Reads as: riskier than 98.9% 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
22
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+31.9 vs natl
FREDERICK S FRANKEL TRUST
13 facilities
connection
Owner fleet risk far above national
+28.7 vs natl
WILHELM NAFTALI
81 facilities
connection
Owner fleet risk far above national
+28.2 vs natl
CURIS SERVICES LLC
85 facilities
connection
Owner fleet risk far above national
+28.1 vs natl
TUROFSKY STEVEN
87 facilities
connection
Owner fleet risk far above national
+27.4 vs natl
SPECTOR JENNIFER
93 facilities
connection
Owner fleet risk far above national
+27.3 vs natl
TALAMONA RAYMOND
8 facilities
connection
Owner fleet risk far above national
+26.2 vs natl
MEYSTEL YOSEF
77 facilities
connection
Owner fleet risk far above national
+25.4 vs natl
FRANKEL FREDERICK
15 facilities
connection
Owner fleet risk far above national
+23.5 vs natl
POINTE GROUP CARE LLC
9 facilities
connection
Owner fleet risk far above national
+22.2 vs natl
BERKOWITZ BENJAMIN
11 facilities
connection
Owner spans multiple chains
9 chains
TUROFSKY STEVEN
84 facilities
connection
Owner spans multiple chains
9 chains
SPECTOR JENNIFER
90 facilities
connection
Owner spans multiple chains
8 chains
CURIS SERVICES LLC
81 facilities
connection
Owner spans multiple chains
8 chains
MEYSTEL YOSEF
73 facilities
connection
Owner spans multiple chains
8 chains
WILHELM NAFTALI
78 facilities
connection
Owner spans multiple chains
5 chains
FRANKEL FREDERICK
15 facilities
connection
Owner fleet enforcement cluster
54% fined
WILHELM NAFTALI
81 facilities
connection
Owner fleet enforcement cluster
53% fined
SPECTOR JENNIFER
93 facilities
connection
Owner fleet enforcement cluster
52% fined
CURIS SERVICES LLC
85 facilities
connection
Owner fleet enforcement cluster
52% fined
TUROFSKY STEVEN
87 facilities
connection
Owner fleet enforcement cluster
51% fined
MEYSTEL YOSEF
77 facilities
connection
Owner fleet enforcement cluster
40% fined
FRANKEL FREDERICK
15 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
RI median
National median
National p25–p75
Total nurse
2.69
3.22
3.28
2.90–3.77
RN
0.35
0.53
0.39
0.25–0.58
Weekend total
2.52
3.04
3.11
—
Weekday total
2.75
3.28
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
145.6
2.69
0.35
0.50
1.84
2.52
0.0%
2025Q3
92
145.3
2.63
0.33
0.50
1.79
2.50
0.0%
2025Q2
91
153.1
2.51
0.32
0.47
1.72
2.37
0.0%
2025Q1
90
149.6
2.59
0.34
0.46
1.79
2.34
0.0%
2024Q4
92
138.9
2.70
0.37
0.39
1.94
2.48
0.0%
2024Q3
92
140.2
2.62
0.50
0.34
1.79
2.47
0.0%
2024Q2
91
136.9
2.58
0.49
0.29
1.79
2.34
1.2%
2024Q1
91
133.7
3.05
0.56
0.38
2.12
2.79
1.9%
2023Q4
92
129.9
3.22
0.48
0.49
2.25
3.00
22.9%
2023Q3
92
117.2
3.06
0.55
0.44
2.07
2.77
27.6%
2023Q2
91
113.4
3.35
0.72
0.39
2.24
2.88
33.7%
2023Q1
90
105.4
3.36
0.63
0.44
2.29
2.84
23.6%
2022Q4
92
101.9
3.55
0.56
0.53
2.46
3.05
25.1%
2022Q3
92
100.1
3.56
0.53
0.59
2.44
3.17
27.0%
2022Q2
91
97.5
3.92
0.77
0.50
2.65
3.38
27.7%
2022Q1
90
92.4
3.70
0.74
0.42
2.54
3.24
25.2%
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2026-03-04
2026-01-23
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-03-04
2026-01-23
Health · complaint
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2026-03-04
2026-01-23
Health · complaint
F0881
Implement a program that monitors antibiotic use.
D
2026-03-04
2025-08-07
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2025-08-26
2025-08-07
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-08-26
2025-08-07
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-08-26
2025-08-07
Health
F0760
Ensure that residents are free from significant medication errors.
D
2025-08-26
2025-08-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-08-26
2025-05-29
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2025-07-09
2025-01-22
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-02-25
2025-01-22
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-02-25
2024-10-21
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2024-11-13
2024-08-01
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2024-08-28
2024-08-01
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
E
2024-08-28
2024-08-01
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-08-28
2024-08-01
Health
F0881
Implement a program that monitors antibiotic use.
D
2024-08-28
2024-08-01
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2024-08-28
2023-11-22
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
G
2023-12-07
2023-11-02
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-11-29
2023-11-02
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2023-11-29
2023-07-27
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-08-23
2023-07-27
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-08-23
2023-07-27
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-08-23
2023-07-27
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-08-23
2023-07-27
Health
F0760
Ensure that residents are free from significant medication errors.
D
2023-08-23
2023-07-27
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2023-08-23
2023-07-27
Health
F0808
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
E
2023-08-23
2023-07-27
Health
F0810
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
D
2023-08-23
2023-07-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-08-23
2023-07-27
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-08-23
2023-07-27
Health
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
F
2023-08-23
2023-07-27
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-08-23
2023-06-28
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
F
2023-07-19
2023-06-28
Health · complaint
F0675
Honor each resident's preferences, choices, values and beliefs.
J
2023-07-19
2023-06-28
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2023-07-19
2023-06-28
Health · complaint
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
D
2023-07-19
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
27
Owner
Role
Pct
From
Status
Source
BERKOWITZ, BENJAMIN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-01
current
pecos_ownership
CURIS SERVICES LLC
ADP OF THE SNF
—
2025-02-01
current
pecos_ownership
FRANKEL, FREDERICK
INDIRECT OWNERSHIP INTEREST
—
2022-12-27
current
pecos_ownership
FREDERICK S FRANKEL TRUST
DIRECT OWNERSHIP INTEREST
—
2025-02-01
current
pecos_ownership
KIRLA, NAVYA
ADP OF THE SNF
—
2025-02-01
current
pecos_ownership
LACASSE, KRISTINA
ADP OF THE SNF
—
2025-02-01
current
pecos_ownership
MEYSTEL, YOSEF
INDIRECT OWNERSHIP INTEREST
—
2022-12-27
current
pecos_ownership
POINTE GROUP CARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-01
current
pecos_ownership
POINTE GROUP CARE LLC
ADP OF THE SNF
—
2025-10-28
current
pecos_ownership
SOUSA, CASSANDRA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-01
current
pecos_ownership
SPECTOR, JENNIFER
CORPORATE DIRECTOR
—
2025-02-01
current
pecos_ownership
TALAMONA, RAYMOND
ADP OF THE SNF
—
2025-02-01
current
pecos_ownership
TUROFSKY, STEVEN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-01
current
pecos_ownership
WILHELM, NAFTALI
ADP OF THE SNF
—
2025-02-01
current
pecos_ownership
CATERINA LABELLA
CORPORATE OFFICER
100%
2025-02-01
ended 2026-04-01
pecos_ownership
JENNIFER SPECTOR
CORPORATE DIRECTOR
100%
2025-02-01
ended 2026-05-18
pecos_ownership
BENJAMIN BERKOWITZ
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2025-02-01
ended 2026-05-18
pecos_ownership
DAVID A BERKOWITZ REVOC TR DAVID BERKOWITZ TTEE
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2025-02-01
ended 2026-05-18
pecos_ownership
YOSEF MEYSTEL
INDIRECT OWNERSHIP INTEREST
33%
2022-12-27
ended 2026-05-18
pecos_ownership
YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2025-02-01
ended 2026-05-18
pecos_ownership
FREDERICK FRANKEL
INDIRECT OWNERSHIP INTEREST
1%
2022-12-27
ended 2026-05-18
pecos_ownership
CASSANDRA SOUSA
ADP OF THE SNF
—
2025-02-01
ended 2026-05-18
pecos_ownership
KRISTINA LACASSE
ADP OF THE SNF
—
2025-02-01
ended 2026-05-18
pecos_ownership
NAFTALI WILHELM
ADP OF THE SNF
—
2025-02-01
ended 2026-05-18
pecos_ownership
NAVYA KIRLA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-01
ended 2026-05-18
pecos_ownership
RAYMOND TALAMONA
ADP OF THE SNF
—
2025-02-01
ended 2026-05-18
pecos_ownership
STEVEN TUROFSKY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-01
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.
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
30
Geo
Kind
BR
Amount
As of
Source
county 44007
acs median gross
0
$963
2024-12-31
CENSUS_ACS5
county 44007
acs median gross
1
$952
2024-12-31
CENSUS_ACS5
county 44007
acs median gross
2
$1,397
2024-12-31
CENSUS_ACS5
county 44007
acs median gross
3
$1,597
2024-12-31
CENSUS_ACS5
county 44007
acs median gross
4
$1,647
2024-12-31
CENSUS_ACS5
county 44007
acs median gross
5
$1,808
2024-12-31
CENSUS_ACS5
county 44007
acs median gross
$1,312
2024-12-31
CENSUS_ACS5
county 44007
acs recent mover gross
$1,677
2024-12-31
CENSUS_ACS5
zcta 02907
acs median gross
0
$951
2024-12-31
CENSUS_ACS5
zcta 02907
acs median gross
1
$858
2024-12-31
CENSUS_ACS5
zcta 02907
acs median gross
2
$1,213
2024-12-31
CENSUS_ACS5
zcta 02907
acs median gross
3
$1,584
2024-12-31
CENSUS_ACS5
zcta 02907
acs median gross
4
$1,477
2024-12-31
CENSUS_ACS5
zcta 02907
acs median gross
$1,170
2024-12-31
CENSUS_ACS5
zcta 02907
acs recent mover gross
$1,501
2024-12-31
CENSUS_ACS5
zip 02907
payment standard 110
0
$1,331
2025-10-01
HUD_USER_SAFMR
zip 02907
payment standard 90
0
$1,089
2025-10-01
HUD_USER_SAFMR
zip 02907
safmr
0
$1,210
2025-10-01
HUD_USER_SAFMR
zip 02907
payment standard 110
1
$1,419
2025-10-01
HUD_USER_SAFMR
zip 02907
payment standard 90
1
$1,161
2025-10-01
HUD_USER_SAFMR
zip 02907
safmr
1
$1,290
2025-10-01
HUD_USER_SAFMR
zip 02907
payment standard 110
2
$1,749
2025-10-01
HUD_USER_SAFMR
zip 02907
payment standard 90
2
$1,431
2025-10-01
HUD_USER_SAFMR
zip 02907
safmr
2
$1,590
2025-10-01
HUD_USER_SAFMR
zip 02907
payment standard 110
3
$2,112
2025-10-01
HUD_USER_SAFMR
zip 02907
payment standard 90
3
$1,728
2025-10-01
HUD_USER_SAFMR
zip 02907
safmr
3
$1,920
2025-10-01
HUD_USER_SAFMR
zip 02907
payment standard 110
4
$2,508
2025-10-01
HUD_USER_SAFMR
zip 02907
payment standard 90
4
$2,052
2025-10-01
HUD_USER_SAFMR
zip 02907
safmr
4
$2,280
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.