Reads as: riskier than 29.1% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet enforcement cluster
50% fined
COHEN DAVID
14 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
3.13
3.39
3.28
2.90–3.77
RN
0.40
0.39
0.39
0.25–0.58
Weekend total
2.96
3.26
3.11
—
Weekday total
3.19
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
152.6
3.13
0.40
0.60
2.13
2.96
0.8%
2025Q3
92
151.9
3.19
0.61
0.59
1.99
2.90
7.7%
2025Q2
91
143.1
3.05
0.43
0.61
2.00
2.84
5.5%
2025Q1
90
134.7
3.12
0.23
0.60
2.29
3.05
0.0%
2024Q4
92
139.5
3.09
0.26
0.58
2.25
3.02
0.0%
2024Q3
92
140.8
3.08
0.24
0.68
2.16
2.91
0.2%
2024Q2
91
134.2
3.13
0.32
0.70
2.11
2.97
4.8%
2024Q1
91
129.4
3.28
0.39
0.70
2.19
3.10
0.0%
2023Q4
92
125.2
3.60
0.58
0.66
2.37
3.41
4.3%
2023Q3
92
131.7
3.45
0.43
0.71
2.30
3.17
7.4%
2023Q2
91
132.8
3.35
0.54
0.67
2.15
3.10
19.1%
2023Q1
90
129.7
3.13
0.47
0.63
2.04
2.92
20.0%
2022Q4
92
124.7
3.27
0.50
0.66
2.11
3.04
22.3%
2022Q3
92
127.0
2.52
0.27
0.60
1.65
2.32
6.7%
2022Q2
91
125.2
2.57
0.30
0.61
1.66
2.46
1.0%
2022Q1
90
124.9
2.58
0.43
0.56
1.59
2.55
0.8%
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
36
B × 5D × 21E × 9F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-07-30
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-08-22
2025-04-16
Health
F0641
Ensure each resident receives an accurate assessment.
B
2025-05-14
2025-04-16
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2025-05-14
2025-04-16
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-05-14
2025-04-16
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2025-05-14
2025-04-16
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-05-14
2025-04-16
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2025-05-14
2024-08-08
Health · complaint
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2024-09-10
2024-08-08
Health · complaint
F0559
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
D
2024-09-10
2024-08-08
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-09-10
2024-02-21
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2024-03-15
2024-02-21
Health
F0583
Keep residents' personal and medical records private and confidential.
E
2024-03-15
2024-02-21
Health
F0637
Assess the resident when there is a significant change in condition
B
2024-03-15
2024-02-21
Health
F0638
Assure that each resident’s assessment is updated at least once every 3 months.
B
2024-03-15
2024-02-21
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
B
2024-03-15
2024-02-21
Health
F0641
Ensure each resident receives an accurate assessment.
B
2024-03-15
2024-02-21
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2024-03-15
2024-02-21
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-03-15
2024-02-21
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2024-03-15
2024-02-21
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
2024-03-15
2024-02-21
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2024-03-15
2024-02-21
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-03-15
2024-02-21
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-03-15
2023-06-28
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
2023-08-11
2023-06-28
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-08-11
2023-06-28
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-08-11
2022-05-17
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2022-06-17
2022-05-17
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2022-06-17
2022-05-17
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2022-06-17
2022-05-17
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2022-06-17
2022-05-17
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2022-06-17
2022-05-17
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-06-17
2022-05-17
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
2022-06-17
2022-05-17
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2022-06-17
2022-05-17
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-06-17
2022-05-17
Health
F0908
Keep all essential equipment working safely.
D
2022-06-17
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
35
Owner
Role
Pct
From
Status
Source
50 CHRISTY PLACE
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
50 CHRISTY PLACE
Individual has financial interest in both related organization and provider
—
2023-01-01
current
hcris_a_8_1
BROCKTON PROPERTY LLC
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
COHEN, DAVID
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
FLAGLER, OSHER
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-03-20
current
pecos_ownership
KAHANOW, AVIVA
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-07
current
pecos_ownership
LEVOVITZ, TZVI
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-03-20
current
pecos_ownership
MARIOS, PAUL
ADP OF THE SNF
—
2025-04-10
current
pecos_ownership
MARQUIS LIMITED LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-01
current
pecos_ownership
MARQUIS LIMITED LLC
ADP OF THE SNF
—
2025-03-20
current
pecos_ownership
NFR 2020 IRRV TR
INDIRECT OWNERSHIP INTEREST
—
2025-04-01
current
pecos_ownership
PARAYATH, PADMAJA
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
POSEN, MINDEE
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
QUINTO NEXGEN LLC
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
RELIANT PRO REHAB LLC
ADP OF THE SNF
—
2025-03-20
current
pecos_ownership
RELIANT PRO REHAB LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-01
current
pecos_ownership
ROKEACH, FRAIDE
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-03-20
current
pecos_ownership
ROKOWSKY, YITZCHOK
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-03-20
current
pecos_ownership
RSBRMK HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2025-04-01
current
pecos_ownership
SK NEXGEN TR
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
SKILLED VENTURE LLC
DIRECT OWNERSHIP INTEREST
—
2025-04-01
current
pecos_ownership
TRYKO NEXGEN HOLDINGS LLC
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
UAK 2020 IRRV TR
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
UKR NEXGEN LLC
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
VIROJA, YOGESH
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
WALKER & DUNLOP MULTIFAMILY INC
5% OR GREATER SECURITY INTEREST
—
2025-04-01
current
pecos_ownership
YK NEXGEN TR
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
YR NEXGEN TR
INDIRECT OWNERSHIP INTEREST
—
2025-04-01
current
pecos_ownership
50 CHRISTY PLACE
Individual has financial interest in both related organization and provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
50 CHRISTY PLACE
Individual has financial interest in both related organization and provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
DAVID COHEN
ADP OF THE SNF
—
2025-04-01
ended 2026-05-18
pecos_ownership
MINDEE POSEN
ADP OF THE SNF
—
2025-04-01
ended 2026-05-18
pecos_ownership
PADMAJA PARAYATH
ADP OF THE SNF
—
2025-04-01
ended 2026-05-18
pecos_ownership
PAUL MARIOS
ADP OF THE SNF
—
2025-04-10
ended 2026-05-18
pecos_ownership
YOGESH VIROJA
MANAGING CONTROL - GOVERNING BODY
—
2025-04-01
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
$2,273,224
$1,165,004
—
—
—
7
propco
2023-12-31
$2,386,314
$1,156,015
—
—
$97,642
6
propco
2022-12-31
$1,949,736
$1,144,413
—
—
$20,272
5
propco
2021-12-31
$2,223,032
$1,089,592
—
$583,120
—
6
propco
2020-12-31
$2,810,502
$1,608,644
—
$723,297
—
5
—
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
30
Geo
Kind
BR
Amount
As of
Source
county 25023
acs median gross
0
$1,174
2024-12-31
CENSUS_ACS5
county 25023
acs median gross
1
$1,197
2024-12-31
CENSUS_ACS5
county 25023
acs median gross
2
$1,861
2024-12-31
CENSUS_ACS5
county 25023
acs median gross
3
$2,158
2024-12-31
CENSUS_ACS5
county 25023
acs median gross
4
$2,168
2024-12-31
CENSUS_ACS5
county 25023
acs median gross
5
$1,913
2024-12-31
CENSUS_ACS5
county 25023
acs median gross
$1,747
2024-12-31
CENSUS_ACS5
county 25023
acs recent mover gross
$2,336
2024-12-31
CENSUS_ACS5
zcta 02301
acs median gross
0
$635
2024-12-31
CENSUS_ACS5
zcta 02301
acs median gross
1
$781
2024-12-31
CENSUS_ACS5
zcta 02301
acs median gross
2
$1,775
2024-12-31
CENSUS_ACS5
zcta 02301
acs median gross
3
$2,076
2024-12-31
CENSUS_ACS5
zcta 02301
acs median gross
4
$2,059
2024-12-31
CENSUS_ACS5
zcta 02301
acs median gross
$1,659
2024-12-31
CENSUS_ACS5
zcta 02301
acs recent mover gross
$2,081
2024-12-31
CENSUS_ACS5
zip 02301
payment standard 110
0
$1,738
2025-10-01
HUD_USER_SAFMR
zip 02301
payment standard 90
0
$1,422
2025-10-01
HUD_USER_SAFMR
zip 02301
safmr
0
$1,580
2025-10-01
HUD_USER_SAFMR
zip 02301
payment standard 110
1
$1,881
2025-10-01
HUD_USER_SAFMR
zip 02301
payment standard 90
1
$1,539
2025-10-01
HUD_USER_SAFMR
zip 02301
safmr
1
$1,710
2025-10-01
HUD_USER_SAFMR
zip 02301
payment standard 110
2
$2,464
2025-10-01
HUD_USER_SAFMR
zip 02301
payment standard 90
2
$2,016
2025-10-01
HUD_USER_SAFMR
zip 02301
safmr
2
$2,240
2025-10-01
HUD_USER_SAFMR
zip 02301
payment standard 110
3
$3,080
2025-10-01
HUD_USER_SAFMR
zip 02301
payment standard 90
3
$2,520
2025-10-01
HUD_USER_SAFMR
zip 02301
safmr
3
$2,800
2025-10-01
HUD_USER_SAFMR
zip 02301
payment standard 110
4
$3,267
2025-10-01
HUD_USER_SAFMR
zip 02301
payment standard 90
4
$2,673
2025-10-01
HUD_USER_SAFMR
zip 02301
safmr
4
$2,970
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.