Reads as: riskier than 32.4% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
8 chains
SELECT REHABILITATION LLC
50 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
3.12
3.24
3.28
2.90–3.77
RN
0.37
0.38
0.39
0.25–0.58
Weekend total
2.96
3.11
3.11
—
Weekday total
3.19
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
86.0
3.12
0.37
1.07
1.69
2.96
0.0%
2025Q3
92
84.4
3.10
0.34
1.06
1.70
2.89
0.0%
2025Q2
91
91.4
3.02
0.24
1.06
1.72
2.87
0.0%
2025Q1
90
89.1
2.87
0.25
1.04
1.57
2.80
0.0%
2024Q4
92
86.6
2.97
0.24
1.08
1.64
2.81
0.0%
2024Q3
92
88.9
3.07
0.26
1.04
1.77
2.89
0.0%
2024Q2
91
88.5
3.15
0.28
1.04
1.83
2.95
0.0%
2024Q1
91
93.4
2.76
0.24
0.93
1.59
2.55
0.0%
2023Q4
92
92.3
2.94
0.29
1.02
1.63
2.62
0.0%
2023Q3
92
99.6
2.87
0.28
0.91
1.68
2.46
0.0%
2023Q2
91
100.6
2.86
0.30
0.88
1.68
2.49
0.0%
2023Q1
90
98.1
2.87
0.26
0.92
1.69
2.49
0.0%
2022Q4
92
94.8
2.98
0.35
0.89
1.74
2.63
0.0%
2022Q3
92
90.7
2.61
0.28
0.80
1.53
2.40
0.0%
2022Q2
91
92.3
2.71
0.27
0.87
1.57
2.38
0.0%
2022Q1
90
96.8
2.71
0.23
0.82
1.66
2.48
0.1%
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
21
D × 16E × 3F × 1G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-06-12
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
2025-07-18
2025-06-12
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-07-18
2025-06-12
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2025-07-18
2025-06-12
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.
E
2025-07-18
2025-06-12
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-07-18
2023-11-08
Health · complaint
F0606
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
F
2023-12-12
2023-04-06
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2023-05-05
2023-04-06
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
2023-05-05
2023-04-06
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
2023-05-05
2023-04-06
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-05-05
2023-04-06
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-05-05
2023-04-06
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
2023-05-05
2023-04-06
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
2023-05-05
2023-04-06
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2023-05-05
2023-04-06
Health
F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
E
2023-05-05
2019-12-05
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2020-01-14
2019-12-05
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2020-01-14
2019-12-05
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2020-01-14
2019-12-05
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2020-01-14
2019-12-05
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2019-06-13
2019-12-05
Health
F0881
Implement a program that monitors antibiotic use.
D
2020-01-14
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
17
Owner
Role
Pct
From
Status
Source
KARATSORIDIS, STAVROS
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
KHAN, ANIS
OPERATIONAL/MANAGERIAL CONTROL
—
2016-02-01
current
pecos_ownership
LAUREL HEALTH CARE COMPANY
OPERATIONAL/MANAGERIAL CONTROL
—
2016-01-02
current
pecos_ownership
LAUREL HEALTH CARE COMPANY
ADP OF THE SNF
—
2025-04-02
current
pecos_ownership
POTTS, KANDACE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-03-15
current
pecos_ownership
QAZI, MOHAMMAD
CORPORATE OFFICER
—
2016-02-01
current
pecos_ownership
SELECT REHABILITATION, LLC
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
STOBB, DAVID
ADP OF THE SNF
—
2016-02-01
current
pecos_ownership
ZENITH FINANCIAL GROUP, LLC
ADP OF THE SNF
—
2022-08-01
current
pecos_ownership
ANIS KHAN
CORPORATE OFFICER
100%
2016-02-01
ended 2026-05-18
pecos_ownership
DAVID STOBB
CORPORATE OFFICER
100%
2016-02-01
ended 2026-05-18
pecos_ownership
LAUREL ACQUISITION HOLDING CORPORATION
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2016-02-01
ended 2026-05-18
pecos_ownership
LAUREL HEALTH CARE HOLDINGS, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2016-02-01
ended 2026-05-18
pecos_ownership
MOHAMMAD A QAZI LIVING TRUST DATED 09/26/97
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2016-02-01
ended 2026-05-18
pecos_ownership
MOHAMMAD QAZI
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2016-02-01
ended 2026-05-18
pecos_ownership
KANDACE POTTS
ADP OF THE SNF
—
2021-03-15
ended 2026-05-18
pecos_ownership
STAVROS KARATSORIDIS
ADP OF THE SNF
—
2025-01-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$593,058
—
$593,058
—
—
3
—
2023-12-31
$625,085
—
$625,085
—
—
3
—
2022-12-31
$489,466
—
$489,466
—
—
3
—
2021-12-31
$452,443
—
—
—
$95,466
3
—
2020-12-31
$379,128
—
—
—
$86,573
2
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 39039
acs median gross
0
$642
2024-12-31
CENSUS_ACS5
county 39039
fmr
0
$754
2025-10-01
HUD_USER_FMR
county 39039
acs median gross
1
$698
2024-12-31
CENSUS_ACS5
county 39039
fmr
1
$799
2025-10-01
HUD_USER_FMR
county 39039
acs median gross
2
$845
2024-12-31
CENSUS_ACS5
county 39039
fmr
2
$980
2025-10-01
HUD_USER_FMR
county 39039
acs median gross
3
$888
2024-12-31
CENSUS_ACS5
county 39039
fmr
3
$1,239
2025-10-01
HUD_USER_FMR
county 39039
acs median gross
4
$1,272
2024-12-31
CENSUS_ACS5
county 39039
fmr
4
$1,408
2025-10-01
HUD_USER_FMR
county 39039
acs median gross
$846
2024-12-31
CENSUS_ACS5
county 39039
acs recent mover gross
$860
2024-12-31
CENSUS_ACS5
zcta 43512
acs median gross
0
$623
2024-12-31
CENSUS_ACS5
zcta 43512
acs median gross
1
$702
2024-12-31
CENSUS_ACS5
zcta 43512
acs median gross
2
$853
2024-12-31
CENSUS_ACS5
zcta 43512
acs median gross
3
$963
2024-12-31
CENSUS_ACS5
zcta 43512
acs median gross
4
$1,270
2024-12-31
CENSUS_ACS5
zcta 43512
acs median gross
$860
2024-12-31
CENSUS_ACS5
zcta 43512
acs recent mover gross
$859
2024-12-31
CENSUS_ACS5
zip 43512
payment standard 110
0
$847
2025-10-01
HUD_USER_SAFMR
zip 43512
payment standard 90
0
$693
2025-10-01
HUD_USER_SAFMR
zip 43512
safmr
0
$770
2025-10-01
HUD_USER_SAFMR
zip 43512
payment standard 110
1
$902
2025-10-01
HUD_USER_SAFMR
zip 43512
payment standard 90
1
$738
2025-10-01
HUD_USER_SAFMR
zip 43512
safmr
1
$820
2025-10-01
HUD_USER_SAFMR
zip 43512
payment standard 110
2
$1,100
2025-10-01
HUD_USER_SAFMR
zip 43512
payment standard 90
2
$900
2025-10-01
HUD_USER_SAFMR
zip 43512
safmr
2
$1,000
2025-10-01
HUD_USER_SAFMR
zip 43512
payment standard 110
3
$1,397
2025-10-01
HUD_USER_SAFMR
zip 43512
payment standard 90
3
$1,143
2025-10-01
HUD_USER_SAFMR
zip 43512
safmr
3
$1,270
2025-10-01
HUD_USER_SAFMR
zip 43512
payment standard 110
4
$1,595
2025-10-01
HUD_USER_SAFMR
zip 43512
payment standard 90
4
$1,305
2025-10-01
HUD_USER_SAFMR
zip 43512
safmr
4
$1,450
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.