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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
6 chains
MILLER JOHN
18 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
CT median
National median
National p25–p75
Total nurse
3.49
3.46
3.28
2.90–3.77
RN
0.88
0.40
0.39
0.25–0.58
Weekend total
3.37
3.25
3.11
—
Weekday total
3.53
3.51
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
29.7
3.49
0.88
0.32
2.29
3.37
3.9%
2025Q3
92
29.0
3.54
0.87
0.32
2.35
3.50
7.4%
2025Q2
91
27.9
3.62
0.90
0.33
2.39
3.64
7.7%
2025Q1
90
28.2
3.74
0.92
0.34
2.48
3.68
5.2%
2024Q4
92
28.4
3.67
0.87
0.34
2.46
3.56
12.5%
2024Q3
92
27.4
3.60
0.76
0.40
2.44
3.56
4.5%
2024Q2
91
27.8
1.17
0.27
0.11
0.79
1.35
1.3%
2024Q1
91
28.3
3.59
0.86
0.38
2.35
3.77
9.0%
2023Q4
92
27.8
1.21
0.28
0.12
0.81
1.36
6.6%
2023Q3
92
26.4
3.68
0.87
0.37
2.43
3.47
0.0%
2023Q2
91
26.8
3.06
0.69
0.40
1.97
2.75
0.0%
2023Q1
90
27.0
3.40
0.77
0.50
2.13
3.19
7.5%
2022Q4
92
25.9
4.02
0.66
0.75
2.60
3.83
18.1%
2022Q3
92
25.1
4.18
0.64
0.77
2.76
4.01
10.3%
2022Q2
91
26.7
3.86
0.62
0.71
2.53
3.63
12.4%
2022Q1
90
26.0
3.66
0.59
0.75
2.32
3.51
10.1%
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.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
E
2026-02-20
2026-02-03
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-03-02
2026-01-05
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2026-01-09
2025-03-10
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2025-04-10
2025-03-10
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
2025-04-10
2025-03-10
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
2025-04-10
2025-03-10
Health
F0745
Provide medically-related social services to help each resident achieve the highest possible quality of life.
D
2025-04-10
2025-03-10
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-04-10
2023-05-11
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.
B
2023-06-22
2023-05-11
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
2023-06-22
2023-05-11
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2023-06-22
2023-05-11
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-06-22
2023-05-11
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-06-22
2023-05-11
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-06-22
2023-05-11
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2023-06-22
2023-05-11
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-06-22
2021-07-14
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2021-07-19
2021-07-14
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2021-07-14
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
32
Owner
Role
Pct
From
Status
Source
BOGDANSKI - BOURDAN, SARAH
CORPORATE OFFICER
—
2017-11-01
current
pecos_ownership
CARABETTA, DAVID
CORPORATE DIRECTOR
—
2023-11-01
current
pecos_ownership
CURRY, KEVIN
CORPORATE DIRECTOR
—
2023-11-01
current
pecos_ownership
FEEST, JOSEPH
CORPORATE OFFICER
—
2013-12-01
current
pecos_ownership
FRASER, BARBARA
CORPORATE DIRECTOR
—
2021-11-18
current
pecos_ownership
GULINO, ROSARIO
CORPORATE DIRECTOR
—
2021-11-18
current
pecos_ownership
HABERLI, EDWARD
CORPORATE DIRECTOR
—
2023-11-01
current
pecos_ownership
KANE, DIANE
OPERATIONAL/MANAGERIAL CONTROL
—
2006-10-02
current
pecos_ownership
MARTELL, CLIFFORD
ADP OF THE SNF
—
1999-10-01
current
pecos_ownership
MCGOLDRICK, MATTHEW
CORPORATE OFFICER
—
2021-11-01
current
pecos_ownership
MILLER, JOHN
CORPORATE DIRECTOR
—
2023-04-17
current
pecos_ownership
SARRAZIN, MARCIA
CORPORATE OFFICER
—
2024-11-19
current
pecos_ownership
SUZIO MUNSON, LINDA
CORPORATE DIRECTOR
—
2021-11-18
current
pecos_ownership
THIBEAULT, WENDY
CORPORATE DIRECTOR
—
2021-11-18
current
pecos_ownership
VUMBACO, GEORGEANN
CORPORATE DIRECTOR
—
2016-12-01
current
pecos_ownership
ZYGMONT-ROSS, CHRISTINE
CORPORATE OFFICER
—
2021-11-18
current
pecos_ownership
BARBARA FRASER
CORPORATE DIRECTOR
100%
2021-11-18
ended 2026-05-18
pecos_ownership
CHRISTINE ZYGMONT-ROSS
CORPORATE OFFICER
100%
2021-11-18
ended 2026-05-18
pecos_ownership
DAVID CARABETTA
CORPORATE DIRECTOR
100%
2023-11-01
ended 2026-05-18
pecos_ownership
EDWARD HABERLI
CORPORATE DIRECTOR
100%
2023-11-01
ended 2026-05-18
pecos_ownership
GEORGEANN VUMBACO
CORPORATE DIRECTOR
100%
2016-12-01
ended 2026-05-18
pecos_ownership
JOHN MILLER
CORPORATE DIRECTOR
100%
2023-04-17
ended 2026-05-18
pecos_ownership
JOSEPH FEEST
CORPORATE OFFICER
100%
2013-12-01
ended 2026-05-18
pecos_ownership
KEVIN CURRY
CORPORATE DIRECTOR
100%
2023-11-01
ended 2026-05-18
pecos_ownership
LINDA SUZIO MUNSON
CORPORATE DIRECTOR
100%
2021-11-18
ended 2026-05-18
pecos_ownership
MARCIA SARRAZIN
CORPORATE OFFICER
100%
2024-11-19
ended 2026-05-18
pecos_ownership
MATTHEW MCGOLDRICK
CORPORATE OFFICER
100%
2021-11-01
ended 2026-05-18
pecos_ownership
ROSARIO GULINO
CORPORATE DIRECTOR
100%
2021-11-18
ended 2026-05-18
pecos_ownership
SARAH BOGDANSKI - BOURDAN
CORPORATE OFFICER
100%
2017-11-01
ended 2026-05-18
pecos_ownership
WENDY THIBEAULT
CORPORATE DIRECTOR
100%
2021-11-18
ended 2026-05-18
pecos_ownership
CLIFFORD MARTELL
OPERATIONAL/MANAGERIAL CONTROL
—
1999-10-01
ended 2026-05-18
pecos_ownership
DIANE KANE
OPERATIONAL/MANAGERIAL CONTROL
—
2006-10-02
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
1
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-09-30
$47,379
—
—
—
—
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 09170
acs median gross
0
$1,170
2024-12-31
CENSUS_ACS5
county 09170
acs median gross
1
$1,299
2024-12-31
CENSUS_ACS5
county 09170
acs median gross
2
$1,621
2024-12-31
CENSUS_ACS5
county 09170
acs median gross
3
$1,807
2024-12-31
CENSUS_ACS5
county 09170
acs median gross
4
$2,048
2024-12-31
CENSUS_ACS5
county 09170
acs median gross
5
$2,032
2024-12-31
CENSUS_ACS5
county 09170
acs median gross
$1,525
2024-12-31
CENSUS_ACS5
county 09170
acs recent mover gross
$1,879
2024-12-31
CENSUS_ACS5
zcta 06451
acs median gross
0
$988
2024-12-31
CENSUS_ACS5
zcta 06451
acs median gross
1
$969
2024-12-31
CENSUS_ACS5
zcta 06451
acs median gross
2
$1,204
2024-12-31
CENSUS_ACS5
zcta 06451
acs median gross
3
$1,635
2024-12-31
CENSUS_ACS5
zcta 06451
acs median gross
4
$1,840
2024-12-31
CENSUS_ACS5
zcta 06451
acs median gross
$1,213
2024-12-31
CENSUS_ACS5
zcta 06451
acs recent mover gross
$1,695
2024-12-31
CENSUS_ACS5
zip 06451
payment standard 110
0
$1,342
2025-10-01
HUD_USER_SAFMR
zip 06451
payment standard 90
0
$1,098
2025-10-01
HUD_USER_SAFMR
zip 06451
safmr
0
$1,220
2025-10-01
HUD_USER_SAFMR
zip 06451
payment standard 110
1
$1,551
2025-10-01
HUD_USER_SAFMR
zip 06451
payment standard 90
1
$1,269
2025-10-01
HUD_USER_SAFMR
zip 06451
safmr
1
$1,410
2025-10-01
HUD_USER_SAFMR
zip 06451
payment standard 110
2
$1,925
2025-10-01
HUD_USER_SAFMR
zip 06451
payment standard 90
2
$1,575
2025-10-01
HUD_USER_SAFMR
zip 06451
safmr
2
$1,750
2025-10-01
HUD_USER_SAFMR
zip 06451
payment standard 110
3
$2,376
2025-10-01
HUD_USER_SAFMR
zip 06451
payment standard 90
3
$1,944
2025-10-01
HUD_USER_SAFMR
zip 06451
safmr
3
$2,160
2025-10-01
HUD_USER_SAFMR
zip 06451
payment standard 110
4
$2,805
2025-10-01
HUD_USER_SAFMR
zip 06451
payment standard 90
4
$2,295
2025-10-01
HUD_USER_SAFMR
zip 06451
safmr
4
$2,550
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.