Reads as: riskier than 23.1% 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
NJ median
National median
National p25–p75
Total nurse
3.21
3.31
3.28
2.90–3.77
RN
0.29
0.35
0.39
0.25–0.58
Weekend total
3.14
3.21
3.11
—
Weekday total
3.23
3.37
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
139.1
3.21
0.29
0.85
2.06
3.14
21.9%
2025Q3
92
134.2
2.91
0.38
0.79
1.74
2.66
11.9%
2025Q2
91
137.0
2.63
0.23
0.86
1.54
2.47
0.0%
2025Q1
90
139.0
2.74
0.18
0.92
1.65
2.59
4.8%
2024Q4
92
140.6
2.85
0.19
0.87
1.78
2.65
12.4%
2024Q3
92
138.5
2.78
0.26
0.85
1.67
2.57
15.7%
2024Q2
91
136.4
2.83
0.41
0.78
1.65
2.72
15.5%
2024Q1
91
142.3
3.22
0.46
0.87
1.89
3.15
28.8%
2023Q4
92
134.1
2.81
0.46
0.67
1.68
2.67
13.0%
2023Q3
92
135.7
2.79
0.32
0.72
1.75
2.65
9.0%
2023Q2
91
139.4
2.80
0.35
0.67
1.78
2.65
22.4%
2023Q1
90
133.0
2.88
0.34
0.87
1.67
2.71
11.3%
2022Q4
92
136.3
2.77
0.34
0.92
1.51
2.60
6.7%
2022Q3
92
125.3
2.82
0.42
0.79
1.61
2.58
9.2%
2022Q2
91
127.5
2.64
0.29
0.75
1.60
2.41
2.9%
2022Q1
90
118.4
3.03
0.28
0.90
1.85
2.85
8.6%
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
18
C × 1D × 12E × 3F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-01-05
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2026-02-06
2026-01-05
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
2026-02-06
2026-01-05
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-02-06
2026-01-05
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2026-02-06
2026-01-05
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.
E
2026-02-06
2024-08-13
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-08-29
2024-08-13
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-08-29
2024-08-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-08-29
2024-08-13
Health
F0836
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
C
2024-08-29
2024-04-09
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2024-04-22
2022-03-10
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2022-04-21
2022-03-10
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
2022-04-21
2022-03-10
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2022-04-21
2022-03-10
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-04-21
2022-03-10
Health
F0711
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
F
2022-04-21
2022-03-10
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
2022-04-21
2022-03-10
Health
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2022-04-21
2022-03-10
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-04-21
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
22
Owner
Role
Pct
From
Status
Source
BARN HILL HOLDCO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2021-08-18
current
pecos_ownership
BARN HILL PROPERTY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
BARN HILL PROPERTY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2023-01-01
current
hcris_a_8_1
SMS 2021 TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
95%
2021-08-18
current
pecos_ownership
BARN HILL PROPERTY LLC
ADP OF THE SNF
—
2021-08-18
current
pecos_ownership
DICKSON, JOSEPH
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-07
current
pecos_ownership
DICKSON, JOSEPH
ADP OF THE SNF
—
2023-05-07
current
pecos_ownership
FERRER, VICTOR
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-12
current
pecos_ownership
NADARAJAH, DAYAPARAN
ADP OF THE SNF
—
2021-07-21
current
pecos_ownership
PEACE CAPITAL HOLDINGS LLC (DE)
ADP OF THE SNF
—
2021-08-18
current
pecos_ownership
SCHWARTZ, HERSHEL
ADP OF THE SNF
—
2021-08-18
current
pecos_ownership
STEIN, SHALOM
TRUSTEE OF THE SNF
—
2021-08-18
current
pecos_ownership
THOMPSON, KELLY
ADP OF THE SNF
—
2021-07-21
current
pecos_ownership
BARN HILL PROPERTY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2021-08-18
ended 2021-12-31
hcris_a_8_1
BARN HILL PROPERTY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
SHALOM STEIN
INDIRECT OWNERSHIP INTEREST
5%
2021-08-18
ended 2026-05-18
pecos_ownership
DAYAPARAN NADARAJAH
OPERATIONAL/MANAGERIAL CONTROL
—
2021-07-21
ended 2026-05-18
pecos_ownership
HERSHEL SCHWARTZ
OPERATIONAL/MANAGERIAL CONTROL
—
2021-08-18
ended 2026-05-18
pecos_ownership
JOSEPH DICKSON
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-07
ended 2026-05-18
pecos_ownership
JOSEPH DICKSON
ADP OF THE SNF
—
2023-05-07
ended 2026-05-18
pecos_ownership
KELLY THOMPSON
ADP OF THE SNF
—
2021-07-21
ended 2026-05-18
pecos_ownership
VICTOR FERRER
ADP OF THE SNF
—
2025-03-12
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$3,560,724
—
—
—
—
2
propco
2023-12-31
$3,357,797
—
—
—
—
2
propco
2022-12-31
$1,601,051
$1,596,805
—
—
—
1
propco
2021-12-31
$167,569
$166,346
—
—
—
1
propco
2021-08-17
$510,092
—
$510,092
—
—
1
—
2020-12-31
$5,701
—
—
—
$5,701
2
—
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
33
Geo
Kind
BR
Amount
As of
Source
county 34037
acs median gross
0
$1,330
2024-12-31
CENSUS_ACS5
county 34037
fmr
0
$1,612
2025-10-01
HUD_USER_FMR
county 34037
acs median gross
1
$1,339
2024-12-31
CENSUS_ACS5
county 34037
fmr
1
$1,822
2025-10-01
HUD_USER_FMR
county 34037
acs median gross
2
$1,698
2024-12-31
CENSUS_ACS5
county 34037
fmr
2
$2,205
2025-10-01
HUD_USER_FMR
county 34037
acs median gross
3
$2,070
2024-12-31
CENSUS_ACS5
county 34037
fmr
3
$2,761
2025-10-01
HUD_USER_FMR
county 34037
acs median gross
4
$1,972
2024-12-31
CENSUS_ACS5
county 34037
fmr
4
$3,137
2025-10-01
HUD_USER_FMR
county 34037
acs median gross
$1,585
2024-12-31
CENSUS_ACS5
county 34037
acs recent mover gross
$1,930
2024-12-31
CENSUS_ACS5
zcta 07860
acs median gross
1
$1,280
2024-12-31
CENSUS_ACS5
zcta 07860
acs median gross
2
$1,616
2024-12-31
CENSUS_ACS5
zcta 07860
acs median gross
3
$1,724
2024-12-31
CENSUS_ACS5
zcta 07860
acs median gross
4
$1,500
2024-12-31
CENSUS_ACS5
zcta 07860
acs median gross
$1,514
2024-12-31
CENSUS_ACS5
zcta 07860
acs recent mover gross
$1,764
2024-12-31
CENSUS_ACS5
zip 07860
payment standard 110
0
$1,584
2025-10-01
HUD_USER_SAFMR
zip 07860
payment standard 90
0
$1,296
2025-10-01
HUD_USER_SAFMR
zip 07860
safmr
0
$1,440
2025-10-01
HUD_USER_SAFMR
zip 07860
payment standard 110
1
$1,793
2025-10-01
HUD_USER_SAFMR
zip 07860
payment standard 90
1
$1,467
2025-10-01
HUD_USER_SAFMR
zip 07860
safmr
1
$1,630
2025-10-01
HUD_USER_SAFMR
zip 07860
payment standard 110
2
$2,167
2025-10-01
HUD_USER_SAFMR
zip 07860
payment standard 90
2
$1,773
2025-10-01
HUD_USER_SAFMR
zip 07860
safmr
2
$1,970
2025-10-01
HUD_USER_SAFMR
zip 07860
payment standard 110
3
$2,717
2025-10-01
HUD_USER_SAFMR
zip 07860
payment standard 90
3
$2,223
2025-10-01
HUD_USER_SAFMR
zip 07860
safmr
3
$2,470
2025-10-01
HUD_USER_SAFMR
zip 07860
payment standard 110
4
$3,091
2025-10-01
HUD_USER_SAFMR
zip 07860
payment standard 90
4
$2,529
2025-10-01
HUD_USER_SAFMR
zip 07860
safmr
4
$2,810
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.