Reads as: riskier than 58.7% 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
25
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+35.0 vs natl
ARCADIA CARE MANAGEMENT LLC
23 facilities
connection
Owner fleet risk far above national
+34.6 vs natl
MCCLURE MICHELLE
23 facilities
connection
Owner fleet risk far above national
+33.2 vs natl
SCHROEDER KIMI
5 facilities
connection
Owner fleet risk far above national
+32.8 vs natl
SEITLER DOVID
35 facilities
connection
Owner fleet risk far above national
+32.7 vs natl
YOSEF MEYSTEL DELTA TRUST
39 facilities
connection
Owner fleet risk far above national
+32.3 vs natl
DAVID A BERKOWITZ DELTA TRUST
38 facilities
connection
Owner fleet risk far above national
+29.8 vs natl
APERION CARE EXEC HOLDINGS LLC
26 facilities
connection
Owner fleet risk far above national
+29.7 vs natl
CHASE OFFICE LLC
82 facilities
connection
Owner fleet risk far above national
+29.0 vs natl
JOSHUA HOFFMAN TRUST
22 facilities
connection
Owner fleet risk far above national
+28.7 vs natl
WILHELM NAFTALI
81 facilities
connection
Owner fleet risk far above national
+28.2 vs natl
CURIS SERVICES LLC
85 facilities
connection
Owner fleet risk far above national
+28.1 vs natl
TUROFSKY STEVEN
87 facilities
connection
Owner fleet risk far above national
+27.4 vs natl
SPECTOR JENNIFER
93 facilities
connection
Owner fleet risk far above national
+26.3 vs natl
BERKOWITZ DAVID
77 facilities
connection
Owner fleet risk far above national
+26.2 vs natl
MEYSTEL YOSEF
77 facilities
connection
Owner fleet risk far above national
+23.6 vs natl
DECLARATION OF TRUST OF YOSEF MEYSTEL
11 facilities
connection
Owner fleet risk far above national
+21.9 vs natl
GOLDFARB BRIAN
30 facilities
connection
Owner fleet risk far above national
+20.3 vs natl
DAVID A BERKOWITZ REVOCABLE TRUST
9 facilities
connection
Owner spans multiple chains
13 chains
CHASE OFFICE LLC
75 facilities
connection
Owner spans multiple chains
9 chains
SPECTOR JENNIFER
90 facilities
connection
Owner spans multiple chains
9 chains
TUROFSKY STEVEN
84 facilities
connection
Owner spans multiple chains
8 chains
CURIS SERVICES LLC
81 facilities
connection
Owner spans multiple chains
8 chains
MEYSTEL YOSEF
73 facilities
connection
Owner spans multiple chains
8 chains
BERKOWITZ DAVID
73 facilities
connection
Owner spans multiple chains
8 chains
WILHELM NAFTALI
78 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
2.68
3.13
3.28
2.90–3.77
RN
0.62
0.49
0.39
0.25–0.58
Weekend total
2.67
2.93
3.11
—
Weekday total
2.69
3.23
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
89.6
2.68
0.62
0.16
1.91
2.67
0.1%
2025Q3
92
88.2
2.79
0.63
0.16
2.00
2.75
0.1%
2025Q2
91
87.8
2.67
0.64
0.17
1.86
2.57
0.0%
2025Q1
90
84.3
2.82
0.62
0.21
1.99
2.88
0.0%
2024Q4
92
88.1
2.77
0.58
0.23
1.96
2.73
0.2%
2024Q3
92
83.4
2.93
0.68
0.20
2.05
2.82
0.0%
2024Q2
91
84.0
2.72
0.60
0.25
1.87
2.67
0.0%
2024Q1
91
79.9
2.68
0.65
0.24
1.79
2.62
0.4%
2023Q4
92
84.6
2.56
0.55
0.30
1.71
2.52
8.5%
2023Q3
92
77.8
2.74
0.46
0.42
1.86
2.61
15.9%
2023Q2
91
69.4
3.20
0.64
0.34
2.23
3.08
15.4%
2023Q1
90
72.4
2.97
0.69
0.24
2.04
2.95
7.8%
2022Q4
92
74.8
2.88
0.57
0.32
1.98
2.80
14.8%
2022Q3
92
79.8
2.77
0.55
0.33
1.89
2.68
18.1%
2022Q2
91
77.2
2.67
0.55
0.34
1.79
2.56
11.3%
2022Q1
90
67.3
2.81
0.69
0.27
1.85
2.78
2.8%
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
17
D × 7E × 7F × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-26
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
E
2026-05-15
2026-03-04
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
E
2026-03-20
2026-03-04
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E
2026-03-20
2026-03-04
Health · complaint
F0610
Respond appropriately to all alleged violations.
E
2026-03-20
2026-03-04
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2026-03-20
2026-03-04
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-03-20
2026-01-03
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-01-16
2025-04-18
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-04-22
2025-04-18
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F
2025-04-23
2025-04-18
Health
F0802
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F
2025-04-29
2025-04-18
Health
F0809
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
E
2025-04-29
2024-09-06
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-09-27
2024-07-29
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-08-08
2024-04-04
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2024-04-21
2024-04-04
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2024-04-21
2024-04-04
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F
2024-04-21
2023-02-17
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
2023-03-01
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
39
Owner
Role
Pct
From
Status
Source
300 E MAZON
Individual has financial interest in both related organization and provider
—
2023-07-01
current
hcris_a_8_1
300 E MAZON
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
300 E MAZON, LLC
ADP OF THE SNF
—
2025-04-02
current
pecos_ownership
AHMED, JIBRAN
ADP OF THE SNF
—
2023-07-01
current
pecos_ownership
APERION CARE EXEC HOLDINGS LLC
ADP OF THE SNF
—
2023-07-01
current
pecos_ownership
ARCADIA CARE MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
current
pecos_ownership
ARCADIA CARE MANAGEMENT LLC
ADP OF THE SNF
—
2025-04-02
current
pecos_ownership
BERKOWITZ, DAVID
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-02
current
pecos_ownership
CHASE OFFICE LLC
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
CHASE OFFICE LLC
Individual has financial interest in both related organization and provider
—
2023-07-01
current
hcris_a_8_1
COLLINS, BRHTTNIE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
current
pecos_ownership
CURIS SERVICES LLC
ADP OF THE SNF
—
2023-07-01
current
pecos_ownership
DAVID A BERKOWITZ DELTA TRUST
ADP OF THE SNF
—
2023-07-01
current
pecos_ownership
DAVID A. BERKOWITZ REVOCABLE TRUST
ADP OF THE SNF
—
2023-07-01
current
pecos_ownership
DECLARATION OF TRUST OF YOSEF MEYSTEL
ADP OF THE SNF
—
2023-07-01
current
pecos_ownership
GOLDFARB, BRIAN
DIRECT OWNERSHIP INTEREST
—
2023-07-01
current
pecos_ownership
JOSHUA HOFFMAN TRUST
DIRECT OWNERSHIP INTEREST
—
2023-07-01
current
pecos_ownership
MCCLURE, MICHELLE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
current
pecos_ownership
MEYSTEL, YOSEF
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-02
current
pecos_ownership
QUIGLEY, RITA
ADP OF THE SNF
—
2023-07-01
current
pecos_ownership
SCHROEDER, KIMI
ADP OF THE SNF
—
2023-07-01
current
pecos_ownership
SEITLER, DOVID
ADP OF THE SNF
—
2023-07-01
current
pecos_ownership
SPECTOR, JENNIFER
ADP OF THE SNF
—
2023-07-01
current
pecos_ownership
TUROFSKY, STEVEN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
current
pecos_ownership
WILHELM, NAFTALI
ADP OF THE SNF
—
2023-07-01
current
pecos_ownership
YOSEF MEYSTEL DELTA TRUST
ADP OF THE SNF
—
2023-07-01
current
pecos_ownership
DAVID A BERKOWITZ REVOC TR DAVID BERKOWITZ TTEE
5% OR GREATER DIRECT OWNERSHIP INTEREST
23%
2023-07-01
ended 2026-05-18
pecos_ownership
YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE
5% OR GREATER DIRECT OWNERSHIP INTEREST
23%
2023-07-01
ended 2026-05-18
pecos_ownership
JOSHUA HOFFMAN TR JOSHUA HOFFMAN TTEE
DIRECT OWNERSHIP INTEREST
5%
2023-07-01
ended 2026-05-18
pecos_ownership
BRIAN GOLDFARB
DIRECT OWNERSHIP INTEREST
1%
2023-07-01
ended 2026-05-18
pecos_ownership
BRHTTNIE COLLINS
ADP OF THE SNF
—
2023-07-01
ended 2026-05-18
pecos_ownership
DOVID SEITLER
ADP OF THE SNF
—
2023-07-01
ended 2026-05-18
pecos_ownership
JENNIFER SPECTOR
ADP OF THE SNF
—
2023-07-01
ended 2026-05-18
pecos_ownership
JIBRAN AHMED
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
ended 2026-05-18
pecos_ownership
KIMI SCHROEDER
ADP OF THE SNF
—
2023-07-01
ended 2026-05-18
pecos_ownership
MICHELLE MCCLURE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
ended 2026-05-18
pecos_ownership
NAFTALI WILHELM
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
ended 2026-05-18
pecos_ownership
RITA QUIGLEY
ADP OF THE SNF
—
2023-07-01
ended 2026-05-18
pecos_ownership
STEVEN TUROFSKY
ADP OF THE SNF
—
2023-07-01
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$857,046
$256,878
—
—
—
13
propco
2023-12-31
$497,941
$103,880
$56,973
—
$225,465
14
propco
2023-06-30
$496,135
—
—
—
$28,894
3
—
2022-12-31
$955,441
—
—
—
—
2
—
2021-12-31
$804,238
—
—
—
$1,927
2
—
2020-12-31
$818,072
—
—
—
$1,016
2
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 17105
acs median gross
0
$615
2024-12-31
CENSUS_ACS5
county 17105
fmr
0
$702
2025-10-01
HUD_USER_FMR
county 17105
acs median gross
1
$620
2024-12-31
CENSUS_ACS5
county 17105
fmr
1
$776
2025-10-01
HUD_USER_FMR
county 17105
acs median gross
2
$890
2024-12-31
CENSUS_ACS5
county 17105
fmr
2
$1,018
2025-10-01
HUD_USER_FMR
county 17105
acs median gross
3
$1,020
2024-12-31
CENSUS_ACS5
county 17105
fmr
3
$1,267
2025-10-01
HUD_USER_FMR
county 17105
acs median gross
4
$1,153
2024-12-31
CENSUS_ACS5
county 17105
fmr
4
$1,348
2025-10-01
HUD_USER_FMR
county 17105
acs median gross
5
$631
2024-12-31
CENSUS_ACS5
county 17105
acs median gross
$880
2024-12-31
CENSUS_ACS5
county 17105
acs recent mover gross
$913
2024-12-31
CENSUS_ACS5
zcta 60420
acs median gross
1
$940
2024-12-31
CENSUS_ACS5
zcta 60420
acs median gross
2
$1,054
2024-12-31
CENSUS_ACS5
zcta 60420
acs median gross
3
$964
2024-12-31
CENSUS_ACS5
zcta 60420
acs median gross
4
$2,014
2024-12-31
CENSUS_ACS5
zcta 60420
acs median gross
$997
2024-12-31
CENSUS_ACS5
zcta 60420
acs recent mover gross
$1,056
2024-12-31
CENSUS_ACS5
zip 60420
payment standard 110
0
$1,045
2025-10-01
HUD_USER_SAFMR
zip 60420
payment standard 90
0
$855
2025-10-01
HUD_USER_SAFMR
zip 60420
safmr
0
$950
2025-10-01
HUD_USER_SAFMR
zip 60420
payment standard 110
1
$1,144
2025-10-01
HUD_USER_SAFMR
zip 60420
payment standard 90
1
$936
2025-10-01
HUD_USER_SAFMR
zip 60420
safmr
1
$1,040
2025-10-01
HUD_USER_SAFMR
zip 60420
payment standard 110
2
$1,496
2025-10-01
HUD_USER_SAFMR
zip 60420
payment standard 90
2
$1,224
2025-10-01
HUD_USER_SAFMR
zip 60420
safmr
2
$1,360
2025-10-01
HUD_USER_SAFMR
zip 60420
payment standard 110
3
$1,980
2025-10-01
HUD_USER_SAFMR
zip 60420
payment standard 90
3
$1,620
2025-10-01
HUD_USER_SAFMR
zip 60420
safmr
3
$1,800
2025-10-01
HUD_USER_SAFMR
zip 60420
payment standard 110
4
$1,991
2025-10-01
HUD_USER_SAFMR
zip 60420
payment standard 90
4
$1,629
2025-10-01
HUD_USER_SAFMR
zip 60420
safmr
4
$1,810
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.