Reads as: riskier than 36.3% 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
PA median
National median
National p25–p75
Total nurse
3.19
3.38
3.28
2.90–3.77
RN
0.55
0.45
0.39
0.25–0.58
Weekend total
3.11
3.27
3.11
—
Weekday total
3.22
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
121.3
3.19
0.55
0.74
1.90
3.11
9.8%
2025Q3
92
118.1
3.24
0.53
0.81
1.90
3.16
3.7%
2025Q2
91
122.2
3.08
0.53
0.81
1.75
3.05
4.3%
2025Q1
90
123.4
3.13
0.55
0.74
1.84
3.08
9.6%
2024Q4
92
123.4
3.08
0.52
0.75
1.81
3.06
12.4%
2024Q3
92
126.4
3.11
0.50
0.76
1.86
3.06
15.1%
2024Q2
91
122.5
2.90
0.45
0.77
1.68
2.86
9.8%
2024Q1
91
123.3
2.95
0.43
0.79
1.73
2.96
14.2%
2023Q4
92
131.2
2.83
0.34
0.79
1.70
2.92
10.1%
2023Q3
92
129.5
2.58
0.34
0.72
1.52
2.75
11.7%
2023Q2
91
126.6
2.71
0.38
0.80
1.53
2.73
15.2%
2023Q1
90
129.4
2.95
0.41
0.83
1.70
2.85
5.9%
2022Q4
92
133.8
2.90
0.40
0.86
1.64
2.80
1.6%
2022Q3
92
134.4
3.06
0.37
0.75
1.93
3.00
1.8%
2022Q2
91
132.2
3.03
0.42
0.78
1.82
3.00
1.0%
2022Q1
90
123.9
2.98
0.34
0.76
1.88
2.99
4.2%
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
20
B × 3C × 1D × 13E × 2F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-18
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
E
2026-04-23
2026-03-18
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-04-23
2026-03-18
Health
F0732
Post nurse staffing information every day.
C
2026-04-23
2026-03-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-04-23
2026-01-30
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-02-20
2026-01-10
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2026-02-11
2026-01-10
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2026-02-11
2025-09-04
Health · complaint
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
B
—
2025-02-07
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
E
2025-03-18
2025-02-07
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-03-18
2025-02-07
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
2025-03-18
2025-02-07
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2025-03-18
2025-02-07
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2025-03-18
2025-02-07
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
2025-03-18
2024-03-08
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
B
2024-04-16
2024-03-08
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
2024-04-16
2024-03-08
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
2024-04-16
2024-03-08
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
2024-04-16
2024-03-08
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-04-16
2024-03-08
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
2024-04-16
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
23
Owner
Role
Pct
From
Status
Source
GENESIS PA HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2011-04-01
current
pecos_ownership
BERG, MICHAEL
CORPORATE OFFICER
—
2012-12-01
current
pecos_ownership
FISHMAN, STEVEN
CORPORATE DIRECTOR
—
2011-12-31
current
pecos_ownership
GEN OPERATIONS I LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2011-04-01
current
pecos_ownership
GEN OPERATIONS II LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2011-04-01
current
pecos_ownership
GENESIS HEALTHCARE INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-02-02
current
pecos_ownership
GENESIS HEALTHCARE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2011-04-01
current
pecos_ownership
GENESIS HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-02-02
current
pecos_ownership
GENESIS OPERATIONS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2011-04-01
current
pecos_ownership
GENESIS OPERATIONS LLC
ADP OF THE SNF
—
2025-02-08
current
pecos_ownership
SUN HEALTHCARE GROUP INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-02-02
current
pecos_ownership
WHITMAN, ARNOLD
CORPORATE DIRECTOR
—
2011-12-31
current
pecos_ownership
WOODBRIDGE, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-31
current
pecos_ownership
FC-GEN OPERATIONS INVESTMENT LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2011-04-01
ended 2026-05-18
pecos_ownership
GHC HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2011-04-01
ended 2026-05-18
pecos_ownership
ARNOLD WHITMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
11%
2011-12-31
ended 2026-05-18
pecos_ownership
HCCF MANAGEMENT GROUP XI LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
11%
2011-12-31
ended 2026-05-18
pecos_ownership
STEVEN FISHMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2011-12-31
ended 2026-05-18
pecos_ownership
WELLTOWER INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2021-10-01
ended 2026-05-18
pecos_ownership
ZAC PROPERTIES XI LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2011-12-31
ended 2026-05-18
pecos_ownership
SUNDANCE REHABILITATION HOLDCO INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2016-01-01
ended 2026-05-18
pecos_ownership
MICHAEL BERG
CORPORATE OFFICER
—
2012-12-01
ended 2026-05-18
pecos_ownership
MICHAEL WOODBRIDGE
ADP OF THE SNF
—
2024-01-31
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
2025-06-30
$3,600,799
$1,009,752
$731,583
$950,927
$870,068
6
—
2024-06-30
$3,207,255
$1,410,398
$777,226
$797,847
$184,822
5
—
2023-06-30
$3,723,124
$2,029,298
$858,771
$835,055
—
3
—
2022-06-30
$1,887,614
—
$710,084
$711,091
$466,439
3
—
2021-06-30
$2,054,438
—
$751,204
$619,002
$684,232
4
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 42017
acs median gross
0
$1,234
2024-12-31
CENSUS_ACS5
county 42017
fmr
0
$1,397
2025-10-01
HUD_USER_FMR
county 42017
acs median gross
1
$1,375
2024-12-31
CENSUS_ACS5
county 42017
fmr
1
$1,520
2025-10-01
HUD_USER_FMR
county 42017
acs median gross
2
$1,702
2024-12-31
CENSUS_ACS5
county 42017
fmr
2
$1,810
2025-10-01
HUD_USER_FMR
county 42017
acs median gross
3
$1,942
2024-12-31
CENSUS_ACS5
county 42017
fmr
3
$2,170
2025-10-01
HUD_USER_FMR
county 42017
acs median gross
4
$2,322
2024-12-31
CENSUS_ACS5
county 42017
fmr
4
$2,423
2025-10-01
HUD_USER_FMR
county 42017
acs median gross
5
$2,410
2024-12-31
CENSUS_ACS5
county 42017
acs median gross
$1,605
2024-12-31
CENSUS_ACS5
county 42017
acs recent mover gross
$1,835
2024-12-31
CENSUS_ACS5
zcta 18951
acs median gross
1
$1,033
2024-12-31
CENSUS_ACS5
zcta 18951
acs median gross
2
$1,471
2024-12-31
CENSUS_ACS5
zcta 18951
acs median gross
3
$1,870
2024-12-31
CENSUS_ACS5
zcta 18951
acs median gross
4
$1,738
2024-12-31
CENSUS_ACS5
zcta 18951
acs median gross
$1,441
2024-12-31
CENSUS_ACS5
zcta 18951
acs recent mover gross
$1,812
2024-12-31
CENSUS_ACS5
zip 18951
payment standard 110
0
$1,518
2025-10-01
HUD_USER_SAFMR
zip 18951
payment standard 90
0
$1,242
2025-10-01
HUD_USER_SAFMR
zip 18951
safmr
0
$1,380
2025-10-01
HUD_USER_SAFMR
zip 18951
payment standard 110
1
$1,650
2025-10-01
HUD_USER_SAFMR
zip 18951
payment standard 90
1
$1,350
2025-10-01
HUD_USER_SAFMR
zip 18951
safmr
1
$1,500
2025-10-01
HUD_USER_SAFMR
zip 18951
payment standard 110
2
$1,969
2025-10-01
HUD_USER_SAFMR
zip 18951
payment standard 90
2
$1,611
2025-10-01
HUD_USER_SAFMR
zip 18951
safmr
2
$1,790
2025-10-01
HUD_USER_SAFMR
zip 18951
payment standard 110
3
$2,365
2025-10-01
HUD_USER_SAFMR
zip 18951
payment standard 90
3
$1,935
2025-10-01
HUD_USER_SAFMR
zip 18951
safmr
3
$2,150
2025-10-01
HUD_USER_SAFMR
zip 18951
payment standard 110
4
$2,640
2025-10-01
HUD_USER_SAFMR
zip 18951
payment standard 90
4
$2,160
2025-10-01
HUD_USER_SAFMR
zip 18951
safmr
4
$2,400
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.