Reads as: riskier than 68.6% 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
5
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+25.2 vs natl
ZAMAN ASAD
21 facilities
connection
Owner spans multiple chains
9 chains
ZAMAN ASAD
20 facilities
connection
Owner fleet enforcement cluster
71% fined
ZAMAN ASAD
21 facilities
connection
Owner fleet enforcement cluster
42% fined
FRIEDMAN BENJAMIN
26 facilities
connection
Owner fleet enforcement cluster
40% fined
NEWHOUSE TEMI
10 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
3.36
3.13
3.28
2.90–3.77
RN
0.39
0.49
0.39
0.25–0.58
Weekend total
3.14
2.93
3.11
—
Weekday total
3.45
3.23
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
40.0
3.36
0.39
0.63
2.35
3.14
0.0%
2025Q3
92
38.8
3.23
0.38
0.58
2.26
3.00
0.0%
2025Q2
91
34.9
3.43
0.32
0.71
2.41
3.30
0.0%
2025Q1
90
34.0
3.49
0.33
0.65
2.51
3.33
0.0%
2024Q4
92
30.6
3.51
0.29
0.49
2.73
3.29
0.5%
2024Q3
92
31.0
3.06
0.27
0.38
2.41
3.16
0.0%
2024Q2
91
27.9
3.11
0.11
0.65
2.35
3.10
0.0%
2024Q1
91
28.3
2.99
0.02
0.75
2.22
2.89
0.0%
2023Q4
92
33.2
3.18
0.02
0.73
2.43
3.01
0.0%
2023Q3
92
34.3
3.09
0.11
0.74
2.23
2.85
0.0%
2023Q2
91
35.7
2.96
0.16
0.60
2.20
2.58
0.0%
2023Q1
90
30.8
3.25
0.23
0.52
2.50
3.00
0.0%
2022Q4
92
31.9
3.34
0.26
0.46
2.62
3.18
0.0%
2022Q3
92
31.5
3.23
0.25
0.41
2.56
3.04
1.0%
2022Q2
91
32.2
2.91
0.13
0.56
2.22
2.81
0.0%
2022Q1
90
31.9
3.03
0.19
0.48
2.36
2.86
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2026-02-07
2024-06-25
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-07-18
2024-06-25
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-07-18
2024-06-25
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2024-07-18
2024-06-25
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
2024-07-18
2024-06-25
Health
F0912
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
B
2024-07-18
2023-12-14
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
2024-01-10
2023-12-14
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2024-01-10
2023-12-14
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2024-01-10
2023-12-14
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-01-10
2023-12-14
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.
F
2024-01-10
2023-09-25
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
2023-10-05
2023-09-25
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
2023-08-22
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
E
2023-08-25
2023-08-22
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E
2023-08-25
2023-05-18
Health
F0576
Ensure residents have reasonable access to and privacy in their use of communication methods.
C
2023-05-31
2023-05-18
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2023-05-30
2023-05-18
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-06-01
2023-05-18
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-06-01
2023-05-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-06-01
2023-05-18
Health
F0912
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
F
2023-05-30
2022-05-17
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
E
2022-06-01
2022-05-17
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
2022-06-01
2022-05-17
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2022-06-01
2022-05-17
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
2022-06-01
2022-05-17
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F
2022-06-01
2022-05-17
Health
F0732
Post nurse staffing information every day.
C
2022-06-01
2022-05-17
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2022-06-01
2022-05-17
Health
F0909
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
E
2022-06-01
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
34
Owner
Role
Pct
From
Status
Source
TWIN LAKES PROPERTY COMPANY
Individual has financial interest in both related organization and provider
100%
2023-01-01
current
hcris_a_8_1
TWIN LAKES PROPERTY COMPANY
Individual has financial interest in both related organization and provider
100%
2023-12-01
current
hcris_a_8_1
COM FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
12%
2024-12-01
current
pecos_ownership
DEAN, GENETTIA
ADP OF THE SNF
—
2025-03-01
current
pecos_ownership
DEAN, GENETTIA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-01
current
pecos_ownership
ERBLICH, AVRAHAM
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-01
current
pecos_ownership
ETN FAMILY HOLDINGS LLC
DIRECT OWNERSHIP INTEREST
—
2024-12-01
current
pecos_ownership
ETN FAMILY HOLDINGS LLC
ADP OF THE SNF
—
2025-02-22
current
pecos_ownership
FRIEDMAN, BENJAMIN
ADP OF THE SNF
—
2024-12-01
current
pecos_ownership
MILLMAN, CHAIM
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-01
current
pecos_ownership
NEWHOUSE, ERIC
INDIRECT OWNERSHIP INTEREST
—
2024-12-01
current
pecos_ownership
NEWHOUSE, TEMI
TRUSTEE OF THE SNF
—
2024-12-01
current
pecos_ownership
SHEPS, BORUCH
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-01
current
pecos_ownership
STERN, BEZALEL
DIRECT OWNERSHIP INTEREST
—
2024-12-01
current
pecos_ownership
THE ESTATE OF PETER SCHORR
DIRECT OWNERSHIP INTEREST
—
2024-12-01
current
pecos_ownership
TLCO HOLDINGS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-01
current
pecos_ownership
ZAMAN, ASAD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-01
current
pecos_ownership
TWIN LAKES PROPERTY COMPANY
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
TWIN LAKES PROPERTY COMPANY
Individual has financial interest in both related organization and provider
100%
2020-01-01
ended 2020-07-31
hcris_a_8_1
TWIN LAKES PROPERTY COMPANY
Individual has financial interest in both related organization and provider
100%
2020-08-01
ended 2020-12-31
hcris_a_8_1
TWIN LAKES PROPERTY COMPANY
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
AVRAHAM ERBLICH
5% OR GREATER DIRECT OWNERSHIP INTEREST
16%
2024-12-01
ended 2026-05-18
pecos_ownership
BENJAMIN FRIEDMAN
5% OR GREATER DIRECT OWNERSHIP INTEREST
15%
2024-12-01
ended 2026-05-18
pecos_ownership
E NEWHOUSE FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
12%
2024-12-01
ended 2026-05-18
pecos_ownership
T NEWHOUSE FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
12%
2024-12-01
ended 2026-05-18
pecos_ownership
TLM FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
12%
2024-12-01
ended 2026-05-18
pecos_ownership
BORUCH SHEPS
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2024-12-01
ended 2026-05-18
pecos_ownership
BEZALEL STERN
DIRECT OWNERSHIP INTEREST
5%
2024-12-01
ended 2026-05-18
pecos_ownership
CHAIM MILLMAN
INDIRECT OWNERSHIP INTEREST
1%
2024-12-01
ended 2026-05-18
pecos_ownership
ERIC NEWHOUSE
INDIRECT OWNERSHIP INTEREST
1%
2024-12-01
ended 2026-05-18
pecos_ownership
ASAD ZAMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-01
ended 2026-05-18
pecos_ownership
GENETTIA DEAN
ADP OF THE SNF
—
2025-03-01
ended 2026-05-18
pecos_ownership
GENETTIA DEAN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-01
ended 2026-05-18
pecos_ownership
TEMI NEWHOUSE
TRUSTEE OF THE SNF
—
2024-12-01
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
2024-11-30
$253,395
$130,896
$122,499
—
—
2
propco
2023-12-31
$486,977
—
$73,324
—
—
2
propco
2022-12-31
$512,666
—
$77,708
—
—
2
propco
2021-12-31
$564,213
—
$84,977
—
—
2
propco
2020-12-31
$470,738
—
$82,160
—
—
2
propco
2020-07-31
$115,939
—
—
—
—
3
propco
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
33
Geo
Kind
BR
Amount
As of
Source
county 17045
acs median gross
0
$1,056
2024-12-31
CENSUS_ACS5
county 17045
fmr
0
$632
2025-10-01
HUD_USER_FMR
county 17045
acs median gross
1
$593
2024-12-31
CENSUS_ACS5
county 17045
fmr
1
$768
2025-10-01
HUD_USER_FMR
county 17045
acs median gross
2
$736
2024-12-31
CENSUS_ACS5
county 17045
fmr
2
$916
2025-10-01
HUD_USER_FMR
county 17045
acs median gross
3
$860
2024-12-31
CENSUS_ACS5
county 17045
fmr
3
$1,226
2025-10-01
HUD_USER_FMR
county 17045
acs median gross
4
$1,138
2024-12-31
CENSUS_ACS5
county 17045
fmr
4
$1,405
2025-10-01
HUD_USER_FMR
county 17045
acs median gross
$775
2024-12-31
CENSUS_ACS5
county 17045
acs recent mover gross
$1,096
2024-12-31
CENSUS_ACS5
zcta 61944
acs median gross
1
$615
2024-12-31
CENSUS_ACS5
zcta 61944
acs median gross
2
$736
2024-12-31
CENSUS_ACS5
zcta 61944
acs median gross
3
$871
2024-12-31
CENSUS_ACS5
zcta 61944
acs median gross
4
$1,206
2024-12-31
CENSUS_ACS5
zcta 61944
acs median gross
$786
2024-12-31
CENSUS_ACS5
zcta 61944
acs recent mover gross
$1,118
2024-12-31
CENSUS_ACS5
zip 61944
payment standard 110
0
$693
2025-10-01
HUD_USER_SAFMR
zip 61944
payment standard 90
0
$567
2025-10-01
HUD_USER_SAFMR
zip 61944
safmr
0
$630
2025-10-01
HUD_USER_SAFMR
zip 61944
payment standard 110
1
$847
2025-10-01
HUD_USER_SAFMR
zip 61944
payment standard 90
1
$693
2025-10-01
HUD_USER_SAFMR
zip 61944
safmr
1
$770
2025-10-01
HUD_USER_SAFMR
zip 61944
payment standard 110
2
$1,012
2025-10-01
HUD_USER_SAFMR
zip 61944
payment standard 90
2
$828
2025-10-01
HUD_USER_SAFMR
zip 61944
safmr
2
$920
2025-10-01
HUD_USER_SAFMR
zip 61944
payment standard 110
3
$1,353
2025-10-01
HUD_USER_SAFMR
zip 61944
payment standard 90
3
$1,107
2025-10-01
HUD_USER_SAFMR
zip 61944
safmr
3
$1,230
2025-10-01
HUD_USER_SAFMR
zip 61944
payment standard 110
4
$1,540
2025-10-01
HUD_USER_SAFMR
zip 61944
payment standard 90
4
$1,260
2025-10-01
HUD_USER_SAFMR
zip 61944
safmr
4
$1,400
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.