Reads as: riskier than 20.1% 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.
ML signals — parallel engine
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
10 chains
RKL LLP
52 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
2.43
3.38
3.28
2.90–3.77
RN
0.34
0.45
0.39
0.25–0.58
Weekend total
2.41
3.27
3.11
—
Weekday total
2.43
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
115.5
2.43
0.34
0.72
1.37
2.41
0.0%
2025Q3
92
115.2
2.49
0.37
0.74
1.38
2.37
0.0%
2025Q2
91
113.9
2.58
0.41
0.71
1.46
2.44
0.0%
2025Q1
90
114.6
2.70
0.32
0.78
1.60
2.67
0.0%
2024Q4
92
114.2
2.91
0.31
0.85
1.74
2.81
0.0%
2024Q3
92
113.4
2.77
0.30
0.79
1.68
2.65
0.0%
2024Q2
91
113.7
2.69
0.35
0.76
1.58
2.65
0.0%
2024Q1
91
113.8
2.78
0.31
0.82
1.65
2.71
0.0%
2023Q4
92
112.4
2.81
0.36
0.80
1.66
2.74
0.0%
2023Q3
92
111.1
2.82
0.34
0.81
1.68
2.71
0.0%
2023Q2
91
111.7
2.81
0.41
0.67
1.72
2.72
0.0%
2023Q1
90
111.9
2.55
0.44
0.58
1.53
2.47
0.0%
2022Q4
92
106.7
2.48
0.45
0.61
1.42
2.35
0.0%
2022Q3
92
108.0
2.40
0.51
0.53
1.36
2.19
0.0%
2022Q2
91
107.8
2.13
0.49
0.57
1.07
1.92
0.0%
2022Q1
90
104.6
2.14
0.44
0.66
1.04
1.98
0.0%
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.
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
9
D × 7F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-11-06
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2024-11-25
2023-11-30
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-12-28
2023-11-30
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-12-28
2023-11-30
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2023-12-28
2023-11-30
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-12-28
2022-12-06
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2023-01-04
2022-12-06
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-01-04
2022-12-06
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-01-04
2022-12-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-01-04
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
33
Owner
Role
Pct
From
Status
Source
SABER PA HOLDINGS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2023-12-31
current
pecos_ownership
BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020)
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
BNV DYNASTY LLC
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
CARROLL, MICHELLE
ADP OF THE SNF
—
2024-08-25
current
pecos_ownership
CITRIN COOPERMAN ADVISORS LLC
ADP OF THE SNF
—
2018-04-01
current
pecos_ownership
DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
HANKEY, NATALICE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-26
current
pecos_ownership
KHAN, ZAFAR
ADP OF THE SNF
—
2018-04-01
current
pecos_ownership
LANGHORNE GARDENS RE GROUP, LLC
ADP OF THE SNF
—
2022-05-02
current
pecos_ownership
LANGHORNE REALTY
Corporation, partnership or other organization has financial interest in provider
—
2023-01-01
current
hcris_a_8_1
LANGHORNE REALTY
Corporation, partnership or other organization has financial interest in provider
—
2024-01-01
current
hcris_a_8_1
NICOLUZAKIS, GREGORY
CORPORATE OFFICER
—
2019-03-01
current
pecos_ownership
RKL LLP
ADP OF THE SNF
—
2023-01-26
current
pecos_ownership
SABER GOVERNANCE LLC
ADP OF THE SNF
—
2019-09-01
current
pecos_ownership
SABER HEALTHCARE GROUP LLC
ADP OF THE SNF
—
2018-04-01
current
pecos_ownership
SHG MANAGEMENT LLC
ADP OF THE SNF
—
2019-09-01
current
pecos_ownership
SHG REZ LLC
ADP OF THE SNF
—
2026-04-07
current
pecos_ownership
VOLPE, BENJAMIN
CORPORATE DIRECTOR
—
2019-03-01
current
pecos_ownership
WEISBERG, WILLIAM
CORPORATE DIRECTOR
—
2019-03-01
current
pecos_ownership
WEISBERG, WILLIAM
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-04-30
current
pecos_ownership
WEISBERG, WILLIAM
ADP OF THE SNF
—
2018-04-01
current
pecos_ownership
WIW DYNASTY LLC
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
ZIEGLER FINANCING CORPORATION
ADP OF THE SNF
—
2022-05-02
current
pecos_ownership
NATALICE HANKEY
W-2 MANAGING EMPLOYEE
100%
2021-05-26
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
SHG REZ LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-05-02
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
WWBV HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2019-09-30
ended 2026-05-18
pecos_ownership
BENJAMIN VOLPE
CORPORATE DIRECTOR
50%
2019-03-01
ended 2026-05-18
pecos_ownership
LANGHORNE REALTY
Corporation, partnership or other organization has financial interest in provider
50%
2022-01-01
ended 2022-12-31
hcris_a_8_1
WILLIAM WEISBERG
CORPORATE DIRECTOR
50%
2019-03-01
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
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
$1,994,950
—
—
$570,781
$1,479
7
propco
2023-12-31
$1,652,174
—
—
$559,453
$852
7
propco
2022-12-31
$1,915,212
—
—
$616,109
$4,156
6
propco
2021-12-31
$1,065,673
—
—
$561,395
—
4
—
2020-12-31
$965,487
—
—
$452,879
—
4
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
1
Close date
Price
Buyer
Seller
Evidence
2018-04-01
—
LANGHORNE GARDENS HEALTH & REHABILITATION CENTER, LLC
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 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 19047
acs median gross
0
$1,885
2024-12-31
CENSUS_ACS5
zcta 19047
acs median gross
1
$1,691
2024-12-31
CENSUS_ACS5
zcta 19047
acs median gross
2
$1,911
2024-12-31
CENSUS_ACS5
zcta 19047
acs median gross
3
$2,304
2024-12-31
CENSUS_ACS5
zcta 19047
acs median gross
4
$2,013
2024-12-31
CENSUS_ACS5
zcta 19047
acs median gross
5
$2,568
2024-12-31
CENSUS_ACS5
zcta 19047
acs median gross
$1,858
2024-12-31
CENSUS_ACS5
zcta 19047
acs recent mover gross
$2,232
2024-12-31
CENSUS_ACS5
zip 19047
payment standard 110
0
$1,958
2025-10-01
HUD_USER_SAFMR
zip 19047
payment standard 90
0
$1,602
2025-10-01
HUD_USER_SAFMR
zip 19047
safmr
0
$1,780
2025-10-01
HUD_USER_SAFMR
zip 19047
payment standard 110
1
$2,123
2025-10-01
HUD_USER_SAFMR
zip 19047
payment standard 90
1
$1,737
2025-10-01
HUD_USER_SAFMR
zip 19047
safmr
1
$1,930
2025-10-01
HUD_USER_SAFMR
zip 19047
payment standard 110
2
$2,530
2025-10-01
HUD_USER_SAFMR
zip 19047
payment standard 90
2
$2,070
2025-10-01
HUD_USER_SAFMR
zip 19047
safmr
2
$2,300
2025-10-01
HUD_USER_SAFMR
zip 19047
payment standard 110
3
$3,036
2025-10-01
HUD_USER_SAFMR
zip 19047
payment standard 90
3
$2,484
2025-10-01
HUD_USER_SAFMR
zip 19047
safmr
3
$2,760
2025-10-01
HUD_USER_SAFMR
zip 19047
payment standard 110
4
$3,388
2025-10-01
HUD_USER_SAFMR
zip 19047
payment standard 90
4
$2,772
2025-10-01
HUD_USER_SAFMR
zip 19047
safmr
4
$3,080
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.