2300 HAMILTON AVE, HAMILTON, NJ 08619 · CCN 315423
Composite
89.5 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
218
Model
v1.2
Reads as: riskier than 89.5% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+23.6 vs natl
FEIGENBAUM MELVIN
7 facilities
connection
Owner fleet risk far above national
+20.8 vs natl
FEIGENBAUM DEBORAH
10 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
NJ median
National median
National p25–p75
Total nurse
2.84
3.31
3.28
2.90–3.77
RN
0.08
0.35
0.39
0.25–0.58
Weekend total
2.73
3.21
3.11
—
Weekday total
2.88
3.37
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
208.1
2.84
0.08
0.85
1.91
2.73
5.3%
2025Q3
92
202.2
2.72
0.07
0.86
1.79
2.56
4.1%
2025Q2
91
201.1
2.62
0.08
0.85
1.69
2.41
1.8%
2025Q1
90
195.9
2.50
0.09
0.85
1.56
2.30
1.1%
2024Q4
92
198.5
2.68
0.09
0.84
1.74
2.48
1.6%
2024Q3
92
193.4
2.86
0.10
0.81
1.95
2.77
3.3%
2024Q2
91
197.7
3.04
0.07
0.88
2.09
2.87
8.0%
2024Q1
91
200.3
2.62
0.12
0.81
1.70
2.45
7.2%
2023Q4
92
194.8
2.78
0.14
0.78
1.87
2.59
5.3%
2023Q3
92
198.5
2.62
0.14
0.77
1.70
2.44
7.8%
2023Q2
91
192.6
2.66
0.16
0.79
1.71
2.47
6.5%
2023Q1
90
190.2
2.71
0.21
0.70
1.81
2.47
6.3%
2022Q4
92
171.4
2.91
0.21
0.83
1.86
2.61
5.8%
2022Q3
92
166.6
2.77
0.23
0.87
1.67
2.44
8.2%
2022Q2
91
164.1
2.85
0.24
0.86
1.74
2.53
8.9%
2022Q1
90
165.2
2.71
0.26
0.74
1.72
2.44
6.8%
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
2026-05-01
2026-03-16
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2026-05-01
2026-03-16
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2026-05-01
2026-03-16
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2026-05-01
2026-03-16
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
2026-05-01
2026-03-16
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2026-05-01
2026-03-16
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-05-01
2026-03-16
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2026-05-01
2026-03-16
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-05-01
2026-03-16
Health
F0730
Observe each nurse aide's job performance and give regular training.
D
2026-05-01
2026-03-16
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-05-01
2026-03-16
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2026-05-01
2026-02-27
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-04-13
2025-11-19
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2025-12-22
2024-10-28
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2024-11-26
2024-10-28
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E
2024-11-26
2024-10-28
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-11-26
2024-10-28
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2024-11-26
2024-10-28
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-11-26
2024-10-28
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.
E
2024-11-26
2024-10-28
Health
F0712
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
D
2024-11-26
2024-10-28
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
2024-11-26
2024-10-09
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.
D
2024-10-29
2024-10-09
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-10-29
2023-12-21
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-01-31
2023-07-11
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2023-08-25
2023-07-11
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-08-25
2023-07-11
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-08-25
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
19
Owner
Role
Pct
From
Status
Source
HAMILTON AVE REALTY
Individual has financial interest in both related organization and provider
100%
2023-01-01
current
hcris_a_8_1
HAMINTON AVE REALTY
Individual has financial interest in both related organization and provider
100%
2024-01-01
current
hcris_a_8_1
DREW, ZALMAN
ADP OF THE SNF
—
2010-12-10
current
pecos_ownership
DYNAMIC HEALTHCARE MANAGEMENT LLC
ADP OF THE SNF
—
2025-06-10
current
pecos_ownership
DYNAMIC HEALTHCARE MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2010-11-30
current
pecos_ownership
FEIGENBAUM, AVRAHAM
ADP OF THE SNF
—
2010-12-10
current
pecos_ownership
FEIGENBAUM, DEBORAH
ADP OF THE SNF
—
2010-12-10
current
pecos_ownership
FEIGENBAUM, MELVIN
ADP OF THE SNF
—
2010-12-10
current
pecos_ownership
GOLDBERG, YEHUDA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-08
current
pecos_ownership
M&T BANK
5% OR GREATER MORTGAGE INTEREST
—
2016-02-01
current
pecos_ownership
MAIEROVITS, AVROHOM
OPERATIONAL/MANAGERIAL CONTROL
—
2010-12-10
current
pecos_ownership
HAMILTON AVE REALTY
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
HAMILTON REALTY
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
AVRAHAM FEIGENBAUM
5% OR GREATER DIRECT OWNERSHIP INTEREST
34%
2010-12-10
ended 2026-05-18
pecos_ownership
DEBORAH FEIGENBAUM
DIRECT OWNERSHIP INTEREST
34%
2010-12-10
ended 2026-05-18
pecos_ownership
ZALMAN DREW
DIRECT OWNERSHIP INTEREST
20%
2010-12-10
ended 2026-05-18
pecos_ownership
AVROHOM MAIEROVITS
5% OR GREATER DIRECT OWNERSHIP INTEREST
8%
2010-12-10
ended 2026-05-18
pecos_ownership
MELVIN FEIGENBAUM
ADP OF THE SNF
—
2010-12-10
ended 2026-05-18
pecos_ownership
YEHUDA GOLDBERG
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-08
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
$5,008,528
$1,846,008
—
$8,842
$4,209
6
propco
2023-12-31
$5,014,600
—
—
$8,015
$104,523
7
propco
2022-12-31
$4,468,053
—
—
$7,385
—
6
propco
2021-12-31
$5,342,399
$2,875,956
—
$6,326
—
6
propco
2020-12-31
$4,273,748
—
—
$5,568
—
5
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 34021
acs median gross
0
$1,168
2024-12-31
CENSUS_ACS5
county 34021
fmr
0
$1,344
2025-10-01
HUD_USER_FMR
county 34021
acs median gross
1
$1,309
2024-12-31
CENSUS_ACS5
county 34021
fmr
1
$1,545
2025-10-01
HUD_USER_FMR
county 34021
acs median gross
2
$1,734
2024-12-31
CENSUS_ACS5
county 34021
fmr
2
$1,950
2025-10-01
HUD_USER_FMR
county 34021
acs median gross
3
$1,966
2024-12-31
CENSUS_ACS5
county 34021
fmr
3
$2,338
2025-10-01
HUD_USER_FMR
county 34021
acs median gross
4
$2,113
2024-12-31
CENSUS_ACS5
county 34021
fmr
4
$2,670
2025-10-01
HUD_USER_FMR
county 34021
acs median gross
5
$2,395
2024-12-31
CENSUS_ACS5
county 34021
acs median gross
$1,623
2024-12-31
CENSUS_ACS5
county 34021
acs recent mover gross
$1,948
2024-12-31
CENSUS_ACS5
zcta 08619
acs median gross
0
$1,147
2024-12-31
CENSUS_ACS5
zcta 08619
acs median gross
1
$1,429
2024-12-31
CENSUS_ACS5
zcta 08619
acs median gross
2
$1,826
2024-12-31
CENSUS_ACS5
zcta 08619
acs median gross
3
$2,981
2024-12-31
CENSUS_ACS5
zcta 08619
acs median gross
4
$3,278
2024-12-31
CENSUS_ACS5
zcta 08619
acs median gross
$1,695
2024-12-31
CENSUS_ACS5
zip 08619
payment standard 110
0
$1,573
2025-10-01
HUD_USER_SAFMR
zip 08619
payment standard 90
0
$1,287
2025-10-01
HUD_USER_SAFMR
zip 08619
safmr
0
$1,430
2025-10-01
HUD_USER_SAFMR
zip 08619
payment standard 110
1
$1,815
2025-10-01
HUD_USER_SAFMR
zip 08619
payment standard 90
1
$1,485
2025-10-01
HUD_USER_SAFMR
zip 08619
safmr
1
$1,650
2025-10-01
HUD_USER_SAFMR
zip 08619
payment standard 110
2
$2,288
2025-10-01
HUD_USER_SAFMR
zip 08619
payment standard 90
2
$1,872
2025-10-01
HUD_USER_SAFMR
zip 08619
safmr
2
$2,080
2025-10-01
HUD_USER_SAFMR
zip 08619
payment standard 110
3
$2,739
2025-10-01
HUD_USER_SAFMR
zip 08619
payment standard 90
3
$2,241
2025-10-01
HUD_USER_SAFMR
zip 08619
safmr
3
$2,490
2025-10-01
HUD_USER_SAFMR
zip 08619
payment standard 110
4
$3,135
2025-10-01
HUD_USER_SAFMR
zip 08619
payment standard 90
4
$2,565
2025-10-01
HUD_USER_SAFMR
zip 08619
safmr
4
$2,850
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.