Reads as: riskier than 70.7% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+23.3 vs natl
SAKALAS LORI
11 facilities
connection
Owner spans multiple chains
15 chains
CIBC BANK USA
155 facilities
connection
Owner spans multiple chains
10 chains
RKL LLP
52 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
PA median
National median
National p25–p75
Total nurse
3.38
3.38
3.28
2.90–3.77
RN
0.61
0.45
0.39
0.25–0.58
Weekend total
3.14
3.27
3.11
—
Weekday total
3.47
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
40.5
3.38
0.61
0.75
2.02
3.14
6.0%
2025Q3
92
39.9
3.39
0.64
0.77
1.98
3.12
9.8%
2025Q2
91
40.1
3.27
0.81
0.62
1.84
3.10
7.8%
2025Q1
90
38.6
3.30
0.81
0.59
1.90
3.13
11.0%
2024Q4
92
37.7
3.56
0.82
0.72
2.02
3.30
15.9%
2024Q3
92
39.1
3.12
0.64
0.78
1.71
3.01
12.3%
2024Q2
91
38.5
2.58
0.47
0.60
1.51
2.49
17.4%
2024Q1
91
39.5
2.75
0.36
0.70
1.69
2.71
16.6%
2023Q4
92
36.3
3.26
0.28
1.00
1.97
3.13
16.6%
2023Q3
92
36.4
3.44
0.56
0.83
2.06
3.37
0.0%
2023Q2
91
37.8
3.28
0.49
0.80
2.00
3.02
0.5%
2023Q1
90
40.0
2.90
0.28
0.73
1.90
2.78
5.3%
2022Q4
92
37.6
2.93
0.37
0.77
1.79
2.91
7.1%
2022Q3
92
37.9
2.55
0.38
0.70
1.47
2.46
24.3%
2022Q2
91
35.3
2.50
0.45
0.74
1.31
2.47
33.1%
2022Q1
90
35.1
2.70
0.48
0.77
1.45
2.71
26.5%
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.
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2025-09-18
2025-08-21
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-09-18
2025-08-21
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2025-09-18
2024-11-01
Health
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
E
2024-12-03
2024-11-01
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
B
2024-12-03
2024-11-01
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.
B
2024-12-03
2024-11-01
Health
F0660
Plan the resident's discharge to meet the resident's goals and needs.
D
2024-12-03
2024-11-01
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-12-02
2024-11-01
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
2024-12-02
2024-11-01
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
E
2024-12-02
2024-11-01
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2024-12-02
2024-11-01
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-12-02
2024-11-01
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2024-12-02
2024-11-01
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2024-12-02
2023-12-21
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2024-01-16
2023-12-21
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-10-23
2023-12-21
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-01-16
2023-12-21
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2024-01-16
2023-12-21
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2024-01-16
2023-12-21
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.
D
2024-01-16
2023-12-21
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-01-16
2023-11-09
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-10-26
2023-09-20
Health · complaint
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
E
2023-11-01
2023-09-20
Health · complaint
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2023-11-01
2023-09-20
Health · complaint
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2023-11-01
2023-09-20
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2023-11-01
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
26
Owner
Role
Pct
From
Status
Source
WWBV HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2019-09-30
current
pecos_ownership
CIBC BANK USA
ADP OF THE SNF
—
2021-02-26
current
pecos_ownership
CITRIN COOPERMAN ADVISORS LLC
ADP OF THE SNF
—
2007-10-01
current
pecos_ownership
DODGE, NICHOLAS
CORPORATE DIRECTOR
—
2007-10-01
current
pecos_ownership
NICOLUZAKIS, GREGORY
CORPORATE OFFICER
—
2019-03-01
current
pecos_ownership
RKL LLP
ADP OF THE SNF
—
2023-01-26
current
pecos_ownership
ROTELL, SARAH
CORPORATE DIRECTOR
—
2023-07-10
current
pecos_ownership
SABER GOVERNANCE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-09-01
current
pecos_ownership
SAKALAS, LORI
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-06
current
pecos_ownership
SCRANTON HEALTH REAL ESTATE GROUP LLC
5% OR GREATER MORTGAGE INTEREST
—
2021-02-26
current
pecos_ownership
SHG MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-09-01
current
pecos_ownership
VOLPE, BENJAMIN
CORPORATE DIRECTOR
—
2019-03-01
current
pecos_ownership
WEISBERG, WILLIAM
CORPORATE OFFICER
—
2019-03-01
current
pecos_ownership
SABER HEALTHCARE HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2023-12-31
ended 2026-05-18
pecos_ownership
SABER PA HOLDINGS, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-12-31
ended 2026-05-18
pecos_ownership
SHH HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2019-03-01
ended 2026-05-18
pecos_ownership
DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020
5% OR GREATER INDIRECT OWNERSHIP INTEREST
67%
2023-01-01
ended 2026-05-18
pecos_ownership
WIW DYNASTY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
67%
2023-01-01
ended 2026-05-18
pecos_ownership
BENJAMIN VOLPE
CORPORATE DIRECTOR
50%
2019-03-01
ended 2026-05-18
pecos_ownership
WILLIAM WEISBERG
CORPORATE DIRECTOR
50%
2019-03-01
ended 2026-05-18
pecos_ownership
BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020)
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2023-01-01
ended 2026-05-18
pecos_ownership
BNV DYNASTY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2023-01-01
ended 2026-05-18
pecos_ownership
GREGORY NICOLUZAKIS
CORPORATE OFFICER
0%
2019-03-01
ended 2026-05-18
pecos_ownership
LORI SAKALAS
OPERATIONAL/MANAGERIAL CONTROL
0%
2024-05-06
ended 2026-05-18
pecos_ownership
NICHOLAS DODGE
CORPORATE DIRECTOR
—
2007-10-01
ended 2026-05-18
pecos_ownership
SARAH ROTELL
CORPORATE DIRECTOR
—
2023-07-10
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
$1,278,107
—
—
$331,423
$294,326
5
—
2023-12-31
$890,885
—
—
$250,946
$16,892
5
—
2022-12-31
$726,692
—
—
$221,544
$1,050
4
—
2021-12-31
$634,102
—
—
$214,483
—
4
—
2020-12-31
$451,614
—
—
$240,072
—
4
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 42069
acs median gross
0
$823
2024-12-31
CENSUS_ACS5
county 42069
fmr
0
$863
2025-10-01
HUD_USER_FMR
county 42069
acs median gross
1
$776
2024-12-31
CENSUS_ACS5
county 42069
fmr
1
$1,028
2025-10-01
HUD_USER_FMR
county 42069
acs median gross
2
$988
2024-12-31
CENSUS_ACS5
county 42069
fmr
2
$1,252
2025-10-01
HUD_USER_FMR
county 42069
acs median gross
3
$1,213
2024-12-31
CENSUS_ACS5
county 42069
fmr
3
$1,631
2025-10-01
HUD_USER_FMR
county 42069
acs median gross
4
$1,380
2024-12-31
CENSUS_ACS5
county 42069
fmr
4
$1,766
2025-10-01
HUD_USER_FMR
county 42069
acs median gross
5
$1,292
2024-12-31
CENSUS_ACS5
county 42069
acs median gross
$1,007
2024-12-31
CENSUS_ACS5
county 42069
acs recent mover gross
$1,337
2024-12-31
CENSUS_ACS5
zcta 18505
acs median gross
0
$828
2024-12-31
CENSUS_ACS5
zcta 18505
acs median gross
1
$812
2024-12-31
CENSUS_ACS5
zcta 18505
acs median gross
2
$1,005
2024-12-31
CENSUS_ACS5
zcta 18505
acs median gross
3
$1,082
2024-12-31
CENSUS_ACS5
zcta 18505
acs median gross
4
$1,627
2024-12-31
CENSUS_ACS5
zcta 18505
acs median gross
$994
2024-12-31
CENSUS_ACS5
zcta 18505
acs recent mover gross
$1,138
2024-12-31
CENSUS_ACS5
zip 18505
payment standard 110
0
$924
2025-10-01
HUD_USER_SAFMR
zip 18505
payment standard 90
0
$756
2025-10-01
HUD_USER_SAFMR
zip 18505
safmr
0
$840
2025-10-01
HUD_USER_SAFMR
zip 18505
payment standard 110
1
$1,100
2025-10-01
HUD_USER_SAFMR
zip 18505
payment standard 90
1
$900
2025-10-01
HUD_USER_SAFMR
zip 18505
safmr
1
$1,000
2025-10-01
HUD_USER_SAFMR
zip 18505
payment standard 110
2
$1,342
2025-10-01
HUD_USER_SAFMR
zip 18505
payment standard 90
2
$1,098
2025-10-01
HUD_USER_SAFMR
zip 18505
safmr
2
$1,220
2025-10-01
HUD_USER_SAFMR
zip 18505
payment standard 110
3
$1,749
2025-10-01
HUD_USER_SAFMR
zip 18505
payment standard 90
3
$1,431
2025-10-01
HUD_USER_SAFMR
zip 18505
safmr
3
$1,590
2025-10-01
HUD_USER_SAFMR
zip 18505
payment standard 110
4
$1,892
2025-10-01
HUD_USER_SAFMR
zip 18505
payment standard 90
4
$1,548
2025-10-01
HUD_USER_SAFMR
zip 18505
safmr
4
$1,720
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.