Reads as: riskier than 93.3% 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
4
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+24.0 vs natl
FRIEDMAN SHANA
7 facilities
connection
Owner fleet risk far above national
+22.9 vs natl
BEATTY BRITTANY
6 facilities
connection
Owner fleet enforcement cluster
42% fined
FRIEDMAN BENJAMIN
26 facilities
connection
Owner fleet enforcement cluster
40% fined
PLEW ANDREA
15 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
3.22
3.39
3.28
2.90–3.77
RN
0.44
0.39
0.39
0.25–0.58
Weekend total
3.02
3.26
3.11
—
Weekday total
3.30
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
106.7
3.22
0.44
0.53
2.25
3.02
0.0%
2025Q3
92
107.3
3.17
0.44
0.51
2.22
2.88
1.6%
2025Q2
91
108.8
3.09
0.35
0.60
2.14
2.85
0.0%
2025Q1
90
114.0
3.06
0.45
0.51
2.11
2.93
0.0%
2024Q4
92
105.2
3.14
0.51
0.56
2.06
2.83
1.3%
2024Q3
92
95.6
3.10
0.51
0.53
2.06
2.92
3.4%
2024Q2
91
97.7
3.38
0.56
0.65
2.17
3.10
4.3%
2024Q1
91
94.5
3.44
0.48
0.70
2.26
3.27
7.4%
2023Q4
92
90.2
3.46
0.50
0.74
2.21
3.37
7.4%
2023Q3
92
91.6
3.76
0.61
1.02
2.13
3.45
7.2%
2023Q2
91
89.4
3.84
0.65
1.06
2.13
3.52
3.4%
2023Q1
90
87.7
3.71
0.68
1.06
1.97
3.40
0.0%
2022Q4
92
87.5
3.43
0.68
1.02
1.73
2.93
9.2%
2022Q3
92
85.6
3.81
0.71
0.91
2.19
3.38
9.9%
2022Q2
91
81.7
3.78
0.67
0.89
2.23
3.47
5.1%
2022Q1
90
88.3
3.76
0.65
0.78
2.33
3.53
3.2%
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-04-23
2025-04-09
Health
F0551
Give the resident's representative the ability to exercise the resident's rights.
D
2025-04-23
2025-04-09
Health
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
E
2025-04-23
2025-04-09
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
D
2025-04-23
2025-04-09
Health
F0576
Ensure residents have reasonable access to and privacy in their use of communication methods.
E
2025-04-23
2025-04-09
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2025-04-23
2025-04-09
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2025-04-23
2025-04-09
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
2025-04-23
2025-04-09
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-04-23
2025-04-09
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-04-23
2025-04-09
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-04-23
2025-04-09
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2025-04-23
2025-04-09
Health
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2025-05-01
2025-04-09
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
E
2025-04-23
2025-04-09
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-04-23
2025-04-09
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-05-09
2024-10-22
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-11-08
2024-01-23
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
B
2024-02-28
2024-01-23
Health
F0638
Assure that each resident’s assessment is updated at least once every 3 months.
C
2024-02-19
2024-01-23
Health
F0641
Ensure each resident receives an accurate assessment.
B
2024-02-19
2024-01-23
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
2024-02-19
2024-01-23
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
2024-02-19
2024-01-23
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
2024-02-19
2024-01-23
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-02-19
2022-07-26
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
E
2022-09-13
2022-07-26
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.
E
2022-09-13
2022-07-26
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2022-09-13
2022-07-26
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-09-13
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
36
Owner
Role
Pct
From
Status
Source
FRIEDMAN, SHANA
5% OR GREATER DIRECT OWNERSHIP INTEREST
12%
2023-09-01
current
pecos_ownership
COM FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2023-10-16
current
pecos_ownership
AGAWAM NORTH PROPCO LLC
ADP OF THE SNF
—
2023-10-16
current
pecos_ownership
ASHKAR, RAMI
ADP OF THE SNF
—
2023-10-16
current
pecos_ownership
BEATTY, BRITTANY
ADP OF THE SNF
—
2023-10-16
current
pecos_ownership
E NEWHOUSE FAMILY TRUST
ADP OF THE SNF
—
2023-10-16
current
pecos_ownership
ERBLICH, AVRAHAM
ADP OF THE SNF
—
2023-10-16
current
pecos_ownership
ETN FAMILY HOLDINGS LLC
ADP OF THE SNF
—
2023-10-16
current
pecos_ownership
FRIEDMAN, BENJAMIN
ADP OF THE SNF
—
2023-10-16
current
pecos_ownership
MILLMAN, CHAIM
MANAGING CONTROL - GOVERNING BODY
—
2023-10-16
current
pecos_ownership
NEWHOUSE, ERIC
DIRECT OWNERSHIP INTEREST
—
2023-10-16
current
pecos_ownership
PLEW, ANDREA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-16
current
pecos_ownership
SHEPS, BORUCH
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-16
current
pecos_ownership
STERN THERAPY CONSULTANTS LLC
ADP OF THE SNF
—
2025-07-13
current
pecos_ownership
STERN THERAPY CONSULTANTS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-16
current
pecos_ownership
STERN, BEZALEL
ADP OF THE SNF
—
2023-10-16
current
pecos_ownership
T NEWHOUSE FAMILY TRUST
ADP OF THE SNF
—
2023-10-16
current
pecos_ownership
TAZIFOR, ROGER
ADP OF THE SNF
—
2023-10-16
current
pecos_ownership
TAZIFOR, ROGER
OPERATIONAL/MANAGERIAL CONTROL
—
2023-11-27
current
pecos_ownership
TLCO HOLDINGS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-16
current
pecos_ownership
TLM FAMILY TRUST
ADP OF THE SNF
—
2023-10-16
current
pecos_ownership
AVRAHAM ERBLICH
OPERATIONAL/MANAGERIAL CONTROL
100%
2023-10-16
ended 2026-05-18
pecos_ownership
CHAIM MILLMAN
CORPORATE OFFICER
100%
2023-10-16
ended 2026-05-18
pecos_ownership
ETN FAMILY HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
21%
2023-09-01
ended 2026-05-18
pecos_ownership
TLCO HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
21%
2023-09-01
ended 2026-05-18
pecos_ownership
BORUCH SHEPS
5% OR GREATER DIRECT OWNERSHIP INTEREST
15%
2023-10-16
ended 2026-05-18
pecos_ownership
AVRAHAM ERBLICH
5% OR GREATER DIRECT OWNERSHIP INTEREST
14%
2023-09-01
ended 2026-05-18
pecos_ownership
SHANA FRIEDMAN
5% OR GREATER DIRECT OWNERSHIP INTEREST
12%
2023-09-01
ended 2026-05-18
pecos_ownership
BEZALEL STERN
5% OR GREATER DIRECT OWNERSHIP INTEREST
9%
2023-10-16
ended 2026-05-18
pecos_ownership
BENJAMIN FRIEDMAN
DIRECT OWNERSHIP INTEREST
4%
2023-10-16
ended 2026-05-18
pecos_ownership
BRITTANY BEATTY
DIRECT OWNERSHIP INTEREST
2%
2023-10-16
ended 2026-05-18
pecos_ownership
ERIC NEWHOUSE
DIRECT OWNERSHIP INTEREST
0%
2023-10-16
ended 2026-05-18
pecos_ownership
ANDREA PLEW
ADP OF THE SNF
—
2023-10-16
ended 2026-05-18
pecos_ownership
RAMI ASHKAR
MANAGING CONTROL - GOVERNING BODY
—
2023-10-16
ended 2026-05-18
pecos_ownership
ROGER TAZIFOR
OPERATIONAL/MANAGERIAL CONTROL
—
2023-11-27
ended 2026-05-18
pecos_ownership
ROGER TAZIFOR
ADP OF THE SNF
—
2023-10-16
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
2024-12-31
$2,583,573
—
—
$873,913
—
23
—
2023-12-31
$3,540,796
—
—
—
—
21
—
2023-10-15
$2,952,439
$513,937
$607,616
$1,081,246
$697,863
6
—
2022-12-31
$5,446,703
$621,016
$729,139
$1,783,434
$2,256,558
6
—
2021-12-31
$3,868,461
—
$634,699
$2,036,665
$1,142,761
5
—
2020-12-31
$2,182,940
—
$554,569
$1,531,171
$41,590
9
—
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
29
Geo
Kind
BR
Amount
As of
Source
county 25013
acs median gross
0
$826
2024-12-31
CENSUS_ACS5
county 25013
acs median gross
1
$869
2024-12-31
CENSUS_ACS5
county 25013
acs median gross
2
$1,234
2024-12-31
CENSUS_ACS5
county 25013
acs median gross
3
$1,408
2024-12-31
CENSUS_ACS5
county 25013
acs median gross
4
$1,461
2024-12-31
CENSUS_ACS5
county 25013
acs median gross
5
$1,586
2024-12-31
CENSUS_ACS5
county 25013
acs median gross
$1,136
2024-12-31
CENSUS_ACS5
county 25013
acs recent mover gross
$1,231
2024-12-31
CENSUS_ACS5
zcta 01001
acs median gross
0
$850
2024-12-31
CENSUS_ACS5
zcta 01001
acs median gross
1
$1,133
2024-12-31
CENSUS_ACS5
zcta 01001
acs median gross
2
$1,429
2024-12-31
CENSUS_ACS5
zcta 01001
acs median gross
3
$1,652
2024-12-31
CENSUS_ACS5
zcta 01001
acs median gross
$1,318
2024-12-31
CENSUS_ACS5
zcta 01001
acs recent mover gross
$1,256
2024-12-31
CENSUS_ACS5
zip 01001
payment standard 110
0
$1,474
2025-10-01
HUD_USER_SAFMR
zip 01001
payment standard 90
0
$1,206
2025-10-01
HUD_USER_SAFMR
zip 01001
safmr
0
$1,340
2025-10-01
HUD_USER_SAFMR
zip 01001
payment standard 110
1
$1,672
2025-10-01
HUD_USER_SAFMR
zip 01001
payment standard 90
1
$1,368
2025-10-01
HUD_USER_SAFMR
zip 01001
safmr
1
$1,520
2025-10-01
HUD_USER_SAFMR
zip 01001
payment standard 110
2
$2,101
2025-10-01
HUD_USER_SAFMR
zip 01001
payment standard 90
2
$1,719
2025-10-01
HUD_USER_SAFMR
zip 01001
safmr
2
$1,910
2025-10-01
HUD_USER_SAFMR
zip 01001
payment standard 110
3
$2,574
2025-10-01
HUD_USER_SAFMR
zip 01001
payment standard 90
3
$2,106
2025-10-01
HUD_USER_SAFMR
zip 01001
safmr
3
$2,340
2025-10-01
HUD_USER_SAFMR
zip 01001
payment standard 110
4
$2,783
2025-10-01
HUD_USER_SAFMR
zip 01001
payment standard 90
4
$2,277
2025-10-01
HUD_USER_SAFMR
zip 01001
safmr
4
$2,530
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.