Reads as: riskier than 10.0% 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
4
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
16 chains
BAKER TILLY ADVISORY GROUP LP
77 facilities
connection
Owner spans multiple chains
10 chains
RKL LLP
52 facilities
connection
Owner spans multiple chains
5 chains
INTELYCARE INC
6 facilities
connection
Owner spans multiple chains
4 chains
MORGAN STANLEY
39 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
4.91
3.38
3.28
2.90–3.77
RN
0.82
0.45
0.39
0.25–0.58
Weekend total
4.77
3.27
3.11
—
Weekday total
4.96
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
32.6
4.91
0.82
1.33
2.75
4.77
0.0%
2025Q3
92
33.1
4.91
0.81
1.23
2.86
4.93
3.8%
2025Q2
91
32.3
5.14
0.83
1.43
2.88
5.17
3.4%
2025Q1
90
32.2
5.06
0.89
1.26
2.92
4.92
1.7%
2024Q4
92
32.1
5.07
0.82
1.32
2.92
4.90
2.0%
2024Q3
92
32.0
4.88
0.77
1.33
2.78
4.57
6.6%
2024Q2
91
32.2
4.66
0.76
1.26
2.64
4.35
1.0%
2024Q1
91
32.8
4.55
0.85
1.23
2.47
4.32
3.2%
2023Q4
92
33.8
4.35
0.79
1.05
2.51
3.99
5.0%
2023Q3
92
34.4
3.83
0.55
0.78
2.51
3.54
3.9%
2023Q2
91
34.0
4.02
0.63
0.85
2.54
3.78
1.7%
2023Q1
90
33.4
4.10
0.65
0.84
2.61
3.88
1.6%
2022Q4
92
31.1
4.20
0.68
0.72
2.80
3.97
3.1%
2022Q3
92
33.4
3.76
0.49
0.68
2.58
3.70
2.6%
2022Q2
91
30.6
4.36
0.72
0.76
2.88
4.23
0.0%
2022Q1
90
30.0
4.37
0.74
0.82
2.82
4.32
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
22
B × 1D × 13E × 7F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-06-06
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-07-28
2025-06-06
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-07-28
2025-06-06
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
E
2025-07-28
2025-06-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-07-28
2024-07-19
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-08-26
2024-07-19
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
2024-08-26
2024-07-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-08-26
2023-08-11
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2023-10-05
2023-08-11
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2023-10-05
2023-08-11
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
B
2023-10-05
2023-08-11
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
E
2023-10-05
2023-08-11
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-10-05
2023-08-11
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.
E
2023-10-05
2023-08-11
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2023-10-05
2023-08-11
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
E
2023-10-05
2023-08-11
Health
F0730
Observe each nurse aide's job performance and give regular training.
D
2023-10-05
2023-08-11
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2023-10-05
2023-08-11
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
2023-10-05
2023-08-11
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
2023-10-05
2023-08-11
Health
F0790
Provide routine and 24-hour emergency dental care for each resident.
D
2023-10-05
2023-08-11
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-10-05
2023-08-11
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2023-10-05
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
49
Owner
Role
Pct
From
Status
Source
LIBERTY LUTHERAN SERVICES
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2012-06-15
current
pecos_ownership
ADVANTAGE CARE REHABILITATION, INC
ADP OF THE SNF
—
2019-01-17
current
pecos_ownership
BAKER TILLY ADVISORY GROUP, LP
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
BARNUM, JOHN
ADP OF THE SNF
—
2006-04-10
current
pecos_ownership
BORTZ, BEVERLY
CORPORATE DIRECTOR
—
2014-09-30
current
pecos_ownership
COMSTOCK, AMY
ADP OF THE SNF
—
2020-08-24
current
pecos_ownership
CORBIN, ELLEN
ADP OF THE SNF
—
2013-02-11
current
pecos_ownership
CORBIN, ELLEN
OPERATIONAL/MANAGERIAL CONTROL
—
2019-04-12
current
pecos_ownership
DUCATO, FRANK
CORPORATE DIRECTOR
—
2021-09-30
current
pecos_ownership
FIRST CITIZENS COMMUNITY BANK
ADP OF THE SNF
—
2025-05-07
current
pecos_ownership
FIRST CITIZENS COMMUNITY BANK
5% OR GREATER MORTGAGE INTEREST
—
2017-12-01
current
pecos_ownership
FISHER, LUANNE
CORPORATE OFFICER
—
—
current
pecos_ownership
GALANTE, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2017-08-13
current
pecos_ownership
GALANTE, MICHAEL
ADP OF THE SNF
—
2007-08-13
current
pecos_ownership
HILL, NIKKI
CORPORATE DIRECTOR
—
2021-09-30
current
pecos_ownership
HOPKE, FRED
CORPORATE DIRECTOR
—
2021-09-30
current
pecos_ownership
INTELYCARE INC
ADP OF THE SNF
—
2022-12-21
current
pecos_ownership
KRAMER, TAMIA
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
KREISHER MILLER
ADP OF THE SNF
—
2025-03-31
current
pecos_ownership
LYNN, PAUL
CORPORATE DIRECTOR
—
2016-09-30
current
pecos_ownership
MERCER BUCKS MEDICAL ASSOCIATION PC
ADP OF THE SNF
—
2025-05-07
current
pecos_ownership
MERCER BUCKS MEDICAL ASSOCIATION PC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-01
current
pecos_ownership
MORGAN STANLEY
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
MYERS, JOAN
ADP OF THE SNF
—
—
current
pecos_ownership
PRINCE, EDWARD
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
RKL LLP
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
SILVIS, NANCY
CORPORATE DIRECTOR
—
2016-09-30
current
pecos_ownership
SLIWINSKI, MARTIN
CORPORATE DIRECTOR
—
2015-09-30
current
pecos_ownership
THOMAS, PETER
ADP OF THE SNF
—
2025-03-21
current
pecos_ownership
WILLIAMS, SARA
CORPORATE DIRECTOR
—
2016-09-30
current
pecos_ownership
BEVERLY BORTZ
CORPORATE DIRECTOR
8%
2014-09-30
ended 2026-05-18
pecos_ownership
EDWARD PRINCE
CORPORATE DIRECTOR
8%
2025-01-01
ended 2026-05-18
pecos_ownership
FRANK DUCATO
CORPORATE DIRECTOR
8%
2021-09-30
ended 2026-05-18
pecos_ownership
FRED HOPKE
CORPORATE DIRECTOR
8%
2021-09-30
ended 2026-05-18
pecos_ownership
MARTIN SLIWINSKI
CORPORATE DIRECTOR
8%
2015-09-30
ended 2026-05-18
pecos_ownership
NANCY SILVIS
CORPORATE DIRECTOR
8%
2016-09-30
ended 2026-05-18
pecos_ownership
NIKKI HILL
CORPORATE DIRECTOR
8%
2021-09-30
ended 2026-05-18
pecos_ownership
PAUL LYNN
CORPORATE DIRECTOR
8%
2016-09-30
ended 2026-05-18
pecos_ownership
SARA WILLIAMS
CORPORATE DIRECTOR
8%
2016-09-30
ended 2026-05-18
pecos_ownership
TAMIA KRAMER
CORPORATE DIRECTOR
8%
2025-01-01
ended 2026-05-18
pecos_ownership
JOAN MYERS
CORPORATE OFFICER
4%
—
ended 2026-05-18
pecos_ownership
JOHN BARNUM
CORPORATE OFFICER
4%
2006-04-10
ended 2026-05-18
pecos_ownership
LUANNE FISHER
CORPORATE OFFICER
4%
—
ended 2026-05-18
pecos_ownership
AMY COMSTOCK
ADP OF THE SNF
—
2020-08-24
ended 2026-05-18
pecos_ownership
ELLEN CORBIN
OPERATIONAL/MANAGERIAL CONTROL
—
2019-04-12
ended 2026-05-18
pecos_ownership
ELLEN CORBIN
ADP OF THE SNF
—
2013-02-11
ended 2026-05-18
pecos_ownership
MICHAEL GALANTE
OPERATIONAL/MANAGERIAL CONTROL
—
2017-08-13
ended 2026-05-18
pecos_ownership
MICHAEL GALANTE
ADP OF THE SNF
—
2007-08-13
ended 2026-05-18
pecos_ownership
PETER THOMAS
ADP OF THE SNF
—
2025-03-21
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
2025-06-30
$2,016,965
—
—
—
—
3
—
2024-06-30
$1,808,853
—
—
—
—
3
—
2023-06-30
$1,704,888
—
—
—
—
3
—
2022-06-30
$1,596,696
—
—
—
—
3
—
2021-06-30
$1,494,346
—
—
—
—
3
—
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 42027
acs median gross
0
$1,166
2024-12-31
CENSUS_ACS5
county 42027
fmr
0
$1,187
2025-10-01
HUD_USER_FMR
county 42027
acs median gross
1
$986
2024-12-31
CENSUS_ACS5
county 42027
fmr
1
$1,194
2025-10-01
HUD_USER_FMR
county 42027
acs median gross
2
$1,237
2024-12-31
CENSUS_ACS5
county 42027
fmr
2
$1,406
2025-10-01
HUD_USER_FMR
county 42027
acs median gross
3
$1,439
2024-12-31
CENSUS_ACS5
county 42027
fmr
3
$1,760
2025-10-01
HUD_USER_FMR
county 42027
acs median gross
4
$1,343
2024-12-31
CENSUS_ACS5
county 42027
fmr
4
$1,862
2025-10-01
HUD_USER_FMR
county 42027
acs median gross
5
$1,845
2024-12-31
CENSUS_ACS5
county 42027
acs median gross
$1,207
2024-12-31
CENSUS_ACS5
county 42027
acs recent mover gross
$1,206
2024-12-31
CENSUS_ACS5
zcta 16803
acs median gross
0
$1,367
2024-12-31
CENSUS_ACS5
zcta 16803
acs median gross
1
$1,102
2024-12-31
CENSUS_ACS5
zcta 16803
acs median gross
2
$1,385
2024-12-31
CENSUS_ACS5
zcta 16803
acs median gross
3
$1,760
2024-12-31
CENSUS_ACS5
zcta 16803
acs median gross
4
$1,016
2024-12-31
CENSUS_ACS5
zcta 16803
acs median gross
$1,356
2024-12-31
CENSUS_ACS5
zcta 16803
acs recent mover gross
$1,262
2024-12-31
CENSUS_ACS5
zip 16803
payment standard 110
0
$1,463
2025-10-01
HUD_USER_SAFMR
zip 16803
payment standard 90
0
$1,197
2025-10-01
HUD_USER_SAFMR
zip 16803
safmr
0
$1,330
2025-10-01
HUD_USER_SAFMR
zip 16803
payment standard 110
1
$1,474
2025-10-01
HUD_USER_SAFMR
zip 16803
payment standard 90
1
$1,206
2025-10-01
HUD_USER_SAFMR
zip 16803
safmr
1
$1,340
2025-10-01
HUD_USER_SAFMR
zip 16803
payment standard 110
2
$1,738
2025-10-01
HUD_USER_SAFMR
zip 16803
payment standard 90
2
$1,422
2025-10-01
HUD_USER_SAFMR
zip 16803
safmr
2
$1,580
2025-10-01
HUD_USER_SAFMR
zip 16803
payment standard 110
3
$2,178
2025-10-01
HUD_USER_SAFMR
zip 16803
payment standard 90
3
$1,782
2025-10-01
HUD_USER_SAFMR
zip 16803
safmr
3
$1,980
2025-10-01
HUD_USER_SAFMR
zip 16803
payment standard 110
4
$2,299
2025-10-01
HUD_USER_SAFMR
zip 16803
payment standard 90
4
$1,881
2025-10-01
HUD_USER_SAFMR
zip 16803
safmr
4
$2,090
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.