Reads as: riskier than 71.8% 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
+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
+29.7 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
+28.1 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
+26.3 vs natl
BERKOWITZ DAVID
77 facilities
connection
Owner fleet risk far above national
+26.2 vs natl
MEYSTEL YOSEF
77 facilities
connection
Owner fleet risk far above national
+23.8 vs natl
SIDDIQUI MOHAMMED
7 facilities
connection
Owner fleet risk far above national
+23.6 vs natl
GOLDWATER CARE MANAGEMENT LLC
11 facilities
connection
Owner fleet risk far above national
+22.7 vs natl
STACHOWIAK MELISSA
10 facilities
connection
Owner fleet risk far above national
+22.7 vs natl
TVERSKY AARON
10 facilities
connection
Owner fleet risk far above national
+20.8 vs natl
KATZENSTEIN MEIR
9 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
MEYSTEL YOSEF
73 facilities
connection
Owner spans multiple chains
8 chains
CURIS SERVICES LLC
81 facilities
connection
Owner spans multiple chains
8 chains
BERKOWITZ DAVID
73 facilities
connection
Owner spans multiple chains
5 chains
DAVID A BERKOWITZ DELTA TRUST
36 facilities
connection
Owner spans multiple chains
5 chains
YOSEF MEYSTEL DELTA TRUST
37 facilities
connection
Owner spans multiple chains
5 chains
SIDDIQUI MOHAMMED
5 facilities
connection
Owner fleet enforcement cluster
73% fined
GOLDWATER CARE MANAGEMENT LLC
11 facilities
connection
Owner fleet enforcement cluster
70% fined
TVERSKY AARON
10 facilities
connection
Owner fleet enforcement cluster
70% fined
STACHOWIAK MELISSA
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
2.88
3.13
3.28
2.90–3.77
RN
0.56
0.49
0.39
0.25–0.58
Weekend total
2.82
2.93
3.11
—
Weekday total
2.90
3.23
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
66.9
2.88
0.56
0.41
1.90
2.82
5.6%
2025Q3
92
68.5
2.77
0.56
0.35
1.86
2.69
2.4%
2025Q2
91
66.3
2.96
0.56
0.37
2.04
2.85
1.3%
2025Q1
90
70.7
2.77
0.56
0.30
1.90
2.70
0.3%
2024Q4
92
69.3
2.87
0.58
0.37
1.92
2.74
4.0%
2024Q3
92
71.0
2.81
0.43
0.48
1.90
2.62
8.3%
2024Q2
91
76.1
2.68
0.40
0.41
1.86
2.54
20.6%
2024Q1
91
79.5
2.64
0.43
0.42
1.79
2.39
15.3%
2023Q4
92
77.0
2.81
0.44
0.43
1.94
2.63
6.8%
2023Q3
92
78.4
2.68
0.48
0.31
1.90
2.47
2.6%
2023Q2
91
76.2
2.75
0.62
0.24
1.89
2.55
0.1%
2023Q1
90
79.3
2.56
0.38
0.34
1.83
2.36
0.0%
2022Q4
92
84.0
2.47
0.28
0.39
1.80
2.29
5.3%
2022Q3
92
87.0
2.41
0.35
0.27
1.79
2.25
7.3%
2022Q2
91
88.2
2.45
0.49
0.22
1.74
2.24
0.7%
2022Q1
90
88.0
2.33
0.44
0.25
1.65
2.22
21.7%
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.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
23
D × 14E × 1F × 8
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-13
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-02-16
2025-02-05
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
2025-02-07
2025-02-05
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-02-07
2025-02-05
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
2025-02-07
2025-02-05
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2025-02-07
2025-02-05
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-02-07
2025-02-05
Health
F0881
Implement a program that monitors antibiotic use.
E
2025-02-07
2024-08-21
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-08-26
2024-03-29
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
2024-04-02
2024-03-29
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
2024-04-02
2024-03-29
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-04-17
2024-03-29
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
2024-04-17
2024-03-29
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-04-17
2024-03-29
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-04-17
2024-03-29
Health
F0814
Dispose of garbage and refuse properly.
F
2024-04-17
2024-02-28
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-03-15
2023-08-29
Health · complaint
F0555
Honor the resident's right to choose his or her attending physician.
F
2023-09-07
2023-08-29
Health · complaint
F0712
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
F
2023-09-07
2023-04-10
Health
F0732
Post nurse staffing information every day.
F
2023-04-11
2023-04-10
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F
2023-04-26
2023-04-10
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
D
2023-04-26
2023-04-10
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-04-26
2023-04-10
Health
F0880
Provide and implement an infection prevention and control program.
F
2023-04-26
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
37
Owner
Role
Pct
From
Status
Source
1300 N GREENWOOD LLC
Individual has financial interest in both related organization and provider
—
2023-01-01
current
hcris_a_8_1
1300 N GREENWOOD LLC
Individual has financial interest in both related organization and provider
—
2023-05-01
current
hcris_a_8_1
1300 N GREENWOOD ST, LLC
ADP OF THE SNF
—
2025-04-02
current
pecos_ownership
1300 N. GREENWOOD LLC
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
ARGUBRIGHT, MICHELLE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
current
pecos_ownership
BERKOWITZ, DAVID
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-02
current
pecos_ownership
CHASE OFFICE LLC
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
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
—
2023-05-01
current
hcris_a_8_1
CURIS SERVICES LLC
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
DAVID A BERKOWITZ DELTA TRUST
DIRECT OWNERSHIP INTEREST
—
2024-05-01
current
pecos_ownership
GOLDWATER CARE MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
current
pecos_ownership
GOLDWATER CARE MANAGEMENT LLC
ADP OF THE SNF
—
2025-04-02
current
pecos_ownership
KATZENSTEIN, MEIR
CORPORATE OFFICER
—
2024-05-01
current
pecos_ownership
MEYSTEL, YOSEF
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-02
current
pecos_ownership
SIDDIQUI, MOHAMMED
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
current
pecos_ownership
SPECTOR, JENNIFER
CORPORATE OFFICER
—
2024-05-01
current
pecos_ownership
STACHOWIAK, MELISSA
MANAGING CONTROL - GOVERNING BODY
—
2024-05-01
current
pecos_ownership
TUROFSKY, STEVEN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-01
current
pecos_ownership
TUROFSKY, STEVEN
CORPORATE OFFICER
—
2025-03-01
current
pecos_ownership
TVERSKY, AARON
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
WALSH, LORI
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
YOSEF MEYSTEL DELTA TRUST
DIRECT OWNERSHIP INTEREST
—
2024-05-01
current
pecos_ownership
DAVID BERKOWITZ
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2024-05-01
ended 2026-05-18
pecos_ownership
JENNIFER SPECTOR
CORPORATE OFFICER
100%
2024-05-01
ended 2026-05-18
pecos_ownership
LORI WALSH
W-2 MANAGING EMPLOYEE
100%
2024-05-01
ended 2026-05-18
pecos_ownership
MICHELLE ARGUBRIGHT
W-2 MANAGING EMPLOYEE
100%
2024-05-01
ended 2026-05-18
pecos_ownership
YOSEF MEYSTEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2024-05-01
ended 2026-05-18
pecos_ownership
AARON TVERSKY
5% OR GREATER DIRECT OWNERSHIP INTEREST
35%
2024-05-01
ended 2026-05-18
pecos_ownership
MEIR KATZENSTEIN
5% OR GREATER DIRECT OWNERSHIP INTEREST
35%
2024-05-01
ended 2026-05-18
pecos_ownership
YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2024-05-01
ended 2026-05-18
pecos_ownership
DAVID A BERKOWITZ REVOC TR DAVID BERKOWITZ TTEE
5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
2024-05-01
ended 2026-05-18
pecos_ownership
1300 N. GREENWOOD LLC
Individual has financial interest in both related organization and provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
1300 N. GREENWOOD LLC
Individual has financial interest in both related organization and provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
CHASE OFFICE LLC
Individual has financial interest in both related organization and provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
CHASE OFFICE LLC
Individual has financial interest in both related organization and provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
CHASE OFFICE LLC
Individual has financial interest in both related organization and provider
—
2022-01-01
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
$877,635
$536,240
—
—
$16,583
12
propco
2024-04-30
$447,604
$256,768
—
—
$47,588
13
propco
2023-12-31
$1,240,422
$763,867
$110,499
—
$108,915
13
propco
2022-12-31
$1,182,194
$718,033
$90,181
—
$123,364
13
propco
2021-12-31
$1,863,720
$851,330
—
$490,871
$81,721
16
propco
2020-12-31
$1,127,042
$16,585
$106,666
$527,037
$80,347
12
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
32
Geo
Kind
BR
Amount
As of
Source
county 17011
acs median gross
0
$469
2024-12-31
CENSUS_ACS5
county 17011
fmr
0
$714
2025-10-01
HUD_USER_FMR
county 17011
acs median gross
1
$603
2024-12-31
CENSUS_ACS5
county 17011
fmr
1
$789
2025-10-01
HUD_USER_FMR
county 17011
acs median gross
2
$867
2024-12-31
CENSUS_ACS5
county 17011
fmr
2
$1,035
2025-10-01
HUD_USER_FMR
county 17011
acs median gross
3
$1,012
2024-12-31
CENSUS_ACS5
county 17011
fmr
3
$1,278
2025-10-01
HUD_USER_FMR
county 17011
acs median gross
4
$1,160
2024-12-31
CENSUS_ACS5
county 17011
fmr
4
$1,433
2025-10-01
HUD_USER_FMR
county 17011
acs median gross
5
$950
2024-12-31
CENSUS_ACS5
county 17011
acs median gross
$832
2024-12-31
CENSUS_ACS5
county 17011
acs recent mover gross
$861
2024-12-31
CENSUS_ACS5
zcta 61362
acs median gross
1
$576
2024-12-31
CENSUS_ACS5
zcta 61362
acs median gross
2
$1,022
2024-12-31
CENSUS_ACS5
zcta 61362
acs median gross
3
$1,130
2024-12-31
CENSUS_ACS5
zcta 61362
acs median gross
$917
2024-12-31
CENSUS_ACS5
zip 61362
payment standard 110
0
$902
2025-10-01
HUD_USER_SAFMR
zip 61362
payment standard 90
0
$738
2025-10-01
HUD_USER_SAFMR
zip 61362
safmr
0
$820
2025-10-01
HUD_USER_SAFMR
zip 61362
payment standard 110
1
$1,001
2025-10-01
HUD_USER_SAFMR
zip 61362
payment standard 90
1
$819
2025-10-01
HUD_USER_SAFMR
zip 61362
safmr
1
$910
2025-10-01
HUD_USER_SAFMR
zip 61362
payment standard 110
2
$1,309
2025-10-01
HUD_USER_SAFMR
zip 61362
payment standard 90
2
$1,071
2025-10-01
HUD_USER_SAFMR
zip 61362
safmr
2
$1,190
2025-10-01
HUD_USER_SAFMR
zip 61362
payment standard 110
3
$1,617
2025-10-01
HUD_USER_SAFMR
zip 61362
payment standard 90
3
$1,323
2025-10-01
HUD_USER_SAFMR
zip 61362
safmr
3
$1,470
2025-10-01
HUD_USER_SAFMR
zip 61362
payment standard 110
4
$1,815
2025-10-01
HUD_USER_SAFMR
zip 61362
payment standard 90
4
$1,485
2025-10-01
HUD_USER_SAFMR
zip 61362
safmr
4
$1,650
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.