Reads as: riskier than 10.1% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
9 chains
PHARMERICA DRUG SYSTEMS LLC
32 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
VA median
National median
National p25–p75
Total nurse
3.74
3.13
3.28
2.90–3.77
RN
0.58
0.30
0.39
0.25–0.58
Weekend total
3.60
2.96
3.11
—
Weekday total
3.79
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
71.2
3.74
0.58
1.08
2.08
3.60
1.6%
2025Q3
92
61.9
3.73
0.43
1.27
2.03
3.46
2.2%
2025Q2
91
58.4
3.82
0.37
1.25
2.20
3.49
1.6%
2025Q1
90
59.5
4.13
0.40
1.22
2.51
4.08
0.0%
2024Q4
92
58.9
4.26
0.26
1.41
2.59
4.11
0.0%
2024Q3
92
64.9
3.77
0.24
1.11
2.42
3.51
0.0%
2024Q2
91
64.8
5.16
0.31
1.79
3.06
4.64
1.9%
2024Q1
91
75.6
5.72
0.37
1.79
3.57
5.41
20.2%
2023Q4
92
76.4
5.14
0.31
1.59
3.23
5.01
25.3%
2023Q3
92
74.7
4.53
0.26
1.65
2.62
4.19
1.1%
2023Q2
91
73.1
4.84
0.26
1.63
2.95
4.71
18.6%
2023Q1
90
70.7
3.87
0.17
1.53
2.17
3.22
13.5%
2022Q4
92
69.9
3.69
0.15
1.46
2.08
3.38
7.0%
2022Q3
92
69.6
3.75
0.17
1.47
2.12
3.41
9.1%
2022Q2
91
89.2
2.99
0.10
1.13
1.76
2.93
13.0%
2022Q1
90
64.0
4.04
0.08
1.42
2.55
4.25
16.5%
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
22
C × 2D × 15E × 3G × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-09
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.
D
2026-05-05
2022-03-10
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2022-04-22
2022-03-10
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
2022-04-22
2022-03-10
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2022-04-22
2022-03-10
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
2022-04-22
2022-03-10
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2022-04-22
2022-03-10
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
2022-04-22
2020-02-27
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2020-04-17
2020-02-27
Health
F0574
The resident has the right to receive notices in a format and a language he or she understands.
C
2020-04-17
2020-02-27
Health
F0575
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
C
2020-04-17
2020-02-27
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2020-04-17
2020-02-27
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
2020-04-17
2020-02-27
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
2020-04-17
2020-02-27
Health
F0679
Provide activities to meet all resident's needs.
D
2020-04-17
2020-02-27
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2020-04-17
2020-02-27
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2020-04-17
2020-02-27
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2020-04-17
2020-02-27
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
2020-04-17
2020-02-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2020-04-17
2018-05-24
Health
F0637
Assess the resident when there is a significant change in condition
D
2018-07-05
2018-05-24
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2018-07-05
2018-05-24
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2018-07-05
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
BHARDWAJ, PRITA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-19
current
pecos_ownership
BOULEVARD HOLDCO LLC
DIRECT OWNERSHIP INTEREST
—
2025-05-19
current
pecos_ownership
BOULEVARD LEASEHOLD LLC
ADP OF THE SNF
—
2025-05-12
current
pecos_ownership
EAGLE BANK
5% OR GREATER SECURITY INTEREST
—
2025-05-19
current
pecos_ownership
LAW, JOSEPH
MANAGING CONTROL - GOVERNING BODY
—
2020-02-10
current
pecos_ownership
MARQUIS LIMITED LLC
ADP OF THE SNF
—
2025-05-06
current
pecos_ownership
MARQUIS LIMITED LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-19
current
pecos_ownership
NFR 2020 IRRV TR
INDIRECT OWNERSHIP INTEREST
—
2025-05-19
current
pecos_ownership
PHARMERICA DRUG SYSTEMS LLC
ADP OF THE SNF
—
2025-05-19
current
pecos_ownership
POSEN, MINDEE
ADP OF THE SNF
—
2025-05-19
current
pecos_ownership
QUINTO NEXGEN LLC
INDIRECT OWNERSHIP INTEREST
—
2025-05-19
current
pecos_ownership
REBUCK, AARON
ADP OF THE SNF
—
2025-07-09
current
pecos_ownership
RELIANT PRO REHAB LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-19
current
pecos_ownership
RELIANT PRO REHAB LLC
ADP OF THE SNF
—
2025-05-07
current
pecos_ownership
RSBRMK HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2025-05-19
current
pecos_ownership
SK NEXGEN TR
INDIRECT OWNERSHIP INTEREST
—
2025-05-19
current
pecos_ownership
SKILLED VENTURE LLC
INDIRECT OWNERSHIP INTEREST
—
2025-05-19
current
pecos_ownership
TRYKO NEXGEN HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2025-05-19
current
pecos_ownership
UAK 2020 IRRV TR
INDIRECT OWNERSHIP INTEREST
—
2025-05-19
current
pecos_ownership
UKR NEXGEN LLC
INDIRECT OWNERSHIP INTEREST
—
2025-05-19
current
pecos_ownership
VIROJA, YOGESH
ADP OF THE SNF
—
2025-05-19
current
pecos_ownership
VIROJA, YOGESH
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
current
pecos_ownership
YK NEXGEN TR
INDIRECT OWNERSHIP INTEREST
—
2025-05-19
current
pecos_ownership
YR NEXGEN TR
INDIRECT OWNERSHIP INTEREST
—
2025-05-19
current
pecos_ownership
AARON REBUCK
MANAGING CONTROL - GOVERNING BODY
—
2025-07-09
ended 2026-05-18
pecos_ownership
JOSEPH LAW
MANAGING CONTROL - GOVERNING BODY
—
2020-02-10
ended 2026-05-18
pecos_ownership
MINDEE POSEN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-19
ended 2026-05-18
pecos_ownership
PRITA BHARDWAJ
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-19
ended 2026-05-18
pecos_ownership
WALTER GIBSON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-19
ended 2026-04-01
pecos_ownership
YOGESH VIROJA
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
ended 2026-05-18
pecos_ownership
YOGESH VIROJA
ADP OF THE SNF
—
2025-05-19
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
36
Geo
Kind
BR
Amount
As of
Source
county 51059
acs median gross
0
$1,968
2024-12-31
CENSUS_ACS5
county 51059
fmr
0
$1,953
2025-10-01
HUD_USER_FMR
county 51059
acs median gross
1
$1,954
2024-12-31
CENSUS_ACS5
county 51059
fmr
1
$2,015
2025-10-01
HUD_USER_FMR
county 51059
acs median gross
2
$2,273
2024-12-31
CENSUS_ACS5
county 51059
fmr
2
$2,246
2025-10-01
HUD_USER_FMR
county 51059
acs median gross
3
$2,735
2024-12-31
CENSUS_ACS5
county 51059
fmr
3
$2,835
2025-10-01
HUD_USER_FMR
county 51059
acs median gross
4
$3,260
2024-12-31
CENSUS_ACS5
county 51059
fmr
4
$3,332
2025-10-01
HUD_USER_FMR
county 51059
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
county 51059
acs median gross
$2,276
2024-12-31
CENSUS_ACS5
county 51059
acs recent mover gross
$2,341
2024-12-31
CENSUS_ACS5
zcta 22031
acs median gross
0
$2,163
2024-12-31
CENSUS_ACS5
zcta 22031
acs median gross
1
$2,053
2024-12-31
CENSUS_ACS5
zcta 22031
acs median gross
2
$2,368
2024-12-31
CENSUS_ACS5
zcta 22031
acs median gross
3
$2,814
2024-12-31
CENSUS_ACS5
zcta 22031
acs median gross
4
$3,058
2024-12-31
CENSUS_ACS5
zcta 22031
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
zcta 22031
acs median gross
$2,258
2024-12-31
CENSUS_ACS5
zcta 22031
acs recent mover gross
$2,172
2024-12-31
CENSUS_ACS5
zip 22031
payment standard 110
0
$2,607
2025-10-01
HUD_USER_SAFMR
zip 22031
payment standard 90
0
$2,133
2025-10-01
HUD_USER_SAFMR
zip 22031
safmr
0
$2,370
2025-10-01
HUD_USER_SAFMR
zip 22031
payment standard 110
1
$2,684
2025-10-01
HUD_USER_SAFMR
zip 22031
payment standard 90
1
$2,196
2025-10-01
HUD_USER_SAFMR
zip 22031
safmr
1
$2,440
2025-10-01
HUD_USER_SAFMR
zip 22031
payment standard 110
2
$2,992
2025-10-01
HUD_USER_SAFMR
zip 22031
payment standard 90
2
$2,448
2025-10-01
HUD_USER_SAFMR
zip 22031
safmr
2
$2,720
2025-10-01
HUD_USER_SAFMR
zip 22031
payment standard 110
3
$3,773
2025-10-01
HUD_USER_SAFMR
zip 22031
payment standard 90
3
$3,087
2025-10-01
HUD_USER_SAFMR
zip 22031
safmr
3
$3,430
2025-10-01
HUD_USER_SAFMR
zip 22031
payment standard 110
4
$4,444
2025-10-01
HUD_USER_SAFMR
zip 22031
payment standard 90
4
$3,636
2025-10-01
HUD_USER_SAFMR
zip 22031
safmr
4
$4,040
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.