Reads as: riskier than 31.9% 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.
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
3.19
3.38
3.28
2.90–3.77
RN
0.46
0.45
0.39
0.25–0.58
Weekend total
3.07
3.27
3.11
—
Weekday total
3.24
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
96.6
3.19
0.46
0.83
1.90
3.07
1.4%
2025Q3
92
95.4
3.33
0.58
0.79
1.97
3.13
1.5%
2025Q2
91
95.4
3.15
0.48
0.82
1.85
2.90
1.9%
2025Q1
90
96.3
3.04
0.46
0.85
1.73
2.73
2.7%
2024Q4
92
95.4
3.31
0.51
0.83
1.97
3.12
1.6%
2024Q3
92
93.1
3.21
0.50
0.89
1.82
3.06
1.6%
2024Q2
91
91.9
3.24
0.49
0.87
1.87
3.17
0.0%
2024Q1
91
93.1
3.12
0.52
0.83
1.77
3.02
0.0%
2023Q4
92
93.1
3.30
0.58
0.85
1.86
3.18
0.0%
2023Q3
92
90.6
3.11
0.53
0.74
1.84
2.91
0.0%
2023Q2
91
92.0
3.06
0.55
0.80
1.71
2.90
0.0%
2023Q1
90
90.7
2.84
0.57
0.82
1.45
2.80
0.0%
2022Q4
92
92.4
2.57
0.43
0.94
1.19
2.34
0.0%
2022Q3
92
90.3
2.14
0.50
0.64
1.00
1.86
0.0%
2022Q2
91
89.0
2.09
0.57
0.57
0.95
1.86
0.0%
2022Q1
90
90.1
2.11
0.49
0.66
0.95
1.91
3.1%
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
30
B × 1D × 23E × 5F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-09-05
Health
F0575
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
E
2025-09-29
2025-09-05
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
2025-09-29
2025-09-05
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
2025-09-29
2025-09-05
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2025-09-29
2025-09-05
Health
F0732
Post nurse staffing information every day.
E
2025-09-29
2025-04-08
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2025-04-22
2024-11-12
Health · complaint
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2024-12-19
2024-11-12
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-12-19
2024-11-12
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2024-12-19
2024-11-12
Health · complaint
F0660
Plan the resident's discharge to meet the resident's goals and needs.
D
2024-12-19
2024-11-12
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-12-19
2024-11-12
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2024-12-19
2024-11-12
Health
F0760
Ensure that residents are free from significant medication errors.
D
2024-12-19
2024-10-02
Health · complaint
F0622
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
B
2024-10-18
2024-02-02
Health
F0557
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
D
2024-03-22
2024-02-02
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-03-22
2024-02-02
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2024-03-22
2024-02-02
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2024-03-22
2024-02-02
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-03-22
2024-02-02
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-03-22
2024-02-02
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-03-22
2024-02-02
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-03-22
2024-02-02
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2024-03-22
2024-02-02
Health
F0742
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
D
2024-03-22
2024-02-02
Health
F0800
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
D
2024-03-22
2024-02-02
Health
F0814
Dispose of garbage and refuse properly.
F
2024-03-22
2024-02-02
Health
F0847
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
D
2024-03-22
2024-02-02
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-03-22
2024-02-02
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2024-03-22
2023-10-27
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-11-21
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
24
Owner
Role
Pct
From
Status
Source
SHG RECS, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-05-02
current
pecos_ownership
BHATIA, SANJAY
CONTRACTED MANAGING EMPLOYEE
—
2010-11-30
current
pecos_ownership
MEENAN, CODY
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
current
pecos_ownership
NICOLUZAKIS, GREGORY
CORPORATE OFFICER
—
2019-03-01
current
pecos_ownership
SABER GOVERNANCE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-09-01
current
pecos_ownership
SABER PA HOLDINGS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-12-31
current
pecos_ownership
VOLPE, BENJAMIN
CORPORATE DIRECTOR
—
2019-03-01
current
pecos_ownership
WEISBERG, WILLIAM
CORPORATE DIRECTOR
—
2019-03-01
current
pecos_ownership
WOODWARD, CINDY
W-2 MANAGING EMPLOYEE
—
2018-04-01
current
pecos_ownership
WWBV HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2019-09-30
current
pecos_ownership
CINDY WOODWARD
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
SHH HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2019-03-01
ended 2026-05-18
pecos_ownership
DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020
5% OR GREATER INDIRECT OWNERSHIP INTEREST
67%
2023-01-01
ended 2026-05-18
pecos_ownership
WIW DYNASTY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
67%
2023-01-01
ended 2026-05-18
pecos_ownership
BENJAMIN VOLPE
CORPORATE DIRECTOR
50%
2019-03-01
ended 2026-05-18
pecos_ownership
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
33%
2023-01-01
ended 2026-05-18
pecos_ownership
BNV DYNASTY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2023-01-01
ended 2026-05-18
pecos_ownership
CODY MEENAN
OPERATIONAL/MANAGERIAL CONTROL
0%
2018-04-01
ended 2026-05-18
pecos_ownership
GREGORY NICOLUZAKIS
CORPORATE OFFICER
0%
2019-03-01
ended 2026-05-18
pecos_ownership
SANJAY BHATIA
CONTRACTED MANAGING EMPLOYEE
0%
2010-11-30
ended 2026-05-18
pecos_ownership
SHG MANAGEMENT LLC
OTHER
0%
2019-09-01
ended 2026-05-18
pecos_ownership
SABER HEALTHCARE GROUP LLC
OTHER
—
2018-04-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$2,152,212
—
—
$585,233
$7,314
5
—
2023-12-31
$1,739,476
—
—
$429,355
$867
5
—
2022-12-31
$1,125,675
—
—
$681,648
$1,870
4
—
2021-12-31
$1,097,797
—
—
$703,843
—
4
—
2020-12-31
$935,401
—
—
$557,030
—
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 42017
acs median gross
0
$1,234
2024-12-31
CENSUS_ACS5
county 42017
fmr
0
$1,397
2025-10-01
HUD_USER_FMR
county 42017
acs median gross
1
$1,375
2024-12-31
CENSUS_ACS5
county 42017
fmr
1
$1,520
2025-10-01
HUD_USER_FMR
county 42017
acs median gross
2
$1,702
2024-12-31
CENSUS_ACS5
county 42017
fmr
2
$1,810
2025-10-01
HUD_USER_FMR
county 42017
acs median gross
3
$1,942
2024-12-31
CENSUS_ACS5
county 42017
fmr
3
$2,170
2025-10-01
HUD_USER_FMR
county 42017
acs median gross
4
$2,322
2024-12-31
CENSUS_ACS5
county 42017
fmr
4
$2,423
2025-10-01
HUD_USER_FMR
county 42017
acs median gross
5
$2,410
2024-12-31
CENSUS_ACS5
county 42017
acs median gross
$1,605
2024-12-31
CENSUS_ACS5
county 42017
acs recent mover gross
$1,835
2024-12-31
CENSUS_ACS5
zcta 19056
acs median gross
1
$1,296
2024-12-31
CENSUS_ACS5
zcta 19056
acs median gross
2
$1,728
2024-12-31
CENSUS_ACS5
zcta 19056
acs median gross
3
$1,770
2024-12-31
CENSUS_ACS5
zcta 19056
acs median gross
$1,489
2024-12-31
CENSUS_ACS5
zcta 19056
acs recent mover gross
$1,698
2024-12-31
CENSUS_ACS5
zip 19056
payment standard 110
0
$1,518
2025-10-01
HUD_USER_SAFMR
zip 19056
payment standard 90
0
$1,242
2025-10-01
HUD_USER_SAFMR
zip 19056
safmr
0
$1,380
2025-10-01
HUD_USER_SAFMR
zip 19056
payment standard 110
1
$1,650
2025-10-01
HUD_USER_SAFMR
zip 19056
payment standard 90
1
$1,350
2025-10-01
HUD_USER_SAFMR
zip 19056
safmr
1
$1,500
2025-10-01
HUD_USER_SAFMR
zip 19056
payment standard 110
2
$1,969
2025-10-01
HUD_USER_SAFMR
zip 19056
payment standard 90
2
$1,611
2025-10-01
HUD_USER_SAFMR
zip 19056
safmr
2
$1,790
2025-10-01
HUD_USER_SAFMR
zip 19056
payment standard 110
3
$2,365
2025-10-01
HUD_USER_SAFMR
zip 19056
payment standard 90
3
$1,935
2025-10-01
HUD_USER_SAFMR
zip 19056
safmr
3
$2,150
2025-10-01
HUD_USER_SAFMR
zip 19056
payment standard 110
4
$2,640
2025-10-01
HUD_USER_SAFMR
zip 19056
payment standard 90
4
$2,160
2025-10-01
HUD_USER_SAFMR
zip 19056
safmr
4
$2,400
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.