Reads as: riskier than 69.9% 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
8
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+26.3 vs natl
HELLMAN YOSEF
20 facilities
connection
Owner fleet risk far above national
+21.2 vs natl
WI 6 PROPCO HOLDCO LLC
6 facilities
connection
Owner fleet risk far above national
+21.2 vs natl
WI 6 PROPCO TOPCO LLC
6 facilities
connection
Owner fleet risk far above national
+20.3 vs natl
DES CAPITAL LLC
25 facilities
connection
Owner fleet risk far above national
+20.3 vs natl
JRK INVESTMENTS LLC
25 facilities
connection
Owner spans multiple chains
12 chains
SIDHU SARFRAZ
19 facilities
connection
Owner spans multiple chains
5 chains
HELLMAN YOSEF
19 facilities
connection
Owner fleet enforcement cluster
45% fined
HELLMAN YOSEF
20 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
WI median
National median
National p25–p75
Total nurse
3.25
3.60
3.28
2.90–3.77
RN
0.75
0.64
0.39
0.25–0.58
Weekend total
3.16
3.49
3.11
—
Weekday total
3.28
3.65
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
47.6
3.25
0.75
0.44
2.06
3.16
0.0%
2025Q3
92
52.0
2.99
0.76
0.35
1.88
2.95
0.0%
2025Q2
91
53.5
3.06
0.70
0.38
1.98
3.04
0.0%
2025Q1
90
52.3
3.25
0.74
0.43
2.07
3.15
3.3%
2024Q4
92
50.0
3.43
0.77
0.43
2.23
3.36
0.3%
2024Q3
92
50.2
3.44
0.65
0.49
2.29
3.35
3.1%
2024Q2
91
54.9
3.44
0.54
0.54
2.35
3.30
1.7%
2024Q1
91
56.1
3.21
0.53
0.51
2.17
3.20
4.2%
2023Q4
92
63.9
3.18
0.55
0.34
2.29
2.98
2.4%
2023Q3
92
65.3
2.85
0.50
0.40
1.95
2.81
1.7%
2023Q2
91
63.8
2.95
0.61
0.37
1.97
2.88
1.6%
2023Q1
90
61.1
2.86
0.65
0.36
1.85
2.76
1.8%
2022Q4
92
58.0
2.88
0.60
0.39
1.89
2.73
7.0%
2022Q3
92
54.2
3.06
0.47
0.57
2.02
2.77
7.1%
2022Q2
91
57.4
2.75
0.20
0.70
1.85
2.49
9.3%
2022Q1
90
62.7
2.89
0.17
0.87
1.85
2.76
20.1%
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
29
D × 22E × 6F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-03-05
Health
F0551
Give the resident's representative the ability to exercise the resident's rights.
D
2025-03-21
2025-03-05
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2025-03-24
2025-03-05
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2025-03-25
2025-03-05
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-03-25
2025-01-30
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-03-01
2024-07-17
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-08-16
2024-07-17
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-08-16
2024-05-08
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-06-08
2024-05-08
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-06-08
2024-01-24
Health · complaint
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
2024-02-23
2024-01-24
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-02-23
2024-01-24
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2024-02-23
2023-11-07
Health · complaint
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
2023-11-23
2023-11-07
Health · complaint
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
2023-12-01
2023-10-25
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2023-11-23
2023-10-25
Health · complaint
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
2023-11-23
2023-10-25
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2023-11-23
2023-10-25
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-11-23
2022-11-10
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2022-12-08
2022-11-10
Health
F0660
Plan the resident's discharge to meet the resident's goals and needs.
D
2022-12-08
2022-11-10
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2022-12-08
2022-11-10
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2022-12-08
2022-11-10
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2022-12-08
2022-11-10
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-12-08
2022-11-10
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2022-12-08
2022-11-10
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.
E
2022-12-08
2022-11-10
Health
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2022-12-08
2022-11-10
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-12-08
2022-11-10
Health
F0908
Keep all essential equipment working safely.
F
2022-12-08
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
28
Owner
Role
Pct
From
Status
Source
PC SWI HOLDCO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-06-01
current
pecos_ownership
BIELINSKI, RENEE
ADP OF THE SNF
—
2022-07-11
current
pecos_ownership
DES CAPITAL LLC
ADP OF THE SNF
—
2022-06-01
current
pecos_ownership
HALE, CASSANDRA
ADP OF THE SNF
—
2024-01-22
current
pecos_ownership
HELLMAN, YOSEF
OPERATIONAL/MANAGERIAL CONTROL
—
2022-06-01
current
pecos_ownership
JRK INVESTMENTS LLC
ADP OF THE SNF
—
2022-06-01
current
pecos_ownership
KLUGMAN, JACOB
ADP OF THE SNF
—
2022-06-01
current
pecos_ownership
PC SWI TOPCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-06-01
current
pecos_ownership
PEACE CAPITAL HOLDINGS II LLC
ADP OF THE SNF
—
2022-06-01
current
pecos_ownership
SIDHU, SARFRAZ
OPERATIONAL/MANAGERIAL CONTROL
—
2023-05-15
current
pecos_ownership
SMS 2021 TRUST
ADP OF THE SNF
—
2022-06-01
current
pecos_ownership
SPITZER, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-26
current
pecos_ownership
SPITZER, MICHAEL
ADP OF THE SNF
—
2025-03-25
current
pecos_ownership
STEIN, SHALOM
MANAGING CONTROL - GOVERNING BODY
—
2022-06-01
current
pecos_ownership
STERNBUCH, DANIEL
ADP OF THE SNF
—
2022-06-01
current
pecos_ownership
VIRGINIA HIGHLANDS PROPCO LLC
ADP OF THE SNF
—
2022-06-01
current
pecos_ownership
WI 6 PROPCO HOLDCO LLC
ADP OF THE SNF
—
2022-06-01
current
pecos_ownership
WI 6 PROPCO TOPCO LLC
ADP OF THE SNF
—
2022-06-01
current
pecos_ownership
PEACE CAPITAL HOLDINGS LLC (DE)
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2022-06-01
ended 2026-05-18
pecos_ownership
SHALOM STEIN
INDIRECT OWNERSHIP INTEREST
5%
2022-06-01
ended 2026-05-18
pecos_ownership
CASSANDRA HALE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-22
ended 2026-05-18
pecos_ownership
DANIEL STERNBUCH
ADP OF THE SNF
—
2022-06-01
ended 2026-05-18
pecos_ownership
JACOB KLUGMAN
ADP OF THE SNF
—
2022-06-01
ended 2026-05-18
pecos_ownership
MICHAEL SPITZER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-26
ended 2026-05-18
pecos_ownership
MICHAEL SPITZER
ADP OF THE SNF
—
2025-03-25
ended 2026-05-18
pecos_ownership
RENEE BIELINSKI
ADP OF THE SNF
—
2022-07-11
ended 2026-05-18
pecos_ownership
SARFRAZ SIDHU
OPERATIONAL/MANAGERIAL CONTROL
—
2023-05-15
ended 2026-05-18
pecos_ownership
YOSEF HELLMAN
ADP OF THE SNF
—
2022-06-01
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$866,163
—
—
—
—
2
—
2023-12-31
$717,004
—
—
—
—
2
—
2022-12-31
$481,570
—
—
—
—
2
—
2022-05-31
$620,043
—
$620,043
—
—
2
—
2021-12-31
$616,935
—
$616,935
—
—
2
—
2020-12-31
$479,106
—
$479,106
—
—
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
32
Geo
Kind
BR
Amount
As of
Source
county 55131
fmr
0
$1,027
2025-10-01
HUD_USER_FMR
county 55131
acs median gross
1
$915
2024-12-31
CENSUS_ACS5
county 55131
fmr
1
$1,119
2025-10-01
HUD_USER_FMR
county 55131
acs median gross
2
$1,150
2024-12-31
CENSUS_ACS5
county 55131
fmr
2
$1,338
2025-10-01
HUD_USER_FMR
county 55131
acs median gross
3
$1,413
2024-12-31
CENSUS_ACS5
county 55131
fmr
3
$1,648
2025-10-01
HUD_USER_FMR
county 55131
acs median gross
4
$1,558
2024-12-31
CENSUS_ACS5
county 55131
fmr
4
$1,784
2025-10-01
HUD_USER_FMR
county 55131
acs median gross
5
$1,299
2024-12-31
CENSUS_ACS5
county 55131
acs median gross
$1,153
2024-12-31
CENSUS_ACS5
county 55131
acs recent mover gross
$1,500
2024-12-31
CENSUS_ACS5
zcta 53022
acs median gross
1
$1,220
2024-12-31
CENSUS_ACS5
zcta 53022
acs median gross
2
$1,329
2024-12-31
CENSUS_ACS5
zcta 53022
acs median gross
3
$1,597
2024-12-31
CENSUS_ACS5
zcta 53022
acs median gross
$1,367
2024-12-31
CENSUS_ACS5
zcta 53022
acs recent mover gross
$1,247
2024-12-31
CENSUS_ACS5
zip 53022
payment standard 110
0
$1,331
2025-10-01
HUD_USER_SAFMR
zip 53022
payment standard 90
0
$1,089
2025-10-01
HUD_USER_SAFMR
zip 53022
safmr
0
$1,210
2025-10-01
HUD_USER_SAFMR
zip 53022
payment standard 110
1
$1,452
2025-10-01
HUD_USER_SAFMR
zip 53022
payment standard 90
1
$1,188
2025-10-01
HUD_USER_SAFMR
zip 53022
safmr
1
$1,320
2025-10-01
HUD_USER_SAFMR
zip 53022
payment standard 110
2
$1,738
2025-10-01
HUD_USER_SAFMR
zip 53022
payment standard 90
2
$1,422
2025-10-01
HUD_USER_SAFMR
zip 53022
safmr
2
$1,580
2025-10-01
HUD_USER_SAFMR
zip 53022
payment standard 110
3
$2,145
2025-10-01
HUD_USER_SAFMR
zip 53022
payment standard 90
3
$1,755
2025-10-01
HUD_USER_SAFMR
zip 53022
safmr
3
$1,950
2025-10-01
HUD_USER_SAFMR
zip 53022
payment standard 110
4
$2,321
2025-10-01
HUD_USER_SAFMR
zip 53022
payment standard 90
4
$1,899
2025-10-01
HUD_USER_SAFMR
zip 53022
safmr
4
$2,110
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.