Reads as: riskier than 16.0% 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
6
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
8 chains
LAHASKY EPHRAM
23 facilities
connection
Owner spans multiple chains
7 chains
GREENHOUSE DAVID
12 facilities
connection
Owner spans multiple chains
6 chains
SUMMATION FINANCIAL SERVICES LLC
48 facilities
connection
Owner spans multiple chains
5 chains
CLINICAL CONSULTING SERVICES LLC
42 facilities
connection
Owner spans multiple chains
5 chains
SEBBAG GABRIEL
32 facilities
connection
Owner spans multiple chains
5 chains
RADADIYA PRAGNESHKUMAR
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.
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
15
2025Q3 HPRD
This facility
IN median
National median
National p25–p75
Total nurse
2.21
2.85
3.28
2.90–3.77
RN
0.43
0.40
0.39
0.25–0.58
Weekend total
2.00
2.71
3.11
—
Weekday total
2.29
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q3
92
86.9
2.21
0.43
0.36
1.42
2.00
0.0%
2025Q2
91
88.0
2.49
0.38
0.40
1.71
2.31
0.0%
2025Q1
90
85.9
2.41
0.33
0.47
1.61
2.24
0.0%
2024Q4
92
85.3
2.29
0.35
0.46
1.49
2.12
0.0%
2024Q3
92
87.0
2.09
0.26
0.53
1.31
2.04
0.0%
2024Q2
91
85.7
1.87
0.20
0.43
1.24
1.77
0.0%
2024Q1
91
79.0
1.80
0.20
0.38
1.22
1.67
0.0%
2023Q4
92
78.8
1.70
0.24
0.37
1.08
1.57
0.0%
2023Q3
92
80.9
1.87
0.27
0.36
1.25
1.81
0.0%
2023Q2
91
80.4
1.93
0.30
0.34
1.29
1.88
0.0%
2023Q1
90
79.2
2.00
0.22
0.44
1.34
1.91
0.5%
2022Q4
92
78.2
1.99
0.19
0.40
1.40
1.91
0.8%
2022Q3
92
77.6
1.93
0.17
0.59
1.17
1.87
7.7%
2022Q2
91
74.8
1.95
0.18
0.46
1.32
1.89
12.4%
2022Q1
90
73.1
1.72
0.25
0.33
1.14
1.68
5.6%
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
20
D × 18F × 1G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-01-23
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2026-01-26
2026-01-23
Health · complaint
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2026-01-26
2026-01-06
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-01-20
2026-01-06
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-01-20
2026-01-06
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-01-20
2025-11-20
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
G
—
2025-02-19
Health · complaint
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
2025-03-01
2024-11-13
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-11-14
2024-11-13
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-11-14
2024-11-13
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
2024-11-14
2024-11-13
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2024-11-14
2024-11-13
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.
D
2024-11-14
2024-11-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-11-14
2024-06-05
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-07-04
2023-09-25
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-10-16
2023-09-25
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-10-16
2023-09-25
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
2023-10-16
2023-09-25
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-10-16
2023-09-25
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2023-10-16
2023-09-25
Health
F0760
Ensure that residents are free from significant medication errors.
D
2023-10-16
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
42
Owner
Role
Pct
From
Status
Source
36 VALLEY HOLDINGS LLC
ADP OF THE SNF
—
2020-09-01
current
pecos_ownership
ADAMS COUNTY MEMORIAL HOSPITAL
OPERATIONAL/MANAGERIAL CONTROL
—
2020-09-01
current
pecos_ownership
ADVANCED CARE CONSULTANTS LLC
ADP OF THE SNF
—
2020-09-01
current
pecos_ownership
BLUE MANAGEMENT SERVICES LLC
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
BOLTZ, LINDSEY
ADP OF THE SNF
—
2020-09-01
current
pecos_ownership
BORNE-BAUMAN, CANDICE
MANAGING CONTROL - GOVERNING BODY
—
2020-09-01
current
pecos_ownership
CLINICAL CONSULTING SERVICES LLC
ADP OF THE SNF
—
2020-09-01
current
pecos_ownership
DAVID M FISTEL IN LLC
ADP OF THE SNF
—
2020-09-01
current
pecos_ownership
FIRST BANK OF BERNE
ADP OF THE SNF
—
2020-09-01
current
pecos_ownership
FLUECKIGER, RUSSELL
MANAGING CONTROL - GOVERNING BODY
—
2020-09-01
current
pecos_ownership
GREATOREX, TINA
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-02-02
current
pecos_ownership
GREENBERG, DAVID
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-02-03
current
pecos_ownership
GREYSTONE FUNDING COMPANY LLC
5% OR GREATER MORTGAGE INTEREST
—
2020-09-01
current
pecos_ownership
JSJ HOLDINGS LLC
ADP OF THE SNF
—
2020-11-01
current
pecos_ownership
KEG INVESTMENTS LLC
ADP OF THE SNF
—
2020-09-01
current
pecos_ownership
LAHASKY, EPHRAM
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-02-03
current
pecos_ownership
LEHMAN, SCOTT
MANAGING CONTROL - GOVERNING BODY
—
2020-09-01
current
pecos_ownership
LME FAMILY HOLDINGS LLC
ADP OF THE SNF
—
2020-09-01
current
pecos_ownership
MACKLIN, LARRY
MANAGING CONTROL - GOVERNING BODY
—
2020-09-01
current
pecos_ownership
MCINTIRE, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2020-09-01
current
pecos_ownership
RADADIYA, PRAGNESHKUMAR
ADP OF THE SNF
—
2020-11-01
current
pecos_ownership
SAMARA HOLDINGS COMPANY LLC
ADP OF THE SNF
—
2020-09-01
current
pecos_ownership
SCHIOWITZ, MARC
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-02-02
current
pecos_ownership
SEBBAG, GABRIEL
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-02-02
current
pecos_ownership
SHADY NOOK OPERATIONS LLC
ADP OF THE SNF
—
2020-09-01
current
pecos_ownership
SMITH, SCOTT
MANAGING CONTROL - GOVERNING BODY
—
2020-09-01
current
pecos_ownership
SPRUNGER, KYLE
OPERATIONAL/MANAGERIAL CONTROL
—
2020-09-01
current
pecos_ownership
SUMMATION FINANCIAL SERVICES LLC
ADP OF THE SNF
—
2020-09-01
current
pecos_ownership
WHEELER, DANE
CORPORATE OFFICER
—
2020-09-01
current
pecos_ownership
36 VALLEY HOLDINGS LLC
Corporation, partnership or other organization has financial interest in provider
100%
2020-01-01
ended 2020-08-31
hcris_a_8_1
36 VALLEY HOLDINGS LLC
Corporation, partnership or other organization has financial interest in provider
100%
2020-09-01
ended 2020-12-31
hcris_a_8_1
36 VALLEY HOLDINGS LLC
Corporation, partnership or other organization has financial interest in provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
DANE WHEELER
CORPORATE OFFICER
100%
2020-09-01
ended 2026-05-18
pecos_ownership
KYLE SPRUNGER
CORPORATE OFFICER
100%
2020-09-01
ended 2026-05-18
pecos_ownership
SCOTT SMITH
CORPORATE OFFICER
100%
2020-09-01
ended 2026-05-18
pecos_ownership
CANDICE BORNE-BAUMAN
MANAGING CONTROL - GOVERNING BODY
—
2020-09-01
ended 2026-05-18
pecos_ownership
DAVID MCINTIRE
MANAGING CONTROL - GOVERNING BODY
—
2020-09-01
ended 2026-05-18
pecos_ownership
LARRY MACKLIN
OPERATIONAL/MANAGERIAL CONTROL
—
2020-09-01
ended 2026-05-18
pecos_ownership
LINDSEY BOLTZ
OPERATIONAL/MANAGERIAL CONTROL
—
2020-09-01
ended 2026-05-18
pecos_ownership
PRAGNESHKUMAR RADADIYA
ADP OF THE SNF
—
2020-11-01
ended 2026-05-18
pecos_ownership
RUSSELL FLUECKIGER
OPERATIONAL/MANAGERIAL CONTROL
—
2020-09-01
ended 2026-05-18
pecos_ownership
SCOTT LEHMAN
MANAGING CONTROL - GOVERNING BODY
—
2020-09-01
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,229,347
—
—
$490,147
$123,407
7
—
2023-12-31
$1,160,103
—
$99,361
$508,703
$112,246
8
—
2022-12-31
$961,976
—
$96,088
$399,050
$106,346
7
—
2021-12-31
$1,031,115
$565,712
$108,477
$661
$86,500
7
propco
2020-12-31
$307,378
$152,431
$38,996
—
$39,316
4
propco
2020-08-31
$578,441
$326,579
$159,534
—
$22,878
4
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 18029
acs median gross
0
$1,072
2024-12-31
CENSUS_ACS5
county 18029
fmr
0
$958
2025-10-01
HUD_USER_FMR
county 18029
acs median gross
1
$580
2024-12-31
CENSUS_ACS5
county 18029
fmr
1
$1,051
2025-10-01
HUD_USER_FMR
county 18029
acs median gross
2
$914
2024-12-31
CENSUS_ACS5
county 18029
fmr
2
$1,353
2025-10-01
HUD_USER_FMR
county 18029
acs median gross
3
$1,177
2024-12-31
CENSUS_ACS5
county 18029
fmr
3
$1,785
2025-10-01
HUD_USER_FMR
county 18029
acs median gross
4
$1,410
2024-12-31
CENSUS_ACS5
county 18029
fmr
4
$1,976
2025-10-01
HUD_USER_FMR
county 18029
acs median gross
$845
2024-12-31
CENSUS_ACS5
county 18029
acs recent mover gross
$1,041
2024-12-31
CENSUS_ACS5
zcta 47025
acs median gross
0
$1,298
2024-12-31
CENSUS_ACS5
zcta 47025
acs median gross
1
$504
2024-12-31
CENSUS_ACS5
zcta 47025
acs median gross
2
$913
2024-12-31
CENSUS_ACS5
zcta 47025
acs median gross
3
$1,195
2024-12-31
CENSUS_ACS5
zcta 47025
acs median gross
$801
2024-12-31
CENSUS_ACS5
zip 47025
payment standard 110
0
$891
2025-10-01
HUD_USER_SAFMR
zip 47025
payment standard 90
0
$729
2025-10-01
HUD_USER_SAFMR
zip 47025
safmr
0
$810
2025-10-01
HUD_USER_SAFMR
zip 47025
payment standard 110
1
$979
2025-10-01
HUD_USER_SAFMR
zip 47025
payment standard 90
1
$801
2025-10-01
HUD_USER_SAFMR
zip 47025
safmr
1
$890
2025-10-01
HUD_USER_SAFMR
zip 47025
payment standard 110
2
$1,254
2025-10-01
HUD_USER_SAFMR
zip 47025
payment standard 90
2
$1,026
2025-10-01
HUD_USER_SAFMR
zip 47025
safmr
2
$1,140
2025-10-01
HUD_USER_SAFMR
zip 47025
payment standard 110
3
$1,650
2025-10-01
HUD_USER_SAFMR
zip 47025
payment standard 90
3
$1,350
2025-10-01
HUD_USER_SAFMR
zip 47025
safmr
3
$1,500
2025-10-01
HUD_USER_SAFMR
zip 47025
payment standard 110
4
$1,826
2025-10-01
HUD_USER_SAFMR
zip 47025
payment standard 90
4
$1,494
2025-10-01
HUD_USER_SAFMR
zip 47025
safmr
4
$1,660
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.