Reads as: riskier than 79.6% 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
6
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
47 chains
FORVIS MAZARS LLP
251 facilities
connection
Owner fleet risk far above national
+23.6 vs natl
ROGERS ERIC
9 facilities
connection
Owner spans multiple chains
20 chains
CLIFTONLARSONALLEN LLP
98 facilities
connection
Owner spans multiple chains
6 chains
ZIMMET HEALTHCARE SERVICES GROUP LLC
11 facilities
connection
Owner fleet enforcement cluster
56% fined
ROGERS ERIC
9 facilities
connection
Owner fleet enforcement cluster
50% fined
JOHNSON MARK
6 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 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
MA median
National median
National p25–p75
Total nurse
4.37
3.39
3.28
2.90–3.77
RN
1.19
0.39
0.39
0.25–0.58
Weekend total
3.91
3.26
3.11
—
Weekday total
4.55
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
36.3
4.37
1.19
0.76
2.42
3.91
18.1%
2025Q3
92
34.5
4.32
0.97
0.81
2.53
4.05
20.0%
2025Q2
91
34.4
4.10
1.36
0.62
2.11
3.69
18.0%
2024Q4
92
36.2
4.61
1.57
0.18
2.85
4.40
1.2%
2024Q3
92
31.1
5.29
1.76
0.21
3.32
5.10
1.1%
2024Q2
91
30.8
5.32
2.06
0.19
3.07
5.18
1.3%
2024Q1
91
27.3
4.51
2.06
0.18
2.27
4.40
2.0%
2023Q4
92
26.4
5.21
2.37
0.22
2.62
5.05
1.0%
2023Q3
92
26.4
4.87
2.15
0.19
2.54
5.28
1.4%
2023Q2
91
31.9
4.30
1.95
0.14
2.21
4.41
1.7%
2023Q1
90
47.8
2.88
1.38
0.05
1.46
3.01
1.0%
2022Q4
92
47.0
2.89
1.38
0.06
1.45
2.93
0.0%
2022Q3
92
47.7
4.17
1.73
0.15
2.28
4.31
0.0%
2022Q2
91
51.7
4.33
1.83
0.10
2.39
4.09
0.2%
2022Q1
90
47.8
4.57
1.92
0.13
2.52
4.55
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
2
B × 1D × 1
Survey
Type
Tag
Deficiency
Scope
Corrected
2023-06-07
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2023-07-07
2023-06-07
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
B
2023-07-14
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
64
Owner
Role
Pct
From
Status
Source
BANE, HARRISON
CORPORATE DIRECTOR
—
2023-10-01
current
pecos_ownership
BARBER, ERIKA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-16
current
pecos_ownership
CLIFTONLARSONALLEN LLP
ADP OF THE SNF
—
2017-01-01
current
pecos_ownership
COHEN, HOWARD
MANAGING CONTROL - GOVERNING BODY
—
2020-01-01
current
pecos_ownership
COHEN, MARSHA
MANAGING CONTROL - GOVERNING BODY
—
2013-11-07
current
pecos_ownership
DESIMONE, THOMAS
CORPORATE DIRECTOR
—
2013-01-01
current
pecos_ownership
DRUCKER, JEFFERY
CORPORATE DIRECTOR
—
2017-11-14
current
pecos_ownership
EDMONDS, JANE
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
FITZGERALD, LUANN
OPERATIONAL/MANAGERIAL CONTROL
—
2008-02-11
current
pecos_ownership
FLEISHMAN, VALERIE
MANAGING CONTROL - GOVERNING BODY
—
2021-01-01
current
pecos_ownership
FLEISHMAN, VALERIE
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
FLIER, STEVEN
CORPORATE DIRECTOR
—
2015-01-01
current
pecos_ownership
FLORENCE SMITH, SUSAN
MANAGING CONTROL - GOVERNING BODY
—
2011-01-01
current
pecos_ownership
FORVIS MAZARS LLP
ADP OF THE SNF
—
2020-01-01
current
pecos_ownership
GENSER, MAURICE
MANAGING CONTROL - GOVERNING BODY
—
2014-01-01
current
pecos_ownership
HEBREW SENIORLIFE, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2009-06-01
current
pecos_ownership
HENKEN, RICHARD
MANAGING CONTROL - GOVERNING BODY
—
2024-05-22
current
pecos_ownership
JOHNSON, MARK
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-25
current
pecos_ownership
KOTLER, HAROLD
MANAGING CONTROL - GOVERNING BODY
—
2011-01-01
current
pecos_ownership
LERNER, RACHEL
ADP OF THE SNF
—
2012-03-19
current
pecos_ownership
MANDEL, ERNEST
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
MANJIKIAN, LAURIE
OPERATIONAL/MANAGERIAL CONTROL
—
1998-05-11
current
pecos_ownership
MASTERSON, ANN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-01
current
pecos_ownership
MASTERSON, ANN
ADP OF THE SNF
—
2025-04-11
current
pecos_ownership
RETALIC, TAMMY
OPERATIONAL/MANAGERIAL CONTROL
—
2004-09-13
current
pecos_ownership
ROGERS, ERIC
OPERATIONAL/MANAGERIAL CONTROL
—
2012-03-01
current
pecos_ownership
ROSENTHAL, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2011-01-01
current
pecos_ownership
SJOSTROM, SARAH
ADP OF THE SNF
—
2025-03-25
current
pecos_ownership
SYKORA, SARAH
OPERATIONAL/MANAGERIAL CONTROL
—
2016-09-01
current
pecos_ownership
THOMPSON, LINDA
ADP OF THE SNF
—
2022-09-21
current
pecos_ownership
THOMPSON, LINDA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-24
current
pecos_ownership
WOOLF, LOUIS
CORPORATE OFFICER
—
2009-10-15
current
pecos_ownership
ZEIDEL, MARK
MANAGING CONTROL - GOVERNING BODY
—
2021-01-01
current
pecos_ownership
ZIMMET HEALTHCARE SERVICES GROUP LLC
ADP OF THE SNF
—
2024-02-01
current
pecos_ownership
ERNEST MANDEL
CORPORATE OFFICER
20%
2023-01-01
ended 2026-05-18
pecos_ownership
LOUIS WOOLF
CORPORATE OFFICER
20%
2009-10-15
ended 2026-05-18
pecos_ownership
MARK JOHNSON
CORPORATE OFFICER
20%
2024-11-25
ended 2026-05-18
pecos_ownership
MARSHA COHEN
CORPORATE DIRECTOR
20%
2013-11-07
ended 2026-05-18
pecos_ownership
RICHARD HENKEN
CORPORATE DIRECTOR
20%
2024-05-22
ended 2026-05-18
pecos_ownership
ANN MASTERSON
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-01
ended 2026-05-18
pecos_ownership
ANN MASTERSON
ADP OF THE SNF
—
2025-04-11
ended 2026-05-18
pecos_ownership
DAVID ROSENTHAL
MANAGING CONTROL - GOVERNING BODY
—
2011-01-01
ended 2026-05-18
pecos_ownership
ERIC ROGERS
OPERATIONAL/MANAGERIAL CONTROL
—
2012-03-01
ended 2026-05-18
pecos_ownership
ERIKA BARBER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-16
ended 2026-05-18
pecos_ownership
HAROLD KOTLER
MANAGING CONTROL - GOVERNING BODY
—
2011-01-01
ended 2026-05-18
pecos_ownership
HARRISON BANE
CORPORATE DIRECTOR
—
2023-10-01
ended 2026-05-18
pecos_ownership
HOWARD COHEN
MANAGING CONTROL - GOVERNING BODY
—
2020-01-01
ended 2026-05-18
pecos_ownership
JANE EDMONDS
MANAGING CONTROL - GOVERNING BODY
—
2021-01-01
ended 2026-05-18
pecos_ownership
JEFFERY DRUCKER
CORPORATE DIRECTOR
—
2017-11-14
ended 2026-05-18
pecos_ownership
LAURIE MANJIKIAN
OPERATIONAL/MANAGERIAL CONTROL
—
1998-05-11
ended 2026-05-18
pecos_ownership
LINDA THOMPSON
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-24
ended 2026-05-18
pecos_ownership
LINDA THOMPSON
ADP OF THE SNF
—
2022-09-21
ended 2026-05-18
pecos_ownership
LUANN FITZGERALD
OPERATIONAL/MANAGERIAL CONTROL
—
2008-02-11
ended 2026-05-18
pecos_ownership
MARK ZEIDEL
MANAGING CONTROL - GOVERNING BODY
—
2021-01-01
ended 2026-05-18
pecos_ownership
MAURICE GENSER
MANAGING CONTROL - GOVERNING BODY
—
2014-01-01
ended 2026-05-18
pecos_ownership
RACHEL LERNER
OPERATIONAL/MANAGERIAL CONTROL
—
2012-03-19
ended 2026-05-18
pecos_ownership
SARAH SJOSTROM
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-25
ended 2026-05-18
pecos_ownership
SARAH SYKORA
OPERATIONAL/MANAGERIAL CONTROL
—
2016-09-01
ended 2026-05-18
pecos_ownership
STEVEN FLIER
CORPORATE DIRECTOR
—
2015-01-01
ended 2026-05-18
pecos_ownership
SUSAN FLORENCE SMITH
MANAGING CONTROL - GOVERNING BODY
—
2011-01-01
ended 2026-05-18
pecos_ownership
TAMMY RETALIC
OPERATIONAL/MANAGERIAL CONTROL
—
2004-09-13
ended 2026-05-18
pecos_ownership
THOMAS DESIMONE
MANAGING CONTROL - GOVERNING BODY
—
2013-01-01
ended 2026-05-18
pecos_ownership
VALERIE FLEISHMAN
CORPORATE DIRECTOR
—
2024-01-01
ended 2026-05-18
pecos_ownership
VALERIE FLEISHMAN
MANAGING CONTROL - GOVERNING BODY
—
2021-01-01
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
2024-09-30
$2,477,743
—
—
$14,707
$36,984
3
—
2023-09-30
$2,705,633
—
—
—
—
3
—
2022-09-30
$2,436,150
—
—
—
—
1
—
2021-09-30
$2,441,397
—
—
—
—
1
—
2020-09-30
$2,482,878
—
—
—
$72,550
1
—
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
30
Geo
Kind
BR
Amount
As of
Source
county 25021
acs median gross
0
$1,664
2024-12-31
CENSUS_ACS5
county 25021
acs median gross
1
$1,877
2024-12-31
CENSUS_ACS5
county 25021
acs median gross
2
$2,314
2024-12-31
CENSUS_ACS5
county 25021
acs median gross
3
$2,488
2024-12-31
CENSUS_ACS5
county 25021
acs median gross
4
$2,959
2024-12-31
CENSUS_ACS5
county 25021
acs median gross
5
$2,191
2024-12-31
CENSUS_ACS5
county 25021
acs median gross
$2,149
2024-12-31
CENSUS_ACS5
county 25021
acs recent mover gross
$2,459
2024-12-31
CENSUS_ACS5
zcta 02026
acs median gross
0
$1,759
2024-12-31
CENSUS_ACS5
zcta 02026
acs median gross
1
$1,835
2024-12-31
CENSUS_ACS5
zcta 02026
acs median gross
2
$2,577
2024-12-31
CENSUS_ACS5
zcta 02026
acs median gross
3
$2,148
2024-12-31
CENSUS_ACS5
zcta 02026
acs median gross
4
$1,500
2024-12-31
CENSUS_ACS5
zcta 02026
acs median gross
$2,042
2024-12-31
CENSUS_ACS5
zcta 02026
acs recent mover gross
$2,231
2024-12-31
CENSUS_ACS5
zip 02026
payment standard 110
0
$2,530
2025-10-01
HUD_USER_SAFMR
zip 02026
payment standard 90
0
$2,070
2025-10-01
HUD_USER_SAFMR
zip 02026
safmr
0
$2,300
2025-10-01
HUD_USER_SAFMR
zip 02026
payment standard 110
1
$2,662
2025-10-01
HUD_USER_SAFMR
zip 02026
payment standard 90
1
$2,178
2025-10-01
HUD_USER_SAFMR
zip 02026
safmr
1
$2,420
2025-10-01
HUD_USER_SAFMR
zip 02026
payment standard 110
2
$3,157
2025-10-01
HUD_USER_SAFMR
zip 02026
payment standard 90
2
$2,583
2025-10-01
HUD_USER_SAFMR
zip 02026
safmr
2
$2,870
2025-10-01
HUD_USER_SAFMR
zip 02026
payment standard 110
3
$3,784
2025-10-01
HUD_USER_SAFMR
zip 02026
payment standard 90
3
$3,096
2025-10-01
HUD_USER_SAFMR
zip 02026
safmr
3
$3,440
2025-10-01
HUD_USER_SAFMR
zip 02026
payment standard 110
4
$4,180
2025-10-01
HUD_USER_SAFMR
zip 02026
payment standard 90
4
$3,420
2025-10-01
HUD_USER_SAFMR
zip 02026
safmr
4
$3,800
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.