Reads as: riskier than 64.0% 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
5
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
5 chains
PREFERRED THERAPY SOLUTIONS LLC
25 facilities
connection
Owner spans multiple chains
4 chains
OSTREICHER DAVID
18 facilities
connection
Owner spans multiple chains
4 chains
OSTREICHER MARC
24 facilities
connection
Owner spans multiple chains
4 chains
NATIONAL HEALTH CARE ASSOCIATES INC
24 facilities
connection
Owner spans multiple chains
4 chains
OSTREICHER MARVIN
29 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
MA median
National median
National p25–p75
Total nurse
3.79
3.39
3.28
2.90–3.77
RN
0.49
0.39
0.39
0.25–0.58
Weekend total
3.55
3.26
3.11
—
Weekday total
3.89
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
132.0
3.79
0.49
1.14
2.17
3.55
9.2%
2025Q3
92
134.8
3.69
0.46
1.00
2.23
3.54
8.6%
2025Q2
91
133.1
3.65
0.43
1.02
2.20
3.49
8.3%
2025Q1
90
134.5
3.66
0.37
1.09
2.19
3.51
7.5%
2024Q4
92
133.0
3.58
0.39
1.08
2.12
3.47
13.1%
2024Q3
92
130.0
3.49
0.40
1.07
2.02
3.33
15.7%
2024Q2
91
123.3
3.60
0.37
1.14
2.10
3.54
19.9%
2024Q1
91
123.3
3.59
0.42
1.12
2.05
3.50
22.9%
2023Q4
92
121.0
3.48
0.36
1.18
1.95
3.32
24.4%
2023Q3
92
121.2
3.44
0.35
1.20
1.89
3.21
33.0%
2023Q2
91
119.4
3.35
0.40
1.13
1.83
3.13
40.4%
2023Q1
90
117.6
3.39
0.36
1.19
1.83
3.27
36.5%
2022Q4
92
113.5
3.39
0.26
1.29
1.84
3.33
34.8%
2022Q3
92
115.0
3.41
0.26
1.21
1.94
3.34
39.3%
2022Q2
91
119.4
3.38
0.23
1.28
1.86
3.30
33.8%
2022Q1
90
107.8
3.42
0.32
1.17
1.94
3.27
28.7%
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.
Reasonably accommodate the needs and preferences of each resident.
D
2026-02-13
2026-01-13
Health
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
2026-02-13
2026-01-13
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
B
2026-02-13
2026-01-13
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2026-02-13
2026-01-13
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
2026-02-13
2026-01-13
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2026-02-13
2026-01-13
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2026-02-13
2026-01-13
Health
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
E
2026-02-13
2024-10-15
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
2024-11-08
2024-10-15
Health · complaint
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2024-11-08
2024-10-15
Health · complaint
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2024-11-08
2024-10-15
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2024-11-08
2024-10-02
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-11-04
2024-10-02
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
2024-11-04
2024-10-02
Health
F0646
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
B
2024-11-04
2024-10-02
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
2024-11-04
2024-10-02
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
2024-11-04
2024-10-02
Health
F0660
Plan the resident's discharge to meet the resident's goals and needs.
D
2024-11-04
2024-10-02
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2024-11-04
2024-10-02
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2024-11-04
2024-10-02
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2024-11-04
2024-10-02
Health
F0742
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
D
2024-11-04
2024-10-02
Health
F0760
Ensure that residents are free from significant medication errors.
D
2024-11-04
2024-10-02
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
2024-11-04
2024-10-02
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-11-04
2023-07-11
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2023-08-02
2023-07-11
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
2023-08-02
2023-07-11
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-08-02
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
53
Owner
Role
Pct
From
Status
Source
BOKOW, BARRY
INDIRECT OWNERSHIP INTEREST
—
2013-01-28
current
pecos_ownership
BOKOW, BARRY
ADP OF THE SNF
—
2016-07-01
current
pecos_ownership
DAVID, ALBERT
INDIRECT OWNERSHIP INTEREST
—
2013-01-28
current
pecos_ownership
GEFFNER, IRA
INDIRECT OWNERSHIP INTEREST
—
2013-01-28
current
pecos_ownership
GILMARTIN, THOMAS
ADP OF THE SNF
—
2016-07-01
current
pecos_ownership
GILMARTIN, THOMAS
CORPORATE DIRECTOR
—
2013-01-28
current
pecos_ownership
GLUCK, ROBERT
INDIRECT OWNERSHIP INTEREST
—
2013-01-28
current
pecos_ownership
IDUMWONYI, EGHOSA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-16
current
pecos_ownership
IDUMWONYI, EGHOSA
ADP OF THE SNF
—
2025-07-30
current
pecos_ownership
LOBELL, JONAH
INDIRECT OWNERSHIP INTEREST
—
2013-01-28
current
pecos_ownership
LOWINGER, BEN
INDIRECT OWNERSHIP INTEREST
—
2013-01-28
current
pecos_ownership
LOWINGER, JOSEPH
INDIRECT OWNERSHIP INTEREST
—
2013-01-28
current
pecos_ownership
MARVIN OSTREICHER FAMILY TRUST 2012
INDIRECT OWNERSHIP INTEREST
—
2013-01-28
current
pecos_ownership
MERIDIAN CAPITAL FOUNDATION
INDIRECT OWNERSHIP INTEREST
—
2013-01-28
current
pecos_ownership
MSO ASSOCIATES LLC
INDIRECT OWNERSHIP INTEREST
—
2013-01-28
current
pecos_ownership
NATIONAL HEALTH CARE ASSOCIATES INC
ADP OF THE SNF
—
2013-01-28
current
pecos_ownership
OSTREICHER, DAVID
INDIRECT OWNERSHIP INTEREST
—
2013-01-28
current
pecos_ownership
OSTREICHER, MARC
INDIRECT OWNERSHIP INTEREST
—
2013-01-28
current
pecos_ownership
OSTREICHER, MARVIN
INDIRECT OWNERSHIP INTEREST
—
2013-01-28
current
pecos_ownership
OSTREICHER, SUSAN
INDIRECT OWNERSHIP INTEREST
—
2013-01-28
current
pecos_ownership
PREFERRED THERAPY SOLUTIONS, LLC
ADP OF THE SNF
—
2013-01-28
current
pecos_ownership
PROCARE LTC HOLDING LLC
ADP OF THE SNF
—
2016-01-01
current
pecos_ownership
SCHOOR, KALMAN
INDIRECT OWNERSHIP INTEREST
—
2013-01-28
current
pecos_ownership
SHALLER, CAITLIN
ADP OF THE SNF
—
2025-07-30
current
pecos_ownership
SHALLER, CAITLIN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-03-01
current
pecos_ownership
SHAYA-MOGRABY, MOSHE
INDIRECT OWNERSHIP INTEREST
—
2013-01-28
current
pecos_ownership
STEG, YITZCHOK
INDIRECT OWNERSHIP INTEREST
—
2013-01-28
current
pecos_ownership
SUSAN OSTREICHER FAMILY TRUST 2012
INDIRECT OWNERSHIP INTEREST
—
2013-01-28
current
pecos_ownership
VENTAS NHV FUND
INDIRECT OWNERSHIP INTEREST
—
2013-01-28
current
pecos_ownership
WEINSTOCK, ABRAHAM
INDIRECT OWNERSHIP INTEREST
—
2013-01-28
current
pecos_ownership
MARVIN OSTREICHER
CORPORATE DIRECTOR
100%
2013-01-28
ended 2026-05-18
pecos_ownership
VK HEALTH FACILITIES LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2013-01-15
ended 2026-05-18
pecos_ownership
THOMAS GILMARTIN
CORPORATE DIRECTOR
50%
2013-01-28
ended 2026-05-18
pecos_ownership
BARRY BOKOW
CORPORATE DIRECTOR
25%
2013-01-28
ended 2026-05-18
pecos_ownership
SUSAN OSTREICHER
INDIRECT OWNERSHIP INTEREST
18%
2013-01-28
ended 2026-05-18
pecos_ownership
ABRAHAM WEINSTOCK
INDIRECT OWNERSHIP INTEREST
7%
2013-01-28
ended 2026-05-18
pecos_ownership
JONAH LOBELL
INDIRECT OWNERSHIP INTEREST
7%
2013-01-28
ended 2026-05-18
pecos_ownership
KALMAN SCHOOR
INDIRECT OWNERSHIP INTEREST
7%
2013-01-28
ended 2026-05-18
pecos_ownership
ROBERT GLUCK
INDIRECT OWNERSHIP INTEREST
7%
2013-01-28
ended 2026-05-18
pecos_ownership
MARC OSTREICHER
INDIRECT OWNERSHIP INTEREST
5%
2013-01-28
ended 2026-05-18
pecos_ownership
YITZCHOK STEG
INDIRECT OWNERSHIP INTEREST
5%
2013-01-28
ended 2026-05-18
pecos_ownership
ALBERT DAVID
INDIRECT OWNERSHIP INTEREST
4%
2013-01-28
ended 2026-05-18
pecos_ownership
MOSHE SHAYA-MOGRABY
INDIRECT OWNERSHIP INTEREST
4%
2013-01-28
ended 2026-05-18
pecos_ownership
BEN LOWINGER
INDIRECT OWNERSHIP INTEREST
3%
2013-01-28
ended 2026-05-18
pecos_ownership
JOSEPH LOWINGER
INDIRECT OWNERSHIP INTEREST
3%
2013-01-28
ended 2026-05-18
pecos_ownership
DAVID OSTREICHER
INDIRECT OWNERSHIP INTEREST
2%
2013-01-28
ended 2026-05-18
pecos_ownership
IRA GEFFNER
INDIRECT OWNERSHIP INTEREST
2%
2013-01-28
ended 2026-05-18
pecos_ownership
BARRY BOKOW
ADP OF THE SNF
—
2016-07-01
ended 2026-05-18
pecos_ownership
CAITLIN SHALLER
ADP OF THE SNF
—
2025-07-30
ended 2026-05-18
pecos_ownership
CAITLIN SHALLER
OPERATIONAL/MANAGERIAL CONTROL
—
2023-03-01
ended 2026-05-18
pecos_ownership
EGHOSA IDUMWONYI
ADP OF THE SNF
—
2025-07-30
ended 2026-05-18
pecos_ownership
EGHOSA IDUMWONYI
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-16
ended 2026-05-18
pecos_ownership
THOMAS GILMARTIN
ADP OF THE SNF
—
2016-07-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$3,129,478
—
—
$829,092
$866,060
10
—
2023-12-31
$5,342,743
—
—
$739,474
$3,222,652
10
—
2022-12-31
$4,624,774
—
—
$628,725
$2,995,162
10
—
2021-12-31
$2,781,874
—
—
$608,751
$1,145,510
14
—
2020-12-31
$2,342,405
—
—
$726,692
$790,154
30
—
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 25017
acs median gross
0
$1,773
2024-12-31
CENSUS_ACS5
county 25017
acs median gross
1
$1,807
2024-12-31
CENSUS_ACS5
county 25017
acs median gross
2
$2,336
2024-12-31
CENSUS_ACS5
county 25017
acs median gross
3
$2,612
2024-12-31
CENSUS_ACS5
county 25017
acs median gross
4
$2,955
2024-12-31
CENSUS_ACS5
county 25017
acs median gross
5
$2,755
2024-12-31
CENSUS_ACS5
county 25017
acs median gross
$2,201
2024-12-31
CENSUS_ACS5
county 25017
acs recent mover gross
$2,657
2024-12-31
CENSUS_ACS5
zcta 01752
acs median gross
0
$997
2024-12-31
CENSUS_ACS5
zcta 01752
acs median gross
1
$1,667
2024-12-31
CENSUS_ACS5
zcta 01752
acs median gross
2
$2,037
2024-12-31
CENSUS_ACS5
zcta 01752
acs median gross
3
$2,296
2024-12-31
CENSUS_ACS5
zcta 01752
acs median gross
4
$2,521
2024-12-31
CENSUS_ACS5
zcta 01752
acs median gross
$1,871
2024-12-31
CENSUS_ACS5
zcta 01752
acs recent mover gross
$2,313
2024-12-31
CENSUS_ACS5
zip 01752
payment standard 110
0
$2,244
2025-10-01
HUD_USER_SAFMR
zip 01752
payment standard 90
0
$1,836
2025-10-01
HUD_USER_SAFMR
zip 01752
safmr
0
$2,040
2025-10-01
HUD_USER_SAFMR
zip 01752
payment standard 110
1
$2,376
2025-10-01
HUD_USER_SAFMR
zip 01752
payment standard 90
1
$1,944
2025-10-01
HUD_USER_SAFMR
zip 01752
safmr
1
$2,160
2025-10-01
HUD_USER_SAFMR
zip 01752
payment standard 110
2
$2,816
2025-10-01
HUD_USER_SAFMR
zip 01752
payment standard 90
2
$2,304
2025-10-01
HUD_USER_SAFMR
zip 01752
safmr
2
$2,560
2025-10-01
HUD_USER_SAFMR
zip 01752
payment standard 110
3
$3,388
2025-10-01
HUD_USER_SAFMR
zip 01752
payment standard 90
3
$2,772
2025-10-01
HUD_USER_SAFMR
zip 01752
safmr
3
$3,080
2025-10-01
HUD_USER_SAFMR
zip 01752
payment standard 110
4
$3,729
2025-10-01
HUD_USER_SAFMR
zip 01752
payment standard 90
4
$3,051
2025-10-01
HUD_USER_SAFMR
zip 01752
safmr
4
$3,390
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.