Reads as: riskier than 37.5% 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
5
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
4 chains
POWERBACK REHABILITATION LLC
32 facilities
connection
Owner fleet enforcement cluster
46% fined
GHC HOLDINGS LLC
11 facilities
connection
Owner fleet enforcement cluster
44% fined
FC GEN OPERATIONS INVESTMENT LLC
23 facilities
connection
Owner fleet enforcement cluster
40% fined
BOLD QUAIL HOLDINGS LLC
20 facilities
connection
Owner fleet enforcement cluster
40% fined
GEN BQ JV HOLDINGS LLC
20 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
16
2025Q4 HPRD
This facility
CA median
National median
National p25–p75
Total nurse
3.62
3.95
3.28
2.90–3.77
RN
0.51
0.38
0.39
0.25–0.58
Weekend total
3.65
3.79
3.11
—
Weekday total
3.61
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
97.4
3.62
0.51
0.58
2.53
3.65
0.0%
2025Q3
92
95.9
3.65
0.48
0.66
2.51
3.64
0.0%
2025Q2
91
95.6
3.65
0.47
0.66
2.51
3.71
0.0%
2025Q1
90
96.3
3.71
0.43
0.77
2.51
3.66
0.0%
2024Q4
92
94.2
3.66
0.33
0.82
2.51
3.71
0.0%
2024Q3
92
98.3
3.62
0.30
0.85
2.47
3.61
0.0%
2024Q2
91
96.1
3.69
0.29
0.88
2.52
3.64
0.0%
2024Q1
91
98.8
3.59
0.24
0.86
2.50
3.58
0.0%
2023Q4
92
96.7
3.62
0.20
0.89
2.53
3.56
0.0%
2023Q3
92
101.2
3.52
0.28
0.81
2.43
3.49
0.0%
2023Q2
91
98.3
3.54
0.35
0.82
2.38
3.47
0.0%
2023Q1
90
98.5
3.28
0.41
0.75
2.12
3.21
0.0%
2022Q4
92
99.5
2.99
0.53
0.72
1.75
2.99
0.0%
2022Q3
92
101.2
2.88
0.50
0.66
1.72
2.99
0.0%
2022Q2
91
100.9
2.92
0.42
0.74
1.76
2.95
0.0%
2022Q1
90
100.2
3.15
0.44
0.76
1.95
3.13
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
24
D × 13E × 9F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-10
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2026-04-27
2026-04-10
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2026-04-27
2026-04-10
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2026-04-27
2026-04-10
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2026-04-27
2026-04-10
Health
F0760
Ensure that residents are free from significant medication errors.
E
2026-04-27
2026-04-10
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.
E
2026-04-27
2026-04-10
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-04-27
2025-01-10
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
2025-01-17
2025-01-10
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-01-17
2025-01-10
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2025-01-17
2025-01-10
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-01-17
2025-01-10
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-01-17
2024-08-01
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-08-02
2024-06-14
Health · complaint
F0660
Plan the resident's discharge to meet the resident's goals and needs.
D
2024-06-17
2024-06-11
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-06-17
2024-05-16
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-09-19
2024-05-16
Health · complaint
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
E
2024-09-19
2024-04-18
Health · complaint
F0626
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
D
2024-05-06
2024-03-22
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
E
2024-04-19
2024-03-22
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-04-19
2024-03-22
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-04-19
2024-03-22
Health
F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
E
2024-04-19
2024-01-23
Health · complaint
F0583
Keep residents' personal and medical records private and confidential.
D
2024-01-30
2024-01-23
Health · complaint
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
2024-01-30
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
34
Owner
Role
Pct
From
Status
Source
BQ OPERATIONS HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2020-02-01
current
pecos_ownership
9560 PICO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-02-01
current
pecos_ownership
BOLD QUAIL HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-02-01
current
pecos_ownership
FC-GEN OPERATIONS INVESTMENT LLC
INDIRECT OWNERSHIP INTEREST
—
2020-02-01
current
pecos_ownership
GEN BQ JV HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-02-01
current
pecos_ownership
GEN OPERATIONS I LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-02-01
current
pecos_ownership
GEN OPERATIONS II LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-02-01
current
pecos_ownership
GENESIS HEALTHCARE INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-02-01
current
pecos_ownership
GENESIS HEALTHCARE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-02-01
current
pecos_ownership
GENESIS HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-02-01
current
pecos_ownership
GHC HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2020-02-01
current
pecos_ownership
GHC JV HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-02-01
current
pecos_ownership
KELADA, ANDREW
ADP OF THE SNF
—
2024-02-01
current
pecos_ownership
LUPSE, GEORGETA
OPERATIONAL/MANAGERIAL CONTROL
—
2019-09-30
current
pecos_ownership
NEWGEN ADMINISTRATIVE SERVICES, LLC
ADP OF THE SNF
—
2020-02-01
current
pecos_ownership
NEWGEN LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-02-01
current
pecos_ownership
PICO AR LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-02-01
current
pecos_ownership
POWERBACK REHABILITATION LLC
ADP OF THE SNF
—
2020-02-01
current
pecos_ownership
ROBIN, AARON
CORPORATE OFFICER
—
2020-02-01
current
pecos_ownership
STROUGHTER, BRANDON
ADP OF THE SNF
—
2019-09-03
current
pecos_ownership
SUN HEALTHCARE GROUP INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-02-01
current
pecos_ownership
TRESS, AVROHOM
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-02-01
current
pecos_ownership
WHITMAN, ARNOLD
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-02-01
current
pecos_ownership
AARON ROBIN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2020-02-01
ended 2026-05-18
pecos_ownership
AVROHOM TRESS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2020-02-01
ended 2026-05-18
pecos_ownership
ARNOLD WHITMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2020-02-01
ended 2026-05-18
pecos_ownership
HCCF MANAGEMENT GROUP XI LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2020-02-01
ended 2026-05-18
pecos_ownership
WELLTOWER OP, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2020-02-01
ended 2026-05-18
pecos_ownership
STEVEN FISHMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
4%
2020-02-01
ended 2026-05-18
pecos_ownership
ZAC PROPERTIES XI LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
4%
2020-02-01
ended 2026-05-18
pecos_ownership
SUNDANCE REHABILITATION HOLDCO INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
3%
2020-02-01
ended 2026-05-18
pecos_ownership
ANDREW KELADA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-01
ended 2026-05-18
pecos_ownership
BRANDON STROUGHTER
ADP OF THE SNF
—
2019-09-03
ended 2026-05-18
pecos_ownership
GEORGETA LUPSE
ADP OF THE SNF
—
2019-09-30
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$321,627
—
$321,627
—
—
1
—
2023-12-31
$245,211
—
$245,211
—
—
1
—
2022-12-31
$1,860,148
—
$822,895
$1,037,253
—
4
—
2021-12-31
$1,584,315
—
$566,072
$1,018,243
—
3
—
2020-12-31
$1,597,244
—
$719,557
$877,687
—
4
—
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 06067
acs median gross
0
$1,446
2024-12-31
CENSUS_ACS5
county 06067
fmr
0
$1,748
2025-10-01
HUD_USER_FMR
county 06067
acs median gross
1
$1,492
2024-12-31
CENSUS_ACS5
county 06067
fmr
1
$1,832
2025-10-01
HUD_USER_FMR
county 06067
acs median gross
2
$1,783
2024-12-31
CENSUS_ACS5
county 06067
fmr
2
$2,255
2025-10-01
HUD_USER_FMR
county 06067
acs median gross
3
$2,119
2024-12-31
CENSUS_ACS5
county 06067
fmr
3
$3,002
2025-10-01
HUD_USER_FMR
county 06067
acs median gross
4
$2,396
2024-12-31
CENSUS_ACS5
county 06067
fmr
4
$3,460
2025-10-01
HUD_USER_FMR
county 06067
acs median gross
5
$2,872
2024-12-31
CENSUS_ACS5
county 06067
acs median gross
$1,790
2024-12-31
CENSUS_ACS5
county 06067
acs recent mover gross
$2,006
2024-12-31
CENSUS_ACS5
zcta 95608
acs median gross
0
$1,429
2024-12-31
CENSUS_ACS5
zcta 95608
acs median gross
1
$1,472
2024-12-31
CENSUS_ACS5
zcta 95608
acs median gross
2
$1,699
2024-12-31
CENSUS_ACS5
zcta 95608
acs median gross
3
$2,083
2024-12-31
CENSUS_ACS5
zcta 95608
acs median gross
4
$2,174
2024-12-31
CENSUS_ACS5
zcta 95608
acs median gross
5
$3,028
2024-12-31
CENSUS_ACS5
zcta 95608
acs median gross
$1,659
2024-12-31
CENSUS_ACS5
zcta 95608
acs recent mover gross
$1,647
2024-12-31
CENSUS_ACS5
zip 95608
payment standard 110
0
$1,870
2025-10-01
HUD_USER_SAFMR
zip 95608
payment standard 90
0
$1,530
2025-10-01
HUD_USER_SAFMR
zip 95608
safmr
0
$1,700
2025-10-01
HUD_USER_SAFMR
zip 95608
payment standard 110
1
$1,958
2025-10-01
HUD_USER_SAFMR
zip 95608
payment standard 90
1
$1,602
2025-10-01
HUD_USER_SAFMR
zip 95608
safmr
1
$1,780
2025-10-01
HUD_USER_SAFMR
zip 95608
payment standard 110
2
$2,409
2025-10-01
HUD_USER_SAFMR
zip 95608
payment standard 90
2
$1,971
2025-10-01
HUD_USER_SAFMR
zip 95608
safmr
2
$2,190
2025-10-01
HUD_USER_SAFMR
zip 95608
payment standard 110
3
$3,212
2025-10-01
HUD_USER_SAFMR
zip 95608
payment standard 90
3
$2,628
2025-10-01
HUD_USER_SAFMR
zip 95608
safmr
3
$2,920
2025-10-01
HUD_USER_SAFMR
zip 95608
payment standard 110
4
$3,696
2025-10-01
HUD_USER_SAFMR
zip 95608
payment standard 90
4
$3,024
2025-10-01
HUD_USER_SAFMR
zip 95608
safmr
4
$3,360
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.