Reads as: riskier than 73.2% 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.
ML signals — parallel engine
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
15 chains
CIBC BANK USA
155 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
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
NH median
National median
National p25–p75
Total nurse
2.69
3.28
3.28
2.90–3.77
RN
0.49
0.52
0.39
0.25–0.58
Weekend total
2.56
3.14
3.11
—
Weekday total
2.75
3.32
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
227.9
2.69
0.49
0.63
1.57
2.56
8.8%
2025Q3
92
210.3
2.68
0.51
0.72
1.45
2.44
5.8%
2025Q2
91
205.2
3.38
0.63
0.96
1.79
2.85
13.1%
2025Q1
90
211.8
3.41
0.57
1.05
1.79
2.86
14.9%
2024Q4
92
219.1
3.07
0.46
0.98
1.63
2.65
13.0%
2024Q3
92
223.3
3.13
0.51
0.97
1.65
2.69
12.5%
2024Q2
91
227.1
3.01
0.52
0.92
1.56
2.61
13.0%
2024Q1
91
233.3
2.94
0.48
0.95
1.52
2.55
12.2%
2023Q4
92
229.5
3.01
0.45
0.95
1.61
2.69
13.3%
2023Q3
92
236.1
2.97
0.51
0.81
1.64
2.54
8.7%
2023Q2
91
237.2
3.22
0.58
0.88
1.76
2.73
12.5%
2023Q1
90
248.2
3.02
0.55
0.87
1.60
2.56
0.7%
2022Q4
92
238.8
3.60
0.48
0.96
2.16
2.95
18.4%
2022Q3
92
226.3
4.00
0.53
0.98
2.50
2.96
18.0%
2022Q2
91
234.8
3.85
0.59
1.01
2.25
2.88
19.8%
2022Q1
90
226.0
3.60
0.60
1.09
1.91
2.79
17.6%
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
29
B × 3D × 16E × 10
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-11-21
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2026-01-09
2025-11-21
Health · complaint
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
2026-01-09
2025-11-21
Health
F0603
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
D
2026-01-19
2025-11-21
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-01-09
2025-11-21
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
2026-01-09
2025-11-21
Health
F0809
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
D
2026-01-09
2025-11-21
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-01-09
2025-11-21
Health
F0880
Provide and implement an infection prevention and control program.
E
2026-01-09
2024-10-10
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.
B
2024-11-29
2024-10-10
Health
F0637
Assess the resident when there is a significant change in condition
B
2024-11-21
2024-10-10
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-11-20
2024-10-10
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
2024-11-20
2024-10-10
Health
F0790
Provide routine and 24-hour emergency dental care for each resident.
D
2024-11-21
2024-10-10
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2024-11-27
2024-10-10
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-11-25
2024-10-10
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-11-22
2024-10-10
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2024-11-25
2024-07-25
Health · complaint
F0687
Provide appropriate foot care.
D
2024-08-09
2023-10-06
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
B
2023-11-21
2023-10-06
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2023-11-21
2023-10-06
Health
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2023-11-21
2023-10-06
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2023-11-21
2023-10-06
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
2023-11-21
2023-10-06
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2023-11-01
2023-10-06
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
E
2023-11-01
2023-10-06
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
D
2023-11-01
2023-10-06
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-11-21
2023-10-06
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2023-11-21
2023-10-06
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
2023-11-21
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
39
Owner
Role
Pct
From
Status
Source
55 HARRIS ROAD NASHUA LLC
Individual has financial interest in both related organization and provider
100%
2023-01-01
current
hcris_a_8_1
55 HARRIS ROAD NASHUA LLC
Individual has financial interest in both related organization and provider
100%
2024-01-01
current
hcris_a_8_1
CIBC BANK USA
5% OR GREATER SECURITY INTEREST
—
2025-06-05
current
pecos_ownership
FLAGLER, OSHER
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-05-15
current
pecos_ownership
GREENHALGH, KATRINA
ADP OF THE SNF
—
2025-06-05
current
pecos_ownership
KAHANOW, AVIVA
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-05-15
current
pecos_ownership
LEVOVITZ, TZVI
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-05-15
current
pecos_ownership
MARQUIS LIMITED LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-05
current
pecos_ownership
MARQUIS LIMITED LLC
ADP OF THE SNF
—
2025-05-15
current
pecos_ownership
NFR 2020 IRRV TR
ADP OF THE SNF
—
2025-06-05
current
pecos_ownership
NUTRACO LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-05
current
pecos_ownership
NUTRACO LLC
ADP OF THE SNF
—
2025-05-16
current
pecos_ownership
POSEN, MINDEE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-05
current
pecos_ownership
PREMIER HOLDINGS LLC
ADP OF THE SNF
—
2025-06-05
current
pecos_ownership
PREMIER REAL PROPERTY LLC
ADP OF THE SNF
—
2025-06-05
current
pecos_ownership
QUINTO NEXGEN LLC
ADP OF THE SNF
—
2025-06-05
current
pecos_ownership
RELIANT PRO REHAB LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-05
current
pecos_ownership
RELIANT PRO REHAB LLC
ADP OF THE SNF
—
2025-05-13
current
pecos_ownership
ROKEACH, FRAIDE
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-05-15
current
pecos_ownership
ROKOWSKY, YITZCHOK
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-05-15
current
pecos_ownership
RSBRMK HOLDINGS LLC
ADP OF THE SNF
—
2025-06-05
current
pecos_ownership
SHAH, ANURADHA
ADP OF THE SNF
—
2025-06-05
current
pecos_ownership
SK NEXGEN TR
INDIRECT OWNERSHIP INTEREST
—
2025-06-05
current
pecos_ownership
SKILLED VENTURE LLC
INDIRECT OWNERSHIP INTEREST
—
2025-06-05
current
pecos_ownership
TRYKO NEXGEN HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2025-06-05
current
pecos_ownership
UAK 2020 IRRV TR
INDIRECT OWNERSHIP INTEREST
—
2025-06-05
current
pecos_ownership
UKR NEXGEN LLC
INDIRECT OWNERSHIP INTEREST
—
2025-06-05
current
pecos_ownership
VEIGA, CARLY
ADP OF THE SNF
—
2025-06-05
current
pecos_ownership
VIROJA, YOGESH
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
YK NEXGEN TR
INDIRECT OWNERSHIP INTEREST
—
2025-06-05
current
pecos_ownership
YR NEXGEN TR
INDIRECT OWNERSHIP INTEREST
—
2025-06-05
current
pecos_ownership
55 HARRIS ROAD NASHUA LLC
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
55 HARRIS ROAD NASHUA LLC
Individual has financial interest in both related organization and provider
100%
2020-11-01
ended 2020-12-31
hcris_a_8_1
55 HARRIS ROAD NASHUA LLC
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
ANURADHA SHAH
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-05
ended 2026-05-18
pecos_ownership
CARLY VEIGA
MANAGING CONTROL - GOVERNING BODY
—
2025-06-05
ended 2026-05-18
pecos_ownership
KATRINA GREENHALGH
CORPORATE DIRECTOR
—
2025-06-05
ended 2026-05-18
pecos_ownership
MINDEE POSEN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-05
ended 2026-05-18
pecos_ownership
YOGESH VIROJA
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$3,285,092
—
—
—
—
1
propco
2023-12-31
$4,446,024
—
—
—
—
2
propco
2022-12-31
$2,716,286
—
—
—
—
2
propco
2021-12-31
$3,029,526
—
—
—
—
2
propco
2020-12-31
$539,324
—
—
—
—
1
propco
2020-10-31
$874,341
—
$874,341
—
—
1
—
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
30
Geo
Kind
BR
Amount
As of
Source
county 33011
acs median gross
0
$1,194
2024-12-31
CENSUS_ACS5
county 33011
acs median gross
1
$1,296
2024-12-31
CENSUS_ACS5
county 33011
acs median gross
2
$1,722
2024-12-31
CENSUS_ACS5
county 33011
acs median gross
3
$1,835
2024-12-31
CENSUS_ACS5
county 33011
acs median gross
4
$2,025
2024-12-31
CENSUS_ACS5
county 33011
acs median gross
5
$1,566
2024-12-31
CENSUS_ACS5
county 33011
acs median gross
$1,623
2024-12-31
CENSUS_ACS5
county 33011
acs recent mover gross
$1,932
2024-12-31
CENSUS_ACS5
zcta 03062
acs median gross
0
$3,501
2024-12-31
CENSUS_ACS5
zcta 03062
acs median gross
1
$1,868
2024-12-31
CENSUS_ACS5
zcta 03062
acs median gross
2
$1,971
2024-12-31
CENSUS_ACS5
zcta 03062
acs median gross
3
$2,443
2024-12-31
CENSUS_ACS5
zcta 03062
acs median gross
4
$3,202
2024-12-31
CENSUS_ACS5
zcta 03062
acs median gross
$2,037
2024-12-31
CENSUS_ACS5
zcta 03062
acs recent mover gross
$2,381
2024-12-31
CENSUS_ACS5
zip 03062
payment standard 110
0
$1,694
2025-10-01
HUD_USER_SAFMR
zip 03062
payment standard 90
0
$1,386
2025-10-01
HUD_USER_SAFMR
zip 03062
safmr
0
$1,540
2025-10-01
HUD_USER_SAFMR
zip 03062
payment standard 110
1
$1,936
2025-10-01
HUD_USER_SAFMR
zip 03062
payment standard 90
1
$1,584
2025-10-01
HUD_USER_SAFMR
zip 03062
safmr
1
$1,760
2025-10-01
HUD_USER_SAFMR
zip 03062
payment standard 110
2
$2,464
2025-10-01
HUD_USER_SAFMR
zip 03062
payment standard 90
2
$2,016
2025-10-01
HUD_USER_SAFMR
zip 03062
safmr
2
$2,240
2025-10-01
HUD_USER_SAFMR
zip 03062
payment standard 110
3
$3,267
2025-10-01
HUD_USER_SAFMR
zip 03062
payment standard 90
3
$2,673
2025-10-01
HUD_USER_SAFMR
zip 03062
safmr
3
$2,970
2025-10-01
HUD_USER_SAFMR
zip 03062
payment standard 110
4
$3,476
2025-10-01
HUD_USER_SAFMR
zip 03062
payment standard 90
4
$2,844
2025-10-01
HUD_USER_SAFMR
zip 03062
safmr
4
$3,160
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.