Reads as: riskier than 53.5% 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
10
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+36.7 vs natl
GARDEN DANIEL
10 facilities
connection
Owner fleet risk far above national
+36.7 vs natl
NINIO MORDECHAY
10 facilities
connection
Owner fleet risk far above national
+35.6 vs natl
MG PROPERTY HOLDINGS LLC
31 facilities
connection
Owner fleet risk far above national
+34.8 vs natl
GROVE HEALTHCARE PROPERTIES LLC
30 facilities
connection
Owner fleet risk far above national
+34.8 vs natl
LEGACY REAL PROPERTIES LLC
30 facilities
connection
Owner fleet risk far above national
+34.4 vs natl
TBDMD IL LLC
9 facilities
connection
Owner fleet risk far above national
+31.4 vs natl
GPN FAMILY TRUST U A D 4 28 08
74 facilities
connection
Owner fleet risk far above national
+30.1 vs natl
DOROS GENERATION TRUST U A D 1 3 12
72 facilities
connection
Owner fleet enforcement cluster
40% fined
GARDEN DANIEL
10 facilities
connection
Owner fleet enforcement cluster
40% fined
NINIO MORDECHAY
10 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
IL median
National median
National p25–p75
Total nurse
3.13
3.13
3.28
2.90–3.77
RN
0.53
0.49
0.39
0.25–0.58
Weekend total
3.10
2.93
3.11
—
Weekday total
3.14
3.23
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
230.1
3.13
0.53
0.54
2.06
3.10
23.0%
2025Q3
92
229.2
3.23
0.57
0.52
2.13
3.19
31.9%
2025Q2
91
231.7
3.17
0.56
0.51
2.09
3.08
38.5%
2025Q1
90
229.3
3.17
0.59
0.52
2.06
3.08
39.4%
2024Q4
92
231.3
3.13
0.59
0.50
2.04
3.02
39.5%
2024Q3
92
227.2
3.16
0.61
0.49
2.06
3.01
39.8%
2024Q2
91
221.7
3.27
0.64
0.49
2.14
3.10
35.6%
2024Q1
91
223.3
3.12
0.59
0.52
2.01
3.02
31.3%
2023Q4
92
228.3
3.13
0.60
0.47
2.05
3.01
34.5%
2023Q3
92
228.1
3.04
0.57
0.49
1.99
2.90
27.1%
2023Q2
91
214.5
3.11
0.54
0.57
2.00
2.97
20.8%
2023Q1
90
209.7
3.17
0.50
0.61
2.06
3.03
24.7%
2022Q4
92
209.1
3.14
0.46
0.68
2.00
2.97
21.3%
2022Q3
92
210.5
3.36
0.54
0.68
2.14
3.14
19.0%
2022Q2
91
203.5
3.41
0.54
0.70
2.17
3.21
23.2%
2022Q1
90
198.9
3.02
0.52
0.68
1.83
2.77
21.3%
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
20
C × 1D × 11E × 5F × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-05-09
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
E
2025-05-10
2025-05-09
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-05-10
2025-05-09
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
2025-05-10
2025-05-09
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-05-10
2025-05-09
Health
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
2025-05-10
2025-05-09
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-05-10
2024-03-28
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2024-03-29
2024-03-28
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-03-29
2023-12-17
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2023-12-18
2023-12-17
Health · complaint
F0880
Provide and implement an infection prevention and control program.
F
2023-12-18
2023-01-27
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2023-01-30
2023-01-27
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-01-30
2023-01-27
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-01-30
2023-01-27
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-01-30
2023-01-27
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-01-30
2023-01-27
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
2023-01-30
2023-01-27
Health
F0732
Post nurse staffing information every day.
C
2023-01-30
2023-01-27
Health
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
2023-01-30
2023-01-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-01-30
2023-01-27
Health
F0880
Provide and implement an infection prevention and control program.
F
2023-01-30
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
21
Owner
Role
Pct
From
Status
Source
GARDEN, DANIEL
5% OR GREATER DIRECT OWNERSHIP INTEREST
59%
2021-08-01
current
pecos_ownership
DOROS GENERATION TRUST U/A/D 1/3/12
5% OR GREATER DIRECT OWNERSHIP INTEREST
17%
2021-08-01
current
pecos_ownership
GPN FAMILY TRUST U/A/D 4/28/08
5% OR GREATER DIRECT OWNERSHIP INTEREST
17%
2021-08-01
current
pecos_ownership
NINIO, MORDECHAY
5% OR GREATER DIRECT OWNERSHIP INTEREST
8%
2021-08-01
current
pecos_ownership
CHONA, SHILIP
W-2 MANAGING EMPLOYEE
—
2021-08-01
current
pecos_ownership
GROSS POINT PROPERTY HOLDINGS LLC
Corporation, partnership or other organization has financial interest in provider
—
2023-01-01
current
hcris_a_8_1
GROSS POINT PROPERTY HOLDINGS LLC
Corporation, partnership or other organization has financial interest in provider
—
2024-01-01
current
hcris_a_8_1
GROVE HEALTHCARE PROPERTIES
Corporation, partnership or other organization has financial interest in provider
—
2024-01-01
current
hcris_a_8_1
GROVE HEALTHCARE PROPERTIES LLC
Corporation, partnership or other organization has financial interest in provider
—
2023-01-01
current
hcris_a_8_1
LEGACY REAL PROPERTIES LLC
Corporation, partnership or other organization has financial interest in provider
—
2024-01-01
current
hcris_a_8_1
LEGACY REAL PROPERTIES LLC
Corporation, partnership or other organization has financial interest in provider
—
2023-01-01
current
hcris_a_8_1
MG PROPERTY HOLDINGS LLC
—
—
2024-01-01
current
hcris_a_8_1
MG PROPERTY HOLDINGS LLC
—
—
2023-01-01
current
hcris_a_8_1
TBDMD IL, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-08-01
current
pecos_ownership
DANIEL GARDEN
5% OR GREATER DIRECT OWNERSHIP INTEREST
59%
2021-08-01
ended 2026-05-18
pecos_ownership
CHAIM RAJCHENBACH DESCENDANTS TR UA 04282008
5% OR GREATER DIRECT OWNERSHIP INTEREST
17%
2021-08-01
ended 2026-05-18
pecos_ownership
GPN FAM TR UA 04282008
5% OR GREATER DIRECT OWNERSHIP INTEREST
17%
2021-08-01
ended 2026-04-01
pecos_ownership
MORDECHAY NINIO
5% OR GREATER DIRECT OWNERSHIP INTEREST
8%
2021-08-01
ended 2026-05-18
pecos_ownership
LEGACY HEALTHCARE FINANCIAL SRVCS
Corporation, partnership or other organization has financial interest in provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
LEGACY HEALTHCARE FINANCIAL SRVCS L
Corporation, partnership or other organization has financial interest in provider
—
2021-08-01
ended 2021-12-31
hcris_a_8_1
SHILIP CHONA
W-2 MANAGING EMPLOYEE
—
2021-08-01
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
4
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$4,907,399
$4,062,303
—
—
—
11
propco
2023-12-31
$5,144,003
$3,792,352
—
—
$302,932
13
propco
2022-12-31
$3,836,603
$2,046,837
—
—
$11,665
3
propco
2021-12-31
$1,686,923
—
—
—
$19,653
2
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
35
Geo
Kind
BR
Amount
As of
Source
county 17031
acs median gross
0
$1,230
2024-12-31
CENSUS_ACS5
county 17031
fmr
0
$1,480
2025-10-01
HUD_USER_FMR
county 17031
acs median gross
1
$1,271
2024-12-31
CENSUS_ACS5
county 17031
fmr
1
$1,581
2025-10-01
HUD_USER_FMR
county 17031
acs median gross
2
$1,454
2024-12-31
CENSUS_ACS5
county 17031
fmr
2
$1,781
2025-10-01
HUD_USER_FMR
county 17031
acs median gross
3
$1,693
2024-12-31
CENSUS_ACS5
county 17031
fmr
3
$2,294
2025-10-01
HUD_USER_FMR
county 17031
acs median gross
4
$1,909
2024-12-31
CENSUS_ACS5
county 17031
fmr
4
$2,653
2025-10-01
HUD_USER_FMR
county 17031
acs median gross
5
$1,794
2024-12-31
CENSUS_ACS5
county 17031
acs median gross
$1,435
2024-12-31
CENSUS_ACS5
county 17031
acs recent mover gross
$1,752
2024-12-31
CENSUS_ACS5
zcta 60076
acs median gross
0
$1,107
2024-12-31
CENSUS_ACS5
zcta 60076
acs median gross
1
$1,283
2024-12-31
CENSUS_ACS5
zcta 60076
acs median gross
2
$1,621
2024-12-31
CENSUS_ACS5
zcta 60076
acs median gross
3
$2,108
2024-12-31
CENSUS_ACS5
zcta 60076
acs median gross
4
$2,705
2024-12-31
CENSUS_ACS5
zcta 60076
acs median gross
5
$2,641
2024-12-31
CENSUS_ACS5
zcta 60076
acs median gross
$1,620
2024-12-31
CENSUS_ACS5
zip 60076
payment standard 110
0
$1,782
2025-10-01
HUD_USER_SAFMR
zip 60076
payment standard 90
0
$1,458
2025-10-01
HUD_USER_SAFMR
zip 60076
safmr
0
$1,620
2025-10-01
HUD_USER_SAFMR
zip 60076
payment standard 110
1
$1,903
2025-10-01
HUD_USER_SAFMR
zip 60076
payment standard 90
1
$1,557
2025-10-01
HUD_USER_SAFMR
zip 60076
safmr
1
$1,730
2025-10-01
HUD_USER_SAFMR
zip 60076
payment standard 110
2
$2,145
2025-10-01
HUD_USER_SAFMR
zip 60076
payment standard 90
2
$1,755
2025-10-01
HUD_USER_SAFMR
zip 60076
safmr
2
$1,950
2025-10-01
HUD_USER_SAFMR
zip 60076
payment standard 110
3
$2,761
2025-10-01
HUD_USER_SAFMR
zip 60076
payment standard 90
3
$2,259
2025-10-01
HUD_USER_SAFMR
zip 60076
safmr
3
$2,510
2025-10-01
HUD_USER_SAFMR
zip 60076
payment standard 110
4
$3,190
2025-10-01
HUD_USER_SAFMR
zip 60076
payment standard 90
4
$2,610
2025-10-01
HUD_USER_SAFMR
zip 60076
safmr
4
$2,900
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.