Reads as: riskier than 13.7% 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
16 chains
BAKER TILLY ADVISORY GROUP LP
77 facilities
connection
Owner spans multiple chains
15 chains
BAKER TILLY US LLP
63 facilities
connection
Owner fleet enforcement cluster
40% fined
RICHTER AND ASSOCIATES
10 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
4.89
3.32
3.28
2.90–3.77
RN
0.81
0.47
0.39
0.25–0.58
Weekend total
5.00
3.17
3.11
—
Weekday total
4.84
3.36
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
33.2
4.89
0.81
1.00
3.08
5.00
0.0%
2025Q3
92
34.2
4.47
0.70
0.94
2.82
4.55
0.0%
2025Q2
91
32.0
5.21
0.97
1.10
3.14
5.31
2.2%
2025Q1
90
33.5
5.15
0.93
1.08
3.14
5.12
4.0%
2024Q4
92
31.9
5.38
0.89
1.31
3.19
5.25
2.6%
2024Q3
92
31.9
5.45
1.00
1.22
3.23
5.27
1.9%
2024Q2
91
33.5
5.21
0.95
1.05
3.21
5.13
2.2%
2024Q1
91
35.8
4.83
0.92
0.96
2.95
4.78
57.6%
2023Q4
92
37.5
4.49
1.06
0.77
2.66
4.53
10.0%
2023Q3
92
30.9
4.61
1.12
0.85
2.63
4.68
1.5%
2023Q2
91
32.3
4.73
1.09
0.80
2.84
4.74
5.2%
2023Q1
90
28.2
4.77
1.18
0.76
2.83
4.60
0.0%
2022Q4
92
25.3
4.72
1.13
0.77
2.83
4.50
0.0%
2022Q3
92
25.3
4.78
1.13
0.81
2.84
4.48
0.0%
2022Q2
91
23.9
4.69
1.12
0.85
2.71
4.44
0.0%
2022Q1
90
23.8
4.63
0.98
1.03
2.62
4.41
0.0%
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
19
D × 17E × 1F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-31
Health
F0712
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
D
2026-05-01
2026-03-31
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
2026-05-01
2026-03-31
Health
F0908
Keep all essential equipment working safely.
D
2026-05-01
2026-03-31
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2026-05-01
2025-02-19
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
2025-03-30
2025-02-19
Health · complaint
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2022-08-15
2025-02-19
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-03-30
2025-02-19
Health
F0622
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
D
2025-03-30
2025-02-19
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
2025-03-30
2025-02-19
Health
F0624
Prepare residents for a safe transfer or discharge from the nursing home.
D
2025-03-30
2025-02-19
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.
D
2025-03-30
2025-02-19
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
2025-03-30
2025-02-19
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-03-30
2025-02-19
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
2025-03-30
2025-02-19
Health
F0732
Post nurse staffing information every day.
D
2025-03-30
2025-02-19
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-03-30
2025-02-19
Health · complaint
F0790
Provide routine and 24-hour emergency dental care for each resident.
D
2025-03-30
2025-02-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-03-30
2025-02-19
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-03-30
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
67
Owner
Role
Pct
From
Status
Source
ADENIYI-OLADAPO, MORINATU AJIBIKE
ADP OF THE SNF
—
2022-05-31
current
pecos_ownership
ALLEY, TRACI
CORPORATE OFFICER
—
2021-08-02
current
pecos_ownership
BAKER TILLY ADVISORY GROUP, LP
ADP OF THE SNF
—
2015-01-01
current
pecos_ownership
BAKER TILLY US, LLP
ADP OF THE SNF
—
2015-01-01
current
pecos_ownership
BARTELS, BRUCE
CORPORATE DIRECTOR
—
2015-03-04
current
pecos_ownership
BOARDMAN, DONALD
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
BRYANT, KENYA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-01
current
pecos_ownership
CECCHINE, MARGARET
CORPORATE DIRECTOR
—
2023-04-01
current
pecos_ownership
COX, SALLY
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
DELOVSKA-TRAJKOVA, DUSANKA
CORPORATE OFFICER
—
2013-01-01
current
pecos_ownership
FLAGSHIP REHABILITATION, INC
ADP OF THE SNF
—
2010-09-01
current
pecos_ownership
GLECKMAN, HOWARD
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
GREEN, LYNN
ADP OF THE SNF
—
2024-03-14
current
pecos_ownership
HAUGE, JENNIFER
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
JOHNSON, GREGG
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
KATZ, RUTH
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
KEARNEY, JONATHAN
CORPORATE DIRECTOR
—
2025-02-01
current
pecos_ownership
KREUTZER, JOHN
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
KUHN, NANCY
CORPORATE DIRECTOR
—
2015-10-07
current
pecos_ownership
LIWANAG, MARIA
ADP OF THE SNF
—
2024-03-05
current
pecos_ownership
MAGIDSON, PHILLIP
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
MARSH & MCLENNAN COMPANIES
ADP OF THE SNF
—
2023-10-01
current
pecos_ownership
MASSETTI, AMANDA
OPERATIONAL/MANAGERIAL CONTROL
—
2020-04-11
current
pecos_ownership
MASSEY, NATHANIEL
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
MOUR, CHRISTINE
CORPORATE OFFICER
—
2015-08-24
current
pecos_ownership
O'CONNOR, LYNN
CORPORATE OFFICER
—
2010-07-01
current
pecos_ownership
ORTIZ, ELIZABETH
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
RICHTER AND ASSOCIATES
ADP OF THE SNF
—
2015-11-10
current
pecos_ownership
SHARMA, SANDEEP
ADP OF THE SNF
—
2025-12-04
current
pecos_ownership
SILVERBLOOM CONSULTING, LLC
ADP OF THE SNF
—
2025-12-16
current
pecos_ownership
SILVERBLOOM CONSULTING, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-11-01
current
pecos_ownership
SPRING HEALTHCARE INC
ADP OF THE SNF
—
2024-12-01
current
pecos_ownership
STALNAKER, TISH
ADP OF THE SNF
—
2016-01-04
current
pecos_ownership
TESFAY, AKBERT
ADP OF THE SNF
—
2023-12-05
current
pecos_ownership
THOMAS, DEBORAH
ADP OF THE SNF
—
2020-07-20
current
pecos_ownership
WAGNER, STEVEN
CORPORATE DIRECTOR
—
2017-01-01
current
pecos_ownership
WESTMINSTER INGLESIDE KING FARM RETIREMENT COMMUNITIES INC
ADP OF THE SNF
—
2025-12-22
current
pecos_ownership
WESTMINSTER INGLESIDE KING FARM RETIREMENT COMMUNITIES INC
OPERATIONAL/MANAGERIAL CONTROL
—
2011-06-01
current
pecos_ownership
WESTMINSTER INGLESIDE KING FARM RETIREMENT COMMUNITIES INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2012-12-06
ended 2026-05-18
pecos_ownership
DONALD BOARDMAN
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
ELIZABETH ORTIZ
CORPORATE DIRECTOR
0%
2025-01-01
ended 2026-05-18
pecos_ownership
GREGG JOHNSON
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
HOWARD GLECKMAN
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
JENNIFER HAUGE
CORPORATE DIRECTOR
0%
2022-01-01
ended 2026-05-18
pecos_ownership
JOHN KREUTZER
CORPORATE DIRECTOR
0%
2018-01-01
ended 2026-05-18
pecos_ownership
JONATHAN KEARNEY
CORPORATE DIRECTOR
0%
2025-02-01
ended 2026-05-18
pecos_ownership
LYNN O'CONNOR
CORPORATE OFFICER
0%
2010-07-01
ended 2026-05-18
pecos_ownership
MARGARET CECCHINE
CORPORATE DIRECTOR
0%
2023-04-01
ended 2026-05-18
pecos_ownership
NANCY KUHN
CORPORATE DIRECTOR
0%
2015-10-07
ended 2026-05-18
pecos_ownership
NATHANIEL MASSEY
CORPORATE DIRECTOR
0%
2025-01-01
ended 2026-05-18
pecos_ownership
PHILLIP MAGIDSON
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
RUTH KATZ
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
SALLY COX
CORPORATE DIRECTOR
0%
2018-01-01
ended 2026-05-18
pecos_ownership
STEVEN WAGNER
CORPORATE DIRECTOR
0%
2017-01-01
ended 2026-05-18
pecos_ownership
AKBERT TESFAY
ADP OF THE SNF
—
2023-12-05
ended 2026-05-18
pecos_ownership
AMANDA MASSETTI
ADP OF THE SNF
—
2020-04-11
ended 2026-05-18
pecos_ownership
BRUCE BARTELS
CORPORATE DIRECTOR
—
2015-03-04
ended 2026-05-18
pecos_ownership
CHRISTINE MOUR
CORPORATE OFFICER
—
2015-08-24
ended 2026-05-18
pecos_ownership
DEBORAH THOMAS
ADP OF THE SNF
—
2020-07-20
ended 2026-05-18
pecos_ownership
DUSANKA DELOVSKA-TRAJKOVA
CORPORATE OFFICER
—
2013-01-01
ended 2026-05-18
pecos_ownership
KENYA BRYANT
ADP OF THE SNF
—
2022-08-01
ended 2026-05-18
pecos_ownership
LYNN GREEN
ADP OF THE SNF
—
2024-03-14
ended 2026-05-18
pecos_ownership
MARIA LIWANAG
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-05
ended 2026-05-18
pecos_ownership
MORINATU AJIBIKE ADENIYI-OLADAPO
ADP OF THE SNF
—
2022-05-31
ended 2026-05-18
pecos_ownership
SANDEEP SHARMA
ADP OF THE SNF
—
2025-12-04
ended 2026-05-18
pecos_ownership
TISH STALNAKER
OPERATIONAL/MANAGERIAL CONTROL
—
2016-01-04
ended 2026-05-18
pecos_ownership
TRACI ALLEY
CORPORATE OFFICER
—
2021-08-02
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
2024-12-31
$2,693,713
—
—
—
—
1
—
2023-12-31
$2,463,010
—
—
—
—
1
—
2022-12-31
$1,931,447
—
—
—
—
1
—
2021-12-31
$1,832,325
—
—
—
—
1
—
2020-12-31
$1,667,903
—
—
—
—
1
—
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 24031
acs median gross
0
$1,685
2024-12-31
CENSUS_ACS5
county 24031
fmr
0
$1,953
2025-10-01
HUD_USER_FMR
county 24031
acs median gross
1
$1,819
2024-12-31
CENSUS_ACS5
county 24031
fmr
1
$2,015
2025-10-01
HUD_USER_FMR
county 24031
acs median gross
2
$2,113
2024-12-31
CENSUS_ACS5
county 24031
fmr
2
$2,246
2025-10-01
HUD_USER_FMR
county 24031
acs median gross
3
$2,515
2024-12-31
CENSUS_ACS5
county 24031
fmr
3
$2,835
2025-10-01
HUD_USER_FMR
county 24031
acs median gross
4
$3,095
2024-12-31
CENSUS_ACS5
county 24031
fmr
4
$3,332
2025-10-01
HUD_USER_FMR
county 24031
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
county 24031
acs median gross
$2,068
2024-12-31
CENSUS_ACS5
county 24031
acs recent mover gross
$2,226
2024-12-31
CENSUS_ACS5
zcta 20850
acs median gross
0
$1,770
2024-12-31
CENSUS_ACS5
zcta 20850
acs median gross
1
$2,096
2024-12-31
CENSUS_ACS5
zcta 20850
acs median gross
2
$2,499
2024-12-31
CENSUS_ACS5
zcta 20850
acs median gross
3
$3,021
2024-12-31
CENSUS_ACS5
zcta 20850
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 20850
acs median gross
5
$3,345
2024-12-31
CENSUS_ACS5
zcta 20850
acs median gross
$2,309
2024-12-31
CENSUS_ACS5
zcta 20850
acs recent mover gross
$2,495
2024-12-31
CENSUS_ACS5
zip 20850
payment standard 110
0
$2,618
2025-10-01
HUD_USER_SAFMR
zip 20850
payment standard 90
0
$2,142
2025-10-01
HUD_USER_SAFMR
zip 20850
safmr
0
$2,380
2025-10-01
HUD_USER_SAFMR
zip 20850
payment standard 110
1
$2,706
2025-10-01
HUD_USER_SAFMR
zip 20850
payment standard 90
1
$2,214
2025-10-01
HUD_USER_SAFMR
zip 20850
safmr
1
$2,460
2025-10-01
HUD_USER_SAFMR
zip 20850
payment standard 110
2
$3,014
2025-10-01
HUD_USER_SAFMR
zip 20850
payment standard 90
2
$2,466
2025-10-01
HUD_USER_SAFMR
zip 20850
safmr
2
$2,740
2025-10-01
HUD_USER_SAFMR
zip 20850
payment standard 110
3
$3,806
2025-10-01
HUD_USER_SAFMR
zip 20850
payment standard 90
3
$3,114
2025-10-01
HUD_USER_SAFMR
zip 20850
safmr
3
$3,460
2025-10-01
HUD_USER_SAFMR
zip 20850
payment standard 110
4
$4,466
2025-10-01
HUD_USER_SAFMR
zip 20850
payment standard 90
4
$3,654
2025-10-01
HUD_USER_SAFMR
zip 20850
safmr
4
$4,060
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.