Reads as: riskier than 88.3% 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 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
4.17
3.33
3.28
2.90–3.77
RN
0.97
0.43
0.39
0.25–0.58
Weekend total
3.99
3.03
3.11
—
Weekday total
4.25
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
436.9
4.17
0.97
0.71
2.49
3.99
9.0%
2025Q3
92
444.0
4.10
0.97
0.70
2.44
3.89
10.5%
2025Q2
91
442.7
4.26
0.98
0.72
2.56
4.03
11.0%
2025Q1
90
441.6
4.43
1.10
0.67
2.66
4.15
10.4%
2024Q4
92
434.6
4.55
1.11
0.72
2.72
4.26
12.0%
2024Q3
92
443.5
4.50
1.19
0.72
2.60
4.01
13.8%
2024Q2
91
448.9
4.49
1.12
0.74
2.63
3.97
15.4%
2024Q1
91
450.9
4.27
1.00
0.78
2.49
3.81
12.5%
2023Q4
92
447.5
4.11
0.87
0.83
2.41
3.67
16.6%
2023Q3
92
436.5
4.22
0.85
0.88
2.49
3.84
17.7%
2023Q2
91
446.1
3.99
0.75
0.84
2.40
3.59
13.5%
2023Q1
90
440.1
4.07
0.71
0.86
2.49
3.71
15.8%
2022Q4
92
438.4
4.12
0.66
0.93
2.52
3.75
13.2%
2022Q3
92
436.9
3.79
0.65
0.81
2.34
3.40
9.5%
2022Q2
91
437.4
3.79
0.59
0.84
2.35
3.37
10.0%
2022Q1
90
420.9
3.64
0.60
0.70
2.34
3.28
2.5%
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.
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
G
2026-05-12
2025-07-09
Health · complaint
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.
F
2025-09-05
2025-07-09
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F
2025-09-05
2025-06-12
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2025-08-06
2025-03-31
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2025-05-30
2025-03-31
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.
D
2025-05-30
2025-03-31
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
2025-05-30
2025-03-31
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
C
2025-05-30
2025-03-31
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-05-30
2025-03-31
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-05-30
2025-03-31
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
2025-05-30
2025-03-31
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
2025-05-30
2025-03-31
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-05-30
2025-03-31
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2025-05-30
2025-03-31
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-05-30
2025-03-31
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2025-05-30
2025-03-31
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
2025-05-30
2025-03-31
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-05-30
2025-03-26
Health · complaint
F0557
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
D
2025-05-23
2023-10-23
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
2023-12-21
2023-10-23
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-09-06
2023-10-23
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-12-21
2023-10-23
Health
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
D
2023-12-21
2023-10-20
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-12-15
2021-08-06
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2021-09-24
2021-08-06
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
E
2021-09-24
2021-08-06
Health
F0641
Ensure each resident receives an accurate assessment.
D
2021-09-24
2021-08-06
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
2021-09-24
2021-08-06
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
2021-09-24
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
61
Owner
Role
Pct
From
Status
Source
AYALA, VICTOR
TRUSTEE OF THE SNF
—
2021-01-01
current
pecos_ownership
BULLOCK, REGINALD
CORPORATE DIRECTOR
—
2021-01-02
current
pecos_ownership
CIUFFO, JOSEPH
TRUSTEE OF THE SNF
—
2021-01-01
current
pecos_ownership
CLEMENZA, ANTHONY
TRUSTEE OF THE SNF
—
2021-01-01
current
pecos_ownership
ESSEN MEDICAL ASSOCIATES, PC
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
FIGUEROA, MICHELLE
CORPORATE OFFICER
—
2023-07-10
current
pecos_ownership
FIGUEROA, MICHELLE
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
GARCIA, LISA
CORPORATE DIRECTOR
—
2021-01-02
current
pecos_ownership
GARCIA, LISA
ADP OF THE SNF
—
2022-03-28
current
pecos_ownership
GREEN, RICHARD
TRUSTEE OF THE SNF
—
2021-01-01
current
pecos_ownership
KATZIN, ARYEH
TRUSTEE OF THE SNF
—
2021-01-01
current
pecos_ownership
LANZMAN, ALEXANDER
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
MARSHALL, LEWIS
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
MASON, HOPE
TRUSTEE OF THE SNF
—
2021-01-01
current
pecos_ownership
MAWERE, JONATHAN
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
NAIRNE, MICHAEL
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
NELSON, HUGH
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
ONE BROOKLYN HEALTH SYSTEM, INC
ADP OF THE SNF
—
2025-04-29
current
pecos_ownership
ONE BROOKLYN HEALTH SYSTEM, INC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
PARAJULI, SUNITA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
POLLACK, NEIL
ADP OF THE SNF
—
2020-01-01
current
pecos_ownership
REID, MAURICE
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
ROSENFELD, PAUL
ADP OF THE SNF
—
2018-01-02
current
pecos_ownership
ROVT, ALEXANDER
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
SCAGNELLI, MICHAEL
TRUSTEE OF THE SNF
—
2021-01-01
current
pecos_ownership
SCOTT, SANDRA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-01
current
pecos_ownership
SCOTT, SANDRA
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
SHELTON, MARK
TRUSTEE OF THE SNF
—
2021-01-01
current
pecos_ownership
SHTERN, NUSIN
TRUSTEE OF THE SNF
—
2021-01-01
current
pecos_ownership
WATERMAN, ROBERT
TRUSTEE OF THE SNF
—
2021-01-01
current
pecos_ownership
WELLS, EDNA
TRUSTEE OF THE SNF
—
2021-01-01
current
pecos_ownership
WHITE, HENNA
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
MICHELLE FIGUEROA
CORPORATE OFFICER
0%
2023-07-10
ended 2026-05-18
pecos_ownership
ALEXANDER LANZMAN
TRUSTEE OF THE SNF
—
2024-01-01
ended 2026-05-18
pecos_ownership
ALEXANDER ROVT
TRUSTEE OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
ANTHONY CLEMENZA
TRUSTEE OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
ARYEH KATZIN
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
EDNA WELLS
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
HENNA WHITE
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
HOPE MASON
TRUSTEE OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
HUGH NELSON
CORPORATE DIRECTOR
—
2024-01-01
ended 2026-05-18
pecos_ownership
JONATHAN MAWERE
CORPORATE DIRECTOR
—
2024-01-01
ended 2026-05-18
pecos_ownership
JOSEPH CIUFFO
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
LEWIS MARSHALL
CORPORATE DIRECTOR
—
2024-01-01
ended 2026-05-18
pecos_ownership
LISA GARCIA
ADP OF THE SNF
—
2022-03-28
ended 2026-05-18
pecos_ownership
LISA GARCIA
CORPORATE DIRECTOR
—
2021-01-02
ended 2026-05-18
pecos_ownership
MARK SHELTON
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
MAURICE REID
TRUSTEE OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
MICHAEL NAIRNE
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
MICHAEL SCAGNELLI
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
MICHELLE FIGUEROA
ADP OF THE SNF
—
2023-01-01
ended 2026-05-18
pecos_ownership
NEIL POLLACK
ADP OF THE SNF
—
2020-01-01
ended 2026-05-18
pecos_ownership
NUSIN SHTERN
TRUSTEE OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
PAUL ROSENFELD
CORPORATE DIRECTOR
—
2018-01-02
ended 2026-05-18
pecos_ownership
REGINALD BULLOCK
CORPORATE DIRECTOR
—
2021-01-02
ended 2026-05-18
pecos_ownership
RICHARD GREEN
TRUSTEE OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
ROBERT WATERMAN
TRUSTEE OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
SANDRA SCOTT
ADP OF THE SNF
—
2024-01-01
ended 2026-05-18
pecos_ownership
SANDRA SCOTT
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-01
ended 2026-05-18
pecos_ownership
SUNITA PARAJULI
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
VICTOR AYALA
TRUSTEE OF THE SNF
—
2021-01-01
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
4
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$16,538,309
—
—
—
—
2
—
2023-12-31
$26,297,858
—
—
—
—
2
—
2022-12-31
$34,543,301
—
—
—
—
2
—
2021-12-31
$46,309,008
—
—
—
—
2
—
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 11203
acs median gross
0
$1,271
2024-12-31
CENSUS_ACS5
zcta 11203
acs median gross
1
$1,411
2024-12-31
CENSUS_ACS5
zcta 11203
acs median gross
2
$1,809
2024-12-31
CENSUS_ACS5
zcta 11203
acs median gross
3
$1,774
2024-12-31
CENSUS_ACS5
zcta 11203
acs median gross
4
$2,454
2024-12-31
CENSUS_ACS5
zcta 11203
acs median gross
5
$2,266
2024-12-31
CENSUS_ACS5
zcta 11203
acs median gross
$1,581
2024-12-31
CENSUS_ACS5
zcta 11203
acs recent mover gross
$1,888
2024-12-31
CENSUS_ACS5
zip 11203
payment standard 110
0
$2,585
2025-10-01
HUD_USER_SAFMR
zip 11203
payment standard 90
0
$2,115
2025-10-01
HUD_USER_SAFMR
zip 11203
safmr
0
$2,350
2025-10-01
HUD_USER_SAFMR
zip 11203
payment standard 110
1
$2,706
2025-10-01
HUD_USER_SAFMR
zip 11203
payment standard 90
1
$2,214
2025-10-01
HUD_USER_SAFMR
zip 11203
safmr
1
$2,460
2025-10-01
HUD_USER_SAFMR
zip 11203
payment standard 110
2
$2,970
2025-10-01
HUD_USER_SAFMR
zip 11203
payment standard 90
2
$2,430
2025-10-01
HUD_USER_SAFMR
zip 11203
safmr
2
$2,700
2025-10-01
HUD_USER_SAFMR
zip 11203
payment standard 110
3
$3,718
2025-10-01
HUD_USER_SAFMR
zip 11203
payment standard 90
3
$3,042
2025-10-01
HUD_USER_SAFMR
zip 11203
safmr
3
$3,380
2025-10-01
HUD_USER_SAFMR
zip 11203
payment standard 110
4
$4,037
2025-10-01
HUD_USER_SAFMR
zip 11203
payment standard 90
4
$3,303
2025-10-01
HUD_USER_SAFMR
zip 11203
safmr
4
$3,670
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.