Reads as: riskier than 53.0% 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
7
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
33 chains
WELLTOWER OP LLC
147 facilities
connection
Owner fleet risk far above national
+21.9 vs natl
PC MD OPCOS LLC
5 facilities
connection
Owner fleet risk far above national
+20.1 vs natl
SILVERBERG NISANEL
21 facilities
connection
Owner spans multiple chains
5 chains
RIZQUI IBRAHIM
8 facilities
connection
Owner spans multiple chains
5 chains
LANDAU FAMILY INVESTMENT TRUST
30 facilities
connection
Owner spans multiple chains
5 chains
J R FAMILY INVESTMENTS LLC
30 facilities
connection
Owner fleet enforcement cluster
40% fined
PC MD OPCOS 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 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
MD median
National median
National p25–p75
Total nurse
3.43
3.32
3.28
2.90–3.77
RN
0.51
0.47
0.39
0.25–0.58
Weekend total
3.40
3.17
3.11
—
Weekday total
3.44
3.36
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
106.4
3.43
0.51
1.00
1.91
3.40
3.1%
2025Q3
92
106.9
3.40
0.53
1.00
1.87
3.33
2.8%
2025Q2
91
108.5
3.43
0.57
0.99
1.86
3.33
2.4%
2025Q1
90
109.3
3.52
0.54
1.06
1.91
3.39
2.2%
2024Q4
92
109.6
3.56
0.54
1.02
2.00
3.40
2.5%
2024Q3
92
108.5
3.59
0.49
1.12
1.97
3.44
0.5%
2024Q2
91
111.7
3.46
0.50
1.02
1.94
3.32
1.2%
2024Q1
91
108.6
3.65
0.55
1.06
2.04
3.49
2.9%
2023Q4
92
106.3
3.68
0.63
0.99
2.07
3.46
2.2%
2023Q3
92
103.9
3.74
0.70
0.83
2.22
3.46
6.8%
2023Q2
91
106.3
3.62
0.77
0.78
2.06
3.48
11.1%
2023Q1
90
109.9
3.37
0.67
0.91
1.80
3.27
16.4%
2022Q4
92
105.9
3.36
0.66
0.87
1.84
3.28
19.7%
2022Q3
92
101.8
3.66
0.80
0.82
2.05
3.46
40.5%
2022Q2
91
103.0
3.50
0.80
0.81
1.89
3.31
36.2%
2022Q1
90
102.3
3.73
0.67
1.05
2.02
3.76
33.9%
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.
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
34
B × 1D × 28E × 4F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-02
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2026-03-19
2026-03-02
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-03-19
2026-03-02
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
2026-03-19
2026-03-02
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-03-19
2026-03-02
Health
F0732
Post nurse staffing information every day.
B
2026-03-19
2026-03-02
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2026-03-19
2026-03-02
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
2026-03-19
2026-03-02
Health · complaint
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
2026-03-19
2026-03-02
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2026-03-19
2026-03-02
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-03-19
2026-03-02
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-03-19
2026-03-02
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2026-03-19
2024-11-08
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-12-20
2024-11-08
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
D
2024-12-20
2024-11-08
Health
F0574
The resident has the right to receive notices in a format and a language he or she understands.
D
2024-12-20
2024-11-08
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-12-20
2024-11-08
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-12-20
2024-11-08
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-12-20
2024-11-08
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2024-12-20
2024-11-08
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-12-20
2024-11-08
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
2024-12-20
2024-11-08
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F
2024-12-20
2024-11-08
Health
F0947
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
D
2024-12-20
2019-08-23
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
D
2019-09-20
2019-08-23
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
2019-09-20
2019-08-23
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2019-09-20
2019-08-23
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
2019-09-20
2019-08-23
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.
D
2019-09-20
2019-08-23
Health
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2019-09-20
2019-08-23
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2019-09-20
2019-08-23
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2019-09-20
2019-08-23
Health
F0880
Provide and implement an infection prevention and control program.
E
2019-09-20
2019-08-23
Health
F0908
Keep all essential equipment working safely.
D
2019-09-20
2019-08-23
Health
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
2019-09-20
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
35
Owner
Role
Pct
From
Status
Source
PC MD OPCOS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2021-05-01
current
pecos_ownership
AURORA GUARDIAN HOLDCO IV CO-BORROWER, LLC
ADP OF THE SNF
—
2023-04-28
current
pecos_ownership
AURORA GUARDIAN HOLDCO IV MEZZ BORROWER, LLC
ADP OF THE SNF
—
2023-04-28
current
pecos_ownership
AURORA GUARDIAN HOLDCO IV, LLC
ADP OF THE SNF
—
2023-04-28
current
pecos_ownership
AURORA GUARDIAN IV REALTY, LLC
ADP OF THE SNF
—
2023-04-28
current
pecos_ownership
AURORA GUARDIAN PARTNERS M7 LLC
ADP OF THE SNF
—
2023-04-28
current
pecos_ownership
COX, VICKIE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-01
current
pecos_ownership
J & R FAMILY INVESTMENTS, LLC
ADP OF THE SNF
—
2023-04-28
current
pecos_ownership
J&R M7 FAMILY INVESTMENTS LLC
ADP OF THE SNF
—
2023-04-28
current
pecos_ownership
L FRIEDMAN 2018 FAMILY TRUST
ADP OF THE SNF
—
2023-04-28
current
pecos_ownership
L FRIEDMAN FAMILY HOLDINGS LLC
ADP OF THE SNF
—
2023-04-28
current
pecos_ownership
LANDAU FAMILY INVESTMENT TRUST
ADP OF THE SNF
—
2023-04-28
current
pecos_ownership
M FRIEDMAN 2018 FAMILY TRUST
ADP OF THE SNF
—
2021-04-28
current
pecos_ownership
MANSFIELD, MELISSA
ADP OF THE SNF
—
2021-05-01
current
pecos_ownership
ODACHOWSKI, STACIE
ADP OF THE SNF
—
2022-10-03
current
pecos_ownership
OGUNMUYIWA, CAROLINE
ADP OF THE SNF
—
2024-10-07
current
pecos_ownership
PC WTA ACQUISITION LLC
ADP OF THE SNF
—
2021-05-01
current
pecos_ownership
PC WTA M7 LLC
ADP OF THE SNF
—
2021-05-01
current
pecos_ownership
PC WTA OPCO HOLDCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-01
current
pecos_ownership
PEACE CAPITAL HOLDINGS LLC (DE)
ADP OF THE SNF
—
2021-05-01
current
pecos_ownership
RIZQUI, IBRAHIM
ADP OF THE SNF
—
2023-04-01
current
pecos_ownership
SILVERBERG, NISANEL
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-01
current
pecos_ownership
SMS 2021 TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-05-01
current
pecos_ownership
STEIN, SHALOM
CORPORATE OFFICER
—
2021-05-01
current
pecos_ownership
VOORHEES CENTER NJ OWNER LLC
ADP OF THE SNF
—
2023-04-28
current
pecos_ownership
WELLTOWER OP, LLC
5% OR GREATER SECURITY INTEREST
—
2023-05-01
current
pecos_ownership
WELLTOWER OP, LLC
ADP OF THE SNF
—
2021-05-01
current
pecos_ownership
HCCF MANAGEMENT GROUP XI LLC
5% OR GREATER SECURITY INTEREST
34%
2023-05-01
ended 2026-04-01
pecos_ownership
SHALOM STEIN
INDIRECT OWNERSHIP INTEREST
5%
2021-05-01
ended 2026-05-18
pecos_ownership
CAROLINE OGUNMUYIWA
ADP OF THE SNF
—
2024-10-07
ended 2026-05-18
pecos_ownership
IBRAHIM RIZQUI
ADP OF THE SNF
—
2023-04-01
ended 2026-05-18
pecos_ownership
MELISSA MANSFIELD
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-01
ended 2026-05-18
pecos_ownership
NISANEL SILVERBERG
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-01
ended 2026-05-18
pecos_ownership
STACIE ODACHOWSKI
ADP OF THE SNF
—
2022-10-03
ended 2026-05-18
pecos_ownership
VICKIE COX
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-01
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$386,776
—
—
—
$123,174
1
—
2023-12-31
$489,244
—
—
—
$73,955
1
—
2022-12-31
$424,192
—
—
—
$78,424
1
—
2021-12-31
$287,016
—
—
—
$84,391
1
—
2021-04-30
$1,166,086
—
$257,272
$593,445
$287,882
5
—
2020-12-31
$3,432,575
—
$771,815
$2,047,122
$531,176
5
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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
35
Geo
Kind
BR
Amount
As of
Source
county 24005
acs median gross
0
$1,403
2024-12-31
CENSUS_ACS5
county 24005
fmr
0
$1,362
2025-10-01
HUD_USER_FMR
county 24005
acs median gross
1
$1,360
2024-12-31
CENSUS_ACS5
county 24005
fmr
1
$1,511
2025-10-01
HUD_USER_FMR
county 24005
acs median gross
2
$1,664
2024-12-31
CENSUS_ACS5
county 24005
fmr
2
$1,857
2025-10-01
HUD_USER_FMR
county 24005
acs median gross
3
$1,948
2024-12-31
CENSUS_ACS5
county 24005
fmr
3
$2,358
2025-10-01
HUD_USER_FMR
county 24005
acs median gross
4
$2,180
2024-12-31
CENSUS_ACS5
county 24005
fmr
4
$2,611
2025-10-01
HUD_USER_FMR
county 24005
acs median gross
5
$2,076
2024-12-31
CENSUS_ACS5
county 24005
acs median gross
$1,627
2024-12-31
CENSUS_ACS5
county 24005
acs recent mover gross
$1,814
2024-12-31
CENSUS_ACS5
zcta 21204
acs median gross
0
$1,722
2024-12-31
CENSUS_ACS5
zcta 21204
acs median gross
1
$1,729
2024-12-31
CENSUS_ACS5
zcta 21204
acs median gross
2
$2,127
2024-12-31
CENSUS_ACS5
zcta 21204
acs median gross
3
$2,188
2024-12-31
CENSUS_ACS5
zcta 21204
acs median gross
4
$1,284
2024-12-31
CENSUS_ACS5
zcta 21204
acs median gross
$1,875
2024-12-31
CENSUS_ACS5
zcta 21204
acs recent mover gross
$1,649
2024-12-31
CENSUS_ACS5
zip 21204
payment standard 110
0
$1,771
2025-10-01
HUD_USER_SAFMR
zip 21204
payment standard 90
0
$1,449
2025-10-01
HUD_USER_SAFMR
zip 21204
safmr
0
$1,610
2025-10-01
HUD_USER_SAFMR
zip 21204
payment standard 110
1
$1,969
2025-10-01
HUD_USER_SAFMR
zip 21204
payment standard 90
1
$1,611
2025-10-01
HUD_USER_SAFMR
zip 21204
safmr
1
$1,790
2025-10-01
HUD_USER_SAFMR
zip 21204
payment standard 110
2
$2,420
2025-10-01
HUD_USER_SAFMR
zip 21204
payment standard 90
2
$1,980
2025-10-01
HUD_USER_SAFMR
zip 21204
safmr
2
$2,200
2025-10-01
HUD_USER_SAFMR
zip 21204
payment standard 110
3
$3,069
2025-10-01
HUD_USER_SAFMR
zip 21204
payment standard 90
3
$2,511
2025-10-01
HUD_USER_SAFMR
zip 21204
safmr
3
$2,790
2025-10-01
HUD_USER_SAFMR
zip 21204
payment standard 110
4
$3,399
2025-10-01
HUD_USER_SAFMR
zip 21204
payment standard 90
4
$2,781
2025-10-01
HUD_USER_SAFMR
zip 21204
safmr
4
$3,090
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.