Reads as: riskier than 28.8% 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 lease_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
3.45
3.33
3.28
2.90–3.77
RN
0.56
0.43
0.39
0.25–0.58
Weekend total
3.38
3.03
3.11
—
Weekday total
3.47
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
367.6
3.45
0.56
0.52
2.37
3.38
21.4%
2025Q3
92
371.6
3.43
0.57
0.52
2.34
3.21
25.4%
2025Q2
91
365.9
3.50
0.58
0.53
2.39
3.36
29.7%
2025Q1
90
363.9
3.33
0.53
0.52
2.29
3.29
28.7%
2024Q4
92
364.5
3.37
0.49
0.51
2.38
3.33
32.0%
2024Q3
92
357.7
3.43
0.58
0.48
2.38
3.27
33.2%
2024Q2
91
350.5
3.52
0.54
0.57
2.41
3.39
34.4%
2024Q1
91
351.0
3.31
0.53
0.56
2.23
3.17
33.1%
2023Q4
92
341.0
3.33
0.49
0.57
2.27
3.21
31.6%
2023Q3
92
323.7
3.38
0.55
0.56
2.26
3.22
29.5%
2023Q2
91
318.5
3.49
0.60
0.62
2.27
3.30
28.4%
2023Q1
90
312.6
3.31
0.55
0.58
2.18
3.10
26.5%
2022Q4
92
310.3
2.96
0.58
0.47
1.91
2.69
22.9%
2022Q3
92
314.8
2.92
0.63
0.41
1.88
2.68
11.6%
2022Q2
91
306.9
2.92
0.66
0.35
1.91
2.64
4.0%
2022Q1
90
293.7
3.07
0.73
0.37
1.97
2.87
1.1%
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
17
C × 1D × 15E × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-10-03
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-11-27
2024-10-03
Health
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2024-11-27
2024-10-03
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-11-27
2024-10-03
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-11-27
2024-10-03
Health
F0679
Provide activities to meet all resident's needs.
D
2024-11-27
2024-10-03
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2024-11-27
2024-10-03
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-11-27
2022-07-19
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2022-08-31
2022-07-19
Health
F0641
Ensure each resident receives an accurate assessment.
D
2022-08-31
2022-07-19
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2022-08-31
2022-07-19
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2022-08-31
2022-07-19
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-08-31
2019-10-21
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
C
2019-11-29
2019-10-21
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2019-12-15
2019-10-21
Health
F0641
Ensure each resident receives an accurate assessment.
D
2019-12-15
2019-10-21
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
2019-12-15
2019-10-21
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.
D
2019-12-11
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
42
Owner
Role
Pct
From
Status
Source
CARMELITE SISTERS FOR THE AGED AND INFIRM, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
—
current
pecos_ownership
ROMAN CATHOLIC DISOCESE OF BROOKLYN
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
—
current
pecos_ownership
BOWDEN, MARY
CORPORATE OFFICER
—
2015-03-01
current
pecos_ownership
BRENNAN, ROBERT
CORPORATE DIRECTOR
—
2021-11-30
current
pecos_ownership
DEVLIN, LESLEE
CORPORATE DIRECTOR
—
2007-06-11
current
pecos_ownership
DOMINO, LEDA
CORPORATE DIRECTOR
—
2025-04-09
current
pecos_ownership
FONTI, JOSEPH
CORPORATE OFFICER
—
2023-05-09
current
pecos_ownership
GATHERS, PATRICIA
CORPORATE OFFICER
—
2021-07-01
current
pecos_ownership
HALEY, MARGARET
CORPORATE OFFICER
—
2025-04-09
current
pecos_ownership
HEERY, MARY
CORPORATE OFFICER
—
2015-03-01
current
pecos_ownership
KASPER, ROSE
CORPORATE DIRECTOR
—
2015-03-01
current
pecos_ownership
KEATING, PATRICK
CORPORATE OFFICER
—
2020-05-27
current
pecos_ownership
LYNCH, PATRICIA
CORPORATE DIRECTOR
—
—
current
pecos_ownership
MCALEER, MARTY
CORPORATE DIRECTOR
—
2018-06-01
current
pecos_ownership
MCWEENEY, BRIAN
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-12-01
current
pecos_ownership
O'BRIEN, DEBORAH
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-12-01
current
pecos_ownership
OGLE, SEAN
CORPORATE DIRECTOR
—
2025-04-09
current
pecos_ownership
PFEFFER, THERESA
CORPORATE DIRECTOR
—
2023-12-11
current
pecos_ownership
POWERS, KEITH
CORPORATE DIRECTOR
—
1997-03-04
current
pecos_ownership
RANDALL, DIANE
CORPORATE DIRECTOR
—
2008-01-01
current
pecos_ownership
REILLY, PATRICA
CORPORATE DIRECTOR
—
2013-12-01
current
pecos_ownership
SONI, SHARAD
ADP OF THE SNF
—
2024-12-01
current
pecos_ownership
THE CARMELITE SYSTEM, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2013-01-10
current
pecos_ownership
THE CARMELITE SYSTEM, INC.
ADP OF THE SNF
—
2025-12-01
current
pecos_ownership
DIANE RANDALL
CORPORATE DIRECTOR
0%
2008-01-01
ended 2026-05-18
pecos_ownership
LESLEE DEVLIN
CORPORATE DIRECTOR
0%
2007-06-11
ended 2026-05-18
pecos_ownership
MARGARET HALEY
CORPORATE DIRECTOR
0%
2025-04-09
ended 2026-05-18
pecos_ownership
MARY BOWDEN
CORPORATE OFFICER
0%
2015-03-01
ended 2026-05-18
pecos_ownership
MARY HEERY
CORPORATE OFFICER
0%
2015-03-01
ended 2026-05-18
pecos_ownership
PATRICIA GATHERS
CORPORATE OFFICER
0%
2021-07-01
ended 2026-05-18
pecos_ownership
PATRICK KEATING
CORPORATE OFFICER
0%
2020-05-27
ended 2026-05-18
pecos_ownership
ROSE KASPER
CORPORATE DIRECTOR
0%
2015-03-01
ended 2026-05-18
pecos_ownership
JOSEPH FONTI
CORPORATE OFFICER
—
2023-05-09
ended 2026-05-18
pecos_ownership
KEITH POWERS
CORPORATE DIRECTOR
—
1997-03-04
ended 2026-05-18
pecos_ownership
LEDA DOMINO
CORPORATE DIRECTOR
—
2025-04-09
ended 2026-05-18
pecos_ownership
MARTY MCALEER
CORPORATE DIRECTOR
—
2018-06-01
ended 2026-05-18
pecos_ownership
PATRICA REILLY
CORPORATE DIRECTOR
—
2013-12-01
ended 2026-05-18
pecos_ownership
PATRICIA LYNCH
CORPORATE DIRECTOR
—
—
ended 2026-05-18
pecos_ownership
ROBERT BRENNAN
CORPORATE DIRECTOR
—
2021-11-30
ended 2026-05-18
pecos_ownership
SEAN OGLE
CORPORATE DIRECTOR
—
2025-04-09
ended 2026-05-18
pecos_ownership
SHARAD SONI
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-01
ended 2026-05-18
pecos_ownership
THERESA PFEFFER
CORPORATE DIRECTOR
—
2023-12-11
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
$1,439,057
—
—
—
$620,639
2
—
2023-12-31
$999,016
—
—
—
$675,069
2
—
2022-12-31
$868,208
—
—
—
$525,873
2
—
2021-12-31
$468,363
—
—
—
—
1
—
2020-12-31
$536,932
—
—
—
—
1
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 36081
acs median gross
0
$1,597
2024-12-31
CENSUS_ACS5
county 36081
fmr
0
$2,529
2025-10-01
HUD_USER_FMR
county 36081
acs median gross
1
$1,792
2024-12-31
CENSUS_ACS5
county 36081
fmr
1
$2,655
2025-10-01
HUD_USER_FMR
county 36081
acs median gross
2
$2,033
2024-12-31
CENSUS_ACS5
county 36081
fmr
2
$2,910
2025-10-01
HUD_USER_FMR
county 36081
acs median gross
3
$2,384
2024-12-31
CENSUS_ACS5
county 36081
fmr
3
$3,644
2025-10-01
HUD_USER_FMR
county 36081
acs median gross
4
$2,637
2024-12-31
CENSUS_ACS5
county 36081
fmr
4
$3,959
2025-10-01
HUD_USER_FMR
county 36081
acs median gross
5
$2,292
2024-12-31
CENSUS_ACS5
county 36081
acs median gross
$1,956
2024-12-31
CENSUS_ACS5
county 36081
acs recent mover gross
$2,285
2024-12-31
CENSUS_ACS5
zcta 11361
acs median gross
0
$1,793
2024-12-31
CENSUS_ACS5
zcta 11361
acs median gross
1
$1,928
2024-12-31
CENSUS_ACS5
zcta 11361
acs median gross
2
$2,303
2024-12-31
CENSUS_ACS5
zcta 11361
acs median gross
3
$2,845
2024-12-31
CENSUS_ACS5
zcta 11361
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 11361
acs median gross
$2,347
2024-12-31
CENSUS_ACS5
zcta 11361
acs recent mover gross
$2,279
2024-12-31
CENSUS_ACS5
zip 11361
payment standard 110
0
$3,443
2025-10-01
HUD_USER_SAFMR
zip 11361
payment standard 90
0
$2,817
2025-10-01
HUD_USER_SAFMR
zip 11361
safmr
0
$3,130
2025-10-01
HUD_USER_SAFMR
zip 11361
payment standard 110
1
$3,608
2025-10-01
HUD_USER_SAFMR
zip 11361
payment standard 90
1
$2,952
2025-10-01
HUD_USER_SAFMR
zip 11361
safmr
1
$3,280
2025-10-01
HUD_USER_SAFMR
zip 11361
payment standard 110
2
$3,960
2025-10-01
HUD_USER_SAFMR
zip 11361
payment standard 90
2
$3,240
2025-10-01
HUD_USER_SAFMR
zip 11361
safmr
2
$3,600
2025-10-01
HUD_USER_SAFMR
zip 11361
payment standard 110
3
$4,961
2025-10-01
HUD_USER_SAFMR
zip 11361
payment standard 90
3
$4,059
2025-10-01
HUD_USER_SAFMR
zip 11361
safmr
3
$4,510
2025-10-01
HUD_USER_SAFMR
zip 11361
payment standard 110
4
$5,390
2025-10-01
HUD_USER_SAFMR
zip 11361
payment standard 90
4
$4,410
2025-10-01
HUD_USER_SAFMR
zip 11361
safmr
4
$4,900
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.