Reads as: riskier than 53.2% 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.
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
VA median
National median
National p25–p75
Total nurse
3.13
3.13
3.28
2.90–3.77
RN
0.19
0.30
0.39
0.25–0.58
Weekend total
2.94
2.96
3.11
—
Weekday total
3.21
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
101.7
3.13
0.19
1.05
1.89
2.94
1.8%
2025Q3
92
97.2
3.29
0.21
1.06
2.01
3.05
4.9%
2025Q2
91
95.0
3.02
0.26
0.88
1.88
2.64
11.4%
2025Q1
90
81.4
3.41
0.40
0.97
2.04
3.07
18.0%
2024Q4
92
75.2
3.52
0.52
0.97
2.04
3.03
26.8%
2024Q3
92
59.0
1.28
0.21
0.28
0.78
1.10
28.4%
2024Q2
91
52.7
3.48
0.79
0.93
1.75
3.13
40.8%
2024Q1
91
49.5
3.49
0.60
1.27
1.62
3.28
50.4%
2023Q4
92
43.6
3.78
0.69
1.40
1.69
3.77
47.4%
2023Q3
92
38.5
4.14
0.84
1.19
2.11
3.99
51.4%
2023Q2
91
40.5
3.53
0.79
1.05
1.69
3.47
39.9%
2023Q1
90
36.4
3.19
0.71
1.08
1.39
3.29
28.8%
2022Q4
92
40.2
2.96
0.43
1.36
1.18
2.90
21.6%
2022Q3
92
43.7
2.54
0.43
0.80
1.31
2.46
11.6%
2022Q2
91
48.2
2.36
0.39
0.88
1.08
2.42
1.1%
2022Q1
90
54.3
2.60
0.50
0.81
1.29
2.44
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
28
D × 22E × 6
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2023-08-02
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.
E
2023-08-25
2023-08-02
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-08-25
2023-08-02
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-08-25
2023-08-02
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
2023-08-25
2023-08-02
Health · complaint
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
E
2023-08-25
2023-08-02
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-08-25
2022-01-27
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2022-02-22
2022-01-27
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2022-02-22
2022-01-27
Health
F0641
Ensure each resident receives an accurate assessment.
D
2022-02-22
2022-01-27
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2022-02-22
2022-01-27
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2022-02-22
2022-01-27
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
2022-02-22
2022-01-27
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2022-02-22
2022-01-27
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2022-02-22
2022-01-27
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2022-02-22
2022-01-27
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2022-02-22
2022-01-27
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2022-02-22
2022-01-27
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2022-02-22
2022-01-27
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.
E
2022-02-22
2019-10-18
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2019-12-01
2019-10-18
Health
F0622
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
D
2019-12-01
2019-10-18
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
2019-12-01
2019-10-18
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
2019-12-01
2019-10-18
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2019-12-01
2019-10-18
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2019-12-01
2019-10-18
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
E
2019-12-01
2019-10-18
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
2019-12-01
2019-10-18
Health
F0880
Provide and implement an infection prevention and control program.
D
2019-12-01
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
61
Owner
Role
Pct
From
Status
Source
3539 FILLMORE IRREVOCABLE TRUST
INDIRECT OWNERSHIP INTEREST
—
2024-09-01
current
pecos_ownership
ADS CAPITAL TRUST
ADP OF THE SNF
—
2024-09-01
current
pecos_ownership
ADS FAMILY TRUST
ADP OF THE SNF
—
2024-09-01
current
pecos_ownership
B AND S FUNDING LLC
INDIRECT OWNERSHIP INTEREST
—
2024-09-01
current
pecos_ownership
BEHIRI, AMR
ADP OF THE SNF
—
2025-10-03
current
pecos_ownership
BURTON, NOAH
TRUSTEE OF THE SNF
—
2024-09-01
current
pecos_ownership
CLARE, CHRISTOPHER
INDIRECT OWNERSHIP INTEREST
—
2024-09-01
current
pecos_ownership
CZERMEK, MICHAEL
INDIRECT OWNERSHIP INTEREST
—
2024-09-01
current
pecos_ownership
EHRENTREU, MARK
INDIRECT OWNERSHIP INTEREST
—
2024-09-01
current
pecos_ownership
FAUQUIER OPCO HOLDCO LLC
DIRECT OWNERSHIP INTEREST
—
2024-09-01
current
pecos_ownership
GANNON, AMANDA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-01
current
pecos_ownership
GANNON, AMANDA
ADP OF THE SNF
—
2025-05-01
current
pecos_ownership
GREENWALD, BRIAN
5% OR GREATER MORTGAGE INTEREST
—
2024-09-01
current
pecos_ownership
HEIFETZ, JACOB
INDIRECT OWNERSHIP INTEREST
—
2024-09-01
current
pecos_ownership
HG DANZ LLC
INDIRECT OWNERSHIP INTEREST
—
2024-09-01
current
pecos_ownership
JJ FAMILY GRANTOR TRUST
ADP OF THE SNF
—
2026-01-09
current
pecos_ownership
JJ FAMILY GRANTOR TRUST
INDIRECT OWNERSHIP INTEREST
—
2024-09-01
current
pecos_ownership
MILLER, JACOB
INDIRECT OWNERSHIP INTEREST
—
2024-09-01
current
pecos_ownership
MINDY STERN IRREVOCABLE TRUST
INDIRECT OWNERSHIP INTEREST
—
2024-09-01
current
pecos_ownership
MSB TRUST
ADP OF THE SNF
—
2024-09-01
current
pecos_ownership
NHIG LLC
INDIRECT OWNERSHIP INTEREST
—
2024-09-01
current
pecos_ownership
PC8 CAPITAL GROUP LLC
ADP OF THE SNF
—
2024-09-01
current
pecos_ownership
SCHWARTZ, YISROEL
INDIRECT OWNERSHIP INTEREST
—
2024-09-01
current
pecos_ownership
SENIOR HEALTHCARE ADVOCACY AND CONSULTING LLC
INDIRECT OWNERSHIP INTEREST
—
2024-09-01
current
pecos_ownership
SJ FAMILY TRUST
ADP OF THE SNF
—
2024-09-01
current
pecos_ownership
SJ HEALTHCARE CAPITAL LLC
ADP OF THE SNF
—
2024-09-01
current
pecos_ownership
STERN, AHARON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-01
current
pecos_ownership
STERN, DANIEL
INDIRECT OWNERSHIP INTEREST
—
2024-09-01
current
pecos_ownership
STERN, DOVID
INDIRECT OWNERSHIP INTEREST
—
2024-09-01
current
pecos_ownership
STERN, FREDERICK
INDIRECT OWNERSHIP INTEREST
—
2024-09-01
current
pecos_ownership
STERN, JOSEPH
INDIRECT OWNERSHIP INTEREST
—
2024-09-01
current
pecos_ownership
STERN, MENACHEM
INDIRECT OWNERSHIP INTEREST
—
2024-09-01
current
pecos_ownership
STERN, MICHAEL
INDIRECT OWNERSHIP INTEREST
—
2024-09-01
current
pecos_ownership
STERN, SHIFRA
TRUSTEE OF THE SNF
—
2024-09-01
current
pecos_ownership
STERN, SHIMON
INDIRECT OWNERSHIP INTEREST
—
2024-09-01
current
pecos_ownership
STERN, SIMON
MANAGING CONTROL - GOVERNING BODY
—
2024-09-01
current
pecos_ownership
STERN, YEHUDA
INDIRECT OWNERSHIP INTEREST
—
2024-09-01
current
pecos_ownership
WEISS, HILLEL
TRUSTEE OF THE SNF
—
2024-09-01
current
pecos_ownership
SIMON STERN
INDIRECT OWNERSHIP INTEREST
50%
2024-09-01
ended 2026-05-18
pecos_ownership
DOVID STERN
INDIRECT OWNERSHIP INTEREST
3%
2024-09-01
ended 2026-05-18
pecos_ownership
MENACHEM STERN
INDIRECT OWNERSHIP INTEREST
3%
2024-09-01
ended 2026-05-18
pecos_ownership
MICHAEL STERN
INDIRECT OWNERSHIP INTEREST
3%
2024-09-01
ended 2026-05-18
pecos_ownership
YISROEL SCHWARTZ
INDIRECT OWNERSHIP INTEREST
3%
2024-09-01
ended 2026-05-18
pecos_ownership
JACOB HEIFETZ
INDIRECT OWNERSHIP INTEREST
3%
2024-09-01
ended 2026-05-18
pecos_ownership
MARK EHRENTREU
INDIRECT OWNERSHIP INTEREST
2%
2024-09-01
ended 2026-05-18
pecos_ownership
SHIMON STERN
INDIRECT OWNERSHIP INTEREST
2%
2024-09-01
ended 2026-05-18
pecos_ownership
MICHAEL CZERMEK
INDIRECT OWNERSHIP INTEREST
2%
2024-09-01
ended 2026-05-18
pecos_ownership
FREDERICK STERN
INDIRECT OWNERSHIP INTEREST
1%
2024-09-01
ended 2026-05-18
pecos_ownership
JOSEPH STERN
INDIRECT OWNERSHIP INTEREST
1%
2024-09-01
ended 2026-05-18
pecos_ownership
DANIEL STERN
INDIRECT OWNERSHIP INTEREST
1%
2024-09-01
ended 2026-05-18
pecos_ownership
JACOB MILLER
INDIRECT OWNERSHIP INTEREST
1%
2024-09-01
ended 2026-05-18
pecos_ownership
CHRISTOPHER CLARE
INDIRECT OWNERSHIP INTEREST
1%
2024-09-01
ended 2026-05-18
pecos_ownership
YEHUDA STERN
INDIRECT OWNERSHIP INTEREST
1%
2024-09-01
ended 2026-05-18
pecos_ownership
AHARON STERN
MANAGING CONTROL - GOVERNING BODY
—
2024-09-01
ended 2026-05-18
pecos_ownership
AMANDA GANNON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-01
ended 2026-05-18
pecos_ownership
AMANDA GANNON
ADP OF THE SNF
—
2025-05-01
ended 2026-05-18
pecos_ownership
AMR BEHIRI
ADP OF THE SNF
—
2025-10-03
ended 2026-05-18
pecos_ownership
BRIAN GREENWALD
TRUSTEE OF THE SNF
—
2024-09-01
ended 2026-05-18
pecos_ownership
HILLEL WEISS
5% OR GREATER MORTGAGE INTEREST
—
2024-09-01
ended 2026-05-18
pecos_ownership
NOAH BURTON
TRUSTEE OF THE SNF
—
2024-09-01
ended 2026-05-18
pecos_ownership
SHIFRA STERN
TRUSTEE OF THE SNF
—
2024-09-01
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
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2025-03-31
$2,233,703
$1,998,124
$234,606
—
—
4
—
2024-08-31
$2,296
—
—
—
—
2
—
2022-10-31
$231,221
—
—
—
—
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
33
Geo
Kind
BR
Amount
As of
Source
county 51061
acs median gross
0
$3,501
2024-12-31
CENSUS_ACS5
county 51061
fmr
0
$1,953
2025-10-01
HUD_USER_FMR
county 51061
acs median gross
1
$1,151
2024-12-31
CENSUS_ACS5
county 51061
fmr
1
$2,015
2025-10-01
HUD_USER_FMR
county 51061
acs median gross
2
$1,437
2024-12-31
CENSUS_ACS5
county 51061
fmr
2
$2,246
2025-10-01
HUD_USER_FMR
county 51061
acs median gross
3
$1,778
2024-12-31
CENSUS_ACS5
county 51061
fmr
3
$2,835
2025-10-01
HUD_USER_FMR
county 51061
acs median gross
4
$2,240
2024-12-31
CENSUS_ACS5
county 51061
fmr
4
$3,332
2025-10-01
HUD_USER_FMR
county 51061
acs median gross
$1,613
2024-12-31
CENSUS_ACS5
county 51061
acs recent mover gross
$1,475
2024-12-31
CENSUS_ACS5
zcta 20186
acs median gross
0
$3,501
2024-12-31
CENSUS_ACS5
zcta 20186
acs median gross
1
$1,108
2024-12-31
CENSUS_ACS5
zcta 20186
acs median gross
2
$1,373
2024-12-31
CENSUS_ACS5
zcta 20186
acs median gross
3
$2,118
2024-12-31
CENSUS_ACS5
zcta 20186
acs median gross
4
$2,470
2024-12-31
CENSUS_ACS5
zcta 20186
acs median gross
$1,501
2024-12-31
CENSUS_ACS5
zip 20186
payment standard 110
0
$1,661
2025-10-01
HUD_USER_SAFMR
zip 20186
payment standard 90
0
$1,359
2025-10-01
HUD_USER_SAFMR
zip 20186
safmr
0
$1,510
2025-10-01
HUD_USER_SAFMR
zip 20186
payment standard 110
1
$1,716
2025-10-01
HUD_USER_SAFMR
zip 20186
payment standard 90
1
$1,404
2025-10-01
HUD_USER_SAFMR
zip 20186
safmr
1
$1,560
2025-10-01
HUD_USER_SAFMR
zip 20186
payment standard 110
2
$1,914
2025-10-01
HUD_USER_SAFMR
zip 20186
payment standard 90
2
$1,566
2025-10-01
HUD_USER_SAFMR
zip 20186
safmr
2
$1,740
2025-10-01
HUD_USER_SAFMR
zip 20186
payment standard 110
3
$2,420
2025-10-01
HUD_USER_SAFMR
zip 20186
payment standard 90
3
$1,980
2025-10-01
HUD_USER_SAFMR
zip 20186
safmr
3
$2,200
2025-10-01
HUD_USER_SAFMR
zip 20186
payment standard 110
4
$2,838
2025-10-01
HUD_USER_SAFMR
zip 20186
payment standard 90
4
$2,322
2025-10-01
HUD_USER_SAFMR
zip 20186
safmr
4
$2,580
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.