Reads as: riskier than 57.0% 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.
ML signals — parallel engine
5
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+30.7 vs natl
ROHRBACH CHARLES
5 facilities
connection
Owner fleet risk far above national
+29.5 vs natl
SMILOW ABRAHAM
7 facilities
connection
Owner fleet risk far above national
+28.3 vs natl
LADS AVENUE ASSOCIATES LLC
5 facilities
connection
Owner fleet risk far above national
+28.3 vs natl
TRAVITSKY BARUCH
5 facilities
connection
Owner fleet risk far above national
+27.0 vs natl
T3 REAL ESTATE INITIATIVES LLC
6 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
3.28
3.38
3.28
2.90–3.77
RN
0.48
0.45
0.39
0.25–0.58
Weekend total
3.03
3.27
3.11
—
Weekday total
3.38
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
88.3
3.28
0.48
0.98
1.81
3.03
42.4%
2025Q3
92
98.5
3.07
0.40
0.90
1.78
3.01
49.0%
2025Q2
91
87.5
3.08
0.40
0.90
1.78
2.95
45.3%
2025Q1
90
86.1
2.97
0.38
0.96
1.64
2.83
42.3%
2024Q4
92
90.3
3.17
0.43
0.96
1.77
3.04
47.0%
2024Q3
92
83.6
3.25
0.48
0.93
1.84
3.10
42.6%
2024Q2
91
91.6
2.73
0.40
0.68
1.65
2.57
23.0%
2024Q1
91
92.8
2.94
0.38
0.79
1.76
2.85
15.9%
2023Q4
92
91.5
3.35
0.54
0.83
1.98
3.20
15.8%
2023Q3
92
89.1
3.57
0.47
0.96
2.14
3.33
16.4%
2023Q2
91
91.2
3.39
0.46
0.96
1.96
3.25
9.5%
2023Q1
90
93.5
3.50
0.44
1.04
2.03
3.22
6.9%
2022Q4
92
94.9
3.52
0.36
1.11
2.05
3.31
0.0%
2022Q3
92
98.0
3.34
0.34
1.08
1.92
3.21
0.0%
2022Q2
91
97.0
3.59
0.46
1.06
2.07
3.44
4.8%
2022Q1
90
94.1
3.85
0.55
1.09
2.21
3.72
7.0%
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 organize and participate in resident/family groups in the facility.
E
2026-04-03
2026-02-06
Health
F0567
Honor the resident's right to manage his or her financial affairs.
E
2026-04-03
2026-02-06
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2026-04-03
2026-02-06
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.
E
2026-04-03
2026-02-06
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2026-04-03
2026-02-06
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
E
2026-04-03
2026-02-06
Health
F0641
Ensure each resident receives an accurate assessment.
B
2026-04-03
2026-02-06
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2026-04-03
2026-02-06
Health
F0711
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
E
2026-04-03
2026-02-06
Health
F0712
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
D
2026-04-03
2026-02-06
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
2026-04-03
2026-02-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2026-04-03
2026-02-06
Health
F0841
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
C
2026-04-03
2026-02-06
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
C
2026-04-03
2025-12-04
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-12-29
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
2025-12-29
2025-10-22
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2025-11-04
2025-10-22
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-09-08
2025-02-26
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-03-28
2025-02-26
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2025-03-28
2025-02-26
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
2025-03-28
2025-02-26
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-03-28
2024-12-31
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-02-10
2024-08-16
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-09-16
2024-03-29
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-04-24
2024-03-29
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-04-24
2024-03-29
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
2024-04-24
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
18
Owner
Role
Pct
From
Status
Source
OAKWOOD HEIGHTS PROPCO COMPANY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
OAKWOOD HEIGHTS PROPCO COMPANY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2023-08-15
current
hcris_a_8_1
OAKWOOD HEIGHTS SNF OPCO HOLDCO COMPANY LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-08-15
current
pecos_ownership
SMILOW, ABRAHAM
5% OR GREATER INDIRECT OWNERSHIP INTEREST
95%
2023-08-15
current
pecos_ownership
CAIN, PAUL
MANAGING CONTROL - GOVERNING BODY
—
2024-04-01
current
pecos_ownership
LADS AVENUE ASSOCIATES LLC
ADP OF THE SNF
—
2023-08-15
current
pecos_ownership
OAKWOOD HEIGHTS PROPCO COMPANY LLC
ADP OF THE SNF
—
2023-08-15
current
pecos_ownership
OAKWOOD HEIGHTS SNF PROPCO HOLDCO COMPANY LLC
DIRECT OWNERSHIP INTEREST
—
2023-08-15
current
pecos_ownership
ROHRBACH, CHARLES
OPERATIONAL/MANAGERIAL CONTROL
—
2023-08-15
current
pecos_ownership
T3 REAL ESTATE INITIATIVES LLC
ADP OF THE SNF
—
2023-08-15
current
pecos_ownership
TRAVITSKY, BARUCH
ADP OF THE SNF
—
2023-08-15
current
pecos_ownership
ABRAHAM SMILOW
CORPORATE OFFICER
100%
2023-08-15
ended 2026-05-18
pecos_ownership
T3 INITIATIVES LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2023-08-15
ended 2026-05-18
pecos_ownership
HILLEL TROPPER 2016 IRREVOCABLE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
2%
2023-08-15
ended 2026-05-18
pecos_ownership
MOSHE TROOPER 2016 IRREVOCABLE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
2%
2023-08-15
ended 2026-05-18
pecos_ownership
BARUCH TRAVITSKY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
1%
2023-08-15
ended 2026-05-18
pecos_ownership
CHARLES ROHRBACH
MANAGING CONTROL - GOVERNING BODY
—
2023-08-15
ended 2026-05-18
pecos_ownership
PAUL CAIN
MANAGING CONTROL - GOVERNING BODY
—
2024-04-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,239,710
$862,800
—
—
—
1
propco
2023-12-31
$452,837
$220,948
—
—
—
1
propco
2022-12-31
$710,235
—
$92,410
$617,825
—
3
—
2021-12-31
$892,696
—
$187,443
$705,253
—
3
—
2020-12-31
$1,326,834
—
$717,321
$609,513
—
2
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
35
Geo
Kind
BR
Amount
As of
Source
county 42121
acs median gross
0
$498
2024-12-31
CENSUS_ACS5
county 42121
fmr
0
$671
2025-10-01
HUD_USER_FMR
county 42121
acs median gross
1
$526
2024-12-31
CENSUS_ACS5
county 42121
fmr
1
$742
2025-10-01
HUD_USER_FMR
county 42121
acs median gross
2
$792
2024-12-31
CENSUS_ACS5
county 42121
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 42121
acs median gross
3
$919
2024-12-31
CENSUS_ACS5
county 42121
fmr
3
$1,221
2025-10-01
HUD_USER_FMR
county 42121
acs median gross
4
$1,027
2024-12-31
CENSUS_ACS5
county 42121
fmr
4
$1,393
2025-10-01
HUD_USER_FMR
county 42121
acs median gross
5
$859
2024-12-31
CENSUS_ACS5
county 42121
acs median gross
$795
2024-12-31
CENSUS_ACS5
county 42121
acs recent mover gross
$809
2024-12-31
CENSUS_ACS5
zcta 16301
acs median gross
0
$488
2024-12-31
CENSUS_ACS5
zcta 16301
acs median gross
1
$526
2024-12-31
CENSUS_ACS5
zcta 16301
acs median gross
2
$780
2024-12-31
CENSUS_ACS5
zcta 16301
acs median gross
3
$924
2024-12-31
CENSUS_ACS5
zcta 16301
acs median gross
4
$1,069
2024-12-31
CENSUS_ACS5
zcta 16301
acs median gross
5
$1,163
2024-12-31
CENSUS_ACS5
zcta 16301
acs median gross
$815
2024-12-31
CENSUS_ACS5
zip 16301
payment standard 110
0
$759
2025-10-01
HUD_USER_SAFMR
zip 16301
payment standard 90
0
$621
2025-10-01
HUD_USER_SAFMR
zip 16301
safmr
0
$690
2025-10-01
HUD_USER_SAFMR
zip 16301
payment standard 110
1
$836
2025-10-01
HUD_USER_SAFMR
zip 16301
payment standard 90
1
$684
2025-10-01
HUD_USER_SAFMR
zip 16301
safmr
1
$760
2025-10-01
HUD_USER_SAFMR
zip 16301
payment standard 110
2
$1,100
2025-10-01
HUD_USER_SAFMR
zip 16301
payment standard 90
2
$900
2025-10-01
HUD_USER_SAFMR
zip 16301
safmr
2
$1,000
2025-10-01
HUD_USER_SAFMR
zip 16301
payment standard 110
3
$1,375
2025-10-01
HUD_USER_SAFMR
zip 16301
payment standard 90
3
$1,125
2025-10-01
HUD_USER_SAFMR
zip 16301
safmr
3
$1,250
2025-10-01
HUD_USER_SAFMR
zip 16301
payment standard 110
4
$1,573
2025-10-01
HUD_USER_SAFMR
zip 16301
payment standard 90
4
$1,287
2025-10-01
HUD_USER_SAFMR
zip 16301
safmr
4
$1,430
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.