Reads as: riskier than 46.1% 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
5
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet enforcement cluster
80% fined
ELEOS HEALTH CARE LLC
5 facilities
connection
Owner fleet enforcement cluster
44% fined
GATEWAYS REHABILITATION CENTER II LLC
18 facilities
connection
Owner fleet enforcement cluster
43% fined
RENEW HEALTH CONSULTING SERVICES LLC
14 facilities
connection
Owner fleet enforcement cluster
42% fined
SHARMA VATSALA
19 facilities
connection
Owner fleet enforcement cluster
40% fined
RENEW HEALTH GROUP LLC
5 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
CA median
National median
National p25–p75
Total nurse
3.82
3.95
3.28
2.90–3.77
RN
0.30
0.38
0.39
0.25–0.58
Weekend total
3.65
3.79
3.11
—
Weekday total
3.89
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
46.3
3.82
0.30
1.03
2.49
3.65
0.0%
2025Q3
92
47.3
3.79
0.30
1.02
2.46
3.59
0.1%
2025Q2
91
45.9
3.98
0.37
1.04
2.56
3.69
0.0%
2025Q1
90
44.8
4.02
0.31
1.12
2.59
3.81
0.0%
2024Q4
92
45.6
3.80
0.20
1.13
2.47
3.65
0.0%
2024Q3
92
51.6
3.43
0.22
1.00
2.21
3.25
0.4%
2024Q2
91
50.2
3.51
0.18
1.04
2.29
3.35
2.2%
2024Q1
91
45.1
3.67
0.17
1.08
2.42
3.44
9.3%
2023Q4
92
45.2
3.82
0.28
1.01
2.53
3.42
11.7%
2023Q3
92
43.5
3.95
0.44
0.94
2.57
3.72
21.2%
2023Q2
91
41.4
3.85
0.37
0.97
2.52
3.74
15.2%
2023Q1
90
43.0
4.08
0.35
1.13
2.60
3.95
22.9%
2022Q4
92
40.8
3.85
0.36
1.17
2.32
3.52
13.1%
2022Q3
92
39.3
4.00
0.51
1.31
2.18
3.43
19.5%
2022Q2
91
39.2
4.36
0.60
1.41
2.35
3.75
12.8%
2022Q1
90
42.0
3.69
0.44
1.09
2.16
3.07
5.8%
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
31
B × 1D × 17E × 12F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-04-22
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
2025-05-22
2025-04-22
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-05-22
2025-04-22
Health · complaint
F0745
Provide medically-related social services to help each resident achieve the highest possible quality of life.
D
2025-05-22
2025-04-09
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.
E
2025-04-26
2025-04-09
Health · complaint
F0660
Plan the resident's discharge to meet the resident's goals and needs.
D
2025-04-26
2025-04-09
Health · complaint
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2025-04-26
2025-04-09
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-04-26
2025-01-24
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-02-26
2025-01-24
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-02-26
2025-01-24
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
E
2025-02-26
2025-01-24
Health
F0638
Assure that each resident’s assessment is updated at least once every 3 months.
D
2025-02-26
2025-01-24
Health
F0641
Ensure each resident receives an accurate assessment.
E
2025-02-26
2025-01-24
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2025-02-26
2025-01-24
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2025-02-26
2025-01-24
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-02-26
2025-01-24
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
2025-02-26
2025-01-24
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2025-02-26
2025-01-24
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
E
2025-02-26
2025-01-24
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2025-02-26
2025-01-24
Health
F0760
Ensure that residents are free from significant medication errors.
D
2025-02-26
2025-01-24
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
2025-02-26
2025-01-24
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-02-26
2025-01-24
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2025-02-26
2025-01-24
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-02-26
2023-10-19
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-11-19
2023-10-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-11-19
2023-10-19
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-11-19
2021-04-08
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.
B
2021-07-08
2021-04-08
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2021-07-08
2021-04-08
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
E
2021-07-08
2021-04-08
Health
F0880
Provide and implement an infection prevention and control program.
E
2021-07-08
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
18
Owner
Role
Pct
From
Status
Source
RENEW HEALTH GROUP LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
75%
2015-04-11
current
pecos_ownership
SOLORZANO, CRYSTAL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
74%
2024-07-24
current
pecos_ownership
DIONISIO, PAOLA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2024-07-24
current
pecos_ownership
OCCST LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2024-07-24
current
pecos_ownership
CHAVARRIA, EVA
ADP OF THE SNF
—
2024-04-01
current
pecos_ownership
ELEOS HEALTH CARE, LLC
ADP OF THE SNF
—
2025-08-29
current
pecos_ownership
GATEWAYS REHABILITATION CENTER II LLC
ADP OF THE SNF
—
2023-08-17
current
pecos_ownership
PACLIBARE, JULIUS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-08
current
pecos_ownership
RENEW HEALTH CONSULTING SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-08-17
current
pecos_ownership
SHARMA, VATSALA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-08-17
current
pecos_ownership
SNIPES, TYRONE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-04
current
pecos_ownership
CRYSTAL SOLORZANO
5% OR GREATER INDIRECT OWNERSHIP INTEREST
74%
2024-07-24
ended 2026-05-18
pecos_ownership
PAOLA DIONISIO
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2024-07-24
ended 2026-05-18
pecos_ownership
JADEN RUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
1%
2024-07-24
ended 2026-05-18
pecos_ownership
EVA CHAVARRIA
MANAGING CONTROL - GOVERNING BODY
—
2024-04-01
ended 2026-05-18
pecos_ownership
JULIUS PACLIBARE
ADP OF THE SNF
—
2024-10-08
ended 2026-05-18
pecos_ownership
TYRONE SNIPES
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-04
ended 2026-05-18
pecos_ownership
VATSALA SHARMA
ADP OF THE SNF
—
2023-08-17
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$295,518
—
$295,518
—
—
1
—
2023-12-31
$288,649
—
$288,649
—
—
1
—
2022-12-31
$358,682
—
$358,682
—
—
1
—
2021-12-31
$362,334
—
$362,334
—
—
1
—
2020-12-31
$249,177
—
$249,177
—
—
1
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 06013
acs median gross
0
$2,050
2024-12-31
CENSUS_ACS5
county 06013
fmr
0
$2,142
2025-10-01
HUD_USER_FMR
county 06013
acs median gross
1
$1,975
2024-12-31
CENSUS_ACS5
county 06013
fmr
1
$2,385
2025-10-01
HUD_USER_FMR
county 06013
acs median gross
2
$2,354
2024-12-31
CENSUS_ACS5
county 06013
fmr
2
$2,912
2025-10-01
HUD_USER_FMR
county 06013
acs median gross
3
$2,841
2024-12-31
CENSUS_ACS5
county 06013
fmr
3
$3,724
2025-10-01
HUD_USER_FMR
county 06013
acs median gross
4
$3,365
2024-12-31
CENSUS_ACS5
county 06013
fmr
4
$4,413
2025-10-01
HUD_USER_FMR
county 06013
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
county 06013
acs median gross
$2,375
2024-12-31
CENSUS_ACS5
county 06013
acs recent mover gross
$2,420
2024-12-31
CENSUS_ACS5
zcta 94563
acs median gross
1
$339
2024-12-31
CENSUS_ACS5
zcta 94563
acs median gross
2
$3,501
2024-12-31
CENSUS_ACS5
zcta 94563
acs median gross
3
$3,501
2024-12-31
CENSUS_ACS5
zcta 94563
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 94563
acs median gross
$3,501
2024-12-31
CENSUS_ACS5
zcta 94563
acs recent mover gross
$3,501
2024-12-31
CENSUS_ACS5
zip 94563
payment standard 110
0
$2,651
2025-10-01
HUD_USER_SAFMR
zip 94563
payment standard 90
0
$2,169
2025-10-01
HUD_USER_SAFMR
zip 94563
safmr
0
$2,410
2025-10-01
HUD_USER_SAFMR
zip 94563
payment standard 110
1
$2,959
2025-10-01
HUD_USER_SAFMR
zip 94563
payment standard 90
1
$2,421
2025-10-01
HUD_USER_SAFMR
zip 94563
safmr
1
$2,690
2025-10-01
HUD_USER_SAFMR
zip 94563
payment standard 110
2
$3,608
2025-10-01
HUD_USER_SAFMR
zip 94563
payment standard 90
2
$2,952
2025-10-01
HUD_USER_SAFMR
zip 94563
safmr
2
$3,280
2025-10-01
HUD_USER_SAFMR
zip 94563
payment standard 110
3
$4,609
2025-10-01
HUD_USER_SAFMR
zip 94563
payment standard 90
3
$3,771
2025-10-01
HUD_USER_SAFMR
zip 94563
safmr
3
$4,190
2025-10-01
HUD_USER_SAFMR
zip 94563
payment standard 110
4
$5,467
2025-10-01
HUD_USER_SAFMR
zip 94563
payment standard 90
4
$4,473
2025-10-01
HUD_USER_SAFMR
zip 94563
safmr
4
$4,970
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.