Reads as: riskier than 78.8% 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
16
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
8 chains
SELECT REHABILITATION LLC
50 facilities
connection
Owner fleet enforcement cluster
50% fined
MCCORMICK ROBERT
8 facilities
connection
Owner fleet enforcement cluster
43% fined
FARRELL ERIC
7 facilities
connection
Owner fleet enforcement cluster
43% fined
HANKS STEVEN
7 facilities
connection
Owner fleet enforcement cluster
43% fined
JIMINO KATHLEEN
7 facilities
connection
Owner fleet enforcement cluster
43% fined
LAPCZYNSKI PATRICIA
7 facilities
connection
Owner fleet enforcement cluster
43% fined
MARSHALL JOHN
7 facilities
connection
Owner fleet enforcement cluster
43% fined
MAZZACCO MICHELLE
7 facilities
connection
Owner fleet enforcement cluster
43% fined
BALA GUHA
7 facilities
connection
Owner fleet enforcement cluster
43% fined
MEATH MICHAEL
7 facilities
connection
Owner fleet enforcement cluster
43% fined
POLLARD MERRIETTE
7 facilities
connection
Owner fleet enforcement cluster
43% fined
SIGNOR KRISTIN
7 facilities
connection
Owner fleet enforcement cluster
43% fined
SULLIVAN MARGUERITE
7 facilities
connection
Owner fleet enforcement cluster
43% fined
SWEET ZAVAGLIA KERRI
7 facilities
connection
Owner fleet enforcement cluster
43% fined
TOFADE OLUWATOYIN
7 facilities
connection
Owner fleet enforcement cluster
43% fined
WILDRIDGE WILLIAM
7 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 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
NY median
National median
National p25–p75
Total nurse
3.80
3.33
3.28
2.90–3.77
RN
0.36
0.43
0.39
0.25–0.58
Weekend total
3.74
3.03
3.11
—
Weekday total
3.82
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
111.4
3.80
0.36
1.09
2.34
3.74
6.8%
2025Q3
92
108.5
3.82
0.38
1.16
2.29
3.62
0.0%
2025Q2
91
99.6
3.83
0.41
1.20
2.22
3.68
1.6%
2025Q1
90
107.4
3.90
0.39
1.18
2.33
3.77
0.0%
2024Q4
92
106.6
3.94
0.30
1.21
2.42
3.83
0.0%
2024Q3
92
106.4
3.80
0.26
1.20
2.34
3.57
9.8%
2024Q2
91
104.1
3.82
0.27
1.21
2.33
3.62
6.8%
2024Q1
91
103.3
3.86
0.33
1.28
2.25
3.74
10.9%
2023Q4
92
106.7
3.75
0.29
1.20
2.25
3.57
12.9%
2023Q3
92
102.7
3.38
0.29
1.19
1.90
3.30
10.5%
2023Q2
91
106.4
3.16
0.24
1.08
1.84
3.02
13.6%
2023Q1
90
103.4
3.58
0.39
1.20
2.00
3.49
13.8%
2022Q4
92
104.6
3.76
0.32
1.30
2.14
3.55
20.2%
2022Q3
92
111.6
3.52
0.24
1.32
1.96
3.25
23.4%
2022Q2
91
113.7
3.25
0.32
1.24
1.70
3.06
26.7%
2022Q1
90
103.1
3.38
0.28
1.25
1.85
3.49
19.8%
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
16
D × 10E × 6
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2022-11-17
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-01-13
2022-11-17
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
2023-01-13
2022-11-17
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2023-01-13
2020-10-07
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
2020-12-04
2020-10-07
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2020-12-04
2020-10-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2020-12-04
2020-10-07
Health
F0814
Dispose of garbage and refuse properly.
D
2020-12-04
2019-02-15
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2019-04-12
2019-02-15
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
E
2019-04-12
2019-02-15
Health
F0679
Provide activities to meet all resident's needs.
E
2019-04-12
2019-02-15
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
2019-04-12
2019-02-15
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
2019-04-12
2019-02-15
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.
D
2019-04-12
2019-02-15
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
E
2019-04-12
2019-02-15
Health
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.
E
2019-04-12
2019-02-15
Health
F0880
Provide and implement an infection prevention and control program.
E
2019-04-12
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
46
Owner
Role
Pct
From
Status
Source
ST PETERS HEALTH PARTNERS
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2011-10-01
current
pecos_ownership
BALA, GUHA
CORPORATE DIRECTOR
—
2022-10-01
current
pecos_ownership
BURKE, MICHAEL
ADP OF THE SNF
—
2020-09-01
current
pecos_ownership
FARRELL, ERIC
CORPORATE OFFICER
—
2023-07-01
current
pecos_ownership
HANKS, STEVEN
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
ISACKSEN, DANIEL
CORPORATE DIRECTOR
—
2022-10-01
current
pecos_ownership
JIMINO, KATHLEEN
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
LAPCZYNSKI, PATRICIA
CORPORATE DIRECTOR
—
2025-04-01
current
pecos_ownership
MANGANARO, HELEN
ADP OF THE SNF
—
2019-11-18
current
pecos_ownership
MARSHALL, JOHN
CORPORATE OFFICER
—
2022-10-05
current
pecos_ownership
MAZZACCO, MICHELLE
ADP OF THE SNF
—
2021-08-22
current
pecos_ownership
MCCORMICK, ROBERT
CORPORATE DIRECTOR
—
2015-01-01
current
pecos_ownership
MEATH, MICHAEL
CORPORATE DIRECTOR
—
2022-10-01
current
pecos_ownership
MYERS, GINA
CORPORATE DIRECTOR
—
2022-10-01
current
pecos_ownership
POLLARD, MERRIETTE
CORPORATE DIRECTOR
—
2022-10-01
current
pecos_ownership
RONAN, BRITTNEY
ADP OF THE SNF
—
2020-03-30
current
pecos_ownership
SELECT REHABILITATION, LLC
ADP OF THE SNF
—
2014-05-01
current
pecos_ownership
SIGNOR, KRISTIN
OPERATIONAL/MANAGERIAL CONTROL
—
2017-04-01
current
pecos_ownership
ST PETERS HEALTH PARTNERS
ADP OF THE SNF
—
2025-05-16
current
pecos_ownership
SULLIVAN, MARGUERITE
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
SWEET ZAVAGLIA, KERRI
CORPORATE DIRECTOR
—
2022-10-01
current
pecos_ownership
TOFADE, OLUWATOYIN
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
TRINITY HEALTH CORPORATION
INDIRECT OWNERSHIP INTEREST
—
2014-07-01
current
pecos_ownership
TRINITY HEALTH CORPORATION
ADP OF THE SNF
—
2025-04-15
current
pecos_ownership
UNIDINE CORPORATION
ADP OF THE SNF
—
2016-04-01
current
pecos_ownership
WILDRIDGE, WILLIAM
CORPORATE OFFICER
—
2022-10-01
current
pecos_ownership
DANIEL ISACKSEN
CORPORATE DIRECTOR
0%
2022-10-01
ended 2026-05-18
pecos_ownership
ERIC FARRELL
CORPORATE OFFICER
0%
2023-07-01
ended 2026-05-18
pecos_ownership
GINA MYERS
CORPORATE DIRECTOR
0%
2022-10-01
ended 2026-05-18
pecos_ownership
GUHA BALA
CORPORATE DIRECTOR
0%
2022-10-01
ended 2026-05-18
pecos_ownership
JOHN MARSHALL
CORPORATE OFFICER
0%
2022-10-05
ended 2026-05-18
pecos_ownership
KATHLEEN JIMINO
CORPORATE OFFICER
0%
2024-01-01
ended 2026-05-18
pecos_ownership
KERRI SWEET ZAVAGLIA
CORPORATE DIRECTOR
0%
2022-10-01
ended 2026-05-18
pecos_ownership
KRISTIN SIGNOR
CORPORATE OFFICER
0%
2017-04-01
ended 2026-05-18
pecos_ownership
MARGUERITE SULLIVAN
CORPORATE DIRECTOR
0%
2025-01-01
ended 2026-05-18
pecos_ownership
MERRIETTE POLLARD
CORPORATE DIRECTOR
0%
2022-10-01
ended 2026-05-18
pecos_ownership
MICHAEL MEATH
CORPORATE DIRECTOR
0%
2022-10-01
ended 2026-05-18
pecos_ownership
OLUWATOYIN TOFADE
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
PATRICIA LAPCZYNSKI
CORPORATE DIRECTOR
0%
2025-04-01
ended 2026-05-18
pecos_ownership
ROBERT MCCORMICK
CORPORATE DIRECTOR
0%
2015-01-01
ended 2026-05-18
pecos_ownership
STEVEN HANKS
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
WILLIAM WILDRIDGE
CORPORATE OFFICER
0%
2022-10-01
ended 2026-05-18
pecos_ownership
BRITTNEY RONAN
ADP OF THE SNF
—
2020-03-30
ended 2026-05-18
pecos_ownership
HELEN MANGANARO
OPERATIONAL/MANAGERIAL CONTROL
—
2019-11-18
ended 2026-05-18
pecos_ownership
MICHAEL BURKE
OPERATIONAL/MANAGERIAL CONTROL
—
2020-09-01
ended 2026-05-18
pecos_ownership
MICHELLE MAZZACCO
OPERATIONAL/MANAGERIAL CONTROL
—
2021-08-22
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
$937,623
—
—
—
—
1
—
2023-12-31
$856,800
—
—
—
—
1
—
2022-12-31
$904,765
—
—
—
—
1
—
2021-12-31
$900,942
—
—
—
—
1
—
2020-12-31
$900,610
—
—
—
—
1
—
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 36001
acs median gross
0
$1,071
2024-12-31
CENSUS_ACS5
county 36001
fmr
0
$1,217
2025-10-01
HUD_USER_FMR
county 36001
acs median gross
1
$1,118
2024-12-31
CENSUS_ACS5
county 36001
fmr
1
$1,417
2025-10-01
HUD_USER_FMR
county 36001
acs median gross
2
$1,401
2024-12-31
CENSUS_ACS5
county 36001
fmr
2
$1,702
2025-10-01
HUD_USER_FMR
county 36001
acs median gross
3
$1,503
2024-12-31
CENSUS_ACS5
county 36001
fmr
3
$2,041
2025-10-01
HUD_USER_FMR
county 36001
acs median gross
4
$1,447
2024-12-31
CENSUS_ACS5
county 36001
fmr
4
$2,253
2025-10-01
HUD_USER_FMR
county 36001
acs median gross
5
$1,446
2024-12-31
CENSUS_ACS5
county 36001
acs median gross
$1,313
2024-12-31
CENSUS_ACS5
county 36001
acs recent mover gross
$1,587
2024-12-31
CENSUS_ACS5
zcta 12208
acs median gross
0
$1,294
2024-12-31
CENSUS_ACS5
zcta 12208
acs median gross
1
$1,032
2024-12-31
CENSUS_ACS5
zcta 12208
acs median gross
2
$1,494
2024-12-31
CENSUS_ACS5
zcta 12208
acs median gross
3
$1,462
2024-12-31
CENSUS_ACS5
zcta 12208
acs median gross
5
$932
2024-12-31
CENSUS_ACS5
zcta 12208
acs median gross
$1,320
2024-12-31
CENSUS_ACS5
zcta 12208
acs recent mover gross
$1,676
2024-12-31
CENSUS_ACS5
zip 12208
payment standard 110
0
$1,353
2025-10-01
HUD_USER_SAFMR
zip 12208
payment standard 90
0
$1,107
2025-10-01
HUD_USER_SAFMR
zip 12208
safmr
0
$1,230
2025-10-01
HUD_USER_SAFMR
zip 12208
payment standard 110
1
$1,573
2025-10-01
HUD_USER_SAFMR
zip 12208
payment standard 90
1
$1,287
2025-10-01
HUD_USER_SAFMR
zip 12208
safmr
1
$1,430
2025-10-01
HUD_USER_SAFMR
zip 12208
payment standard 110
2
$1,892
2025-10-01
HUD_USER_SAFMR
zip 12208
payment standard 90
2
$1,548
2025-10-01
HUD_USER_SAFMR
zip 12208
safmr
2
$1,720
2025-10-01
HUD_USER_SAFMR
zip 12208
payment standard 110
3
$2,266
2025-10-01
HUD_USER_SAFMR
zip 12208
payment standard 90
3
$1,854
2025-10-01
HUD_USER_SAFMR
zip 12208
safmr
3
$2,060
2025-10-01
HUD_USER_SAFMR
zip 12208
payment standard 110
4
$2,508
2025-10-01
HUD_USER_SAFMR
zip 12208
payment standard 90
4
$2,052
2025-10-01
HUD_USER_SAFMR
zip 12208
safmr
4
$2,280
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.