Reads as: riskier than 54.3% 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.
ML signals — parallel engine
2
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+29.7 vs natl
KORN ELI
13 facilities
connection
Owner spans multiple chains
5 chains
SHELBY JACK
31 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
NY median
National median
National p25–p75
Total nurse
3.57
3.33
3.28
2.90–3.77
RN
0.40
0.43
0.39
0.25–0.58
Weekend total
3.39
3.03
3.11
—
Weekday total
3.64
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
120.5
3.57
0.40
1.03
2.15
3.39
0.0%
2025Q3
92
122.4
3.64
0.40
0.98
2.26
3.15
0.0%
2025Q2
91
129.7
3.76
0.37
1.18
2.21
3.30
0.0%
2025Q1
90
119.4
3.47
0.19
1.30
1.98
3.35
0.0%
2024Q4
92
122.6
3.19
0.22
1.11
1.86
3.05
0.0%
2024Q3
92
115.4
3.26
0.30
0.96
1.99
3.03
0.0%
2024Q2
91
116.1
2.95
0.24
0.87
1.84
2.76
0.0%
2024Q1
91
117.5
2.79
0.17
0.81
1.81
2.65
0.0%
2023Q4
92
114.8
2.86
0.13
0.88
1.85
2.72
0.0%
2023Q3
92
120.6
2.60
0.04
0.76
1.81
2.46
0.0%
2023Q2
91
118.3
2.60
0.01
0.84
1.75
2.43
15.6%
2023Q1
90
120.5
2.26
0.01
0.68
1.57
2.01
5.1%
2022Q4
92
125.0
2.59
0.04
0.76
1.79
2.26
0.1%
2022Q3
92
125.3
2.67
0.04
0.63
2.00
2.50
1.1%
2022Q2
91
116.2
1.82
0.04
0.10
1.68
1.66
0.0%
2022Q1
90
116.5
2.43
0.18
0.57
1.68
2.21
0.0%
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
2025-10-15
2024-06-06
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
B
2024-08-05
2024-06-06
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
2024-08-05
2024-06-06
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
B
2024-08-05
2024-06-06
Health · complaint
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.
E
2024-09-04
2024-06-06
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2024-09-04
2024-06-06
Health · complaint
F0610
Respond appropriately to all alleged violations.
E
2024-08-05
2024-06-06
Health · complaint
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2024-08-05
2024-06-06
Health · complaint
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
B
2024-08-05
2024-06-06
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-09-04
2024-06-06
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2024-08-05
2024-06-06
Health · complaint
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
2024-08-05
2024-06-06
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-08-05
2024-06-06
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2024-08-05
2024-06-06
Health · complaint
F0732
Post nurse staffing information every day.
B
2024-09-04
2024-06-06
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2024-09-04
2024-06-06
Health
F0760
Ensure that residents are free from significant medication errors.
E
2024-09-04
2024-06-06
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
2024-09-04
2024-06-06
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
E
2024-09-04
2024-06-06
Health · complaint
F0836
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
D
2024-08-05
2024-06-06
Health
F0908
Keep all essential equipment working safely.
E
2024-09-04
2023-02-08
Health
F0568
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
B
2023-04-09
2023-02-08
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
2023-04-09
2023-02-08
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
2023-04-09
2023-02-08
Health
F0732
Post nurse staffing information every day.
B
2023-04-09
2023-02-08
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
2023-04-09
2021-04-23
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
2021-06-22
2021-04-23
Health
F0610
Respond appropriately to all alleged violations.
D
2021-06-22
2021-04-23
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
2021-06-22
2021-04-23
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2021-06-22
2021-04-23
Health
F0679
Provide activities to meet all resident's needs.
D
2021-06-22
2021-04-23
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2021-06-22
2021-04-23
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
2021-06-22
2021-04-23
Health
F0880
Provide and implement an infection prevention and control program.
E
2021-06-22
2021-04-23
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2021-06-23
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
19
Owner
Role
Pct
From
Status
Source
FASKA, PINCHAS
CORPORATE OFFICER
—
2020-12-01
current
pecos_ownership
GRINSPAN, ARYEH
CORPORATE OFFICER
—
2020-12-01
current
pecos_ownership
KORN, ELI
CORPORATE OFFICER
—
2020-12-01
current
pecos_ownership
M&T BANK
5% OR GREATER MORTGAGE INTEREST
—
2015-06-30
current
pecos_ownership
NUSSBAUM, YEHUDA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
NUSSBAUM, YEHUDA
ADP OF THE SNF
—
2025-08-04
current
pecos_ownership
SCHEINER, JACOB
CORPORATE OFFICER
—
2020-12-01
current
pecos_ownership
SHELBY, JACK
CORPORATE OFFICER
—
2020-12-01
current
pecos_ownership
WEILL, ELIEZER
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
WEILL, ELIEZER
ADP OF THE SNF
—
2025-07-14
current
pecos_ownership
ARYEH GRINSPAN
CORPORATE OFFICER
0%
2020-12-01
ended 2026-05-18
pecos_ownership
ELI KORN
CORPORATE OFFICER
0%
2020-12-01
ended 2026-05-18
pecos_ownership
JACK SHELBY
CORPORATE OFFICER
0%
2020-12-01
ended 2026-05-18
pecos_ownership
JACOB SCHEINER
CORPORATE OFFICER
0%
2020-12-01
ended 2026-05-18
pecos_ownership
PINCHAS FASKA
CORPORATE OFFICER
0%
2020-12-01
ended 2026-05-18
pecos_ownership
ELIEZER WEILL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
ELIEZER WEILL
ADP OF THE SNF
—
2025-07-14
ended 2026-05-18
pecos_ownership
YEHUDA NUSSBAUM
ADP OF THE SNF
—
2025-08-04
ended 2026-05-18
pecos_ownership
YEHUDA NUSSBAUM
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 36055
acs median gross
0
$857
2024-12-31
CENSUS_ACS5
county 36055
fmr
0
$1,116
2025-10-01
HUD_USER_FMR
county 36055
acs median gross
1
$985
2024-12-31
CENSUS_ACS5
county 36055
fmr
1
$1,256
2025-10-01
HUD_USER_FMR
county 36055
acs median gross
2
$1,268
2024-12-31
CENSUS_ACS5
county 36055
fmr
2
$1,573
2025-10-01
HUD_USER_FMR
county 36055
acs median gross
3
$1,407
2024-12-31
CENSUS_ACS5
county 36055
fmr
3
$1,895
2025-10-01
HUD_USER_FMR
county 36055
acs median gross
4
$1,510
2024-12-31
CENSUS_ACS5
county 36055
fmr
4
$2,083
2025-10-01
HUD_USER_FMR
county 36055
acs median gross
5
$1,736
2024-12-31
CENSUS_ACS5
county 36055
acs median gross
$1,173
2024-12-31
CENSUS_ACS5
county 36055
acs recent mover gross
$1,340
2024-12-31
CENSUS_ACS5
zcta 14607
acs median gross
0
$927
2024-12-31
CENSUS_ACS5
zcta 14607
acs median gross
1
$1,020
2024-12-31
CENSUS_ACS5
zcta 14607
acs median gross
2
$1,393
2024-12-31
CENSUS_ACS5
zcta 14607
acs median gross
3
$1,753
2024-12-31
CENSUS_ACS5
zcta 14607
acs median gross
4
$2,550
2024-12-31
CENSUS_ACS5
zcta 14607
acs median gross
5
$2,083
2024-12-31
CENSUS_ACS5
zcta 14607
acs median gross
$1,156
2024-12-31
CENSUS_ACS5
zcta 14607
acs recent mover gross
$1,252
2024-12-31
CENSUS_ACS5
zip 14607
payment standard 110
0
$1,386
2025-10-01
HUD_USER_SAFMR
zip 14607
payment standard 90
0
$1,134
2025-10-01
HUD_USER_SAFMR
zip 14607
safmr
0
$1,260
2025-10-01
HUD_USER_SAFMR
zip 14607
payment standard 110
1
$1,562
2025-10-01
HUD_USER_SAFMR
zip 14607
payment standard 90
1
$1,278
2025-10-01
HUD_USER_SAFMR
zip 14607
safmr
1
$1,420
2025-10-01
HUD_USER_SAFMR
zip 14607
payment standard 110
2
$1,958
2025-10-01
HUD_USER_SAFMR
zip 14607
payment standard 90
2
$1,602
2025-10-01
HUD_USER_SAFMR
zip 14607
safmr
2
$1,780
2025-10-01
HUD_USER_SAFMR
zip 14607
payment standard 110
3
$2,354
2025-10-01
HUD_USER_SAFMR
zip 14607
payment standard 90
3
$1,926
2025-10-01
HUD_USER_SAFMR
zip 14607
safmr
3
$2,140
2025-10-01
HUD_USER_SAFMR
zip 14607
payment standard 110
4
$2,596
2025-10-01
HUD_USER_SAFMR
zip 14607
payment standard 90
4
$2,124
2025-10-01
HUD_USER_SAFMR
zip 14607
safmr
4
$2,360
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.