Reads as: riskier than 68.2% 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
CA median
National median
National p25–p75
Total nurse
4.00
3.95
3.28
2.90–3.77
RN
0.27
0.38
0.39
0.25–0.58
Weekend total
3.71
3.79
3.11
—
Weekday total
4.12
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
81.1
4.00
0.27
1.52
2.21
3.71
0.0%
2025Q3
92
83.0
3.91
0.26
1.43
2.22
3.63
0.0%
2025Q2
91
84.9
3.88
0.25
1.35
2.28
3.68
0.0%
2025Q1
90
85.2
3.90
0.22
1.40
2.28
3.81
0.0%
2024Q4
92
85.6
3.71
0.32
1.30
2.09
3.59
0.0%
2024Q3
92
83.6
3.93
0.36
1.34
2.23
3.76
0.0%
2024Q2
91
73.8
4.36
0.36
1.56
2.44
4.18
0.0%
2024Q1
91
61.8
4.38
0.40
1.50
2.49
4.28
0.0%
2023Q4
92
54.6
4.62
0.38
1.65
2.59
4.39
0.0%
2023Q3
92
66.8
4.05
0.19
1.46
2.40
3.86
0.0%
2023Q2
91
66.0
4.11
0.23
1.45
2.44
4.03
0.0%
2023Q1
90
73.7
3.89
0.28
1.30
2.30
3.79
0.0%
2022Q4
92
67.6
3.93
0.34
1.40
2.19
3.82
0.0%
2022Q3
92
68.2
3.76
0.39
1.28
2.09
3.71
0.0%
2022Q2
91
72.0
3.44
0.31
1.04
2.09
3.34
0.0%
2022Q1
90
68.3
3.71
0.30
1.17
2.24
3.66
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.
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
23
D × 11E × 9F × 2G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-01-08
Health
F0641
Ensure each resident receives an accurate assessment.
E
2026-02-07
2026-01-08
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2026-02-07
2026-01-08
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-02-07
2026-01-08
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2026-02-07
2026-01-08
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
2026-02-07
2026-01-08
Health
F0800
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
E
2026-02-07
2026-01-08
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.
E
2026-02-07
2026-01-08
Health
F0808
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
E
2026-02-07
2026-01-08
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-02-07
2026-01-08
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
E
2026-02-07
2026-01-08
Health
F0880
Provide and implement an infection prevention and control program.
E
2026-02-07
2025-06-05
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-06-05
2024-06-28
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
2024-07-28
2024-06-28
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.
E
2024-07-28
2024-06-28
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2024-07-28
2024-06-28
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-07-28
2024-06-28
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F
2024-07-28
2024-06-28
Health
F0908
Keep all essential equipment working safely.
D
2024-07-28
2021-11-19
Health
F0641
Ensure each resident receives an accurate assessment.
D
2021-11-24
2021-11-19
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
2021-11-24
2021-11-19
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2021-11-24
2021-11-19
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
2021-11-24
2021-11-19
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2021-11-24
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
36
Owner
Role
Pct
From
Status
Source
BARRERRO, AUGUSTO
OPERATIONAL/MANAGERIAL CONTROL
—
2016-09-06
current
pecos_ownership
BHAMBRA, PREET
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-01
current
pecos_ownership
BMO BANK NATIONAL ASSOCIATION
ADP OF THE SNF
—
2025-09-22
current
pecos_ownership
BMO BANK NATIONAL ASSOCIATION
5% OR GREATER SECURITY INTEREST
—
2021-10-06
current
pecos_ownership
CONTRA COSTA RE, LLC
ADP OF THE SNF
—
2017-09-01
current
pecos_ownership
DHADDEY, PRABJOT
ADP OF THE SNF
—
2022-06-27
current
pecos_ownership
ENDRIGA, CHONA
ADP OF THE SNF
—
2020-11-30
current
pecos_ownership
FETALINO, LEIGH ANN
OPERATIONAL/MANAGERIAL CONTROL
—
2019-08-28
current
pecos_ownership
HARRISON, DENNIS
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-13
current
pecos_ownership
JONES, BRANDIN
ADP OF THE SNF
—
2023-07-05
current
pecos_ownership
LIFE GENERATIONS HEALTHCARE, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2017-07-21
current
pecos_ownership
MASTROCOLA, LOIS
ADP OF THE SNF
—
2017-07-21
current
pecos_ownership
MENDOZA, CHRISTINE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-10
current
pecos_ownership
OLDS, THOMAS
OPERATIONAL/MANAGERIAL CONTROL
—
2017-07-21
current
pecos_ownership
OLDS, THOMAS
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-11-14
current
pecos_ownership
RE 10
Other (financial or non-financial)
—
2024-01-01
current
hcris_a_8_1
RE 10
Other (financial or non-financial)
—
2023-01-01
current
hcris_a_8_1
SMITH, FRED
INDIRECT OWNERSHIP INTEREST
—
2017-07-21
current
pecos_ownership
SOLORIO, CYNTHIA
ADP OF THE SNF
—
2022-10-12
current
pecos_ownership
THERAGEN, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2017-07-21
current
pecos_ownership
THERAGEN, LLC
ADP OF THE SNF
—
2025-07-15
current
pecos_ownership
THOMAS OLDS
INDIRECT OWNERSHIP INTEREST
78%
2017-07-21
ended 2026-05-18
pecos_ownership
FRED SMITH
INDIRECT OWNERSHIP INTEREST
13%
2017-07-21
ended 2026-05-18
pecos_ownership
LOIS MASTROCOLA
INDIRECT OWNERSHIP INTEREST
9%
2017-07-21
ended 2026-05-18
pecos_ownership
AUGUSTO BARRERRO
ADP OF THE SNF
—
2016-09-06
ended 2026-05-18
pecos_ownership
BRANDIN JONES
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-05
ended 2026-05-18
pecos_ownership
CHONA ENDRIGA
OPERATIONAL/MANAGERIAL CONTROL
—
2020-11-30
ended 2026-05-18
pecos_ownership
CHRISTINE MENDOZA
ADP OF THE SNF
—
2021-05-10
ended 2026-05-18
pecos_ownership
CYNTHIA SOLORIO
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-12
ended 2026-05-18
pecos_ownership
DENNIS HARRISON
OPERATIONAL/MANAGERIAL CONTROL
—
2018-08-13
ended 2026-05-18
pecos_ownership
LEIGH ANN FETALINO
ADP OF THE SNF
—
2019-08-28
ended 2026-05-18
pecos_ownership
PRABJOT DHADDEY
ADP OF THE SNF
—
2022-06-27
ended 2026-05-18
pecos_ownership
PREET BHAMBRA
ADP OF THE SNF
—
2025-02-01
ended 2026-05-18
pecos_ownership
RE 10
Other (financial or non-financial)
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
RE 10
Other (financial or non-financial)
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
RE 10
Other (financial or non-financial)
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
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
$2,493,479
$1,372,917
—
$517,508
—
3
propco
2023-12-31
$2,430,615
$1,315,607
—
$573,300
—
3
propco
2022-12-31
$2,292,164
$1,177,708
—
$689,858
—
3
propco
2021-12-31
$1,777,599
$791,312
—
$577,563
—
3
propco
2020-12-31
$2,190,279
$712,756
—
$1,018,601
—
3
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
35
Geo
Kind
BR
Amount
As of
Source
county 06013
acs median gross
0
$2,050
2024-12-31
CENSUS_ACS5
county 06013
fmr
0
$2,142
2025-10-01
HUD_USER_FMR
county 06013
acs median gross
1
$1,975
2024-12-31
CENSUS_ACS5
county 06013
fmr
1
$2,385
2025-10-01
HUD_USER_FMR
county 06013
acs median gross
2
$2,354
2024-12-31
CENSUS_ACS5
county 06013
fmr
2
$2,912
2025-10-01
HUD_USER_FMR
county 06013
acs median gross
3
$2,841
2024-12-31
CENSUS_ACS5
county 06013
fmr
3
$3,724
2025-10-01
HUD_USER_FMR
county 06013
acs median gross
4
$3,365
2024-12-31
CENSUS_ACS5
county 06013
fmr
4
$4,413
2025-10-01
HUD_USER_FMR
county 06013
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
county 06013
acs median gross
$2,375
2024-12-31
CENSUS_ACS5
county 06013
acs recent mover gross
$2,420
2024-12-31
CENSUS_ACS5
zcta 94520
acs median gross
0
$2,081
2024-12-31
CENSUS_ACS5
zcta 94520
acs median gross
1
$1,883
2024-12-31
CENSUS_ACS5
zcta 94520
acs median gross
2
$2,248
2024-12-31
CENSUS_ACS5
zcta 94520
acs median gross
3
$2,828
2024-12-31
CENSUS_ACS5
zcta 94520
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 94520
acs median gross
$2,197
2024-12-31
CENSUS_ACS5
zcta 94520
acs recent mover gross
$2,276
2024-12-31
CENSUS_ACS5
zip 94520
payment standard 110
0
$2,156
2025-10-01
HUD_USER_SAFMR
zip 94520
payment standard 90
0
$1,764
2025-10-01
HUD_USER_SAFMR
zip 94520
safmr
0
$1,960
2025-10-01
HUD_USER_SAFMR
zip 94520
payment standard 110
1
$2,409
2025-10-01
HUD_USER_SAFMR
zip 94520
payment standard 90
1
$1,971
2025-10-01
HUD_USER_SAFMR
zip 94520
safmr
1
$2,190
2025-10-01
HUD_USER_SAFMR
zip 94520
payment standard 110
2
$2,937
2025-10-01
HUD_USER_SAFMR
zip 94520
payment standard 90
2
$2,403
2025-10-01
HUD_USER_SAFMR
zip 94520
safmr
2
$2,670
2025-10-01
HUD_USER_SAFMR
zip 94520
payment standard 110
3
$3,751
2025-10-01
HUD_USER_SAFMR
zip 94520
payment standard 90
3
$3,069
2025-10-01
HUD_USER_SAFMR
zip 94520
safmr
3
$3,410
2025-10-01
HUD_USER_SAFMR
zip 94520
payment standard 110
4
$4,455
2025-10-01
HUD_USER_SAFMR
zip 94520
payment standard 90
4
$3,645
2025-10-01
HUD_USER_SAFMR
zip 94520
safmr
4
$4,050
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.