Reads as: riskier than 26.8% 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.
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
NY median
National median
National p25–p75
Total nurse
3.57
3.33
3.28
2.90–3.77
RN
0.34
0.43
0.39
0.25–0.58
Weekend total
3.29
3.03
3.11
—
Weekday total
3.68
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
106.4
3.57
0.34
0.94
2.29
3.29
23.3%
2025Q3
92
106.1
3.62
0.36
0.96
2.29
3.35
28.7%
2025Q2
91
102.0
3.72
0.34
0.97
2.40
3.45
27.7%
2025Q1
90
100.5
3.56
0.29
0.92
2.34
3.45
27.9%
2024Q4
92
105.3
3.56
0.32
0.79
2.46
3.46
21.2%
2024Q3
92
101.5
3.66
0.25
0.89
2.52
3.42
19.5%
2024Q2
91
101.1
3.84
0.24
0.99
2.62
3.78
31.6%
2024Q1
91
103.5
3.52
0.27
0.95
2.30
3.48
24.1%
2023Q4
92
104.5
3.40
0.22
0.87
2.32
3.37
24.3%
2023Q3
92
103.5
3.84
0.23
1.13
2.48
3.59
23.9%
2023Q2
91
99.2
3.71
0.23
1.00
2.47
3.43
36.1%
2023Q1
90
98.8
3.83
0.17
1.20
2.46
3.53
33.8%
2022Q4
92
97.8
3.92
0.21
1.23
2.49
3.52
30.4%
2022Q3
92
97.7
3.68
0.24
1.20
2.24
3.13
20.9%
2022Q2
91
98.9
3.29
0.06
1.09
2.13
2.82
16.7%
2022Q1
90
97.7
2.94
0.24
0.93
1.77
2.44
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
9
D × 9
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-03-07
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2025-04-30
2025-03-07
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-04-30
2025-03-07
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-04-30
2025-03-07
Health
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.
D
2025-04-30
2023-03-03
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-03-31
2023-03-03
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-04-30
2023-03-03
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
2023-04-15
2023-03-03
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
2023-04-30
2020-03-06
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2020-04-30
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
13
Owner
Role
Pct
From
Status
Source
COUNTY OF CATTARAUGUS
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
—
current
pecos_ownership
BURR, MARK
MANAGING CONTROL - GOVERNING BODY
—
2024-01-03
current
pecos_ownership
GUGINO, CAROL
OPERATIONAL/MANAGERIAL CONTROL
—
1999-05-15
current
pecos_ownership
PATEL, ARUN
ADP OF THE SNF
—
2025-05-09
current
pecos_ownership
PATEL, ARUN
OPERATIONAL/MANAGERIAL CONTROL
—
2018-09-10
current
pecos_ownership
REYNOLDS, TAMMY
ADP OF THE SNF
—
2025-05-09
current
pecos_ownership
REYNOLDS, TAMMY
OPERATIONAL/MANAGERIAL CONTROL
—
2019-07-22
current
pecos_ownership
CAROL GUGINO
OPERATIONAL/MANAGERIAL CONTROL
100%
—
ended —
pecos_ownership
ARUN PATEL
OPERATIONAL/MANAGERIAL CONTROL
—
2018-09-10
ended 2026-05-18
pecos_ownership
ARUN PATEL
ADP OF THE SNF
—
2025-05-09
ended 2026-05-18
pecos_ownership
MARK BURR
MANAGING CONTROL - GOVERNING BODY
—
2024-01-03
ended 2026-05-18
pecos_ownership
TAMMY REYNOLDS
ADP OF THE SNF
—
2025-05-09
ended 2026-05-18
pecos_ownership
TAMMY REYNOLDS
OPERATIONAL/MANAGERIAL CONTROL
—
2019-07-22
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
36
Geo
Kind
BR
Amount
As of
Source
county 36009
acs median gross
0
$469
2024-12-31
CENSUS_ACS5
county 36009
fmr
0
$778
2025-10-01
HUD_USER_FMR
county 36009
acs median gross
1
$620
2024-12-31
CENSUS_ACS5
county 36009
fmr
1
$783
2025-10-01
HUD_USER_FMR
county 36009
acs median gross
2
$816
2024-12-31
CENSUS_ACS5
county 36009
fmr
2
$1,007
2025-10-01
HUD_USER_FMR
county 36009
acs median gross
3
$907
2024-12-31
CENSUS_ACS5
county 36009
fmr
3
$1,232
2025-10-01
HUD_USER_FMR
county 36009
acs median gross
4
$888
2024-12-31
CENSUS_ACS5
county 36009
fmr
4
$1,420
2025-10-01
HUD_USER_FMR
county 36009
acs median gross
5
$1,173
2024-12-31
CENSUS_ACS5
county 36009
acs median gross
$770
2024-12-31
CENSUS_ACS5
county 36009
acs recent mover gross
$813
2024-12-31
CENSUS_ACS5
zcta 14760
acs median gross
0
$451
2024-12-31
CENSUS_ACS5
zcta 14760
acs median gross
1
$642
2024-12-31
CENSUS_ACS5
zcta 14760
acs median gross
2
$875
2024-12-31
CENSUS_ACS5
zcta 14760
acs median gross
3
$881
2024-12-31
CENSUS_ACS5
zcta 14760
acs median gross
4
$797
2024-12-31
CENSUS_ACS5
zcta 14760
acs median gross
5
$1,184
2024-12-31
CENSUS_ACS5
zcta 14760
acs median gross
$785
2024-12-31
CENSUS_ACS5
zcta 14760
acs recent mover gross
$881
2024-12-31
CENSUS_ACS5
zip 14760
payment standard 110
0
$880
2025-10-01
HUD_USER_SAFMR
zip 14760
payment standard 90
0
$720
2025-10-01
HUD_USER_SAFMR
zip 14760
safmr
0
$800
2025-10-01
HUD_USER_SAFMR
zip 14760
payment standard 110
1
$891
2025-10-01
HUD_USER_SAFMR
zip 14760
payment standard 90
1
$729
2025-10-01
HUD_USER_SAFMR
zip 14760
safmr
1
$810
2025-10-01
HUD_USER_SAFMR
zip 14760
payment standard 110
2
$1,144
2025-10-01
HUD_USER_SAFMR
zip 14760
payment standard 90
2
$936
2025-10-01
HUD_USER_SAFMR
zip 14760
safmr
2
$1,040
2025-10-01
HUD_USER_SAFMR
zip 14760
payment standard 110
3
$1,397
2025-10-01
HUD_USER_SAFMR
zip 14760
payment standard 90
3
$1,143
2025-10-01
HUD_USER_SAFMR
zip 14760
safmr
3
$1,270
2025-10-01
HUD_USER_SAFMR
zip 14760
payment standard 110
4
$1,617
2025-10-01
HUD_USER_SAFMR
zip 14760
payment standard 90
4
$1,323
2025-10-01
HUD_USER_SAFMR
zip 14760
safmr
4
$1,470
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.