Reads as: riskier than 83.5% 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
+31.9 vs natl
FREDERICK S FRANKEL TRUST
13 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
DAVID A BERKOWITZ REVOC TR DAVID BERKOWITZ TTEE
21 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
+27.3 vs natl
TALAMONA RAYMOND
8 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
+24.4 vs natl
YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE
21 facilities
connection
Owner fleet risk far above national
+23.5 vs natl
POINTE GROUP CARE LLC
9 facilities
connection
Owner fleet risk far above national
+22.2 vs natl
BERKOWITZ BENJAMIN
11 facilities
connection
Owner fleet risk far above national
+21.8 vs natl
LABELLA CATERINA
8 facilities
connection
Owner spans multiple chains
9 chains
TUROFSKY STEVEN
84 facilities
connection
Owner spans multiple chains
9 chains
SPECTOR JENNIFER
90 facilities
connection
Owner spans multiple chains
8 chains
MEYSTEL YOSEF
73 facilities
connection
Owner spans multiple chains
8 chains
CURIS SERVICES LLC
81 facilities
connection
Owner spans multiple chains
8 chains
BERKOWITZ DAVID
73 facilities
connection
Owner spans multiple chains
8 chains
WILHELM NAFTALI
78 facilities
connection
Owner fleet enforcement cluster
54% fined
WILHELM NAFTALI
81 facilities
connection
Owner fleet enforcement cluster
53% fined
SPECTOR JENNIFER
93 facilities
connection
Owner fleet enforcement cluster
52% fined
CURIS SERVICES LLC
85 facilities
connection
Owner fleet enforcement cluster
52% fined
TUROFSKY STEVEN
87 facilities
connection
Owner fleet enforcement cluster
51% fined
MEYSTEL YOSEF
77 facilities
connection
Owner fleet enforcement cluster
51% fined
BERKOWITZ DAVID
77 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
FL median
National median
National p25–p75
Total nurse
3.39
3.42
3.28
2.90–3.77
RN
0.61
0.45
0.39
0.25–0.58
Weekend total
3.44
3.31
3.11
—
Weekday total
3.37
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
38.1
3.39
0.61
0.59
2.19
3.44
0.0%
2025Q3
92
34.3
3.58
0.72
0.56
2.30
3.57
0.0%
2025Q2
91
33.6
3.86
0.62
0.77
2.47
3.73
0.0%
2025Q1
90
38.7
3.38
0.67
0.66
2.06
3.29
0.0%
2024Q4
92
35.7
3.46
0.66
0.68
2.12
3.55
0.0%
2024Q3
92
36.8
3.26
0.60
0.64
2.02
3.15
0.0%
2024Q2
91
36.6
3.60
0.61
0.76
2.23
3.37
0.2%
2024Q1
91
39.3
3.88
0.72
0.73
2.42
3.46
0.0%
2023Q4
92
29.4
4.71
1.03
0.81
2.87
4.49
0.0%
2023Q3
92
34.6
4.13
0.74
0.76
2.62
4.04
2.1%
2023Q2
91
32.2
4.27
0.45
1.19
2.63
4.08
13.4%
2023Q1
90
36.6
4.01
0.37
0.95
2.69
3.68
5.2%
2022Q4
92
38.4
4.12
0.35
1.11
2.66
4.02
11.2%
2022Q3
92
39.8
3.81
0.26
1.02
2.52
3.66
9.1%
2022Q2
91
38.2
3.60
0.59
0.78
2.23
3.31
8.2%
2022Q1
90
35.6
4.35
0.69
0.74
2.92
4.00
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K
2025-05-18
2025-04-18
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
K
2025-05-18
2025-04-18
Health · complaint
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
K
2025-05-18
2024-11-25
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-12-24
2024-08-06
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-09-03
2024-03-07
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2024-04-07
2024-03-07
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-04-07
2024-03-07
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2024-04-07
2024-03-07
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-04-05
2024-03-07
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-04-07
2024-03-07
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
D
2024-04-05
2022-07-07
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
2022-08-01
2022-07-07
Health
F0692
Provide enough food/fluids to maintain a resident's health.
E
2022-08-01
2022-07-07
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2022-08-01
2022-07-07
Health
F0791
Provide or obtain dental services for each resident.
G
2022-08-01
2022-07-07
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2022-08-01
2022-07-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2022-08-01
2021-01-21
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
E
2021-02-20
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
29
Owner
Role
Pct
From
Status
Source
7801 AIRPORT PULLING RD
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
7801 AIRPORT PULLING RD LLC
Individual has financial interest in both related organization and provider
—
2023-01-01
current
hcris_a_8_1
7801 AIRPORT PULLING ROAD, LLC
ADP OF THE SNF
—
2025-04-10
current
pecos_ownership
BERKOWITZ, BENJAMIN
MANAGING CONTROL - GOVERNING BODY
—
2021-04-01
current
pecos_ownership
BERKOWITZ, DAVID
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-10
current
pecos_ownership
BOSWELL, SALLY
ADP OF THE SNF
—
2021-04-01
current
pecos_ownership
CURIS SERVICES LLC
ADP OF THE SNF
—
2021-04-01
current
pecos_ownership
DAVID A BERKOWITZ REVOC TR DAVID BERKOWITZ TTEE
ADP OF THE SNF
—
2021-04-01
current
pecos_ownership
ELTERMAN, FRANK
ADP OF THE SNF
—
2021-04-01
current
pecos_ownership
FREDERICK S FRANKEL TRUST
DIRECT OWNERSHIP INTEREST
—
2021-04-01
current
pecos_ownership
JEAN, DARLINE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-04-01
current
pecos_ownership
LABELLA, CATERINA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-07-01
current
pecos_ownership
LABELLA, CATERINA
CORPORATE OFFICER
—
2021-04-01
current
pecos_ownership
MEYSTEL, YOSEF
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-10
current
pecos_ownership
POINTE GROUP CARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-04-01
current
pecos_ownership
POINTE GROUP CARE LLC
ADP OF THE SNF
—
2025-04-10
current
pecos_ownership
SPECTOR, JENNIFER
ADP OF THE SNF
—
2021-04-01
current
pecos_ownership
TALAMONA, RAYMOND
ADP OF THE SNF
—
2021-04-01
current
pecos_ownership
TUROFSKY, STEVEN
ADP OF THE SNF
—
2021-04-01
current
pecos_ownership
WILHELM, NAFTALI
OPERATIONAL/MANAGERIAL CONTROL
—
2021-04-01
current
pecos_ownership
YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE
ADP OF THE SNF
—
2021-11-01
current
pecos_ownership
BENJAMIN BERKOWITZ
5% OR GREATER DIRECT OWNERSHIP INTEREST
49%
2021-04-23
ended 2026-05-18
pecos_ownership
DAVID A BERKOWITZ REVOC TR DAVID BERKOWITZ TTEE
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2021-04-23
ended 2026-05-18
pecos_ownership
DAVID BERKOWITZ
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2021-04-23
ended 2026-05-18
pecos_ownership
YOSEF MEYSTEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2021-04-23
ended 2026-05-18
pecos_ownership
YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2021-04-23
ended 2026-05-18
pecos_ownership
7801 AIRPORT PULLING RD
Individual has financial interest in both related organization and provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
7801 AIRPORT PULLING ROAD
Individual has financial interest in both related organization and provider
—
2021-04-23
ended 2021-12-31
hcris_a_8_1
CATERINA LABELLA
CORPORATE OFFICER
—
2021-04-23
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
4
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$3,351,034
$3,064,000
—
—
—
7
propco
2023-12-31
$2,981,847
$2,803,504
—
—
$7,262
5
propco
2022-12-31
$2,624,637
$2,335,641
—
—
$6,078
5
propco
2021-12-31
$2,364,632
$1,872,147
—
$334,259
—
6
propco
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 12021
acs median gross
0
$1,622
2024-12-31
CENSUS_ACS5
county 12021
fmr
0
$1,396
2025-10-01
HUD_USER_FMR
county 12021
acs median gross
1
$1,762
2024-12-31
CENSUS_ACS5
county 12021
fmr
1
$1,797
2025-10-01
HUD_USER_FMR
county 12021
acs median gross
2
$1,827
2024-12-31
CENSUS_ACS5
county 12021
fmr
2
$1,986
2025-10-01
HUD_USER_FMR
county 12021
acs median gross
3
$2,011
2024-12-31
CENSUS_ACS5
county 12021
fmr
3
$2,581
2025-10-01
HUD_USER_FMR
county 12021
acs median gross
4
$2,224
2024-12-31
CENSUS_ACS5
county 12021
fmr
4
$2,805
2025-10-01
HUD_USER_FMR
county 12021
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
county 12021
acs median gross
$1,862
2024-12-31
CENSUS_ACS5
county 12021
acs recent mover gross
$2,228
2024-12-31
CENSUS_ACS5
zcta 34109
acs median gross
0
$1,920
2024-12-31
CENSUS_ACS5
zcta 34109
acs median gross
1
$1,990
2024-12-31
CENSUS_ACS5
zcta 34109
acs median gross
2
$2,011
2024-12-31
CENSUS_ACS5
zcta 34109
acs median gross
3
$2,485
2024-12-31
CENSUS_ACS5
zcta 34109
acs median gross
$2,067
2024-12-31
CENSUS_ACS5
zcta 34109
acs recent mover gross
$2,276
2024-12-31
CENSUS_ACS5
zip 34109
payment standard 110
0
$1,628
2025-10-01
HUD_USER_SAFMR
zip 34109
payment standard 90
0
$1,332
2025-10-01
HUD_USER_SAFMR
zip 34109
safmr
0
$1,480
2025-10-01
HUD_USER_SAFMR
zip 34109
payment standard 110
1
$2,090
2025-10-01
HUD_USER_SAFMR
zip 34109
payment standard 90
1
$1,710
2025-10-01
HUD_USER_SAFMR
zip 34109
safmr
1
$1,900
2025-10-01
HUD_USER_SAFMR
zip 34109
payment standard 110
2
$2,310
2025-10-01
HUD_USER_SAFMR
zip 34109
payment standard 90
2
$1,890
2025-10-01
HUD_USER_SAFMR
zip 34109
safmr
2
$2,100
2025-10-01
HUD_USER_SAFMR
zip 34109
payment standard 110
3
$3,003
2025-10-01
HUD_USER_SAFMR
zip 34109
payment standard 90
3
$2,457
2025-10-01
HUD_USER_SAFMR
zip 34109
safmr
3
$2,730
2025-10-01
HUD_USER_SAFMR
zip 34109
payment standard 110
4
$3,267
2025-10-01
HUD_USER_SAFMR
zip 34109
payment standard 90
4
$2,673
2025-10-01
HUD_USER_SAFMR
zip 34109
safmr
4
$2,970
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.