Reads as: riskier than 16.8% 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 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
PA median
National median
National p25–p75
Total nurse
5.38
3.38
3.28
2.90–3.77
RN
3.06
0.45
0.39
0.25–0.58
Weekend total
5.13
3.27
3.11
—
Weekday total
5.48
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
14.7
5.38
3.06
0.01
2.31
5.13
0.0%
2025Q3
92
10.4
6.90
4.07
0.00
2.83
6.89
0.0%
2025Q2
91
11.7
6.41
3.94
0.00
2.47
6.09
0.0%
2025Q1
90
13.9
6.04
3.46
0.01
2.57
5.85
0.0%
2024Q4
92
16.3
5.50
3.02
0.00
2.48
5.43
0.0%
2024Q3
92
18.2
5.01
2.61
0.01
2.39
4.66
0.0%
2024Q2
91
18.8
4.84
2.54
0.00
2.29
4.43
0.0%
2024Q1
91
20.2
4.72
2.49
0.00
2.23
4.50
0.0%
2023Q4
92
16.0
5.41
3.01
0.00
2.40
5.37
0.0%
2023Q3
92
17.5
4.89
2.74
0.00
2.16
4.95
0.0%
2023Q2
91
16.0
4.60
2.91
0.00
1.69
4.40
0.0%
2023Q1
90
16.7
4.85
3.04
0.00
1.81
4.43
0.0%
2022Q4
92
15.8
5.30
3.19
0.00
2.12
4.79
0.0%
2022Q3
92
16.1
5.55
2.93
0.00
2.62
5.56
0.0%
2022Q2
91
18.4
4.78
2.50
0.00
2.27
4.32
0.0%
2022Q1
90
16.9
5.22
2.94
0.00
2.27
4.68
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.
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.
E
2025-05-16
2025-03-20
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-05-16
2025-03-20
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2025-05-16
2025-03-20
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-05-16
2023-07-27
Health
F0622
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
D
2023-09-25
2023-07-27
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
E
2023-09-25
2023-07-27
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-09-25
2023-07-27
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-09-25
2023-07-27
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
2023-09-25
2023-07-27
Health
F0836
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
D
2023-09-25
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
44
Owner
Role
Pct
From
Status
Source
TRINITY HEALTH OF THE MID-ATLANTIC REGION
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2013-05-01
current
pecos_ownership
BROMBERG, TALYANA
CORPORATE DIRECTOR
—
2019-07-01
current
pecos_ownership
BRUCKER, MARK
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
BUCKLEY, BARBARA
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
CALOPE, MICHELLE
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
CUMMINGS, KIMBERLY
CORPORATE OFFICER
—
2023-01-01
current
pecos_ownership
DEIGNAN, MARTINA
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
FONTANILLA, HIRAL
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
GORDON, VINCENT
CORPORATE DIRECTOR
—
2022-08-01
current
pecos_ownership
GORDON, VINCENT
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
GRACE, MARIANNE
CORPORATE DIRECTOR
—
2022-08-01
current
pecos_ownership
JOHNSON, REBECCA
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
KAPUR, SHAILA
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
KAPUR, SHAILA
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
KEEGAN, JULIA
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
KILPINEN, STUART
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-10
current
pecos_ownership
MAGRO, MICHAEL
CORPORATE OFFICER
—
2021-06-24
current
pecos_ownership
MIKUS, CATHERINE
CORPORATE OFFICER
—
2021-07-01
current
pecos_ownership
MONIHAN, JAMES
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
WAJDA, DAVID
W-2 MANAGING EMPLOYEE
—
2022-01-01
current
pecos_ownership
WASHINGTON, JULIE
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
WOODWARD, JAMES
CORPORATE OFFICER
—
2019-07-01
current
pecos_ownership
TRINITY HEALTH CORPORATION
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2019-07-01
ended 2026-05-18
pecos_ownership
BARBARA BUCKLEY
CORPORATE DIRECTOR
0%
2022-01-01
ended 2026-05-18
pecos_ownership
CATHERINE MIKUS
CORPORATE OFFICER
0%
2021-07-01
ended 2026-05-18
pecos_ownership
DAVID WAJDA
W-2 MANAGING EMPLOYEE
0%
2022-01-01
ended 2026-05-18
pecos_ownership
HIRAL FONTANILLA
CORPORATE DIRECTOR
0%
2022-01-01
ended 2026-05-18
pecos_ownership
JAMES MONIHAN
CORPORATE DIRECTOR
0%
2022-01-01
ended 2026-05-18
pecos_ownership
JAMES WOODWARD
CORPORATE OFFICER
0%
2019-07-01
ended 2026-05-18
pecos_ownership
JULIA KEEGAN
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
JULIE WASHINGTON
CORPORATE DIRECTOR
0%
2022-01-01
ended 2026-05-18
pecos_ownership
KIMBERLY CUMMINGS
CORPORATE OFFICER
0%
2023-01-01
ended 2026-05-18
pecos_ownership
MARIANNE GRACE
CORPORATE DIRECTOR
0%
2022-08-01
ended 2026-05-18
pecos_ownership
MARK BRUCKER
CORPORATE DIRECTOR
0%
2022-01-01
ended 2026-05-18
pecos_ownership
MARTINA DEIGNAN
CORPORATE DIRECTOR
0%
2022-01-01
ended 2026-05-18
pecos_ownership
MICHAEL MAGRO
CORPORATE OFFICER
0%
2021-06-24
ended 2026-05-18
pecos_ownership
MICHELLE CALOPE
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
SHAILA KAPUR
CORPORATE DIRECTOR
0%
2022-01-01
ended 2026-05-18
pecos_ownership
SHAILA KAPUR
CORPORATE OFFICER
0%
2024-01-01
ended 2026-05-18
pecos_ownership
STUART KILPINEN
OPERATIONAL/MANAGERIAL CONTROL
0%
2023-06-10
ended 2026-05-18
pecos_ownership
VINCENT GORDON
CORPORATE OFFICER
0%
2024-01-01
ended 2026-05-18
pecos_ownership
VINCENT GORDON
CORPORATE DIRECTOR
0%
2022-08-01
ended 2026-05-18
pecos_ownership
REBECCA JOHNSON
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
TALYANA BROMBERG
CORPORATE DIRECTOR
—
2019-07-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
33
Geo
Kind
BR
Amount
As of
Source
county 42101
acs median gross
0
$1,186
2024-12-31
CENSUS_ACS5
county 42101
fmr
0
$1,397
2025-10-01
HUD_USER_FMR
county 42101
acs median gross
1
$1,242
2024-12-31
CENSUS_ACS5
county 42101
fmr
1
$1,520
2025-10-01
HUD_USER_FMR
county 42101
acs median gross
2
$1,471
2024-12-31
CENSUS_ACS5
county 42101
fmr
2
$1,810
2025-10-01
HUD_USER_FMR
county 42101
acs median gross
3
$1,492
2024-12-31
CENSUS_ACS5
county 42101
fmr
3
$2,170
2025-10-01
HUD_USER_FMR
county 42101
acs median gross
4
$1,687
2024-12-31
CENSUS_ACS5
county 42101
fmr
4
$2,423
2025-10-01
HUD_USER_FMR
county 42101
acs median gross
5
$1,534
2024-12-31
CENSUS_ACS5
county 42101
acs median gross
$1,397
2024-12-31
CENSUS_ACS5
county 42101
acs recent mover gross
$1,644
2024-12-31
CENSUS_ACS5
zcta 19152
acs median gross
1
$1,135
2024-12-31
CENSUS_ACS5
zcta 19152
acs median gross
2
$1,337
2024-12-31
CENSUS_ACS5
zcta 19152
acs median gross
3
$1,813
2024-12-31
CENSUS_ACS5
zcta 19152
acs median gross
$1,358
2024-12-31
CENSUS_ACS5
zcta 19152
acs recent mover gross
$1,588
2024-12-31
CENSUS_ACS5
zip 19152
payment standard 110
0
$1,375
2025-10-01
HUD_USER_SAFMR
zip 19152
payment standard 90
0
$1,125
2025-10-01
HUD_USER_SAFMR
zip 19152
safmr
0
$1,250
2025-10-01
HUD_USER_SAFMR
zip 19152
payment standard 110
1
$1,496
2025-10-01
HUD_USER_SAFMR
zip 19152
payment standard 90
1
$1,224
2025-10-01
HUD_USER_SAFMR
zip 19152
safmr
1
$1,360
2025-10-01
HUD_USER_SAFMR
zip 19152
payment standard 110
2
$1,782
2025-10-01
HUD_USER_SAFMR
zip 19152
payment standard 90
2
$1,458
2025-10-01
HUD_USER_SAFMR
zip 19152
safmr
2
$1,620
2025-10-01
HUD_USER_SAFMR
zip 19152
payment standard 110
3
$2,134
2025-10-01
HUD_USER_SAFMR
zip 19152
payment standard 90
3
$1,746
2025-10-01
HUD_USER_SAFMR
zip 19152
safmr
3
$1,940
2025-10-01
HUD_USER_SAFMR
zip 19152
payment standard 110
4
$2,387
2025-10-01
HUD_USER_SAFMR
zip 19152
payment standard 90
4
$1,953
2025-10-01
HUD_USER_SAFMR
zip 19152
safmr
4
$2,170
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.