Reads as: riskier than 78.9% 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
6 chains
SUMMATION FINANCIAL SERVICES LLC
48 facilities
connection
Owner spans multiple chains
5 chains
CLINICAL CONSULTING SERVICES LLC
42 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
2.73
3.38
3.28
2.90–3.77
RN
0.19
0.45
0.39
0.25–0.58
Weekend total
2.53
3.27
3.11
—
Weekday total
2.81
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
100.4
2.73
0.19
0.79
1.75
2.53
35.0%
2025Q3
92
97.8
2.66
0.20
0.79
1.67
2.49
26.7%
2025Q2
91
93.8
2.81
0.17
0.85
1.80
2.52
23.4%
2025Q1
90
89.1
2.60
0.18
0.77
1.65
2.42
10.9%
2024Q4
92
85.0
2.47
0.07
0.77
1.63
2.25
23.5%
2024Q3
92
83.4
2.62
0.08
0.81
1.73
2.39
27.2%
2024Q2
91
76.6
2.59
0.10
0.76
1.73
2.37
22.2%
2024Q1
91
75.1
2.53
0.12
0.77
1.64
2.33
20.7%
2023Q4
92
70.9
2.63
0.18
0.73
1.72
2.37
17.1%
2023Q3
92
72.0
2.64
0.15
0.75
1.73
2.44
11.9%
2023Q2
91
70.2
2.67
0.08
0.79
1.80
2.66
11.1%
2023Q1
90
68.4
2.69
0.12
0.79
1.78
2.75
7.9%
2022Q4
92
68.3
2.57
0.10
0.79
1.68
2.57
8.5%
2022Q3
92
65.8
2.69
0.17
0.79
1.73
2.71
7.4%
2022Q2
91
73.5
2.40
0.29
0.74
1.37
2.28
4.6%
2022Q1
90
73.7
2.40
0.29
0.74
1.36
2.31
4.1%
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.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-09-09
2025-08-07
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-09-09
2025-02-07
Health
F0641
Ensure each resident receives an accurate assessment.
E
2025-03-25
2025-02-07
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-03-25
2025-02-07
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
E
2025-03-25
2025-02-07
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-03-25
2025-02-07
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
E
2025-03-25
2025-02-07
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
2025-03-25
2025-02-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-03-25
2024-03-22
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
2024-04-25
2024-03-22
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-04-25
2024-03-22
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
2024-04-25
2024-03-22
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
2024-04-25
2023-04-28
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
E
2023-06-06
2023-04-28
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2023-06-06
2023-04-28
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
2023-06-06
2023-04-28
Health
F0775
Keep complete, dated laboratory records in the resident's record.
D
2023-06-06
2023-04-28
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-06-06
2023-04-28
Health
F0880
Provide and implement an infection prevention and control program.
F
2023-06-06
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
18
Owner
Role
Pct
From
Status
Source
STRAWBERRY HILL HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2020-01-28
current
pecos_ownership
915 FC PROPERTY LLC
ADP OF THE SNF
—
2019-08-01
current
pecos_ownership
CLINICAL CONSULTING SERVICES LLC
ADP OF THE SNF
—
2025-06-05
current
pecos_ownership
CLINICAL CONSULTING SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-08-01
current
pecos_ownership
HILDEBRAND-PALKOV, KARYN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-09-13
current
pecos_ownership
HILDEBRAND-PALKOV, KARYN
ADP OF THE SNF
—
2025-06-20
current
pecos_ownership
PRIORITY CARE GROUP LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-08-01
current
pecos_ownership
SUMMATION FINANCIAL SERVICES LLC
ADP OF THE SNF
—
2025-06-06
current
pecos_ownership
SUMMATION FINANCIAL SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-08-01
current
pecos_ownership
TOMAZIC, DAVID
ADP OF THE SNF
—
2025-06-06
current
pecos_ownership
TOMAZIC, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2019-08-01
current
pecos_ownership
FOREST CITY PROPCO HOLDINGS
Corporation, partnership or other organization has financial interest in provider
100%
2020-07-01
ended 2021-06-30
hcris_a_8_1
LME FAMILY HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2019-08-01
ended 2026-05-18
pecos_ownership
SAMARA FAMILY HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2020-01-28
ended 2026-05-18
pecos_ownership
DAVID TOMAZIC
ADP OF THE SNF
—
2025-06-06
ended 2026-05-18
pecos_ownership
DAVID TOMAZIC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-08-01
ended 2026-05-18
pecos_ownership
KARYN HILDEBRAND-PALKOV
OPERATIONAL/MANAGERIAL CONTROL
—
2021-09-13
ended 2026-05-18
pecos_ownership
KARYN HILDEBRAND-PALKOV
ADP OF THE SNF
—
2025-06-20
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
2025-06-30
$1,660,889
—
$179,601
$403,192
$248,406
10
—
2024-06-30
$1,268,680
—
$151,235
$337,261
$151,540
10
—
2023-06-30
$1,175,817
—
$124,908
$320,113
$140,069
9
—
2022-06-30
$1,035,007
—
$136,786
$387,997
$131,808
8
—
2021-06-30
$983,282
$607,085
$140,794
—
$77,262
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
33
Geo
Kind
BR
Amount
As of
Source
county 42115
fmr
0
$760
2025-10-01
HUD_USER_FMR
county 42115
acs median gross
1
$598
2024-12-31
CENSUS_ACS5
county 42115
fmr
1
$805
2025-10-01
HUD_USER_FMR
county 42115
acs median gross
2
$903
2024-12-31
CENSUS_ACS5
county 42115
fmr
2
$1,045
2025-10-01
HUD_USER_FMR
county 42115
acs median gross
3
$1,133
2024-12-31
CENSUS_ACS5
county 42115
fmr
3
$1,342
2025-10-01
HUD_USER_FMR
county 42115
acs median gross
4
$1,034
2024-12-31
CENSUS_ACS5
county 42115
fmr
4
$1,409
2025-10-01
HUD_USER_FMR
county 42115
acs median gross
5
$1,160
2024-12-31
CENSUS_ACS5
county 42115
acs median gross
$933
2024-12-31
CENSUS_ACS5
county 42115
acs recent mover gross
$968
2024-12-31
CENSUS_ACS5
zcta 18421
acs median gross
1
$753
2024-12-31
CENSUS_ACS5
zcta 18421
acs median gross
2
$872
2024-12-31
CENSUS_ACS5
zcta 18421
acs median gross
3
$1,016
2024-12-31
CENSUS_ACS5
zcta 18421
acs median gross
4
$1,609
2024-12-31
CENSUS_ACS5
zcta 18421
acs median gross
$866
2024-12-31
CENSUS_ACS5
zcta 18421
acs recent mover gross
$1,629
2024-12-31
CENSUS_ACS5
zip 18421
payment standard 110
0
$792
2025-10-01
HUD_USER_SAFMR
zip 18421
payment standard 90
0
$648
2025-10-01
HUD_USER_SAFMR
zip 18421
safmr
0
$720
2025-10-01
HUD_USER_SAFMR
zip 18421
payment standard 110
1
$924
2025-10-01
HUD_USER_SAFMR
zip 18421
payment standard 90
1
$756
2025-10-01
HUD_USER_SAFMR
zip 18421
safmr
1
$840
2025-10-01
HUD_USER_SAFMR
zip 18421
payment standard 110
2
$1,122
2025-10-01
HUD_USER_SAFMR
zip 18421
payment standard 90
2
$918
2025-10-01
HUD_USER_SAFMR
zip 18421
safmr
2
$1,020
2025-10-01
HUD_USER_SAFMR
zip 18421
payment standard 110
3
$1,452
2025-10-01
HUD_USER_SAFMR
zip 18421
payment standard 90
3
$1,188
2025-10-01
HUD_USER_SAFMR
zip 18421
safmr
3
$1,320
2025-10-01
HUD_USER_SAFMR
zip 18421
payment standard 110
4
$1,815
2025-10-01
HUD_USER_SAFMR
zip 18421
payment standard 90
4
$1,485
2025-10-01
HUD_USER_SAFMR
zip 18421
safmr
4
$1,650
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.