Reads as: riskier than 88.3% 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
6
Kind
Finding
Signal
Subject
First seen
anomaly
Federal penalty spike
no prior fines
this facility
2026-07-29
connection
Owner spans multiple chains
7 chains
PEARLSTEIN ROBERT
16 facilities
connection
Owner spans multiple chains
6 chains
SUMMATION FINANCIAL SERVICES LLC
48 facilities
connection
Owner spans multiple chains
5 chains
CLINICAL CONSULTING SERVICES LLC
42 facilities
connection
Owner spans multiple chains
5 chains
SEBBAG GABRIEL
32 facilities
connection
Owner fleet enforcement cluster
45% fined
PEARLSTEIN ROBERT
20 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
2.38
3.38
3.28
2.90–3.77
RN
0.34
0.45
0.39
0.25–0.58
Weekend total
2.36
3.27
3.11
—
Weekday total
2.38
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
115.8
2.38
0.34
0.52
1.51
2.36
11.1%
2025Q3
92
109.1
2.98
0.34
0.76
1.89
2.75
25.8%
2025Q2
91
106.1
2.91
0.39
0.68
1.84
2.72
15.8%
2025Q1
90
104.9
2.81
0.40
0.68
1.73
2.66
12.2%
2024Q4
92
97.9
2.90
0.47
0.63
1.80
2.86
7.3%
2024Q3
92
95.5
2.98
0.56
0.55
1.87
2.89
11.7%
2024Q2
91
96.6
2.87
0.59
0.57
1.71
2.79
20.2%
2024Q1
91
95.4
2.85
0.54
0.57
1.74
2.81
21.7%
2023Q4
92
97.3
2.93
0.60
0.55
1.78
2.93
32.2%
2023Q3
92
96.2
3.01
0.62
0.65
1.74
3.02
33.1%
2023Q2
91
93.8
2.94
0.61
0.61
1.72
2.85
24.6%
2023Q1
90
98.5
2.83
0.51
0.57
1.74
2.70
21.3%
2022Q4
92
89.0
2.80
0.57
0.52
1.71
2.62
17.2%
2022Q3
92
92.9
2.88
0.60
0.52
1.76
2.70
18.3%
2022Q2
91
90.3
2.92
0.39
0.71
1.82
2.76
15.3%
2022Q1
90
88.9
2.82
0.41
0.72
1.69
2.60
14.4%
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2026-04-07
2026-03-24
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K
2026-04-07
2025-12-10
Health · complaint
F0584
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.
E
2026-01-06
2025-08-14
Health
F0584
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.
E
2025-09-23
2025-08-14
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-09-23
2025-08-14
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2025-09-23
2025-08-14
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
2025-09-23
2025-04-05
Health · complaint
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2025-04-15
2024-07-12
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-08-08
2024-07-12
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-08-08
2024-07-12
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2024-08-08
2024-07-12
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.
E
2024-08-08
2024-07-12
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2024-08-08
2024-07-12
Health
F0810
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
D
2024-08-08
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
25
Owner
Role
Pct
From
Status
Source
UNDERSCORE HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2018-05-14
current
pecos_ownership
SAMARA HOLDINGS COMPANY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
32%
2020-01-28
current
pecos_ownership
STRAWBERRY HILL HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
32%
2020-01-28
current
pecos_ownership
SEBBAG, GABRIEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2018-05-14
current
pecos_ownership
CLINICAL CONSULTING SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-01-01
current
pecos_ownership
CLINICAL CONSULTING SERVICES LLC
ADP OF THE SNF
—
2025-06-25
current
pecos_ownership
GPH MOUNT PENN LP
ADP OF THE SNF
—
2018-05-14
current
pecos_ownership
PEARLSTEIN, ROBERT
ADP OF THE SNF
—
2025-06-25
current
pecos_ownership
PEARLSTEIN, ROBERT
OPERATIONAL/MANAGERIAL CONTROL
—
2018-05-14
current
pecos_ownership
PRIORITY CARE GROUP LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-01-01
current
pecos_ownership
ROBINSON, JACQUELYN
ADP OF THE SNF
—
2025-10-08
current
pecos_ownership
ROBINSON, JACQUELYN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-26
current
pecos_ownership
SUMMATION FINANCIAL SERVICES LLC
ADP OF THE SNF
—
2025-06-25
current
pecos_ownership
SUMMATION FINANCIAL SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-01-01
current
pecos_ownership
DAVID GAMZEH
OPERATIONAL/MANAGERIAL CONTROL
100%
2018-05-14
ended 2026-04-01
pecos_ownership
JAMIE FOX
W-2 MANAGING EMPLOYEE
100%
2018-05-14
ended 2026-04-01
pecos_ownership
LME FAMILY HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
32%
2018-05-14
ended 2026-05-18
pecos_ownership
AKIVA GLATZER
5% OR GREATER DIRECT OWNERSHIP INTEREST
32%
2018-05-14
ended 2026-04-01
pecos_ownership
EPHRAM LAHASKY
OTHER
32%
2018-05-14
ended 2026-04-01
pecos_ownership
LAHASKY FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
32%
2018-05-14
ended 2026-04-01
pecos_ownership
GABRIEL SEBBAG
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2018-05-14
ended 2026-05-18
pecos_ownership
JACQUELYN ROBINSON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-26
ended 2026-05-18
pecos_ownership
JACQUELYN ROBINSON
ADP OF THE SNF
—
2025-10-08
ended 2026-05-18
pecos_ownership
ROBERT PEARLSTEIN
ADP OF THE SNF
—
2025-06-25
ended 2026-05-18
pecos_ownership
ROBERT PEARLSTEIN
OPERATIONAL/MANAGERIAL CONTROL
—
2018-05-14
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
$1,719,834
—
$193,407
$558,750
$223,939
9
—
2023-12-31
$1,706,154
—
$171,794
$626,510
$218,442
11
—
2022-12-31
$1,472,780
—
$189,494
$562,069
$229,225
11
—
2021-12-31
$1,506,954
—
$191,696
$608,153
$234,777
11
—
2020-12-31
$437,368
—
$179,124
—
$78,088
3
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 42011
acs median gross
0
$826
2024-12-31
CENSUS_ACS5
county 42011
fmr
0
$1,086
2025-10-01
HUD_USER_FMR
county 42011
acs median gross
1
$922
2024-12-31
CENSUS_ACS5
county 42011
fmr
1
$1,237
2025-10-01
HUD_USER_FMR
county 42011
acs median gross
2
$1,243
2024-12-31
CENSUS_ACS5
county 42011
fmr
2
$1,575
2025-10-01
HUD_USER_FMR
county 42011
acs median gross
3
$1,430
2024-12-31
CENSUS_ACS5
county 42011
fmr
3
$1,937
2025-10-01
HUD_USER_FMR
county 42011
acs median gross
4
$1,467
2024-12-31
CENSUS_ACS5
county 42011
fmr
4
$2,085
2025-10-01
HUD_USER_FMR
county 42011
acs median gross
5
$1,388
2024-12-31
CENSUS_ACS5
county 42011
acs median gross
$1,181
2024-12-31
CENSUS_ACS5
county 42011
acs recent mover gross
$1,347
2024-12-31
CENSUS_ACS5
zcta 19606
acs median gross
0
$1,058
2024-12-31
CENSUS_ACS5
zcta 19606
acs median gross
1
$1,005
2024-12-31
CENSUS_ACS5
zcta 19606
acs median gross
2
$1,546
2024-12-31
CENSUS_ACS5
zcta 19606
acs median gross
3
$1,521
2024-12-31
CENSUS_ACS5
zcta 19606
acs median gross
4
$1,680
2024-12-31
CENSUS_ACS5
zcta 19606
acs median gross
5
$1,817
2024-12-31
CENSUS_ACS5
zcta 19606
acs median gross
$1,243
2024-12-31
CENSUS_ACS5
zcta 19606
acs recent mover gross
$1,381
2024-12-31
CENSUS_ACS5
zip 19606
payment standard 110
0
$1,331
2025-10-01
HUD_USER_SAFMR
zip 19606
payment standard 90
0
$1,089
2025-10-01
HUD_USER_SAFMR
zip 19606
safmr
0
$1,210
2025-10-01
HUD_USER_SAFMR
zip 19606
payment standard 110
1
$1,507
2025-10-01
HUD_USER_SAFMR
zip 19606
payment standard 90
1
$1,233
2025-10-01
HUD_USER_SAFMR
zip 19606
safmr
1
$1,370
2025-10-01
HUD_USER_SAFMR
zip 19606
payment standard 110
2
$1,925
2025-10-01
HUD_USER_SAFMR
zip 19606
payment standard 90
2
$1,575
2025-10-01
HUD_USER_SAFMR
zip 19606
safmr
2
$1,750
2025-10-01
HUD_USER_SAFMR
zip 19606
payment standard 110
3
$2,365
2025-10-01
HUD_USER_SAFMR
zip 19606
payment standard 90
3
$1,935
2025-10-01
HUD_USER_SAFMR
zip 19606
safmr
3
$2,150
2025-10-01
HUD_USER_SAFMR
zip 19606
payment standard 110
4
$2,552
2025-10-01
HUD_USER_SAFMR
zip 19606
payment standard 90
4
$2,088
2025-10-01
HUD_USER_SAFMR
zip 19606
safmr
4
$2,320
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.