Reads as: riskier than 80.5% 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
13
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+27.2 vs natl
SABRINA 1818 HOLDINGS LLC
6 facilities
connection
Owner fleet risk far above national
+27.2 vs natl
DMT SPE I LLC
7 facilities
connection
Owner fleet risk far above national
+26.3 vs natl
LION 26 HOLDINGS LLC
6 facilities
connection
Owner fleet risk far above national
+25.1 vs natl
LUSTBADER ANDREW
6 facilities
connection
Owner fleet risk far above national
+23.9 vs natl
BOTWINICK MICHAEL
5 facilities
connection
Owner fleet risk far above national
+22.6 vs natl
LUSTBADER JONATHAN
7 facilities
connection
Owner fleet risk far above national
+22.1 vs natl
MJL 2024 FAMILY TRUST
7 facilities
connection
Owner fleet risk far above national
+22.0 vs natl
SAESSY IRREVOCABLE TRUST
5 facilities
connection
Owner fleet risk far above national
+22.0 vs natl
TATIRIQ IRREVOCABLE TRUST
5 facilities
connection
Owner fleet risk far above national
+21.0 vs natl
JNL 2024 FAM TR
7 facilities
connection
Owner fleet risk far above national
+20.5 vs natl
GOTTESMAN DANIEL
26 facilities
connection
Owner spans multiple chains
7 chains
GOTTESMAN DANIEL
24 facilities
connection
Owner fleet enforcement cluster
43% fined
DMT SPE I LLC
7 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
WV median
National median
National p25–p75
Total nurse
2.93
3.14
3.28
2.90–3.77
RN
0.28
0.37
0.39
0.25–0.58
Weekend total
2.85
2.97
3.11
—
Weekday total
2.96
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
89.9
2.93
0.28
0.69
1.95
2.85
50.4%
2025Q3
92
93.2
2.95
0.23
0.79
1.93
2.69
55.6%
2025Q2
91
92.5
2.96
0.19
0.80
1.97
2.65
51.3%
2025Q1
90
91.7
2.84
0.20
0.72
1.91
2.57
45.6%
2024Q4
92
85.0
3.48
0.41
0.78
2.30
3.14
42.1%
2024Q3
92
86.1
3.95
0.35
0.94
2.66
3.62
50.1%
2024Q2
91
88.3
3.96
0.30
1.02
2.64
3.75
49.1%
2024Q1
91
89.6
3.75
0.33
0.96
2.46
3.46
45.4%
2023Q4
92
86.7
3.97
0.41
0.85
2.71
3.70
48.4%
2023Q3
92
86.1
3.75
0.39
0.85
2.51
3.46
50.3%
2023Q2
91
82.7
4.71
0.47
1.05
3.19
4.61
60.1%
2023Q1
90
79.8
4.35
0.41
1.20
2.74
4.53
58.1%
2022Q4
92
78.0
4.09
0.32
1.05
2.71
4.14
54.8%
2022Q3
92
71.9
4.18
0.38
1.02
2.78
4.23
56.3%
2022Q2
91
72.2
3.48
0.38
0.81
2.30
3.13
49.6%
2022Q1
90
70.8
3.14
0.37
0.71
2.06
3.15
37.9%
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
31
D × 14E × 15J × 1K × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-25
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2026-04-10
2026-03-25
Health · complaint
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
E
2026-04-10
2025-10-24
Health · complaint
F0809
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
E
2025-12-12
2025-06-25
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-07-28
2025-03-12
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2025-04-16
2025-03-12
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
2025-04-16
2025-03-12
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2025-04-16
2025-03-12
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
2025-04-16
2025-03-12
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2025-04-16
2025-03-12
Health
F0678
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
J
2025-04-16
2025-03-12
Health
F0679
Provide activities to meet all resident's needs.
D
2025-04-16
2025-03-12
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-04-16
2025-03-12
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-04-16
2025-03-12
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2025-04-22
2025-03-12
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-04-16
2025-03-12
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2025-04-22
2025-03-12
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
K
2025-04-22
2025-03-12
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-04-16
2025-03-12
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-04-16
2025-03-12
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-04-16
2025-03-12
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.
E
2025-04-16
2023-08-02
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-08-31
2023-08-02
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-08-31
2023-08-02
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-08-31
2023-08-02
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-08-31
2023-08-02
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-08-31
2022-03-30
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2022-04-26
2022-03-30
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
D
2022-04-26
2022-03-30
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2022-04-26
2022-03-30
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2022-04-26
2022-03-30
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2022-04-26
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
45
Owner
Role
Pct
From
Status
Source
39 CORTLAND ACRES LN SNF ESTATE LLC
DIRECT OWNERSHIP INTEREST
—
2024-11-12
current
pecos_ownership
BENNET-IDELS, HEATHER
INDIRECT OWNERSHIP INTEREST
—
2024-11-12
current
pecos_ownership
BOTWINICK, MICHAEL
INDIRECT OWNERSHIP INTEREST
—
2024-11-12
current
pecos_ownership
CORTLAND ACRES SNF OPERATIONS HOLDINGS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-12
current
pecos_ownership
CORTLAND ACRES SNF OPERATIONS HOLDINGS LLC
ADP OF THE SNF
—
2025-05-28
current
pecos_ownership
DELILAH 2626 HOLDINGS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-12
current
pecos_ownership
DELILAH 2626 HOLDINGS LLC
ADP OF THE SNF
—
2025-05-28
current
pecos_ownership
DMT SPE I LLC
5% OR GREATER MORTGAGE INTEREST
—
2024-11-12
current
pecos_ownership
DMT SPE I LLC
ADP OF THE SNF
—
2025-05-28
current
pecos_ownership
GEORGE, BRANDON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-12
current
pecos_ownership
GOTTESMAN, DANIEL
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-05-29
current
pecos_ownership
HAMRICK, TRISTA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-12
current
pecos_ownership
HVH CORTLAND ACRES SNF OPCO MANAGER LLC
ADP OF THE SNF
—
2024-11-12
current
pecos_ownership
IDELS, SHIMON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-12
current
pecos_ownership
JML 1836 HOLDINGS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-12
current
pecos_ownership
JML 1836 HOLDINGS LLC
ADP OF THE SNF
—
2025-05-28
current
pecos_ownership
JNL 2024 FAM TR
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-12
current
pecos_ownership
KAISER, MARGARET
ADP OF THE SNF
—
2025-05-29
current
pecos_ownership
KAISER, MARGARET
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-12
current
pecos_ownership
LANSILH IRRV TR
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-12
current
pecos_ownership
LANSILH IRRV TR
ADP OF THE SNF
—
2025-05-28
current
pecos_ownership
LIEBERMAN, ROCHEL
INDIRECT OWNERSHIP INTEREST
—
2024-11-12
current
pecos_ownership
LION 26 HOLDINGS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-12
current
pecos_ownership
LUSTBADER, ANDREW
TRUSTEE OF THE SNF
—
2024-11-12
current
pecos_ownership
LUSTBADER, JONATHAN
TRUSTEE OF THE SNF
—
2024-11-12
current
pecos_ownership
MJL 2024 FAMILY TRUST
ADP OF THE SNF
—
2025-05-29
current
pecos_ownership
MJL 2024 FAMILY TRUST
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-12
current
pecos_ownership
PRAGER, ELISHEVA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-12
current
pecos_ownership
SABRINA 1818 HOLDINGS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-12
current
pecos_ownership
SAESSY IRREVOCABLE TRUST
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-12
current
pecos_ownership
SCHWARTZ, STEVEN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-12
current
pecos_ownership
TATIRIQ IRREVOCABLE TRUST
INDIRECT OWNERSHIP INTEREST
—
2024-11-12
current
pecos_ownership
ROCHEL LIEBERMAN
INDIRECT OWNERSHIP INTEREST
12%
2024-11-12
ended 2026-05-18
pecos_ownership
LANSIH IRREVOCABLE TRUST
GENERAL PARTNERSHIP INTEREST
2%
2024-11-12
ended 2026-04-01
pecos_ownership
ELISHEVA PRAGER
INDIRECT OWNERSHIP INTEREST
2%
2024-11-12
ended 2026-05-18
pecos_ownership
HEATHER BENNET-IDELS
INDIRECT OWNERSHIP INTEREST
2%
2024-11-12
ended 2026-05-18
pecos_ownership
MICHAEL BOTWINICK
INDIRECT OWNERSHIP INTEREST
1%
2024-11-12
ended 2026-05-18
pecos_ownership
ANDREW LUSTBADER
TRUSTEE OF THE SNF
—
2024-11-12
ended 2026-05-18
pecos_ownership
BRANDON GEORGE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-12
ended 2026-05-18
pecos_ownership
JONATHAN LUSTBADER
TRUSTEE OF THE SNF
—
2024-11-12
ended 2026-05-18
pecos_ownership
MARGARET KAISER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-12
ended 2026-05-18
pecos_ownership
MARGARET KAISER
ADP OF THE SNF
—
2025-05-29
ended 2026-05-18
pecos_ownership
SHIMON IDELS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-12
ended 2026-05-18
pecos_ownership
STEVEN SCHWARTZ
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-12
ended 2026-05-18
pecos_ownership
TRISTA HAMRICK
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-12
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
2024-11-11
$22,343
—
—
—
$15,205
0
—
2023-12-31
$23,467
—
—
—
$8,562
0
—
2022-12-31
$6,188
—
—
—
—
0
—
2021-12-31
$33,070
—
—
—
$33,070
0
—
2020-12-31
$21,988
—
—
—
$21,988
0
—
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
28
Geo
Kind
BR
Amount
As of
Source
county 54093
fmr
0
$667
2025-10-01
HUD_USER_FMR
county 54093
acs median gross
1
$315
2024-12-31
CENSUS_ACS5
county 54093
fmr
1
$699
2025-10-01
HUD_USER_FMR
county 54093
acs median gross
2
$566
2024-12-31
CENSUS_ACS5
county 54093
fmr
2
$869
2025-10-01
HUD_USER_FMR
county 54093
acs median gross
3
$911
2024-12-31
CENSUS_ACS5
county 54093
fmr
3
$1,209
2025-10-01
HUD_USER_FMR
county 54093
acs median gross
4
$850
2024-12-31
CENSUS_ACS5
county 54093
fmr
4
$1,458
2025-10-01
HUD_USER_FMR
county 54093
acs median gross
$656
2024-12-31
CENSUS_ACS5
county 54093
acs recent mover gross
$482
2024-12-31
CENSUS_ACS5
zcta 26292
acs median gross
3
$928
2024-12-31
CENSUS_ACS5
zcta 26292
acs median gross
$792
2024-12-31
CENSUS_ACS5
zip 26292
payment standard 110
0
$748
2025-10-01
HUD_USER_SAFMR
zip 26292
payment standard 90
0
$612
2025-10-01
HUD_USER_SAFMR
zip 26292
safmr
0
$680
2025-10-01
HUD_USER_SAFMR
zip 26292
payment standard 110
1
$792
2025-10-01
HUD_USER_SAFMR
zip 26292
payment standard 90
1
$648
2025-10-01
HUD_USER_SAFMR
zip 26292
safmr
1
$720
2025-10-01
HUD_USER_SAFMR
zip 26292
payment standard 110
2
$979
2025-10-01
HUD_USER_SAFMR
zip 26292
payment standard 90
2
$801
2025-10-01
HUD_USER_SAFMR
zip 26292
safmr
2
$890
2025-10-01
HUD_USER_SAFMR
zip 26292
payment standard 110
3
$1,364
2025-10-01
HUD_USER_SAFMR
zip 26292
payment standard 90
3
$1,116
2025-10-01
HUD_USER_SAFMR
zip 26292
safmr
3
$1,240
2025-10-01
HUD_USER_SAFMR
zip 26292
payment standard 110
4
$1,639
2025-10-01
HUD_USER_SAFMR
zip 26292
payment standard 90
4
$1,341
2025-10-01
HUD_USER_SAFMR
zip 26292
safmr
4
$1,490
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.