Reads as: riskier than 64.7% 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 risk far above national
+20.4 vs natl
HERZKA MATISYOHU
16 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
NE median
National median
National p25–p75
Total nurse
2.14
2.88
3.28
2.90–3.77
RN
0.35
0.42
0.39
0.25–0.58
Weekend total
1.97
2.75
3.11
—
Weekday total
2.21
2.96
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
70.7
2.14
0.35
0.48
1.30
1.97
21.7%
2025Q3
92
70.3
2.30
0.33
0.69
1.27
2.12
36.4%
2025Q2
91
67.9
2.89
0.31
0.68
1.89
2.79
45.1%
2025Q1
90
65.3
2.81
0.34
0.62
1.85
2.77
39.0%
2024Q4
92
65.5
2.80
0.19
0.73
1.88
2.78
37.3%
2024Q3
92
66.6
3.01
0.25
0.70
2.07
2.79
40.2%
2024Q2
91
68.1
2.82
0.16
0.70
1.96
2.65
42.9%
2024Q1
91
66.7
2.54
0.22
0.59
1.73
2.34
35.5%
2023Q4
92
58.0
2.83
0.28
0.51
2.04
2.68
32.7%
2023Q3
92
49.8
3.13
0.38
0.42
2.33
2.20
44.3%
2023Q2
91
50.5
3.99
0.37
0.82
2.80
3.54
43.4%
2023Q1
90
55.4
3.11
0.31
0.56
2.25
2.80
44.8%
2022Q4
92
50.8
2.72
0.15
0.55
2.02
2.33
31.6%
2022Q3
92
53.5
2.33
0.16
0.47
1.70
2.02
20.5%
2022Q2
91
51.5
2.63
0.17
0.43
2.02
2.52
11.5%
2022Q1
90
51.3
2.80
0.36
0.47
1.97
2.76
15.0%
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
26
D × 19E × 3F × 4
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-03
Health · complaint
F0583
Keep residents' personal and medical records private and confidential.
D
2026-03-25
2026-03-03
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2026-03-25
2026-03-03
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2026-03-25
2025-05-01
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
2025-05-22
2025-05-01
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2025-05-22
2025-05-01
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-05-22
2025-05-01
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-05-22
2025-05-01
Health · complaint
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
2025-05-22
2025-05-01
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-05-22
2025-05-01
Health
F0760
Ensure that residents are free from significant medication errors.
D
2025-05-22
2025-05-01
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-05-22
2025-05-01
Health
F0880
Provide and implement an infection prevention and control program.
F
2025-05-22
2025-05-01
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
2025-05-22
2025-05-01
Health · complaint
F0923
Have enough outside ventilation via a window or mechanical ventilation, or both.
E
2025-05-22
2024-04-23
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-05-15
2024-04-23
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F
2024-05-15
2024-04-04
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
2024-04-11
2023-05-03
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2023-06-16
2023-05-03
Health
F0606
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
E
2023-06-16
2023-05-03
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
2023-06-16
2023-05-03
Health
F0641
Ensure each resident receives an accurate assessment.
E
2023-06-16
2023-05-03
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2023-06-16
2023-05-03
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2023-06-16
2023-05-03
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.
D
2023-06-16
2023-05-03
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-06-16
2023-05-03
Health
F0908
Keep all essential equipment working safely.
D
2023-06-16
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
12
Owner
Role
Pct
From
Status
Source
HERZKA, MATISYOHU
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2023-06-29
current
pecos_ownership
2282 WRIGHT STREET PROPCO LLC
Individual has financial interest in both related organization and provider
—
2024-07-01
current
hcris_a_8_1
2282 WRIGHT STREET PROPCO LLC
Individual has financial interest in both related organization and provider
—
2023-07-01
current
hcris_a_8_1
GIBSON, CANDACE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-29
current
pecos_ownership
HERZKA, MATISYOHU
MANAGING CONTROL - GOVERNING BODY
—
2023-06-23
current
pecos_ownership
SCHREIBER, ABRAHAM
ADP OF THE SNF
—
2023-06-29
current
pecos_ownership
SIMONSON, JOHNNIE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-29
current
pecos_ownership
ABRAHAM SCHREIBER
DIRECT OWNERSHIP INTEREST
50%
2023-06-29
ended 2026-05-18
pecos_ownership
MATISYOHU HERZKA
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2023-06-29
ended 2026-05-18
pecos_ownership
CANDACE GIBSON
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-29
ended 2026-05-18
pecos_ownership
JOHNNIE SIMONSON
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-29
ended 2026-05-18
pecos_ownership
MATISYOHU HERZKA
MANAGING CONTROL - GOVERNING BODY
—
2023-06-23
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
2
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2025-06-30
$751,102
$751,102
—
—
—
1
propco
2024-06-30
$753,702
$753,702
—
—
—
1
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
34
Geo
Kind
BR
Amount
As of
Source
county 31177
acs median gross
0
$1,072
2024-12-31
CENSUS_ACS5
county 31177
fmr
0
$1,090
2025-10-01
HUD_USER_FMR
county 31177
acs median gross
1
$768
2024-12-31
CENSUS_ACS5
county 31177
fmr
1
$1,148
2025-10-01
HUD_USER_FMR
county 31177
acs median gross
2
$1,000
2024-12-31
CENSUS_ACS5
county 31177
fmr
2
$1,368
2025-10-01
HUD_USER_FMR
county 31177
acs median gross
3
$987
2024-12-31
CENSUS_ACS5
county 31177
fmr
3
$1,813
2025-10-01
HUD_USER_FMR
county 31177
acs median gross
4
$966
2024-12-31
CENSUS_ACS5
county 31177
fmr
4
$2,046
2025-10-01
HUD_USER_FMR
county 31177
acs median gross
5
$741
2024-12-31
CENSUS_ACS5
county 31177
acs median gross
$965
2024-12-31
CENSUS_ACS5
county 31177
acs recent mover gross
$1,033
2024-12-31
CENSUS_ACS5
zcta 68008
acs median gross
0
$1,058
2024-12-31
CENSUS_ACS5
zcta 68008
acs median gross
1
$761
2024-12-31
CENSUS_ACS5
zcta 68008
acs median gross
2
$966
2024-12-31
CENSUS_ACS5
zcta 68008
acs median gross
3
$1,341
2024-12-31
CENSUS_ACS5
zcta 68008
acs median gross
$942
2024-12-31
CENSUS_ACS5
zcta 68008
acs recent mover gross
$1,027
2024-12-31
CENSUS_ACS5
zip 68008
payment standard 110
0
$1,012
2025-10-01
HUD_USER_SAFMR
zip 68008
payment standard 90
0
$828
2025-10-01
HUD_USER_SAFMR
zip 68008
safmr
0
$920
2025-10-01
HUD_USER_SAFMR
zip 68008
payment standard 110
1
$1,067
2025-10-01
HUD_USER_SAFMR
zip 68008
payment standard 90
1
$873
2025-10-01
HUD_USER_SAFMR
zip 68008
safmr
1
$970
2025-10-01
HUD_USER_SAFMR
zip 68008
payment standard 110
2
$1,276
2025-10-01
HUD_USER_SAFMR
zip 68008
payment standard 90
2
$1,044
2025-10-01
HUD_USER_SAFMR
zip 68008
safmr
2
$1,160
2025-10-01
HUD_USER_SAFMR
zip 68008
payment standard 110
3
$1,694
2025-10-01
HUD_USER_SAFMR
zip 68008
payment standard 90
3
$1,386
2025-10-01
HUD_USER_SAFMR
zip 68008
safmr
3
$1,540
2025-10-01
HUD_USER_SAFMR
zip 68008
payment standard 110
4
$1,903
2025-10-01
HUD_USER_SAFMR
zip 68008
payment standard 90
4
$1,557
2025-10-01
HUD_USER_SAFMR
zip 68008
safmr
4
$1,730
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.