Reads as: riskier than 63.4% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
8 chains
STERN SAMUEL
14 facilities
connection
Owner spans multiple chains
7 chains
RUBENSTEIN DAVID
31 facilities
connection
Owner spans multiple chains
5 chains
STEINBERG MOSHE
15 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
NY median
National median
National p25–p75
Total nurse
2.81
3.33
3.28
2.90–3.77
RN
0.27
0.43
0.39
0.25–0.58
Weekend total
2.67
3.03
3.11
—
Weekday total
2.86
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
347.4
2.81
0.27
0.45
2.09
2.67
7.4%
2025Q3
92
350.7
2.73
0.17
0.48
2.08
2.64
8.3%
2025Q2
91
350.5
2.79
0.19
0.50
2.10
2.66
8.4%
2025Q1
90
350.2
2.74
0.16
0.48
2.10
2.67
7.8%
2024Q4
92
347.7
2.81
0.18
0.51
2.13
2.74
8.0%
2024Q3
92
350.0
2.77
0.13
0.52
2.13
2.67
8.5%
2024Q2
91
349.9
2.71
0.10
0.52
2.09
2.58
9.2%
2024Q1
91
354.2
2.67
0.10
0.49
2.08
2.54
8.4%
2023Q4
92
352.6
2.79
0.14
0.49
2.16
2.73
8.8%
2023Q3
92
356.7
2.81
0.14
0.53
2.14
2.77
18.4%
2023Q2
91
356.6
2.78
0.08
0.56
2.14
2.71
28.1%
2023Q1
90
356.1
2.76
0.08
0.53
2.15
2.66
22.7%
2022Q4
92
355.5
2.65
0.10
0.45
2.10
2.53
15.3%
2022Q3
92
348.4
2.67
0.11
0.45
2.10
2.52
11.2%
2022Q2
91
350.8
2.73
0.13
0.45
2.15
2.63
11.3%
2022Q1
90
353.2
2.68
0.11
0.46
2.11
2.54
9.1%
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 all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
K
2025-11-26
2025-10-08
Health · complaint
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-11-26
2025-10-08
Health · complaint
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2025-11-26
2024-10-28
Health
F0679
Provide activities to meet all resident's needs.
D
2024-12-17
2024-10-28
Health · complaint
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2024-12-17
2022-09-13
Health
F0641
Ensure each resident receives an accurate assessment.
B
2022-11-16
2022-09-13
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2022-11-16
2022-09-13
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2022-11-16
2019-11-08
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2019-12-22
2019-11-08
Health
F0641
Ensure each resident receives an accurate assessment.
D
2019-11-19
2019-11-08
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
E
2019-11-19
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
32
Owner
Role
Pct
From
Status
Source
ZUPNICK, JOEL
5% OR GREATER DIRECT OWNERSHIP INTEREST
30%
2014-12-01
current
pecos_ownership
BERKO, SHAINDY
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2014-12-01
current
pecos_ownership
DAVID, ROCHEL
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2014-12-01
current
pecos_ownership
FARKOWITZ, ESTHER
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2014-12-01
current
pecos_ownership
FRIEDMAN, LEAH
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2014-12-01
current
pecos_ownership
PHILIPSON, AVI
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2014-12-01
current
pecos_ownership
RUBENSTEIN, DAVID
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2014-12-01
current
pecos_ownership
EXCELSIOR CARE GROUP
OPERATIONAL/MANAGERIAL CONTROL
—
2019-07-12
current
pecos_ownership
EXCELSIOR CARE GROUP
ADP OF THE SNF
—
2025-11-07
current
pecos_ownership
KANNER, CHARLES
OPERATIONAL/MANAGERIAL CONTROL
—
2001-03-04
current
pecos_ownership
PETERKIN, LORNA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-15
current
pecos_ownership
SHOREFRONT
Individual has financial interest in both related organization and provider
—
2023-01-01
current
hcris_a_8_1
SHOREFRONT
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
STEINBERG, MOSHE
ADP OF THE SNF
—
2019-07-12
current
pecos_ownership
STERN, SAMUEL
ADP OF THE SNF
—
2019-07-12
current
pecos_ownership
TEREBELO, AVI
ADP OF THE SNF
—
2025-04-28
current
pecos_ownership
JOEL ZUPNICK
5% OR GREATER DIRECT OWNERSHIP INTEREST
30%
2014-12-01
ended 2026-05-18
pecos_ownership
AVI PHILIPSON
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2014-12-01
ended 2026-05-18
pecos_ownership
DAVID RUBENSTEIN
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2014-12-01
ended 2026-05-18
pecos_ownership
DEENA HERSH
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2014-12-11
ended 2026-05-18
pecos_ownership
ESTHER FARKOWITZ
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2014-12-01
ended 2026-05-18
pecos_ownership
LEAH FRIEDMAN
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2014-12-01
ended 2026-05-18
pecos_ownership
ROCHEL DAVID
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2014-12-01
ended 2026-05-18
pecos_ownership
SHAINDY BERKO
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2014-12-01
ended 2026-05-18
pecos_ownership
AVI TEREBELO
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-28
ended 2026-05-18
pecos_ownership
CHARLES KANNER
ADP OF THE SNF
—
2001-03-04
ended 2026-05-18
pecos_ownership
LORNA PETERKIN
ADP OF THE SNF
—
2025-07-15
ended 2026-05-18
pecos_ownership
MOSHE STEINBERG
ADP OF THE SNF
—
2019-07-12
ended 2026-05-18
pecos_ownership
SAMUEL STERN
OPERATIONAL/MANAGERIAL CONTROL
—
2019-07-12
ended 2026-05-18
pecos_ownership
SHOREFRONT
Individual has financial interest in both related organization and provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
SHOREFRONT
Individual has financial interest in both related organization and provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
SHOREFRONT
Individual has financial interest in both related organization and provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
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
$33,980,984
—
—
—
—
3
propco
2023-12-31
$30,519,135
—
—
—
—
3
propco
2022-12-31
$9,524,981
—
—
—
$1,202,955
4
propco
2021-12-31
$5,470,704
—
—
—
$889,844
4
propco
2020-12-31
$5,685,913
—
—
—
$1,011,280
4
propco
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 36047
acs median gross
0
$1,643
2024-12-31
CENSUS_ACS5
county 36047
fmr
0
$2,529
2025-10-01
HUD_USER_FMR
county 36047
acs median gross
1
$1,727
2024-12-31
CENSUS_ACS5
county 36047
fmr
1
$2,655
2025-10-01
HUD_USER_FMR
county 36047
acs median gross
2
$1,849
2024-12-31
CENSUS_ACS5
county 36047
fmr
2
$2,910
2025-10-01
HUD_USER_FMR
county 36047
acs median gross
3
$2,157
2024-12-31
CENSUS_ACS5
county 36047
fmr
3
$3,644
2025-10-01
HUD_USER_FMR
county 36047
acs median gross
4
$2,341
2024-12-31
CENSUS_ACS5
county 36047
fmr
4
$3,959
2025-10-01
HUD_USER_FMR
county 36047
acs median gross
5
$1,999
2024-12-31
CENSUS_ACS5
county 36047
acs median gross
$1,833
2024-12-31
CENSUS_ACS5
county 36047
acs recent mover gross
$2,624
2024-12-31
CENSUS_ACS5
zcta 11224
acs median gross
0
$887
2024-12-31
CENSUS_ACS5
zcta 11224
acs median gross
1
$727
2024-12-31
CENSUS_ACS5
zcta 11224
acs median gross
2
$1,296
2024-12-31
CENSUS_ACS5
zcta 11224
acs median gross
3
$1,350
2024-12-31
CENSUS_ACS5
zcta 11224
acs median gross
4
$1,777
2024-12-31
CENSUS_ACS5
zcta 11224
acs median gross
5
$608
2024-12-31
CENSUS_ACS5
zcta 11224
acs median gross
$1,010
2024-12-31
CENSUS_ACS5
zcta 11224
acs recent mover gross
$1,614
2024-12-31
CENSUS_ACS5
zip 11224
payment standard 110
0
$2,387
2025-10-01
HUD_USER_SAFMR
zip 11224
payment standard 90
0
$1,953
2025-10-01
HUD_USER_SAFMR
zip 11224
safmr
0
$2,170
2025-10-01
HUD_USER_SAFMR
zip 11224
payment standard 110
1
$2,486
2025-10-01
HUD_USER_SAFMR
zip 11224
payment standard 90
1
$2,034
2025-10-01
HUD_USER_SAFMR
zip 11224
safmr
1
$2,260
2025-10-01
HUD_USER_SAFMR
zip 11224
payment standard 110
2
$2,761
2025-10-01
HUD_USER_SAFMR
zip 11224
payment standard 90
2
$2,259
2025-10-01
HUD_USER_SAFMR
zip 11224
safmr
2
$2,510
2025-10-01
HUD_USER_SAFMR
zip 11224
payment standard 110
3
$3,432
2025-10-01
HUD_USER_SAFMR
zip 11224
payment standard 90
3
$2,808
2025-10-01
HUD_USER_SAFMR
zip 11224
safmr
3
$3,120
2025-10-01
HUD_USER_SAFMR
zip 11224
payment standard 110
4
$3,707
2025-10-01
HUD_USER_SAFMR
zip 11224
payment standard 90
4
$3,033
2025-10-01
HUD_USER_SAFMR
zip 11224
safmr
4
$3,370
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.