Reads as: riskier than 68.1% 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
+40.0 vs natl
ELEVATE CARE INC
11 facilities
connection
Owner fleet risk far above national
+39.4 vs natl
ANDREWS AMANDA
10 facilities
connection
Owner fleet risk far above national
+39.3 vs natl
FRANK CRAIG
9 facilities
connection
Owner fleet risk far above national
+38.2 vs natl
ELEVATE CARE CONSULTING LLC
10 facilities
connection
Owner fleet risk far above national
+35.2 vs natl
MEYSTEL MEIR
15 facilities
connection
Owner fleet risk far above national
+29.7 vs natl
CHASE OFFICE LLC
82 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
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
+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 spans multiple chains
13 chains
CHASE OFFICE LLC
75 facilities
connection
Owner spans multiple chains
9 chains
SPECTOR JENNIFER
90 facilities
connection
Owner spans multiple chains
9 chains
TUROFSKY STEVEN
84 facilities
connection
Owner spans multiple chains
8 chains
CURIS SERVICES LLC
81 facilities
connection
Owner spans multiple chains
8 chains
MEYSTEL YOSEF
73 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
67% fined
FRANK CRAIG
9 facilities
connection
Owner fleet enforcement cluster
60% fined
ANDREWS AMANDA
10 facilities
connection
Owner fleet enforcement cluster
55% fined
ELEVATE CARE INC
11 facilities
connection
Owner fleet enforcement cluster
54% fined
WILHELM NAFTALI
81 facilities
connection
Owner fleet enforcement cluster
53% fined
MEYSTEL MEIR
15 facilities
connection
Owner fleet enforcement cluster
53% fined
SPECTOR JENNIFER
93 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 lease_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
3.27
3.42
3.28
2.90–3.77
RN
1.16
0.45
0.39
0.25–0.58
Weekend total
3.02
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
237.8
3.27
1.16
0.03
2.08
3.02
0.0%
2025Q3
92
234.5
3.27
1.17
0.03
2.07
2.96
0.0%
2025Q2
91
233.7
3.33
1.16
0.03
2.14
3.03
0.0%
2025Q1
90
234.6
3.33
1.12
0.04
2.17
3.02
0.0%
2024Q4
92
240.8
3.08
1.09
0.06
1.92
2.83
0.0%
2024Q3
92
238.6
3.02
1.08
0.08
1.86
2.74
0.3%
2024Q2
91
241.3
3.28
1.08
0.10
2.10
2.95
0.5%
2024Q1
91
248.6
3.15
1.01
0.10
2.04
2.87
0.0%
2023Q4
92
247.8
3.19
1.05
0.11
2.03
2.91
0.2%
2023Q3
92
225.2
3.29
1.06
0.09
2.14
2.97
0.2%
2023Q2
91
217.9
3.46
1.17
0.10
2.18
3.06
1.2%
2023Q1
90
234.7
3.53
1.24
0.14
2.15
3.03
3.9%
2022Q4
92
257.5
3.37
1.17
0.12
2.08
2.86
0.5%
2022Q3
92
266.6
3.58
1.09
0.13
2.35
3.09
0.5%
2022Q2
91
264.8
3.67
0.97
0.13
2.57
3.07
2.9%
2022Q1
90
214.7
3.94
1.26
0.01
2.67
3.42
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
21
D × 18E × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-12-05
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.
D
2026-01-08
2025-12-05
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-01-08
2025-12-05
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2026-01-08
2025-12-05
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2026-01-08
2025-12-05
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
2026-01-08
2024-06-26
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.
D
2024-07-25
2024-06-26
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2024-07-25
2024-06-26
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2024-07-25
2024-06-26
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-07-25
2024-06-26
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-07-25
2024-06-26
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-07-25
2024-06-26
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-07-25
2024-06-26
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
2024-07-25
2024-06-26
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
2024-07-25
2023-02-08
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2023-03-05
2023-02-08
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-03-05
2023-02-08
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2023-03-03
2023-02-08
Health
F0679
Provide activities to meet all resident's needs.
D
2023-03-05
2023-02-08
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-03-05
2023-02-08
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-03-05
2023-02-08
Health
F0908
Keep all essential equipment working safely.
E
2023-03-05
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
32
Owner
Role
Pct
From
Status
Source
ANDREWS, AMANDA
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
BERKOWITZ, DAVID
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-03-25
current
pecos_ownership
CHASE OFFICE LLC
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
CHASE OFFICE LLC
Individual has financial interest in both related organization and provider
—
2023-01-01
current
hcris_a_8_1
CURIS SERVICES LLC
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
ELEVATE CARE CONSULTING LLC
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
ELEVATE CARE INC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
current
pecos_ownership
ELEVATE CARE INC
ADP OF THE SNF
—
2025-03-25
current
pecos_ownership
FRANK, CRAIG
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
current
pecos_ownership
MEYSTEL, MEIR
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
current
pecos_ownership
MEYSTEL, YOSEF
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-03-25
current
pecos_ownership
POLACK, JESIKA
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
ROMERO, SANDOR
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
SOTOLONGO, MAYLIN
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
SPECTOR, JENNIFER
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
TUROFSKY, STEVEN
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
WILHELM, NAFTALI
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
190 LLC
Director, officer, administrator or key person of provider or organization
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
190 LLC
Director, officer, administrator or key person of provider or organization
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
AMANDA ANDREWS
CORPORATE OFFICER
100%
2022-01-01
ended 2026-05-18
pecos_ownership
JENNIFER SPECTOR
CORPORATE OFFICER
100%
2022-01-01
ended 2026-05-18
pecos_ownership
MEIR MEYSTEL
CORPORATE OFFICER
100%
2022-01-01
ended 2026-05-18
pecos_ownership
YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2022-01-01
ended 2026-05-18
pecos_ownership
DAVID A BERKOWITZ REVOC TR DAVID BERKOWITZ TTEE
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2022-01-01
ended 2026-05-18
pecos_ownership
MEIR MEYSTEL REVOCABLE
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2022-01-01
ended 2026-05-18
pecos_ownership
CHASE OFFICE LLC
Individual has financial interest in both related organization and provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
CRAIG FRANK
ADP OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
JESIKA POLACK
ADP OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
MAYLIN SOTOLONGO
ADP OF THE SNF
—
2022-01-01
ended 2026-05-18
pecos_ownership
NAFTALI WILHELM
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
ended 2026-05-18
pecos_ownership
SANDOR ROMERO
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
ended 2026-05-18
pecos_ownership
STEVEN TUROFSKY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
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
$2,291,402
$18,622
—
—
$276,229
14
propco
2023-12-31
$2,591,585
$53,287
$325,304
—
$322,603
14
propco
2022-12-31
$1,466,350
$43,563
$266,619
—
$187,203
14
propco
2021-12-31
$1,021,291
—
$457,773
—
$162,667
8
propco
2020-12-31
$1,101,514
—
$519,630
—
$175,549
8
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
36
Geo
Kind
BR
Amount
As of
Source
county 12086
acs median gross
0
$1,408
2024-12-31
CENSUS_ACS5
county 12086
fmr
0
$1,828
2025-10-01
HUD_USER_FMR
county 12086
acs median gross
1
$1,554
2024-12-31
CENSUS_ACS5
county 12086
fmr
1
$1,995
2025-10-01
HUD_USER_FMR
county 12086
acs median gross
2
$1,890
2024-12-31
CENSUS_ACS5
county 12086
fmr
2
$2,436
2025-10-01
HUD_USER_FMR
county 12086
acs median gross
3
$2,234
2024-12-31
CENSUS_ACS5
county 12086
fmr
3
$3,127
2025-10-01
HUD_USER_FMR
county 12086
acs median gross
4
$2,645
2024-12-31
CENSUS_ACS5
county 12086
fmr
4
$3,613
2025-10-01
HUD_USER_FMR
county 12086
acs median gross
5
$2,979
2024-12-31
CENSUS_ACS5
county 12086
acs median gross
$1,829
2024-12-31
CENSUS_ACS5
county 12086
acs recent mover gross
$2,305
2024-12-31
CENSUS_ACS5
zcta 33010
acs median gross
0
$1,071
2024-12-31
CENSUS_ACS5
zcta 33010
acs median gross
1
$1,144
2024-12-31
CENSUS_ACS5
zcta 33010
acs median gross
2
$1,621
2024-12-31
CENSUS_ACS5
zcta 33010
acs median gross
3
$2,110
2024-12-31
CENSUS_ACS5
zcta 33010
acs median gross
4
$2,436
2024-12-31
CENSUS_ACS5
zcta 33010
acs median gross
5
$2,824
2024-12-31
CENSUS_ACS5
zcta 33010
acs median gross
$1,394
2024-12-31
CENSUS_ACS5
zcta 33010
acs recent mover gross
$1,935
2024-12-31
CENSUS_ACS5
zip 33010
payment standard 110
0
$1,837
2025-10-01
HUD_USER_SAFMR
zip 33010
payment standard 90
0
$1,503
2025-10-01
HUD_USER_SAFMR
zip 33010
safmr
0
$1,670
2025-10-01
HUD_USER_SAFMR
zip 33010
payment standard 110
1
$2,013
2025-10-01
HUD_USER_SAFMR
zip 33010
payment standard 90
1
$1,647
2025-10-01
HUD_USER_SAFMR
zip 33010
safmr
1
$1,830
2025-10-01
HUD_USER_SAFMR
zip 33010
payment standard 110
2
$2,453
2025-10-01
HUD_USER_SAFMR
zip 33010
payment standard 90
2
$2,007
2025-10-01
HUD_USER_SAFMR
zip 33010
safmr
2
$2,230
2025-10-01
HUD_USER_SAFMR
zip 33010
payment standard 110
3
$3,146
2025-10-01
HUD_USER_SAFMR
zip 33010
payment standard 90
3
$2,574
2025-10-01
HUD_USER_SAFMR
zip 33010
safmr
3
$2,860
2025-10-01
HUD_USER_SAFMR
zip 33010
payment standard 110
4
$3,641
2025-10-01
HUD_USER_SAFMR
zip 33010
payment standard 90
4
$2,979
2025-10-01
HUD_USER_SAFMR
zip 33010
safmr
4
$3,310
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.