Reads as: riskier than 43.3% 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 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
10
2025Q4 HPRD
This facility
CA median
National median
National p25–p75
Total nurse
7.41
3.95
3.28
2.90–3.77
RN
3.32
0.38
0.39
0.25–0.58
Weekend total
7.33
3.79
3.11
—
Weekday total
7.44
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
27.7
7.41
3.32
1.28
2.81
7.33
3.9%
2025Q3
92
36.9
5.49
2.40
1.14
1.95
5.29
1.6%
2025Q2
91
33.0
5.58
2.54
1.12
1.92
5.10
4.1%
2025Q1
90
25.2
7.09
2.99
1.55
2.56
7.26
3.9%
2024Q4
92
33.6
4.84
1.62
1.33
1.89
4.77
5.1%
2024Q3
92
36.9
4.00
1.40
0.94
1.66
4.11
12.5%
2024Q2
91
65.5
1.96
0.78
0.35
0.83
1.88
13.6%
2024Q1
91
106.5
1.01
0.25
0.15
0.62
1.00
0.0%
2023Q4
92
86.3
1.42
0.42
0.34
0.66
1.30
0.0%
2023Q3
92
41.3
2.23
0.78
0.34
1.10
2.13
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
22
D × 18E × 2F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-12-04
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2025-12-22
2025-12-04
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2025-12-22
2025-07-01
Health · complaint
F0627
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
D
—
2024-10-04
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2024-10-25
2024-10-04
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
2024-10-25
2024-10-04
Health
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2024-10-25
2024-10-04
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-10-25
2024-10-04
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2024-10-25
2024-10-04
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.
D
2024-10-25
2024-10-04
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2024-10-25
2024-10-04
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-10-25
2023-10-06
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2023-10-27
2023-10-06
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2023-10-27
2023-10-06
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2023-10-27
2023-10-06
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F
2023-10-27
2023-10-06
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2023-10-27
2023-10-06
Health
F0732
Post nurse staffing information every day.
E
2023-10-27
2023-10-06
Health
F0760
Ensure that residents are free from significant medication errors.
D
2023-10-27
2023-10-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-10-06
2023-10-06
Health
F0838
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
D
2023-10-06
2023-10-06
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
D
2023-11-08
2023-10-06
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
2023-11-07
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
65
Owner
Role
Pct
From
Status
Source
PIH HEALTH GOOD SAMARITAN HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2020-01-01
current
pecos_ownership
ALVAREZ, ALEX
MANAGING CONTROL - GOVERNING BODY
—
2017-10-09
current
pecos_ownership
ATWOOD, J
MANAGING CONTROL - GOVERNING BODY
—
2005-04-25
current
pecos_ownership
BARENDSE, THURSO
MANAGING CONTROL - GOVERNING BODY
—
2024-02-08
current
pecos_ownership
BATISTE, MELANIE
CORPORATE DIRECTOR
—
2021-10-21
current
pecos_ownership
BATISTE, MELANIE
MANAGING CONTROL - GOVERNING BODY
—
2021-11-21
current
pecos_ownership
COPPINGER, NOEL
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
current
pecos_ownership
GOLDBERG, MARISSA
CORPORATE DIRECTOR
—
2021-10-01
current
pecos_ownership
GREANEY, PETER
MANAGING CONTROL - GOVERNING BODY
—
2018-11-13
current
pecos_ownership
HAMAR, HAMILTON
MANAGING CONTROL - GOVERNING BODY
—
2016-10-10
current
pecos_ownership
KHORSANDI, MOEZ
CORPORATE DIRECTOR
—
2024-03-22
current
pecos_ownership
KPMG LLP
ADP OF THE SNF
—
2025-02-18
current
pecos_ownership
KPMG LLP
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-01
current
pecos_ownership
KROG, SCOTT
CORPORATE DIRECTOR
—
2024-12-13
current
pecos_ownership
LEONARD, ANNA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-02-01
current
pecos_ownership
MAHALINGAMSHIVARAMAN, VIDHYASHANKARAN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-04-12
current
pecos_ownership
MEDRANO, DEBORAH
MANAGING CONTROL - GOVERNING BODY
—
2024-12-13
current
pecos_ownership
MONROE, PATRICK
CORPORATE DIRECTOR
—
2016-10-10
current
pecos_ownership
NECKE, SHELLY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-12-01
current
pecos_ownership
PIH HEALTH GOOD SAMARITAN HOSPITAL
ADP OF THE SNF
—
2025-02-18
current
pecos_ownership
PIH HEALTH INC
ADP OF THE SNF
—
2020-01-01
current
pecos_ownership
PIH HEALTH WHITTIER HOSPITAL
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
current
pecos_ownership
PIH HEALTH WHITTIER HOSPITAL
ADP OF THE SNF
—
2025-02-19
current
pecos_ownership
PONCE, SUSANNE
OPERATIONAL/MANAGERIAL CONTROL
—
—
current
pecos_ownership
PONCE, SUSANNE
ADP OF THE SNF
—
2020-01-01
current
pecos_ownership
PRATT, ANDREW
OPERATIONAL/MANAGERIAL CONTROL
—
2023-11-20
current
pecos_ownership
RAHNEMA, GUDARS
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-02
current
pecos_ownership
ROTH, WILLIAM
MANAGING CONTROL - GOVERNING BODY
—
2023-03-01
current
pecos_ownership
SARALIEV, TRACEA
CORPORATE DIRECTOR
—
2024-02-08
current
pecos_ownership
SOUTHRON, SCOTT
CORPORATE DIRECTOR
—
2024-12-13
current
pecos_ownership
SYDA-LAWTON, REGINE
MANAGING CONTROL - GOVERNING BODY
—
2024-12-13
current
pecos_ownership
TREINEN, PAUL
MANAGING CONTROL - GOVERNING BODY
—
2019-11-12
current
pecos_ownership
VAZQUEZ, CINDY
ADP OF THE SNF
—
2022-10-01
current
pecos_ownership
WEAVER, CHARLOTTE
MANAGING CONTROL - GOVERNING BODY
—
2016-10-10
current
pecos_ownership
WEST, JAMES
MANAGING CONTROL - GOVERNING BODY
—
2020-01-01
current
pecos_ownership
WOODS, KENTON
MANAGING CONTROL - GOVERNING BODY
—
2005-02-28
current
pecos_ownership
ALEX ALVAREZ
CORPORATE DIRECTOR
0%
2017-10-09
ended 2026-05-18
pecos_ownership
CHARLOTTE WEAVER
CORPORATE DIRECTOR
0%
2016-10-10
ended 2026-05-18
pecos_ownership
DEBORAH MEDRANO
CORPORATE DIRECTOR
0%
2024-12-13
ended 2026-05-18
pecos_ownership
HAMILTON HAMAR
CORPORATE DIRECTOR
0%
2016-10-10
ended 2026-05-18
pecos_ownership
J ATWOOD
CORPORATE DIRECTOR
0%
2005-04-25
ended 2026-05-18
pecos_ownership
JAMES WEST
OPERATIONAL/MANAGERIAL CONTROL
0%
2020-01-01
ended 2026-05-18
pecos_ownership
KENTON WOODS
CORPORATE DIRECTOR
0%
2005-02-28
ended 2026-05-18
pecos_ownership
MARISSA GOLDBERG
CORPORATE DIRECTOR
0%
2021-10-01
ended 2026-05-18
pecos_ownership
MELANIE BATISTE
CORPORATE DIRECTOR
0%
2021-10-21
ended 2026-05-18
pecos_ownership
MOEZ KHORSANDI
CORPORATE DIRECTOR
0%
2024-03-22
ended 2026-05-18
pecos_ownership
PATRICK MONROE
CORPORATE DIRECTOR
0%
2016-10-10
ended 2026-05-18
pecos_ownership
PAUL TREINEN
CORPORATE DIRECTOR
0%
2019-11-12
ended 2026-05-18
pecos_ownership
PETER GREANEY
CORPORATE DIRECTOR
0%
2018-11-13
ended 2026-05-18
pecos_ownership
REGINE SYDA-LAWTON
CORPORATE DIRECTOR
0%
2024-12-13
ended 2026-05-18
pecos_ownership
SCOTT KROG
CORPORATE DIRECTOR
0%
2024-12-13
ended 2026-05-18
pecos_ownership
SCOTT SOUTHRON
CORPORATE DIRECTOR
0%
2024-12-13
ended 2026-05-18
pecos_ownership
THURSO BARENDSE
CORPORATE DIRECTOR
0%
2024-02-08
ended 2026-05-18
pecos_ownership
TRACEA SARALIEV
CORPORATE DIRECTOR
0%
2024-02-08
ended 2026-05-18
pecos_ownership
VIDHYASHANKARAN MAHALINGAMSHIVARAMAN
CORPORATE OFFICER
0%
2021-04-12
ended 2026-05-18
pecos_ownership
WILLIAM ROTH
CORPORATE DIRECTOR
0%
2023-03-01
ended 2026-05-18
pecos_ownership
ANDREW PRATT
ADP OF THE SNF
—
2023-11-20
ended 2026-05-18
pecos_ownership
ANNA LEONARD
OPERATIONAL/MANAGERIAL CONTROL
—
2022-02-01
ended 2026-05-18
pecos_ownership
CINDY VAZQUEZ
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-01
ended 2026-05-18
pecos_ownership
GUDARS RAHNEMA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-02
ended 2026-05-18
pecos_ownership
MELANIE BATISTE
MANAGING CONTROL - GOVERNING BODY
—
2021-11-21
ended 2026-05-18
pecos_ownership
NOEL COPPINGER
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
ended 2026-05-18
pecos_ownership
SHELLY NECKE
ADP OF THE SNF
—
2022-12-01
ended 2026-05-18
pecos_ownership
SUSANNE PONCE
OPERATIONAL/MANAGERIAL CONTROL
—
—
ended 2026-05-18
pecos_ownership
SUSANNE PONCE
ADP OF THE SNF
—
2020-01-01
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
2
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-09-30
$7,585,824
—
—
—
—
1
—
2023-09-30
$5,444,617
—
—
—
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 06037
acs median gross
0
$1,523
2024-12-31
CENSUS_ACS5
county 06037
fmr
0
$1,863
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
1
$1,724
2024-12-31
CENSUS_ACS5
county 06037
fmr
1
$2,085
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
2
$2,127
2024-12-31
CENSUS_ACS5
county 06037
fmr
2
$2,601
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
3
$2,484
2024-12-31
CENSUS_ACS5
county 06037
fmr
3
$3,298
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
4
$2,866
2024-12-31
CENSUS_ACS5
county 06037
fmr
4
$3,672
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
5
$2,767
2024-12-31
CENSUS_ACS5
county 06037
acs median gross
$1,954
2024-12-31
CENSUS_ACS5
county 06037
acs recent mover gross
$2,358
2024-12-31
CENSUS_ACS5
zcta 90017
acs median gross
0
$1,324
2024-12-31
CENSUS_ACS5
zcta 90017
acs median gross
1
$2,178
2024-12-31
CENSUS_ACS5
zcta 90017
acs median gross
2
$2,750
2024-12-31
CENSUS_ACS5
zcta 90017
acs median gross
3
$1,243
2024-12-31
CENSUS_ACS5
zcta 90017
acs median gross
4
$1,758
2024-12-31
CENSUS_ACS5
zcta 90017
acs median gross
5
$2,156
2024-12-31
CENSUS_ACS5
zcta 90017
acs median gross
$1,818
2024-12-31
CENSUS_ACS5
zcta 90017
acs recent mover gross
$2,682
2024-12-31
CENSUS_ACS5
zip 90017
payment standard 110
0
$2,761
2025-10-01
HUD_USER_SAFMR
zip 90017
payment standard 90
0
$2,259
2025-10-01
HUD_USER_SAFMR
zip 90017
safmr
0
$2,510
2025-10-01
HUD_USER_SAFMR
zip 90017
payment standard 110
1
$3,091
2025-10-01
HUD_USER_SAFMR
zip 90017
payment standard 90
1
$2,529
2025-10-01
HUD_USER_SAFMR
zip 90017
safmr
1
$2,810
2025-10-01
HUD_USER_SAFMR
zip 90017
payment standard 110
2
$3,850
2025-10-01
HUD_USER_SAFMR
zip 90017
payment standard 90
2
$3,150
2025-10-01
HUD_USER_SAFMR
zip 90017
safmr
2
$3,500
2025-10-01
HUD_USER_SAFMR
zip 90017
payment standard 110
3
$4,884
2025-10-01
HUD_USER_SAFMR
zip 90017
payment standard 90
3
$3,996
2025-10-01
HUD_USER_SAFMR
zip 90017
safmr
3
$4,440
2025-10-01
HUD_USER_SAFMR
zip 90017
payment standard 110
4
$5,434
2025-10-01
HUD_USER_SAFMR
zip 90017
payment standard 90
4
$4,446
2025-10-01
HUD_USER_SAFMR
zip 90017
safmr
4
$4,940
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.