845 JACKSON STREET, SAN FRANCISCO, CA 94133 · CCN 555933
Composite
1.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
moderate
Certified beds
23
Model
v1.2
Reads as: riskier than 1.8% 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 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
4
2025Q4 HPRD
This facility
CA median
National median
National p25–p75
Total nurse
5.48
3.95
3.28
2.90–3.77
RN
1.25
0.38
0.39
0.25–0.58
Weekend total
5.68
3.79
3.11
—
Weekday total
5.40
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
13.1
5.48
1.25
1.62
2.61
5.68
0.0%
2025Q3
92
11.8
5.26
0.84
1.47
2.95
5.27
0.0%
2025Q2
91
13.9
5.36
1.01
1.31
3.04
5.58
0.0%
2025Q1
90
15.5
6.16
1.73
1.35
3.09
6.19
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
19
D × 13E × 5F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-26
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
E
2026-03-20
2026-02-26
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2026-03-20
2026-02-26
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2026-03-20
2026-02-26
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2026-03-20
2026-02-26
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
2026-03-20
2026-02-26
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-03-20
2026-02-26
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-03-20
2026-02-26
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
2026-03-20
2026-02-26
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-03-20
2024-08-09
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
2024-08-30
2024-08-09
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
2024-08-27
2024-08-09
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.
E
2024-08-30
2024-08-09
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2024-08-30
2024-08-09
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
2024-08-30
2024-08-09
Health
F0732
Post nurse staffing information every day.
D
2024-08-21
2024-08-09
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
2024-08-30
2024-08-09
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
2024-08-30
2024-08-09
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F
2024-08-30
2024-08-09
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-08-30
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
40
Owner
Role
Pct
From
Status
Source
CHEN, DI AN
CORPORATE DIRECTOR
—
2021-01-28
current
pecos_ownership
CHOW, CHARLES
CORPORATE DIRECTOR
—
2021-01-28
current
pecos_ownership
CHUNG, CHI-KUO
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-01
current
pecos_ownership
CHUNG, CHI-KUO
CORPORATE OFFICER
—
2020-06-15
current
pecos_ownership
ENG, ROGER
CORPORATE DIRECTOR
—
2021-01-28
current
pecos_ownership
LEE, DING BONG
CORPORATE DIRECTOR
—
2021-01-28
current
pecos_ownership
LEUNG, CLIFTON
CORPORATE DIRECTOR
—
2020-01-28
current
pecos_ownership
LOUIE, HARVEY
CORPORATE DIRECTOR
—
2005-01-25
current
pecos_ownership
LUK, CHIU KI
CORPORATE DIRECTOR
—
2025-01-24
current
pecos_ownership
LUU, DONALD
CORPORATE DIRECTOR
—
2021-01-28
current
pecos_ownership
NG, THOMAS
CORPORATE DIRECTOR
—
—
current
pecos_ownership
SIT, JACK
CORPORATE DIRECTOR
—
2020-01-28
current
pecos_ownership
TAM, YICK
CORPORATE DIRECTOR
—
2025-01-24
current
pecos_ownership
TANG, SHERMAN SHICK-JUE
CORPORATE DIRECTOR
—
2025-01-24
current
pecos_ownership
TSUKERMAN, MICHAEL
CORPORATE DIRECTOR
—
2023-01-30
current
pecos_ownership
WONG, LAWRENCE
CORPORATE DIRECTOR
—
2021-06-29
current
pecos_ownership
YEE, LAWRENCE
CORPORATE DIRECTOR
—
2025-01-24
current
pecos_ownership
YUEN, THOMAS
CORPORATE DIRECTOR
—
2023-01-30
current
pecos_ownership
ZHANG, JIANQING
CORPORATE OFFICER
—
2017-09-29
current
pecos_ownership
ZHANG, JIANQING
ADP OF THE SNF
—
2023-06-01
current
pecos_ownership
CHARLES CHOW
CORPORATE DIRECTOR
—
2021-01-28
ended 2026-05-18
pecos_ownership
CHI-KUO CHUNG
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-01
ended 2026-05-18
pecos_ownership
CHI-KUO CHUNG
CORPORATE OFFICER
—
2020-06-15
ended 2026-05-18
pecos_ownership
CHIU KI LUK
CORPORATE DIRECTOR
—
2025-01-24
ended 2026-05-18
pecos_ownership
CLIFTON LEUNG
CORPORATE DIRECTOR
—
2020-01-28
ended 2026-05-18
pecos_ownership
DI AN CHEN
CORPORATE DIRECTOR
—
2021-01-28
ended 2026-05-18
pecos_ownership
DING BONG LEE
CORPORATE DIRECTOR
—
2021-01-28
ended 2026-05-18
pecos_ownership
DONALD LUU
CORPORATE DIRECTOR
—
2021-01-28
ended 2026-05-18
pecos_ownership
HARVEY LOUIE
CORPORATE DIRECTOR
—
2005-01-25
ended 2026-05-18
pecos_ownership
JACK SIT
CORPORATE DIRECTOR
—
2020-01-28
ended 2026-05-18
pecos_ownership
JIANQING ZHANG
CORPORATE OFFICER
—
2017-09-29
ended 2026-05-18
pecos_ownership
JIANQING ZHANG
ADP OF THE SNF
—
2023-06-01
ended 2026-05-18
pecos_ownership
LAWRENCE WONG
CORPORATE DIRECTOR
—
2021-06-29
ended 2026-05-18
pecos_ownership
LAWRENCE YEE
CORPORATE DIRECTOR
—
2025-01-24
ended 2026-05-18
pecos_ownership
MICHAEL TSUKERMAN
CORPORATE DIRECTOR
—
2023-01-30
ended 2026-05-18
pecos_ownership
ROGER ENG
CORPORATE DIRECTOR
—
2021-01-28
ended 2026-05-18
pecos_ownership
SHERMAN SHICK-JUE TANG
CORPORATE DIRECTOR
—
2025-01-24
ended 2026-05-18
pecos_ownership
THOMAS NG
CORPORATE DIRECTOR
—
—
ended 2026-05-18
pecos_ownership
THOMAS YUEN
CORPORATE DIRECTOR
—
2023-01-30
ended 2026-05-18
pecos_ownership
YICK TAM
CORPORATE DIRECTOR
—
2025-01-24
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
36
Geo
Kind
BR
Amount
As of
Source
county 06075
acs median gross
0
$1,574
2024-12-31
CENSUS_ACS5
county 06075
fmr
0
$2,485
2025-10-01
HUD_USER_FMR
county 06075
acs median gross
1
$2,455
2024-12-31
CENSUS_ACS5
county 06075
fmr
1
$2,977
2025-10-01
HUD_USER_FMR
county 06075
acs median gross
2
$3,124
2024-12-31
CENSUS_ACS5
county 06075
fmr
2
$3,604
2025-10-01
HUD_USER_FMR
county 06075
acs median gross
3
$3,469
2024-12-31
CENSUS_ACS5
county 06075
fmr
3
$4,604
2025-10-01
HUD_USER_FMR
county 06075
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
county 06075
fmr
4
$4,772
2025-10-01
HUD_USER_FMR
county 06075
acs median gross
5
$1,913
2024-12-31
CENSUS_ACS5
county 06075
acs median gross
$2,476
2024-12-31
CENSUS_ACS5
county 06075
acs recent mover gross
$3,019
2024-12-31
CENSUS_ACS5
zcta 94133
acs median gross
0
$926
2024-12-31
CENSUS_ACS5
zcta 94133
acs median gross
1
$2,285
2024-12-31
CENSUS_ACS5
zcta 94133
acs median gross
2
$2,372
2024-12-31
CENSUS_ACS5
zcta 94133
acs median gross
3
$2,397
2024-12-31
CENSUS_ACS5
zcta 94133
acs median gross
4
$2,000
2024-12-31
CENSUS_ACS5
zcta 94133
acs median gross
5
$678
2024-12-31
CENSUS_ACS5
zcta 94133
acs median gross
$1,901
2024-12-31
CENSUS_ACS5
zcta 94133
acs recent mover gross
$2,633
2024-12-31
CENSUS_ACS5
zip 94133
payment standard 110
0
$2,255
2025-10-01
HUD_USER_SAFMR
zip 94133
payment standard 90
0
$1,845
2025-10-01
HUD_USER_SAFMR
zip 94133
safmr
0
$2,050
2025-10-01
HUD_USER_SAFMR
zip 94133
payment standard 110
1
$2,761
2025-10-01
HUD_USER_SAFMR
zip 94133
payment standard 90
1
$2,259
2025-10-01
HUD_USER_SAFMR
zip 94133
safmr
1
$2,510
2025-10-01
HUD_USER_SAFMR
zip 94133
payment standard 110
2
$3,289
2025-10-01
HUD_USER_SAFMR
zip 94133
payment standard 90
2
$2,691
2025-10-01
HUD_USER_SAFMR
zip 94133
safmr
2
$2,990
2025-10-01
HUD_USER_SAFMR
zip 94133
payment standard 110
3
$4,103
2025-10-01
HUD_USER_SAFMR
zip 94133
payment standard 90
3
$3,357
2025-10-01
HUD_USER_SAFMR
zip 94133
safmr
3
$3,730
2025-10-01
HUD_USER_SAFMR
zip 94133
payment standard 110
4
$4,356
2025-10-01
HUD_USER_SAFMR
zip 94133
payment standard 90
4
$3,564
2025-10-01
HUD_USER_SAFMR
zip 94133
safmr
4
$3,960
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.