Reads as: riskier than 75.4% 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
NC median
National median
National p25–p75
Total nurse
2.91
3.08
3.28
2.90–3.77
RN
0.30
0.30
0.39
0.25–0.58
Weekend total
2.75
2.93
3.11
—
Weekday total
2.98
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
74.7
2.91
0.30
0.80
1.81
2.75
5.6%
2025Q3
92
68.8
2.84
0.35
0.77
1.73
2.65
10.0%
2025Q2
91
67.2
3.08
0.37
0.84
1.87
2.86
16.4%
2025Q1
90
70.5
3.02
0.18
1.02
1.81
2.85
18.2%
2024Q4
92
66.8
3.20
0.16
1.14
1.90
2.92
18.6%
2024Q3
92
74.4
2.75
0.13
1.01
1.60
2.57
2.5%
2024Q2
91
75.2
3.04
0.24
0.88
1.91
2.77
0.3%
2024Q1
91
75.3
3.04
0.33
0.88
1.82
2.74
0.0%
2023Q4
92
73.2
2.97
0.30
0.91
1.76
2.75
0.0%
2023Q3
92
73.9
2.63
0.26
0.89
1.48
2.46
0.0%
2023Q2
91
75.4
2.86
0.24
0.91
1.71
2.64
0.0%
2023Q1
90
77.5
3.03
0.20
0.85
1.98
2.82
0.0%
2022Q4
92
72.5
3.25
0.23
0.88
2.15
3.06
0.0%
2022Q3
92
70.9
2.75
0.24
0.70
1.80
2.48
6.0%
2022Q2
91
66.4
2.15
0.20
0.71
1.24
1.87
1.6%
2022Q1
90
64.9
2.43
0.19
0.88
1.36
2.14
3.3%
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.
Protect each resident from the wrongful use of the resident's belongings or money.
D
2025-12-19
2025-12-04
Health
F0637
Assess the resident when there is a significant change in condition
D
2025-12-19
2025-12-04
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-12-19
2025-12-04
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.
D
2025-12-19
2024-08-30
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
2024-09-16
2024-08-30
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
J
2024-09-16
2024-08-30
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2024-09-16
2024-08-30
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2023-12-31
2024-08-30
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-09-16
2024-08-30
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
2024-09-16
2024-08-30
Health · complaint
F0660
Plan the resident's discharge to meet the resident's goals and needs.
D
2024-09-16
2024-08-30
Health · complaint
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2024-09-16
2024-08-30
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K
2024-09-16
2024-08-30
Health · complaint
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.
J
2024-09-16
2024-08-30
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
2024-09-16
2024-08-30
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2024-09-16
2024-08-30
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
2024-09-16
2024-08-30
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2024-09-16
2024-08-30
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-09-16
2023-06-08
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
C
2023-07-03
2023-06-08
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.
B
2023-07-03
2023-06-08
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2023-01-07
2023-06-08
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
C
2023-07-03
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
20
Owner
Role
Pct
From
Status
Source
BRANDT, KAREN
W-2 MANAGING EMPLOYEE
—
2022-12-05
current
pecos_ownership
JOINER, BRIAN
OPERATIONAL/MANAGERIAL CONTROL
—
2020-03-29
current
pecos_ownership
NICOLUZAKIS, GREGORY
CORPORATE OFFICER
—
2019-07-01
current
pecos_ownership
SABER GOVERNANCE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-09-01
current
pecos_ownership
SHG MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-09-01
current
pecos_ownership
SHH HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2019-07-01
current
pecos_ownership
VOLPE, BENJAMIN
CORPORATE DIRECTOR
—
2019-07-01
current
pecos_ownership
WEISBERG, WILLIAM
CORPORATE OFFICER
—
2019-07-01
current
pecos_ownership
WWBV HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2019-09-30
current
pecos_ownership
KAREN BRANDT
W-2 MANAGING EMPLOYEE
100%
2022-12-05
ended 2026-05-18
pecos_ownership
SABER HEALTHCARE HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2019-07-01
ended 2026-05-18
pecos_ownership
DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020
5% OR GREATER INDIRECT OWNERSHIP INTEREST
67%
2023-01-01
ended 2026-05-18
pecos_ownership
WIW DYNASTY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
67%
2023-01-01
ended 2026-05-18
pecos_ownership
BENJAMIN VOLPE
CORPORATE DIRECTOR
50%
2019-07-01
ended 2026-05-18
pecos_ownership
WILLIAM WEISBERG
CORPORATE DIRECTOR
50%
2019-07-01
ended 2026-05-18
pecos_ownership
BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020)
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2023-01-01
ended 2026-05-18
pecos_ownership
BNV DYNASTY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2023-01-01
ended 2026-05-18
pecos_ownership
BRIAN JOINER
OPERATIONAL/MANAGERIAL CONTROL
0%
2020-03-29
ended 2026-05-18
pecos_ownership
GREGORY NICOLUZAKIS
CORPORATE OFFICER
0%
2019-07-01
ended 2026-05-18
pecos_ownership
SABER HEALTHCARE GROUP LLC
OTHER
—
2019-07-01
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
$1,039,623
—
—
$554,420
$68,741
5
—
2023-12-31
$832,804
—
—
$425,436
$1,336
5
—
2022-12-31
$809,016
—
—
$440,147
$425
4
—
2021-12-31
$740,449
—
—
$424,567
—
4
—
2020-12-31
$678,050
—
—
$335,680
$51,196
4
—
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
29
Geo
Kind
BR
Amount
As of
Source
county 37053
fmr
0
$1,492
2025-10-01
HUD_USER_FMR
county 37053
acs median gross
1
$617
2024-12-31
CENSUS_ACS5
county 37053
fmr
1
$1,512
2025-10-01
HUD_USER_FMR
county 37053
acs median gross
2
$953
2024-12-31
CENSUS_ACS5
county 37053
fmr
2
$1,713
2025-10-01
HUD_USER_FMR
county 37053
acs median gross
3
$1,347
2024-12-31
CENSUS_ACS5
county 37053
fmr
3
$2,376
2025-10-01
HUD_USER_FMR
county 37053
acs median gross
4
$1,663
2024-12-31
CENSUS_ACS5
county 37053
fmr
4
$2,797
2025-10-01
HUD_USER_FMR
county 37053
acs median gross
$1,162
2024-12-31
CENSUS_ACS5
county 37053
acs recent mover gross
$2,067
2024-12-31
CENSUS_ACS5
zcta 27917
acs median gross
2
$648
2024-12-31
CENSUS_ACS5
zcta 27917
acs median gross
3
$1,123
2024-12-31
CENSUS_ACS5
zcta 27917
acs median gross
$665
2024-12-31
CENSUS_ACS5
zip 27917
payment standard 110
0
$1,452
2025-10-01
HUD_USER_SAFMR
zip 27917
payment standard 90
0
$1,188
2025-10-01
HUD_USER_SAFMR
zip 27917
safmr
0
$1,320
2025-10-01
HUD_USER_SAFMR
zip 27917
payment standard 110
1
$1,463
2025-10-01
HUD_USER_SAFMR
zip 27917
payment standard 90
1
$1,197
2025-10-01
HUD_USER_SAFMR
zip 27917
safmr
1
$1,330
2025-10-01
HUD_USER_SAFMR
zip 27917
payment standard 110
2
$1,661
2025-10-01
HUD_USER_SAFMR
zip 27917
payment standard 90
2
$1,359
2025-10-01
HUD_USER_SAFMR
zip 27917
safmr
2
$1,510
2025-10-01
HUD_USER_SAFMR
zip 27917
payment standard 110
3
$2,299
2025-10-01
HUD_USER_SAFMR
zip 27917
payment standard 90
3
$1,881
2025-10-01
HUD_USER_SAFMR
zip 27917
safmr
3
$2,090
2025-10-01
HUD_USER_SAFMR
zip 27917
payment standard 110
4
$2,717
2025-10-01
HUD_USER_SAFMR
zip 27917
payment standard 90
4
$2,223
2025-10-01
HUD_USER_SAFMR
zip 27917
safmr
4
$2,470
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.