Reads as: riskier than 4.4% 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
4
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
18 chains
PLANTE MORAN PLLC
55 facilities
connection
Owner spans multiple chains
8 chains
HEALTHPRO HERITAGE LLC
12 facilities
connection
Owner spans multiple chains
7 chains
HEALTHCARE SERVICES GROUP INC
15 facilities
connection
Owner spans multiple chains
5 chains
EREN ITRI
8 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
OH median
National median
National p25–p75
Total nurse
3.56
3.24
3.28
2.90–3.77
RN
0.34
0.38
0.39
0.25–0.58
Weekend total
3.23
3.11
3.11
—
Weekday total
3.69
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
89.9
3.56
0.34
1.04
2.18
3.23
0.0%
2025Q3
92
90.6
3.37
0.30
0.96
2.10
3.01
0.0%
2025Q2
91
89.4
3.23
0.32
0.92
1.99
2.93
0.0%
2025Q1
90
86.6
3.43
0.24
1.01
2.18
3.15
0.0%
2024Q4
92
82.7
3.86
0.23
1.12
2.50
3.60
0.0%
2024Q3
92
84.0
3.44
0.28
1.06
2.10
3.19
0.0%
2024Q2
91
84.1
3.60
0.31
1.05
2.25
3.44
0.0%
2024Q1
91
84.4
3.57
0.30
1.09
2.18
3.33
0.0%
2023Q4
92
84.3
3.04
0.22
1.10
1.72
2.89
0.0%
2023Q3
92
87.7
2.90
0.22
1.00
1.68
2.67
0.0%
2023Q2
91
86.6
3.12
0.25
1.02
1.86
2.77
0.0%
2023Q1
90
85.3
2.84
0.20
1.05
1.59
2.54
0.0%
2022Q4
92
83.7
3.43
0.18
1.12
2.13
2.94
0.0%
2022Q3
92
77.1
3.56
0.20
1.18
2.19
3.12
0.0%
2022Q2
91
76.3
3.75
0.17
1.29
2.29
3.31
0.0%
2022Q1
90
76.4
3.60
0.26
1.23
2.12
3.19
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
22
D × 19E × 2F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-05
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2026-04-16
2026-03-05
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2026-04-16
2026-03-05
Health · complaint
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
2026-04-16
2026-03-05
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2026-04-16
2026-03-05
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2026-04-16
2026-03-05
Health
F0610
Respond appropriately to all alleged violations.
D
2026-04-16
2026-03-05
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
2026-04-16
2026-03-05
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-04-16
2026-03-05
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-04-16
2026-03-05
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2026-04-16
2026-03-05
Health · complaint
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
2026-04-16
2026-03-05
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-04-16
2026-03-05
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-04-16
2026-03-05
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.
F
2026-04-16
2026-03-05
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-04-16
2024-11-08
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2024-10-29
2022-10-27
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-12-12
2022-10-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2022-12-12
2019-11-06
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2019-11-26
2019-11-06
Health
F0641
Ensure each resident receives an accurate assessment.
D
2019-11-26
2019-11-06
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2019-11-26
2019-11-06
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2019-11-26
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
28
Owner
Role
Pct
From
Status
Source
ACCUSCRIPTS PHARMACY LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2013-07-27
current
pecos_ownership
ACCUSCRIPTS PHARMACY LLC
ADP OF THE SNF
—
2025-12-08
current
pecos_ownership
DAYFIELD SENIOR SOLUTIONS, LLC
ADP OF THE SNF
—
2012-06-01
current
pecos_ownership
DTW, LLC
ADP OF THE SNF
—
2001-12-31
current
pecos_ownership
EREN, ITRI
OPERATIONAL/MANAGERIAL CONTROL
—
2017-08-01
current
pecos_ownership
FOISY, MEGHAN
DIRECT OWNERSHIP INTEREST
—
2001-10-26
current
pecos_ownership
FREAS, HEIDI
ADP OF THE SNF
—
2000-02-21
current
pecos_ownership
FREAS, HEIDI
CORPORATE OFFICER
—
2001-10-26
current
pecos_ownership
HEALTHCARE SERVICES GROUP INC
ADP OF THE SNF
—
2025-12-08
current
pecos_ownership
HEALTHCARE SERVICES GROUP INC
OPERATIONAL/MANAGERIAL CONTROL
—
2008-12-01
current
pecos_ownership
HEALTHPRO HERITAGE LLC
ADP OF THE SNF
—
2021-04-07
current
pecos_ownership
HERRON, JILL
ADP OF THE SNF
—
1999-05-03
current
pecos_ownership
HERRON, JILL
CORPORATE DIRECTOR
—
2001-10-26
current
pecos_ownership
HILLIER, ROBIN
ADP OF THE SNF
—
1999-05-01
current
pecos_ownership
PLANTE & MORAN PLLC
ADP OF THE SNF
—
2020-01-01
current
pecos_ownership
RLH CONSULTING
ADP OF THE SNF
—
2026-02-03
current
pecos_ownership
RLH CONSULTING
OPERATIONAL/MANAGERIAL CONTROL
—
2001-10-21
current
pecos_ownership
THE CLEVELAND CLINIC FOUNDATION
OPERATIONAL/MANAGERIAL CONTROL
—
2017-08-01
current
pecos_ownership
THE CLEVELAND CLINIC FOUNDATION
ADP OF THE SNF
—
2025-12-08
current
pecos_ownership
WESSELL, KELLY
DIRECT OWNERSHIP INTEREST
—
2001-10-26
current
pecos_ownership
HEIDI FREAS
CORPORATE OFFICER
50%
2001-10-26
ended 2026-05-18
pecos_ownership
JILL HERRON
CORPORATE OFFICER
50%
2001-10-26
ended 2026-05-18
pecos_ownership
KELLY WESSELL
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2001-10-26
ended 2026-05-18
pecos_ownership
MEGHAN FOISY
CORPORATE DIRECTOR
25%
2001-10-26
ended 2026-05-18
pecos_ownership
HEIDI FREAS
ADP OF THE SNF
—
2000-02-21
ended 2026-05-18
pecos_ownership
ITRI EREN
OPERATIONAL/MANAGERIAL CONTROL
—
2017-08-01
ended 2026-05-18
pecos_ownership
JILL HERRON
ADP OF THE SNF
—
1999-05-03
ended 2026-05-18
pecos_ownership
ROBIN HILLIER
ADP OF THE SNF
—
1999-05-01
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
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
33
Geo
Kind
BR
Amount
As of
Source
county 39093
acs median gross
0
$599
2024-12-31
CENSUS_ACS5
county 39093
fmr
0
$933
2025-10-01
HUD_USER_FMR
county 39093
acs median gross
1
$734
2024-12-31
CENSUS_ACS5
county 39093
fmr
1
$1,058
2025-10-01
HUD_USER_FMR
county 39093
acs median gross
2
$966
2024-12-31
CENSUS_ACS5
county 39093
fmr
2
$1,279
2025-10-01
HUD_USER_FMR
county 39093
acs median gross
3
$1,129
2024-12-31
CENSUS_ACS5
county 39093
fmr
3
$1,646
2025-10-01
HUD_USER_FMR
county 39093
acs median gross
4
$1,175
2024-12-31
CENSUS_ACS5
county 39093
fmr
4
$1,760
2025-10-01
HUD_USER_FMR
county 39093
acs median gross
5
$1,391
2024-12-31
CENSUS_ACS5
county 39093
acs median gross
$966
2024-12-31
CENSUS_ACS5
county 39093
acs recent mover gross
$1,070
2024-12-31
CENSUS_ACS5
zcta 44074
acs median gross
2
$895
2024-12-31
CENSUS_ACS5
zcta 44074
acs median gross
3
$1,164
2024-12-31
CENSUS_ACS5
zcta 44074
acs median gross
4
$1,554
2024-12-31
CENSUS_ACS5
zcta 44074
acs median gross
$964
2024-12-31
CENSUS_ACS5
zcta 44074
acs recent mover gross
$945
2024-12-31
CENSUS_ACS5
zip 44074
payment standard 110
0
$946
2025-10-01
HUD_USER_SAFMR
zip 44074
payment standard 90
0
$774
2025-10-01
HUD_USER_SAFMR
zip 44074
safmr
0
$860
2025-10-01
HUD_USER_SAFMR
zip 44074
payment standard 110
1
$1,078
2025-10-01
HUD_USER_SAFMR
zip 44074
payment standard 90
1
$882
2025-10-01
HUD_USER_SAFMR
zip 44074
safmr
1
$980
2025-10-01
HUD_USER_SAFMR
zip 44074
payment standard 110
2
$1,298
2025-10-01
HUD_USER_SAFMR
zip 44074
payment standard 90
2
$1,062
2025-10-01
HUD_USER_SAFMR
zip 44074
safmr
2
$1,180
2025-10-01
HUD_USER_SAFMR
zip 44074
payment standard 110
3
$1,672
2025-10-01
HUD_USER_SAFMR
zip 44074
payment standard 90
3
$1,368
2025-10-01
HUD_USER_SAFMR
zip 44074
safmr
3
$1,520
2025-10-01
HUD_USER_SAFMR
zip 44074
payment standard 110
4
$1,782
2025-10-01
HUD_USER_SAFMR
zip 44074
payment standard 90
4
$1,458
2025-10-01
HUD_USER_SAFMR
zip 44074
safmr
4
$1,620
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.