Reads as: riskier than 66.6% 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.
ML signals — parallel engine
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
15 chains
CIBC BANK USA
155 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
NJ median
National median
National p25–p75
Total nurse
3.27
3.31
3.28
2.90–3.77
RN
0.51
0.35
0.39
0.25–0.58
Weekend total
3.22
3.21
3.11
—
Weekday total
3.29
3.37
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
91.9
3.27
0.51
0.63
2.13
3.22
0.3%
2025Q3
92
98.7
3.27
0.46
0.62
2.19
3.17
0.1%
2025Q2
91
94.1
3.39
0.46
0.70
2.23
3.27
0.2%
2025Q1
90
99.5
3.25
0.42
0.69
2.15
3.20
0.1%
2024Q4
92
95.7
3.42
0.54
0.62
2.27
3.35
0.0%
2024Q3
92
93.6
3.25
0.53
0.67
2.06
3.08
0.2%
2024Q2
91
97.7
3.09
0.47
0.71
1.91
2.81
2.5%
2024Q1
91
91.0
2.92
0.52
0.68
1.72
2.65
3.1%
2023Q4
92
94.0
3.15
0.47
0.70
1.98
2.90
1.9%
2023Q3
92
96.6
3.05
0.51
0.67
1.88
2.87
1.1%
2023Q2
91
93.5
2.91
0.48
0.74
1.69
2.65
2.7%
2023Q1
90
101.9
2.56
0.37
0.71
1.48
2.38
0.8%
2022Q4
92
95.2
2.83
0.32
0.82
1.69
2.70
0.0%
2022Q3
92
98.7
2.74
0.35
0.74
1.66
2.62
14.5%
2022Q2
91
99.0
2.37
0.41
0.64
1.31
2.25
10.7%
2022Q1
90
99.2
2.39
0.47
0.62
1.30
2.19
2.0%
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2026-04-30
2026-03-30
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2026-04-30
2026-03-30
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-04-30
2026-03-30
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2026-04-30
2026-03-30
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2026-04-30
2026-03-30
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
2026-04-30
2026-03-30
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-04-30
2026-03-30
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2026-04-30
2026-03-30
Health
F0732
Post nurse staffing information every day.
D
2026-04-30
2026-03-30
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2026-04-30
2026-03-30
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-04-30
2026-03-30
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
2026-04-30
2026-03-30
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
2026-04-30
2026-03-30
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2026-04-30
2025-12-04
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-12-18
2024-10-29
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
E
2024-12-03
2024-10-29
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
E
2024-12-03
2024-10-29
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-12-03
2024-10-29
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-12-03
2024-10-29
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2024-12-03
2024-10-29
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-12-03
2024-10-29
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
2024-12-03
2024-05-10
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-07-03
2023-08-15
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
2023-09-08
2023-08-15
Health
F0641
Ensure each resident receives an accurate assessment.
C
2023-09-08
2023-08-15
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-09-08
2023-08-15
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-09-08
2023-08-15
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
2023-09-08
2023-08-15
Health · complaint
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
2023-09-08
2023-08-15
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2023-09-08
2023-08-15
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-09-08
2023-08-15
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2023-09-08
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
36
Owner
Role
Pct
From
Status
Source
SPRING GROVE PROPERTY
Corporation, partnership or other organization has financial interest in provider
89%
2024-01-01
current
hcris_a_8_1
SPRING GROVE PROPERTY
Corporation, partnership or other organization has financial interest in provider
89%
2023-01-01
current
hcris_a_8_1
YR 2013 INVESTMENT TR UA 03252013
5% OR GREATER INDIRECT OWNERSHIP INTEREST
22%
2018-10-04
current
pecos_ownership
CIBC BANK USA
5% OR GREATER SECURITY INTEREST
—
2018-09-06
current
pecos_ownership
KOHN FAM TR GST EXEMPT UAD 3-25-13
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
MARQUIS LIMITED LLC
ADP OF THE SNF
—
2025-03-26
current
pecos_ownership
MARQUIS LIMITED LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-01
current
pecos_ownership
NFR 2020 IRRV TR
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
NUTRACO LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2018-10-04
current
pecos_ownership
NUTRACO LLC
ADP OF THE SNF
—
2025-03-27
current
pecos_ownership
PATEL, SAMIR
OPERATIONAL/MANAGERIAL CONTROL
—
2018-10-04
current
pecos_ownership
POSEN, MINDEE
CORPORATE OFFICER
—
2022-01-01
current
pecos_ownership
POSEN, MINDEE
ADP OF THE SNF
—
2018-10-04
current
pecos_ownership
QUINTO GUARDIAN LLC
ADP OF THE SNF
—
2018-10-04
current
pecos_ownership
RELIANT PRO REHAB LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2018-10-04
current
pecos_ownership
RELIANT PRO REHAB LLC
ADP OF THE SNF
—
2025-03-27
current
pecos_ownership
RSBRMK HOLDINGS LLC
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
SCHAFFER, YERACHMIEL
ADP OF THE SNF
—
2024-11-18
current
pecos_ownership
SCHOTTLANDER, MATTHEW
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-22
current
pecos_ownership
SK 2013 INVESTMENT TR UA 03252013
ADP OF THE SNF
—
2018-10-04
current
pecos_ownership
SPRING GROVE PROPERTY LLC
ADP OF THE SNF
—
2018-10-04
current
pecos_ownership
TRYKO GUARDIAN HOLDINGS LLC
ADP OF THE SNF
—
2018-10-04
current
pecos_ownership
UAK 2020 IRRV TR
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
UKR CONSULTING LLC
ADP OF THE SNF
—
2018-10-04
current
pecos_ownership
VIROJA, YOGESH
MANAGING CONTROL - GOVERNING BODY
—
2019-11-28
current
pecos_ownership
VIROJA, YOGESH
ADP OF THE SNF
—
2018-09-06
current
pecos_ownership
SPRING GROVE OPERATOR
Individual has financial interest in both related organization and provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
SPRING GROVE OPERATOR
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
SPRING GROVE OPERATOR
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
MATTHEW SCHOTTLANDER
MANAGING CONTROL - GOVERNING BODY
—
2024-04-22
ended 2026-05-18
pecos_ownership
MINDEE POSEN
CORPORATE OFFICER
—
2022-01-01
ended 2026-05-18
pecos_ownership
MINDEE POSEN
ADP OF THE SNF
—
2018-10-04
ended 2026-05-18
pecos_ownership
SAMIR PATEL
ADP OF THE SNF
—
2018-10-04
ended 2026-05-18
pecos_ownership
YERACHMIEL SCHAFFER
MANAGING CONTROL - GOVERNING BODY
—
2024-11-18
ended 2026-05-18
pecos_ownership
YOGESH VIROJA
ADP OF THE SNF
—
2018-09-06
ended 2026-05-18
pecos_ownership
YOGESH VIROJA
MANAGING CONTROL - GOVERNING BODY
—
2019-11-28
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
$2,395,132
$1,252,322
—
—
$154,800
10
propco
2023-12-31
$2,359,179
$1,263,397
—
—
$154,800
10
propco
2022-12-31
$1,510,852
$846,359
—
—
—
2
propco
2021-12-31
$1,236,276
$680,648
—
—
—
2
propco
2020-12-31
$901,596
$713,234
—
—
—
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
33
Geo
Kind
BR
Amount
As of
Source
county 34039
acs median gross
0
$1,283
2024-12-31
CENSUS_ACS5
county 34039
fmr
0
$1,612
2025-10-01
HUD_USER_FMR
county 34039
acs median gross
1
$1,407
2024-12-31
CENSUS_ACS5
county 34039
fmr
1
$1,822
2025-10-01
HUD_USER_FMR
county 34039
acs median gross
2
$1,785
2024-12-31
CENSUS_ACS5
county 34039
fmr
2
$2,205
2025-10-01
HUD_USER_FMR
county 34039
acs median gross
3
$2,085
2024-12-31
CENSUS_ACS5
county 34039
fmr
3
$2,761
2025-10-01
HUD_USER_FMR
county 34039
acs median gross
4
$2,369
2024-12-31
CENSUS_ACS5
county 34039
fmr
4
$3,137
2025-10-01
HUD_USER_FMR
county 34039
acs median gross
5
$2,426
2024-12-31
CENSUS_ACS5
county 34039
acs median gross
$1,730
2024-12-31
CENSUS_ACS5
county 34039
acs recent mover gross
$2,111
2024-12-31
CENSUS_ACS5
zcta 07974
acs median gross
1
$1,814
2024-12-31
CENSUS_ACS5
zcta 07974
acs median gross
2
$2,230
2024-12-31
CENSUS_ACS5
zcta 07974
acs median gross
3
$2,839
2024-12-31
CENSUS_ACS5
zcta 07974
acs median gross
$1,993
2024-12-31
CENSUS_ACS5
zcta 07974
acs recent mover gross
$1,909
2024-12-31
CENSUS_ACS5
zip 07974
payment standard 110
0
$2,178
2025-10-01
HUD_USER_SAFMR
zip 07974
payment standard 90
0
$1,782
2025-10-01
HUD_USER_SAFMR
zip 07974
safmr
0
$1,980
2025-10-01
HUD_USER_SAFMR
zip 07974
payment standard 110
1
$2,464
2025-10-01
HUD_USER_SAFMR
zip 07974
payment standard 90
1
$2,016
2025-10-01
HUD_USER_SAFMR
zip 07974
safmr
1
$2,240
2025-10-01
HUD_USER_SAFMR
zip 07974
payment standard 110
2
$2,981
2025-10-01
HUD_USER_SAFMR
zip 07974
payment standard 90
2
$2,439
2025-10-01
HUD_USER_SAFMR
zip 07974
safmr
2
$2,710
2025-10-01
HUD_USER_SAFMR
zip 07974
payment standard 110
3
$3,729
2025-10-01
HUD_USER_SAFMR
zip 07974
payment standard 90
3
$3,051
2025-10-01
HUD_USER_SAFMR
zip 07974
safmr
3
$3,390
2025-10-01
HUD_USER_SAFMR
zip 07974
payment standard 110
4
$4,246
2025-10-01
HUD_USER_SAFMR
zip 07974
payment standard 90
4
$3,474
2025-10-01
HUD_USER_SAFMR
zip 07974
safmr
4
$3,860
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.