Reads as: riskier than 35.6% 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
4.50
3.95
3.28
2.90–3.77
RN
0.78
0.38
0.39
0.25–0.58
Weekend total
4.23
3.79
3.11
—
Weekday total
4.61
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
27.4
4.50
0.78
0.94
2.79
4.23
2.4%
2025Q3
92
25.9
4.68
0.75
1.03
2.90
4.41
2.5%
2025Q2
91
21.7
5.49
1.09
1.20
3.20
5.19
0.8%
2025Q1
90
22.8
5.53
0.87
1.36
3.30
5.24
1.2%
2024Q4
92
20.4
6.09
0.88
1.49
3.73
5.76
0.1%
2024Q3
92
22.9
5.83
0.77
1.43
3.63
5.49
0.0%
2024Q2
91
21.7
6.32
0.56
1.73
4.04
5.80
1.7%
2024Q1
91
26.1
5.79
0.37
1.75
3.67
5.34
10.5%
2023Q4
92
27.5
4.77
0.25
1.61
2.91
4.39
12.0%
2023Q3
92
29.0
4.45
0.25
1.63
2.58
4.01
13.8%
2023Q2
91
23.8
5.08
0.29
1.90
2.89
4.67
11.7%
2023Q1
90
25.2
4.39
0.31
1.68
2.40
3.43
1.5%
2022Q4
92
23.0
4.85
0.43
1.56
2.86
4.37
21.5%
2022Q3
92
19.9
4.63
0.68
1.22
2.73
4.35
27.0%
2022Q2
91
17.3
5.79
0.93
1.64
3.21
5.60
25.0%
2022Q1
90
16.7
6.27
1.82
1.52
2.92
5.26
22.6%
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.
Reasonably accommodate the needs and preferences of each resident.
D
2026-02-13
2026-01-23
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2026-02-13
2026-01-23
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2026-02-13
2026-01-23
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2026-02-13
2026-01-23
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2026-02-13
2026-01-23
Health
F0712
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
D
2026-02-13
2026-01-23
Health
F0732
Post nurse staffing information every day.
B
2026-02-13
2026-01-23
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-02-13
2026-01-23
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2026-02-13
2026-01-23
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-02-13
2026-01-23
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-02-13
2026-01-23
Health
F0880
Provide and implement an infection prevention and control program.
E
2026-02-13
2025-11-05
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-11-25
2024-12-14
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
E
2025-01-09
2024-12-14
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-01-09
2024-12-14
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
2025-01-09
2024-12-14
Health
F0745
Provide medically-related social services to help each resident achieve the highest possible quality of life.
D
2025-01-09
2024-12-14
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-01-09
2024-12-14
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-01-09
2024-12-14
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-01-14
2024-11-25
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2024-12-20
2024-11-25
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2024-12-20
2024-05-03
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2024-05-22
2023-12-19
Health
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.
D
2024-01-08
2023-12-19
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2024-01-08
2023-12-19
Health
F0678
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
J
2024-01-08
2023-12-19
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
E
2024-01-08
2023-12-19
Health
F0761
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
2024-01-08
2023-12-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-01-08
2023-12-19
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-01-08
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
55
Owner
Role
Pct
From
Status
Source
ARARAT HOME OF LOS ANGELES INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-02-28
current
pecos_ownership
ANTOSSYAN, MERI
OPERATIONAL/MANAGERIAL CONTROL
—
2023-03-01
current
pecos_ownership
ASHJIAN, NAZAR
CORPORATE DIRECTOR
—
2002-04-01
current
pecos_ownership
AVEDIAN, DEBORAH
TRUSTEE OF THE SNF
—
2010-04-01
current
pecos_ownership
BALIAN, HAROUT
CORPORATE DIRECTOR
—
2013-04-01
current
pecos_ownership
BARDAKJIAN, VATCHE
CORPORATE DIRECTOR
—
2011-04-01
current
pecos_ownership
BOYADJIAN, SHAHE
TRUSTEE OF THE SNF
—
2011-04-01
current
pecos_ownership
DARAKJIAN, PETER
CORPORATE DIRECTOR
—
2010-04-01
current
pecos_ownership
GHOOKASIAN, DERIK
CORPORATE OFFICER
—
2015-11-28
current
pecos_ownership
GOSCHIN, MARGUERITE
TRUSTEE OF THE SNF
—
2011-04-01
current
pecos_ownership
JEBEJIAN, RICHARD
CORPORATE DIRECTOR
—
2022-04-01
current
pecos_ownership
JOSEPHIAN, TAKOOHI
CORPORATE DIRECTOR
—
2022-02-24
current
pecos_ownership
KALOOSTIAN, GARY
CORPORATE DIRECTOR
—
—
current
pecos_ownership
KANIMIAN, JOSEPH
TRUSTEE OF THE SNF
—
2008-04-01
current
pecos_ownership
KESHISHYAN, VARSENIK
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-28
current
pecos_ownership
KESHISHYAN, VARSENIK
ADP OF THE SNF
—
2025-03-18
current
pecos_ownership
MARDOIROSIAN, RAFI
TRUSTEE OF THE SNF
—
2012-04-01
current
pecos_ownership
MESROBIAN, HAROUTIOUN
TRUSTEE OF THE SNF
—
2014-04-01
current
pecos_ownership
NAZELEY, RONALD
CORPORATE DIRECTOR
—
2009-04-01
current
pecos_ownership
OUZOUNIAN, JOSEPH
CORPORATE DIRECTOR
—
1999-04-01
current
pecos_ownership
PELTER, KOHAR
CORPORATE DIRECTOR
—
2010-04-01
current
pecos_ownership
SHAHBAZIAN, BERJ
TRUSTEE OF THE SNF
—
2004-04-01
current
pecos_ownership
SINANIAN, SINAN
TRUSTEE OF THE SNF
—
2022-04-27
current
pecos_ownership
SURMEIAN, MICHAEL
TRUSTEE OF THE SNF
—
2008-04-01
current
pecos_ownership
VARTANIAN, VAHE
CORPORATE DIRECTOR
—
2014-04-01
current
pecos_ownership
VERABIAN, NADYA
TRUSTEE OF THE SNF
—
2003-04-01
current
pecos_ownership
YOUSSOUFIAN, ARAM
CORPORATE DIRECTOR
—
2021-04-01
current
pecos_ownership
ZABOUNIAN, ARTHUR
TRUSTEE OF THE SNF
—
2022-04-27
current
pecos_ownership
ARAM YOUSSOUFIAN
CORPORATE DIRECTOR
—
2021-04-01
ended 2026-05-18
pecos_ownership
ARTHUR ZABOUNIAN
CORPORATE OFFICER
—
2022-04-27
ended 2026-05-18
pecos_ownership
BERJ SHAHBAZIAN
TRUSTEE OF THE SNF
—
2004-04-01
ended 2026-05-18
pecos_ownership
DEBORAH AVEDIAN
CORPORATE DIRECTOR
—
2010-04-01
ended 2026-05-18
pecos_ownership
DERIK GHOOKASIAN
CORPORATE OFFICER
—
2015-11-28
ended 2026-05-18
pecos_ownership
GARY KALOOSTIAN
TRUSTEE OF THE SNF
—
—
ended 2026-05-18
pecos_ownership
HAROUT BALIAN
CORPORATE DIRECTOR
—
2013-04-01
ended 2026-05-18
pecos_ownership
HAROUTIOUN MESROBIAN
TRUSTEE OF THE SNF
—
2014-04-01
ended 2026-05-18
pecos_ownership
JOSEPH KANIMIAN
TRUSTEE OF THE SNF
—
2008-04-01
ended 2026-05-18
pecos_ownership
JOSEPH OUZOUNIAN
CORPORATE DIRECTOR
—
1999-04-01
ended 2026-05-18
pecos_ownership
KOHAR PELTER
CORPORATE DIRECTOR
—
2010-04-01
ended 2026-05-18
pecos_ownership
MARGUERITE GOSCHIN
TRUSTEE OF THE SNF
—
2011-04-01
ended 2026-05-18
pecos_ownership
MERI ANTOSSYAN
ADP OF THE SNF
—
2023-03-01
ended 2026-05-18
pecos_ownership
MICHAEL SURMEIAN
CORPORATE OFFICER
—
2008-04-01
ended 2026-05-18
pecos_ownership
NADYA VERABIAN
TRUSTEE OF THE SNF
—
2003-04-01
ended 2026-05-18
pecos_ownership
NAZAR ASHJIAN
CORPORATE DIRECTOR
—
2002-04-01
ended 2026-05-18
pecos_ownership
PETER DARAKJIAN
CORPORATE DIRECTOR
—
2010-04-01
ended 2026-05-18
pecos_ownership
RAFI MARDOIROSIAN
TRUSTEE OF THE SNF
—
2012-04-01
ended 2026-05-18
pecos_ownership
RICHARD JEBEJIAN
TRUSTEE OF THE SNF
—
2022-04-01
ended 2026-05-18
pecos_ownership
RONALD NAZELEY
CORPORATE DIRECTOR
—
2009-04-01
ended 2026-05-18
pecos_ownership
SHAHE BOYADJIAN
CORPORATE DIRECTOR
—
2011-04-01
ended 2026-05-18
pecos_ownership
SINAN SINANIAN
CORPORATE OFFICER
—
2022-04-27
ended 2026-05-18
pecos_ownership
TAKOOHI JOSEPHIAN
CORPORATE DIRECTOR
—
2022-02-24
ended 2026-05-18
pecos_ownership
VAHE VARTANIAN
CORPORATE DIRECTOR
—
2014-04-01
ended 2026-05-18
pecos_ownership
VARSENIK KESHISHYAN
ADP OF THE SNF
—
2025-03-18
ended 2026-05-18
pecos_ownership
VARSENIK KESHISHYAN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-28
ended 2026-05-18
pecos_ownership
VATCHE BARDAKJIAN
CORPORATE DIRECTOR
—
2011-04-01
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$396,387
—
$396,387
—
—
1
—
2023-12-31
$281,973
—
$281,973
—
—
1
—
2023-02-27
$103,516
—
$103,516
—
—
1
—
2022-12-31
$651,436
—
$651,436
—
—
1
—
2021-12-31
$743,402
—
$743,402
—
—
1
—
2020-12-31
$673,115
—
$653,094
—
—
2
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 06037
acs median gross
0
$1,523
2024-12-31
CENSUS_ACS5
county 06037
fmr
0
$1,863
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
1
$1,724
2024-12-31
CENSUS_ACS5
county 06037
fmr
1
$2,085
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
2
$2,127
2024-12-31
CENSUS_ACS5
county 06037
fmr
2
$2,601
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
3
$2,484
2024-12-31
CENSUS_ACS5
county 06037
fmr
3
$3,298
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
4
$2,866
2024-12-31
CENSUS_ACS5
county 06037
fmr
4
$3,672
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
5
$2,767
2024-12-31
CENSUS_ACS5
county 06037
acs median gross
$1,954
2024-12-31
CENSUS_ACS5
county 06037
acs recent mover gross
$2,358
2024-12-31
CENSUS_ACS5
zcta 91205
acs median gross
0
$1,695
2024-12-31
CENSUS_ACS5
zcta 91205
acs median gross
1
$1,743
2024-12-31
CENSUS_ACS5
zcta 91205
acs median gross
2
$2,207
2024-12-31
CENSUS_ACS5
zcta 91205
acs median gross
3
$2,508
2024-12-31
CENSUS_ACS5
zcta 91205
acs median gross
$1,938
2024-12-31
CENSUS_ACS5
zcta 91205
acs recent mover gross
$1,977
2024-12-31
CENSUS_ACS5
zip 91205
payment standard 110
0
$2,431
2025-10-01
HUD_USER_SAFMR
zip 91205
payment standard 90
0
$1,989
2025-10-01
HUD_USER_SAFMR
zip 91205
safmr
0
$2,210
2025-10-01
HUD_USER_SAFMR
zip 91205
payment standard 110
1
$2,728
2025-10-01
HUD_USER_SAFMR
zip 91205
payment standard 90
1
$2,232
2025-10-01
HUD_USER_SAFMR
zip 91205
safmr
1
$2,480
2025-10-01
HUD_USER_SAFMR
zip 91205
payment standard 110
2
$3,399
2025-10-01
HUD_USER_SAFMR
zip 91205
payment standard 90
2
$2,781
2025-10-01
HUD_USER_SAFMR
zip 91205
safmr
2
$3,090
2025-10-01
HUD_USER_SAFMR
zip 91205
payment standard 110
3
$4,312
2025-10-01
HUD_USER_SAFMR
zip 91205
payment standard 90
3
$3,528
2025-10-01
HUD_USER_SAFMR
zip 91205
safmr
3
$3,920
2025-10-01
HUD_USER_SAFMR
zip 91205
payment standard 110
4
$4,796
2025-10-01
HUD_USER_SAFMR
zip 91205
payment standard 90
4
$3,924
2025-10-01
HUD_USER_SAFMR
zip 91205
safmr
4
$4,360
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.