Reads as: riskier than 34.9% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
20 chains
CLIFTONLARSONALLEN LLP
98 facilities
connection
Owner spans multiple chains
8 chains
HEALTHPRO HERITAGE LLC
12 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
CT median
National median
National p25–p75
Total nurse
4.31
3.46
3.28
2.90–3.77
RN
0.79
0.40
0.39
0.25–0.58
Weekend total
4.17
3.25
3.11
—
Weekday total
4.36
3.51
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
69.6
4.31
0.79
0.50
3.02
4.17
6.3%
2025Q3
92
66.8
4.41
0.78
0.63
3.00
4.24
5.6%
2025Q2
91
65.5
4.56
0.88
0.54
3.14
4.40
4.3%
2025Q1
90
67.1
4.32
0.90
0.40
3.02
4.24
0.0%
2024Q4
92
64.9
4.38
0.92
0.43
3.04
4.13
0.0%
2024Q3
92
65.7
4.19
0.82
0.36
3.00
3.86
0.0%
2024Q2
91
64.2
4.49
0.92
0.37
3.20
4.16
0.0%
2024Q1
91
67.7
4.05
0.93
0.34
2.79
3.99
0.0%
2023Q4
92
67.5
3.80
0.88
0.25
2.67
3.63
0.0%
2023Q3
92
65.7
4.03
0.92
0.24
2.87
3.82
0.0%
2023Q2
91
63.1
4.33
1.07
0.23
3.03
4.11
0.0%
2023Q1
90
60.6
4.37
0.98
0.27
3.12
4.05
0.0%
2022Q4
92
58.4
4.01
0.93
0.19
2.89
3.76
0.0%
2022Q3
92
56.7
3.29
0.55
0.18
2.55
3.02
0.0%
2022Q2
91
56.3
3.61
0.61
0.23
2.77
3.49
0.0%
2022Q1
90
57.5
3.58
0.63
0.25
2.70
3.37
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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2024-04-25
2024-03-21
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2024-04-25
2024-03-21
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2024-04-25
2024-03-21
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-04-25
2024-03-21
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-04-25
2024-03-21
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-04-25
2024-03-21
Health
F0710
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
D
2024-04-25
2024-03-21
Health
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2024-04-25
2024-03-21
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-04-25
2022-02-17
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-03-27
2022-02-17
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2022-03-27
2022-02-17
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2022-03-27
2019-08-16
Health
F0659
Provide care by qualified persons according to each resident's written plan of care.
D
2019-09-23
2019-08-16
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2019-09-23
2019-08-16
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2019-09-23
2019-08-16
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2019-09-23
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
52
Owner
Role
Pct
From
Status
Source
BABBITT, BRADFORD
CORPORATE DIRECTOR
—
2014-11-01
current
pecos_ownership
BERNASCONI, RENEE
OPERATIONAL/MANAGERIAL CONTROL
—
2019-07-01
current
pecos_ownership
BOMPASTORE, JACOB
ADP OF THE SNF
—
2019-04-10
current
pecos_ownership
BURNETT, ROBERT
CORPORATE DIRECTOR
—
2023-11-02
current
pecos_ownership
CLIFTONLARSONALLEN LLP
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
current
pecos_ownership
CLIFTONLARSONALLEN LLP
ADP OF THE SNF
—
2025-05-02
current
pecos_ownership
DOLLAR, ELLEN
CORPORATE DIRECTOR
—
2025-11-06
current
pecos_ownership
FINDLAY, NORVILLA
CORPORATE DIRECTOR
—
2025-03-13
current
pecos_ownership
HEALTHPRO HERITAGE LLC
ADP OF THE SNF
—
2025-05-02
current
pecos_ownership
HEALTHPRO HERITAGE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2017-02-01
current
pecos_ownership
JACQUES, CHERYL
CORPORATE DIRECTOR
—
2025-01-15
current
pecos_ownership
JASMINSKI, AUGUST
CORPORATE DIRECTOR
—
2024-03-07
current
pecos_ownership
KNITTEL, ROSE
ADP OF THE SNF
—
2025-04-23
current
pecos_ownership
KNITTEL, ROSE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
current
pecos_ownership
KUZMENKO, RUSLAN
CORPORATE OFFICER
—
2017-01-01
current
pecos_ownership
KUZMENKO, RUSLAN
ADP OF THE SNF
—
2025-04-29
current
pecos_ownership
MACK, DIANE
CORPORATE DIRECTOR
—
2023-11-02
current
pecos_ownership
MELLO, JEFFREY
CORPORATE DIRECTOR
—
2022-11-03
current
pecos_ownership
MOORE, MARIAN
CORPORATE DIRECTOR
—
2022-11-03
current
pecos_ownership
OAKES, MICHAEL
CORPORATE OFFICER
—
2019-06-30
current
pecos_ownership
PICKERING, JOHN
CORPORATE DIRECTOR
—
2025-11-06
current
pecos_ownership
PURNELL, ERL
CORPORATE DIRECTOR
—
2015-11-01
current
pecos_ownership
SCOTT, CRAIG
CORPORATE DIRECTOR
—
2017-01-01
current
pecos_ownership
SHERRILL, MICHAEL
CORPORATE DIRECTOR
—
2019-11-07
current
pecos_ownership
STANLEY, LYNNE
CORPORATE DIRECTOR
—
2025-11-06
current
pecos_ownership
THERIAULT, RONALD
CORPORATE DIRECTOR
—
2023-11-02
current
pecos_ownership
TONKIN, RUSSELL
CORPORATE DIRECTOR
—
2020-11-05
current
pecos_ownership
ZIEGENHAGEN, ROBERT
CORPORATE DIRECTOR
—
2025-06-26
current
pecos_ownership
RUSLAN KUZMENKO
CORPORATE OFFICER
0%
2017-01-01
ended 2026-05-18
pecos_ownership
AUGUST JASMINSKI
CORPORATE DIRECTOR
—
2024-03-07
ended 2026-05-18
pecos_ownership
BRADFORD BABBITT
CORPORATE DIRECTOR
—
2014-11-01
ended 2026-05-18
pecos_ownership
CHERYL JACQUES
CORPORATE DIRECTOR
—
2025-01-15
ended 2026-05-18
pecos_ownership
CRAIG SCOTT
CORPORATE DIRECTOR
—
2017-01-01
ended 2026-05-18
pecos_ownership
DIANE MACK
CORPORATE DIRECTOR
—
2023-11-02
ended 2026-05-18
pecos_ownership
ELLEN DOLLAR
CORPORATE DIRECTOR
—
2025-11-06
ended 2026-05-18
pecos_ownership
ERL PURNELL
CORPORATE DIRECTOR
—
2015-11-01
ended 2026-05-18
pecos_ownership
JACOB BOMPASTORE
OPERATIONAL/MANAGERIAL CONTROL
—
2019-04-10
ended 2026-05-18
pecos_ownership
JEFFREY MELLO
CORPORATE DIRECTOR
—
2022-11-03
ended 2026-05-18
pecos_ownership
JOHN PICKERING
CORPORATE DIRECTOR
—
2025-11-06
ended 2026-05-18
pecos_ownership
LYNNE STANLEY
CORPORATE DIRECTOR
—
2025-11-06
ended 2026-05-18
pecos_ownership
MARIAN MOORE
CORPORATE DIRECTOR
—
2022-11-03
ended 2026-05-18
pecos_ownership
MICHAEL OAKES
OPERATIONAL/MANAGERIAL CONTROL
—
2019-06-30
ended 2026-05-18
pecos_ownership
MICHAEL SHERRILL
CORPORATE DIRECTOR
—
2019-11-07
ended 2026-05-18
pecos_ownership
NORVILLA FINDLAY
CORPORATE DIRECTOR
—
2025-03-13
ended 2026-05-18
pecos_ownership
RENEE BERNASCONI
OPERATIONAL/MANAGERIAL CONTROL
—
2019-07-01
ended 2026-05-18
pecos_ownership
ROBERT BURNETT
CORPORATE DIRECTOR
—
2023-11-02
ended 2026-05-18
pecos_ownership
ROBERT ZIEGENHAGEN
CORPORATE DIRECTOR
—
2025-06-26
ended 2026-05-18
pecos_ownership
RONALD THERIAULT
CORPORATE DIRECTOR
—
2023-11-02
ended 2026-05-18
pecos_ownership
ROSE KNITTEL
ADP OF THE SNF
—
2025-04-23
ended 2026-05-18
pecos_ownership
ROSE KNITTEL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
ended 2026-05-18
pecos_ownership
RUSLAN KUZMENKO
ADP OF THE SNF
—
2025-04-29
ended 2026-05-18
pecos_ownership
RUSSELL TONKIN
CORPORATE DIRECTOR
—
2020-11-05
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.
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
28
Geo
Kind
BR
Amount
As of
Source
county 09110
acs median gross
0
$1,036
2024-12-31
CENSUS_ACS5
county 09110
acs median gross
1
$1,183
2024-12-31
CENSUS_ACS5
county 09110
acs median gross
2
$1,532
2024-12-31
CENSUS_ACS5
county 09110
acs median gross
3
$1,594
2024-12-31
CENSUS_ACS5
county 09110
acs median gross
4
$1,851
2024-12-31
CENSUS_ACS5
county 09110
acs median gross
5
$2,536
2024-12-31
CENSUS_ACS5
county 09110
acs median gross
$1,411
2024-12-31
CENSUS_ACS5
county 09110
acs recent mover gross
$1,678
2024-12-31
CENSUS_ACS5
zcta 06002
acs median gross
1
$1,309
2024-12-31
CENSUS_ACS5
zcta 06002
acs median gross
2
$1,957
2024-12-31
CENSUS_ACS5
zcta 06002
acs median gross
3
$1,894
2024-12-31
CENSUS_ACS5
zcta 06002
acs median gross
$1,881
2024-12-31
CENSUS_ACS5
zcta 06002
acs recent mover gross
$2,037
2024-12-31
CENSUS_ACS5
zip 06002
payment standard 110
0
$1,793
2025-10-01
HUD_USER_SAFMR
zip 06002
payment standard 90
0
$1,467
2025-10-01
HUD_USER_SAFMR
zip 06002
safmr
0
$1,630
2025-10-01
HUD_USER_SAFMR
zip 06002
payment standard 110
1
$2,068
2025-10-01
HUD_USER_SAFMR
zip 06002
payment standard 90
1
$1,692
2025-10-01
HUD_USER_SAFMR
zip 06002
safmr
1
$1,880
2025-10-01
HUD_USER_SAFMR
zip 06002
payment standard 110
2
$2,607
2025-10-01
HUD_USER_SAFMR
zip 06002
payment standard 90
2
$2,133
2025-10-01
HUD_USER_SAFMR
zip 06002
safmr
2
$2,370
2025-10-01
HUD_USER_SAFMR
zip 06002
payment standard 110
3
$3,124
2025-10-01
HUD_USER_SAFMR
zip 06002
payment standard 90
3
$2,556
2025-10-01
HUD_USER_SAFMR
zip 06002
safmr
3
$2,840
2025-10-01
HUD_USER_SAFMR
zip 06002
payment standard 110
4
$3,542
2025-10-01
HUD_USER_SAFMR
zip 06002
payment standard 90
4
$2,898
2025-10-01
HUD_USER_SAFMR
zip 06002
safmr
4
$3,220
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.