Reads as: riskier than 2.4% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
5 chains
JOHNSON MICHAEL
7 facilities
connection
Owner fleet enforcement cluster
43% fined
JOHNSON MICHAEL
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
OH median
National median
National p25–p75
Total nurse
5.01
3.24
3.28
2.90–3.77
RN
0.41
0.38
0.39
0.25–0.58
Weekend total
4.72
3.11
3.11
—
Weekday total
5.12
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
67.7
5.01
0.41
1.59
3.01
4.72
0.0%
2025Q3
92
69.8
5.13
0.49
1.59
3.05
4.99
0.0%
2025Q2
91
70.5
4.75
0.55
1.39
2.81
4.71
0.0%
2025Q1
90
72.1
4.83
0.52
1.44
2.88
4.83
0.0%
2024Q4
92
73.1
5.00
0.62
1.39
2.99
4.83
0.0%
2024Q3
92
72.1
5.26
0.73
1.57
2.97
4.90
0.0%
2024Q2
91
72.3
4.98
0.21
1.66
3.11
4.70
0.0%
2024Q1
91
71.3
4.23
0.00
1.62
2.61
4.18
0.0%
2023Q4
92
70.1
5.80
0.62
1.76
3.42
5.63
0.0%
2023Q3
92
72.1
4.52
0.53
1.32
2.67
4.26
0.0%
2023Q2
91
68.9
6.37
0.73
1.77
3.87
6.17
2.2%
2023Q1
90
68.9
4.41
0.49
1.35
2.57
4.13
2.6%
2022Q4
92
71.3
3.99
0.52
1.15
2.33
3.55
0.0%
2022Q3
92
70.3
3.81
0.54
1.19
2.08
3.45
2.2%
2022Q2
91
71.1
3.34
0.50
1.00
1.84
2.92
0.0%
2022Q1
90
68.2
2.90
0.47
0.89
1.55
2.73
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-08-25
2025-07-31
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-08-25
2025-07-31
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2025-08-25
2025-07-31
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.
E
2025-08-25
2025-07-31
Health
F0637
Assess the resident when there is a significant change in condition
D
2025-08-25
2025-07-31
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-08-25
2025-07-31
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.
E
2025-08-25
2025-07-31
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-08-25
2025-07-31
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2025-08-25
2025-07-31
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2025-08-25
2025-07-31
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
2025-08-25
2025-07-31
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2025-08-25
2025-07-31
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-08-25
2025-07-31
Health
F0880
Provide and implement an infection prevention and control program.
F
2025-08-25
2025-07-31
Health
F0914
Provide bedrooms that don't allow residents to see each other when privacy is needed.
D
2025-08-25
2025-07-31
Health · complaint
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
D
2025-08-25
2025-07-31
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.
F
2025-08-25
2024-02-08
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-02-29
2024-02-08
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-02-29
2024-02-08
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-02-29
2023-08-01
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2023-08-02
2023-08-01
Health · complaint
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2023-08-02
2022-06-27
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2022-07-30
2022-06-27
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2022-07-30
2022-06-27
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.
E
2022-07-30
2022-06-27
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-07-30
2022-06-27
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2022-07-30
2022-06-27
Health
F0760
Ensure that residents are free from significant medication errors.
D
2022-07-30
2019-11-14
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2020-01-03
2019-11-14
Health
F0638
Assure that each resident’s assessment is updated at least once every 3 months.
D
2020-01-03
2019-11-14
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
2020-01-03
2019-11-14
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
2020-01-03
2019-11-14
Health
F0791
Provide or obtain dental services for each resident.
D
2020-01-03
2019-11-14
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2020-01-03
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
12
Owner
Role
Pct
From
Status
Source
EMBASSY HEALTHCARE MANAGEMENT INC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
current
pecos_ownership
EMBASSY HEALTHCARE MANAGEMENT INC
ADP OF THE SNF
—
2025-07-14
current
pecos_ownership
HANDLER, AARON
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
current
pecos_ownership
HERITAGE EMPLOYMENT SERVICES, LLC
ADP OF THE SNF
—
2025-07-14
current
pecos_ownership
HERITAGE EMPLOYMENT SERVICES, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
current
pecos_ownership
JOHNSON, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
KURANGA, ABRAHAM
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
REPCHICK, GEORGE
MANAGING CONTROL - GOVERNING BODY
—
2020-01-01
current
pecos_ownership
AARON HANDLER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2020-01-01
ended 2026-05-18
pecos_ownership
EMBASSY HEALTHCARE HOLDINGS INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2020-01-01
ended 2026-05-18
pecos_ownership
AARON HANDLER
CORPORATE DIRECTOR
50%
1998-06-22
ended 2026-05-18
pecos_ownership
GEORGE REPCHICK
CORPORATE OFFICER
50%
2020-01-01
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
$577,937
—
$577,937
—
—
2
—
2023-12-31
$645,807
—
$645,807
—
—
2
—
2022-12-31
$434,433
—
$434,433
—
—
2
—
2021-12-31
$347,820
—
$347,820
—
—
2
—
2020-12-31
$297,874
—
—
—
$60,987
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 39017
acs median gross
0
$903
2024-12-31
CENSUS_ACS5
county 39017
fmr
0
$958
2025-10-01
HUD_USER_FMR
county 39017
acs median gross
1
$967
2024-12-31
CENSUS_ACS5
county 39017
fmr
1
$1,051
2025-10-01
HUD_USER_FMR
county 39017
acs median gross
2
$1,117
2024-12-31
CENSUS_ACS5
county 39017
fmr
2
$1,353
2025-10-01
HUD_USER_FMR
county 39017
acs median gross
3
$1,290
2024-12-31
CENSUS_ACS5
county 39017
fmr
3
$1,785
2025-10-01
HUD_USER_FMR
county 39017
acs median gross
4
$1,572
2024-12-31
CENSUS_ACS5
county 39017
fmr
4
$1,976
2025-10-01
HUD_USER_FMR
county 39017
acs median gross
5
$1,708
2024-12-31
CENSUS_ACS5
county 39017
acs median gross
$1,135
2024-12-31
CENSUS_ACS5
county 39017
acs recent mover gross
$1,296
2024-12-31
CENSUS_ACS5
zcta 45014
acs median gross
0
$1,209
2024-12-31
CENSUS_ACS5
zcta 45014
acs median gross
1
$1,127
2024-12-31
CENSUS_ACS5
zcta 45014
acs median gross
2
$1,224
2024-12-31
CENSUS_ACS5
zcta 45014
acs median gross
3
$1,532
2024-12-31
CENSUS_ACS5
zcta 45014
acs median gross
4
$1,923
2024-12-31
CENSUS_ACS5
zcta 45014
acs median gross
5
$1,494
2024-12-31
CENSUS_ACS5
zcta 45014
acs median gross
$1,235
2024-12-31
CENSUS_ACS5
zcta 45014
acs recent mover gross
$1,400
2024-12-31
CENSUS_ACS5
zip 45014
payment standard 110
0
$1,144
2025-10-01
HUD_USER_SAFMR
zip 45014
payment standard 90
0
$936
2025-10-01
HUD_USER_SAFMR
zip 45014
safmr
0
$1,040
2025-10-01
HUD_USER_SAFMR
zip 45014
payment standard 110
1
$1,254
2025-10-01
HUD_USER_SAFMR
zip 45014
payment standard 90
1
$1,026
2025-10-01
HUD_USER_SAFMR
zip 45014
safmr
1
$1,140
2025-10-01
HUD_USER_SAFMR
zip 45014
payment standard 110
2
$1,617
2025-10-01
HUD_USER_SAFMR
zip 45014
payment standard 90
2
$1,323
2025-10-01
HUD_USER_SAFMR
zip 45014
safmr
2
$1,470
2025-10-01
HUD_USER_SAFMR
zip 45014
payment standard 110
3
$2,134
2025-10-01
HUD_USER_SAFMR
zip 45014
payment standard 90
3
$1,746
2025-10-01
HUD_USER_SAFMR
zip 45014
safmr
3
$1,940
2025-10-01
HUD_USER_SAFMR
zip 45014
payment standard 110
4
$2,365
2025-10-01
HUD_USER_SAFMR
zip 45014
payment standard 90
4
$1,935
2025-10-01
HUD_USER_SAFMR
zip 45014
safmr
4
$2,150
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.