Reads as: riskier than 36.0% 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
11
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
15 chains
CIBC BANK USA
155 facilities
connection
Owner spans multiple chains
7 chains
PEARLSTEIN ROBERT
16 facilities
connection
Owner spans multiple chains
4 chains
MARTIN FRIEDMAN CPA PC
10 facilities
connection
Owner fleet enforcement cluster
83% fined
HARKINS ANDREA
6 facilities
connection
Owner fleet enforcement cluster
53% fined
MARTIN FRIEDMAN CPA PC
17 facilities
connection
Owner fleet enforcement cluster
47% fined
STRAUSS JONATHAN
19 facilities
connection
Owner fleet enforcement cluster
45% fined
PEARLSTEIN ROBERT
20 facilities
connection
Owner fleet enforcement cluster
43% fined
LOWDEN THOMAS
14 facilities
connection
Owner fleet enforcement cluster
43% fined
KADIMA HEALTHCARE GROUP INC
14 facilities
connection
Owner fleet enforcement cluster
41% fined
PINNACLE HEALTHCARE SOLUTIONS INC
17 facilities
connection
Owner fleet enforcement cluster
40% fined
MORRIS DANIEL
15 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
2.77
3.38
3.28
2.90–3.77
RN
0.65
0.45
0.39
0.25–0.58
Weekend total
2.81
3.27
3.11
—
Weekday total
2.75
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
39.5
2.77
0.65
0.75
1.36
2.81
0.0%
2025Q3
92
38.2
3.29
0.81
0.83
1.64
3.14
0.0%
2025Q2
91
37.8
3.44
0.80
0.98
1.66
3.01
24.3%
2025Q1
90
40.2
3.46
0.65
1.03
1.78
3.08
11.0%
2024Q4
92
40.4
3.17
0.63
0.82
1.72
2.90
8.7%
2024Q3
92
39.9
3.55
0.56
0.99
2.00
3.33
33.7%
2024Q2
91
40.6
3.06
0.49
1.01
1.56
3.08
46.9%
2024Q1
91
39.9
2.99
0.40
1.24
1.36
2.92
22.0%
2023Q4
92
39.7
3.39
0.47
1.13
1.80
3.15
34.8%
2023Q3
92
39.7
2.96
0.46
1.06
1.44
2.87
39.8%
2023Q2
91
42.6
2.60
0.42
0.88
1.29
2.43
51.4%
2023Q1
90
39.8
2.82
0.44
0.90
1.48
2.77
44.4%
2022Q4
92
38.4
2.60
0.39
0.88
1.33
2.51
23.7%
2022Q3
92
38.9
2.96
0.59
0.88
1.50
2.91
11.3%
2022Q2
91
37.9
2.97
0.60
0.89
1.49
2.81
6.0%
2022Q1
90
39.7
2.96
0.56
0.70
1.70
2.79
26.9%
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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-02-13
2026-01-23
Health · complaint
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2026-02-13
2025-12-17
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2026-01-16
2025-12-17
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2026-01-16
2025-07-18
Health
F0567
Honor the resident's right to manage his or her financial affairs.
D
2025-08-08
2025-07-18
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D
2025-08-08
2025-07-18
Health
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2025-08-08
2025-07-18
Health
F0610
Respond appropriately to all alleged violations.
D
2025-08-08
2025-07-18
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F
2025-08-08
2025-07-18
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-08-08
2025-07-18
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-08-08
2025-07-18
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-08-08
2025-07-18
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
G
2025-08-08
2025-07-18
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2025-08-08
2025-07-18
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
E
2025-08-08
2025-07-18
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
E
2025-08-08
2025-07-18
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F
2025-08-08
2025-07-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-08-08
2025-07-18
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-08-08
2025-07-18
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
E
2025-08-08
2025-07-18
Health
F0947
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
D
2025-08-08
2025-06-03
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-07-11
2025-06-03
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-07-11
2025-06-03
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-07-11
2025-04-29
Health · complaint
F0568
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
E
2025-06-09
2024-06-07
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-08-06
2024-06-07
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-08-06
2024-06-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-08-06
2024-06-07
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-08-06
2023-08-31
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
C
2023-10-30
2023-08-31
Health
F0641
Ensure each resident receives an accurate assessment.
B
2023-10-30
2023-08-31
Health
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2023-10-30
2023-08-31
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
E
2023-10-30
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
22
Owner
Role
Pct
From
Status
Source
BEDWELL, MARY RUTH
OPERATIONAL/MANAGERIAL CONTROL
—
2025-10-20
current
pecos_ownership
BOUCHER, SUSANNE
ADP OF THE SNF
—
2025-04-22
current
pecos_ownership
CIBC BANK USA
5% OR GREATER MORTGAGE INTEREST
—
2025-08-06
current
pecos_ownership
HARKINS, ANDREA
ADP OF THE SNF
—
2025-09-15
current
pecos_ownership
KADIMA HEALTHCARE GROUP INC
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-29
current
pecos_ownership
KADIMA HEALTHCARE GROUP INC
ADP OF THE SNF
—
2025-11-21
current
pecos_ownership
LITITZ PROPERTY MANAGEMENT LLC
ADP OF THE SNF
—
2018-08-29
current
pecos_ownership
LOWDEN, THOMAS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-10-01
current
pecos_ownership
MARTIN FRIEDMAN CPA PC
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
MORRIS, DANIEL
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-29
current
pecos_ownership
PEARLSTEIN, ROBERT
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
PINNACLE HEALTHCARE SOLUTIONS INC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
PINNACLE HEALTHCARE SOLUTIONS INC
ADP OF THE SNF
—
2025-11-21
current
pecos_ownership
STRAUSS, JONATHAN
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-29
current
pecos_ownership
DANIEL MORRIS
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2018-08-29
ended 2026-05-18
pecos_ownership
JONATHAN STRAUSS
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2024-11-01
ended 2026-05-18
pecos_ownership
ANDREA HARKINS
ADP OF THE SNF
—
2025-09-15
ended 2026-05-18
pecos_ownership
JONATHAN STRAUSS
ADP OF THE SNF
—
2018-08-29
ended 2026-05-18
pecos_ownership
MARY RUTH BEDWELL
ADP OF THE SNF
—
2025-10-20
ended 2026-05-18
pecos_ownership
ROBERT PEARLSTEIN
ADP OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
SUSANNE BOUCHER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-22
ended 2026-05-18
pecos_ownership
THOMAS LOWDEN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-10-01
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
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2023-12-31
$252,754
—
—
—
—
1
—
2021-12-31
$226,449
—
—
—
—
1
—
2020-12-31
$209,295
—
—
—
—
1
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 42071
acs median gross
0
$995
2024-12-31
CENSUS_ACS5
county 42071
fmr
0
$1,102
2025-10-01
HUD_USER_FMR
county 42071
acs median gross
1
$1,124
2024-12-31
CENSUS_ACS5
county 42071
fmr
1
$1,220
2025-10-01
HUD_USER_FMR
county 42071
acs median gross
2
$1,381
2024-12-31
CENSUS_ACS5
county 42071
fmr
2
$1,526
2025-10-01
HUD_USER_FMR
county 42071
acs median gross
3
$1,544
2024-12-31
CENSUS_ACS5
county 42071
fmr
3
$1,980
2025-10-01
HUD_USER_FMR
county 42071
acs median gross
4
$1,540
2024-12-31
CENSUS_ACS5
county 42071
fmr
4
$2,020
2025-10-01
HUD_USER_FMR
county 42071
acs median gross
5
$1,503
2024-12-31
CENSUS_ACS5
county 42071
acs median gross
$1,357
2024-12-31
CENSUS_ACS5
county 42071
acs recent mover gross
$1,490
2024-12-31
CENSUS_ACS5
zcta 17543
acs median gross
0
$1,297
2024-12-31
CENSUS_ACS5
zcta 17543
acs median gross
1
$1,320
2024-12-31
CENSUS_ACS5
zcta 17543
acs median gross
2
$1,457
2024-12-31
CENSUS_ACS5
zcta 17543
acs median gross
3
$1,707
2024-12-31
CENSUS_ACS5
zcta 17543
acs median gross
4
$1,764
2024-12-31
CENSUS_ACS5
zcta 17543
acs median gross
$1,440
2024-12-31
CENSUS_ACS5
zcta 17543
acs recent mover gross
$1,467
2024-12-31
CENSUS_ACS5
zip 17543
payment standard 110
0
$1,232
2025-10-01
HUD_USER_SAFMR
zip 17543
payment standard 90
0
$1,008
2025-10-01
HUD_USER_SAFMR
zip 17543
safmr
0
$1,120
2025-10-01
HUD_USER_SAFMR
zip 17543
payment standard 110
1
$1,364
2025-10-01
HUD_USER_SAFMR
zip 17543
payment standard 90
1
$1,116
2025-10-01
HUD_USER_SAFMR
zip 17543
safmr
1
$1,240
2025-10-01
HUD_USER_SAFMR
zip 17543
payment standard 110
2
$1,705
2025-10-01
HUD_USER_SAFMR
zip 17543
payment standard 90
2
$1,395
2025-10-01
HUD_USER_SAFMR
zip 17543
safmr
2
$1,550
2025-10-01
HUD_USER_SAFMR
zip 17543
payment standard 110
3
$2,211
2025-10-01
HUD_USER_SAFMR
zip 17543
payment standard 90
3
$1,809
2025-10-01
HUD_USER_SAFMR
zip 17543
safmr
3
$2,010
2025-10-01
HUD_USER_SAFMR
zip 17543
payment standard 110
4
$2,255
2025-10-01
HUD_USER_SAFMR
zip 17543
payment standard 90
4
$1,845
2025-10-01
HUD_USER_SAFMR
zip 17543
safmr
4
$2,050
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.