Reads as: riskier than 13.7% 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
CT median
National median
National p25–p75
Total nurse
3.83
3.46
3.28
2.90–3.77
RN
0.50
0.40
0.39
0.25–0.58
Weekend total
3.61
3.25
3.11
—
Weekday total
3.92
3.51
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
109.1
3.83
0.50
1.05
2.27
3.61
0.0%
2025Q3
92
112.6
3.79
0.60
0.99
2.20
3.55
0.0%
2025Q2
91
119.2
3.43
0.46
0.90
2.07
3.31
0.0%
2025Q1
90
113.5
2.93
0.00
0.86
2.07
2.85
0.0%
2024Q4
92
110.4
3.03
0.00
0.88
2.16
2.90
4.5%
2024Q3
92
112.1
3.25
0.42
0.88
1.95
3.02
8.5%
2024Q2
91
109.9
3.47
0.44
0.90
2.12
3.35
12.4%
2024Q1
91
108.0
2.73
0.00
0.82
1.92
2.49
5.9%
2023Q4
92
105.8
3.41
0.28
0.95
2.17
3.20
12.3%
2023Q3
92
99.8
3.62
0.48
0.85
2.29
3.50
13.3%
2023Q2
91
99.4
3.50
0.45
0.89
2.16
3.40
8.5%
2023Q1
90
98.3
3.42
0.44
0.85
2.13
3.27
7.1%
2022Q4
92
96.9
3.40
0.42
0.88
2.10
3.34
3.5%
2022Q3
92
88.3
3.45
0.45
0.91
2.10
3.23
0.0%
2022Q2
91
82.6
3.45
0.51
0.82
2.12
3.33
0.0%
2022Q1
90
80.7
3.54
0.54
0.85
2.15
3.36
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
28
B × 2D × 22E × 4
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-08
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2026-03-13
2025-07-22
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2025-08-29
2025-07-22
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-08-29
2025-07-22
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2025-08-29
2025-07-22
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-08-29
2025-07-22
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
2025-08-29
2025-07-22
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-08-29
2025-07-22
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-08-29
2024-05-09
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-06-07
2023-09-26
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-11-02
2023-09-26
Health
F0578
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.
D
2023-11-02
2023-09-26
Health
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.
E
2023-11-07
2023-09-26
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-10-27
2023-09-26
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-10-27
2023-09-26
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
B
2023-09-26
2023-09-26
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
2023-11-02
2023-09-26
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
2023-11-02
2023-09-26
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-11-02
2023-09-26
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-11-02
2023-09-26
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-11-02
2023-09-26
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2023-11-02
2023-09-26
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2023-11-02
2023-09-26
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
2023-11-02
2023-09-26
Health
F0810
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
D
2023-11-02
2023-09-26
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-11-02
2023-09-26
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
B
2023-11-02
2021-08-10
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2021-09-04
2021-08-10
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2021-09-04
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
24
Owner
Role
Pct
From
Status
Source
CT6 OPCO HOLDCO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-10-01
current
pecos_ownership
710 LONG RIDGE LLC
ADP OF THE SNF
—
2025-01-10
current
pecos_ownership
710 LONG RIDGE LLC
5% OR GREATER MORTGAGE INTEREST
—
2024-10-01
current
pecos_ownership
ANTIPUESTO, CRIS
ADP OF THE SNF
—
2025-01-10
current
pecos_ownership
ANTIPUESTO, CRIS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
current
pecos_ownership
CT6 PROPCO HOLDCO LLC
ADP OF THE SNF
—
2025-01-10
current
pecos_ownership
ESNH LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-10-01
current
pecos_ownership
ESNH LLC
ADP OF THE SNF
—
2025-01-15
current
pecos_ownership
EVERFLOW HEALTHCARE LLC
ADP OF THE SNF
—
2025-01-10
current
pecos_ownership
FRIEDMAN, SAMUEL
ADP OF THE SNF
—
2024-10-01
current
pecos_ownership
FUSCO, MICHAEL
ADP OF THE SNF
—
2025-01-10
current
pecos_ownership
JPNH LLC
ADP OF THE SNF
—
2025-01-15
current
pecos_ownership
JPNH LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-10-01
current
pecos_ownership
PEPPER, YEHUDA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-10-01
current
pecos_ownership
SCHWARCZ, ELLIOT
5% OR GREATER MORTGAGE INTEREST
—
2024-10-01
current
pecos_ownership
SFNH LLC
ADP OF THE SNF
—
2025-01-10
current
pecos_ownership
TEMPLER, DAVID
ADP OF THE SNF
—
2024-10-01
current
pecos_ownership
ELLIOT SCHWARCZ
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2024-10-01
ended 2026-05-18
pecos_ownership
YEHUDA PEPPER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2024-10-01
ended 2026-05-18
pecos_ownership
CRIS ANTIPUESTO
ADP OF THE SNF
—
2025-01-10
ended 2026-05-18
pecos_ownership
CRIS ANTIPUESTO
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
ended 2026-05-18
pecos_ownership
DAVID TEMPLER
ADP OF THE SNF
—
2024-10-01
ended 2026-05-18
pecos_ownership
MICHAEL FUSCO
ADP OF THE SNF
—
2025-01-10
ended 2026-05-18
pecos_ownership
SAMUEL FRIEDMAN
ADP OF THE SNF
—
2024-10-01
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
4
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-09-30
$124,025
—
—
—
—
1
—
2023-12-31
$269,347
—
—
—
—
1
—
2022-12-31
$356,830
—
—
—
—
1
—
2020-12-31
$276,200
—
—
$11,696
$78,948
6
—
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
30
Geo
Kind
BR
Amount
As of
Source
county 09190
acs median gross
0
$1,351
2024-12-31
CENSUS_ACS5
county 09190
acs median gross
1
$1,863
2024-12-31
CENSUS_ACS5
county 09190
acs median gross
2
$2,221
2024-12-31
CENSUS_ACS5
county 09190
acs median gross
3
$2,425
2024-12-31
CENSUS_ACS5
county 09190
acs median gross
4
$3,163
2024-12-31
CENSUS_ACS5
county 09190
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
county 09190
acs median gross
$2,110
2024-12-31
CENSUS_ACS5
county 09190
acs recent mover gross
$2,374
2024-12-31
CENSUS_ACS5
zcta 06902
acs median gross
0
$1,489
2024-12-31
CENSUS_ACS5
zcta 06902
acs median gross
1
$2,257
2024-12-31
CENSUS_ACS5
zcta 06902
acs median gross
2
$2,226
2024-12-31
CENSUS_ACS5
zcta 06902
acs median gross
3
$2,383
2024-12-31
CENSUS_ACS5
zcta 06902
acs median gross
4
$2,457
2024-12-31
CENSUS_ACS5
zcta 06902
acs median gross
$2,194
2024-12-31
CENSUS_ACS5
zcta 06902
acs recent mover gross
$2,875
2024-12-31
CENSUS_ACS5
zip 06902
payment standard 110
0
$2,189
2025-10-01
HUD_USER_SAFMR
zip 06902
payment standard 90
0
$1,791
2025-10-01
HUD_USER_SAFMR
zip 06902
safmr
0
$1,990
2025-10-01
HUD_USER_SAFMR
zip 06902
payment standard 110
1
$2,662
2025-10-01
HUD_USER_SAFMR
zip 06902
payment standard 90
1
$2,178
2025-10-01
HUD_USER_SAFMR
zip 06902
safmr
1
$2,420
2025-10-01
HUD_USER_SAFMR
zip 06902
payment standard 110
2
$3,179
2025-10-01
HUD_USER_SAFMR
zip 06902
payment standard 90
2
$2,601
2025-10-01
HUD_USER_SAFMR
zip 06902
safmr
2
$2,890
2025-10-01
HUD_USER_SAFMR
zip 06902
payment standard 110
3
$3,839
2025-10-01
HUD_USER_SAFMR
zip 06902
payment standard 90
3
$3,141
2025-10-01
HUD_USER_SAFMR
zip 06902
safmr
3
$3,490
2025-10-01
HUD_USER_SAFMR
zip 06902
payment standard 110
4
$4,554
2025-10-01
HUD_USER_SAFMR
zip 06902
payment standard 90
4
$3,726
2025-10-01
HUD_USER_SAFMR
zip 06902
safmr
4
$4,140
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.