Reads as: riskier than 90.4% 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
4
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+23.9 vs natl
DES 2009 GST TRUST
19 facilities
connection
Owner fleet risk far above national
+22.7 vs natl
CARE REALTY LLC
20 facilities
connection
Owner fleet risk far above national
+22.5 vs natl
BARUCH DAVID
37 facilities
connection
Owner fleet risk far above national
+21.8 vs natl
STRAUS DANIEL
37 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
3.52
3.31
3.28
2.90–3.77
RN
0.27
0.35
0.39
0.25–0.58
Weekend total
3.44
3.21
3.11
—
Weekday total
3.55
3.37
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
117.3
3.52
0.27
1.06
2.18
3.44
0.0%
2025Q3
92
121.8
3.46
0.23
1.03
2.19
3.37
0.0%
2025Q2
91
120.0
3.33
0.29
0.98
2.05
3.01
0.0%
2025Q1
90
117.6
3.07
0.28
0.96
1.83
2.91
6.6%
2024Q4
92
107.3
3.03
0.22
1.00
1.81
2.94
0.0%
2024Q3
92
102.4
3.12
0.26
0.99
1.87
2.88
0.0%
2024Q2
91
104.7
3.29
0.35
1.03
1.91
2.97
0.0%
2024Q1
91
110.0
3.43
0.38
1.11
1.94
3.19
1.9%
2023Q4
92
116.6
3.34
0.33
1.12
1.89
3.13
2.4%
2023Q3
92
117.3
3.40
0.32
1.20
1.87
3.22
2.5%
2023Q2
91
115.6
3.21
0.43
1.11
1.67
2.86
0.0%
2023Q1
90
122.3
2.94
0.42
0.98
1.55
2.76
2.2%
2022Q4
92
128.6
2.79
0.49
0.89
1.41
2.63
2.8%
2022Q3
92
119.2
2.85
0.54
0.82
1.49
2.54
8.0%
2022Q2
91
118.9
3.48
0.54
0.96
1.98
3.19
34.8%
2022Q1
90
111.7
3.65
0.48
1.09
2.08
3.43
31.4%
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
2024-12-19
2024-12-13
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
2024-12-20
2024-12-13
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-12-20
2024-12-13
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2024-12-26
2024-12-13
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2025-02-24
2024-12-13
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-12-30
2024-12-13
Health · complaint
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
2024-12-20
2024-12-13
Health
F0732
Post nurse staffing information every day.
D
2024-12-16
2024-12-13
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
2024-12-18
2024-12-13
Health · complaint
F0838
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F
2024-12-15
2024-12-13
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2024-12-16
2024-11-25
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-12-30
2023-09-08
Health · complaint
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
E
2023-09-19
2023-09-08
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
D
2023-09-25
2023-09-08
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-09-27
2023-09-08
Health · complaint
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
E
2023-09-22
2023-09-08
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2023-09-22
2023-09-08
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2023-09-20
2023-09-08
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
2023-09-20
2023-09-08
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-09-27
2023-09-08
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F
2023-09-18
2023-09-08
Health
F0732
Post nurse staffing information every day.
D
2023-09-19
2023-09-08
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.
D
2023-09-20
2023-09-08
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2023-09-19
2023-09-08
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-09-18
2023-09-08
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
D
2023-09-18
2023-09-08
Health
F0944
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
D
2023-10-05
2021-06-30
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2021-07-22
2021-06-30
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2021-07-22
2021-06-30
Health
F0880
Provide and implement an infection prevention and control program.
E
2021-07-22
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
15
Owner
Role
Pct
From
Status
Source
CARE REALTY, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2003-01-10
current
pecos_ownership
THCI OF NEW JERSRY LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2008-11-25
current
pecos_ownership
THCI OF NEW JERSEY LLC
Individual has financial interest in both related organization and provider
70%
2024-01-01
current
hcris_a_8_1
THCI OF NEW JERSEY LLC
Individual has financial interest in both related organization and provider
70%
2023-01-01
current
hcris_a_8_1
BARUCH, DAVID
W-2 MANAGING EMPLOYEE
—
2021-12-01
current
pecos_ownership
DES 2009 GST TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-12-01
current
pecos_ownership
HEALTHBRIDGE MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2003-08-01
current
pecos_ownership
STRAUS, DANIEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2003-01-17
current
pecos_ownership
STRAUS, DANIEL
CORPORATE DIRECTOR
—
2003-06-10
current
pecos_ownership
600 KINDERKAMACK ROAD
Individual has financial interest in both related organization and provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
600 KINDERKAMACK ROAD
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
600 KINDERKAMACK ROAD
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
DANIEL STRAUS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2003-01-17
ended 2026-05-18
pecos_ownership
DANIEL STRAUS
CORPORATE DIRECTOR
—
2003-06-10
ended 2026-05-18
pecos_ownership
DAVID BARUCH
CORPORATE OFFICER
—
2021-12-01
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
$4,358,677
$2,198,778
—
$-4,871
—
9
propco
2023-12-31
$3,801,866
$1,997,822
—
$169,431
—
9
propco
2022-12-31
$3,398,688
$1,523,942
—
$197,388
—
4
propco
2021-12-31
$3,163,127
$1,498,232
—
$62,899
—
4
propco
2020-12-31
$3,168,440
$1,530,477
—
$87,122
—
4
propco
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
33
Geo
Kind
BR
Amount
As of
Source
county 34003
acs median gross
0
$1,638
2024-12-31
CENSUS_ACS5
county 34003
fmr
0
$1,778
2025-10-01
HUD_USER_FMR
county 34003
acs median gross
1
$1,698
2024-12-31
CENSUS_ACS5
county 34003
fmr
1
$2,024
2025-10-01
HUD_USER_FMR
county 34003
acs median gross
2
$2,014
2024-12-31
CENSUS_ACS5
county 34003
fmr
2
$2,324
2025-10-01
HUD_USER_FMR
county 34003
acs median gross
3
$2,431
2024-12-31
CENSUS_ACS5
county 34003
fmr
3
$2,835
2025-10-01
HUD_USER_FMR
county 34003
acs median gross
4
$3,170
2024-12-31
CENSUS_ACS5
county 34003
fmr
4
$3,618
2025-10-01
HUD_USER_FMR
county 34003
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
county 34003
acs median gross
$1,914
2024-12-31
CENSUS_ACS5
county 34003
acs recent mover gross
$2,373
2024-12-31
CENSUS_ACS5
zcta 07649
acs median gross
1
$1,850
2024-12-31
CENSUS_ACS5
zcta 07649
acs median gross
2
$2,750
2024-12-31
CENSUS_ACS5
zcta 07649
acs median gross
3
$3,501
2024-12-31
CENSUS_ACS5
zcta 07649
acs median gross
$2,305
2024-12-31
CENSUS_ACS5
zcta 07649
acs recent mover gross
$3,501
2024-12-31
CENSUS_ACS5
zip 07649
payment standard 110
0
$2,288
2025-10-01
HUD_USER_SAFMR
zip 07649
payment standard 90
0
$1,872
2025-10-01
HUD_USER_SAFMR
zip 07649
safmr
0
$2,080
2025-10-01
HUD_USER_SAFMR
zip 07649
payment standard 110
1
$2,607
2025-10-01
HUD_USER_SAFMR
zip 07649
payment standard 90
1
$2,133
2025-10-01
HUD_USER_SAFMR
zip 07649
safmr
1
$2,370
2025-10-01
HUD_USER_SAFMR
zip 07649
payment standard 110
2
$2,992
2025-10-01
HUD_USER_SAFMR
zip 07649
payment standard 90
2
$2,448
2025-10-01
HUD_USER_SAFMR
zip 07649
safmr
2
$2,720
2025-10-01
HUD_USER_SAFMR
zip 07649
payment standard 110
3
$3,652
2025-10-01
HUD_USER_SAFMR
zip 07649
payment standard 90
3
$2,988
2025-10-01
HUD_USER_SAFMR
zip 07649
safmr
3
$3,320
2025-10-01
HUD_USER_SAFMR
zip 07649
payment standard 110
4
$4,653
2025-10-01
HUD_USER_SAFMR
zip 07649
payment standard 90
4
$3,807
2025-10-01
HUD_USER_SAFMR
zip 07649
safmr
4
$4,230
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.