Reads as: riskier than 85.5% 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
25
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+45.7 vs natl
KEYSTONE HOLDING GROUP II LLC
5 facilities
connection
Owner fleet risk far above national
+40.0 vs natl
ELEVATE CARE INC
11 facilities
connection
Owner fleet risk far above national
+38.2 vs natl
ELEVATE CARE CONSULTING LLC
10 facilities
connection
Owner fleet risk far above national
+37.8 vs natl
ATIED ASSOCIATES LLC
23 facilities
connection
Owner fleet risk far above national
+36.5 vs natl
B Z GRANDCHILDREN ACCUMULATION TRUST
5 facilities
connection
Owner fleet risk far above national
+35.7 vs natl
MEIR MEYSTEL REVOCABLE
8 facilities
connection
Owner fleet risk far above national
+35.2 vs natl
MEYSTEL MEIR
15 facilities
connection
Owner fleet risk far above national
+32.7 vs natl
YOSEF MEYSTEL DELTA TRUST
39 facilities
connection
Owner fleet risk far above national
+32.3 vs natl
DAVID A BERKOWITZ DELTA TRUST
38 facilities
connection
Owner fleet risk far above national
+29.8 vs natl
APERION CARE EXEC HOLDINGS LLC
26 facilities
connection
Owner fleet risk far above national
+29.7 vs natl
CHASE OFFICE LLC
82 facilities
connection
Owner fleet risk far above national
+28.2 vs natl
CURIS SERVICES LLC
85 facilities
connection
Owner fleet risk far above national
+28.2 vs natl
NATHAN AND SHIRLEY ROTHNER FAMILY TRUST
10 facilities
connection
Owner fleet risk far above national
+28.1 vs natl
TUROFSKY STEVEN
87 facilities
connection
Owner fleet risk far above national
+27.4 vs natl
SPECTOR JENNIFER
93 facilities
connection
Owner fleet risk far above national
+21.1 vs natl
ADAMS VALES ACCUMULATION TRUST
6 facilities
connection
Owner spans multiple chains
13 chains
CHASE OFFICE LLC
75 facilities
connection
Owner spans multiple chains
9 chains
SPECTOR JENNIFER
90 facilities
connection
Owner spans multiple chains
9 chains
TUROFSKY STEVEN
84 facilities
connection
Owner spans multiple chains
8 chains
CURIS SERVICES LLC
81 facilities
connection
Owner spans multiple chains
5 chains
YOSEF MEYSTEL DELTA TRUST
37 facilities
connection
Owner spans multiple chains
5 chains
DAVID A BERKOWITZ DELTA TRUST
36 facilities
connection
Owner spans multiple chains
4 chains
B Z GRANDCHILDREN ACCUMULATION TRUST
5 facilities
connection
Owner fleet enforcement cluster
65% fined
ATIED ASSOCIATES LLC
23 facilities
connection
Owner fleet enforcement cluster
64% fined
YOSEF MEYSTEL DELTA TRUST
39 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
IL median
National median
National p25–p75
Total nurse
3.70
3.13
3.28
2.90–3.77
RN
0.96
0.49
0.39
0.25–0.58
Weekend total
3.35
2.93
3.11
—
Weekday total
3.84
3.23
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
133.6
3.70
0.96
0.47
2.27
3.35
3.2%
2025Q3
92
134.2
3.65
0.90
0.51
2.24
3.25
3.9%
2025Q2
91
129.0
3.65
0.94
0.54
2.18
3.20
4.3%
2025Q1
90
130.3
3.59
0.86
0.55
2.18
3.17
7.6%
2024Q4
92
121.5
3.50
0.87
0.58
2.04
3.11
4.1%
2024Q3
92
127.7
3.54
0.87
0.59
2.07
3.03
3.4%
2024Q2
91
127.3
3.56
0.84
0.61
2.11
3.10
3.2%
2024Q1
91
120.8
3.56
0.87
0.59
2.10
3.12
4.7%
2023Q4
92
115.0
3.46
0.87
0.59
1.99
3.12
5.7%
2023Q3
92
121.4
3.38
0.83
0.57
1.98
3.04
8.0%
2023Q2
91
121.9
3.26
0.81
0.59
1.86
2.92
7.2%
2023Q1
90
118.6
3.30
0.75
0.67
1.88
2.90
4.2%
2022Q4
92
118.3
3.51
0.77
0.70
2.04
3.22
10.4%
2022Q3
92
102.1
3.34
0.73
0.70
1.91
3.01
11.0%
2022Q2
91
99.0
3.30
0.71
0.77
1.83
3.15
7.7%
2022Q1
90
102.1
3.13
0.69
0.68
1.77
3.03
2.5%
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2026-05-11
2025-04-04
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-04-17
2025-04-04
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-04-17
2025-04-04
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-04-17
2025-04-04
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
2025-04-17
2025-04-04
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-04-17
2025-02-07
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-02-25
2024-05-24
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2024-06-07
2024-05-24
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-06-07
2024-05-24
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-06-07
2024-04-05
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-04-15
2023-10-04
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-10-05
2023-04-28
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-04-30
2023-04-28
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-04-30
2023-04-28
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-04-30
2023-04-28
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2023-04-30
2023-04-28
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-04-30
2023-04-28
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-04-30
2023-04-28
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
E
2023-04-30
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
45
Owner
Role
Pct
From
Status
Source
ADAMS VALES ACCUMULATION TRUST
INDIRECT OWNERSHIP INTEREST
—
2022-07-01
current
pecos_ownership
APERION CARE EXEC HOLDINGS LLC
DIRECT OWNERSHIP INTEREST
—
2025-01-01
current
pecos_ownership
ATIED ASSOCIATES LLC
ADP OF THE SNF
—
2022-07-01
current
pecos_ownership
AVIVA GLENNER PANCER GST TRUST
INDIRECT OWNERSHIP INTEREST
—
2022-07-01
current
pecos_ownership
B & Z GRANDCHILDREN ACCUMULATION TRUST
INDIRECT OWNERSHIP INTEREST
—
2022-07-01
current
pecos_ownership
CHASE OFFICE LLC
Individual has financial interest in both related organization and provider
—
2023-01-01
current
hcris_a_8_1
CHASE OFFICE LLC
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
CURIS SERVICES LLC
ADP OF THE SNF
—
2022-07-01
current
pecos_ownership
DANIEL M. GLENNER GST TRUST
INDIRECT OWNERSHIP INTEREST
—
2022-07-01
current
pecos_ownership
DANIEL M. GLENNER TRUST
INDIRECT OWNERSHIP INTEREST
—
2022-07-01
current
pecos_ownership
DANIEL ROTHNER ACCUMULATION TRUST
INDIRECT OWNERSHIP INTEREST
—
2022-07-01
current
pecos_ownership
DAVID A BERKOWITZ DELTA TRUST
ADP OF THE SNF
—
2022-07-01
current
pecos_ownership
EC PROPERTIES, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-01
current
pecos_ownership
EC PROPERTIES, LLC
ADP OF THE SNF
—
2025-04-03
current
pecos_ownership
ELEVATE CARE CONSULTING LLC
ADP OF THE SNF
—
2022-07-01
current
pecos_ownership
ELEVATE CARE INC
ADP OF THE SNF
—
2025-03-20
current
pecos_ownership
ELEVATE CARE INC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-01
current
pecos_ownership
ELLIOTT S. GLENNER GST TRUST
INDIRECT OWNERSHIP INTEREST
—
2022-07-01
current
pecos_ownership
JEREMY N. GLENNER GST TRUST
INDIRECT OWNERSHIP INTEREST
—
2022-07-01
current
pecos_ownership
JONATHAN Z. GLENNER GST TRUST
INDIRECT OWNERSHIP INTEREST
—
2022-07-01
current
pecos_ownership
JONATHAN Z. GLENNER TRUST
INDIRECT OWNERSHIP INTEREST
—
2022-07-01
current
pecos_ownership
KATHRYN VALES ACCUMULATION TRUST
INDIRECT OWNERSHIP INTEREST
—
2022-07-01
current
pecos_ownership
KEYSTONE HOLDING GROUP II LLC
ADP OF THE SNF
—
2022-07-01
current
pecos_ownership
KIMBERLY VALES ACCUMULATION TRUST
INDIRECT OWNERSHIP INTEREST
—
2022-07-01
current
pecos_ownership
MEIR MEYSTEL REVOCABLE
ADP OF THE SNF
—
2022-07-01
current
pecos_ownership
MELISSA ROTHNER ACCUMULATION TRUST
INDIRECT OWNERSHIP INTEREST
—
2022-07-01
current
pecos_ownership
MEYSTEL, MEIR
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-01
current
pecos_ownership
MICHAEL A. GLENNER 1994 TRUST
INDIRECT OWNERSHIP INTEREST
—
2022-07-01
current
pecos_ownership
MICHAEL A. GLENNER GST TRUST
INDIRECT OWNERSHIP INTEREST
—
2022-07-01
current
pecos_ownership
NATHAN AND SHIRLEY ROTHNER FAMILY TRUST
INDIRECT OWNERSHIP INTEREST
—
2022-07-01
current
pecos_ownership
RACHEL ROTHNER ACCUMULATION TRUST
INDIRECT OWNERSHIP INTEREST
—
2022-07-01
current
pecos_ownership
SHARP, MEIR
W-2 MANAGING EMPLOYEE
—
2022-07-01
current
pecos_ownership
SLG, LP
INDIRECT OWNERSHIP INTEREST
—
2022-07-01
current
pecos_ownership
SPECTOR, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
—
2023-03-01
current
pecos_ownership
TUROFSKY, STEVEN
CORPORATE OFFICER
—
2022-07-01
current
pecos_ownership
WILLIAM ROTHNER ACCUMULATION TRUST
INDIRECT OWNERSHIP INTEREST
—
2022-07-01
current
pecos_ownership
YOSEF MEYSTEL DELTA TRUST
ADP OF THE SNF
—
2022-07-01
current
pecos_ownership
JENNIFER SPECTOR
CORPORATE DIRECTOR
100%
2023-03-01
ended 2026-05-18
pecos_ownership
MEIR MEYSTEL
CORPORATE OFFICER
100%
2022-07-01
ended 2026-05-18
pecos_ownership
MEIR SHARP
W-2 MANAGING EMPLOYEE
100%
2022-07-01
ended 2026-05-18
pecos_ownership
STEVEN TUROFSKY
OTHER
100%
2022-07-01
ended 2026-05-18
pecos_ownership
WISSATI IRREVOCABLE TRUST
5% OR GREATER DIRECT OWNERSHIP INTEREST
13%
2022-12-31
ended 2026-05-18
pecos_ownership
DAVID A BERKOWITZ REVOC TR DAVID BERKOWITZ TTEE
5% OR GREATER DIRECT OWNERSHIP INTEREST
9%
2022-07-01
ended 2026-05-18
pecos_ownership
YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE
5% OR GREATER DIRECT OWNERSHIP INTEREST
9%
2022-07-01
ended 2026-05-18
pecos_ownership
CHASE OFFICE LLC
Individual has financial interest in both related organization and provider
—
2022-07-01
ended 2022-12-31
hcris_a_8_1
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
$1,431,580
$9,779
—
—
$87,326
14
propco
2023-12-31
$2,257,147
$825,193
$170,112
—
$320,570
14
propco
2022-12-31
$737,856
$186,704
$58,587
—
$147,977
15
propco
2022-06-30
$1,236,951
$1,064,892
—
—
—
0
—
2021-12-31
$1,778,978
$1,539,575
—
—
—
—
—
2020-12-31
$3,192,650
$2,978,840
—
—
—
0
—
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 17031
acs median gross
0
$1,230
2024-12-31
CENSUS_ACS5
county 17031
fmr
0
$1,480
2025-10-01
HUD_USER_FMR
county 17031
acs median gross
1
$1,271
2024-12-31
CENSUS_ACS5
county 17031
fmr
1
$1,581
2025-10-01
HUD_USER_FMR
county 17031
acs median gross
2
$1,454
2024-12-31
CENSUS_ACS5
county 17031
fmr
2
$1,781
2025-10-01
HUD_USER_FMR
county 17031
acs median gross
3
$1,693
2024-12-31
CENSUS_ACS5
county 17031
fmr
3
$2,294
2025-10-01
HUD_USER_FMR
county 17031
acs median gross
4
$1,909
2024-12-31
CENSUS_ACS5
county 17031
fmr
4
$2,653
2025-10-01
HUD_USER_FMR
county 17031
acs median gross
5
$1,794
2024-12-31
CENSUS_ACS5
county 17031
acs median gross
$1,435
2024-12-31
CENSUS_ACS5
county 17031
acs recent mover gross
$1,752
2024-12-31
CENSUS_ACS5
zcta 60025
acs median gross
0
$1,433
2024-12-31
CENSUS_ACS5
zcta 60025
acs median gross
1
$1,784
2024-12-31
CENSUS_ACS5
zcta 60025
acs median gross
2
$1,722
2024-12-31
CENSUS_ACS5
zcta 60025
acs median gross
3
$1,960
2024-12-31
CENSUS_ACS5
zcta 60025
acs median gross
$1,753
2024-12-31
CENSUS_ACS5
zcta 60025
acs recent mover gross
$2,122
2024-12-31
CENSUS_ACS5
zip 60025
payment standard 110
0
$1,914
2025-10-01
HUD_USER_SAFMR
zip 60025
payment standard 90
0
$1,566
2025-10-01
HUD_USER_SAFMR
zip 60025
safmr
0
$1,740
2025-10-01
HUD_USER_SAFMR
zip 60025
payment standard 110
1
$2,046
2025-10-01
HUD_USER_SAFMR
zip 60025
payment standard 90
1
$1,674
2025-10-01
HUD_USER_SAFMR
zip 60025
safmr
1
$1,860
2025-10-01
HUD_USER_SAFMR
zip 60025
payment standard 110
2
$2,310
2025-10-01
HUD_USER_SAFMR
zip 60025
payment standard 90
2
$1,890
2025-10-01
HUD_USER_SAFMR
zip 60025
safmr
2
$2,100
2025-10-01
HUD_USER_SAFMR
zip 60025
payment standard 110
3
$2,970
2025-10-01
HUD_USER_SAFMR
zip 60025
payment standard 90
3
$2,430
2025-10-01
HUD_USER_SAFMR
zip 60025
safmr
3
$2,700
2025-10-01
HUD_USER_SAFMR
zip 60025
payment standard 110
4
$3,443
2025-10-01
HUD_USER_SAFMR
zip 60025
payment standard 90
4
$2,817
2025-10-01
HUD_USER_SAFMR
zip 60025
safmr
4
$3,130
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.