Reads as: riskier than 85.7% 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
11
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+31.4 vs natl
GPN FAMILY TRUST U A D 4 28 08
74 facilities
connection
Owner fleet risk far above national
+30.1 vs natl
DOROS GENERATION TRUST U A D 1 3 12
72 facilities
connection
Owner fleet risk far above national
+26.2 vs natl
LEGACY HEALTHCARE FINANCIAL SERVICES LLC
79 facilities
connection
Owner fleet risk far above national
+25.8 vs natl
PTACEK TRAVIS
5 facilities
connection
Owner fleet risk far above national
+25.1 vs natl
OAKWAY OPERATIONS LLC
44 facilities
connection
Owner fleet risk far above national
+24.2 vs natl
SHABAT MENACHEM
85 facilities
connection
Owner fleet risk far above national
+22.2 vs natl
RSM US LLP
18 facilities
connection
Owner spans multiple chains
15 chains
CIBC BANK USA
155 facilities
connection
Owner spans multiple chains
12 chains
TRUIST BANK
61 facilities
connection
Owner spans multiple chains
5 chains
RAJCHENBACH CHAIM
49 facilities
connection
Owner fleet enforcement cluster
60% fined
PTACEK TRAVIS
5 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
SD median
National median
National p25–p75
Total nurse
3.18
2.96
3.28
2.90–3.77
RN
0.58
0.52
0.39
0.25–0.58
Weekend total
3.05
2.75
3.11
—
Weekday total
3.24
3.06
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
87.1
3.18
0.58
0.46
2.15
3.05
0.0%
2025Q3
92
86.1
3.10
0.53
0.45
2.12
2.88
0.0%
2025Q2
91
86.5
3.01
0.45
0.48
2.09
2.64
0.6%
2025Q1
90
82.7
2.79
0.50
0.49
1.81
2.50
0.0%
2024Q4
92
84.6
2.66
0.48
0.45
1.73
2.36
0.0%
2024Q3
92
81.9
2.76
0.40
0.52
1.84
2.47
0.7%
2024Q2
91
81.1
2.87
0.47
0.52
1.88
2.64
2.5%
2024Q1
91
84.6
2.64
0.51
0.43
1.71
2.45
7.2%
2023Q4
92
84.1
2.71
0.48
0.46
1.78
2.50
7.0%
2023Q3
92
77.6
2.95
0.48
0.55
1.92
2.75
8.8%
2023Q2
91
81.5
2.97
0.39
0.64
1.94
2.71
17.1%
2023Q1
90
79.4
2.82
0.41
0.65
1.75
2.49
15.6%
2022Q4
92
78.8
2.89
0.35
0.65
1.90
2.64
18.8%
2022Q3
92
75.7
3.13
0.45
0.60
2.08
2.72
22.7%
2022Q2
91
77.6
3.02
0.39
0.65
1.98
2.52
4.4%
2022Q1
90
68.3
3.21
0.56
0.69
1.96
2.80
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.
Allow residents to self-administer drugs if determined clinically appropriate.
D
2026-02-17
2026-01-06
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2026-02-17
2026-01-06
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2026-02-17
2026-01-06
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2026-01-01
2026-01-06
Health
F0880
Provide and implement an infection prevention and control program.
E
2026-02-17
2024-12-12
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2025-01-25
2024-12-12
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2025-01-25
2024-12-12
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-10-29
2024-12-12
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
E
2025-01-25
2024-12-12
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2025-01-25
2024-12-12
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.
E
2025-01-25
2024-12-12
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-01-25
2024-12-12
Health
F0881
Implement a program that monitors antibiotic use.
D
2025-01-25
2024-05-15
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
G
2024-05-05
2023-08-23
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-10-06
2023-08-23
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-10-06
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
DOROS GENERATION TRUST U/A/D 1/3/12
5% OR GREATER DIRECT OWNERSHIP INTEREST
43%
2019-07-01
current
pecos_ownership
GPN FAMILY TRUST U/A/D 4/28/08
5% OR GREATER DIRECT OWNERSHIP INTEREST
43%
2019-07-01
current
pecos_ownership
OAKWAY OPERATIONS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
15%
2019-07-01
current
pecos_ownership
CIBC BANK USA
5% OR GREATER SECURITY INTEREST
—
2019-07-01
current
pecos_ownership
KARLSON, LAURA
ADP OF THE SNF
—
2021-09-26
current
pecos_ownership
LEGACY HEALTHCARE FINANCIAL SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-07-01
current
pecos_ownership
LEGACY HEALTHCARE FINANCIAL SERVICES LLC
ADP OF THE SNF
—
2025-11-10
current
pecos_ownership
MOUNTAIN VIEW SD PROPERTY HOLDINGS, LLC
5% OR GREATER SECURITY INTEREST
—
2019-07-01
current
pecos_ownership
PTACEK, TRAVIS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
RAJCHENBACH, CHAIM
OPERATIONAL/MANAGERIAL CONTROL
—
2019-07-01
current
pecos_ownership
RSM US LLP
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
SHABAT, MENACHEM
MANAGING CONTROL - GOVERNING BODY
—
2019-07-01
current
pecos_ownership
TRUIST BANK
5% OR GREATER SECURITY INTEREST
—
2022-04-01
current
pecos_ownership
GPN FAM TR UA 04282008
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2019-07-01
ended 2026-04-01
pecos_ownership
CHAIM RAJCHENBACH DESCENDANTS TR UA 04282008
5% OR GREATER DIRECT OWNERSHIP INTEREST
43%
2019-07-01
ended 2026-05-18
pecos_ownership
CHAIM RAJCHENBACH
OPERATIONAL/MANAGERIAL CONTROL
—
2019-07-01
ended 2026-05-18
pecos_ownership
CIBC BANK USA
5% OR GREATER SECURITY INTEREST
—
2019-06-01
ended 2026-04-01
pecos_ownership
JOHN KELLY
W-2 MANAGING EMPLOYEE
—
2019-07-01
ended 2026-04-01
pecos_ownership
LAURA KARLSON
ADP OF THE SNF
—
2021-09-26
ended 2026-05-18
pecos_ownership
MENACHEM SHABAT
ADP OF THE SNF
—
2019-07-01
ended 2026-05-18
pecos_ownership
TRAVIS PTACEK
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
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
$1,085,406
$683,021
—
—
$17,408
0
propco
2023-12-31
$982,523
$596,128
—
—
$16,312
0
propco
2022-12-31
$703,269
$417,771
—
—
$16,479
0
propco
2021-12-31
$420,816
—
—
—
$15,028
0
—
2020-12-31
$399,462
—
—
—
$16,766
0
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 46103
acs median gross
0
$690
2024-12-31
CENSUS_ACS5
county 46103
fmr
0
$921
2025-10-01
HUD_USER_FMR
county 46103
acs median gross
1
$878
2024-12-31
CENSUS_ACS5
county 46103
fmr
1
$1,018
2025-10-01
HUD_USER_FMR
county 46103
acs median gross
2
$1,188
2024-12-31
CENSUS_ACS5
county 46103
fmr
2
$1,336
2025-10-01
HUD_USER_FMR
county 46103
acs median gross
3
$1,374
2024-12-31
CENSUS_ACS5
county 46103
fmr
3
$1,743
2025-10-01
HUD_USER_FMR
county 46103
acs median gross
4
$2,077
2024-12-31
CENSUS_ACS5
county 46103
fmr
4
$2,178
2025-10-01
HUD_USER_FMR
county 46103
acs median gross
5
$1,336
2024-12-31
CENSUS_ACS5
county 46103
acs median gross
$1,120
2024-12-31
CENSUS_ACS5
county 46103
acs recent mover gross
$1,353
2024-12-31
CENSUS_ACS5
zcta 57702
acs median gross
0
$726
2024-12-31
CENSUS_ACS5
zcta 57702
acs median gross
1
$988
2024-12-31
CENSUS_ACS5
zcta 57702
acs median gross
2
$1,340
2024-12-31
CENSUS_ACS5
zcta 57702
acs median gross
3
$1,545
2024-12-31
CENSUS_ACS5
zcta 57702
acs median gross
4
$2,129
2024-12-31
CENSUS_ACS5
zcta 57702
acs median gross
$1,276
2024-12-31
CENSUS_ACS5
zcta 57702
acs recent mover gross
$1,592
2024-12-31
CENSUS_ACS5
zip 57702
payment standard 110
0
$1,067
2025-10-01
HUD_USER_SAFMR
zip 57702
payment standard 90
0
$873
2025-10-01
HUD_USER_SAFMR
zip 57702
safmr
0
$970
2025-10-01
HUD_USER_SAFMR
zip 57702
payment standard 110
1
$1,177
2025-10-01
HUD_USER_SAFMR
zip 57702
payment standard 90
1
$963
2025-10-01
HUD_USER_SAFMR
zip 57702
safmr
1
$1,070
2025-10-01
HUD_USER_SAFMR
zip 57702
payment standard 110
2
$1,551
2025-10-01
HUD_USER_SAFMR
zip 57702
payment standard 90
2
$1,269
2025-10-01
HUD_USER_SAFMR
zip 57702
safmr
2
$1,410
2025-10-01
HUD_USER_SAFMR
zip 57702
payment standard 110
3
$2,024
2025-10-01
HUD_USER_SAFMR
zip 57702
payment standard 90
3
$1,656
2025-10-01
HUD_USER_SAFMR
zip 57702
safmr
3
$1,840
2025-10-01
HUD_USER_SAFMR
zip 57702
payment standard 110
4
$2,530
2025-10-01
HUD_USER_SAFMR
zip 57702
payment standard 90
4
$2,070
2025-10-01
HUD_USER_SAFMR
zip 57702
safmr
4
$2,300
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.