Reads as: riskier than 53.4% 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 spans multiple chains
8 chains
HERZKA YISROEL
70 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
MT median
National median
National p25–p75
Total nurse
2.98
3.25
3.28
2.90–3.77
RN
0.27
0.62
0.39
0.25–0.58
Weekend total
3.09
3.12
3.11
—
Weekday total
2.94
3.34
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
36.7
2.98
0.27
0.71
2.00
3.09
4.6%
2025Q3
92
37.1
2.68
0.31
0.57
1.80
2.52
2.6%
2025Q2
91
36.2
2.92
0.33
0.61
1.98
2.85
0.0%
2025Q1
90
35.2
2.58
0.43
0.36
1.79
2.49
0.0%
2024Q4
92
34.4
2.57
0.53
0.26
1.78
2.57
8.2%
2024Q3
92
33.8
2.67
0.45
0.43
1.79
2.66
22.5%
2024Q2
91
30.7
2.90
0.46
0.49
1.95
2.96
15.7%
2024Q1
91
30.1
2.83
0.49
0.47
1.87
2.98
17.3%
2023Q4
92
30.9
2.80
0.42
0.47
1.91
2.94
9.4%
2023Q3
92
32.2
2.45
0.33
0.55
1.57
2.46
5.3%
2023Q2
91
31.6
2.88
0.41
0.64
1.82
2.83
6.3%
2023Q1
90
33.7
2.66
0.35
0.71
1.60
2.55
7.6%
2022Q4
92
32.8
2.56
0.38
0.66
1.52
2.54
8.1%
2022Q3
92
33.1
2.35
0.38
0.55
1.41
2.50
3.9%
2022Q2
91
31.0
2.53
0.61
0.38
1.53
2.49
0.0%
2022Q1
90
26.6
2.88
0.61
0.52
1.75
2.52
0.0%
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
27
D × 18E × 7F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-26
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
2026-04-13
2026-03-26
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-04-13
2026-03-26
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2026-04-13
2026-03-26
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
2026-04-13
2026-03-26
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-04-13
2026-03-26
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-04-13
2025-02-13
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
E
2025-03-26
2025-02-13
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2025-03-26
2025-02-13
Health
F0675
Honor each resident's preferences, choices, values and beliefs.
E
2025-03-26
2025-02-13
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-03-26
2025-02-13
Health
F0679
Provide activities to meet all resident's needs.
D
2025-03-26
2025-02-13
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
2025-03-26
2025-02-13
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2025-03-26
2025-02-13
Health
F0760
Ensure that residents are free from significant medication errors.
D
2025-03-26
2025-02-13
Health
F0791
Provide or obtain dental services for each resident.
D
2025-03-26
2025-02-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2025-03-26
2025-02-13
Health
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2025-03-26
2025-02-13
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-03-26
2024-02-15
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-03-26
2024-02-15
Health
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
E
2024-03-26
2024-02-15
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
2024-03-26
2024-02-15
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-03-26
2024-02-15
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
2024-03-26
2024-02-15
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2024-03-26
2024-02-15
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.
F
2024-03-26
2024-02-15
Health
F0800
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
E
2024-03-26
2024-02-15
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-03-26
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.
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 30063
acs median gross
0
$774
2024-12-31
CENSUS_ACS5
county 30063
fmr
0
$1,143
2025-10-01
HUD_USER_FMR
county 30063
acs median gross
1
$1,026
2024-12-31
CENSUS_ACS5
county 30063
fmr
1
$1,400
2025-10-01
HUD_USER_FMR
county 30063
acs median gross
2
$1,248
2024-12-31
CENSUS_ACS5
county 30063
fmr
2
$1,655
2025-10-01
HUD_USER_FMR
county 30063
acs median gross
3
$1,671
2024-12-31
CENSUS_ACS5
county 30063
fmr
3
$2,302
2025-10-01
HUD_USER_FMR
county 30063
acs median gross
4
$2,225
2024-12-31
CENSUS_ACS5
county 30063
fmr
4
$2,776
2025-10-01
HUD_USER_FMR
county 30063
acs median gross
5
$1,700
2024-12-31
CENSUS_ACS5
county 30063
acs median gross
$1,190
2024-12-31
CENSUS_ACS5
county 30063
acs recent mover gross
$1,455
2024-12-31
CENSUS_ACS5
zcta 59802
acs median gross
0
$744
2024-12-31
CENSUS_ACS5
zcta 59802
acs median gross
1
$933
2024-12-31
CENSUS_ACS5
zcta 59802
acs median gross
2
$1,289
2024-12-31
CENSUS_ACS5
zcta 59802
acs median gross
3
$1,500
2024-12-31
CENSUS_ACS5
zcta 59802
acs median gross
4
$1,797
2024-12-31
CENSUS_ACS5
zcta 59802
acs median gross
$1,099
2024-12-31
CENSUS_ACS5
zcta 59802
acs recent mover gross
$1,586
2024-12-31
CENSUS_ACS5
zip 59802
payment standard 110
0
$1,188
2025-10-01
HUD_USER_SAFMR
zip 59802
payment standard 90
0
$972
2025-10-01
HUD_USER_SAFMR
zip 59802
safmr
0
$1,080
2025-10-01
HUD_USER_SAFMR
zip 59802
payment standard 110
1
$1,463
2025-10-01
HUD_USER_SAFMR
zip 59802
payment standard 90
1
$1,197
2025-10-01
HUD_USER_SAFMR
zip 59802
safmr
1
$1,330
2025-10-01
HUD_USER_SAFMR
zip 59802
payment standard 110
2
$1,727
2025-10-01
HUD_USER_SAFMR
zip 59802
payment standard 90
2
$1,413
2025-10-01
HUD_USER_SAFMR
zip 59802
safmr
2
$1,570
2025-10-01
HUD_USER_SAFMR
zip 59802
payment standard 110
3
$2,398
2025-10-01
HUD_USER_SAFMR
zip 59802
payment standard 90
3
$1,962
2025-10-01
HUD_USER_SAFMR
zip 59802
safmr
3
$2,180
2025-10-01
HUD_USER_SAFMR
zip 59802
payment standard 110
4
$2,893
2025-10-01
HUD_USER_SAFMR
zip 59802
payment standard 90
4
$2,367
2025-10-01
HUD_USER_SAFMR
zip 59802
safmr
4
$2,630
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.