Reads as: riskier than 43.8% 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 fleet risk far above national
+22.2 vs natl
MCGUINNESS BERNARD
22 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
15
2025Q4 HPRD
This facility
OH median
National median
National p25–p75
Total nurse
3.20
3.24
3.28
2.90–3.77
RN
0.23
0.38
0.39
0.25–0.58
Weekend total
3.00
3.11
3.11
—
Weekday total
3.28
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
121.7
3.20
0.23
1.14
1.83
3.00
0.0%
2025Q3
92
104.9
3.25
0.17
1.15
1.94
3.02
0.0%
2025Q2
91
96.0
3.13
0.20
1.07
1.87
2.91
0.0%
2025Q1
90
96.5
3.00
0.26
0.80
1.95
2.70
0.0%
2024Q3
92
119.7
3.27
0.28
1.08
1.91
3.16
0.0%
2024Q2
91
116.6
3.20
0.27
1.04
1.89
3.16
0.0%
2024Q1
91
116.3
3.13
0.28
0.98
1.87
3.17
0.0%
2023Q4
92
122.1
3.20
0.30
0.98
1.92
3.15
0.0%
2023Q3
92
126.6
3.01
0.29
0.94
1.78
2.94
0.0%
2023Q2
91
124.5
3.21
0.23
1.04
1.94
3.14
0.0%
2023Q1
90
129.2
3.13
0.34
0.96
1.83
3.11
6.4%
2022Q4
92
133.5
3.23
0.40
0.97
1.86
3.23
14.0%
2022Q3
92
130.2
3.19
0.36
1.08
1.76
3.19
11.8%
2022Q2
91
137.0
3.17
0.37
1.01
1.79
3.08
9.4%
2022Q1
90
137.0
3.29
0.50
0.98
1.81
3.10
10.2%
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
12
D × 8E × 4
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-05-22
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-06-11
2025-01-16
Health
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2025-02-19
2025-01-16
Health
F0679
Provide activities to meet all resident's needs.
E
2025-02-19
2025-01-16
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-02-19
2025-01-16
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-02-19
2025-01-16
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-02-19
2022-10-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2022-10-28
2022-10-06
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-10-28
2022-10-06
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2022-10-28
2019-11-21
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2020-01-17
2019-11-21
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2020-01-17
2019-11-21
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2020-01-17
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
23
Owner
Role
Pct
From
Status
Source
JOURNEY OHI OF OH LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-12-30
current
pecos_ownership
AKABAS, SAMUEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-12-30
current
pecos_ownership
CHARDON OHIO PROPERTY HOLDINGS LLC
ADP OF THE SNF
—
2024-12-30
current
pecos_ownership
JOURNEY OHI OH HEALTHCARE HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-12-30
current
pecos_ownership
MCGUINNESS, BERNARD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-30
current
pecos_ownership
MCGUINNESS, CATHERINE
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-24
current
pecos_ownership
PALOMBARO, DEAN
ADP OF THE SNF
—
2025-06-04
current
pecos_ownership
RAZMJOUEI, KARIM
ADP OF THE SNF
—
2024-12-30
current
pecos_ownership
RUBERG, ANTHONY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-12-30
current
pecos_ownership
SCHINDLER, KAITLIN
ADP OF THE SNF
—
2024-12-30
current
pecos_ownership
SEGALL, SASHA
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-24
current
pecos_ownership
AJOJ HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2024-12-30
ended 2026-05-18
pecos_ownership
SHASAM HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2024-12-30
ended 2026-05-18
pecos_ownership
BEES FAMILY IRREVOCABLE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
32%
2024-12-31
ended 2026-05-18
pecos_ownership
BLUE OCEAN TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
32%
2024-12-31
ended 2026-05-18
pecos_ownership
SHASAM FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
32%
2024-12-31
ended 2026-05-18
pecos_ownership
ANTHONY RUBERG
5% OR GREATER INDIRECT OWNERSHIP INTEREST
2%
2024-12-30
ended 2026-05-18
pecos_ownership
BERNARD MCGUINNESS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
2%
2024-12-30
ended 2026-05-18
pecos_ownership
SAMUEL AKABAS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
2%
2024-12-30
ended 2026-05-18
pecos_ownership
3 BEES HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-12-30
ended 2026-05-18
pecos_ownership
DEAN PALOMBARO
ADP OF THE SNF
—
2025-06-04
ended 2026-05-18
pecos_ownership
KAITLIN SCHINDLER
ADP OF THE SNF
—
2024-12-30
ended 2026-05-18
pecos_ownership
KARIM RAZMJOUEI
ADP OF THE SNF
—
2024-12-30
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
2
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-29
$385,310
—
$385,310
—
—
1
—
2023-12-31
$335,509
—
$335,509
—
—
1
—
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 39055
acs median gross
0
$3,501
2024-12-31
CENSUS_ACS5
county 39055
fmr
0
$933
2025-10-01
HUD_USER_FMR
county 39055
acs median gross
1
$800
2024-12-31
CENSUS_ACS5
county 39055
fmr
1
$1,058
2025-10-01
HUD_USER_FMR
county 39055
acs median gross
2
$1,024
2024-12-31
CENSUS_ACS5
county 39055
fmr
2
$1,279
2025-10-01
HUD_USER_FMR
county 39055
acs median gross
3
$1,141
2024-12-31
CENSUS_ACS5
county 39055
fmr
3
$1,646
2025-10-01
HUD_USER_FMR
county 39055
acs median gross
4
$1,565
2024-12-31
CENSUS_ACS5
county 39055
fmr
4
$1,760
2025-10-01
HUD_USER_FMR
county 39055
acs median gross
5
$3,068
2024-12-31
CENSUS_ACS5
county 39055
acs median gross
$1,083
2024-12-31
CENSUS_ACS5
county 39055
acs recent mover gross
$1,773
2024-12-31
CENSUS_ACS5
zcta 44024
acs median gross
1
$915
2024-12-31
CENSUS_ACS5
zcta 44024
acs median gross
2
$1,071
2024-12-31
CENSUS_ACS5
zcta 44024
acs median gross
3
$1,186
2024-12-31
CENSUS_ACS5
zcta 44024
acs median gross
4
$1,408
2024-12-31
CENSUS_ACS5
zcta 44024
acs median gross
$1,128
2024-12-31
CENSUS_ACS5
zip 44024
payment standard 110
0
$1,089
2025-10-01
HUD_USER_SAFMR
zip 44024
payment standard 90
0
$891
2025-10-01
HUD_USER_SAFMR
zip 44024
safmr
0
$990
2025-10-01
HUD_USER_SAFMR
zip 44024
payment standard 110
1
$1,232
2025-10-01
HUD_USER_SAFMR
zip 44024
payment standard 90
1
$1,008
2025-10-01
HUD_USER_SAFMR
zip 44024
safmr
1
$1,120
2025-10-01
HUD_USER_SAFMR
zip 44024
payment standard 110
2
$1,485
2025-10-01
HUD_USER_SAFMR
zip 44024
payment standard 90
2
$1,215
2025-10-01
HUD_USER_SAFMR
zip 44024
safmr
2
$1,350
2025-10-01
HUD_USER_SAFMR
zip 44024
payment standard 110
3
$1,914
2025-10-01
HUD_USER_SAFMR
zip 44024
payment standard 90
3
$1,566
2025-10-01
HUD_USER_SAFMR
zip 44024
safmr
3
$1,740
2025-10-01
HUD_USER_SAFMR
zip 44024
payment standard 110
4
$2,046
2025-10-01
HUD_USER_SAFMR
zip 44024
payment standard 90
4
$1,674
2025-10-01
HUD_USER_SAFMR
zip 44024
safmr
4
$1,860
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.