563 W STREETSBORO ROAD, HUDSON, OH 44236 · CCN 365874
Composite
94.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
50
Model
v1.2
Reads as: riskier than 94.6% 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
OH median
National median
National p25–p75
Total nurse
3.12
3.24
3.28
2.90–3.77
RN
0.43
0.38
0.39
0.25–0.58
Weekend total
2.91
3.11
3.11
—
Weekday total
3.21
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
38.5
3.12
0.43
0.89
1.80
2.91
21.1%
2025Q3
92
38.0
2.97
0.57
0.64
1.76
2.74
25.9%
2025Q2
91
39.3
2.89
0.40
0.71
1.78
2.84
10.8%
2025Q1
90
39.9
2.95
0.44
0.71
1.80
2.81
30.0%
2024Q4
92
39.7
2.96
0.42
0.73
1.80
2.78
23.8%
2024Q3
92
40.9
2.81
0.41
0.63
1.76
2.66
37.3%
2024Q2
91
36.4
2.63
0.32
0.65
1.66
2.56
43.0%
2024Q1
91
34.4
2.80
0.43
0.63
1.73
2.62
33.7%
2023Q4
92
33.8
2.93
0.61
0.64
1.67
2.72
33.3%
2023Q3
92
29.0
2.71
0.36
0.70
1.65
2.46
18.5%
2023Q2
91
28.6
2.82
0.20
0.90
1.72
2.60
27.8%
2023Q1
90
28.5
3.11
0.29
0.87
1.94
2.85
34.9%
2022Q4
92
26.6
3.43
0.22
1.30
1.91
3.41
65.7%
2022Q3
92
27.3
3.32
0.27
1.08
1.97
3.17
67.0%
2022Q2
91
27.8
2.80
0.27
0.85
1.68
2.31
52.2%
2022Q1
90
28.1
2.62
0.10
0.83
1.69
2.65
60.7%
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.
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.
E
2025-09-23
2025-07-16
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-07-17
2025-07-16
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-07-17
2024-06-18
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-06-19
2024-05-07
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-05-08
2024-04-05
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-05-08
2024-02-22
Health · complaint
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
G
2024-05-08
2023-10-10
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F
2023-10-26
2023-07-25
Health · complaint
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
2023-07-27
2023-07-25
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2023-07-27
2023-06-22
Health
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F
2023-07-27
2020-01-23
Health
F0641
Ensure each resident receives an accurate assessment.
D
2020-03-13
2020-01-23
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2020-03-13
2020-01-23
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
2020-03-13
2020-01-23
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
2020-03-13
2020-01-23
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2020-03-13
2020-01-23
Health
F0791
Provide or obtain dental services for each resident.
D
2020-03-13
2020-01-23
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2020-03-13
2020-01-23
Health
F0810
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
D
2020-03-13
2020-01-23
Health
F0880
Provide and implement an infection prevention and control program.
D
2020-03-13
2018-11-15
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2018-12-17
2018-11-15
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
C
2018-12-17
2018-11-15
Health
F0610
Respond appropriately to all alleged violations.
D
2018-12-17
2018-11-15
Health
F0641
Ensure each resident receives an accurate assessment.
E
2018-12-17
2018-11-15
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F
2018-12-17
2018-11-15
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2018-12-17
2018-11-15
Health
F0730
Observe each nurse aide's job performance and give regular training.
F
2018-12-17
2018-11-15
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2018-12-17
2018-11-15
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2018-12-17
2018-11-15
Health
F0802
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F
2018-12-17
2018-11-15
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F
2018-12-17
2018-11-15
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F
2018-12-17
2018-11-15
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2018-12-17
2018-11-15
Health
F0880
Provide and implement an infection prevention and control program.
F
2018-12-17
2018-11-15
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2018-12-17
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
5
Owner
Role
Pct
From
Status
Source
GOLDSTEIN, JEFFREY
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2020-02-01
current
pecos_ownership
SHERMAN, ALEXANDER
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2020-02-01
current
pecos_ownership
ALEXANDER SHERMAN
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2020-02-01
ended 2026-05-18
pecos_ownership
JEFFREY GOLDSTEIN
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2020-02-01
ended 2026-05-18
pecos_ownership
SAMUEL SHERMAN
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2020-02-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 39153
acs median gross
0
$844
2024-12-31
CENSUS_ACS5
county 39153
fmr
0
$904
2025-10-01
HUD_USER_FMR
county 39153
acs median gross
1
$781
2024-12-31
CENSUS_ACS5
county 39153
fmr
1
$985
2025-10-01
HUD_USER_FMR
county 39153
acs median gross
2
$1,080
2024-12-31
CENSUS_ACS5
county 39153
fmr
2
$1,268
2025-10-01
HUD_USER_FMR
county 39153
acs median gross
3
$1,116
2024-12-31
CENSUS_ACS5
county 39153
fmr
3
$1,547
2025-10-01
HUD_USER_FMR
county 39153
acs median gross
4
$1,245
2024-12-31
CENSUS_ACS5
county 39153
fmr
4
$1,681
2025-10-01
HUD_USER_FMR
county 39153
acs median gross
5
$1,119
2024-12-31
CENSUS_ACS5
county 39153
acs median gross
$1,026
2024-12-31
CENSUS_ACS5
county 39153
acs recent mover gross
$1,130
2024-12-31
CENSUS_ACS5
zcta 44236
acs median gross
1
$2,118
2024-12-31
CENSUS_ACS5
zcta 44236
acs median gross
2
$2,944
2024-12-31
CENSUS_ACS5
zcta 44236
acs median gross
3
$1,878
2024-12-31
CENSUS_ACS5
zcta 44236
acs median gross
4
$1,707
2024-12-31
CENSUS_ACS5
zcta 44236
acs median gross
$2,322
2024-12-31
CENSUS_ACS5
zip 44236
payment standard 110
0
$1,496
2025-10-01
HUD_USER_SAFMR
zip 44236
payment standard 90
0
$1,224
2025-10-01
HUD_USER_SAFMR
zip 44236
safmr
0
$1,360
2025-10-01
HUD_USER_SAFMR
zip 44236
payment standard 110
1
$1,628
2025-10-01
HUD_USER_SAFMR
zip 44236
payment standard 90
1
$1,332
2025-10-01
HUD_USER_SAFMR
zip 44236
safmr
1
$1,480
2025-10-01
HUD_USER_SAFMR
zip 44236
payment standard 110
2
$2,090
2025-10-01
HUD_USER_SAFMR
zip 44236
payment standard 90
2
$1,710
2025-10-01
HUD_USER_SAFMR
zip 44236
safmr
2
$1,900
2025-10-01
HUD_USER_SAFMR
zip 44236
payment standard 110
3
$2,552
2025-10-01
HUD_USER_SAFMR
zip 44236
payment standard 90
3
$2,088
2025-10-01
HUD_USER_SAFMR
zip 44236
safmr
3
$2,320
2025-10-01
HUD_USER_SAFMR
zip 44236
payment standard 110
4
$2,772
2025-10-01
HUD_USER_SAFMR
zip 44236
payment standard 90
4
$2,268
2025-10-01
HUD_USER_SAFMR
zip 44236
safmr
4
$2,520
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.