Reads as: riskier than 27.6% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
16 chains
BAKER TILLY ADVISORY GROUP LP
77 facilities
connection
Owner spans multiple chains
15 chains
BAKER TILLY US LLP
63 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
3.51
3.39
3.28
2.90–3.77
RN
0.34
0.39
0.39
0.25–0.58
Weekend total
3.46
3.26
3.11
—
Weekday total
3.53
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
79.1
3.51
0.34
0.79
2.38
3.46
0.0%
2025Q3
92
78.2
3.49
0.30
0.80
2.39
3.42
0.0%
2025Q2
91
76.4
3.59
0.32
0.81
2.46
3.52
0.0%
2025Q1
90
75.3
3.61
0.35
0.78
2.48
3.57
0.0%
2024Q4
92
72.6
3.73
0.38
0.76
2.59
3.70
0.0%
2024Q3
92
78.4
3.20
0.35
0.70
2.15
3.15
0.0%
2024Q2
91
78.8
3.27
0.45
0.61
2.21
3.24
0.7%
2024Q1
91
75.8
3.10
0.33
0.62
2.15
3.06
1.0%
2023Q4
92
73.2
3.47
0.47
0.72
2.28
3.45
1.7%
2023Q3
92
70.3
3.51
0.47
0.65
2.40
3.42
3.6%
2023Q2
91
68.6
3.58
0.49
0.76
2.33
3.44
13.9%
2023Q1
90
64.5
3.48
0.49
0.78
2.20
3.55
27.1%
2022Q4
92
63.6
3.42
0.50
0.84
2.08
3.33
28.9%
2022Q3
92
57.0
3.55
0.52
0.71
2.32
3.45
35.7%
2022Q2
91
56.6
3.68
0.63
0.78
2.27
3.58
31.4%
2022Q1
90
50.1
3.85
0.76
0.68
2.41
3.69
20.1%
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
15
D × 11E × 2F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-12-11
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
2026-01-16
2025-12-11
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-01-16
2025-01-16
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2025-03-02
2025-01-16
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
2025-03-02
2025-01-16
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-03-02
2025-01-16
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-03-02
2025-01-16
Health
F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
D
2025-03-02
2024-01-29
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
D
2024-03-12
2024-01-29
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2024-03-12
2024-01-29
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-03-12
2024-01-29
Health
F0610
Respond appropriately to all alleged violations.
D
2024-03-12
2024-01-29
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-03-12
2024-01-29
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-03-12
2024-01-29
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F
2024-03-12
2024-01-29
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-03-12
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
58
Owner
Role
Pct
From
Status
Source
ARMENIAN WOMEN'S WELFARE ASSOCIATION INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2022-10-24
current
pecos_ownership
ARMENIAN WOMEN'S WELFARE ASSOCIATION INC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-22
current
pecos_ownership
AROYIAN, ANI
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
BAKER TILLY ADVISORY GROUP, LP
ADP OF THE SNF
—
2025-05-20
current
pecos_ownership
BAKER TILLY ADVISORY GROUP, LP
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-19
current
pecos_ownership
BAKER TILLY US, LLP
ADP OF THE SNF
—
2025-05-20
current
pecos_ownership
BAKER TILLY US, LLP
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-05
current
pecos_ownership
BALIAN, ANI
CORPORATE DIRECTOR
—
2025-10-01
current
pecos_ownership
BERMAN, ADAM
ADP OF THE SNF
—
2024-10-22
current
pecos_ownership
BERMAN, ADAM
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-24
current
pecos_ownership
CHELSEA JEWISH LIFECARE INC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-24
current
pecos_ownership
CHELSEA JEWISH LIFECARE INC
ADP OF THE SNF
—
2025-04-14
current
pecos_ownership
CRESCENZO, DONNA
OPERATIONAL/MANAGERIAL CONTROL
—
2010-12-13
current
pecos_ownership
DAGG, HANNA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-03-31
current
pecos_ownership
DAGG, HANNA
CORPORATE OFFICER
—
2023-06-01
current
pecos_ownership
DE LEON, RENATO
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-22
current
pecos_ownership
DE LEON, RENATO
ADP OF THE SNF
—
2022-10-01
current
pecos_ownership
FITZGERALD, LUANN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-01
current
pecos_ownership
GHAZARIANS, MANNEH
CORPORATE DIRECTOR
—
2025-04-01
current
pecos_ownership
JOHNSON, SUSAN
ADP OF THE SNF
—
2019-09-30
current
pecos_ownership
LWOMWA, JULIUS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-17
current
pecos_ownership
MABLI, CONSTANCE
OPERATIONAL/MANAGERIAL CONTROL
—
—
current
pecos_ownership
MAHROKHIAN, SANAN
CORPORATE DIRECTOR
—
2025-11-01
current
pecos_ownership
MANJIKIAN, LAURIE
CORPORATE OFFICER
—
2023-10-01
current
pecos_ownership
MARTINEZ, ESTANISIAO
OPERATIONAL/MANAGERIAL CONTROL
—
2022-12-20
current
pecos_ownership
MULLEN, ELIZABETH
ADP OF THE SNF
—
2022-10-24
current
pecos_ownership
PAUL, JASON
ADP OF THE SNF
—
2023-02-07
current
pecos_ownership
PINEIRO, MANUEL
OPERATIONAL/MANAGERIAL CONTROL
—
1996-05-30
current
pecos_ownership
SANTERRE, JENNIFER
ADP OF THE SNF
—
2022-10-24
current
pecos_ownership
SEGREST, WENDY
CORPORATE DIRECTOR
—
2024-05-01
current
pecos_ownership
WARNER, RONALD
ADP OF THE SNF
—
2025-04-15
current
pecos_ownership
YENIKOMSHIAN, ALYSSA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-01
current
pecos_ownership
ZOHRABYAN, TATEVIK
OPERATIONAL/MANAGERIAL CONTROL
—
2025-10-01
current
pecos_ownership
ALYSSA YENIKOMSHIAN
CORPORATE OFFICER
14%
2023-10-01
ended 2026-05-18
pecos_ownership
HANNA DAGG
CORPORATE DIRECTOR
14%
2021-03-31
ended 2026-05-18
pecos_ownership
HANNA DAGG
CORPORATE OFFICER
14%
2023-06-01
ended 2026-05-18
pecos_ownership
LAURIE MANJIKIAN
CORPORATE OFFICER
14%
2023-10-01
ended 2026-05-18
pecos_ownership
LUANN FITZGERALD
CORPORATE DIRECTOR
14%
2024-08-01
ended 2026-05-18
pecos_ownership
MANNEH GHAZARIANS
CORPORATE DIRECTOR
14%
2025-04-01
ended 2026-05-18
pecos_ownership
WENDY SEGREST
CORPORATE OFFICER
14%
2024-05-01
ended 2026-05-18
pecos_ownership
ANI AROYIAN
CORPORATE DIRECTOR
10%
2025-01-01
ended 2026-05-18
pecos_ownership
ANI BALIAN
CORPORATE DIRECTOR
10%
2025-10-01
ended 2026-05-18
pecos_ownership
SANAN MAHROKHIAN
CORPORATE DIRECTOR
10%
2025-11-01
ended 2026-05-18
pecos_ownership
TATEVIK ZOHRABYAN
CORPORATE DIRECTOR
10%
2025-10-01
ended 2026-05-18
pecos_ownership
ADAM BERMAN
ADP OF THE SNF
—
2024-10-22
ended 2026-05-18
pecos_ownership
ADAM BERMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-24
ended 2026-05-18
pecos_ownership
CONSTANCE MABLI
OPERATIONAL/MANAGERIAL CONTROL
—
—
ended 2026-05-18
pecos_ownership
DONNA CRESCENZO
OPERATIONAL/MANAGERIAL CONTROL
—
2010-12-13
ended 2026-05-18
pecos_ownership
ELIZABETH MULLEN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-24
ended 2026-05-18
pecos_ownership
ESTANISIAO MARTINEZ
OPERATIONAL/MANAGERIAL CONTROL
—
2022-12-20
ended 2026-05-18
pecos_ownership
JASON PAUL
ADP OF THE SNF
—
2023-02-07
ended 2026-05-18
pecos_ownership
JENNIFER SANTERRE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-24
ended 2026-05-18
pecos_ownership
JULIUS LWOMWA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-17
ended 2026-05-18
pecos_ownership
MANUEL PINEIRO
ADP OF THE SNF
—
1996-05-30
ended 2026-05-18
pecos_ownership
RENATO DE LEON
ADP OF THE SNF
—
2022-10-01
ended 2026-05-18
pecos_ownership
RENATO DE LEON
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-22
ended 2026-05-18
pecos_ownership
RONALD WARNER
ADP OF THE SNF
—
2025-04-15
ended 2026-05-18
pecos_ownership
SUSAN JOHNSON
ADP OF THE SNF
—
2019-09-30
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
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$614,081
—
—
—
—
1
—
2023-12-31
$487,648
—
—
—
—
1
—
2022-12-31
$74,613
—
—
—
—
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
31
Geo
Kind
BR
Amount
As of
Source
county 25025
acs median gross
0
$1,947
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
1
$1,966
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
2
$2,210
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
3
$2,269
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
4
$2,554
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
5
$2,169
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
$2,129
2024-12-31
CENSUS_ACS5
county 25025
acs recent mover gross
$2,759
2024-12-31
CENSUS_ACS5
zcta 02130
acs median gross
0
$2,158
2024-12-31
CENSUS_ACS5
zcta 02130
acs median gross
1
$2,247
2024-12-31
CENSUS_ACS5
zcta 02130
acs median gross
2
$2,523
2024-12-31
CENSUS_ACS5
zcta 02130
acs median gross
3
$2,814
2024-12-31
CENSUS_ACS5
zcta 02130
acs median gross
4
$3,309
2024-12-31
CENSUS_ACS5
zcta 02130
acs median gross
5
$1,548
2024-12-31
CENSUS_ACS5
zcta 02130
acs median gross
$2,426
2024-12-31
CENSUS_ACS5
zcta 02130
acs recent mover gross
$2,647
2024-12-31
CENSUS_ACS5
zip 02130
payment standard 110
0
$3,014
2025-10-01
HUD_USER_SAFMR
zip 02130
payment standard 90
0
$2,466
2025-10-01
HUD_USER_SAFMR
zip 02130
safmr
0
$2,740
2025-10-01
HUD_USER_SAFMR
zip 02130
payment standard 110
1
$3,157
2025-10-01
HUD_USER_SAFMR
zip 02130
payment standard 90
1
$2,583
2025-10-01
HUD_USER_SAFMR
zip 02130
safmr
1
$2,870
2025-10-01
HUD_USER_SAFMR
zip 02130
payment standard 110
2
$3,751
2025-10-01
HUD_USER_SAFMR
zip 02130
payment standard 90
2
$3,069
2025-10-01
HUD_USER_SAFMR
zip 02130
safmr
2
$3,410
2025-10-01
HUD_USER_SAFMR
zip 02130
payment standard 110
3
$4,499
2025-10-01
HUD_USER_SAFMR
zip 02130
payment standard 90
3
$3,681
2025-10-01
HUD_USER_SAFMR
zip 02130
safmr
3
$4,090
2025-10-01
HUD_USER_SAFMR
zip 02130
payment standard 110
4
$4,961
2025-10-01
HUD_USER_SAFMR
zip 02130
payment standard 90
4
$4,059
2025-10-01
HUD_USER_SAFMR
zip 02130
safmr
4
$4,510
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.