Reads as: riskier than 41.6% 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 fleet enforcement cluster
40% fined
JAFRI MIKRAM
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 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
NY median
National median
National p25–p75
Total nurse
3.22
3.33
3.28
2.90–3.77
RN
0.17
0.43
0.39
0.25–0.58
Weekend total
2.93
3.03
3.11
—
Weekday total
3.33
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
117.6
3.22
0.17
1.01
2.04
2.93
1.7%
2025Q3
92
118.9
3.17
0.19
1.01
1.97
2.90
5.4%
2025Q2
91
116.7
3.13
0.19
1.06
1.88
2.87
9.5%
2025Q1
90
118.9
3.13
0.19
1.03
1.90
2.87
14.3%
2024Q4
92
118.1
3.19
0.24
0.96
1.98
2.99
14.9%
2024Q3
92
119.8
3.18
0.28
0.93
1.96
2.90
18.9%
2024Q2
91
117.5
3.32
0.25
0.95
2.12
3.13
24.6%
2024Q1
91
116.9
3.45
0.37
0.99
2.08
3.21
26.9%
2023Q4
92
118.0
3.27
0.26
0.89
2.12
3.05
27.6%
2023Q3
92
118.6
3.55
0.48
0.77
2.30
3.04
27.8%
2023Q2
91
115.9
3.66
0.46
0.81
2.39
3.02
28.5%
2023Q1
90
118.0
3.60
0.40
0.84
2.36
3.06
37.3%
2022Q4
92
118.8
3.79
0.43
0.90
2.45
3.10
39.3%
2022Q3
92
119.1
3.79
0.40
0.98
2.40
3.13
42.9%
2022Q2
91
118.8
3.61
0.38
0.96
2.27
3.04
47.7%
2022Q1
90
120.5
3.38
0.31
0.82
2.25
2.87
45.9%
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-11-10
2025-09-12
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2025-02-13
2025-09-12
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-11-10
2025-09-12
Health
F0814
Dispose of garbage and refuse properly.
D
2025-11-10
2024-03-26
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2022-11-22
2022-09-13
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2022-10-28
2020-01-10
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2020-03-10
2020-01-10
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2020-03-10
2020-01-10
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2020-03-10
2020-01-10
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
D
2020-03-10
2020-01-10
Health
F0836
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
D
2020-03-10
2020-01-10
Health
F0880
Provide and implement an infection prevention and control program.
D
2020-03-10
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
ROZENBERG, KENNETH
5% OR GREATER DIRECT OWNERSHIP INTEREST
90%
2014-02-01
current
pecos_ownership
SICKLICK, JEFFREY
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2014-02-01
current
pecos_ownership
CENTERS FC REALTY LLC
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
CENTERS FC REALTY LLC
Individual has financial interest in both related organization and provider
—
2023-01-01
current
hcris_a_8_1
GOLDMAN, NATHAN
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
HAGLER, DARYL
ADP OF THE SNF
—
2014-02-01
current
pecos_ownership
HARGETT, KARA
ADP OF THE SNF
—
2018-10-09
current
pecos_ownership
HENDRIX, HEIDI
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
JAFRI, MIKRAM
ADP OF THE SNF
—
2020-07-01
current
pecos_ownership
LANTZITSKY, AHARON
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
ROZENBERG, KENNETH
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
KENNETH ROZENBERG
5% OR GREATER DIRECT OWNERSHIP INTEREST
90%
2014-02-01
ended 2026-05-18
pecos_ownership
JEFFREY SICKLICK
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2014-02-01
ended 2026-05-18
pecos_ownership
AHARON LANTZITSKY
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
DARYL HAGLER
ADP OF THE SNF
—
2014-02-01
ended 2026-05-18
pecos_ownership
HEIDI HENDRIX
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
KARA HARGETT
ADP OF THE SNF
—
2018-10-09
ended 2026-05-18
pecos_ownership
KENNETH ROZENBERG
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
MIKRAM JAFRI
OPERATIONAL/MANAGERIAL CONTROL
—
2020-07-01
ended 2026-05-18
pecos_ownership
NATHAN GOLDMAN
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
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
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$2,549,656
—
—
—
—
5
propco
2023-12-31
$2,017,243
—
—
—
—
5
propco
2022-12-31
$1,755,004
—
—
—
$44,292
6
—
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
31
Geo
Kind
BR
Amount
As of
Source
county 36115
acs median gross
0
$953
2024-12-31
CENSUS_ACS5
county 36115
fmr
0
$1,041
2025-10-01
HUD_USER_FMR
county 36115
acs median gross
1
$813
2024-12-31
CENSUS_ACS5
county 36115
fmr
1
$1,066
2025-10-01
HUD_USER_FMR
county 36115
acs median gross
2
$1,084
2024-12-31
CENSUS_ACS5
county 36115
fmr
2
$1,348
2025-10-01
HUD_USER_FMR
county 36115
acs median gross
3
$1,240
2024-12-31
CENSUS_ACS5
county 36115
fmr
3
$1,742
2025-10-01
HUD_USER_FMR
county 36115
acs median gross
4
$1,184
2024-12-31
CENSUS_ACS5
county 36115
fmr
4
$1,785
2025-10-01
HUD_USER_FMR
county 36115
acs median gross
5
$1,446
2024-12-31
CENSUS_ACS5
county 36115
acs median gross
$1,033
2024-12-31
CENSUS_ACS5
county 36115
acs recent mover gross
$1,339
2024-12-31
CENSUS_ACS5
zcta 12809
acs median gross
1
$1,055
2024-12-31
CENSUS_ACS5
zcta 12809
acs median gross
3
$1,035
2024-12-31
CENSUS_ACS5
zcta 12809
acs median gross
$1,060
2024-12-31
CENSUS_ACS5
zip 12809
payment standard 110
0
$1,056
2025-10-01
HUD_USER_SAFMR
zip 12809
payment standard 90
0
$864
2025-10-01
HUD_USER_SAFMR
zip 12809
safmr
0
$960
2025-10-01
HUD_USER_SAFMR
zip 12809
payment standard 110
1
$1,078
2025-10-01
HUD_USER_SAFMR
zip 12809
payment standard 90
1
$882
2025-10-01
HUD_USER_SAFMR
zip 12809
safmr
1
$980
2025-10-01
HUD_USER_SAFMR
zip 12809
payment standard 110
2
$1,364
2025-10-01
HUD_USER_SAFMR
zip 12809
payment standard 90
2
$1,116
2025-10-01
HUD_USER_SAFMR
zip 12809
safmr
2
$1,240
2025-10-01
HUD_USER_SAFMR
zip 12809
payment standard 110
3
$1,760
2025-10-01
HUD_USER_SAFMR
zip 12809
payment standard 90
3
$1,440
2025-10-01
HUD_USER_SAFMR
zip 12809
safmr
3
$1,600
2025-10-01
HUD_USER_SAFMR
zip 12809
payment standard 110
4
$1,804
2025-10-01
HUD_USER_SAFMR
zip 12809
payment standard 90
4
$1,476
2025-10-01
HUD_USER_SAFMR
zip 12809
safmr
4
$1,640
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.