Reads as: riskier than 5.1% 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.
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
3.81
3.95
3.28
2.90–3.77
RN
0.29
0.38
0.39
0.25–0.58
Weekend total
3.62
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
55.8
3.81
0.29
0.89
2.64
3.62
0.2%
2025Q3
92
56.1
3.63
0.22
0.97
2.44
3.50
0.5%
2025Q2
91
56.2
3.70
0.17
1.03
2.50
3.54
0.0%
2025Q1
90
55.4
3.85
0.17
1.12
2.55
3.70
0.3%
2024Q4
92
55.5
3.67
0.16
0.99
2.52
3.54
0.5%
2024Q3
92
56.4
3.45
0.16
0.98
2.30
3.26
0.2%
2024Q2
91
57.1
3.28
0.17
0.97
2.13
3.13
0.7%
2024Q1
91
56.8
3.33
0.17
0.93
2.23
3.11
1.2%
2023Q4
92
55.7
3.08
0.21
0.91
1.96
2.94
0.4%
2023Q3
92
57.6
2.84
0.17
0.88
1.79
2.61
0.4%
2023Q2
91
64.3
2.81
0.19
0.78
1.84
2.75
2.1%
2023Q1
90
79.4
2.42
0.14
0.76
1.53
2.19
0.1%
2022Q4
92
74.1
2.65
0.12
0.73
1.79
2.51
3.7%
2022Q3
92
70.3
3.15
0.09
0.82
2.24
2.85
5.2%
2022Q2
91
63.2
3.63
0.21
0.92
2.51
3.41
5.8%
2022Q1
90
63.1
3.81
0.22
0.79
2.81
3.59
10.0%
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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D
2025-05-15
2025-05-09
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
2025-05-15
2025-05-09
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2025-05-15
2025-05-09
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2025-05-15
2025-05-09
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2025-05-15
2025-05-09
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
E
2025-05-15
2025-05-09
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-05-15
2025-05-09
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
E
2025-05-15
2025-05-09
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-05-15
2021-06-17
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2021-06-17
2021-06-17
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
2021-07-06
2021-06-17
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2021-07-06
2021-06-17
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2021-07-06
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
28
Owner
Role
Pct
From
Status
Source
ABREGO, MARIANNA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-16
current
pecos_ownership
BELTON, STACY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-23
current
pecos_ownership
CEPEC, MILAN
ADP OF THE SNF
—
2019-12-09
current
pecos_ownership
CYPRESS HEALTHCARE GROUP LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-10-01
current
pecos_ownership
CYPRESS HEALTHCARE GROUP LLC
ADP OF THE SNF
—
2025-05-02
current
pecos_ownership
JACKSON, MATTHEW
OPERATIONAL/MANAGERIAL CONTROL
—
2019-10-01
current
pecos_ownership
JACKSON, ROBERT
ADP OF THE SNF
—
2019-10-01
current
pecos_ownership
LEUNG, VICTORIA
ADP OF THE SNF
—
2024-02-20
current
pecos_ownership
MURRAY, DUSTIN
OPERATIONAL/MANAGERIAL CONTROL
—
2020-03-20
current
pecos_ownership
NUNEZ, MARIA
ADP OF THE SNF
—
2022-09-12
current
pecos_ownership
SANDIGO, AUGUSTO
ADP OF THE SNF
—
2019-10-01
current
pecos_ownership
SANOFSKY, JACK
CORPORATE DIRECTOR
—
2019-10-01
current
pecos_ownership
SHARMA, SHERIN
OPERATIONAL/MANAGERIAL CONTROL
—
2019-10-01
current
pecos_ownership
SHARMA, SHERIN
ADP OF THE SNF
—
2020-06-02
current
pecos_ownership
ZAIDI, FARAZ
ADP OF THE SNF
—
2019-04-01
current
pecos_ownership
JACK SANOFSKY
CORPORATE DIRECTOR
33%
2019-10-01
ended 2026-05-18
pecos_ownership
MATTHEW JACKSON
CORPORATE DIRECTOR
33%
2019-10-01
ended 2026-05-18
pecos_ownership
ROBERT JACKSON
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2019-10-01
ended 2026-05-18
pecos_ownership
AUGUSTO SANDIGO
OPERATIONAL/MANAGERIAL CONTROL
—
2019-10-01
ended 2026-05-18
pecos_ownership
DUSTIN MURRAY
OPERATIONAL/MANAGERIAL CONTROL
—
2020-03-20
ended 2026-05-18
pecos_ownership
FARAZ ZAIDI
ADP OF THE SNF
—
2019-04-01
ended 2026-05-18
pecos_ownership
MARIA NUNEZ
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-12
ended 2026-05-18
pecos_ownership
MARIANNA ABREGO
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-16
ended 2026-05-18
pecos_ownership
MILAN CEPEC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-12-09
ended 2026-05-18
pecos_ownership
SHERIN SHARMA
ADP OF THE SNF
—
2020-06-02
ended 2026-05-18
pecos_ownership
SHERIN SHARMA
OPERATIONAL/MANAGERIAL CONTROL
—
2019-10-01
ended 2026-05-18
pecos_ownership
STACY BELTON
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-23
ended 2026-05-18
pecos_ownership
VICTORIA LEUNG
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-20
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
$430,466
—
$415,165
$15,301
—
2
—
2023-12-31
$463,653
—
$449,156
$14,497
—
2
—
2022-12-31
$491,122
—
$384,710
—
$59,546
2
—
2021-12-31
$289,065
—
$289,065
—
—
1
—
2020-12-31
$289,355
—
$289,355
—
—
1
—
2019-12-31
$75,780
—
$75,780
—
—
1
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 06067
acs median gross
0
$1,446
2024-12-31
CENSUS_ACS5
county 06067
fmr
0
$1,748
2025-10-01
HUD_USER_FMR
county 06067
acs median gross
1
$1,492
2024-12-31
CENSUS_ACS5
county 06067
fmr
1
$1,832
2025-10-01
HUD_USER_FMR
county 06067
acs median gross
2
$1,783
2024-12-31
CENSUS_ACS5
county 06067
fmr
2
$2,255
2025-10-01
HUD_USER_FMR
county 06067
acs median gross
3
$2,119
2024-12-31
CENSUS_ACS5
county 06067
fmr
3
$3,002
2025-10-01
HUD_USER_FMR
county 06067
acs median gross
4
$2,396
2024-12-31
CENSUS_ACS5
county 06067
fmr
4
$3,460
2025-10-01
HUD_USER_FMR
county 06067
acs median gross
5
$2,872
2024-12-31
CENSUS_ACS5
county 06067
acs median gross
$1,790
2024-12-31
CENSUS_ACS5
county 06067
acs recent mover gross
$2,006
2024-12-31
CENSUS_ACS5
zcta 95819
acs median gross
0
$1,693
2024-12-31
CENSUS_ACS5
zcta 95819
acs median gross
1
$1,688
2024-12-31
CENSUS_ACS5
zcta 95819
acs median gross
2
$2,150
2024-12-31
CENSUS_ACS5
zcta 95819
acs median gross
3
$2,613
2024-12-31
CENSUS_ACS5
zcta 95819
acs median gross
4
$2,348
2024-12-31
CENSUS_ACS5
zcta 95819
acs median gross
$2,047
2024-12-31
CENSUS_ACS5
zcta 95819
acs recent mover gross
$2,155
2024-12-31
CENSUS_ACS5
zip 95819
payment standard 110
0
$2,255
2025-10-01
HUD_USER_SAFMR
zip 95819
payment standard 90
0
$1,845
2025-10-01
HUD_USER_SAFMR
zip 95819
safmr
0
$2,050
2025-10-01
HUD_USER_SAFMR
zip 95819
payment standard 110
1
$2,365
2025-10-01
HUD_USER_SAFMR
zip 95819
payment standard 90
1
$1,935
2025-10-01
HUD_USER_SAFMR
zip 95819
safmr
1
$2,150
2025-10-01
HUD_USER_SAFMR
zip 95819
payment standard 110
2
$2,904
2025-10-01
HUD_USER_SAFMR
zip 95819
payment standard 90
2
$2,376
2025-10-01
HUD_USER_SAFMR
zip 95819
safmr
2
$2,640
2025-10-01
HUD_USER_SAFMR
zip 95819
payment standard 110
3
$3,861
2025-10-01
HUD_USER_SAFMR
zip 95819
payment standard 90
3
$3,159
2025-10-01
HUD_USER_SAFMR
zip 95819
safmr
3
$3,510
2025-10-01
HUD_USER_SAFMR
zip 95819
payment standard 110
4
$4,455
2025-10-01
HUD_USER_SAFMR
zip 95819
payment standard 90
4
$3,645
2025-10-01
HUD_USER_SAFMR
zip 95819
safmr
4
$4,050
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.