Reads as: riskier than 71.9% 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 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
MN median
National median
National p25–p75
Total nurse
2.88
3.49
3.28
2.90–3.77
RN
0.65
0.65
0.39
0.25–0.58
Weekend total
2.83
3.32
3.11
—
Weekday total
2.90
3.59
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
35.4
2.88
0.65
0.50
1.72
2.83
11.9%
2025Q3
92
33.6
3.08
0.75
0.49
1.84
3.06
8.1%
2025Q2
91
32.3
3.13
0.69
0.56
1.89
3.21
11.4%
2025Q1
90
33.2
2.74
0.47
0.54
1.73
2.82
10.9%
2024Q4
92
31.3
2.85
0.68
0.30
1.87
2.76
1.1%
2024Q3
92
30.5
2.44
0.51
0.42
1.51
2.27
0.0%
2024Q2
91
31.4
2.52
0.33
0.51
1.68
2.40
0.0%
2024Q1
91
29.9
2.37
0.14
0.66
1.56
2.32
0.0%
2023Q4
92
29.3
2.30
0.29
0.53
1.48
2.30
0.0%
2023Q3
92
31.3
2.36
0.23
0.55
1.58
2.30
0.0%
2023Q2
91
28.9
2.57
0.35
0.40
1.82
2.60
0.0%
2023Q1
90
27.1
2.57
0.52
0.31
1.74
2.67
0.0%
2022Q4
92
25.1
2.64
0.62
0.33
1.69
2.65
0.0%
2022Q3
92
22.4
2.60
0.65
0.42
1.52
2.43
0.0%
2022Q2
91
16.7
3.49
0.82
0.48
2.19
3.47
0.0%
2022Q1
90
20.9
3.27
0.69
0.44
2.14
3.31
5.7%
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.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-12-12
2025-11-19
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-12-12
2025-11-19
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-12-12
2025-01-09
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2025-01-24
2024-10-25
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-11-13
2024-10-16
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2024-10-23
2024-01-04
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2024-02-06
2024-01-04
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2024-02-06
2024-01-04
Health
F0610
Respond appropriately to all alleged violations.
D
2024-02-06
2024-01-04
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2024-02-06
2024-01-04
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
G
2024-02-06
2024-01-04
Health
F0732
Post nurse staffing information every day.
C
2024-02-06
2024-01-04
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-02-06
2024-01-04
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2024-02-06
2024-01-04
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-02-06
2024-01-04
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2024-02-06
2024-01-04
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2024-02-06
2024-01-04
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
2024-02-06
2023-11-29
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-01-05
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
14
Owner
Role
Pct
From
Status
Source
HALPERT, MARC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
2017-03-01
current
pecos_ownership
LEGUM, JOSHUA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
2017-03-01
current
pecos_ownership
SPARTAN HEALTHCARE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
30%
2017-03-01
current
pecos_ownership
YAZOMA HOLDINGS, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
30%
2017-03-01
current
pecos_ownership
STERN, WILLIAM
5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
2017-03-01
current
pecos_ownership
AREM, JEFFREY
5% OR GREATER DIRECT OWNERSHIP INTEREST
7%
2017-03-01
current
pecos_ownership
JAFFA, NOAM
5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
2017-03-01
current
pecos_ownership
NIJ LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
7%
2017-03-01
current
pecos_ownership
MONARCH HEALTHCARE OPERATING IV LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2017-03-01
current
pecos_ownership
JOSHUA LEGUM
5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
2017-03-01
ended 2026-05-18
pecos_ownership
MARC HALPERT
CORPORATE DIRECTOR
30%
2017-03-01
ended 2026-05-18
pecos_ownership
WILLIAM STERN
CORPORATE OFFICER
20%
2017-03-01
ended 2026-05-18
pecos_ownership
NOAM JAFFA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
2017-03-01
ended 2026-05-18
pecos_ownership
JEFFREY AREM
5% OR GREATER DIRECT OWNERSHIP INTEREST
7%
2017-03-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$485,751
—
—
—
$16,500
4
—
2023-12-31
$641,163
—
—
$278,492
—
3
—
2022-12-31
$617,734
—
—
$267,973
—
4
—
2021-12-31
$516,723
—
—
$263,581
—
3
—
2020-12-31
$592,167
—
—
$307,543
—
3
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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
34
Geo
Kind
BR
Amount
As of
Source
county 27171
acs median gross
0
$961
2024-12-31
CENSUS_ACS5
county 27171
fmr
0
$1,242
2025-10-01
HUD_USER_FMR
county 27171
acs median gross
1
$967
2024-12-31
CENSUS_ACS5
county 27171
fmr
1
$1,405
2025-10-01
HUD_USER_FMR
county 27171
acs median gross
2
$1,207
2024-12-31
CENSUS_ACS5
county 27171
fmr
2
$1,709
2025-10-01
HUD_USER_FMR
county 27171
acs median gross
3
$1,689
2024-12-31
CENSUS_ACS5
county 27171
fmr
3
$2,262
2025-10-01
HUD_USER_FMR
county 27171
acs median gross
4
$1,978
2024-12-31
CENSUS_ACS5
county 27171
fmr
4
$2,531
2025-10-01
HUD_USER_FMR
county 27171
acs median gross
5
$2,817
2024-12-31
CENSUS_ACS5
county 27171
acs median gross
$1,288
2024-12-31
CENSUS_ACS5
county 27171
acs recent mover gross
$1,372
2024-12-31
CENSUS_ACS5
zcta 55328
acs median gross
1
$669
2024-12-31
CENSUS_ACS5
zcta 55328
acs median gross
2
$1,028
2024-12-31
CENSUS_ACS5
zcta 55328
acs median gross
3
$2,260
2024-12-31
CENSUS_ACS5
zcta 55328
acs median gross
4
$1,957
2024-12-31
CENSUS_ACS5
zcta 55328
acs median gross
$973
2024-12-31
CENSUS_ACS5
zcta 55328
acs recent mover gross
$1,850
2024-12-31
CENSUS_ACS5
zip 55328
payment standard 110
0
$1,210
2025-10-01
HUD_USER_SAFMR
zip 55328
payment standard 90
0
$990
2025-10-01
HUD_USER_SAFMR
zip 55328
safmr
0
$1,100
2025-10-01
HUD_USER_SAFMR
zip 55328
payment standard 110
1
$1,375
2025-10-01
HUD_USER_SAFMR
zip 55328
payment standard 90
1
$1,125
2025-10-01
HUD_USER_SAFMR
zip 55328
safmr
1
$1,250
2025-10-01
HUD_USER_SAFMR
zip 55328
payment standard 110
2
$1,672
2025-10-01
HUD_USER_SAFMR
zip 55328
payment standard 90
2
$1,368
2025-10-01
HUD_USER_SAFMR
zip 55328
safmr
2
$1,520
2025-10-01
HUD_USER_SAFMR
zip 55328
payment standard 110
3
$2,222
2025-10-01
HUD_USER_SAFMR
zip 55328
payment standard 90
3
$1,818
2025-10-01
HUD_USER_SAFMR
zip 55328
safmr
3
$2,020
2025-10-01
HUD_USER_SAFMR
zip 55328
payment standard 110
4
$2,497
2025-10-01
HUD_USER_SAFMR
zip 55328
payment standard 90
4
$2,043
2025-10-01
HUD_USER_SAFMR
zip 55328
safmr
4
$2,270
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.