Reads as: riskier than 86.3% 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
BERKOWITZ MICHAEL
20 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
14
2025Q4 HPRD
This facility
GA median
National median
National p25–p75
Total nurse
2.96
3.02
3.28
2.90–3.77
RN
0.14
0.26
0.39
0.25–0.58
Weekend total
2.70
2.76
3.11
—
Weekday total
3.06
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
97.8
2.96
0.14
1.11
1.72
2.70
1.7%
2025Q3
92
97.8
2.89
0.14
1.04
1.70
2.66
5.5%
2025Q2
91
96.3
2.92
0.18
1.04
1.69
2.64
2.9%
2025Q1
90
96.7
2.83
0.14
1.05
1.64
2.67
8.5%
2024Q4
92
97.3
2.80
0.17
0.95
1.69
2.62
4.6%
2024Q3
92
92.9
2.83
0.16
0.97
1.71
2.68
26.2%
2024Q2
91
96.7
2.77
0.16
0.97
1.63
2.59
13.7%
2024Q1
91
103.5
2.49
0.25
0.82
1.42
2.30
6.5%
2023Q4
92
95.6
2.84
0.35
0.84
1.65
2.49
0.0%
2023Q2
91
101.6
2.91
0.22
0.86
1.83
2.61
38.3%
2023Q1
90
98.9
2.87
0.29
0.76
1.82
2.59
65.8%
2022Q4
92
93.9
2.54
0.36
0.64
1.54
2.21
60.7%
2022Q3
92
95.6
2.43
0.36
0.61
1.46
1.90
57.0%
2022Q2
91
97.7
2.23
0.29
0.67
1.26
1.81
43.0%
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.
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
2025-06-15
2025-05-01
Health · complaint
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-06-15
2025-05-01
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
D
2025-06-15
2025-05-01
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
2025-06-15
2025-05-01
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-06-15
2025-05-01
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-06-15
2025-05-01
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-06-15
2025-05-01
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-06-15
2025-05-01
Health · complaint
F0880
Provide and implement an infection prevention and control program.
F
2025-06-15
2023-11-02
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2023-12-01
2023-11-02
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2023-12-01
2023-11-02
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
J
2023-12-01
2023-11-02
Health · complaint
F0610
Respond appropriately to all alleged violations.
J
2023-12-01
2023-11-02
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2023-12-01
2023-11-02
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
J
2023-12-01
2023-10-19
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.
E
2023-12-03
2023-10-19
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-12-03
2023-10-19
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2023-12-03
2022-08-26
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
2022-09-23
2022-08-26
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.
E
2022-09-23
2022-08-26
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
2022-09-23
2022-08-26
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-09-23
2022-08-26
Health
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
2022-09-23
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
25
Owner
Role
Pct
From
Status
Source
YYES OP LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2019-08-19
current
pecos_ownership
YYES PROPCO LLC
Individual has financial interest in both related organization and provider
40%
2023-07-01
current
hcris_a_8_1
YYES PROPCO LLC
Individual has financial interest in both related organization and provider
40%
2024-07-01
current
hcris_a_8_1
STARLIGHT HEALTHCARE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
14%
2019-08-19
current
pecos_ownership
WOLMARK, YEHUDA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
13%
2019-08-19
current
pecos_ownership
YW GEORGIA 4 LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
13%
2019-08-19
current
pecos_ownership
BERKOWITZ, MICHAEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
2019-08-19
current
pecos_ownership
EMPIRE CARE CENTERS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-08-19
current
pecos_ownership
HELLER, SHLOMO
CORPORATE OFFICER
—
2018-09-27
current
pecos_ownership
NUSSBAUM, EPHRAIM
OPERATIONAL/MANAGERIAL CONTROL
—
2018-09-27
current
pecos_ownership
OSTROZYNKSI, MICHAEL
W-2 MANAGING EMPLOYEE
—
2018-12-01
current
pecos_ownership
ENSH CONSULTING LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
60%
2019-08-19
ended 2026-05-18
pecos_ownership
YYES PROPCO LLC
Individual has financial interest in both related organization and provider
40%
2020-01-01
ended 2020-12-31
hcris_a_8_1
YYES PROPCO LLC
Individual has financial interest in both related organization and provider
40%
2022-07-01
ended 2023-06-30
hcris_a_8_1
YYES PROPCO LLC
Individual has financial interest in both related organization and provider
40%
2021-01-01
ended 2021-12-31
hcris_a_8_1
YYES PROPCO LLC
Individual has financial interest in both related organization and provider
40%
2022-01-01
ended 2022-06-30
hcris_a_8_1
EPHRAIM NUSSBAUM
5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
2019-08-16
ended 2026-05-18
pecos_ownership
SHLOMO HELLER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
2019-08-19
ended 2026-05-18
pecos_ownership
JACOB STERN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
14%
2019-08-19
ended 2026-05-18
pecos_ownership
YEHUDA WOLMARK
5% OR GREATER INDIRECT OWNERSHIP INTEREST
13%
2019-08-19
ended 2026-05-18
pecos_ownership
GGI EQUITIES LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
2019-08-19
ended 2026-05-18
pecos_ownership
MICHAEL BERKOWITZ
5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
2019-08-19
ended 2026-05-18
pecos_ownership
EPHRAIM NUSSBAUM
OPERATIONAL/MANAGERIAL CONTROL
—
2018-09-27
ended 2026-05-18
pecos_ownership
MICHAEL OSTROZYNKSI
OPERATIONAL/MANAGERIAL CONTROL
—
2018-12-01
ended 2026-05-18
pecos_ownership
SHLOMO HELLER
OPERATIONAL/MANAGERIAL CONTROL
—
2018-09-27
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
2025-06-30
$1,489,958
—
$12,635
—
—
6
propco
2024-06-30
$1,558,433
—
$11,216
—
—
6
propco
2023-06-30
$1,475,607
—
$6,219
—
—
6
propco
2022-06-30
$671,343
—
$3,876
—
—
6
propco
2021-12-31
$1,509,706
—
$8,323
—
—
6
propco
2020-12-31
$986,087
—
—
—
—
4
propco
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 13121
acs median gross
0
$1,680
2024-12-31
CENSUS_ACS5
county 13121
fmr
0
$1,585
2025-10-01
HUD_USER_FMR
county 13121
acs median gross
1
$1,638
2024-12-31
CENSUS_ACS5
county 13121
fmr
1
$1,660
2025-10-01
HUD_USER_FMR
county 13121
acs median gross
2
$1,764
2024-12-31
CENSUS_ACS5
county 13121
fmr
2
$1,820
2025-10-01
HUD_USER_FMR
county 13121
acs median gross
3
$1,879
2024-12-31
CENSUS_ACS5
county 13121
fmr
3
$2,182
2025-10-01
HUD_USER_FMR
county 13121
acs median gross
4
$2,089
2024-12-31
CENSUS_ACS5
county 13121
fmr
4
$2,605
2025-10-01
HUD_USER_FMR
county 13121
acs median gross
5
$2,325
2024-12-31
CENSUS_ACS5
county 13121
acs median gross
$1,732
2024-12-31
CENSUS_ACS5
county 13121
acs recent mover gross
$1,905
2024-12-31
CENSUS_ACS5
zcta 30315
acs median gross
0
$684
2024-12-31
CENSUS_ACS5
zcta 30315
acs median gross
1
$707
2024-12-31
CENSUS_ACS5
zcta 30315
acs median gross
2
$1,213
2024-12-31
CENSUS_ACS5
zcta 30315
acs median gross
3
$1,400
2024-12-31
CENSUS_ACS5
zcta 30315
acs median gross
4
$1,116
2024-12-31
CENSUS_ACS5
zcta 30315
acs median gross
5
$1,333
2024-12-31
CENSUS_ACS5
zcta 30315
acs median gross
$1,124
2024-12-31
CENSUS_ACS5
zcta 30315
acs recent mover gross
$1,498
2024-12-31
CENSUS_ACS5
zip 30315
payment standard 110
0
$1,166
2025-10-01
HUD_USER_SAFMR
zip 30315
payment standard 90
0
$954
2025-10-01
HUD_USER_SAFMR
zip 30315
safmr
0
$1,060
2025-10-01
HUD_USER_SAFMR
zip 30315
payment standard 110
1
$1,221
2025-10-01
HUD_USER_SAFMR
zip 30315
payment standard 90
1
$999
2025-10-01
HUD_USER_SAFMR
zip 30315
safmr
1
$1,110
2025-10-01
HUD_USER_SAFMR
zip 30315
payment standard 110
2
$1,342
2025-10-01
HUD_USER_SAFMR
zip 30315
payment standard 90
2
$1,098
2025-10-01
HUD_USER_SAFMR
zip 30315
safmr
2
$1,220
2025-10-01
HUD_USER_SAFMR
zip 30315
payment standard 110
3
$1,617
2025-10-01
HUD_USER_SAFMR
zip 30315
payment standard 90
3
$1,323
2025-10-01
HUD_USER_SAFMR
zip 30315
safmr
3
$1,470
2025-10-01
HUD_USER_SAFMR
zip 30315
payment standard 110
4
$1,947
2025-10-01
HUD_USER_SAFMR
zip 30315
payment standard 90
4
$1,593
2025-10-01
HUD_USER_SAFMR
zip 30315
safmr
4
$1,770
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.