186 WEST BATH ROAD, CUYAHOGA FALLS, OH 44223 · CCN 366403 · chain BNV DYNASTY LLC
Composite
30.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
99
Model
v1.2
Reads as: riskier than 30.9% 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
OH median
National median
National p25–p75
Total nurse
3.23
3.24
3.28
2.90–3.77
RN
0.43
0.38
0.39
0.25–0.58
Weekend total
3.28
3.11
3.11
—
Weekday total
3.21
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
88.9
3.23
0.43
0.81
1.98
3.28
0.0%
2025Q3
92
89.8
3.16
0.41
0.80
1.95
3.07
0.0%
2025Q2
91
89.5
3.20
0.36
0.86
1.97
3.13
0.2%
2025Q1
90
91.9
3.02
0.45
0.71
1.85
3.00
1.4%
2024Q4
92
91.2
3.02
0.50
0.62
1.91
3.04
2.4%
2024Q3
92
92.8
2.98
0.53
0.56
1.89
2.96
2.8%
2024Q2
91
92.9
2.98
0.46
0.66
1.86
2.95
7.0%
2024Q1
91
95.2
2.90
0.45
0.63
1.83
2.80
6.2%
2023Q4
92
92.3
3.24
0.47
0.69
2.07
3.06
5.2%
2023Q3
92
92.1
3.16
0.47
0.66
2.04
3.00
5.1%
2023Q2
91
90.3
3.07
0.47
0.71
1.89
2.92
3.8%
2023Q1
90
93.8
2.94
0.40
0.69
1.85
2.83
1.1%
2022Q4
92
89.2
2.99
0.38
0.76
1.85
2.88
4.9%
2022Q3
92
85.1
2.99
0.47
0.72
1.81
2.94
8.2%
2022Q2
91
89.6
2.71
0.49
0.62
1.61
2.70
13.1%
2022Q1
90
89.9
2.51
0.32
0.78
1.40
2.47
9.4%
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
16
D × 13E × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-26
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
D
2026-04-03
2025-11-20
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-10-08
2025-03-18
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
E
2025-03-25
2025-03-18
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-03-25
2025-03-18
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-03-25
2025-03-18
Health · complaint
F0800
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
D
2025-03-25
2025-03-18
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2025-03-25
2025-01-21
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-02-03
2025-01-21
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2025-02-03
2025-01-21
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-02-03
2023-12-21
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-01-10
2023-09-18
Health · complaint
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
2023-10-05
2021-05-04
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2021-06-01
2021-05-04
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
2021-06-01
2021-05-04
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2021-06-01
2019-02-07
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2019-02-22
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
31
Owner
Role
Pct
From
Status
Source
WWBV HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2019-09-30
current
pecos_ownership
WIW DYNASTY LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
67%
2023-01-01
current
pecos_ownership
BATH CREEK REAL ESTATE GROUP, LLC
ADP OF THE SNF
—
2020-02-01
current
pecos_ownership
BURKE, KARMA
OPERATIONAL/MANAGERIAL CONTROL
—
2016-03-21
current
pecos_ownership
CITRIN COOPERMAN ADVISORS LLC
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
NICOLUZAKIS, GREGORY
ADP OF THE SNF
—
2019-03-01
current
pecos_ownership
NICOLUZAKIS, GREGORY
CORPORATE OFFICER
—
2019-09-01
current
pecos_ownership
SABER GOVERNANCE LLC
ADP OF THE SNF
—
2019-09-01
current
pecos_ownership
SABER HEALTHCARE GROUP LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-20
current
pecos_ownership
SAKAMURI, LAXMI PRASANA
ADP OF THE SNF
—
2023-11-01
current
pecos_ownership
SHG MANAGEMENT LLC
ADP OF THE SNF
—
2019-09-01
current
pecos_ownership
VOLPE, BENJAMIN
ADP OF THE SNF
—
2019-03-01
current
pecos_ownership
VOLPE, BENJAMIN
MANAGING CONTROL - GOVERNING BODY
—
2019-09-01
current
pecos_ownership
WEISBERG, WILLIAM
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-06-23
current
pecos_ownership
WEISBERG, WILLIAM
ADP OF THE SNF
—
2013-01-20
current
pecos_ownership
WEISBERG, WILLIAM
CORPORATE OFFICER
—
2019-03-01
current
pecos_ownership
WEISBERG, WILLIAM
MANAGING CONTROL - GOVERNING BODY
—
2019-07-23
current
pecos_ownership
KARMA BURKE
OPERATIONAL/MANAGERIAL CONTROL
100%
2016-03-21
ended 2026-05-18
pecos_ownership
SABER HEALTHCARE HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2013-01-20
ended 2026-05-18
pecos_ownership
SHH HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2019-03-01
ended 2026-05-18
pecos_ownership
DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020
5% OR GREATER INDIRECT OWNERSHIP INTEREST
67%
2023-01-01
ended 2026-05-18
pecos_ownership
BENJAMIN VOLPE
CORPORATE DIRECTOR
50%
2019-03-01
ended 2026-05-18
pecos_ownership
WILLIAM WEISBERG
CORPORATE DIRECTOR
50%
2019-03-01
ended 2026-05-18
pecos_ownership
BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020)
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2023-01-01
ended 2026-05-18
pecos_ownership
BNV DYNASTY LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2023-01-01
ended 2026-05-18
pecos_ownership
GREGORY NICOLUZAKIS
CORPORATE OFFICER
0%
2019-09-01
ended 2026-05-18
pecos_ownership
BENJAMIN VOLPE
MANAGING CONTROL - GOVERNING BODY
—
2019-09-01
ended 2026-05-18
pecos_ownership
GREGORY NICOLUZAKIS
ADP OF THE SNF
—
2019-03-01
ended 2026-05-18
pecos_ownership
LAXMI PRASANA SAKAMURI
ADP OF THE SNF
—
2023-11-01
ended 2026-05-18
pecos_ownership
WILLIAM WEISBERG
ADP OF THE SNF
—
2013-01-20
ended 2026-05-18
pecos_ownership
WILLIAM WEISBERG
MANAGING CONTROL - GOVERNING BODY
—
2019-07-23
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
$2,344,851
—
—
$730,551
$168,400
5
—
2023-12-31
$2,069,860
—
—
$620,676
$60,483
5
—
2022-12-31
$2,023,515
—
—
$505,822
$3,779
4
—
2021-12-31
$1,934,706
—
—
$507,064
—
4
—
2020-12-31
$1,850,504
—
—
$513,276
$11,377
4
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 39153
acs median gross
0
$844
2024-12-31
CENSUS_ACS5
county 39153
fmr
0
$904
2025-10-01
HUD_USER_FMR
county 39153
acs median gross
1
$781
2024-12-31
CENSUS_ACS5
county 39153
fmr
1
$985
2025-10-01
HUD_USER_FMR
county 39153
acs median gross
2
$1,080
2024-12-31
CENSUS_ACS5
county 39153
fmr
2
$1,268
2025-10-01
HUD_USER_FMR
county 39153
acs median gross
3
$1,116
2024-12-31
CENSUS_ACS5
county 39153
fmr
3
$1,547
2025-10-01
HUD_USER_FMR
county 39153
acs median gross
4
$1,245
2024-12-31
CENSUS_ACS5
county 39153
fmr
4
$1,681
2025-10-01
HUD_USER_FMR
county 39153
acs median gross
5
$1,119
2024-12-31
CENSUS_ACS5
county 39153
acs median gross
$1,026
2024-12-31
CENSUS_ACS5
county 39153
acs recent mover gross
$1,130
2024-12-31
CENSUS_ACS5
zcta 44223
acs median gross
0
$1,161
2024-12-31
CENSUS_ACS5
zcta 44223
acs median gross
1
$846
2024-12-31
CENSUS_ACS5
zcta 44223
acs median gross
2
$1,065
2024-12-31
CENSUS_ACS5
zcta 44223
acs median gross
3
$1,184
2024-12-31
CENSUS_ACS5
zcta 44223
acs median gross
4
$993
2024-12-31
CENSUS_ACS5
zcta 44223
acs median gross
$1,052
2024-12-31
CENSUS_ACS5
zcta 44223
acs recent mover gross
$1,148
2024-12-31
CENSUS_ACS5
zip 44223
payment standard 110
0
$1,023
2025-10-01
HUD_USER_SAFMR
zip 44223
payment standard 90
0
$837
2025-10-01
HUD_USER_SAFMR
zip 44223
safmr
0
$930
2025-10-01
HUD_USER_SAFMR
zip 44223
payment standard 110
1
$1,122
2025-10-01
HUD_USER_SAFMR
zip 44223
payment standard 90
1
$918
2025-10-01
HUD_USER_SAFMR
zip 44223
safmr
1
$1,020
2025-10-01
HUD_USER_SAFMR
zip 44223
payment standard 110
2
$1,441
2025-10-01
HUD_USER_SAFMR
zip 44223
payment standard 90
2
$1,179
2025-10-01
HUD_USER_SAFMR
zip 44223
safmr
2
$1,310
2025-10-01
HUD_USER_SAFMR
zip 44223
payment standard 110
3
$1,760
2025-10-01
HUD_USER_SAFMR
zip 44223
payment standard 90
3
$1,440
2025-10-01
HUD_USER_SAFMR
zip 44223
safmr
3
$1,600
2025-10-01
HUD_USER_SAFMR
zip 44223
payment standard 110
4
$1,914
2025-10-01
HUD_USER_SAFMR
zip 44223
payment standard 90
4
$1,566
2025-10-01
HUD_USER_SAFMR
zip 44223
safmr
4
$1,740
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.