Reads as: riskier than 15.6% 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 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
PA median
National median
National p25–p75
Total nurse
4.99
3.38
3.28
2.90–3.77
RN
1.75
0.45
0.39
0.25–0.58
Weekend total
5.55
3.27
3.11
—
Weekday total
4.77
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
18.4
4.99
1.75
1.08
2.16
5.55
0.0%
2025Q3
92
19.7
4.46
1.68
1.11
1.67
4.98
0.0%
2025Q2
91
19.8
4.39
1.56
1.25
1.59
4.89
0.0%
2025Q1
90
20.5
4.40
1.78
1.16
1.47
4.52
0.0%
2024Q4
92
24.2
3.58
1.64
0.96
0.98
3.95
0.0%
2024Q3
92
24.8
3.35
1.52
0.95
0.87
3.58
0.0%
2024Q2
91
24.2
3.47
1.59
0.94
0.94
3.56
0.0%
2024Q1
91
31.1
2.64
1.23
0.69
0.73
2.71
0.0%
2023Q4
92
22.2
3.92
1.68
0.92
1.33
4.08
0.0%
2023Q3
92
20.8
4.01
1.67
1.14
1.20
4.21
0.0%
2023Q2
91
18.6
4.37
1.67
0.95
1.74
4.53
0.0%
2023Q1
90
17.6
4.29
1.32
0.82
2.14
4.76
0.0%
2022Q4
92
18.0
4.06
1.26
0.79
2.00
4.06
0.0%
2022Q3
92
16.3
4.25
1.26
1.14
1.85
4.34
0.0%
2022Q2
91
19.5
3.27
1.07
0.98
1.23
3.56
0.0%
2022Q1
90
15.6
4.08
1.16
1.28
1.64
4.54
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
10
C × 1D × 7E × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-11-25
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2026-01-12
2025-11-25
Health
F0693
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.
D
2026-01-12
2025-11-25
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2026-01-12
2025-11-25
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
C
2026-01-12
2025-11-25
Health
F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
E
2026-01-12
2024-12-20
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2025-01-28
2024-12-20
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2025-01-28
2024-12-20
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-01-28
2024-12-20
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
2025-01-28
2024-12-20
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-01-28
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
58
Owner
Role
Pct
From
Status
Source
ALMON-MARTIN, ROSE
CORPORATE OFFICER
—
2008-07-01
current
pecos_ownership
ALOE, MARK
CORPORATE DIRECTOR
—
2008-07-01
current
pecos_ownership
AMBROSE, DONETTA
CORPORATE DIRECTOR
—
2008-07-01
current
pecos_ownership
ATKINS, MICHELE
CORPORATE DIRECTOR
—
2008-07-01
current
pecos_ownership
BAJEUX BESNAINOU, ISABELLE
CORPORATE DIRECTOR
—
2022-10-10
current
pecos_ownership
BARBARITA, DEBRA
CORPORATE DIRECTOR
—
2011-04-05
current
pecos_ownership
BEIGI, RICHARD
CORPORATE OFFICER
—
2012-07-01
current
pecos_ownership
CONTI, TRACEY
CORPORATE DIRECTOR
—
2022-03-09
current
pecos_ownership
COUPS, ALEXIS
ADP OF THE SNF
—
2025-01-03
current
pecos_ownership
COUPS, ALEXIS
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-18
current
pecos_ownership
DAVIS, LESLIE
CORPORATE OFFICER
—
2005-07-01
current
pecos_ownership
DONNELLAN, NICOLE
CORPORATE DIRECTOR
—
2022-07-01
current
pecos_ownership
EDWARDS, ROBERT
CORPORATE OFFICER
—
2015-01-01
current
pecos_ownership
EISENBRANDT, PETER
CORPORATE OFFICER
—
2008-07-01
current
pecos_ownership
ENGLISH, DENNIS
CORPORATE DIRECTOR
—
2015-07-20
current
pecos_ownership
GOSMAN, GABRIELLA
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
GRAY, KELLY
CORPORATE DIRECTOR
—
2022-07-01
current
pecos_ownership
JOHNSON, RONALD
CORPORATE OFFICER
—
2005-01-01
current
pecos_ownership
JOY, MARGARET
CORPORATE DIRECTOR
—
2008-07-01
current
pecos_ownership
LESNOCK, JAMIE
CORPORATE DIRECTOR
—
2024-07-01
current
pecos_ownership
MAYLE-TOWNS, KATHY
CORPORATE DIRECTOR
—
2008-07-01
current
pecos_ownership
MEEHAN, SARAH
CORPORATE DIRECTOR
—
2015-02-18
current
pecos_ownership
PETRIE, JONATHAN
INDIRECT OWNERSHIP INTEREST
—
2023-07-13
current
pecos_ownership
PETRIE, JONATHAN
CORPORATE OFFICER
—
2023-07-10
current
pecos_ownership
PIETRAGALLO, WILLIAM
CORPORATE DIRECTOR
—
2008-07-01
current
pecos_ownership
SHEKHAR, ANANTHA
CORPORATE DIRECTOR
—
2020-07-13
current
pecos_ownership
SWEENEY, MICHAEL
CORPORATE DIRECTOR
—
2015-02-18
current
pecos_ownership
UPMC
OPERATIONAL/MANAGERIAL CONTROL
—
1999-04-01
current
pecos_ownership
UPMC MAGEE-WOMENS HOSPITAL
DIRECT OWNERSHIP INTEREST
—
2005-07-01
current
pecos_ownership
ZISKO, JOHN
ADP OF THE SNF
—
2025-01-03
current
pecos_ownership
ANANTHA SHEKHAR
CORPORATE DIRECTOR
0%
2020-07-13
ended 2026-05-18
pecos_ownership
DEBRA BARBARITA
CORPORATE DIRECTOR
0%
2011-04-05
ended 2026-05-18
pecos_ownership
DENNIS ENGLISH
CORPORATE DIRECTOR
0%
2015-07-20
ended 2026-05-18
pecos_ownership
DONETTA AMBROSE
CORPORATE DIRECTOR
0%
2008-07-01
ended 2026-05-18
pecos_ownership
GABRIELLA GOSMAN
CORPORATE DIRECTOR
0%
2019-01-01
ended 2026-05-18
pecos_ownership
ISABELLE BAJEUX BESNAINOU
CORPORATE DIRECTOR
0%
2022-10-10
ended 2026-05-18
pecos_ownership
JAMIE LESNOCK
CORPORATE DIRECTOR
0%
2024-07-01
ended 2026-05-18
pecos_ownership
JONATHAN PETRIE
INDIRECT OWNERSHIP INTEREST
0%
2023-07-13
ended 2026-05-18
pecos_ownership
JONATHAN PETRIE
CORPORATE OFFICER
0%
2023-07-10
ended 2026-05-18
pecos_ownership
KATHY MAYLE-TOWNS
CORPORATE DIRECTOR
0%
2008-07-01
ended 2026-05-18
pecos_ownership
KELLY GRAY
CORPORATE DIRECTOR
0%
2022-07-01
ended 2026-05-18
pecos_ownership
LESLIE DAVIS
CORPORATE OFFICER
0%
2005-07-01
ended 2026-05-18
pecos_ownership
MARGARET JOY
CORPORATE DIRECTOR
0%
2008-07-01
ended 2026-05-18
pecos_ownership
MARK ALOE
CORPORATE DIRECTOR
0%
2008-07-01
ended 2026-05-18
pecos_ownership
MICHAEL SWEENEY
CORPORATE DIRECTOR
0%
2015-02-18
ended 2026-05-18
pecos_ownership
MICHELE ATKINS
CORPORATE DIRECTOR
0%
2008-07-01
ended 2026-05-18
pecos_ownership
NICOLE DONNELLAN
CORPORATE DIRECTOR
0%
2022-07-01
ended 2026-05-18
pecos_ownership
PETER EISENBRANDT
CORPORATE OFFICER
0%
2008-07-01
ended 2026-05-18
pecos_ownership
ROSE ALMON-MARTIN
CORPORATE OFFICER
0%
2008-07-01
ended 2026-05-18
pecos_ownership
SARAH MEEHAN
CORPORATE DIRECTOR
0%
2015-02-18
ended 2026-05-18
pecos_ownership
TRACEY CONTI
CORPORATE DIRECTOR
0%
2022-03-09
ended 2026-05-18
pecos_ownership
WILLIAM PIETRAGALLO
CORPORATE DIRECTOR
0%
2008-07-01
ended 2026-05-18
pecos_ownership
ALEXIS COUPS
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-18
ended 2026-05-18
pecos_ownership
ALEXIS COUPS
ADP OF THE SNF
—
2025-01-03
ended 2026-05-18
pecos_ownership
JOHN ZISKO
ADP OF THE SNF
—
2025-01-03
ended 2026-05-18
pecos_ownership
RICHARD BEIGI
CORPORATE OFFICER
—
2012-07-01
ended 2026-05-18
pecos_ownership
ROBERT EDWARDS
CORPORATE OFFICER
—
2015-01-01
ended 2026-05-18
pecos_ownership
RONALD JOHNSON
CORPORATE OFFICER
—
2005-01-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 42003
acs median gross
0
$1,022
2024-12-31
CENSUS_ACS5
county 42003
fmr
0
$1,001
2025-10-01
HUD_USER_FMR
county 42003
acs median gross
1
$965
2024-12-31
CENSUS_ACS5
county 42003
fmr
1
$1,077
2025-10-01
HUD_USER_FMR
county 42003
acs median gross
2
$1,201
2024-12-31
CENSUS_ACS5
county 42003
fmr
2
$1,299
2025-10-01
HUD_USER_FMR
county 42003
acs median gross
3
$1,426
2024-12-31
CENSUS_ACS5
county 42003
fmr
3
$1,661
2025-10-01
HUD_USER_FMR
county 42003
acs median gross
4
$1,624
2024-12-31
CENSUS_ACS5
county 42003
fmr
4
$1,789
2025-10-01
HUD_USER_FMR
county 42003
acs median gross
5
$1,697
2024-12-31
CENSUS_ACS5
county 42003
acs median gross
$1,153
2024-12-31
CENSUS_ACS5
county 42003
acs recent mover gross
$1,351
2024-12-31
CENSUS_ACS5
zcta 15213
acs median gross
0
$1,072
2024-12-31
CENSUS_ACS5
zcta 15213
acs median gross
1
$1,147
2024-12-31
CENSUS_ACS5
zcta 15213
acs median gross
2
$1,559
2024-12-31
CENSUS_ACS5
zcta 15213
acs median gross
3
$1,949
2024-12-31
CENSUS_ACS5
zcta 15213
acs median gross
4
$1,525
2024-12-31
CENSUS_ACS5
zcta 15213
acs median gross
5
$1,984
2024-12-31
CENSUS_ACS5
zcta 15213
acs median gross
$1,263
2024-12-31
CENSUS_ACS5
zcta 15213
acs recent mover gross
$1,660
2024-12-31
CENSUS_ACS5
zip 15213
payment standard 110
0
$1,419
2025-10-01
HUD_USER_SAFMR
zip 15213
payment standard 90
0
$1,161
2025-10-01
HUD_USER_SAFMR
zip 15213
safmr
0
$1,290
2025-10-01
HUD_USER_SAFMR
zip 15213
payment standard 110
1
$1,529
2025-10-01
HUD_USER_SAFMR
zip 15213
payment standard 90
1
$1,251
2025-10-01
HUD_USER_SAFMR
zip 15213
safmr
1
$1,390
2025-10-01
HUD_USER_SAFMR
zip 15213
payment standard 110
2
$1,848
2025-10-01
HUD_USER_SAFMR
zip 15213
payment standard 90
2
$1,512
2025-10-01
HUD_USER_SAFMR
zip 15213
safmr
2
$1,680
2025-10-01
HUD_USER_SAFMR
zip 15213
payment standard 110
3
$2,365
2025-10-01
HUD_USER_SAFMR
zip 15213
payment standard 90
3
$1,935
2025-10-01
HUD_USER_SAFMR
zip 15213
safmr
3
$2,150
2025-10-01
HUD_USER_SAFMR
zip 15213
payment standard 110
4
$2,541
2025-10-01
HUD_USER_SAFMR
zip 15213
payment standard 90
4
$2,079
2025-10-01
HUD_USER_SAFMR
zip 15213
safmr
4
$2,310
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.