Reads as: riskier than 81.8% 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.
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
OH median
National median
National p25–p75
Total nurse
3.55
3.24
3.28
2.90–3.77
RN
0.38
0.38
0.39
0.25–0.58
Weekend total
3.54
3.11
3.11
—
Weekday total
3.55
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
70.1
3.55
0.38
1.08
2.09
3.54
9.7%
2025Q3
92
64.8
3.66
0.43
1.10
2.13
3.45
8.6%
2025Q2
91
62.6
3.50
0.34
1.23
1.93
3.49
5.8%
2025Q1
90
66.0
3.38
0.41
0.99
1.98
3.30
6.4%
2024Q4
92
62.7
3.36
0.28
1.06
2.02
3.33
4.0%
2024Q3
92
64.6
3.13
0.29
0.99
1.86
3.01
2.4%
2024Q2
91
66.5
3.16
0.27
1.01
1.88
3.08
0.0%
2024Q1
91
65.5
3.39
0.37
0.97
2.05
3.24
3.7%
2023Q4
92
61.9
3.10
0.34
0.89
1.87
3.04
4.4%
2023Q3
92
57.8
3.31
0.35
1.07
1.89
3.24
5.7%
2023Q2
91
59.7
3.44
0.27
1.24
1.94
3.47
11.4%
2023Q1
90
62.7
3.34
0.36
1.13
1.84
3.33
14.5%
2022Q4
92
71.2
2.85
0.11
1.06
1.68
2.81
0.3%
2022Q3
92
72.6
3.39
0.16
1.26
1.97
3.25
21.7%
2022Q2
91
65.1
1.17
0.03
0.23
0.92
1.20
100.0%
2022Q1
90
61.1
3.13
0.10
1.31
1.72
3.19
19.4%
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.
Reasonably accommodate the needs and preferences of each resident.
D
2025-08-04
2025-07-07
Health · complaint
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2025-08-04
2025-07-07
Health
F0610
Respond appropriately to all alleged violations.
D
2025-08-04
2025-07-07
Health · complaint
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
E
2025-08-04
2025-07-07
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-08-04
2025-07-07
Health
F0646
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
D
2025-08-04
2025-07-07
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-08-04
2025-07-07
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-08-04
2025-07-07
Health · complaint
F0679
Provide activities to meet all resident's needs.
D
2025-08-04
2025-07-07
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-08-04
2025-07-07
Health · complaint
F0691
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
D
2025-08-04
2025-07-07
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
G
2025-08-04
2025-07-07
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2025-08-04
2025-07-07
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2025-08-04
2025-07-07
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2025-08-04
2025-07-07
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-08-04
2024-10-03
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-10-23
2024-10-03
Health · complaint
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
2024-10-23
2024-10-03
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-10-23
2023-10-24
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2023-11-24
2023-10-24
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-11-24
2023-10-24
Health · complaint
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
2023-11-24
2023-10-24
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2023-11-24
2023-06-29
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2023-07-25
2022-09-19
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.
E
2022-10-18
2022-09-19
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2022-10-18
2022-09-19
Health
F0687
Provide appropriate foot care.
D
2022-10-18
2022-09-19
Health
F0692
Provide enough food/fluids to maintain a resident's health.
E
2022-10-18
2022-09-19
Health
F0730
Observe each nurse aide's job performance and give regular training.
F
2022-10-18
2022-09-19
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2022-10-18
2022-09-19
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2022-10-18
2022-09-19
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2022-10-18
2022-09-19
Health
F0880
Provide and implement an infection prevention and control program.
F
2022-10-18
2022-09-19
Health
F0881
Implement a program that monitors antibiotic use.
D
2022-10-18
2019-09-09
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
C
2019-09-27
2019-09-09
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2019-09-27
2019-09-09
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
2019-09-27
2019-09-09
Health
F0760
Ensure that residents are free from significant medication errors.
D
2019-09-27
2019-09-09
Health
F0880
Provide and implement an infection prevention and control program.
F
2019-09-27
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
21
Owner
Role
Pct
From
Status
Source
WWBV HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2019-09-30
current
pecos_ownership
KELFMAN-BARONI, KAYLEE
W-2 MANAGING EMPLOYEE
—
2023-02-20
current
pecos_ownership
MANDAT, THOMAS
CONTRACTED MANAGING EMPLOYEE
—
2023-09-30
current
pecos_ownership
NICOLUZAKIS, GREGORY
CORPORATE OFFICER
—
2019-03-01
current
pecos_ownership
SABER GOVERNANCE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-09-01
current
pecos_ownership
SHG MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-09-01
current
pecos_ownership
VOLPE, BENJAMIN
CORPORATE DIRECTOR
—
2019-03-01
current
pecos_ownership
WEISBERG, WILLIAM
CORPORATE DIRECTOR
—
2019-03-01
current
pecos_ownership
YOUELL, VALERIE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-02
current
pecos_ownership
KAYLEE KELFMAN-BARONI
W-2 MANAGING EMPLOYEE
100%
2023-02-20
ended 2026-05-18
pecos_ownership
SABER HEALTHCARE HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2015-12-01
ended 2026-05-18
pecos_ownership
SHH HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2019-03-01
ended 2026-05-18
pecos_ownership
DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020
5% OR GREATER INDIRECT OWNERSHIP INTEREST
67%
2023-01-01
ended 2026-05-18
pecos_ownership
WIW DYNASTY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
67%
2023-01-01
ended 2026-05-18
pecos_ownership
BENJAMIN VOLPE
CORPORATE DIRECTOR
50%
2019-03-01
ended 2026-05-18
pecos_ownership
WILLIAM WEISBERG
CORPORATE DIRECTOR
50%
2019-03-01
ended 2026-05-18
pecos_ownership
BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020)
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2023-01-01
ended 2026-05-18
pecos_ownership
BNV DYNASTY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2023-01-01
ended 2026-05-18
pecos_ownership
GREGORY NICOLUZAKIS
CORPORATE OFFICER
0%
2019-03-01
ended 2026-05-18
pecos_ownership
THOMAS MANDAT
CONTRACTED MANAGING EMPLOYEE
0%
2023-09-30
ended 2026-05-18
pecos_ownership
VALERIE YOUELL
OPERATIONAL/MANAGERIAL CONTROL
0%
2024-01-02
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
$920,476
—
—
$434,943
$116,468
5
—
2023-12-31
$892,358
—
—
$462,861
$114,509
5
—
2022-12-31
$886,364
—
—
$519,753
$4,277
4
—
2021-12-31
$750,519
—
—
$439,720
—
4
—
2020-12-31
$759,776
—
—
$404,854
$11,289
4
—
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
32
Geo
Kind
BR
Amount
As of
Source
county 39035
acs median gross
0
$792
2024-12-31
CENSUS_ACS5
county 39035
fmr
0
$933
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
1
$859
2024-12-31
CENSUS_ACS5
county 39035
fmr
1
$1,058
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
2
$1,106
2024-12-31
CENSUS_ACS5
county 39035
fmr
2
$1,279
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
3
$1,290
2024-12-31
CENSUS_ACS5
county 39035
fmr
3
$1,646
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
4
$1,442
2024-12-31
CENSUS_ACS5
county 39035
fmr
4
$1,760
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
5
$1,548
2024-12-31
CENSUS_ACS5
county 39035
acs median gross
$1,060
2024-12-31
CENSUS_ACS5
county 39035
acs recent mover gross
$1,218
2024-12-31
CENSUS_ACS5
zcta 44131
acs median gross
2
$1,344
2024-12-31
CENSUS_ACS5
zcta 44131
acs median gross
3
$1,645
2024-12-31
CENSUS_ACS5
zcta 44131
acs median gross
4
$1,577
2024-12-31
CENSUS_ACS5
zcta 44131
acs median gross
$1,407
2024-12-31
CENSUS_ACS5
zip 44131
payment standard 110
0
$1,474
2025-10-01
HUD_USER_SAFMR
zip 44131
payment standard 90
0
$1,206
2025-10-01
HUD_USER_SAFMR
zip 44131
safmr
0
$1,340
2025-10-01
HUD_USER_SAFMR
zip 44131
payment standard 110
1
$1,672
2025-10-01
HUD_USER_SAFMR
zip 44131
payment standard 90
1
$1,368
2025-10-01
HUD_USER_SAFMR
zip 44131
safmr
1
$1,520
2025-10-01
HUD_USER_SAFMR
zip 44131
payment standard 110
2
$2,024
2025-10-01
HUD_USER_SAFMR
zip 44131
payment standard 90
2
$1,656
2025-10-01
HUD_USER_SAFMR
zip 44131
safmr
2
$1,840
2025-10-01
HUD_USER_SAFMR
zip 44131
payment standard 110
3
$2,607
2025-10-01
HUD_USER_SAFMR
zip 44131
payment standard 90
3
$2,133
2025-10-01
HUD_USER_SAFMR
zip 44131
safmr
3
$2,370
2025-10-01
HUD_USER_SAFMR
zip 44131
payment standard 110
4
$2,783
2025-10-01
HUD_USER_SAFMR
zip 44131
payment standard 90
4
$2,277
2025-10-01
HUD_USER_SAFMR
zip 44131
safmr
4
$2,530
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.