Reads as: riskier than 40.4% 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
ROSCOE BRANDON
14 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
15
2025Q4 HPRD
This facility
PA median
National median
National p25–p75
Total nurse
4.19
3.38
3.28
2.90–3.77
RN
0.76
0.45
0.39
0.25–0.58
Weekend total
3.96
3.27
3.11
—
Weekday total
4.28
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
32.7
4.19
0.76
1.07
2.37
3.96
0.1%
2025Q3
92
31.7
4.18
0.80
1.06
2.31
4.02
0.2%
2025Q2
91
29.4
4.22
0.97
1.09
2.15
3.98
0.0%
2025Q1
90
26.8
4.44
1.04
1.06
2.35
4.32
0.0%
2024Q4
92
28.4
4.19
0.84
1.12
2.23
4.18
0.0%
2024Q3
92
27.1
4.50
0.90
1.20
2.40
4.43
0.0%
2024Q2
91
26.4
4.60
1.00
1.10
2.50
4.46
0.0%
2024Q1
91
26.5
3.99
0.89
0.70
2.40
4.08
0.0%
2023Q4
92
31.0
3.49
0.73
0.76
1.99
3.51
0.0%
2023Q3
92
30.6
3.81
0.89
0.74
2.17
3.69
14.4%
2023Q2
91
30.0
3.30
0.80
0.47
2.03
3.17
0.0%
2023Q1
90
30.8
4.67
0.80
1.09
2.77
4.17
29.6%
2022Q3
92
27.8
3.19
0.93
0.49
1.78
2.85
0.0%
2022Q2
91
27.4
3.18
0.91
0.56
1.71
3.02
0.0%
2022Q1
90
27.4
3.08
0.90
0.56
1.62
3.00
0.0%
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.
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
D
2025-06-18
2025-05-30
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-06-18
2025-05-30
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-06-18
2025-05-30
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-06-18
2024-06-18
Health
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2024-07-25
2024-06-18
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
E
2024-07-25
2024-06-18
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
2024-07-25
2024-06-18
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
2024-07-25
2024-06-18
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-08-22
2024-06-18
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-07-25
2024-02-28
Health · complaint
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F
2024-04-12
2024-02-28
Health · complaint
F0836
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
L
2024-04-12
2023-11-22
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-01-24
2023-11-22
Health · complaint
F0836
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
F
2024-01-24
2023-07-07
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
2023-08-18
2023-07-07
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
2023-08-18
2023-07-07
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
2023-08-18
2023-07-07
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
2023-08-18
2023-07-07
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
D
2023-08-18
2023-07-07
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2023-08-18
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
13
Owner
Role
Pct
From
Status
Source
LAKEVIEW PROPCO
Corporation, partnership or other organization has financial interest in provider
100%
2023-01-01
current
hcris_a_8_1
LAKEVIEW PROPCO HOLDINGS
Corporation, partnership or other organization has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
ZIDELE, YESHAYAHU
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2022-06-28
current
pecos_ownership
BARBER, PATRICIA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-31
current
pecos_ownership
BONAMOUR HEALTH GROUP LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-06-28
current
pecos_ownership
BONAMOUR HEALTH GROUP LLC
ADP OF THE SNF
—
2025-03-03
current
pecos_ownership
ROSCOE, BRANDON
ADP OF THE SNF
—
2022-06-28
current
pecos_ownership
ZIDELE, MORDECHAI
ADP OF THE SNF
—
2022-06-28
current
pecos_ownership
LAKEVIEW PROPCO
Corporation, partnership or other organization has financial interest in provider
100%
2022-06-28
ended 2022-12-31
hcris_a_8_1
MORDECHAI ZIDELE
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2022-06-28
ended 2026-05-18
pecos_ownership
YESHAYAHU ZIDELE
INDIRECT OWNERSHIP INTEREST
50%
2022-06-28
ended 2026-05-18
pecos_ownership
BRANDON ROSCOE
ADP OF THE SNF
—
2022-06-28
ended 2026-05-18
pecos_ownership
PATRICIA BARBER
ADP OF THE SNF
—
2023-07-31
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
$396,864
$396,864
—
—
—
1
propco
2023-12-31
$511,353
$511,353
—
—
—
1
propco
2022-12-31
$511,353
$511,353
—
—
—
1
propco
2022-06-27
$423,607
$204,194
$67,279
$116,118
$1,995
4
—
2021-12-31
$406,981
—
$128,611
$222,663
$5,063
4
—
2020-12-31
$487,959
—
$126,049
$302,973
$2,905
4
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 42083
acs median gross
0
$775
2024-12-31
CENSUS_ACS5
county 42083
fmr
0
$708
2025-10-01
HUD_USER_FMR
county 42083
acs median gross
1
$675
2024-12-31
CENSUS_ACS5
county 42083
fmr
1
$832
2025-10-01
HUD_USER_FMR
county 42083
acs median gross
2
$820
2024-12-31
CENSUS_ACS5
county 42083
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 42083
acs median gross
3
$862
2024-12-31
CENSUS_ACS5
county 42083
fmr
3
$1,219
2025-10-01
HUD_USER_FMR
county 42083
acs median gross
4
$1,083
2024-12-31
CENSUS_ACS5
county 42083
fmr
4
$1,447
2025-10-01
HUD_USER_FMR
county 42083
acs median gross
5
$880
2024-12-31
CENSUS_ACS5
county 42083
acs median gross
$809
2024-12-31
CENSUS_ACS5
county 42083
acs recent mover gross
$734
2024-12-31
CENSUS_ACS5
zcta 16749
acs median gross
1
$581
2024-12-31
CENSUS_ACS5
zcta 16749
acs median gross
2
$929
2024-12-31
CENSUS_ACS5
zcta 16749
acs median gross
3
$774
2024-12-31
CENSUS_ACS5
zcta 16749
acs median gross
4
$1,618
2024-12-31
CENSUS_ACS5
zcta 16749
acs median gross
$777
2024-12-31
CENSUS_ACS5
zcta 16749
acs recent mover gross
$950
2024-12-31
CENSUS_ACS5
zip 16749
payment standard 110
0
$781
2025-10-01
HUD_USER_SAFMR
zip 16749
payment standard 90
0
$639
2025-10-01
HUD_USER_SAFMR
zip 16749
safmr
0
$710
2025-10-01
HUD_USER_SAFMR
zip 16749
payment standard 110
1
$924
2025-10-01
HUD_USER_SAFMR
zip 16749
payment standard 90
1
$756
2025-10-01
HUD_USER_SAFMR
zip 16749
safmr
1
$840
2025-10-01
HUD_USER_SAFMR
zip 16749
payment standard 110
2
$1,078
2025-10-01
HUD_USER_SAFMR
zip 16749
payment standard 90
2
$882
2025-10-01
HUD_USER_SAFMR
zip 16749
safmr
2
$980
2025-10-01
HUD_USER_SAFMR
zip 16749
payment standard 110
3
$1,353
2025-10-01
HUD_USER_SAFMR
zip 16749
payment standard 90
3
$1,107
2025-10-01
HUD_USER_SAFMR
zip 16749
safmr
3
$1,230
2025-10-01
HUD_USER_SAFMR
zip 16749
payment standard 110
4
$1,606
2025-10-01
HUD_USER_SAFMR
zip 16749
payment standard 90
4
$1,314
2025-10-01
HUD_USER_SAFMR
zip 16749
safmr
4
$1,460
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.