA
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-03-17
current
pecos_ownership
SHABAT, AHUVA
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-03-17
current
pecos_ownership
SHABAT, MENACHEM
MANAGING CONTROL - GOVERNING BODY
—
2024-08-15
current
pecos_ownership
SHEAR, KILEY
ADP OF THE SNF
—
2024-08-15
current
pecos_ownership
VAN VEGHEL, ELIZABETH
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-15
current
pecos_ownership
WHYMS, BRIAN
ADP OF THE SNF
—
2024-08-15
current
pecos_ownership
WIERSCHEM, BOBBIE
ADP OF THE SNF
—
2024-08-15
current
pecos_ownership
CHAIM RAJCHENBACH DESCENDANTS TR UA 04282008
INDIRECT OWNERSHIP INTEREST
46%
2024-08-15
ended 2026-05-18
pecos_ownership
BOBBIE WIERSCHEM
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-15
ended 2026-05-18
pecos_ownership
BRIAN WHYMS
ADP OF THE SNF
—
2024-08-15
ended 2026-05-18
pecos_ownership
CHAIM RAJCHENBACH
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-15
ended 2026-05-18
pecos_ownership
DEBRA CHATMAN
ADP OF THE SNF
—
2024-08-15
ended 2026-05-18
pecos_ownership
DOROTHY MCCLURE
ADP OF THE SNF
—
2024-08-15
ended 2026-05-18
pecos_ownership
ELIZABETH VAN VEGHEL
ADP OF THE SNF
—
2024-08-15
ended 2026-05-18
pecos_ownership
JENNIFER HEDBERG
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-15
ended 2026-05-18
pecos_ownership
JENNY BORCHERDING
ADP OF THE SNF
—
2024-08-15
ended 2026-05-18
pecos_ownership
KARLA BEASLEY
ADP OF THE SNF
—
2024-08-15
ended 2026-05-18
pecos_ownership
KILEY SHEAR
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-15
ended 2026-05-18
pecos_ownership
KRYSTLE JAEGER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-15
ended 2026-05-18
pecos_ownership
LARINA HEYING
ADP OF THE SNF
—
2024-08-15
ended 2026-05-18
pecos_ownership
LAURA FRIEDENBERG
ADP OF THE SNF
—
2024-08-15
ended 2026-05-18
pecos_ownership
LINSEY BEHOUNEK
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-15
ended 2026-05-18
pecos_ownership
MELISSA LARSON
ADP OF THE SNF
—
2024-08-15
ended 2026-05-18
pecos_ownership
MENACHEM SHABAT
ADP OF THE SNF
—
2024-08-15
ended 2026-05-18
pecos_ownership
MINDY HOUSTON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-15
ended 2026-05-18
pecos_ownership
PATRICIA OTTERBECK
ADP OF THE SNF
—
2024-08-15
ended 2026-05-18
pecos_ownership
SHERI BURKEN
ADP OF THE SNF
—
2024-08-15
ended 2026-05-18
pecos_ownership
STEVEN HESS
ADP OF THE SNF
—
2024-08-15
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
$82,521
—
—
—
—
1
—
2024-08-14
$74,601
—
$47,554
—
—
1
—
2024-06-30
$441,132
—
$342,302
—
—
1
—
2023-06-30
$451,976
—
$350,480
—
—
1
—
2022-06-30
$471,661
—
$356,576
—
—
1
—
2021-06-30
$478,960
—
$363,618
—
—
1
—
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 19169
acs median gross
0
$830
2024-12-31
CENSUS_ACS5
county 19169
fmr
0
$972
2025-10-01
HUD_USER_FMR
county 19169
acs median gross
1
$913
2024-12-31
CENSUS_ACS5
county 19169
fmr
1
$1,026
2025-10-01
HUD_USER_FMR
county 19169
acs median gross
2
$1,009
2024-12-31
CENSUS_ACS5
county 19169
fmr
2
$1,153
2025-10-01
HUD_USER_FMR
county 19169
acs median gross
3
$1,336
2024-12-31
CENSUS_ACS5
county 19169
fmr
3
$1,601
2025-10-01
HUD_USER_FMR
county 19169
acs median gross
4
$1,459
2024-12-31
CENSUS_ACS5
county 19169
fmr
4
$1,934
2025-10-01
HUD_USER_FMR
county 19169
acs median gross
5
$2,138
2024-12-31
CENSUS_ACS5
county 19169
acs median gross
$1,018
2024-12-31
CENSUS_ACS5
county 19169
acs recent mover gross
$995
2024-12-31
CENSUS_ACS5
zcta 50201
acs median gross
1
$685
2024-12-31
CENSUS_ACS5
zcta 50201
acs median gross
2
$894
2024-12-31
CENSUS_ACS5
zcta 50201
acs median gross
3
$1,337
2024-12-31
CENSUS_ACS5
zcta 50201
acs median gross
4
$2,648
2024-12-31
CENSUS_ACS5
zcta 50201
acs median gross
$963
2024-12-31
CENSUS_ACS5
zcta 50201
acs recent mover gross
$1,300
2024-12-31
CENSUS_ACS5
zip 50201
payment standard 110
0
$924
2025-10-01
HUD_USER_SAFMR
zip 50201
payment standard 90
0
$756
2025-10-01
HUD_USER_SAFMR
zip 50201
safmr
0
$840
2025-10-01
HUD_USER_SAFMR
zip 50201
payment standard 110
1
$979
2025-10-01
HUD_USER_SAFMR
zip 50201
payment standard 90
1
$801
2025-10-01
HUD_USER_SAFMR
zip 50201
safmr
1
$890
2025-10-01
HUD_USER_SAFMR
zip 50201
payment standard 110
2
$1,100
2025-10-01
HUD_USER_SAFMR
zip 50201
payment standard 90
2
$900
2025-10-01
HUD_USER_SAFMR
zip 50201
safmr
2
$1,000
2025-10-01
HUD_USER_SAFMR
zip 50201
payment standard 110
3
$1,529
2025-10-01
HUD_USER_SAFMR
zip 50201
payment standard 90
3
$1,251
2025-10-01
HUD_USER_SAFMR
zip 50201
safmr
3
$1,390
2025-10-01
HUD_USER_SAFMR
zip 50201
payment standard 110
4
$1,848
2025-10-01
HUD_USER_SAFMR
zip 50201
payment standard 90
4
$1,512
2025-10-01
HUD_USER_SAFMR
zip 50201
safmr
4
$1,680
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.