Reads as: riskier than 53.9% 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
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
10 chains
RKL LLP
52 facilities
connection
Owner spans multiple chains
5 chains
GRAF ANDREW
7 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
3.01
3.38
3.28
2.90–3.77
RN
0.29
0.45
0.39
0.25–0.58
Weekend total
2.95
3.27
3.11
—
Weekday total
3.04
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
160.8
3.01
0.29
0.73
1.99
2.95
12.6%
2025Q3
92
163.7
3.15
0.32
0.74
2.10
3.00
21.2%
2025Q2
91
162.1
3.15
0.28
0.75
2.13
2.97
31.9%
2025Q1
90
159.6
2.96
0.36
0.72
1.88
2.75
40.6%
2024Q4
92
154.7
3.01
0.35
0.68
1.97
2.82
42.8%
2024Q3
92
161.2
2.18
0.35
0.64
1.19
2.10
18.2%
2024Q2
91
162.3
2.37
0.31
0.68
1.38
2.25
11.5%
2024Q1
91
158.3
2.70
0.34
0.71
1.65
2.57
6.7%
2023Q4
92
161.7
2.97
0.33
0.77
1.87
2.84
11.9%
2023Q3
92
163.6
3.12
0.36
0.81
1.95
2.95
15.4%
2023Q2
91
161.4
3.02
0.26
0.73
2.03
2.88
14.0%
2023Q1
90
155.3
2.95
0.26
0.77
1.92
2.83
10.4%
2022Q4
92
142.3
2.91
0.24
0.74
1.93
2.83
1.6%
2022Q3
92
140.0
2.54
0.25
0.73
1.56
2.47
0.0%
2022Q2
91
134.5
2.59
0.28
0.77
1.55
2.51
13.7%
2022Q1
90
137.1
2.35
0.31
0.68
1.36
2.35
2.0%
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.
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
13
D × 11E × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-03-14
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2025-04-08
2025-03-14
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-04-08
2024-09-11
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2024-10-22
2024-09-11
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-10-22
2024-09-11
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2024-10-22
2024-05-30
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-06-18
2024-02-23
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-03-12
2024-02-23
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
2024-03-12
2024-02-23
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
2024-03-12
2023-10-28
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-11-14
2023-03-10
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-04-11
2023-03-10
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
2023-04-11
2023-03-10
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.
D
2023-04-11
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
36
Owner
Role
Pct
From
Status
Source
BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020)
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
BNV DYNASTY LLC
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
CITRIN COOPERMAN ADVISORS LLC
ADP OF THE SNF
—
2018-04-01
current
pecos_ownership
DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
GRAF, ANDREW
ADP OF THE SNF
—
2024-11-10
current
pecos_ownership
GRAF, ANDREW
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
NICOLUZAKIS, GREGORY
ADP OF THE SNF
—
2019-03-01
current
pecos_ownership
RKL LLP
ADP OF THE SNF
—
2023-01-26
current
pecos_ownership
SABER GOVERNANCE LLC
ADP OF THE SNF
—
2019-09-01
current
pecos_ownership
SABER HEALTHCARE GROUP LLC
ADP OF THE SNF
—
2018-04-01
current
pecos_ownership
SAKALAS, LORI
ADP OF THE SNF
—
2024-05-06
current
pecos_ownership
SHG MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-09-01
current
pecos_ownership
SHG REZ LLC
ADP OF THE SNF
—
2025-08-13
current
pecos_ownership
TOBIAS, KRISTINE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-30
current
pecos_ownership
TREMONT RE GROUP LLC
ADP OF THE SNF
—
2022-05-02
current
pecos_ownership
TREMONT REALTY
Corporation, partnership or other organization has financial interest in provider
—
2023-01-01
current
hcris_a_8_1
TREMONT REALTY
Corporation, partnership or other organization has financial interest in provider
—
2024-01-01
current
hcris_a_8_1
VOLPE, BENJAMIN
ADP OF THE SNF
—
2019-03-01
current
pecos_ownership
WEISBERG, WILLIAM
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-01-29
current
pecos_ownership
WEISBERG, WILLIAM
CORPORATE DIRECTOR
—
2019-03-01
current
pecos_ownership
WEISBERG, WILLIAM
ADP OF THE SNF
—
2018-04-01
current
pecos_ownership
ZIEGLER FINANCING CORPORATION
ADP OF THE SNF
—
2022-05-02
current
pecos_ownership
JACQUELYN ROBINSON
W-2 MANAGING EMPLOYEE
100%
2018-04-01
ended 2026-05-18
pecos_ownership
SABER HEALTHCARE HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2018-04-01
ended 2026-05-18
pecos_ownership
SHG REWD LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2018-04-01
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
WWBV HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2019-09-30
ended 2026-05-18
pecos_ownership
DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020
5% OR GREATER INDIRECT OWNERSHIP INTEREST
78%
2020-09-30
ended 2026-05-18
pecos_ownership
WIW DYNASTY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
78%
2019-09-30
ended 2026-05-18
pecos_ownership
BENJAMIN VOLPE
CORPORATE DIRECTOR
50%
2019-03-01
ended 2026-05-18
pecos_ownership
TREMONT REALTY
Corporation, partnership or other organization has financial interest in provider
50%
2022-01-01
ended 2022-12-31
hcris_a_8_1
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
22%
2020-12-31
ended 2026-05-18
pecos_ownership
BNV DYNASTY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
22%
2020-12-31
ended 2026-05-18
pecos_ownership
GREGORY NICOLUZAKIS
CORPORATE OFFICER
0%
2019-03-01
ended 2026-05-18
pecos_ownership
STEPHEN MAGANZINI
OPERATIONAL/MANAGERIAL CONTROL
0%
2021-05-24
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
$4,297,132
—
—
$678,510
$1,500,921
7
propco
2023-12-31
$2,963,217
—
—
$721,096
$102,858
7
propco
2022-12-31
$2,639,717
—
—
$734,757
$5,049
6
propco
2021-12-31
$1,405,061
—
—
$700,337
—
4
—
2020-12-31
$1,485,264
—
—
$671,379
$26,399
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
33
Geo
Kind
BR
Amount
As of
Source
county 42107
acs median gross
0
$525
2024-12-31
CENSUS_ACS5
county 42107
fmr
0
$727
2025-10-01
HUD_USER_FMR
county 42107
acs median gross
1
$625
2024-12-31
CENSUS_ACS5
county 42107
fmr
1
$786
2025-10-01
HUD_USER_FMR
county 42107
acs median gross
2
$910
2024-12-31
CENSUS_ACS5
county 42107
fmr
2
$1,030
2025-10-01
HUD_USER_FMR
county 42107
acs median gross
3
$1,071
2024-12-31
CENSUS_ACS5
county 42107
fmr
3
$1,341
2025-10-01
HUD_USER_FMR
county 42107
acs median gross
4
$1,067
2024-12-31
CENSUS_ACS5
county 42107
fmr
4
$1,409
2025-10-01
HUD_USER_FMR
county 42107
acs median gross
5
$1,193
2024-12-31
CENSUS_ACS5
county 42107
acs median gross
$876
2024-12-31
CENSUS_ACS5
county 42107
acs recent mover gross
$1,003
2024-12-31
CENSUS_ACS5
zcta 17981
acs median gross
1
$581
2024-12-31
CENSUS_ACS5
zcta 17981
acs median gross
2
$900
2024-12-31
CENSUS_ACS5
zcta 17981
acs median gross
3
$1,042
2024-12-31
CENSUS_ACS5
zcta 17981
acs median gross
5
$1,100
2024-12-31
CENSUS_ACS5
zcta 17981
acs median gross
$869
2024-12-31
CENSUS_ACS5
zip 17981
payment standard 110
0
$759
2025-10-01
HUD_USER_SAFMR
zip 17981
payment standard 90
0
$621
2025-10-01
HUD_USER_SAFMR
zip 17981
safmr
0
$690
2025-10-01
HUD_USER_SAFMR
zip 17981
payment standard 110
1
$814
2025-10-01
HUD_USER_SAFMR
zip 17981
payment standard 90
1
$666
2025-10-01
HUD_USER_SAFMR
zip 17981
safmr
1
$740
2025-10-01
HUD_USER_SAFMR
zip 17981
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 17981
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 17981
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 17981
payment standard 110
3
$1,397
2025-10-01
HUD_USER_SAFMR
zip 17981
payment standard 90
3
$1,143
2025-10-01
HUD_USER_SAFMR
zip 17981
safmr
3
$1,270
2025-10-01
HUD_USER_SAFMR
zip 17981
payment standard 110
4
$1,463
2025-10-01
HUD_USER_SAFMR
zip 17981
payment standard 90
4
$1,197
2025-10-01
HUD_USER_SAFMR
zip 17981
safmr
4
$1,330
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.