Reads as: riskier than 36.0% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
47 chains
FORVIS MAZARS LLP
251 facilities
connection
Owner spans multiple chains
20 chains
CLIFTONLARSONALLEN LLP
98 facilities
connection
Owner fleet enforcement cluster
50% fined
JOHNSON MARK
6 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 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
15
2025Q4 HPRD
This facility
MA median
National median
National p25–p75
Total nurse
4.38
3.39
3.28
2.90–3.77
RN
0.77
0.39
0.39
0.25–0.58
Weekend total
4.14
3.26
3.11
—
Weekday total
4.47
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
31.6
4.38
0.77
1.03
2.58
4.14
13.7%
2025Q3
92
33.6
4.38
0.97
0.97
2.44
3.77
10.1%
2025Q2
91
29.8
4.81
1.02
0.93
2.87
4.45
6.5%
2024Q4
92
34.3
4.04
0.97
0.76
2.31
3.97
2.0%
2024Q3
92
27.6
4.84
1.13
0.80
2.91
5.09
2.8%
2024Q2
91
27.8
4.68
1.14
0.81
2.73
5.00
2.5%
2024Q1
91
29.2
3.78
1.08
0.59
2.11
3.64
4.0%
2023Q4
92
25.6
4.22
1.08
0.67
2.47
4.50
4.4%
2023Q3
92
25.8
4.60
1.23
0.67
2.71
4.93
2.9%
2023Q2
91
43.5
2.78
0.73
0.44
1.62
2.94
2.2%
2023Q1
90
65.5
1.87
0.46
0.35
1.05
2.00
1.5%
2022Q4
92
32.5
3.55
0.84
0.76
1.95
3.87
1.5%
2022Q3
92
33.9
5.09
1.37
0.82
2.91
5.65
3.2%
2022Q2
91
42.7
4.79
1.35
0.60
2.85
5.26
3.1%
2022Q1
90
49.6
3.92
1.01
0.66
2.25
4.32
2.6%
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
12
B × 2C × 1D × 7E × 1F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-01-21
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2026-02-13
2025-07-24
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
B
2025-08-07
2025-07-24
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2025-08-07
2024-07-17
Health
F0641
Ensure each resident receives an accurate assessment.
B
2024-08-26
2024-07-17
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
2024-08-26
2024-07-17
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-08-26
2024-07-17
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
2024-08-26
2024-07-17
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-08-26
2023-05-24
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
C
2023-06-30
2023-05-24
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
2023-06-30
2023-05-24
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2023-06-30
2023-05-24
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
2023-06-30
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
43
Owner
Role
Pct
From
Status
Source
BANE, HARRISON
MANAGING CONTROL - GOVERNING BODY
—
2023-01-01
current
pecos_ownership
CLIFTONLARSONALLEN LLP
ADP OF THE SNF
—
2017-01-01
current
pecos_ownership
COHEN, HOWARD
MANAGING CONTROL - GOVERNING BODY
—
2020-01-01
current
pecos_ownership
COHEN, MARSHA
CORPORATE DIRECTOR
—
2013-11-07
current
pecos_ownership
DESIMONE, THOMAS
MANAGING CONTROL - GOVERNING BODY
—
2013-01-01
current
pecos_ownership
EDMONDS, JANE
MANAGING CONTROL - GOVERNING BODY
—
2021-01-01
current
pecos_ownership
FLEISHMAN, VALERIE
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
current
pecos_ownership
FLIER, STEVEN
MANAGING CONTROL - GOVERNING BODY
—
2015-01-01
current
pecos_ownership
FLORENCE SMITH, SUSAN
MANAGING CONTROL - GOVERNING BODY
—
2011-01-01
current
pecos_ownership
FORVIS MAZARS LLP
ADP OF THE SNF
—
2020-01-01
current
pecos_ownership
GENSER, MAURICE
MANAGING CONTROL - GOVERNING BODY
—
2014-01-01
current
pecos_ownership
HENKEN, RICHARD
CORPORATE DIRECTOR
—
2024-05-22
current
pecos_ownership
JOHNSON, MARK
CORPORATE OFFICER
—
2024-11-20
current
pecos_ownership
KOTLER, HAROLD
MANAGING CONTROL - GOVERNING BODY
—
2011-01-01
current
pecos_ownership
MANDEL, ERNEST
ADP OF THE SNF
—
2025-02-12
current
pecos_ownership
MANDEL, ERNEST
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
MASTERSON, ANN
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
RETALIC, TAMMY
OPERATIONAL/MANAGERIAL CONTROL
—
2004-09-13
current
pecos_ownership
ROSENTHAL, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2011-01-01
current
pecos_ownership
WEBBER, JAY
MANAGING CONTROL - GOVERNING BODY
—
2011-01-01
current
pecos_ownership
WOOLF, LOUIS
ADP OF THE SNF
—
2009-10-15
current
pecos_ownership
ZEIDEL, MARK
MANAGING CONTROL - GOVERNING BODY
—
2012-01-01
current
pecos_ownership
HEBREW SENIORLIFE, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2005-11-08
ended 2026-05-18
pecos_ownership
ERNEST MANDEL
CORPORATE OFFICER
20%
2023-01-01
ended 2026-05-18
pecos_ownership
LOUIS WOOLF
CORPORATE OFFICER
20%
2009-10-15
ended 2026-05-18
pecos_ownership
MARK JOHNSON
CORPORATE OFFICER
20%
2024-11-20
ended 2026-05-18
pecos_ownership
MARSHA COHEN
CORPORATE DIRECTOR
20%
2013-11-07
ended 2026-05-18
pecos_ownership
RICHARD HENKEN
CORPORATE DIRECTOR
10%
2024-05-22
ended 2026-05-18
pecos_ownership
ANN MASTERSON
ADP OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
DAVID ROSENTHAL
MANAGING CONTROL - GOVERNING BODY
—
2011-01-01
ended 2026-05-18
pecos_ownership
ERNEST MANDEL
ADP OF THE SNF
—
2025-02-12
ended 2026-05-18
pecos_ownership
HAROLD KOTLER
MANAGING CONTROL - GOVERNING BODY
—
2011-01-01
ended 2026-05-18
pecos_ownership
HARRISON BANE
MANAGING CONTROL - GOVERNING BODY
—
2023-01-01
ended 2026-05-18
pecos_ownership
HOWARD COHEN
MANAGING CONTROL - GOVERNING BODY
—
2020-01-01
ended 2026-05-18
pecos_ownership
JANE EDMONDS
MANAGING CONTROL - GOVERNING BODY
—
2021-01-01
ended 2026-05-18
pecos_ownership
JAY WEBBER
MANAGING CONTROL - GOVERNING BODY
—
2011-01-01
ended 2026-05-18
pecos_ownership
MARK ZEIDEL
MANAGING CONTROL - GOVERNING BODY
—
2012-01-01
ended 2026-05-18
pecos_ownership
MAURICE GENSER
MANAGING CONTROL - GOVERNING BODY
—
2014-01-01
ended 2026-05-18
pecos_ownership
STEVEN FLIER
MANAGING CONTROL - GOVERNING BODY
—
2015-01-01
ended 2026-05-18
pecos_ownership
SUSAN FLORENCE SMITH
MANAGING CONTROL - GOVERNING BODY
—
2011-01-01
ended 2026-05-18
pecos_ownership
TAMMY RETALIC
OPERATIONAL/MANAGERIAL CONTROL
—
2004-09-13
ended 2026-05-18
pecos_ownership
THOMAS DESIMONE
MANAGING CONTROL - GOVERNING BODY
—
2013-01-01
ended 2026-05-18
pecos_ownership
VALERIE FLEISHMAN
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
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
30
Geo
Kind
BR
Amount
As of
Source
county 25025
acs median gross
0
$1,947
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
1
$1,966
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
2
$2,210
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
3
$2,269
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
4
$2,554
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
5
$2,169
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
$2,129
2024-12-31
CENSUS_ACS5
county 25025
acs recent mover gross
$2,759
2024-12-31
CENSUS_ACS5
zcta 02131
acs median gross
0
$1,722
2024-12-31
CENSUS_ACS5
zcta 02131
acs median gross
1
$581
2024-12-31
CENSUS_ACS5
zcta 02131
acs median gross
2
$2,133
2024-12-31
CENSUS_ACS5
zcta 02131
acs median gross
3
$2,335
2024-12-31
CENSUS_ACS5
zcta 02131
acs median gross
4
$2,690
2024-12-31
CENSUS_ACS5
zcta 02131
acs median gross
$2,020
2024-12-31
CENSUS_ACS5
zcta 02131
acs recent mover gross
$2,595
2024-12-31
CENSUS_ACS5
zip 02131
payment standard 110
0
$2,497
2025-10-01
HUD_USER_SAFMR
zip 02131
payment standard 90
0
$2,043
2025-10-01
HUD_USER_SAFMR
zip 02131
safmr
0
$2,270
2025-10-01
HUD_USER_SAFMR
zip 02131
payment standard 110
1
$2,618
2025-10-01
HUD_USER_SAFMR
zip 02131
payment standard 90
1
$2,142
2025-10-01
HUD_USER_SAFMR
zip 02131
safmr
1
$2,380
2025-10-01
HUD_USER_SAFMR
zip 02131
payment standard 110
2
$3,113
2025-10-01
HUD_USER_SAFMR
zip 02131
payment standard 90
2
$2,547
2025-10-01
HUD_USER_SAFMR
zip 02131
safmr
2
$2,830
2025-10-01
HUD_USER_SAFMR
zip 02131
payment standard 110
3
$3,729
2025-10-01
HUD_USER_SAFMR
zip 02131
payment standard 90
3
$3,051
2025-10-01
HUD_USER_SAFMR
zip 02131
safmr
3
$3,390
2025-10-01
HUD_USER_SAFMR
zip 02131
payment standard 110
4
$4,125
2025-10-01
HUD_USER_SAFMR
zip 02131
payment standard 90
4
$3,375
2025-10-01
HUD_USER_SAFMR
zip 02131
safmr
4
$3,750
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.