Reads as: riskier than 15.4% 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.
ML signals — parallel engine
2
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
5 chains
HAGE JEAN
5 facilities
connection
Owner fleet enforcement cluster
40% fined
RENEW HEALTH GROUP LLC
5 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 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
4.47
3.95
3.28
2.90–3.77
RN
0.32
0.38
0.39
0.25–0.58
Weekend total
3.90
3.79
3.11
—
Weekday total
4.70
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
55.2
4.47
0.32
1.14
3.02
3.90
0.0%
2025Q3
92
57.0
4.35
0.31
1.08
2.96
3.79
0.0%
2025Q2
91
55.6
4.19
0.21
0.96
3.02
3.75
0.0%
2025Q1
90
55.3
3.85
0.18
0.87
2.80
3.60
0.0%
2024Q4
92
56.7
3.81
0.20
0.89
2.71
3.53
0.0%
2024Q3
92
57.0
3.85
0.20
0.90
2.75
3.67
0.0%
2024Q2
91
53.9
4.09
0.23
0.98
2.88
3.78
0.0%
2024Q1
91
56.1
3.98
0.21
0.90
2.87
3.72
0.0%
2023Q4
92
56.0
3.83
0.18
0.94
2.71
3.59
0.0%
2023Q3
92
56.8
3.68
0.19
0.93
2.56
3.38
0.0%
2023Q2
91
56.8
3.90
0.20
1.00
2.70
3.60
0.0%
2023Q1
90
57.5
3.67
0.12
0.99
2.56
3.45
0.0%
2022Q4
92
55.4
3.56
0.11
0.99
2.47
3.25
0.0%
2022Q3
92
54.0
3.69
0.13
1.11
2.45
3.32
0.0%
2022Q2
91
54.4
3.33
0.14
1.14
2.05
2.92
0.0%
2022Q1
90
53.9
3.63
0.15
1.14
2.35
3.28
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
21
B × 2C × 1D × 11E × 4F × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-04-10
Health · complaint
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.
F
2025-05-08
2024-12-19
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
B
2025-01-18
2024-12-19
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
2025-01-18
2024-12-19
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2025-01-18
2024-12-19
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2025-01-18
2024-12-19
Health
F0641
Ensure each resident receives an accurate assessment.
E
2025-01-18
2024-12-19
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-01-18
2024-12-19
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-01-18
2024-12-19
Health
F0732
Post nurse staffing information every day.
C
2025-01-18
2024-12-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-01-18
2024-12-19
Health
F0880
Provide and implement an infection prevention and control program.
F
2025-01-18
2024-12-19
Health
F0912
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
D
2025-01-18
2024-12-19
Health
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
2025-01-18
2023-10-18
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
B
2023-11-17
2021-07-15
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2021-09-15
2021-07-15
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
2021-09-15
2021-07-15
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2021-09-15
2021-07-15
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.
D
2021-09-15
2021-07-15
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2021-09-15
2021-07-15
Health
F0814
Dispose of garbage and refuse properly.
D
2021-09-15
2021-07-15
Health
F0880
Provide and implement an infection prevention and control program.
E
2021-09-15
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
16
Owner
Role
Pct
From
Status
Source
RENEW HEALTH GROUP LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
51%
2024-06-20
current
pecos_ownership
SOLORZANO, CRYSTAL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
51%
2024-06-20
current
pecos_ownership
AHCST LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
49%
2024-06-20
current
pecos_ownership
DIONISIO, PAOLA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
49%
2024-06-20
current
pecos_ownership
HAGE, JEAN
OPERATIONAL/MANAGERIAL CONTROL
—
2018-11-01
current
pecos_ownership
MARTINEZ, ADRIENNE
ADP OF THE SNF
—
2023-02-16
current
pecos_ownership
QUADROS, SYLVI
OPERATIONAL/MANAGERIAL CONTROL
—
2022-02-28
current
pecos_ownership
RUST, JADEN
INDIRECT OWNERSHIP INTEREST
—
2024-06-20
current
pecos_ownership
SOLORZANO, CRYSTAL
CORPORATE OFFICER
—
2015-04-01
current
pecos_ownership
CRYSTAL SOLORZANO
CORPORATE OFFICER
99%
2015-04-01
ended 2026-05-18
pecos_ownership
CRYSTAL SOLORZANO
5% OR GREATER INDIRECT OWNERSHIP INTEREST
51%
2024-06-20
ended 2026-05-18
pecos_ownership
PAOLA DIONISIO
5% OR GREATER INDIRECT OWNERSHIP INTEREST
49%
2024-06-20
ended 2026-05-18
pecos_ownership
JADEN RUST
INDIRECT OWNERSHIP INTEREST
1%
2024-06-20
ended 2026-05-18
pecos_ownership
ADRIENNE MARTINEZ
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-16
ended 2026-05-18
pecos_ownership
JEAN HAGE
OPERATIONAL/MANAGERIAL CONTROL
—
2018-11-01
ended 2026-05-18
pecos_ownership
SYLVI QUADROS
OPERATIONAL/MANAGERIAL CONTROL
—
2022-02-28
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
$517,635
—
—
—
—
2
—
2023-12-31
$630,983
—
—
—
—
2
—
2022-12-31
$582,517
—
—
—
—
2
—
2021-12-31
$609,891
—
$609,891
—
—
2
—
2020-12-31
$419,728
—
$419,728
—
—
1
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 06071
acs median gross
0
$1,374
2024-12-31
CENSUS_ACS5
county 06071
fmr
0
$1,692
2025-10-01
HUD_USER_FMR
county 06071
acs median gross
1
$1,432
2024-12-31
CENSUS_ACS5
county 06071
fmr
1
$1,777
2025-10-01
HUD_USER_FMR
county 06071
acs median gross
2
$1,717
2024-12-31
CENSUS_ACS5
county 06071
fmr
2
$2,201
2025-10-01
HUD_USER_FMR
county 06071
acs median gross
3
$2,050
2024-12-31
CENSUS_ACS5
county 06071
fmr
3
$2,912
2025-10-01
HUD_USER_FMR
county 06071
acs median gross
4
$2,471
2024-12-31
CENSUS_ACS5
county 06071
fmr
4
$3,514
2025-10-01
HUD_USER_FMR
county 06071
acs median gross
5
$2,796
2024-12-31
CENSUS_ACS5
county 06071
acs median gross
$1,801
2024-12-31
CENSUS_ACS5
county 06071
acs recent mover gross
$2,184
2024-12-31
CENSUS_ACS5
zcta 92407
acs median gross
0
$1,204
2024-12-31
CENSUS_ACS5
zcta 92407
acs median gross
1
$1,560
2024-12-31
CENSUS_ACS5
zcta 92407
acs median gross
2
$2,008
2024-12-31
CENSUS_ACS5
zcta 92407
acs median gross
3
$2,151
2024-12-31
CENSUS_ACS5
zcta 92407
acs median gross
4
$1,882
2024-12-31
CENSUS_ACS5
zcta 92407
acs median gross
5
$1,653
2024-12-31
CENSUS_ACS5
zcta 92407
acs median gross
$1,886
2024-12-31
CENSUS_ACS5
zcta 92407
acs recent mover gross
$1,986
2024-12-31
CENSUS_ACS5
zip 92407
payment standard 110
0
$2,002
2025-10-01
HUD_USER_SAFMR
zip 92407
payment standard 90
0
$1,638
2025-10-01
HUD_USER_SAFMR
zip 92407
safmr
0
$1,820
2025-10-01
HUD_USER_SAFMR
zip 92407
payment standard 110
1
$2,101
2025-10-01
HUD_USER_SAFMR
zip 92407
payment standard 90
1
$1,719
2025-10-01
HUD_USER_SAFMR
zip 92407
safmr
1
$1,910
2025-10-01
HUD_USER_SAFMR
zip 92407
payment standard 110
2
$2,607
2025-10-01
HUD_USER_SAFMR
zip 92407
payment standard 90
2
$2,133
2025-10-01
HUD_USER_SAFMR
zip 92407
safmr
2
$2,370
2025-10-01
HUD_USER_SAFMR
zip 92407
payment standard 110
3
$3,454
2025-10-01
HUD_USER_SAFMR
zip 92407
payment standard 90
3
$2,826
2025-10-01
HUD_USER_SAFMR
zip 92407
safmr
3
$3,140
2025-10-01
HUD_USER_SAFMR
zip 92407
payment standard 110
4
$4,158
2025-10-01
HUD_USER_SAFMR
zip 92407
payment standard 90
4
$3,402
2025-10-01
HUD_USER_SAFMR
zip 92407
safmr
4
$3,780
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.