Reads as: riskier than 6.9% 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
20 chains
CLIFTONLARSONALLEN LLP
98 facilities
connection
Owner spans multiple chains
10 chains
RKL LLP
52 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
PA median
National median
National p25–p75
Total nurse
3.95
3.38
3.28
2.90–3.77
RN
0.65
0.45
0.39
0.25–0.58
Weekend total
3.77
3.27
3.11
—
Weekday total
4.02
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
76.8
3.95
0.65
0.85
2.46
3.77
0.0%
2025Q3
92
77.1
3.89
0.66
0.84
2.38
3.74
0.0%
2025Q2
91
76.9
3.83
0.74
0.80
2.29
3.67
0.0%
2025Q1
90
76.2
3.83
0.77
0.80
2.27
3.51
0.0%
2024Q4
92
76.7
3.79
0.77
0.80
2.22
3.55
0.0%
2024Q3
92
76.8
3.84
0.72
0.82
2.30
3.67
0.0%
2024Q2
91
76.9
3.77
0.76
0.87
2.14
3.59
0.0%
2024Q1
91
79.1
3.64
0.70
0.87
2.07
3.28
0.0%
2023Q4
92
77.0
3.71
0.68
0.93
2.10
3.50
0.0%
2023Q3
92
77.8
3.52
0.62
0.85
2.05
3.29
0.0%
2023Q2
91
79.4
3.42
0.65
0.72
2.05
3.27
0.0%
2023Q1
90
71.0
4.00
0.92
0.69
2.40
3.80
0.0%
2022Q4
92
69.7
3.55
0.76
0.82
1.96
3.42
0.0%
2022Q3
92
74.2
3.34
0.72
0.76
1.85
3.17
0.0%
2022Q2
91
67.7
3.83
0.67
0.90
2.27
3.70
0.0%
2022Q1
90
63.1
3.82
0.78
0.98
2.06
3.64
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.
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
D
2026-01-15
2025-12-11
Health
F0641
Ensure each resident receives an accurate assessment.
E
2026-01-15
2025-12-11
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2026-01-15
2025-12-11
Health
F0909
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
D
2026-01-15
2025-07-21
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-08-21
2025-01-30
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2025-03-04
2025-01-30
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-03-04
2025-01-30
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2025-03-04
2024-12-12
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
2025-01-21
2024-12-12
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.
E
2025-01-21
2024-12-12
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-01-21
2024-01-18
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-03-05
2024-01-18
Health
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
2024-03-05
2024-01-18
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-03-05
2024-01-18
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
2024-03-05
2024-01-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-03-05
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
73
Owner
Role
Pct
From
Status
Source
BARNHART, IDA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-09-11
current
pecos_ownership
BART, JUSTYNA
ADP OF THE SNF
—
2026-01-01
current
pecos_ownership
BLOSE, LEROY
ADP OF THE SNF
—
2022-04-28
current
pecos_ownership
BLOSE, LEROY
MANAGING CONTROL - GOVERNING BODY
—
2018-04-26
current
pecos_ownership
BOONE, REBECCA
ADP OF THE SNF
—
2022-04-28
current
pecos_ownership
CLIFTONLARSONALLEN LLP
ADP OF THE SNF
—
2025-03-07
current
pecos_ownership
CLIFTONLARSONALLEN LLP
OPERATIONAL/MANAGERIAL CONTROL
—
2012-01-01
current
pecos_ownership
CONRAD SIEGEL INVESTMENT ADVISORS, INC
ADP OF THE SNF
—
2025-03-07
current
pecos_ownership
CONRAD SIEGEL INVESTMENT ADVISORS, INC
OPERATIONAL/MANAGERIAL CONTROL
—
2009-01-01
current
pecos_ownership
DEANER, KAY
ADP OF THE SNF
—
2024-01-22
current
pecos_ownership
DIEROLF, LORI
OPERATIONAL/MANAGERIAL CONTROL
—
2022-06-16
current
pecos_ownership
DOMINGOS, TITA
ADP OF THE SNF
—
2022-07-25
current
pecos_ownership
DOMINGOS, TITA
MANAGING CONTROL - GOVERNING BODY
—
2024-07-25
current
pecos_ownership
EYSTER, SHARON
CORPORATE OFFICER
—
2022-10-31
current
pecos_ownership
FIELDS, MEREDITH
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-10
current
pecos_ownership
FIELDS, TONY
ADP OF THE SNF
—
2023-05-01
current
pecos_ownership
FULTON BANK, N.A.
ADP OF THE SNF
—
2015-10-01
current
pecos_ownership
GAGNON, TEMPEST
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-03
current
pecos_ownership
GOURLEY, RONALD
ADP OF THE SNF
—
2024-12-13
current
pecos_ownership
HEIN, DWIGHT
ADP OF THE SNF
—
2025-04-28
current
pecos_ownership
KEENE, BRIAN
ADP OF THE SNF
—
2019-05-13
current
pecos_ownership
KERN, CRAIG
MANAGING CONTROL - GOVERNING BODY
—
2025-04-25
current
pecos_ownership
LYONS, JAMES
MANAGING CONTROL - GOVERNING BODY
—
2024-05-01
current
pecos_ownership
PAUL, EMERSON
MANAGING CONTROL - GOVERNING BODY
—
2023-05-01
current
pecos_ownership
PENNSYLVANIA ASSOCIATION OF DIRECTOR OF NURSING ADMINISTRATION (PADONA
ADP OF THE SNF
—
2024-08-01
current
pecos_ownership
PRINZ, DONNA
MANAGING CONTROL - GOVERNING BODY
—
2023-05-01
current
pecos_ownership
RAISIG, HEATHER
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-09
current
pecos_ownership
RANKIN, CHRISTOPHER
ADP OF THE SNF
—
2023-05-01
current
pecos_ownership
RIEKER, JOHN
ADP OF THE SNF
—
2019-04-25
current
pecos_ownership
RKL LLP
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
RUSSELL, GALEN
MANAGING CONTROL - GOVERNING BODY
—
2021-05-01
current
pecos_ownership
SHELLER, CATHY
OPERATIONAL/MANAGERIAL CONTROL
—
2014-01-13
current
pecos_ownership
SHELLY, CRAIG
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-12
current
pecos_ownership
SOUDER, ADELE
ADP OF THE SNF
—
2015-07-31
current
pecos_ownership
UNITED CHURCH OF CHRIST HOMES
ADP OF THE SNF
—
2025-06-09
current
pecos_ownership
UNITED CHURCH OF CHRIST HOMES
OPERATIONAL/MANAGERIAL CONTROL
—
—
current
pecos_ownership
VELEZ, VICTORIA
OPERATIONAL/MANAGERIAL CONTROL
—
1995-03-01
current
pecos_ownership
WEISER, NEIL
ADP OF THE SNF
—
2019-06-24
current
pecos_ownership
WELLER, SUNDAY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-12-31
current
pecos_ownership
WOMACK, KENNETH
ADP OF THE SNF
—
2022-04-22
current
pecos_ownership
WOMACK, KENNETH
MANAGING CONTROL - GOVERNING BODY
—
2022-04-28
current
pecos_ownership
SHARON EYSTER
CORPORATE OFFICER
0%
2022-10-31
ended 2026-05-18
pecos_ownership
ADELE SOUDER
OPERATIONAL/MANAGERIAL CONTROL
—
2015-07-31
ended 2026-05-18
pecos_ownership
BRIAN KEENE
OPERATIONAL/MANAGERIAL CONTROL
—
2019-05-13
ended 2026-05-18
pecos_ownership
CATHY SHELLER
ADP OF THE SNF
—
2014-01-13
ended 2026-05-18
pecos_ownership
CHRISTOPHER RANKIN
ADP OF THE SNF
—
2023-05-01
ended 2026-05-18
pecos_ownership
CRAIG KERN
ADP OF THE SNF
—
2025-04-25
ended 2026-05-18
pecos_ownership
CRAIG SHELLY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-12
ended 2026-05-18
pecos_ownership
DONNA PRINZ
ADP OF THE SNF
—
2023-05-01
ended 2026-05-18
pecos_ownership
DWIGHT HEIN
ADP OF THE SNF
—
2025-04-28
ended 2026-05-18
pecos_ownership
EMERSON PAUL
ADP OF THE SNF
—
2023-05-01
ended 2026-05-18
pecos_ownership
GALEN RUSSELL
MANAGING CONTROL - GOVERNING BODY
—
2021-05-01
ended 2026-05-18
pecos_ownership
HEATHER RAISIG
ADP OF THE SNF
—
2023-01-09
ended 2026-05-18
pecos_ownership
IDA BARNHART
ADP OF THE SNF
—
2023-09-11
ended 2026-05-18
pecos_ownership
JAMES LYONS
ADP OF THE SNF
—
2024-05-01
ended 2026-05-18
pecos_ownership
JOHN RIEKER
MANAGING CONTROL - GOVERNING BODY
—
2019-04-25
ended 2026-05-18
pecos_ownership
JUSTYNA BART
OPERATIONAL/MANAGERIAL CONTROL
—
2026-01-01
ended 2026-05-18
pecos_ownership
KAY DEANER
MANAGING CONTROL - GOVERNING BODY
—
2024-01-22
ended 2026-05-18
pecos_ownership
KENNETH WOMACK
MANAGING CONTROL - GOVERNING BODY
—
2022-04-28
ended 2026-05-18
pecos_ownership
KENNETH WOMACK
ADP OF THE SNF
—
2022-04-22
ended 2026-05-18
pecos_ownership
LEROY BLOSE
MANAGING CONTROL - GOVERNING BODY
—
2018-04-26
ended 2026-05-18
pecos_ownership
LEROY BLOSE
ADP OF THE SNF
—
2022-04-28
ended 2026-05-18
pecos_ownership
LORI DIEROLF
ADP OF THE SNF
—
2022-06-16
ended 2026-05-18
pecos_ownership
MEREDITH FIELDS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-10
ended 2026-05-18
pecos_ownership
NEIL WEISER
ADP OF THE SNF
—
2019-06-24
ended 2026-05-18
pecos_ownership
REBECCA BOONE
MANAGING CONTROL - GOVERNING BODY
—
2022-04-28
ended 2026-05-18
pecos_ownership
RONALD GOURLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-13
ended 2026-05-18
pecos_ownership
SUNDAY WELLER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-12-31
ended 2026-05-18
pecos_ownership
TEMPEST GAGNON
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-03
ended 2026-05-18
pecos_ownership
TITA DOMINGOS
ADP OF THE SNF
—
2022-07-25
ended 2026-05-18
pecos_ownership
TITA DOMINGOS
MANAGING CONTROL - GOVERNING BODY
—
2024-07-25
ended 2026-05-18
pecos_ownership
TONY FIELDS
ADP OF THE SNF
—
2023-05-01
ended 2026-05-18
pecos_ownership
VICTORIA VELEZ
OPERATIONAL/MANAGERIAL CONTROL
—
1995-03-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$580,793
—
—
—
—
1
—
2023-12-31
$530,238
—
—
—
—
1
—
2022-12-31
$552,681
—
—
—
—
1
—
2021-12-31
$531,000
—
—
—
—
1
—
2020-12-31
$505,749
—
—
—
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 42041
acs median gross
0
$1,225
2024-12-31
CENSUS_ACS5
county 42041
fmr
0
$1,058
2025-10-01
HUD_USER_FMR
county 42041
acs median gross
1
$968
2024-12-31
CENSUS_ACS5
county 42041
fmr
1
$1,212
2025-10-01
HUD_USER_FMR
county 42041
acs median gross
2
$1,279
2024-12-31
CENSUS_ACS5
county 42041
fmr
2
$1,493
2025-10-01
HUD_USER_FMR
county 42041
acs median gross
3
$1,543
2024-12-31
CENSUS_ACS5
county 42041
fmr
3
$1,920
2025-10-01
HUD_USER_FMR
county 42041
acs median gross
4
$1,812
2024-12-31
CENSUS_ACS5
county 42041
fmr
4
$1,977
2025-10-01
HUD_USER_FMR
county 42041
acs median gross
5
$1,761
2024-12-31
CENSUS_ACS5
county 42041
acs median gross
$1,249
2024-12-31
CENSUS_ACS5
county 42041
acs recent mover gross
$1,453
2024-12-31
CENSUS_ACS5
zcta 17013
acs median gross
0
$1,328
2024-12-31
CENSUS_ACS5
zcta 17013
acs median gross
1
$920
2024-12-31
CENSUS_ACS5
zcta 17013
acs median gross
2
$1,209
2024-12-31
CENSUS_ACS5
zcta 17013
acs median gross
3
$1,441
2024-12-31
CENSUS_ACS5
zcta 17013
acs median gross
4
$1,928
2024-12-31
CENSUS_ACS5
zcta 17013
acs median gross
$1,118
2024-12-31
CENSUS_ACS5
zcta 17013
acs recent mover gross
$1,379
2024-12-31
CENSUS_ACS5
zip 17013
payment standard 110
0
$1,045
2025-10-01
HUD_USER_SAFMR
zip 17013
payment standard 90
0
$855
2025-10-01
HUD_USER_SAFMR
zip 17013
safmr
0
$950
2025-10-01
HUD_USER_SAFMR
zip 17013
payment standard 110
1
$1,199
2025-10-01
HUD_USER_SAFMR
zip 17013
payment standard 90
1
$981
2025-10-01
HUD_USER_SAFMR
zip 17013
safmr
1
$1,090
2025-10-01
HUD_USER_SAFMR
zip 17013
payment standard 110
2
$1,474
2025-10-01
HUD_USER_SAFMR
zip 17013
payment standard 90
2
$1,206
2025-10-01
HUD_USER_SAFMR
zip 17013
safmr
2
$1,340
2025-10-01
HUD_USER_SAFMR
zip 17013
payment standard 110
3
$1,892
2025-10-01
HUD_USER_SAFMR
zip 17013
payment standard 90
3
$1,548
2025-10-01
HUD_USER_SAFMR
zip 17013
safmr
3
$1,720
2025-10-01
HUD_USER_SAFMR
zip 17013
payment standard 110
4
$1,947
2025-10-01
HUD_USER_SAFMR
zip 17013
payment standard 90
4
$1,593
2025-10-01
HUD_USER_SAFMR
zip 17013
safmr
4
$1,770
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.