Reads as: riskier than 49.5% 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.
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
NY median
National median
National p25–p75
Total nurse
2.97
3.33
3.28
2.90–3.77
RN
0.82
0.43
0.39
0.25–0.58
Weekend total
2.83
3.03
3.11
—
Weekday total
3.02
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
267.6
2.97
0.82
0.33
1.82
2.83
0.0%
2025Q3
92
270.8
2.98
0.81
0.32
1.85
2.76
0.0%
2025Q2
91
276.6
3.06
0.84
0.33
1.90
2.93
0.0%
2025Q1
90
286.9
3.07
0.78
0.35
1.94
2.87
0.1%
2024Q4
92
293.2
2.97
0.79
0.34
1.83
2.78
1.4%
2024Q3
92
295.2
2.94
0.79
0.35
1.81
2.68
0.6%
2024Q2
91
297.1
3.00
0.78
0.34
1.88
2.74
0.7%
2024Q1
91
299.1
3.04
0.75
0.36
1.93
2.82
1.5%
2023Q4
92
295.9
3.03
0.78
0.36
1.89
2.79
2.6%
2023Q3
92
296.4
3.00
0.77
0.35
1.88
2.81
1.7%
2023Q2
91
297.7
3.03
0.78
0.32
1.93
2.81
1.9%
2023Q1
90
299.9
3.02
0.73
0.36
1.93
2.80
3.2%
2022Q4
92
295.5
3.02
0.73
0.34
1.95
2.81
2.5%
2022Q3
92
294.9
3.13
0.75
0.35
2.03
2.85
8.9%
2022Q2
91
293.4
3.12
0.77
0.35
2.00
2.78
8.9%
2022Q1
90
290.9
3.03
0.74
0.37
1.92
2.70
8.4%
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
11
D × 9G × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-25
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2026-05-01
2026-03-25
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
D
2026-05-01
2026-03-25
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2026-05-01
2026-03-25
Health · complaint
F0710
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
G
2026-05-01
2025-03-12
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-04-03
2025-01-27
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-03-19
2024-08-08
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-09-16
2024-08-08
Health
F0637
Assess the resident when there is a significant change in condition
D
2024-09-16
2024-08-08
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2024-09-16
2019-10-09
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2019-11-22
2019-10-09
Health
F0641
Ensure each resident receives an accurate assessment.
D
2019-11-22
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
61
Owner
Role
Pct
From
Status
Source
ALBERTO, THOMAS
CORPORATE DIRECTOR
—
2014-05-01
current
pecos_ownership
AUGUSTINE, GEMMA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-02
current
pecos_ownership
BUJNO, STEPHEN
CORPORATE DIRECTOR
—
2024-01-02
current
pecos_ownership
CAHILL, JOHN
CORPORATE DIRECTOR
—
2024-01-02
current
pecos_ownership
CATHOLIC HEALTH CARE SYSTEMS
OPERATIONAL/MANAGERIAL CONTROL
—
2009-12-08
current
pecos_ownership
CORTES, TARA
CORPORATE DIRECTOR
—
2014-05-01
current
pecos_ownership
COVONE, ANNMARIE
CORPORATE OFFICER
—
2019-04-04
current
pecos_ownership
COVONE, ANNMARIE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-02
current
pecos_ownership
ESPOSITO, GINA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-02
current
pecos_ownership
ESPOSITO, GINA
ADP OF THE SNF
—
2025-02-18
current
pecos_ownership
FAHEY, THOMAS
CORPORATE DIRECTOR
—
2014-05-01
current
pecos_ownership
FELDMANN, ERIC
CORPORATE DIRECTOR
—
2014-05-01
current
pecos_ownership
GLEASON, JOHN
CORPORATE DIRECTOR
—
2024-01-02
current
pecos_ownership
GRAY, KAREN
CORPORATE DIRECTOR
—
2024-01-02
current
pecos_ownership
JOHNSON, CLARION
CORPORATE DIRECTOR
—
2024-01-02
current
pecos_ownership
KASERGRANDE, LESLIE
CORPORATE DIRECTOR
—
2024-01-02
current
pecos_ownership
KELLEHER, RORY
CORPORATE DIRECTOR
—
2009-12-08
current
pecos_ownership
LAMORTE, JOSEPH
CORPORATE DIRECTOR
—
2024-01-02
current
pecos_ownership
LARUE, SCOTT
CORPORATE OFFICER
—
2019-04-04
current
pecos_ownership
LARUE, SCOTT
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-02
current
pecos_ownership
O'BRIEN, THOMAS
CORPORATE DIRECTOR
—
2009-12-08
current
pecos_ownership
PARK, RICHARD
CORPORATE DIRECTOR
—
2024-01-02
current
pecos_ownership
ROBERTI, CYNTHIA
CORPORATE DIRECTOR
—
2024-01-02
current
pecos_ownership
ROONEY, KATHRYN
CORPORATE DIRECTOR
—
2014-05-01
current
pecos_ownership
SAPORITO, JOSEPH
CORPORATE DIRECTOR
—
2024-01-02
current
pecos_ownership
SERBAROLI, FRANK
CORPORATE DIRECTOR
—
2009-12-08
current
pecos_ownership
SWEENEY, GERALD
CORPORATE DIRECTOR
—
2014-05-01
current
pecos_ownership
TIRADO, MIGUEL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-02
current
pecos_ownership
TIRADO, MIGUEL
ADP OF THE SNF
—
2025-02-18
current
pecos_ownership
TOOKER, PATRICIA
CORPORATE DIRECTOR
—
2024-01-02
current
pecos_ownership
WHISTON, WILLIAM
CORPORATE DIRECTOR
—
2024-01-02
current
pecos_ownership
ANNMARIE COVONE
CORPORATE OFFICER
—
2019-04-04
ended 2026-05-18
pecos_ownership
ANNMARIE COVONE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-02
ended 2026-05-18
pecos_ownership
CLARION JOHNSON
CORPORATE DIRECTOR
—
2024-01-02
ended 2026-05-18
pecos_ownership
CYNTHIA ROBERTI
CORPORATE DIRECTOR
—
2024-01-02
ended 2026-05-18
pecos_ownership
ERIC FELDMANN
CORPORATE DIRECTOR
—
2014-05-01
ended 2026-05-18
pecos_ownership
FRANK SERBAROLI
CORPORATE DIRECTOR
—
2009-12-08
ended 2026-05-18
pecos_ownership
GEMMA AUGUSTINE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-02
ended 2026-05-18
pecos_ownership
GERALD SWEENEY
CORPORATE DIRECTOR
—
2014-05-01
ended 2026-05-18
pecos_ownership
GINA ESPOSITO
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-02
ended 2026-05-18
pecos_ownership
GINA ESPOSITO
ADP OF THE SNF
—
2025-02-18
ended 2026-05-18
pecos_ownership
JOHN CAHILL
CORPORATE DIRECTOR
—
2024-01-02
ended 2026-05-18
pecos_ownership
JOHN GLEASON
CORPORATE DIRECTOR
—
2024-01-02
ended 2026-05-18
pecos_ownership
JOSEPH LAMORTE
CORPORATE DIRECTOR
—
2024-01-02
ended 2026-05-18
pecos_ownership
JOSEPH SAPORITO
CORPORATE DIRECTOR
—
2024-01-02
ended 2026-05-18
pecos_ownership
KAREN GRAY
CORPORATE DIRECTOR
—
2024-01-02
ended 2026-05-18
pecos_ownership
KATHRYN ROONEY
CORPORATE DIRECTOR
—
2014-05-01
ended 2026-05-18
pecos_ownership
LESLIE KASERGRANDE
CORPORATE DIRECTOR
—
2024-01-02
ended 2026-05-18
pecos_ownership
MIGUEL TIRADO
ADP OF THE SNF
—
2025-02-18
ended 2026-05-18
pecos_ownership
MIGUEL TIRADO
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-02
ended 2026-05-18
pecos_ownership
PATRICIA TOOKER
CORPORATE DIRECTOR
—
2024-01-02
ended 2026-05-18
pecos_ownership
RICHARD PARK
CORPORATE DIRECTOR
—
2024-01-02
ended 2026-05-18
pecos_ownership
RORY KELLEHER
CORPORATE DIRECTOR
—
2009-12-08
ended 2026-05-18
pecos_ownership
SCOTT LARUE
CORPORATE OFFICER
—
2019-04-04
ended 2026-05-18
pecos_ownership
SCOTT LARUE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-02
ended 2026-05-18
pecos_ownership
STEPHEN BUJNO
CORPORATE DIRECTOR
—
2024-01-02
ended 2026-05-18
pecos_ownership
TARA CORTES
CORPORATE DIRECTOR
—
2014-05-01
ended 2026-05-18
pecos_ownership
THOMAS ALBERTO
CORPORATE DIRECTOR
—
2014-05-01
ended 2026-05-18
pecos_ownership
THOMAS FAHEY
CORPORATE DIRECTOR
—
2014-05-01
ended 2026-05-18
pecos_ownership
THOMAS O'BRIEN
CORPORATE DIRECTOR
—
2009-12-08
ended 2026-05-18
pecos_ownership
WILLIAM WHISTON
CORPORATE DIRECTOR
—
2024-01-02
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
$2,742,528
—
—
—
—
1
—
2023-12-31
$2,408,168
—
—
—
—
1
—
2022-12-31
$2,459,969
—
—
—
—
1
—
2021-12-31
$2,356,190
—
—
—
—
1
—
2020-12-31
$2,234,434
—
—
—
—
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 36085
acs median gross
0
$1,315
2024-12-31
CENSUS_ACS5
county 36085
fmr
0
$2,529
2025-10-01
HUD_USER_FMR
county 36085
acs median gross
1
$1,475
2024-12-31
CENSUS_ACS5
county 36085
fmr
1
$2,655
2025-10-01
HUD_USER_FMR
county 36085
acs median gross
2
$1,782
2024-12-31
CENSUS_ACS5
county 36085
fmr
2
$2,910
2025-10-01
HUD_USER_FMR
county 36085
acs median gross
3
$2,277
2024-12-31
CENSUS_ACS5
county 36085
fmr
3
$3,644
2025-10-01
HUD_USER_FMR
county 36085
acs median gross
4
$2,520
2024-12-31
CENSUS_ACS5
county 36085
fmr
4
$3,959
2025-10-01
HUD_USER_FMR
county 36085
acs median gross
5
$2,364
2024-12-31
CENSUS_ACS5
county 36085
acs median gross
$1,733
2024-12-31
CENSUS_ACS5
county 36085
acs recent mover gross
$2,132
2024-12-31
CENSUS_ACS5
zcta 10304
acs median gross
0
$1,389
2024-12-31
CENSUS_ACS5
zcta 10304
acs median gross
1
$1,078
2024-12-31
CENSUS_ACS5
zcta 10304
acs median gross
2
$1,545
2024-12-31
CENSUS_ACS5
zcta 10304
acs median gross
3
$1,848
2024-12-31
CENSUS_ACS5
zcta 10304
acs median gross
4
$3,015
2024-12-31
CENSUS_ACS5
zcta 10304
acs median gross
5
$2,558
2024-12-31
CENSUS_ACS5
zcta 10304
acs median gross
$1,500
2024-12-31
CENSUS_ACS5
zcta 10304
acs recent mover gross
$1,891
2024-12-31
CENSUS_ACS5
zip 10304
payment standard 110
0
$2,519
2025-10-01
HUD_USER_SAFMR
zip 10304
payment standard 90
0
$2,061
2025-10-01
HUD_USER_SAFMR
zip 10304
safmr
0
$2,290
2025-10-01
HUD_USER_SAFMR
zip 10304
payment standard 110
1
$2,651
2025-10-01
HUD_USER_SAFMR
zip 10304
payment standard 90
1
$2,169
2025-10-01
HUD_USER_SAFMR
zip 10304
safmr
1
$2,410
2025-10-01
HUD_USER_SAFMR
zip 10304
payment standard 110
2
$2,904
2025-10-01
HUD_USER_SAFMR
zip 10304
payment standard 90
2
$2,376
2025-10-01
HUD_USER_SAFMR
zip 10304
safmr
2
$2,640
2025-10-01
HUD_USER_SAFMR
zip 10304
payment standard 110
3
$3,641
2025-10-01
HUD_USER_SAFMR
zip 10304
payment standard 90
3
$2,979
2025-10-01
HUD_USER_SAFMR
zip 10304
safmr
3
$3,310
2025-10-01
HUD_USER_SAFMR
zip 10304
payment standard 110
4
$3,949
2025-10-01
HUD_USER_SAFMR
zip 10304
payment standard 90
4
$3,231
2025-10-01
HUD_USER_SAFMR
zip 10304
safmr
4
$3,590
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.