Reads as: riskier than 17.0% 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
NY median
National median
National p25–p75
Total nurse
3.35
3.33
3.28
2.90–3.77
RN
0.38
0.43
0.39
0.25–0.58
Weekend total
2.80
3.03
3.11
—
Weekday total
3.57
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
116.9
3.35
0.38
0.88
2.09
2.80
0.9%
2025Q3
92
113.3
3.52
0.45
0.78
2.29
2.79
1.5%
2025Q2
91
109.3
3.35
0.45
0.81
2.10
2.72
1.6%
2025Q1
90
112.5
3.11
0.44
0.72
1.96
2.52
1.7%
2024Q4
92
111.2
3.21
0.45
0.65
2.11
2.52
0.0%
2024Q3
92
114.3
3.16
0.46
0.60
2.10
2.69
0.0%
2024Q2
91
113.8
3.14
0.51
0.57
2.06
2.67
0.0%
2024Q1
91
107.4
3.14
0.50
0.66
1.98
2.51
3.1%
2023Q4
92
108.6
3.44
0.41
0.89
2.13
2.84
11.8%
2023Q3
92
111.9
2.70
0.28
0.83
1.58
2.21
15.4%
2023Q2
91
113.1
2.83
0.34
0.73
1.75
2.36
40.7%
2023Q1
90
105.0
3.37
0.32
0.91
2.15
2.98
46.4%
2022Q4
92
111.6
2.70
0.31
0.68
1.71
2.29
51.5%
2022Q3
92
111.1
2.64
0.30
0.71
1.63
2.29
48.2%
2022Q2
91
109.3
2.21
0.30
0.62
1.29
1.84
35.9%
2022Q1
90
114.5
2.08
0.29
0.61
1.18
1.69
29.9%
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
25
C × 1D × 13E × 11
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2023-09-01
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
2023-10-16
2023-09-01
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-10-23
2023-09-01
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-11-07
2023-09-01
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2023-10-23
2023-09-01
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-10-23
2023-09-01
Health · complaint
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
E
2023-10-03
2021-06-09
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.
C
2021-08-05
2021-06-09
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
2021-08-05
2021-06-09
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2021-08-05
2021-06-09
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2021-08-05
2021-06-09
Health
F0943
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
E
2021-08-05
2019-05-22
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2019-06-21
2019-05-22
Health
F0567
Honor the resident's right to manage his or her financial affairs.
E
2019-06-21
2019-05-22
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
E
2019-06-21
2019-05-22
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
2019-06-21
2019-05-22
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2019-06-21
2019-05-22
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
2019-06-21
2019-05-22
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2019-06-21
2019-05-22
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2019-06-21
2019-05-22
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2019-06-21
2019-05-22
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2019-06-21
2019-05-22
Health
F0811
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
D
2019-06-21
2019-05-22
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2019-06-21
2019-05-22
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
E
2019-06-21
2019-05-22
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2019-06-21
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
21
Owner
Role
Pct
From
Status
Source
ZAGELBAUM, EPHRAIM
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2016-04-25
current
pecos_ownership
BARTH, ALEXANDER
5% OR GREATER DIRECT OWNERSHIP INTEREST
35%
2016-04-25
current
pecos_ownership
WALDEN, YEHUDAH
5% OR GREATER DIRECT OWNERSHIP INTEREST
15%
2016-04-25
current
pecos_ownership
BARTH, ALEXANDER
ADP OF THE SNF
—
2020-01-01
current
pecos_ownership
GORNC REALTY LLC
Individual has financial interest in both related organization and provider
—
2023-01-01
current
hcris_a_8_1
GORNC REALTY LLC
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
ODUWA, FELIX
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
ODUWA, FELIX
ADP OF THE SNF
—
2025-03-24
current
pecos_ownership
OSTROVITSKY, ISRAEL
ADP OF THE SNF
—
2020-01-01
current
pecos_ownership
WOODWARD, XYIER
ADP OF THE SNF
—
2022-09-01
current
pecos_ownership
EPHRAIM ZAGELBAUM
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2016-04-25
ended 2026-05-18
pecos_ownership
ALEXANDER BARTH
5% OR GREATER DIRECT OWNERSHIP INTEREST
35%
2016-04-25
ended 2026-05-18
pecos_ownership
YEHUDAH WALDEN
5% OR GREATER DIRECT OWNERSHIP INTEREST
15%
2016-04-25
ended 2026-05-18
pecos_ownership
ALEXANDER BARTH
ADP OF THE SNF
—
2020-01-01
ended 2026-05-18
pecos_ownership
FELIX ODUWA
ADP OF THE SNF
—
2025-03-24
ended 2026-05-18
pecos_ownership
FELIX ODUWA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
ended 2026-05-18
pecos_ownership
GORNC REALTY LLC
Individual has financial interest in both related organization and provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
GORNC REALTY LLC
Individual has financial interest in both related organization and provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
GORNC REALTY LLC
Individual has financial interest in both related organization and provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
ISRAEL OSTROVITSKY
ADP OF THE SNF
—
2020-01-01
ended 2026-05-18
pecos_ownership
XYIER WOODWARD
ADP OF THE SNF
—
2022-09-01
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
$1,795,238
—
—
—
—
2
propco
2023-12-31
$2,045,393
—
—
—
—
2
propco
2022-12-31
$1,801,472
—
—
—
—
2
propco
2021-12-31
$1,264,544
—
—
—
—
2
propco
2020-12-31
$1,251,325
—
—
—
—
2
propco
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 36021
acs median gross
0
$980
2024-12-31
CENSUS_ACS5
county 36021
fmr
0
$1,249
2025-10-01
HUD_USER_FMR
county 36021
acs median gross
1
$1,068
2024-12-31
CENSUS_ACS5
county 36021
fmr
1
$1,263
2025-10-01
HUD_USER_FMR
county 36021
acs median gross
2
$1,377
2024-12-31
CENSUS_ACS5
county 36021
fmr
2
$1,434
2025-10-01
HUD_USER_FMR
county 36021
acs median gross
3
$1,457
2024-12-31
CENSUS_ACS5
county 36021
fmr
3
$1,730
2025-10-01
HUD_USER_FMR
county 36021
acs median gross
4
$1,346
2024-12-31
CENSUS_ACS5
county 36021
fmr
4
$1,899
2025-10-01
HUD_USER_FMR
county 36021
acs median gross
5
$2,282
2024-12-31
CENSUS_ACS5
county 36021
acs median gross
$1,260
2024-12-31
CENSUS_ACS5
county 36021
acs recent mover gross
$1,658
2024-12-31
CENSUS_ACS5
zcta 12075
acs median gross
1
$1,182
2024-12-31
CENSUS_ACS5
zcta 12075
acs median gross
$1,370
2024-12-31
CENSUS_ACS5
zip 12075
payment standard 110
0
$1,507
2025-10-01
HUD_USER_SAFMR
zip 12075
payment standard 90
0
$1,233
2025-10-01
HUD_USER_SAFMR
zip 12075
safmr
0
$1,370
2025-10-01
HUD_USER_SAFMR
zip 12075
payment standard 110
1
$1,518
2025-10-01
HUD_USER_SAFMR
zip 12075
payment standard 90
1
$1,242
2025-10-01
HUD_USER_SAFMR
zip 12075
safmr
1
$1,380
2025-10-01
HUD_USER_SAFMR
zip 12075
payment standard 110
2
$1,727
2025-10-01
HUD_USER_SAFMR
zip 12075
payment standard 90
2
$1,413
2025-10-01
HUD_USER_SAFMR
zip 12075
safmr
2
$1,570
2025-10-01
HUD_USER_SAFMR
zip 12075
payment standard 110
3
$2,079
2025-10-01
HUD_USER_SAFMR
zip 12075
payment standard 90
3
$1,701
2025-10-01
HUD_USER_SAFMR
zip 12075
safmr
3
$1,890
2025-10-01
HUD_USER_SAFMR
zip 12075
payment standard 110
4
$2,288
2025-10-01
HUD_USER_SAFMR
zip 12075
payment standard 90
4
$1,872
2025-10-01
HUD_USER_SAFMR
zip 12075
safmr
4
$2,080
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.