Reads as: riskier than 84.1% 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.
ML signals — parallel engine
25
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+35.0 vs natl
ARCADIA CARE MANAGEMENT LLC
23 facilities
connection
Owner fleet risk far above national
+34.6 vs natl
MCCLURE MICHELLE
23 facilities
connection
Owner fleet risk far above national
+32.8 vs natl
SEITLER DOVID
35 facilities
connection
Owner fleet risk far above national
+30.1 vs natl
GRONSKY AMANDA
5 facilities
connection
Owner fleet risk far above national
+29.7 vs natl
CHASE OFFICE LLC
82 facilities
connection
Owner fleet risk far above national
+28.7 vs natl
WILHELM NAFTALI
81 facilities
connection
Owner fleet risk far above national
+28.2 vs natl
CURIS SERVICES LLC
85 facilities
connection
Owner fleet risk far above national
+28.1 vs natl
TUROFSKY STEVEN
87 facilities
connection
Owner fleet risk far above national
+27.4 vs natl
SPECTOR JENNIFER
93 facilities
connection
Owner fleet risk far above national
+26.3 vs natl
BERKOWITZ DAVID
77 facilities
connection
Owner fleet risk far above national
+26.2 vs natl
MEYSTEL YOSEF
77 facilities
connection
Owner spans multiple chains
13 chains
CHASE OFFICE LLC
75 facilities
connection
Owner spans multiple chains
9 chains
TUROFSKY STEVEN
84 facilities
connection
Owner spans multiple chains
9 chains
SPECTOR JENNIFER
90 facilities
connection
Owner spans multiple chains
8 chains
MEYSTEL YOSEF
73 facilities
connection
Owner spans multiple chains
8 chains
WILHELM NAFTALI
78 facilities
connection
Owner spans multiple chains
8 chains
BERKOWITZ DAVID
73 facilities
connection
Owner spans multiple chains
8 chains
CURIS SERVICES LLC
81 facilities
connection
Owner spans multiple chains
5 chains
SEITLER DOVID
32 facilities
connection
Owner fleet enforcement cluster
80% fined
GRONSKY AMANDA
5 facilities
connection
Owner fleet enforcement cluster
71% fined
SEITLER DOVID
35 facilities
connection
Owner fleet enforcement cluster
65% fined
ARCADIA CARE MANAGEMENT LLC
23 facilities
connection
Owner fleet enforcement cluster
65% fined
MCCLURE MICHELLE
23 facilities
connection
Owner fleet enforcement cluster
54% fined
WILHELM NAFTALI
81 facilities
connection
Owner fleet enforcement cluster
53% fined
SPECTOR JENNIFER
93 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
IL median
National median
National p25–p75
Total nurse
2.90
3.13
3.28
2.90–3.77
RN
0.73
0.49
0.39
0.25–0.58
Weekend total
2.72
2.93
3.11
—
Weekday total
2.97
3.23
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
87.7
2.90
0.73
0.25
1.92
2.72
14.5%
2025Q3
92
89.6
2.78
0.68
0.28
1.82
2.62
16.6%
2025Q2
91
90.4
2.73
0.61
0.19
1.92
2.69
16.6%
2025Q1
90
87.7
2.60
0.69
0.12
1.79
2.63
18.8%
2024Q4
92
83.4
2.42
0.72
0.10
1.60
2.37
7.5%
2024Q3
92
74.1
2.86
0.76
0.16
1.94
2.64
5.9%
2024Q2
91
75.4
2.70
0.66
0.18
1.85
2.49
13.5%
2024Q1
91
82.6
2.42
0.69
0.14
1.59
2.21
29.0%
2023Q4
92
83.9
2.54
0.64
0.32
1.58
2.25
29.7%
2023Q3
92
86.5
2.58
0.56
0.35
1.68
2.43
26.7%
2023Q2
91
85.6
2.76
0.49
0.48
1.80
2.54
28.7%
2023Q1
90
84.4
2.57
0.43
0.48
1.67
2.29
16.9%
2022Q4
92
77.7
2.52
0.32
0.44
1.76
2.17
11.0%
2022Q3
92
69.3
2.75
0.52
0.49
1.73
2.51
17.8%
2022Q2
91
65.4
2.70
0.46
0.51
1.73
2.55
19.8%
2022Q1
90
63.4
2.83
0.64
0.38
1.82
2.70
32.6%
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.
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-06-19
2025-03-06
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-03-18
2025-03-06
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-03-18
2025-02-21
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-03-18
2025-02-21
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2025-03-13
2025-02-06
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-02-11
2024-07-02
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-07-05
2024-05-17
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2024-05-20
2024-05-17
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-05-20
2024-05-17
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2024-05-20
2024-05-17
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2024-05-20
2024-05-17
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-05-20
2024-05-17
Health
F0679
Provide activities to meet all resident's needs.
E
2024-05-20
2024-05-17
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-05-20
2024-05-17
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2024-05-20
2024-05-17
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2024-05-20
2024-05-17
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2024-05-20
2024-05-17
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
2024-05-20
2024-05-17
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-05-20
2024-05-17
Health
F0881
Implement a program that monitors antibiotic use.
E
2024-05-20
2023-11-08
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2023-11-13
2023-10-14
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2023-10-24
2023-06-16
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-06-19
2023-04-27
Health
F0583
Keep residents' personal and medical records private and confidential.
E
2023-05-01
2023-04-27
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-05-01
2023-04-27
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-05-01
2023-04-27
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2023-05-01
2023-04-27
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.
E
2023-05-01
2023-04-27
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2023-05-01
2023-04-27
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.
E
2023-05-01
2023-04-27
Health
F0808
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
D
2023-05-01
2023-04-27
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
E
2023-05-01
2023-04-27
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-05-01
2022-01-13
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-02-11
2022-01-13
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2022-02-11
2022-01-13
Health
F0880
Provide and implement an infection prevention and control program.
F
2022-02-11
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
30
Owner
Role
Pct
From
Status
Source
ARCADIA CARE MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
current
pecos_ownership
ARCADIA CARE MANAGEMENT LLC
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
BERKOWITZ, DAVID
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-06-02
current
pecos_ownership
CEBALLOS, MARIE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
current
pecos_ownership
CHASE OFFICE LLC
Individual has financial interest in both related organization and provider
—
2023-05-01
current
hcris_a_8_1
CHASE OFFICE LLC
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
CURIS SERVICES LLC
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
GRONSKY, AMANDA
MANAGING CONTROL - GOVERNING BODY
—
2024-05-01
current
pecos_ownership
ISHOLA, HAMED
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
MCCLURE, MICHELLE
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
MEYSTEL, YOSEF
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
NAGUBADI, SANDHYA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
current
pecos_ownership
SEITLER, DOVID
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
SPECTOR, JENNIFER
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
TUROFSKY, STEVEN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
current
pecos_ownership
WILHELM, NAFTALI
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
current
pecos_ownership
DOVID SEITLER
CORPORATE OFFICER
100%
2024-05-01
ended 2026-05-18
pecos_ownership
JENNIFER SPECTOR
CORPORATE OFFICER
100%
2024-05-01
ended 2026-05-18
pecos_ownership
MICHELLE MCCLURE
CORPORATE OFFICER
100%
2024-05-01
ended 2026-05-18
pecos_ownership
DAVID A BERKOWITZ DELTA TRUST
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2024-05-01
ended 2026-05-18
pecos_ownership
YOSEF MEYSTEL DELTA TRUST
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2024-05-01
ended 2026-05-18
pecos_ownership
AMANDA GRONSKY
ADP OF THE SNF
—
2024-05-01
ended 2026-05-18
pecos_ownership
CHASE OFFICE LLC
Individual has financial interest in both related organization and provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
CHASE OFFICE LLC
Individual has financial interest in both related organization and provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
CHASE OFFICE LLC
Individual has financial interest in both related organization and provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
HAMED ISHOLA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
ended 2026-05-18
pecos_ownership
MARIE CEBALLOS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
ended 2026-05-18
pecos_ownership
NAFTALI WILHELM
ADP OF THE SNF
—
2024-05-01
ended 2026-05-18
pecos_ownership
SANDHYA NAGUBADI
ADP OF THE SNF
—
2024-05-01
ended 2026-05-18
pecos_ownership
STEVEN TUROFSKY
ADP OF THE SNF
—
2024-05-01
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
$507,904
$4,024
—
—
$8,979
12
propco
2024-04-30
$263,263
$3,465
—
—
$158,678
12
propco
2023-12-31
$854,530
—
—
—
$384,408
13
—
2022-12-31
$770,015
$9,837
$74,077
—
$284,593
12
propco
2021-12-31
$744,568
$9,962
—
$256,351
$70,833
15
propco
2020-12-31
$606,213
—
$71,384
$255,323
$1,597
12
propco
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
33
Geo
Kind
BR
Amount
As of
Source
county 17091
acs median gross
0
$677
2024-12-31
CENSUS_ACS5
county 17091
fmr
0
$914
2025-10-01
HUD_USER_FMR
county 17091
acs median gross
1
$818
2024-12-31
CENSUS_ACS5
county 17091
fmr
1
$1,011
2025-10-01
HUD_USER_FMR
county 17091
acs median gross
2
$1,089
2024-12-31
CENSUS_ACS5
county 17091
fmr
2
$1,326
2025-10-01
HUD_USER_FMR
county 17091
acs median gross
3
$1,332
2024-12-31
CENSUS_ACS5
county 17091
fmr
3
$1,745
2025-10-01
HUD_USER_FMR
county 17091
acs median gross
4
$1,421
2024-12-31
CENSUS_ACS5
county 17091
fmr
4
$1,774
2025-10-01
HUD_USER_FMR
county 17091
acs median gross
$1,097
2024-12-31
CENSUS_ACS5
county 17091
acs recent mover gross
$1,189
2024-12-31
CENSUS_ACS5
zcta 60915
acs median gross
1
$826
2024-12-31
CENSUS_ACS5
zcta 60915
acs median gross
2
$994
2024-12-31
CENSUS_ACS5
zcta 60915
acs median gross
3
$1,612
2024-12-31
CENSUS_ACS5
zcta 60915
acs median gross
4
$1,714
2024-12-31
CENSUS_ACS5
zcta 60915
acs median gross
$1,072
2024-12-31
CENSUS_ACS5
zcta 60915
acs recent mover gross
$792
2024-12-31
CENSUS_ACS5
zip 60915
payment standard 110
0
$1,034
2025-10-01
HUD_USER_SAFMR
zip 60915
payment standard 90
0
$846
2025-10-01
HUD_USER_SAFMR
zip 60915
safmr
0
$940
2025-10-01
HUD_USER_SAFMR
zip 60915
payment standard 110
1
$1,144
2025-10-01
HUD_USER_SAFMR
zip 60915
payment standard 90
1
$936
2025-10-01
HUD_USER_SAFMR
zip 60915
safmr
1
$1,040
2025-10-01
HUD_USER_SAFMR
zip 60915
payment standard 110
2
$1,496
2025-10-01
HUD_USER_SAFMR
zip 60915
payment standard 90
2
$1,224
2025-10-01
HUD_USER_SAFMR
zip 60915
safmr
2
$1,360
2025-10-01
HUD_USER_SAFMR
zip 60915
payment standard 110
3
$1,969
2025-10-01
HUD_USER_SAFMR
zip 60915
payment standard 90
3
$1,611
2025-10-01
HUD_USER_SAFMR
zip 60915
safmr
3
$1,790
2025-10-01
HUD_USER_SAFMR
zip 60915
payment standard 110
4
$2,002
2025-10-01
HUD_USER_SAFMR
zip 60915
payment standard 90
4
$1,638
2025-10-01
HUD_USER_SAFMR
zip 60915
safmr
4
$1,820
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.