Reads as: riskier than 54.8% 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
5.15
3.31
3.28
2.90–3.77
RN
1.28
0.35
0.39
0.25–0.58
Weekend total
4.93
3.21
3.11
—
Weekday total
5.24
3.37
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
91.7
5.15
1.28
1.44
2.43
4.93
20.9%
2025Q3
92
90.3
4.68
1.19
1.40
2.09
4.43
29.0%
2025Q2
91
102.0
4.69
1.12
1.35
2.22
4.40
41.5%
2025Q1
90
106.5
4.00
0.80
1.17
2.03
3.67
52.5%
2024Q4
92
98.4
5.17
1.19
1.59
2.39
4.57
44.3%
2024Q3
92
99.7
4.82
1.14
1.43
2.25
4.37
51.5%
2024Q2
91
93.7
4.87
1.13
1.47
2.28
4.37
47.2%
2024Q1
91
93.7
5.13
1.13
1.58
2.42
4.61
46.2%
2023Q4
92
93.7
4.93
1.22
1.43
2.29
4.39
41.1%
2023Q3
92
94.1
4.99
1.15
1.49
2.35
4.43
39.4%
2023Q2
91
99.8
4.85
1.16
1.46
2.24
4.44
41.2%
2023Q1
90
102.3
4.77
0.95
1.50
2.32
4.47
39.1%
2022Q4
92
96.9
4.71
0.96
1.51
2.23
4.28
34.8%
2022Q3
92
101.0
4.58
1.05
1.39
2.13
4.11
35.0%
2022Q2
91
103.8
4.24
1.09
1.11
2.04
3.78
26.4%
2022Q1
90
99.0
4.00
1.23
1.04
1.73
3.47
22.1%
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
9
D × 8F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-12-20
Health
F0678
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
D
2025-01-24
2024-12-20
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2025-01-15
2024-12-20
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
F
2025-01-24
2021-06-02
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2021-06-30
2021-06-02
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2021-06-18
2021-06-02
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
2021-06-30
2021-06-02
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2021-06-30
2021-06-02
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2021-06-30
2021-06-02
Health
F0880
Provide and implement an infection prevention and control program.
D
2021-07-31
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
53
Owner
Role
Pct
From
Status
Source
HACKENSACK MERIDIAN HEALTH INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
1997-01-01
current
pecos_ownership
BANKS, KEITH
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
BOLLERMAN, JAMES
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
CARNES, JOY-LYNNE
ADP OF THE SNF
—
2025-07-16
current
pecos_ownership
CROONQUIST, GEORGE
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
DEROSA, JAMES
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
DEROSA, JAMES
CORPORATE OFFICER
—
2023-12-01
current
pecos_ownership
DIAZ, ULISES
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
DIPIERO, DOMENIC
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
FEKETE, FRANK
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
GARRETT, ROBERT
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
HACKENSACK MERIDIAN HEALTH INC
OPERATIONAL/MANAGERIAL CONTROL
—
2018-01-01
current
pecos_ownership
HACKENSACK MERIDIAN HEALTH INC
ADP OF THE SNF
—
2025-07-17
current
pecos_ownership
HAMILTON, WILLIAM
ADP OF THE SNF
—
2025-07-17
current
pecos_ownership
HAND, RICHARD
CORPORATE OFFICER
—
2023-12-01
current
pecos_ownership
HAND, RICHARD
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
HICKEY, WILLIAM
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
KIRKOS, JAMES
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
LOWN, MARIS
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
MACKANIC, MARIE
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
MAHER, CHRISTOPHER
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
MARTINI, GLORIA
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
MURRAY, WILLIAM
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
RENNA, JAMES
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
RYAN, CHERYL
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
SPARTA, MARK
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-02
current
pecos_ownership
WILCHA, JOHN
CORPORATE DIRECTOR
—
2024-01-05
current
pecos_ownership
YORK, KATHERINE
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
CHERYL RYAN
CORPORATE OFFICER
0%
2024-01-01
ended 2026-05-18
pecos_ownership
CHRISTOPHER MAHER
CORPORATE OFFICER
0%
2024-01-01
ended 2026-05-18
pecos_ownership
DOMENIC DIPIERO
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
FRANK FEKETE
CORPORATE DIRECTOR
0%
2025-01-01
ended 2026-05-18
pecos_ownership
GEORGE CROONQUIST
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
GLORIA MARTINI
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
JAMES BOLLERMAN
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
JAMES KIRKOS
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
JAMES RENNA
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
JOHN WILCHA
CORPORATE DIRECTOR
0%
2024-01-05
ended 2026-05-18
pecos_ownership
KATHERINE YORK
CORPORATE OFFICER
0%
2024-01-01
ended 2026-05-18
pecos_ownership
KEITH BANKS
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
MARIE MACKANIC
CORPORATE OFFICER
0%
2024-01-01
ended 2026-05-18
pecos_ownership
MARIS LOWN
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
RICHARD HAND
CORPORATE OFFICER
0%
2023-12-01
ended 2026-05-18
pecos_ownership
ROBERT GARRETT
CORPORATE OFFICER
0%
2024-01-01
ended 2026-05-18
pecos_ownership
ULISES DIAZ
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
WILLIAM HICKEY
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
WILLIAM MURRAY
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
JAMES DEROSA
ADP OF THE SNF
—
2024-01-01
ended 2026-05-18
pecos_ownership
JAMES DEROSA
CORPORATE OFFICER
—
2023-12-01
ended 2026-05-18
pecos_ownership
JOY-LYNNE CARNES
ADP OF THE SNF
—
2025-07-16
ended 2026-05-18
pecos_ownership
MARK SPARTA
ADP OF THE SNF
—
2025-07-02
ended 2026-05-18
pecos_ownership
RICHARD HAND
ADP OF THE SNF
—
2024-01-01
ended 2026-05-18
pecos_ownership
WILLIAM HAMILTON
ADP OF THE SNF
—
2025-07-17
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
$7,181,035
—
—
$1,673,411
$2,365,087
4
—
2023-12-31
$6,902,095
—
$1,724,065
$1,595,939
$1,829,958
5
—
2022-12-31
$5,658,687
$12,136
$288,090
$1,367,285
$1,926,898
5
—
2021-12-31
$5,458,756
$12,136
$461,766
$1,169,268
$1,906,474
5
—
2020-12-31
$5,231,270
—
—
$1,024,409
$1,885,449
4
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 34023
acs median gross
0
$1,564
2024-12-31
CENSUS_ACS5
county 34023
fmr
0
$1,804
2025-10-01
HUD_USER_FMR
county 34023
acs median gross
1
$1,614
2024-12-31
CENSUS_ACS5
county 34023
fmr
1
$1,978
2025-10-01
HUD_USER_FMR
county 34023
acs median gross
2
$2,068
2024-12-31
CENSUS_ACS5
county 34023
fmr
2
$2,486
2025-10-01
HUD_USER_FMR
county 34023
acs median gross
3
$2,202
2024-12-31
CENSUS_ACS5
county 34023
fmr
3
$2,981
2025-10-01
HUD_USER_FMR
county 34023
acs median gross
4
$2,586
2024-12-31
CENSUS_ACS5
county 34023
fmr
4
$3,296
2025-10-01
HUD_USER_FMR
county 34023
acs median gross
5
$2,487
2024-12-31
CENSUS_ACS5
county 34023
acs median gross
$1,871
2024-12-31
CENSUS_ACS5
county 34023
acs recent mover gross
$2,226
2024-12-31
CENSUS_ACS5
zcta 08820
acs median gross
0
$1,701
2024-12-31
CENSUS_ACS5
zcta 08820
acs median gross
1
$1,727
2024-12-31
CENSUS_ACS5
zcta 08820
acs median gross
2
$2,318
2024-12-31
CENSUS_ACS5
zcta 08820
acs median gross
3
$1,869
2024-12-31
CENSUS_ACS5
zcta 08820
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 08820
acs median gross
$2,081
2024-12-31
CENSUS_ACS5
zcta 08820
acs recent mover gross
$2,872
2024-12-31
CENSUS_ACS5
zip 08820
payment standard 110
0
$2,167
2025-10-01
HUD_USER_SAFMR
zip 08820
payment standard 90
0
$1,773
2025-10-01
HUD_USER_SAFMR
zip 08820
safmr
0
$1,970
2025-10-01
HUD_USER_SAFMR
zip 08820
payment standard 110
1
$2,376
2025-10-01
HUD_USER_SAFMR
zip 08820
payment standard 90
1
$1,944
2025-10-01
HUD_USER_SAFMR
zip 08820
safmr
1
$2,160
2025-10-01
HUD_USER_SAFMR
zip 08820
payment standard 110
2
$2,981
2025-10-01
HUD_USER_SAFMR
zip 08820
payment standard 90
2
$2,439
2025-10-01
HUD_USER_SAFMR
zip 08820
safmr
2
$2,710
2025-10-01
HUD_USER_SAFMR
zip 08820
payment standard 110
3
$3,575
2025-10-01
HUD_USER_SAFMR
zip 08820
payment standard 90
3
$2,925
2025-10-01
HUD_USER_SAFMR
zip 08820
safmr
3
$3,250
2025-10-01
HUD_USER_SAFMR
zip 08820
payment standard 110
4
$3,949
2025-10-01
HUD_USER_SAFMR
zip 08820
payment standard 90
4
$3,231
2025-10-01
HUD_USER_SAFMR
zip 08820
safmr
4
$3,590
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.