Reads as: riskier than 2.7% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
4 chains
LIFE CARE SERVICES LLC
58 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 lease_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
3.91
3.42
3.28
2.90–3.77
RN
0.50
0.45
0.39
0.25–0.58
Weekend total
3.93
3.31
3.11
—
Weekday total
3.90
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
94.9
3.91
0.50
0.78
2.64
3.93
0.0%
2025Q3
92
96.8
4.21
0.68
0.83
2.70
4.07
0.0%
2025Q2
91
97.2
3.94
0.67
0.63
2.64
3.94
0.0%
2025Q1
90
105.2
3.74
0.66
0.59
2.49
3.70
0.0%
2024Q4
92
105.8
3.80
0.61
0.61
2.57
3.75
0.0%
2024Q3
92
105.0
3.83
0.58
0.67
2.58
3.80
0.0%
2024Q2
91
104.7
3.87
0.55
0.69
2.63
3.81
0.0%
2024Q1
91
107.7
3.79
0.59
0.62
2.57
3.73
0.0%
2023Q4
92
107.9
3.74
0.51
0.69
2.55
3.69
0.0%
2023Q3
92
103.4
3.84
0.52
0.66
2.66
3.79
0.0%
2023Q2
91
100.0
3.88
0.58
0.63
2.66
3.82
0.0%
2023Q1
90
98.9
3.81
0.54
0.60
2.66
3.82
0.0%
2022Q4
92
102.6
3.96
0.66
0.60
2.70
3.93
0.0%
2022Q3
92
104.5
4.03
0.55
0.74
2.74
4.00
1.3%
2022Q2
91
100.8
3.69
0.53
0.56
2.59
3.69
20.1%
2022Q1
90
99.7
3.82
0.65
0.59
2.58
3.73
51.3%
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
18
D × 15E × 2G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-18
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2026-02-20
2026-02-18
Health · complaint
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.
D
2026-02-20
2024-02-08
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-03-08
2024-02-08
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-03-08
2024-02-08
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-03-08
2024-02-08
Health
F0742
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
D
2024-03-08
2024-02-08
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-03-08
2021-10-22
Health
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
2021-11-22
2021-10-22
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
2021-11-22
2021-10-22
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2021-11-22
2021-10-22
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
2021-11-22
2021-10-22
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2021-11-22
2021-10-22
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
2021-11-22
2021-10-22
Health
F0791
Provide or obtain dental services for each resident.
D
2021-11-22
2020-02-07
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2020-03-07
2020-02-07
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2020-03-07
2020-02-07
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
2020-03-07
2020-02-07
Health
F0880
Provide and implement an infection prevention and control program.
D
2020-03-07
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
22
Owner
Role
Pct
From
Status
Source
ARC FREEDOM SQUARE LLC
ADP OF THE SNF
—
2014-08-31
current
pecos_ownership
CCRC OPCO VENTURES LLC
DIRECT OWNERSHIP INTEREST
—
2014-08-29
current
pecos_ownership
CHENG, PATRICK
MANAGING CONTROL - GOVERNING BODY
—
2022-01-31
current
pecos_ownership
COMANDINI, JEFFREY
ADP OF THE SNF
—
2025-12-11
current
pecos_ownership
COMANDINI, JEFFREY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-11-10
current
pecos_ownership
HCP S-H 2014 MEMBER LLC
INDIRECT OWNERSHIP INTEREST
—
2020-02-01
current
pecos_ownership
HEALTHPEAK OP LLC
INDIRECT OWNERSHIP INTEREST
—
2023-02-10
current
pecos_ownership
HEALTHPEAK PROPERTIES INC
INDIRECT OWNERSHIP INTEREST
—
2020-02-01
current
pecos_ownership
JANICKI, MARCUS
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
JANICKI, MARCUS
ADP OF THE SNF
—
2025-06-10
current
pecos_ownership
LIFE CARE SERVICES LLC
ADP OF THE SNF
—
2025-06-10
current
pecos_ownership
LIFE CARE SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-02-01
current
pecos_ownership
MINGIONE, JOSEPH
OPERATIONAL/MANAGERIAL CONTROL
—
2020-02-03
current
pecos_ownership
RUSSO, FRANK
MANAGING CONTROL - GOVERNING BODY
—
2022-01-31
current
pecos_ownership
S-H 2014 OPCO TRS INC
INDIRECT OWNERSHIP INTEREST
—
2020-02-01
current
pecos_ownership
JOSEPH MINGIONE
OPERATIONAL/MANAGERIAL CONTROL
0%
2020-02-03
ended 2026-05-18
pecos_ownership
FRANK RUSSO
MANAGING CONTROL - GOVERNING BODY
—
2022-01-31
ended 2026-05-18
pecos_ownership
JEFFREY COMANDINI
MANAGING CONTROL - GOVERNING BODY
—
2025-11-10
ended 2026-05-18
pecos_ownership
JEFFREY COMANDINI
ADP OF THE SNF
—
2025-12-11
ended 2026-05-18
pecos_ownership
MARCUS JANICKI
ADP OF THE SNF
—
2025-06-10
ended 2026-05-18
pecos_ownership
MARCUS JANICKI
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
ended 2026-05-18
pecos_ownership
PATRICK CHENG
MANAGING CONTROL - GOVERNING BODY
—
2022-01-31
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
34
Geo
Kind
BR
Amount
As of
Source
county 12103
acs median gross
0
$1,353
2024-12-31
CENSUS_ACS5
county 12103
fmr
0
$1,593
2025-10-01
HUD_USER_FMR
county 12103
acs median gross
1
$1,391
2024-12-31
CENSUS_ACS5
county 12103
fmr
1
$1,696
2025-10-01
HUD_USER_FMR
county 12103
acs median gross
2
$1,712
2024-12-31
CENSUS_ACS5
county 12103
fmr
2
$1,977
2025-10-01
HUD_USER_FMR
county 12103
acs median gross
3
$2,050
2024-12-31
CENSUS_ACS5
county 12103
fmr
3
$2,527
2025-10-01
HUD_USER_FMR
county 12103
acs median gross
4
$2,324
2024-12-31
CENSUS_ACS5
county 12103
fmr
4
$3,077
2025-10-01
HUD_USER_FMR
county 12103
acs median gross
5
$2,476
2024-12-31
CENSUS_ACS5
county 12103
acs median gross
$1,642
2024-12-31
CENSUS_ACS5
county 12103
acs recent mover gross
$1,906
2024-12-31
CENSUS_ACS5
zcta 33772
acs median gross
1
$1,467
2024-12-31
CENSUS_ACS5
zcta 33772
acs median gross
2
$1,486
2024-12-31
CENSUS_ACS5
zcta 33772
acs median gross
3
$1,912
2024-12-31
CENSUS_ACS5
zcta 33772
acs median gross
4
$1,958
2024-12-31
CENSUS_ACS5
zcta 33772
acs median gross
$1,608
2024-12-31
CENSUS_ACS5
zcta 33772
acs recent mover gross
$1,958
2024-12-31
CENSUS_ACS5
zip 33772
payment standard 110
0
$1,727
2025-10-01
HUD_USER_SAFMR
zip 33772
payment standard 90
0
$1,413
2025-10-01
HUD_USER_SAFMR
zip 33772
safmr
0
$1,570
2025-10-01
HUD_USER_SAFMR
zip 33772
payment standard 110
1
$1,837
2025-10-01
HUD_USER_SAFMR
zip 33772
payment standard 90
1
$1,503
2025-10-01
HUD_USER_SAFMR
zip 33772
safmr
1
$1,670
2025-10-01
HUD_USER_SAFMR
zip 33772
payment standard 110
2
$2,145
2025-10-01
HUD_USER_SAFMR
zip 33772
payment standard 90
2
$1,755
2025-10-01
HUD_USER_SAFMR
zip 33772
safmr
2
$1,950
2025-10-01
HUD_USER_SAFMR
zip 33772
payment standard 110
3
$2,739
2025-10-01
HUD_USER_SAFMR
zip 33772
payment standard 90
3
$2,241
2025-10-01
HUD_USER_SAFMR
zip 33772
safmr
3
$2,490
2025-10-01
HUD_USER_SAFMR
zip 33772
payment standard 110
4
$3,333
2025-10-01
HUD_USER_SAFMR
zip 33772
payment standard 90
4
$2,727
2025-10-01
HUD_USER_SAFMR
zip 33772
safmr
4
$3,030
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.