Reads as: riskier than 47.0% 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
+32.8 vs natl
SEITLER DOVID
35 facilities
connection
Owner fleet risk far above national
+30.0 vs natl
KAPLAN MORDECHAI
38 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
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
+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
+25.2 vs natl
ZAMAN ASAD
21 facilities
connection
Owner fleet risk far above national
+22.2 vs natl
PETERSEN SNF HOLDINGS LLC
14 facilities
connection
Owner fleet risk far above national
+21.9 vs natl
GOLDFARB BRIAN
30 facilities
connection
Owner spans multiple chains
9 chains
TUROFSKY STEVEN
84 facilities
connection
Owner spans multiple chains
9 chains
KAPLAN MORDECHAI
37 facilities
connection
Owner spans multiple chains
9 chains
SPECTOR JENNIFER
90 facilities
connection
Owner spans multiple chains
9 chains
ZAMAN ASAD
20 facilities
connection
Owner spans multiple chains
8 chains
MEYSTEL YOSEF
73 facilities
connection
Owner spans multiple chains
8 chains
CURIS SERVICES LLC
81 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
RAJCHENBACH CHAIM
49 facilities
connection
Owner spans multiple chains
5 chains
SEITLER DOVID
32 facilities
connection
Owner fleet enforcement cluster
93% fined
PETERSEN SNF HOLDINGS LLC
14 facilities
connection
Owner fleet enforcement cluster
83% fined
DAUBER JONATHAN
6 facilities
connection
Owner fleet enforcement cluster
83% fined
AXIOM CARE LLC
6 facilities
connection
Owner fleet enforcement cluster
83% fined
DAUBER ELIANA
6 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
15
2025Q4 HPRD
This facility
IL median
National median
National p25–p75
Total nurse
3.53
3.13
3.28
2.90–3.77
RN
1.05
0.49
0.39
0.25–0.58
Weekend total
2.81
2.93
3.11
—
Weekday total
3.82
3.23
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
49.7
3.53
1.05
0.19
2.30
2.81
0.0%
2025Q3
92
47.8
3.33
0.93
0.23
2.17
2.70
0.0%
2025Q2
91
43.2
3.39
0.73
0.34
2.32
2.80
0.0%
2025Q1
90
41.6
3.35
0.85
0.28
2.21
2.77
0.0%
2024Q4
92
31.5
3.74
0.94
0.34
2.46
3.32
0.0%
2024Q3
92
33.7
3.16
0.85
0.31
2.01
2.99
0.0%
2024Q2
91
32.3
3.24
0.84
0.30
2.09
2.99
0.0%
2024Q1
91
35.4
2.95
0.72
0.40
1.84
2.71
0.0%
2023Q4
92
37.5
2.81
0.70
0.39
1.72
2.54
0.0%
2023Q2
91
29.8
3.14
0.85
0.34
1.95
2.87
0.0%
2023Q1
90
28.9
3.46
0.80
0.42
2.25
3.12
0.0%
2022Q4
92
32.6
3.26
0.72
0.34
2.20
2.95
0.0%
2022Q3
92
35.9
2.94
0.75
0.28
1.91
2.67
0.0%
2022Q2
91
35.4
2.91
0.76
0.16
2.00
2.72
0.0%
2022Q1
90
31.9
2.99
0.72
0.23
2.05
2.88
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-09-03
2025-05-27
Health · complaint
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
G
2025-07-01
2025-04-03
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-04-23
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
2025-02-19
2024-10-25
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-11-10
2024-09-20
Health · complaint
F0836
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
F
2024-10-10
2023-11-07
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
2023-12-10
2023-11-07
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-12-10
2023-11-07
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
2023-12-10
2022-09-16
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2022-10-06
2022-09-16
Health
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2022-10-06
2022-09-16
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2022-10-06
2022-09-16
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2022-10-07
2022-09-16
Health
F0608
Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.
D
2022-10-07
2022-09-16
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2022-10-07
2022-09-16
Health
F0610
Respond appropriately to all alleged violations.
D
2022-10-07
2022-09-16
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2022-10-06
2022-09-16
Health
F0638
Assure that each resident’s assessment is updated at least once every 3 months.
D
2022-10-07
2022-09-16
Health
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2022-10-06
2022-09-16
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
2022-10-06
2022-09-16
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F
2022-10-06
2022-09-16
Health
F0791
Provide or obtain dental services for each resident.
D
2022-10-06
2022-09-16
Health
F0885
Report COVID19 data to residents and families.
F
2022-10-06
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
39
Owner
Role
Pct
From
Status
Source
PETERSEN 26 LLC
Individual has financial interest in both related organization and provider
100%
2023-12-01
current
hcris_a_8_1
PETERSEN 26 LLC
Individual has financial interest in both related organization and provider
100%
2023-01-01
current
hcris_a_8_1
AXIOM CARE, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-01
current
pecos_ownership
AXIOM CARE, LLC
ADP OF THE SNF
—
2025-11-04
current
pecos_ownership
BERKOWITZ, DAVID
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-11-04
current
pecos_ownership
CURIS SERVICES LLC
ADP OF THE SNF
—
2024-12-01
current
pecos_ownership
DAUBER, ELIANA
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-11-04
current
pecos_ownership
DAUBER, JONATHAN
ADP OF THE SNF
—
2024-12-01
current
pecos_ownership
GOLDFARB, BRIAN
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-11-18
current
pecos_ownership
JAMES, TIFFANY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-01
current
pecos_ownership
KAPLAN, MORDECHAI
MANAGING CONTROL - GOVERNING BODY
—
2024-12-01
current
pecos_ownership
MEYSTEL, YOSEF
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-11-04
current
pecos_ownership
PETERSEN SNF HOLDINGS LLC
ADP OF THE SNF
—
2025-11-04
current
pecos_ownership
PONTIOUS, RACHEL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-01
current
pecos_ownership
RAJCHENBACH, CHAIM
ADP OF THE SNF
—
2024-12-01
current
pecos_ownership
SEITLER, DOVID
ADP OF THE SNF
—
2024-12-01
current
pecos_ownership
SPECTOR, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-01
current
pecos_ownership
TUROFSKY, STEVEN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-01
current
pecos_ownership
WEBB, JESSICA
MANAGING CONTROL - GOVERNING BODY
—
2024-12-01
current
pecos_ownership
WILHELM, NAFTALI
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-01
current
pecos_ownership
ZAMAN, ASAD
ADP OF THE SNF
—
2024-12-01
current
pecos_ownership
JENNIFER SPECTOR
CORPORATE OFFICER
100%
2024-12-01
ended 2026-05-18
pecos_ownership
PETERSEN 26 LLC
Individual has financial interest in both related organization and provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
PETERSEN 26 LLC
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
PETERSEN 26 LLC
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
JONATHAN DAUBER
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2024-12-01
ended 2026-05-18
pecos_ownership
DAVID A BERKOWITZ DELTA TRUST
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2024-12-01
ended 2026-05-18
pecos_ownership
YOSEF MEYSTEL DELTA TRUST
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2024-12-01
ended 2026-05-18
pecos_ownership
ASAD ZAMAN
ADP OF THE SNF
—
2024-12-01
ended 2026-05-18
pecos_ownership
CHAIM RAJCHENBACH
MANAGING CONTROL - GOVERNING BODY
—
2024-12-01
ended 2026-05-18
pecos_ownership
DOVID SEITLER
ADP OF THE SNF
—
2024-12-01
ended 2026-05-18
pecos_ownership
HAILEY WINKA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-01
ended 2026-04-01
pecos_ownership
JESSICA WEBB
ADP OF THE SNF
—
2024-12-01
ended 2026-05-18
pecos_ownership
MELISSA INZERMA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-01
ended 2026-04-01
pecos_ownership
MORDECHAI KAPLAN
ADP OF THE SNF
—
2024-12-01
ended 2026-05-18
pecos_ownership
NAFTALI WILHELM
ADP OF THE SNF
—
2024-12-01
ended 2026-05-18
pecos_ownership
RACHEL PONTIOUS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-01
ended 2026-05-18
pecos_ownership
STEVEN TUROFSKY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-01
ended 2026-05-18
pecos_ownership
TIFFANY JAMES
ADP OF THE SNF
—
2024-12-01
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
2024-11-30
$454,854
$313,027
$141,827
—
—
3
propco
2023-12-31
$364,097
$290,901
$73,196
—
—
3
propco
2022-12-31
$388,998
$306,105
$82,893
—
—
3
propco
2021-12-31
$502,695
$323,693
$179,002
—
—
3
propco
2020-12-31
$523,420
$319,857
$203,563
—
—
3
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
29
Geo
Kind
BR
Amount
As of
Source
county 17025
fmr
0
$632
2025-10-01
HUD_USER_FMR
county 17025
acs median gross
1
$624
2024-12-31
CENSUS_ACS5
county 17025
fmr
1
$707
2025-10-01
HUD_USER_FMR
county 17025
acs median gross
2
$766
2024-12-31
CENSUS_ACS5
county 17025
fmr
2
$916
2025-10-01
HUD_USER_FMR
county 17025
acs median gross
3
$844
2024-12-31
CENSUS_ACS5
county 17025
fmr
3
$1,167
2025-10-01
HUD_USER_FMR
county 17025
acs median gross
4
$725
2024-12-31
CENSUS_ACS5
county 17025
fmr
4
$1,308
2025-10-01
HUD_USER_FMR
county 17025
acs median gross
$735
2024-12-31
CENSUS_ACS5
county 17025
acs recent mover gross
$805
2024-12-31
CENSUS_ACS5
zcta 62839
acs median gross
1
$639
2024-12-31
CENSUS_ACS5
zcta 62839
acs median gross
2
$802
2024-12-31
CENSUS_ACS5
zcta 62839
acs median gross
$745
2024-12-31
CENSUS_ACS5
zip 62839
payment standard 110
0
$693
2025-10-01
HUD_USER_SAFMR
zip 62839
payment standard 90
0
$567
2025-10-01
HUD_USER_SAFMR
zip 62839
safmr
0
$630
2025-10-01
HUD_USER_SAFMR
zip 62839
payment standard 110
1
$781
2025-10-01
HUD_USER_SAFMR
zip 62839
payment standard 90
1
$639
2025-10-01
HUD_USER_SAFMR
zip 62839
safmr
1
$710
2025-10-01
HUD_USER_SAFMR
zip 62839
payment standard 110
2
$1,012
2025-10-01
HUD_USER_SAFMR
zip 62839
payment standard 90
2
$828
2025-10-01
HUD_USER_SAFMR
zip 62839
safmr
2
$920
2025-10-01
HUD_USER_SAFMR
zip 62839
payment standard 110
3
$1,287
2025-10-01
HUD_USER_SAFMR
zip 62839
payment standard 90
3
$1,053
2025-10-01
HUD_USER_SAFMR
zip 62839
safmr
3
$1,170
2025-10-01
HUD_USER_SAFMR
zip 62839
payment standard 110
4
$1,441
2025-10-01
HUD_USER_SAFMR
zip 62839
payment standard 90
4
$1,179
2025-10-01
HUD_USER_SAFMR
zip 62839
safmr
4
$1,310
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.