Reads as: riskier than 77.2% 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
25
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+31.9 vs natl
FREDERICK S FRANKEL TRUST
13 facilities
connection
Owner fleet risk far above national
+28.7 vs natl
WILHELM NAFTALI
81 facilities
connection
Owner fleet risk far above national
+28.2 vs natl
CURIS SERVICES LLC
85 facilities
connection
Owner fleet risk far above national
+28.1 vs natl
DAVID A BERKOWITZ REVOC TR DAVID BERKOWITZ TTEE
21 facilities
connection
Owner fleet risk far above national
+28.1 vs natl
TUROFSKY STEVEN
87 facilities
connection
Owner fleet risk far above national
+27.4 vs natl
SPECTOR JENNIFER
93 facilities
connection
Owner fleet risk far above national
+27.3 vs natl
TALAMONA RAYMOND
8 facilities
connection
Owner fleet risk far above national
+26.3 vs natl
BERKOWITZ DAVID
77 facilities
connection
Owner fleet risk far above national
+26.2 vs natl
MEYSTEL YOSEF
77 facilities
connection
Owner fleet risk far above national
+25.4 vs natl
FRANKEL FREDERICK
15 facilities
connection
Owner fleet risk far above national
+24.4 vs natl
YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE
21 facilities
connection
Owner fleet risk far above national
+23.5 vs natl
POINTE GROUP CARE LLC
9 facilities
connection
Owner fleet risk far above national
+22.2 vs natl
BERKOWITZ BENJAMIN
11 facilities
connection
Owner fleet risk far above national
+21.8 vs natl
LABELLA CATERINA
8 facilities
connection
Owner spans multiple chains
9 chains
TUROFSKY STEVEN
84 facilities
connection
Owner spans multiple chains
9 chains
SPECTOR JENNIFER
90 facilities
connection
Owner spans multiple chains
8 chains
CURIS SERVICES LLC
81 facilities
connection
Owner spans multiple chains
8 chains
MEYSTEL YOSEF
73 facilities
connection
Owner spans multiple chains
8 chains
BERKOWITZ DAVID
73 facilities
connection
Owner spans multiple chains
8 chains
WILHELM NAFTALI
78 facilities
connection
Owner spans multiple chains
5 chains
FRANKEL FREDERICK
15 facilities
connection
Owner fleet enforcement cluster
54% fined
WILHELM NAFTALI
81 facilities
connection
Owner fleet enforcement cluster
53% fined
SPECTOR JENNIFER
93 facilities
connection
Owner fleet enforcement cluster
52% fined
CURIS SERVICES LLC
85 facilities
connection
Owner fleet enforcement cluster
52% fined
TUROFSKY STEVEN
87 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
RI median
National median
National p25–p75
Total nurse
2.65
3.22
3.28
2.90–3.77
RN
0.18
0.53
0.39
0.25–0.58
Weekend total
2.63
3.04
3.11
—
Weekday total
2.66
3.28
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
122.5
2.65
0.18
0.68
1.79
2.63
0.0%
2025Q3
92
112.3
2.93
0.21
0.76
1.97
2.85
0.0%
2025Q2
91
108.5
3.06
0.18
0.82
2.07
2.98
0.0%
2025Q1
90
112.6
3.22
0.21
0.83
2.18
3.03
0.0%
2024Q4
92
111.8
3.62
0.32
0.86
2.44
3.33
0.0%
2024Q3
92
116.0
3.52
0.35
0.81
2.36
3.11
0.0%
2024Q2
91
119.8
3.37
0.28
0.79
2.31
3.04
0.0%
2024Q1
91
122.2
3.29
0.23
0.99
2.06
2.87
1.2%
2023Q4
92
123.2
3.58
0.15
1.01
2.42
3.36
40.5%
2023Q3
92
122.3
3.68
0.11
1.09
2.48
3.34
54.4%
2023Q2
91
121.3
3.88
0.13
1.05
2.70
3.46
55.5%
2023Q1
90
113.1
3.57
0.15
0.83
2.59
3.17
49.6%
2022Q4
92
110.5
3.55
0.19
0.85
2.51
3.07
48.1%
2022Q3
92
104.4
3.50
0.33
0.72
2.46
2.93
43.8%
2022Q2
91
94.8
3.88
0.29
0.79
2.80
3.24
41.9%
2022Q1
90
108.0
3.59
0.41
0.66
2.52
3.15
41.8%
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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-01-30
2025-08-15
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2025-08-28
2025-08-15
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-08-28
2025-08-15
Health
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
E
2025-08-28
2025-08-15
Health
F0825
Provide or get specialized rehabilitative services as required for a resident.
G
2025-08-28
2025-08-15
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-08-28
2025-04-07
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-05-13
2025-03-27
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2025-05-05
2024-10-02
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2024-10-30
2024-10-02
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
G
2024-10-30
2024-07-19
Health
F0641
Ensure each resident receives an accurate assessment.
E
2024-08-17
2024-07-19
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-08-17
2024-07-19
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
2024-08-17
2024-07-19
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2024-08-17
2024-07-19
Health · complaint
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2024-08-17
2024-07-19
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-08-17
2024-07-19
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2024-08-17
2024-07-19
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-08-17
2024-06-06
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-06-17
2023-10-05
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2023-10-31
2023-09-13
Health · complaint
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.
F
2023-10-10
2023-06-19
Health
F0567
Honor the resident's right to manage his or her financial affairs.
F
2023-07-11
2023-06-19
Health
F0569
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
D
2023-07-11
2023-06-19
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
C
2023-07-11
2023-06-19
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
B
2023-07-11
2023-06-19
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
C
2023-07-11
2023-06-19
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2023-07-11
2023-06-19
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-07-11
2023-06-19
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2023-07-11
2023-06-19
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
E
2023-07-11
2023-06-19
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F
2023-07-11
2023-06-19
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
2023-07-11
2023-06-19
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F
2023-07-11
2023-06-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-07-11
2023-06-19
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-07-11
2023-06-19
Health
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
F
2023-07-11
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
28
Owner
Role
Pct
From
Status
Source
BERKOWITZ, BENJAMIN
ADP OF THE SNF
—
2025-02-01
current
pecos_ownership
BERKOWITZ, DAVID
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-03-13
current
pecos_ownership
CURIS SERVICES LLC
ADP OF THE SNF
—
2025-02-01
current
pecos_ownership
DAVID A BERKOWITZ REVOC TR DAVID BERKOWITZ TTEE
DIRECT OWNERSHIP INTEREST
—
2025-02-01
current
pecos_ownership
FRANKEL, FREDERICK
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-03-13
current
pecos_ownership
FREDERICK S FRANKEL TRUST
DIRECT OWNERSHIP INTEREST
—
2025-02-01
current
pecos_ownership
LABELLA, CATERINA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-01
current
pecos_ownership
MEYSTEL, YOSEF
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-03-13
current
pecos_ownership
MONTESSI, BELINDA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-01
current
pecos_ownership
POINTE GROUP CARE LLC
ADP OF THE SNF
—
2025-03-13
current
pecos_ownership
POINTE GROUP CARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-01
current
pecos_ownership
RUSSO, OLIVIA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-01
current
pecos_ownership
SPECTOR, JENNIFER
CORPORATE OFFICER
—
2025-02-01
current
pecos_ownership
TABE, JULIUS
ADP OF THE SNF
—
2025-02-01
current
pecos_ownership
TALAMONA, RAYMOND
ADP OF THE SNF
—
2025-02-01
current
pecos_ownership
TUROFSKY, STEVEN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-01
current
pecos_ownership
TUROFSKY, STEVEN
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-12-17
current
pecos_ownership
WILHELM, NAFTALI
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-01
current
pecos_ownership
YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE
DIRECT OWNERSHIP INTEREST
—
2025-02-01
current
pecos_ownership
CATERINA LABELLA
CORPORATE OFFICER
100%
2025-02-01
ended 2026-05-18
pecos_ownership
JENNIFER SPECTOR
CORPORATE OFFICER
100%
2025-02-01
ended 2026-05-18
pecos_ownership
BENJAMIN BERKOWITZ
DIRECT OWNERSHIP INTEREST
33%
2025-02-01
ended 2026-05-18
pecos_ownership
BELINDA MONTESSI
ADP OF THE SNF
—
2025-02-01
ended 2026-05-18
pecos_ownership
JULIUS TABE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-01
ended 2026-05-18
pecos_ownership
NAFTALI WILHELM
ADP OF THE SNF
—
2025-02-01
ended 2026-05-18
pecos_ownership
OLIVIA RUSSO
ADP OF THE SNF
—
2025-02-01
ended 2026-05-18
pecos_ownership
RAYMOND TALAMONA
ADP OF THE SNF
—
2025-02-01
ended 2026-05-18
pecos_ownership
STEVEN TUROFSKY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
31
Geo
Kind
BR
Amount
As of
Source
county 44007
acs median gross
0
$963
2024-12-31
CENSUS_ACS5
county 44007
acs median gross
1
$952
2024-12-31
CENSUS_ACS5
county 44007
acs median gross
2
$1,397
2024-12-31
CENSUS_ACS5
county 44007
acs median gross
3
$1,597
2024-12-31
CENSUS_ACS5
county 44007
acs median gross
4
$1,647
2024-12-31
CENSUS_ACS5
county 44007
acs median gross
5
$1,808
2024-12-31
CENSUS_ACS5
county 44007
acs median gross
$1,312
2024-12-31
CENSUS_ACS5
county 44007
acs recent mover gross
$1,677
2024-12-31
CENSUS_ACS5
zcta 02860
acs median gross
0
$902
2024-12-31
CENSUS_ACS5
zcta 02860
acs median gross
1
$906
2024-12-31
CENSUS_ACS5
zcta 02860
acs median gross
2
$1,307
2024-12-31
CENSUS_ACS5
zcta 02860
acs median gross
3
$1,418
2024-12-31
CENSUS_ACS5
zcta 02860
acs median gross
4
$1,511
2024-12-31
CENSUS_ACS5
zcta 02860
acs median gross
5
$909
2024-12-31
CENSUS_ACS5
zcta 02860
acs median gross
$1,192
2024-12-31
CENSUS_ACS5
zcta 02860
acs recent mover gross
$1,418
2024-12-31
CENSUS_ACS5
zip 02860
payment standard 110
0
$1,353
2025-10-01
HUD_USER_SAFMR
zip 02860
payment standard 90
0
$1,107
2025-10-01
HUD_USER_SAFMR
zip 02860
safmr
0
$1,230
2025-10-01
HUD_USER_SAFMR
zip 02860
payment standard 110
1
$1,441
2025-10-01
HUD_USER_SAFMR
zip 02860
payment standard 90
1
$1,179
2025-10-01
HUD_USER_SAFMR
zip 02860
safmr
1
$1,310
2025-10-01
HUD_USER_SAFMR
zip 02860
payment standard 110
2
$1,771
2025-10-01
HUD_USER_SAFMR
zip 02860
payment standard 90
2
$1,449
2025-10-01
HUD_USER_SAFMR
zip 02860
safmr
2
$1,610
2025-10-01
HUD_USER_SAFMR
zip 02860
payment standard 110
3
$2,134
2025-10-01
HUD_USER_SAFMR
zip 02860
payment standard 90
3
$1,746
2025-10-01
HUD_USER_SAFMR
zip 02860
safmr
3
$1,940
2025-10-01
HUD_USER_SAFMR
zip 02860
payment standard 110
4
$2,541
2025-10-01
HUD_USER_SAFMR
zip 02860
payment standard 90
4
$2,079
2025-10-01
HUD_USER_SAFMR
zip 02860
safmr
4
$2,310
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.