Reads as: riskier than 35.1% 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 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
15
2025Q4 HPRD
This facility
VA median
National median
National p25–p75
Total nurse
3.58
3.13
3.28
2.90–3.77
RN
0.41
0.30
0.39
0.25–0.58
Weekend total
3.44
2.96
3.11
—
Weekday total
3.63
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
83.1
3.58
0.41
1.03
2.13
3.44
0.0%
2025Q3
92
81.9
3.44
0.26
1.20
1.98
3.25
0.0%
2025Q2
91
82.1
3.52
0.38
1.02
2.11
3.40
0.0%
2025Q1
90
79.4
3.60
0.30
1.18
2.13
3.60
0.0%
2024Q4
92
79.6
3.71
0.27
1.33
2.11
3.50
0.0%
2024Q3
92
81.5
3.52
0.29
1.16
2.07
3.30
0.0%
2024Q2
91
81.1
3.32
0.32
1.06
1.94
3.17
2.8%
2024Q1
91
80.0
3.19
0.22
1.10
1.87
3.18
3.8%
2023Q4
92
79.3
3.48
0.36
1.02
2.10
3.28
0.5%
2023Q3
92
72.3
3.80
0.47
1.09
2.24
3.70
0.6%
2023Q2
91
68.6
3.34
0.38
1.16
1.81
3.20
2.6%
2023Q1
90
59.5
3.77
0.35
1.29
2.12
3.63
0.0%
2022Q4
92
55.3
3.74
0.39
1.22
2.12
3.23
0.2%
2022Q3
92
42.1
3.33
0.45
1.10
1.79
3.00
0.0%
2022Q2
91
36.5
3.40
0.43
1.31
1.66
3.06
3.0%
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
33
C × 1D × 21E × 6F × 2G × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-05
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2026-03-27
2026-03-05
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
2026-03-27
2026-03-05
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2026-03-27
2026-03-05
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-03-27
2026-03-05
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.
D
2026-03-27
2026-03-05
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2026-03-27
2026-03-05
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-03-27
2026-03-05
Health
F0880
Provide and implement an infection prevention and control program.
E
2026-03-27
2026-03-05
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2026-03-27
2026-03-05
Health
F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
D
2026-03-27
2025-12-04
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.
E
2025-12-29
2025-12-04
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2025-12-29
2024-07-17
Health · complaint
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2024-10-17
2023-06-02
Health
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2023-07-06
2023-06-02
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.
G
2023-07-06
2023-06-02
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
2023-07-06
2023-06-02
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2023-07-06
2023-06-02
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-07-06
2023-06-02
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2023-07-06
2023-06-02
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
G
2023-07-06
2023-06-02
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2023-07-06
2023-06-02
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-07-06
2023-06-02
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2022-11-30
2023-06-02
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-07-06
2023-06-02
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
E
2023-07-06
2023-06-02
Health · complaint
F0713
Provide or arrange emergency care by a doctor 24 hours a day.
D
2023-07-06
2023-06-02
Health
F0732
Post nurse staffing information every day.
C
2023-07-06
2023-06-02
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-07-06
2023-06-02
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2023-07-06
2023-06-02
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2023-07-06
2022-01-12
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-01-21
2022-01-12
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F
2022-01-21
2022-01-12
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2022-01-21
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
31
Owner
Role
Pct
From
Status
Source
BEBARS, HOSAMELDIN
ADP OF THE SNF
—
2025-01-31
current
pecos_ownership
BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020)
INDIRECT OWNERSHIP INTEREST
—
2023-01-01
current
pecos_ownership
BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020)
ADP OF THE SNF
—
2023-11-01
current
pecos_ownership
BEREA RE GROUP, LLC
ADP OF THE SNF
—
2023-11-01
current
pecos_ownership
BNV DYNASTY LLC
INDIRECT OWNERSHIP INTEREST
—
2023-01-01
current
pecos_ownership
BNV DYNASTY LLC
ADP OF THE SNF
—
2023-11-01
current
pecos_ownership
CITRIN COOPERMAN ADVISORS LLC
ADP OF THE SNF
—
2021-11-15
current
pecos_ownership
DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020
ADP OF THE SNF
—
2023-11-01
current
pecos_ownership
DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020
INDIRECT OWNERSHIP INTEREST
—
2023-01-01
current
pecos_ownership
HOPKINS, JOSEPH
ADP OF THE SNF
—
2023-05-08
current
pecos_ownership
NICOLUZAKIS, GREGORY
CORPORATE OFFICER
—
2021-11-15
current
pecos_ownership
SABER GOVERNANCE LLC
ADP OF THE SNF
—
2021-11-15
current
pecos_ownership
SABER HEALTHCARE GROUP LLC
ADP OF THE SNF
—
2021-11-15
current
pecos_ownership
SABER HEALTHCARE HOLDINGS LLC
DIRECT OWNERSHIP INTEREST
—
2021-11-15
current
pecos_ownership
SHG MANAGEMENT LLC
ADP OF THE SNF
—
2021-11-15
current
pecos_ownership
VOLPE, BENJAMIN
ADP OF THE SNF
—
2021-11-15
current
pecos_ownership
WALKER & ASSOCIATES PC
ADP OF THE SNF
—
2021-11-15
current
pecos_ownership
WEISBERG, WILLIAM
CORPORATE DIRECTOR
—
2021-11-15
current
pecos_ownership
WEISBERG, WILLIAM
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-02-09
current
pecos_ownership
WIW DYNASTY LLC
ADP OF THE SNF
—
2023-11-01
current
pecos_ownership
WIW DYNASTY LLC
INDIRECT OWNERSHIP INTEREST
—
2023-01-01
current
pecos_ownership
DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020
5% OR GREATER INDIRECT OWNERSHIP INTEREST
78%
2021-11-15
ended 2026-05-18
pecos_ownership
BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020)
5% OR GREATER INDIRECT OWNERSHIP INTEREST
22%
2021-11-15
ended 2026-05-18
pecos_ownership
BNV DYNASTY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
22%
2021-11-15
ended 2026-05-18
pecos_ownership
BENJAMIN VOLPE
CORPORATE OFFICER
—
2021-11-15
ended 2026-05-18
pecos_ownership
CHAD ISABELLE
W-2 MANAGING EMPLOYEE
—
2021-11-15
ended 2026-05-18
pecos_ownership
GREGORY NICOLUZAKIS
CORPORATE OFFICER
—
2021-11-15
ended 2026-05-18
pecos_ownership
SHH HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-11-15
ended 2026-05-18
pecos_ownership
WILLIAM WEISBERG
CORPORATE OFFICER
—
2021-11-15
ended 2026-05-18
pecos_ownership
WIW DYNASTY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-11-15
ended 2026-05-18
pecos_ownership
WWBV HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-11-15
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
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,004,446
—
—
$563,299
$53,520
5
—
2023-12-31
$959,748
—
—
$595,616
$40,710
5
—
2022-12-31
$666,107
—
—
$464,514
$23,129
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
35
Geo
Kind
BR
Amount
As of
Source
county 51179
acs median gross
0
$1,138
2024-12-31
CENSUS_ACS5
county 51179
fmr
0
$1,953
2025-10-01
HUD_USER_FMR
county 51179
acs median gross
1
$1,736
2024-12-31
CENSUS_ACS5
county 51179
fmr
1
$2,015
2025-10-01
HUD_USER_FMR
county 51179
acs median gross
2
$1,848
2024-12-31
CENSUS_ACS5
county 51179
fmr
2
$2,246
2025-10-01
HUD_USER_FMR
county 51179
acs median gross
3
$2,100
2024-12-31
CENSUS_ACS5
county 51179
fmr
3
$2,835
2025-10-01
HUD_USER_FMR
county 51179
acs median gross
4
$2,609
2024-12-31
CENSUS_ACS5
county 51179
fmr
4
$3,332
2025-10-01
HUD_USER_FMR
county 51179
acs median gross
5
$2,976
2024-12-31
CENSUS_ACS5
county 51179
acs median gross
$2,020
2024-12-31
CENSUS_ACS5
county 51179
acs recent mover gross
$2,197
2024-12-31
CENSUS_ACS5
zcta 22406
acs median gross
0
$2,759
2024-12-31
CENSUS_ACS5
zcta 22406
acs median gross
1
$1,788
2024-12-31
CENSUS_ACS5
zcta 22406
acs median gross
2
$2,097
2024-12-31
CENSUS_ACS5
zcta 22406
acs median gross
3
$1,886
2024-12-31
CENSUS_ACS5
zcta 22406
acs median gross
4
$2,815
2024-12-31
CENSUS_ACS5
zcta 22406
acs median gross
$2,033
2024-12-31
CENSUS_ACS5
zcta 22406
acs recent mover gross
$2,220
2024-12-31
CENSUS_ACS5
zip 22406
payment standard 110
0
$1,947
2025-10-01
HUD_USER_SAFMR
zip 22406
payment standard 90
0
$1,593
2025-10-01
HUD_USER_SAFMR
zip 22406
safmr
0
$1,770
2025-10-01
HUD_USER_SAFMR
zip 22406
payment standard 110
1
$2,002
2025-10-01
HUD_USER_SAFMR
zip 22406
payment standard 90
1
$1,638
2025-10-01
HUD_USER_SAFMR
zip 22406
safmr
1
$1,820
2025-10-01
HUD_USER_SAFMR
zip 22406
payment standard 110
2
$2,233
2025-10-01
HUD_USER_SAFMR
zip 22406
payment standard 90
2
$1,827
2025-10-01
HUD_USER_SAFMR
zip 22406
safmr
2
$2,030
2025-10-01
HUD_USER_SAFMR
zip 22406
payment standard 110
3
$2,816
2025-10-01
HUD_USER_SAFMR
zip 22406
payment standard 90
3
$2,304
2025-10-01
HUD_USER_SAFMR
zip 22406
safmr
3
$2,560
2025-10-01
HUD_USER_SAFMR
zip 22406
payment standard 110
4
$3,311
2025-10-01
HUD_USER_SAFMR
zip 22406
payment standard 90
4
$2,709
2025-10-01
HUD_USER_SAFMR
zip 22406
safmr
4
$3,010
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.