Reads as: riskier than 57.6% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
15 chains
CIBC BANK USA
155 facilities
connection
Owner fleet enforcement cluster
40% fined
ADKINS KENNETH
5 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
VA median
National median
National p25–p75
Total nurse
3.06
3.13
3.28
2.90–3.77
RN
0.30
0.30
0.39
0.25–0.58
Weekend total
2.74
2.96
3.11
—
Weekday total
3.19
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
129.4
3.06
0.30
0.92
1.85
2.74
8.1%
2025Q3
92
136.6
3.19
0.39
0.91
1.90
2.88
7.3%
2025Q2
91
132.6
3.22
0.34
0.93
1.95
2.95
4.6%
2025Q1
90
137.1
2.94
0.35
0.83
1.75
2.68
3.2%
2024Q4
92
138.5
3.01
0.40
0.81
1.79
2.78
2.4%
2024Q3
92
132.5
3.06
0.30
0.95
1.80
2.86
1.7%
2024Q2
91
131.0
3.06
0.37
0.90
1.79
2.77
3.2%
2024Q1
91
132.4
3.00
0.46
0.83
1.71
2.74
5.9%
2023Q4
92
136.0
2.98
0.36
0.83
1.78
2.69
4.7%
2023Q3
92
135.6
2.92
0.26
0.82
1.83
2.68
5.2%
2023Q2
91
136.1
3.15
0.37
0.96
1.82
3.05
12.2%
2023Q1
90
133.9
2.80
0.30
0.80
1.70
2.54
0.8%
2022Q4
92
131.9
3.06
0.29
0.82
1.95
2.83
0.0%
2022Q3
92
122.9
2.98
0.28
0.83
1.87
2.72
0.0%
2022Q2
91
122.2
2.76
0.28
0.82
1.66
2.43
7.4%
2022Q1
90
117.4
2.93
0.34
0.80
1.79
2.62
1.0%
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.
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-11-04
2025-08-21
Health · complaint
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
2025-09-29
2025-08-21
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-11-04
2025-08-21
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-09-29
2025-08-21
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-09-29
2025-08-21
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-09-29
2025-08-21
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-09-29
2025-08-21
Health · complaint
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F
2025-09-29
2024-07-30
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-12-22
2024-07-30
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-12-22
2022-07-21
Health
F0559
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
D
2022-08-03
2022-07-21
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
2022-08-03
2022-07-21
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2022-08-03
2022-07-21
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2022-08-03
2022-07-21
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2022-08-03
2022-07-21
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2022-08-03
2022-07-21
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2022-08-03
2020-03-12
Health
F0641
Ensure each resident receives an accurate assessment.
E
2020-03-27
2020-03-12
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2020-03-27
2020-03-12
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2020-03-27
2020-03-12
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2020-03-27
2020-03-12
Health
F0880
Provide and implement an infection prevention and control program.
D
2020-03-27
2018-12-13
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2019-01-14
2018-12-13
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2019-01-14
2018-12-13
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2019-01-14
2018-12-13
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2019-01-14
2018-12-13
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
G
2019-01-14
2018-12-13
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
E
2019-01-14
2018-12-13
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2019-01-24
2018-12-13
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
2019-01-14
2018-12-13
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
2019-01-14
2018-12-13
Health
F0880
Provide and implement an infection prevention and control program.
H
2019-01-14
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
30
Owner
Role
Pct
From
Status
Source
WWBV HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2019-09-30
current
pecos_ownership
ADKINS, KENNETH
OPERATIONAL/MANAGERIAL CONTROL
—
2023-05-30
current
pecos_ownership
CIBC BANK USA
ADP OF THE SNF
—
2021-02-26
current
pecos_ownership
CITRIN COOPERMAN ADVISORS LLC
ADP OF THE SNF
—
2018-09-01
current
pecos_ownership
EVANS, JONATHAN
ADP OF THE SNF
—
2018-09-01
current
pecos_ownership
MONROE REAL ESTATE
Corporation, partnership or other organization has financial interest in provider
—
2023-01-01
current
hcris_a_8_1
MONROE REAL ESTATE
Corporation, partnership or other organization has financial interest in provider
—
2024-01-01
current
hcris_a_8_1
MONROE REAL ESTATE GROUP, LLC
5% OR GREATER MORTGAGE INTEREST
—
2021-02-26
current
pecos_ownership
MORRISS, MARK
OPERATIONAL/MANAGERIAL CONTROL
—
2020-12-07
current
pecos_ownership
NICOLUZAKIS, GREGORY
CORPORATE OFFICER
—
2019-03-01
current
pecos_ownership
SABER GOVERNANCE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-09-01
current
pecos_ownership
SHG MANAGEMENT LLC
ADP OF THE SNF
—
2019-09-01
current
pecos_ownership
THE HUNTINGTON NATIONAL BANK
ADP OF THE SNF
—
2019-06-28
current
pecos_ownership
VOLPE, BENJAMIN
CORPORATE DIRECTOR
—
2019-03-01
current
pecos_ownership
WALKER & ASSOCIATES PC
ADP OF THE SNF
—
2018-09-01
current
pecos_ownership
WEISBERG, WILLIAM
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-01-22
current
pecos_ownership
WEISBERG, WILLIAM
CORPORATE DIRECTOR
—
2019-03-01
current
pecos_ownership
SABER HEALTHCARE HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-01-01
ended 2026-05-18
pecos_ownership
SHH HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2019-03-01
ended 2026-05-18
pecos_ownership
DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020
5% OR GREATER INDIRECT OWNERSHIP INTEREST
67%
2023-01-01
ended 2026-05-18
pecos_ownership
WIW DYNASTY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
67%
2023-01-01
ended 2026-05-18
pecos_ownership
BENJAMIN VOLPE
CORPORATE DIRECTOR
50%
2019-03-01
ended 2026-05-18
pecos_ownership
MONROE REAL ESTATE
Corporation, partnership or other organization has financial interest in provider
50%
2022-01-01
ended 2022-12-31
hcris_a_8_1
WILLIAM WEISBERG
CORPORATE DIRECTOR
50%
2019-03-01
ended 2026-05-18
pecos_ownership
BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020)
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2023-01-01
ended 2026-05-18
pecos_ownership
BNV DYNASTY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2023-01-01
ended 2026-05-18
pecos_ownership
GREGORY NICOLUZAKIS
CORPORATE OFFICER
0%
2019-03-01
ended 2026-05-18
pecos_ownership
KENNETH ADKINS
OPERATIONAL/MANAGERIAL CONTROL
0%
2023-05-30
ended 2026-05-18
pecos_ownership
JONATHAN EVANS
ADP OF THE SNF
—
2018-09-01
ended 2026-05-18
pecos_ownership
MARK MORRISS
ADP OF THE SNF
—
2020-12-07
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
$2,609,644
—
—
$527,014
$33,808
7
propco
2023-12-31
$2,415,522
—
—
$423,520
$24,705
7
propco
2022-12-31
$1,951,458
—
—
$377,453
$37,008
6
propco
2021-12-31
$1,716,056
—
—
$411,388
$41,251
4
—
2020-12-31
$1,168,599
—
—
$472,685
$61,459
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 51003
acs median gross
0
$1,112
2024-12-31
CENSUS_ACS5
county 51003
fmr
0
$1,421
2025-10-01
HUD_USER_FMR
county 51003
acs median gross
1
$1,618
2024-12-31
CENSUS_ACS5
county 51003
fmr
1
$1,602
2025-10-01
HUD_USER_FMR
county 51003
acs median gross
2
$1,686
2024-12-31
CENSUS_ACS5
county 51003
fmr
2
$1,824
2025-10-01
HUD_USER_FMR
county 51003
acs median gross
3
$1,781
2024-12-31
CENSUS_ACS5
county 51003
fmr
3
$2,218
2025-10-01
HUD_USER_FMR
county 51003
acs median gross
4
$2,117
2024-12-31
CENSUS_ACS5
county 51003
fmr
4
$2,731
2025-10-01
HUD_USER_FMR
county 51003
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
county 51003
acs median gross
$1,692
2024-12-31
CENSUS_ACS5
county 51003
acs recent mover gross
$1,752
2024-12-31
CENSUS_ACS5
zcta 22901
acs median gross
0
$1,070
2024-12-31
CENSUS_ACS5
zcta 22901
acs median gross
1
$1,654
2024-12-31
CENSUS_ACS5
zcta 22901
acs median gross
2
$1,619
2024-12-31
CENSUS_ACS5
zcta 22901
acs median gross
3
$1,745
2024-12-31
CENSUS_ACS5
zcta 22901
acs median gross
4
$2,891
2024-12-31
CENSUS_ACS5
zcta 22901
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
zcta 22901
acs median gross
$1,662
2024-12-31
CENSUS_ACS5
zcta 22901
acs recent mover gross
$1,657
2024-12-31
CENSUS_ACS5
zip 22901
payment standard 110
0
$1,661
2025-10-01
HUD_USER_SAFMR
zip 22901
payment standard 90
0
$1,359
2025-10-01
HUD_USER_SAFMR
zip 22901
safmr
0
$1,510
2025-10-01
HUD_USER_SAFMR
zip 22901
payment standard 110
1
$1,870
2025-10-01
HUD_USER_SAFMR
zip 22901
payment standard 90
1
$1,530
2025-10-01
HUD_USER_SAFMR
zip 22901
safmr
1
$1,700
2025-10-01
HUD_USER_SAFMR
zip 22901
payment standard 110
2
$2,134
2025-10-01
HUD_USER_SAFMR
zip 22901
payment standard 90
2
$1,746
2025-10-01
HUD_USER_SAFMR
zip 22901
safmr
2
$1,940
2025-10-01
HUD_USER_SAFMR
zip 22901
payment standard 110
3
$2,596
2025-10-01
HUD_USER_SAFMR
zip 22901
payment standard 90
3
$2,124
2025-10-01
HUD_USER_SAFMR
zip 22901
safmr
3
$2,360
2025-10-01
HUD_USER_SAFMR
zip 22901
payment standard 110
4
$3,190
2025-10-01
HUD_USER_SAFMR
zip 22901
payment standard 90
4
$2,610
2025-10-01
HUD_USER_SAFMR
zip 22901
safmr
4
$2,900
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.