Reads as: riskier than 43.8% 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
+32.7 vs natl
YOSEF MEYSTEL DELTA TRUST
39 facilities
connection
Owner fleet risk far above national
+32.3 vs natl
DAVID A BERKOWITZ DELTA TRUST
38 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
+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 fleet risk far above national
+23.6 vs natl
GOLDWATER CARE MANAGEMENT LLC
11 facilities
connection
Owner fleet risk far above national
+22.7 vs natl
TVERSKY AARON
10 facilities
connection
Owner fleet risk far above national
+22.7 vs natl
STACHOWIAK MELISSA
10 facilities
connection
Owner fleet risk far above national
+21.6 vs natl
AHEARN MICHAEL
17 facilities
connection
Owner fleet risk far above national
+20.8 vs natl
KATZENSTEIN MEIR
9 facilities
connection
Owner spans multiple chains
13 chains
CHASE OFFICE LLC
75 facilities
connection
Owner spans multiple chains
9 chains
SPECTOR JENNIFER
90 facilities
connection
Owner spans multiple chains
8 chains
BERKOWITZ DAVID
73 facilities
connection
Owner spans multiple chains
8 chains
WILHELM NAFTALI
78 facilities
connection
Owner spans multiple chains
8 chains
CURIS SERVICES LLC
81 facilities
connection
Owner spans multiple chains
8 chains
MEYSTEL YOSEF
73 facilities
connection
Owner spans multiple chains
5 chains
DAVID A BERKOWITZ DELTA TRUST
36 facilities
connection
Owner spans multiple chains
5 chains
YOSEF MEYSTEL DELTA TRUST
37 facilities
connection
Owner spans multiple chains
5 chains
AHEARN MICHAEL
14 facilities
connection
Owner fleet enforcement cluster
77% fined
AHEARN MICHAEL
17 facilities
connection
Owner fleet enforcement cluster
73% fined
GOLDWATER CARE MANAGEMENT LLC
11 facilities
connection
Owner fleet enforcement cluster
70% fined
TVERSKY AARON
10 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
2.94
3.13
3.28
2.90–3.77
RN
0.49
0.49
0.39
0.25–0.58
Weekend total
2.85
2.93
3.11
—
Weekday total
2.98
3.23
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
61.0
2.94
0.49
0.53
1.93
2.85
10.4%
2025Q3
92
59.3
2.96
0.43
0.53
2.00
2.93
11.8%
2025Q2
91
58.5
3.11
0.43
0.48
2.20
3.11
27.1%
2025Q1
90
61.7
2.89
0.54
0.36
2.00
2.91
28.3%
2024Q4
92
64.0
3.37
0.65
0.34
2.38
3.47
40.0%
2024Q3
92
62.3
3.11
0.67
0.35
2.09
2.92
23.9%
2024Q2
91
63.1
3.08
0.59
0.43
2.06
2.97
23.1%
2024Q1
91
65.8
2.95
0.45
0.47
2.03
2.90
29.7%
2023Q4
92
67.3
2.67
0.31
0.51
1.84
2.60
22.1%
2023Q3
92
66.2
2.64
0.33
0.44
1.87
2.50
14.6%
2023Q2
91
64.0
2.89
0.39
0.54
1.97
2.77
24.7%
2023Q1
90
70.2
2.86
0.29
0.69
1.88
2.68
30.3%
2022Q4
92
76.3
2.27
0.27
0.30
1.70
2.15
35.3%
2022Q3
92
76.2
2.41
0.36
0.24
1.81
2.37
36.4%
2022Q2
91
76.5
2.51
0.44
0.23
1.83
2.37
32.2%
2022Q1
90
81.0
2.53
0.49
0.15
1.89
2.44
24.7%
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2025-12-31
2025-12-30
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2025-12-31
2025-12-30
Health · complaint
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F
2025-12-31
2025-12-30
Health · complaint
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F
2026-01-24
2024-12-27
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-12-30
2024-12-10
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-12-12
2024-12-10
Health · complaint
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F
2024-12-14
2024-05-02
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2024-05-08
2024-05-02
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-05-08
2024-05-02
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-05-08
2024-05-02
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
2024-05-08
2024-05-02
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F
2024-05-08
2024-05-02
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-05-08
2023-05-12
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
C
2023-05-26
2023-05-12
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
2023-05-26
2023-05-12
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.
E
2023-05-26
2023-05-12
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-05-26
2023-05-12
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2023-05-26
2023-05-12
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
2023-05-26
2022-05-11
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
E
2022-06-10
2022-05-11
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2022-06-10
2022-05-11
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-06-10
2022-05-11
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
2022-06-10
2022-05-11
Health
F0732
Post nurse staffing information every day.
C
2022-06-13
2022-05-11
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2022-06-10
2022-05-11
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2022-06-10
2022-05-11
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
2022-06-10
2022-05-11
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F
2022-06-10
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
35
Owner
Role
Pct
From
Status
Source
101 E VIA GHIGLIERI LLC
Individual has financial interest in both related organization and provider
—
2023-05-01
current
hcris_a_8_1
101 E. VIA GHIGLIERI, LLC
ADP OF THE SNF
—
2025-04-03
current
pecos_ownership
101E VILA GHIGLIERI LLC
Individual has financial interest in both related organization and provider
—
2023-01-01
current
hcris_a_8_1
AHEARN, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
current
pecos_ownership
BERKOWITZ, DAVID
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-03
current
pecos_ownership
CHASE OFFICE LLC
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
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
—
2023-01-01
current
hcris_a_8_1
CURIS SERVICES LLC
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
DAVID A BERKOWITZ DELTA TRUST
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
GLYNN, ELIZABETH
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
current
pecos_ownership
GOLDWATER CARE MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
current
pecos_ownership
GOLDWATER CARE MANAGEMENT LLC
ADP OF THE SNF
—
2025-04-03
current
pecos_ownership
JAY, JOHN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
current
pecos_ownership
KATZENSTEIN, MEIR
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
—
2025-04-03
current
pecos_ownership
SPECTOR, JENNIFER
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
STACHOWIAK, MELISSA
MANAGING CONTROL - GOVERNING BODY
—
2024-05-01
current
pecos_ownership
TVERSKY, AARON
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
WILHELM, NAFTALI
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
YOSEF MEYSTEL DELTA TRUST
ADP OF THE SNF
—
2024-05-01
current
pecos_ownership
AARON TVERSKY
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
MEIR KATZENSTEIN
CORPORATE OFFICER
100%
2024-05-01
ended 2026-05-18
pecos_ownership
101 E VIA GHIGLIERI
Individual has financial interest in both related organization and provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
101 E VIA GHIGLIERI LLC
Individual has financial interest in both related organization and provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
101 E VIA GHIGLIERI 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
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
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
ELIZABETH GLYNN
ADP OF THE SNF
—
2024-05-01
ended 2026-05-18
pecos_ownership
JOHN JAY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
ended 2026-05-18
pecos_ownership
MELISSA STACHOWIAK
ADP OF THE SNF
—
2024-05-01
ended 2026-05-18
pecos_ownership
MICHAEL AHEARN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
ended 2026-05-18
pecos_ownership
NAFTALI WILHELM
OPERATIONAL/MANAGERIAL CONTROL
—
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
$567,248
$212,405
—
—
$57,872
14
propco
2024-04-30
$327,726
$112,433
$30,576
—
$113,184
12
propco
2023-12-31
$927,646
$326,565
$95,888
—
$280,789
13
propco
2022-12-31
$807,605
$465,700
$11,024
—
$183,783
13
propco
2021-12-31
$1,341,862
$438,151
—
$291,032
$197,875
16
propco
2020-12-31
$1,175,948
$429,108
$90,204
$292,447
$51,855
13
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
32
Geo
Kind
BR
Amount
As of
Source
county 17123
acs median gross
0
$376
2024-12-31
CENSUS_ACS5
county 17123
fmr
0
$758
2025-10-01
HUD_USER_FMR
county 17123
acs median gross
1
$566
2024-12-31
CENSUS_ACS5
county 17123
fmr
1
$818
2025-10-01
HUD_USER_FMR
county 17123
acs median gross
2
$814
2024-12-31
CENSUS_ACS5
county 17123
fmr
2
$1,039
2025-10-01
HUD_USER_FMR
county 17123
acs median gross
3
$990
2024-12-31
CENSUS_ACS5
county 17123
fmr
3
$1,346
2025-10-01
HUD_USER_FMR
county 17123
acs median gross
4
$1,114
2024-12-31
CENSUS_ACS5
county 17123
fmr
4
$1,449
2025-10-01
HUD_USER_FMR
county 17123
acs median gross
$782
2024-12-31
CENSUS_ACS5
county 17123
acs recent mover gross
$718
2024-12-31
CENSUS_ACS5
zcta 61369
acs median gross
1
$438
2024-12-31
CENSUS_ACS5
zcta 61369
acs median gross
2
$1,026
2024-12-31
CENSUS_ACS5
zcta 61369
acs median gross
3
$833
2024-12-31
CENSUS_ACS5
zcta 61369
acs median gross
$860
2024-12-31
CENSUS_ACS5
zcta 61369
acs recent mover gross
$1,018
2024-12-31
CENSUS_ACS5
zip 61369
payment standard 110
0
$737
2025-10-01
HUD_USER_SAFMR
zip 61369
payment standard 90
0
$603
2025-10-01
HUD_USER_SAFMR
zip 61369
safmr
0
$670
2025-10-01
HUD_USER_SAFMR
zip 61369
payment standard 110
1
$792
2025-10-01
HUD_USER_SAFMR
zip 61369
payment standard 90
1
$648
2025-10-01
HUD_USER_SAFMR
zip 61369
safmr
1
$720
2025-10-01
HUD_USER_SAFMR
zip 61369
payment standard 110
2
$1,012
2025-10-01
HUD_USER_SAFMR
zip 61369
payment standard 90
2
$828
2025-10-01
HUD_USER_SAFMR
zip 61369
safmr
2
$920
2025-10-01
HUD_USER_SAFMR
zip 61369
payment standard 110
3
$1,309
2025-10-01
HUD_USER_SAFMR
zip 61369
payment standard 90
3
$1,071
2025-10-01
HUD_USER_SAFMR
zip 61369
safmr
3
$1,190
2025-10-01
HUD_USER_SAFMR
zip 61369
payment standard 110
4
$1,408
2025-10-01
HUD_USER_SAFMR
zip 61369
payment standard 90
4
$1,152
2025-10-01
HUD_USER_SAFMR
zip 61369
safmr
4
$1,280
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.