Reads as: riskier than 1.8% 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.
ML signals — parallel engine
2
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
16 chains
BAKER TILLY ADVISORY GROUP LP
77 facilities
connection
Owner spans multiple chains
15 chains
BAKER TILLY US LLP
63 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
MA median
National median
National p25–p75
Total nurse
3.75
3.39
3.28
2.90–3.77
RN
0.44
0.39
0.39
0.25–0.58
Weekend total
3.68
3.26
3.11
—
Weekday total
3.77
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
113.3
3.75
0.44
0.61
2.69
3.68
0.0%
2025Q3
92
113.5
3.75
0.39
0.65
2.71
3.71
0.0%
2025Q2
91
116.4
3.62
0.35
0.63
2.63
3.58
0.0%
2025Q1
90
116.2
3.63
0.39
0.66
2.59
3.57
0.0%
2024Q4
92
116.8
3.63
0.43
0.58
2.61
3.60
0.0%
2024Q3
92
117.2
3.70
0.45
0.61
2.64
3.56
0.1%
2024Q2
91
117.4
3.68
0.44
0.60
2.65
3.60
0.0%
2024Q1
91
119.2
3.60
0.48
0.53
2.59
3.49
0.0%
2023Q4
92
119.3
3.53
0.52
0.52
2.49
3.39
0.0%
2023Q3
92
117.7
3.54
0.54
0.51
2.50
3.40
0.0%
2023Q2
91
114.9
3.53
0.48
0.56
2.49
3.47
0.0%
2023Q1
90
117.4
3.40
0.51
0.51
2.38
3.32
0.0%
2022Q4
92
116.9
3.38
0.35
0.64
2.39
3.38
0.0%
2022Q3
92
114.6
3.60
0.33
0.74
2.53
3.57
0.0%
2022Q2
91
113.8
3.63
0.38
0.65
2.60
3.49
0.0%
2022Q1
90
113.2
3.46
0.50
0.56
2.40
3.37
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.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
3
B × 1D × 2
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-05-09
Health
F0641
Ensure each resident receives an accurate assessment.
B
2024-05-29
2024-05-09
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-05-29
2024-05-09
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-05-29
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
86
Owner
Role
Pct
From
Status
Source
CHELSEA JEWISH LIFECARE INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2017-03-23
current
pecos_ownership
LEGACY LIFECARE INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2021-01-01
current
pecos_ownership
ANFANG, STUART
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
current
pecos_ownership
ANFANG, STUART
CORPORATE DIRECTOR
—
2020-10-01
current
pecos_ownership
BAKER TILLY ADVISORY GROUP, LP
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-19
current
pecos_ownership
BAKER TILLY ADVISORY GROUP, LP
ADP OF THE SNF
—
2025-07-07
current
pecos_ownership
BAKER TILLY US, LLP
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-05
current
pecos_ownership
BAKER TILLY US, LLP
ADP OF THE SNF
—
2025-07-07
current
pecos_ownership
BENNETT, TAMEKA
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-06
current
pecos_ownership
BERMAN, ADAM
CORPORATE DIRECTOR
—
2009-10-27
current
pecos_ownership
BERMAN, ADAM
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
current
pecos_ownership
BERMAN, BARRY
CORPORATE DIRECTOR
—
—
current
pecos_ownership
BERMAN, BARRY
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
current
pecos_ownership
BIRLE, HANS
OPERATIONAL/MANAGERIAL CONTROL
—
2021-11-01
current
pecos_ownership
BRUDNICK, JEFFREY
CORPORATE DIRECTOR
—
2002-01-01
current
pecos_ownership
BRUDNICK, JEFFREY
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
current
pecos_ownership
CRESCENZO, DONNA
OPERATIONAL/MANAGERIAL CONTROL
—
2010-12-13
current
pecos_ownership
ELIEN-VAL, NOLDCIE
OPERATIONAL/MANAGERIAL CONTROL
—
2015-08-12
current
pecos_ownership
EXANTUS, VIOLA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-05-30
current
pecos_ownership
FIEBELKORN, DOUGLAS
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
current
pecos_ownership
FIEBELKORN, DOUGLAS
CORPORATE DIRECTOR
—
2022-11-01
current
pecos_ownership
FORMAN, SHARON
CORPORATE DIRECTOR
—
2015-10-20
current
pecos_ownership
FORMAN, SHARON
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
current
pecos_ownership
GOLDSMITH, SUSAN
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
current
pecos_ownership
GOLDSMITH, SUSAN
CORPORATE DIRECTOR
—
2013-05-01
current
pecos_ownership
GREENSPAN, HOWARD
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
GREENSPAN, HOWARD
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
current
pecos_ownership
HEMMERLING, MEGIN
ADP OF THE SNF
—
2021-11-01
current
pecos_ownership
JELONJIC, DRAGAN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-12
current
pecos_ownership
MACLELLAN, GENEVIEVE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-11-01
current
pecos_ownership
MANGO, CIRIACO
OPERATIONAL/MANAGERIAL CONTROL
—
2006-04-30
current
pecos_ownership
MULLEN, ELIZABETH
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
current
pecos_ownership
MULLEN, ELIZABETH
CORPORATE DIRECTOR
—
2015-10-20
current
pecos_ownership
MUTYABA, JULIET
OPERATIONAL/MANAGERIAL CONTROL
—
2012-11-08
current
pecos_ownership
MWAISAKA, JOCKTAN
OPERATIONAL/MANAGERIAL CONTROL
—
2018-11-06
current
pecos_ownership
PERSON, GINNY
ADP OF THE SNF
—
2024-11-24
current
pecos_ownership
RICHMAN, GILDA
OPERATIONAL/MANAGERIAL CONTROL
—
2017-11-01
current
pecos_ownership
RICHMAN, GILDA
CORPORATE DIRECTOR
—
2002-01-01
current
pecos_ownership
SANTERRE, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-01
current
pecos_ownership
SANTERRE, JENNIFER
ADP OF THE SNF
—
2017-01-01
current
pecos_ownership
SHRESTA, SUNITA
ADP OF THE SNF
—
2010-01-04
current
pecos_ownership
SILIEN, MONIQUE
OPERATIONAL/MANAGERIAL CONTROL
—
2015-02-02
current
pecos_ownership
TRAN, VICKIE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-11-02
current
pecos_ownership
WEISS, JUDY
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
current
pecos_ownership
WEISS, JUDY
CORPORATE DIRECTOR
—
2018-10-01
current
pecos_ownership
WONG, MARIKO
OPERATIONAL/MANAGERIAL CONTROL
—
2017-04-01
current
pecos_ownership
ADAM BERMAN
CORPORATE OFFICER
9%
2009-10-27
ended 2026-05-18
pecos_ownership
BARRY BERMAN
CORPORATE OFFICER
9%
—
ended 2026-05-18
pecos_ownership
DOUGLAS FIEBELKORN
CORPORATE DIRECTOR
9%
2022-11-01
ended 2026-05-18
pecos_ownership
ELIZABETH MULLEN
CORPORATE OFFICER
9%
2015-10-20
ended 2026-05-18
pecos_ownership
GILDA RICHMAN
CORPORATE DIRECTOR
9%
2002-01-01
ended 2026-05-18
pecos_ownership
HOWARD GREENSPAN
CORPORATE DIRECTOR
9%
2018-01-01
ended 2026-05-18
pecos_ownership
JEFFREY BRUDNICK
CORPORATE DIRECTOR
9%
2002-01-01
ended 2026-05-18
pecos_ownership
JUDY WEISS
CORPORATE DIRECTOR
9%
2018-10-01
ended 2026-05-18
pecos_ownership
SHARON FOREMAN
CORPORATE DIRECTOR
9%
2015-10-20
ended 2026-05-18
pecos_ownership
STUART ANFANG
CORPORATE DIRECTOR
9%
2020-10-01
ended 2026-05-18
pecos_ownership
SUSAN GOLDSMITH
CORPORATE DIRECTOR
9%
2013-05-01
ended 2026-05-18
pecos_ownership
JENNIFER SANTERRE
CORPORATE OFFICER
0%
2022-07-01
ended 2026-05-18
pecos_ownership
ADAM BERMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
ended 2026-05-18
pecos_ownership
BARRY BERMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
ended 2026-05-18
pecos_ownership
CIRIACO MANGO
OPERATIONAL/MANAGERIAL CONTROL
—
2006-04-30
ended 2026-05-18
pecos_ownership
DONNA CRESCENZO
OPERATIONAL/MANAGERIAL CONTROL
—
2010-12-13
ended 2026-05-18
pecos_ownership
DOUGLAS FIEBELKORN
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
ended 2026-05-18
pecos_ownership
DRAGAN JELONJIC
ADP OF THE SNF
—
2022-10-12
ended 2026-05-18
pecos_ownership
ELIZABETH MULLEN
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
ended 2026-05-18
pecos_ownership
GENEVIEVE MACLELLAN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-11-01
ended 2026-05-18
pecos_ownership
GILDA RICHMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2017-11-01
ended 2026-05-18
pecos_ownership
GINNY PERSON
ADP OF THE SNF
—
2024-11-24
ended 2026-05-18
pecos_ownership
HANS BIRLE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-11-01
ended 2026-05-18
pecos_ownership
HOWARD GREENSPAN
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
ended 2026-05-18
pecos_ownership
JEFFREY BRUDNICK
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
ended 2026-05-18
pecos_ownership
JENNIFER SANTERRE
ADP OF THE SNF
—
2017-01-01
ended 2026-05-18
pecos_ownership
JOCKTAN MWAISAKA
OPERATIONAL/MANAGERIAL CONTROL
—
2018-11-06
ended 2026-05-18
pecos_ownership
JUDY WEISS
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
ended 2026-05-18
pecos_ownership
JULIET MUTYABA
OPERATIONAL/MANAGERIAL CONTROL
—
2012-11-08
ended 2026-05-18
pecos_ownership
MARIKO WONG
ADP OF THE SNF
—
2017-04-01
ended 2026-05-18
pecos_ownership
MEGIN HEMMERLING
OPERATIONAL/MANAGERIAL CONTROL
—
2021-11-01
ended 2026-05-18
pecos_ownership
MONIQUE SILIEN
OPERATIONAL/MANAGERIAL CONTROL
—
2015-02-02
ended 2026-05-18
pecos_ownership
NOLDCIE ELIEN-VAL
OPERATIONAL/MANAGERIAL CONTROL
—
2015-08-12
ended 2026-05-18
pecos_ownership
SHARON FOREMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
ended 2026-05-18
pecos_ownership
STUART ANFANG
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
ended 2026-05-18
pecos_ownership
SUNITA SHRESTA
OPERATIONAL/MANAGERIAL CONTROL
—
2010-01-04
ended 2026-05-18
pecos_ownership
SUSAN GOLDSMITH
OPERATIONAL/MANAGERIAL CONTROL
—
2017-01-01
ended 2026-05-18
pecos_ownership
TAMEKA BENNETT
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-06
ended 2026-05-18
pecos_ownership
VICKIE TRAN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-11-02
ended 2026-05-18
pecos_ownership
VIOLA EXANTUS
OPERATIONAL/MANAGERIAL CONTROL
—
2023-05-30
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
$886,024
—
—
—
—
1
—
2023-12-31
$757,799
—
—
—
—
1
—
2022-12-31
$691,554
—
—
—
—
1
—
2021-12-31
$666,898
—
—
—
—
1
—
2020-12-31
$523,381
—
—
—
—
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
30
Geo
Kind
BR
Amount
As of
Source
county 25025
acs median gross
0
$1,947
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
1
$1,966
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
2
$2,210
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
3
$2,269
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
4
$2,554
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
5
$2,169
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
$2,129
2024-12-31
CENSUS_ACS5
county 25025
acs recent mover gross
$2,759
2024-12-31
CENSUS_ACS5
zcta 02150
acs median gross
0
$1,795
2024-12-31
CENSUS_ACS5
zcta 02150
acs median gross
1
$1,378
2024-12-31
CENSUS_ACS5
zcta 02150
acs median gross
2
$2,049
2024-12-31
CENSUS_ACS5
zcta 02150
acs median gross
3
$2,050
2024-12-31
CENSUS_ACS5
zcta 02150
acs median gross
4
$2,591
2024-12-31
CENSUS_ACS5
zcta 02150
acs median gross
$1,956
2024-12-31
CENSUS_ACS5
zcta 02150
acs recent mover gross
$2,270
2024-12-31
CENSUS_ACS5
zip 02150
payment standard 110
0
$2,321
2025-10-01
HUD_USER_SAFMR
zip 02150
payment standard 90
0
$1,899
2025-10-01
HUD_USER_SAFMR
zip 02150
safmr
0
$2,110
2025-10-01
HUD_USER_SAFMR
zip 02150
payment standard 110
1
$2,431
2025-10-01
HUD_USER_SAFMR
zip 02150
payment standard 90
1
$1,989
2025-10-01
HUD_USER_SAFMR
zip 02150
safmr
1
$2,210
2025-10-01
HUD_USER_SAFMR
zip 02150
payment standard 110
2
$2,893
2025-10-01
HUD_USER_SAFMR
zip 02150
payment standard 90
2
$2,367
2025-10-01
HUD_USER_SAFMR
zip 02150
safmr
2
$2,630
2025-10-01
HUD_USER_SAFMR
zip 02150
payment standard 110
3
$3,465
2025-10-01
HUD_USER_SAFMR
zip 02150
payment standard 90
3
$2,835
2025-10-01
HUD_USER_SAFMR
zip 02150
safmr
3
$3,150
2025-10-01
HUD_USER_SAFMR
zip 02150
payment standard 110
4
$3,828
2025-10-01
HUD_USER_SAFMR
zip 02150
payment standard 90
4
$3,132
2025-10-01
HUD_USER_SAFMR
zip 02150
safmr
4
$3,480
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.