Reads as: riskier than 6.8% 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
HI median
National median
National p25–p75
Total nurse
4.08
4.00
3.28
2.90–3.77
RN
1.45
1.24
0.39
0.25–0.58
Weekend total
3.94
3.78
3.11
—
Weekday total
4.13
4.04
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
44.5
4.08
1.45
0.11
2.52
3.94
2.1%
2025Q3
92
43.9
4.18
1.48
0.11
2.60
4.08
3.2%
2025Q2
91
43.4
4.24
1.48
0.12
2.64
4.10
0.2%
2025Q1
90
42.4
4.57
1.56
0.07
2.93
4.35
0.2%
2024Q4
92
42.8
4.51
1.48
0.17
2.86
4.21
0.3%
2024Q3
92
43.5
4.57
1.55
0.23
2.79
4.17
0.0%
2024Q2
91
43.3
4.44
1.41
0.25
2.79
4.19
0.0%
2024Q1
91
42.4
4.46
1.37
0.28
2.81
4.27
0.0%
2023Q4
92
43.9
4.06
1.22
0.26
2.57
3.92
1.8%
2023Q3
92
43.7
4.19
1.38
0.23
2.58
3.99
2.9%
2023Q2
91
43.5
4.05
1.24
0.20
2.62
3.90
3.5%
2023Q1
90
43.3
4.06
1.05
0.20
2.81
3.73
8.8%
2022Q4
92
40.8
4.26
1.03
0.20
3.03
3.87
11.2%
2022Q3
92
39.0
4.52
1.26
0.21
3.05
4.19
9.0%
2022Q2
91
37.7
4.90
1.27
0.20
3.43
4.50
8.2%
2022Q1
90
38.6
5.08
1.35
0.24
3.48
4.73
7.6%
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
5
D × 5
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-06-23
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2025-07-15
2025-06-23
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-05-14
2025-06-23
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2025-07-15
2025-06-23
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-07-15
2023-08-25
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-09-06
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
ARCADIA COMMUNITY SERVICES
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2010-08-30
current
pecos_ownership
ARCADIA ELDER SERVICES
OPERATIONAL/MANAGERIAL CONTROL
—
2009-09-01
current
pecos_ownership
ARCADIA ELDER SERVICES
ADP OF THE SNF
—
2025-09-04
current
pecos_ownership
BUNN, ANDREW
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
CHANG, CORLIS
MANAGING CONTROL - GOVERNING BODY
—
2017-01-01
current
pecos_ownership
HO'OKANO, KELEKA
OPERATIONAL/MANAGERIAL CONTROL
—
2015-12-01
current
pecos_ownership
KOEHL, ALBERT
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
KOMAGOME, BREE
ADP OF THE SNF
—
2016-09-26
current
pecos_ownership
LAI, VIVIAN
ADP OF THE SNF
—
2019-01-01
current
pecos_ownership
MAGANA, RAOUL
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
OKAMOTO, LAUREN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-04-01
current
pecos_ownership
POPHAM, DAVID
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
QUEENS UNIVERSITY MEDICAL GROUP
ADP OF THE SNF
—
2026-01-05
current
pecos_ownership
QUEENS UNIVERSITY MEDICAL GROUP
OPERATIONAL/MANAGERIAL CONTROL
—
2022-10-24
current
pecos_ownership
REICHHARDT, LAURA
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
REINKER, KENT
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
SAYIN, LUCAS
MANAGING CONTROL - GOVERNING BODY
—
2020-01-01
current
pecos_ownership
SCHULBERG, SUZIE
CORPORATE OFFICER
—
2019-01-01
current
pecos_ownership
SINNADURAY, RUSHAN
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
current
pecos_ownership
ZORN, MARTIN
CORPORATE DIRECTOR
—
2017-01-01
current
pecos_ownership
ALBERT KOEHL
CORPORATE DIRECTOR
—
2024-01-01
ended 2026-05-18
pecos_ownership
ANDREW BUNN
CORPORATE DIRECTOR
—
2020-01-01
ended 2026-05-18
pecos_ownership
BREE KOMAGOME
OPERATIONAL/MANAGERIAL CONTROL
—
2016-09-26
ended 2026-05-18
pecos_ownership
CORLIS CHANG
CORPORATE DIRECTOR
—
2017-01-01
ended 2026-05-18
pecos_ownership
DAVID POPHAM
CORPORATE DIRECTOR
—
2020-01-01
ended 2026-05-18
pecos_ownership
KELEKA HO'OKANO
OPERATIONAL/MANAGERIAL CONTROL
—
2015-12-01
ended 2026-05-18
pecos_ownership
KENT REINKER
MANAGING CONTROL - GOVERNING BODY
—
2019-01-01
ended 2026-05-18
pecos_ownership
LAURA REICHHARDT
MANAGING CONTROL - GOVERNING BODY
—
2019-01-01
ended 2026-05-18
pecos_ownership
LAUREN OKAMOTO
ADP OF THE SNF
—
2021-04-01
ended 2026-05-18
pecos_ownership
LUCAS SAYIN
MANAGING CONTROL - GOVERNING BODY
—
2020-01-01
ended 2026-05-18
pecos_ownership
MARTIN ZORN
CORPORATE DIRECTOR
—
2017-01-01
ended 2026-05-18
pecos_ownership
RAOUL MAGANA
CORPORATE DIRECTOR
—
2025-01-01
ended 2026-05-18
pecos_ownership
RUSHAN SINNADURAY
CORPORATE DIRECTOR
—
2024-01-01
ended 2026-05-18
pecos_ownership
SUZIE SCHULBERG
CORPORATE OFFICER
—
2019-01-01
ended 2026-05-18
pecos_ownership
VIVIAN LAI
ADP OF THE SNF
—
2019-01-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$428,621
—
—
—
—
1
—
2023-12-31
$476,114
—
—
—
—
1
—
2022-12-31
$558,044
—
—
—
—
1
—
2021-12-31
$414,469
—
—
—
—
1
—
2020-12-31
$392,217
—
—
—
—
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.
MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC
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 15003
acs median gross
0
$1,458
2024-12-31
CENSUS_ACS5
county 15003
fmr
0
$1,877
2025-10-01
HUD_USER_FMR
county 15003
acs median gross
1
$1,605
2024-12-31
CENSUS_ACS5
county 15003
fmr
1
$2,016
2025-10-01
HUD_USER_FMR
county 15003
acs median gross
2
$2,086
2024-12-31
CENSUS_ACS5
county 15003
fmr
2
$2,642
2025-10-01
HUD_USER_FMR
county 15003
acs median gross
3
$2,948
2024-12-31
CENSUS_ACS5
county 15003
fmr
3
$3,674
2025-10-01
HUD_USER_FMR
county 15003
acs median gross
4
$3,443
2024-12-31
CENSUS_ACS5
county 15003
fmr
4
$4,432
2025-10-01
HUD_USER_FMR
county 15003
acs median gross
5
$3,057
2024-12-31
CENSUS_ACS5
county 15003
acs median gross
$2,083
2024-12-31
CENSUS_ACS5
county 15003
acs recent mover gross
$2,457
2024-12-31
CENSUS_ACS5
zcta 96817
acs median gross
0
$876
2024-12-31
CENSUS_ACS5
zcta 96817
acs median gross
1
$1,209
2024-12-31
CENSUS_ACS5
zcta 96817
acs median gross
2
$1,654
2024-12-31
CENSUS_ACS5
zcta 96817
acs median gross
3
$2,081
2024-12-31
CENSUS_ACS5
zcta 96817
acs median gross
4
$1,814
2024-12-31
CENSUS_ACS5
zcta 96817
acs median gross
5
$2,679
2024-12-31
CENSUS_ACS5
zcta 96817
acs median gross
$1,445
2024-12-31
CENSUS_ACS5
zcta 96817
acs recent mover gross
$2,180
2024-12-31
CENSUS_ACS5
zip 96817
payment standard 110
0
$1,694
2025-10-01
HUD_USER_SAFMR
zip 96817
payment standard 90
0
$1,386
2025-10-01
HUD_USER_SAFMR
zip 96817
safmr
0
$1,540
2025-10-01
HUD_USER_SAFMR
zip 96817
payment standard 110
1
$1,826
2025-10-01
HUD_USER_SAFMR
zip 96817
payment standard 90
1
$1,494
2025-10-01
HUD_USER_SAFMR
zip 96817
safmr
1
$1,660
2025-10-01
HUD_USER_SAFMR
zip 96817
payment standard 110
2
$2,387
2025-10-01
HUD_USER_SAFMR
zip 96817
payment standard 90
2
$1,953
2025-10-01
HUD_USER_SAFMR
zip 96817
safmr
2
$2,170
2025-10-01
HUD_USER_SAFMR
zip 96817
payment standard 110
3
$3,322
2025-10-01
HUD_USER_SAFMR
zip 96817
payment standard 90
3
$2,718
2025-10-01
HUD_USER_SAFMR
zip 96817
safmr
3
$3,020
2025-10-01
HUD_USER_SAFMR
zip 96817
payment standard 110
4
$4,004
2025-10-01
HUD_USER_SAFMR
zip 96817
payment standard 90
4
$3,276
2025-10-01
HUD_USER_SAFMR
zip 96817
safmr
4
$3,640
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.