Reads as: riskier than 59.2% 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 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
MI median
National median
National p25–p75
Total nurse
3.31
3.52
3.28
2.90–3.77
RN
0.34
0.47
0.39
0.25–0.58
Weekend total
3.17
3.32
3.11
—
Weekday total
3.37
3.61
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
132.8
3.31
0.34
1.20
1.77
3.17
0.0%
2025Q3
92
131.2
3.33
0.34
1.19
1.80
3.20
0.0%
2025Q2
91
132.5
3.21
0.33
1.16
1.72
3.01
0.0%
2025Q1
90
138.4
3.12
0.35
1.10
1.67
2.92
0.0%
2024Q4
92
131.2
3.23
0.39
1.14
1.71
3.07
0.0%
2024Q3
92
126.2
3.28
0.37
1.11
1.80
3.20
0.0%
2024Q2
91
130.9
3.35
0.42
1.16
1.77
3.14
0.0%
2024Q1
91
131.4
3.22
0.39
1.17
1.66
3.03
0.0%
2023Q4
92
126.9
3.38
0.46
1.24
1.68
3.13
0.0%
2023Q3
92
132.4
3.19
0.40
1.18
1.61
2.85
0.0%
2023Q2
91
125.4
3.29
0.34
1.29
1.66
2.97
0.0%
2023Q1
90
131.4
3.24
0.38
1.37
1.49
2.94
0.0%
2022Q4
92
132.3
3.19
0.37
1.19
1.63
2.84
0.0%
2022Q3
92
124.2
3.44
0.39
1.25
1.79
3.10
4.3%
2022Q2
91
127.2
3.77
0.45
1.40
1.92
3.46
22.1%
2022Q1
90
125.5
3.87
0.49
1.40
1.97
3.56
19.5%
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-05-01
2025-07-02
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-07-24
2025-07-02
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2025-07-24
2025-07-02
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-07-24
2025-06-25
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-07-24
2025-06-25
Health
F0687
Provide appropriate foot care.
D
2025-07-24
2025-06-25
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-07-24
2024-06-13
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2024-07-09
2024-06-13
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
2024-07-09
2024-06-13
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-07-09
2024-06-13
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2024-07-09
2024-06-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-07-09
2024-06-13
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-07-09
2024-02-07
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2024-03-12
2024-02-07
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-03-12
2023-08-14
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-08-23
2023-08-14
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2023-08-23
2023-06-08
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2023-07-06
2023-06-08
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2023-07-06
2023-06-08
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-07-06
2023-06-08
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-07-06
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
16
Owner
Role
Pct
From
Status
Source
CANTON REAL ESTATE
Individual has financial interest in both related organization and provider
100%
2023-01-01
current
hcris_a_8_1
CANTON REAL ESTATE
Individual has financial interest in both related organization and provider
100%
2024-01-01
current
hcris_a_8_1
CIENA HEALTHCARE MANAGEMENT INC
ADP OF THE SNF
—
2025-03-25
current
pecos_ownership
CIENA HEALTHCARE MANAGEMENT INC
OPERATIONAL/MANAGERIAL CONTROL
—
2012-04-20
current
pecos_ownership
KHAN, ANIS
OPERATIONAL/MANAGERIAL CONTROL
—
2012-04-20
current
pecos_ownership
PATEL, FALGUN
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
PERUSKI, BRIAN
ADP OF THE SNF
—
2024-04-08
current
pecos_ownership
QAZI, MOHAMMAD
MANAGING CONTROL - GOVERNING BODY
—
2012-04-20
current
pecos_ownership
CANTON REAL ESTATE
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
CANTON REAL ESTATE
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
MOHAMMAD QAZI
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2022-09-09
ended 2026-05-18
pecos_ownership
ANIS KHAN
MANAGING CONTROL - GOVERNING BODY
—
2012-04-20
ended 2026-05-18
pecos_ownership
BRIAN PERUSKI
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-08
ended 2026-05-18
pecos_ownership
CANTON REAL
Individual has financial interest in both related organization and provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
FALGUN PATEL
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
MOHAMMAD QAZI
OPERATIONAL/MANAGERIAL CONTROL
—
2012-04-20
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
$2,114,651
$982,219
$1,071,734
—
—
3
propco
2023-12-31
$1,875,982
$821,902
$988,842
—
—
3
propco
2022-12-31
$2,503,962
$1,358,622
$1,070,643
—
—
3
propco
2021-12-31
$2,566,083
—
$974,632
—
—
3
propco
2020-12-31
$2,532,665
$1,440,880
$824,069
—
$267,716
3
propco
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 26163
acs median gross
0
$876
2024-12-31
CENSUS_ACS5
county 26163
fmr
0
$1,009
2025-10-01
HUD_USER_FMR
county 26163
acs median gross
1
$876
2024-12-31
CENSUS_ACS5
county 26163
fmr
1
$1,122
2025-10-01
HUD_USER_FMR
county 26163
acs median gross
2
$1,144
2024-12-31
CENSUS_ACS5
county 26163
fmr
2
$1,411
2025-10-01
HUD_USER_FMR
county 26163
acs median gross
3
$1,310
2024-12-31
CENSUS_ACS5
county 26163
fmr
3
$1,724
2025-10-01
HUD_USER_FMR
county 26163
acs median gross
4
$1,395
2024-12-31
CENSUS_ACS5
county 26163
fmr
4
$1,868
2025-10-01
HUD_USER_FMR
county 26163
acs median gross
5
$1,431
2024-12-31
CENSUS_ACS5
county 26163
acs median gross
$1,132
2024-12-31
CENSUS_ACS5
county 26163
acs recent mover gross
$1,309
2024-12-31
CENSUS_ACS5
zcta 48188
acs median gross
0
$1,326
2024-12-31
CENSUS_ACS5
zcta 48188
acs median gross
1
$1,343
2024-12-31
CENSUS_ACS5
zcta 48188
acs median gross
2
$1,491
2024-12-31
CENSUS_ACS5
zcta 48188
acs median gross
3
$1,812
2024-12-31
CENSUS_ACS5
zcta 48188
acs median gross
4
$2,162
2024-12-31
CENSUS_ACS5
zcta 48188
acs median gross
$1,560
2024-12-31
CENSUS_ACS5
zcta 48188
acs recent mover gross
$1,488
2024-12-31
CENSUS_ACS5
zip 48188
payment standard 110
0
$1,474
2025-10-01
HUD_USER_SAFMR
zip 48188
payment standard 90
0
$1,206
2025-10-01
HUD_USER_SAFMR
zip 48188
safmr
0
$1,340
2025-10-01
HUD_USER_SAFMR
zip 48188
payment standard 110
1
$1,639
2025-10-01
HUD_USER_SAFMR
zip 48188
payment standard 90
1
$1,341
2025-10-01
HUD_USER_SAFMR
zip 48188
safmr
1
$1,490
2025-10-01
HUD_USER_SAFMR
zip 48188
payment standard 110
2
$2,068
2025-10-01
HUD_USER_SAFMR
zip 48188
payment standard 90
2
$1,692
2025-10-01
HUD_USER_SAFMR
zip 48188
safmr
2
$1,880
2025-10-01
HUD_USER_SAFMR
zip 48188
payment standard 110
3
$2,530
2025-10-01
HUD_USER_SAFMR
zip 48188
payment standard 90
3
$2,070
2025-10-01
HUD_USER_SAFMR
zip 48188
safmr
3
$2,300
2025-10-01
HUD_USER_SAFMR
zip 48188
payment standard 110
4
$2,739
2025-10-01
HUD_USER_SAFMR
zip 48188
payment standard 90
4
$2,241
2025-10-01
HUD_USER_SAFMR
zip 48188
safmr
4
$2,490
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.