Reads as: riskier than 59.9% 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
FL median
National median
National p25–p75
Total nurse
3.24
3.42
3.28
2.90–3.77
RN
0.22
0.45
0.39
0.25–0.58
Weekend total
2.91
3.31
3.11
—
Weekday total
3.37
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
110.9
3.24
0.22
0.87
2.15
2.91
1.9%
2025Q3
92
110.4
3.21
0.28
0.86
2.07
3.00
8.9%
2025Q2
91
114.0
3.10
0.27
0.77
2.06
2.95
9.7%
2025Q1
90
109.4
3.13
0.30
0.76
2.07
3.06
11.6%
2024Q4
92
107.5
3.31
0.24
0.82
2.25
3.18
8.4%
2024Q3
92
105.9
3.19
0.27
0.71
2.22
3.12
5.1%
2024Q2
91
102.4
3.18
0.32
0.68
2.18
3.11
5.2%
2024Q1
91
110.4
3.37
0.33
0.77
2.27
3.17
3.2%
2023Q4
92
107.8
3.41
0.32
0.80
2.29
3.24
4.2%
2023Q3
92
101.7
3.40
0.34
0.83
2.24
3.27
4.3%
2023Q2
91
99.9
3.41
0.32
0.82
2.27
3.33
7.1%
2023Q1
90
96.0
3.34
0.29
0.85
2.20
3.22
9.3%
2022Q4
92
99.4
3.31
0.32
0.81
2.17
3.28
16.7%
2022Q3
92
93.4
3.36
0.31
0.83
2.22
3.17
6.9%
2022Q2
91
96.6
3.28
0.27
0.82
2.19
3.24
19.4%
2022Q1
90
89.5
3.87
0.31
0.88
2.67
3.61
18.6%
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 treatment and care according to orders, resident’s preferences and goals.
E
2025-10-17
2025-08-29
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
E
2025-10-17
2025-08-29
Health · complaint
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.
E
2025-10-17
2025-08-29
Health
F0732
Post nurse staffing information every day.
D
2025-10-17
2025-08-29
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2025-10-17
2025-08-29
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-10-17
2025-08-29
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-10-17
2025-08-29
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2025-10-17
2024-06-13
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-07-18
2024-06-13
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
2024-07-18
2024-06-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2024-07-18
2024-06-13
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-07-18
2024-06-13
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-07-18
2023-07-26
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2023-08-12
2023-07-26
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2023-08-12
2023-07-26
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
J
2023-08-12
2023-07-26
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-08-12
2023-02-02
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
2023-03-03
2023-02-02
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-03-03
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
47
Owner
Role
Pct
From
Status
Source
RIVERWOOD NURSING SNF HOLDCO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-07-01
current
pecos_ownership
808 COLEY REALTY LLC
Corporation, partnership or other organization has financial interest in provider
83%
2024-01-01
current
hcris_a_8_1
809 COLEY REALTY LLC
Corporation, partnership or other organization has financial interest in provider
83%
2024-01-01
current
hcris_a_8_1
810 COLEY REALTY LLC
Corporation, partnership or other organization has financial interest in provider
83%
2024-01-01
current
hcris_a_8_1
5H1 LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-07-01
current
pecos_ownership
5H1 LLC
ADP OF THE SNF
—
2024-12-04
current
pecos_ownership
COPPOLA, AARON
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
current
pecos_ownership
GOLDEN EAGLE HEALTHCARE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-07-01
current
pecos_ownership
GOLDEN EAGLE HEALTHCARE LLC
ADP OF THE SNF
—
2024-12-04
current
pecos_ownership
GOLDSTEIN, JEFFREY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
current
pecos_ownership
GOLDSTEIN, JEFFREY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-06-27
current
pecos_ownership
INNOCENT SIMON, JOELLE
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
current
pecos_ownership
PRESSER, AARON
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-06-27
current
pecos_ownership
PRESSER, AARON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
current
pecos_ownership
RIVERWOOD NURSING SNF HOLDCO II LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-07-01
current
pecos_ownership
RIVERWOOD NURSING SNF JV LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-04
current
pecos_ownership
RIVERWOOD NURSING SNF JV LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-07-01
current
pecos_ownership
SHERMAN, SAMUEL
CORPORATE OFFICER
—
2024-07-01
current
pecos_ownership
SHERMAN, SAMUEL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-04
current
pecos_ownership
STARS FL LLC
ADP OF THE SNF
—
2024-12-04
current
pecos_ownership
STARS FL LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-07-01
current
pecos_ownership
STARS RE PROPERTIES LLC
ADP OF THE SNF
—
2024-12-04
current
pecos_ownership
STARS RE PROPERTIES LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-07-01
current
pecos_ownership
STERN, ISAAC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-06-27
current
pecos_ownership
TESSLER, CHAIM
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-06-27
current
pecos_ownership
TESSLER, ELIA
TRUSTEE OF THE SNF
—
2024-07-01
current
pecos_ownership
WEINSTOCK FAMILY 2021 TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-07-01
current
pecos_ownership
WEINSTOCK FAMILY 2021 TRUST
ADP OF THE SNF
—
2024-12-04
current
pecos_ownership
WEINSTOCK, YECHIEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-07-01
current
pecos_ownership
WEINSTOCK, YOSEF
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-07-01
current
pecos_ownership
ISAAC STERN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
24%
2024-06-27
ended 2026-05-18
pecos_ownership
ELIA TESSLER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
14%
2024-07-01
ended 2026-05-18
pecos_ownership
CHAIM TESSLER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
12%
2024-06-27
ended 2026-05-18
pecos_ownership
AARON PRESSER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2024-06-27
ended 2026-05-18
pecos_ownership
JEFFREY GOLDSTEIN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2024-06-27
ended 2026-05-18
pecos_ownership
SAMUEL SHERMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2024-07-01
ended 2026-05-18
pecos_ownership
ABRAHAM WEINSTOCK
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2024-07-01
ended 2026-05-18
pecos_ownership
ALAN WASSERMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
4%
2024-07-01
ended 2026-05-18
pecos_ownership
MARK WASSERMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
4%
2024-07-01
ended 2026-05-18
pecos_ownership
STUART BERGER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
4%
2024-07-01
ended 2026-05-18
pecos_ownership
YECHIEL WEINSTOCK
5% OR GREATER INDIRECT OWNERSHIP INTEREST
1%
2024-07-01
ended 2026-05-18
pecos_ownership
YOSEF WEINSTOCK
5% OR GREATER INDIRECT OWNERSHIP INTEREST
1%
2024-07-01
ended 2026-05-18
pecos_ownership
AARON COPPOLA
ADP OF THE SNF
—
2024-07-01
ended 2026-05-18
pecos_ownership
AARON PRESSER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
ended 2026-05-18
pecos_ownership
JEFFREY GOLDSTEIN
ADP OF THE SNF
—
2024-07-01
ended 2026-05-18
pecos_ownership
JOELLE INNOCENT SIMON
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
ended 2026-05-18
pecos_ownership
SAMUEL SHERMAN
ADP OF THE SNF
—
2024-12-04
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
2
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$937,274
—
—
—
—
5
propco
2021-03-31
$564,822
—
$564,822
—
—
8
—
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
32
Geo
Kind
BR
Amount
As of
Source
county 12007
fmr
0
$976
2025-10-01
HUD_USER_FMR
county 12007
acs median gross
1
$971
2024-12-31
CENSUS_ACS5
county 12007
fmr
1
$1,022
2025-10-01
HUD_USER_FMR
county 12007
acs median gross
2
$656
2024-12-31
CENSUS_ACS5
county 12007
fmr
2
$1,120
2025-10-01
HUD_USER_FMR
county 12007
acs median gross
3
$888
2024-12-31
CENSUS_ACS5
county 12007
fmr
3
$1,433
2025-10-01
HUD_USER_FMR
county 12007
acs median gross
4
$1,329
2024-12-31
CENSUS_ACS5
county 12007
fmr
4
$1,879
2025-10-01
HUD_USER_FMR
county 12007
acs median gross
$863
2024-12-31
CENSUS_ACS5
county 12007
acs recent mover gross
$682
2024-12-31
CENSUS_ACS5
zcta 32091
acs median gross
1
$981
2024-12-31
CENSUS_ACS5
zcta 32091
acs median gross
2
$540
2024-12-31
CENSUS_ACS5
zcta 32091
acs median gross
3
$863
2024-12-31
CENSUS_ACS5
zcta 32091
acs median gross
4
$1,104
2024-12-31
CENSUS_ACS5
zcta 32091
acs median gross
$830
2024-12-31
CENSUS_ACS5
zcta 32091
acs recent mover gross
$683
2024-12-31
CENSUS_ACS5
zip 32091
payment standard 110
0
$1,034
2025-10-01
HUD_USER_SAFMR
zip 32091
payment standard 90
0
$846
2025-10-01
HUD_USER_SAFMR
zip 32091
safmr
0
$940
2025-10-01
HUD_USER_SAFMR
zip 32091
payment standard 110
1
$1,078
2025-10-01
HUD_USER_SAFMR
zip 32091
payment standard 90
1
$882
2025-10-01
HUD_USER_SAFMR
zip 32091
safmr
1
$980
2025-10-01
HUD_USER_SAFMR
zip 32091
payment standard 110
2
$1,188
2025-10-01
HUD_USER_SAFMR
zip 32091
payment standard 90
2
$972
2025-10-01
HUD_USER_SAFMR
zip 32091
safmr
2
$1,080
2025-10-01
HUD_USER_SAFMR
zip 32091
payment standard 110
3
$1,518
2025-10-01
HUD_USER_SAFMR
zip 32091
payment standard 90
3
$1,242
2025-10-01
HUD_USER_SAFMR
zip 32091
safmr
3
$1,380
2025-10-01
HUD_USER_SAFMR
zip 32091
payment standard 110
4
$1,991
2025-10-01
HUD_USER_SAFMR
zip 32091
payment standard 90
4
$1,629
2025-10-01
HUD_USER_SAFMR
zip 32091
safmr
4
$1,810
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.