Reads as: riskier than 11.7% 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
4.35
3.31
3.28
2.90–3.77
RN
0.91
0.35
0.39
0.25–0.58
Weekend total
4.18
3.21
3.11
—
Weekday total
4.42
3.37
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
102.0
4.35
0.91
0.74
2.70
4.18
7.1%
2025Q3
92
96.1
4.38
0.92
0.77
2.68
4.17
5.6%
2025Q2
91
93.6
4.71
1.09
0.76
2.85
4.52
5.4%
2025Q1
90
95.3
4.62
1.00
0.79
2.82
4.41
7.4%
2024Q4
92
95.0
4.67
1.03
0.81
2.83
4.43
6.8%
2024Q3
92
97.8
4.29
0.88
0.84
2.58
4.06
11.9%
2024Q2
91
95.3
4.43
0.82
0.88
2.73
4.27
10.6%
2024Q1
91
90.8
4.19
0.58
0.94
2.68
4.06
12.0%
2023Q4
92
87.2
4.35
0.56
1.00
2.78
4.23
11.1%
2023Q3
92
89.9
3.96
0.46
1.03
2.46
3.89
18.8%
2023Q2
91
84.0
3.79
0.28
1.12
2.39
3.73
21.0%
2023Q1
90
81.2
3.84
0.23
1.18
2.44
3.86
19.1%
2022Q4
92
84.7
3.68
0.22
1.12
2.34
3.62
15.6%
2022Q3
92
82.4
3.60
0.28
1.08
2.23
3.46
13.6%
2022Q2
91
78.6
3.66
0.23
1.09
2.34
3.52
11.4%
2022Q1
90
78.4
3.85
0.30
1.17
2.38
3.65
8.8%
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.
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
10
C × 2D × 5E × 2F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-12-23
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-01-31
2024-12-23
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-01-31
2023-09-29
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-10-31
2023-09-29
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.
F
2023-10-31
2023-09-29
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-10-31
2022-06-14
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
C
2022-07-30
2022-06-14
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2022-07-30
2022-06-14
Health
F0732
Post nurse staffing information every day.
C
2022-07-30
2022-06-14
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
2022-07-30
2022-06-14
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-07-20
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
55
Owner
Role
Pct
From
Status
Source
HEATH ALLIANCE FOR CARE INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
1995-06-05
current
pecos_ownership
ALVAREZ, PAMELA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
current
pecos_ownership
BAHNUK, MARK
CORPORATE DIRECTOR
—
2024-07-01
current
pecos_ownership
BLANDURA, VIVIAN
ADP OF THE SNF
—
2025-11-25
current
pecos_ownership
BLANDURA, VIVIAN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-03
current
pecos_ownership
BORZELLI, THERESA
CORPORATE DIRECTOR
—
1994-07-01
current
pecos_ownership
BOVE, MARY ELLEN
CORPORATE OFFICER
—
2009-03-25
current
pecos_ownership
BOVE, MARY ELLEN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-03
current
pecos_ownership
CARPENTER, WILLIAM
CORPORATE DIRECTOR
—
2005-07-01
current
pecos_ownership
CARPENTER, WILLIAM
CORPORATE OFFICER
—
2024-07-01
current
pecos_ownership
DROWN, TIMOTHY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-08-01
current
pecos_ownership
GALLAGHER, ROBERT
CORPORATE DIRECTOR
—
2017-07-01
current
pecos_ownership
GARDE, ALLISON
CORPORATE DIRECTOR
—
2012-07-01
current
pecos_ownership
HORNER, DIANE
OPERATIONAL/MANAGERIAL CONTROL
—
2007-01-01
current
pecos_ownership
KNAUS, CHRIS
CORPORATE DIRECTOR
—
2024-07-01
current
pecos_ownership
KRISTIANSEN, JEANNE
OPERATIONAL/MANAGERIAL CONTROL
—
1996-08-12
current
pecos_ownership
LAPPIN, HAROLD
CORPORATE DIRECTOR
—
1993-07-01
current
pecos_ownership
MUTEK, JILL
OPERATIONAL/MANAGERIAL CONTROL
—
2004-07-28
current
pecos_ownership
PANGALLO, DANIELLE
OPERATIONAL/MANAGERIAL CONTROL
—
2008-11-10
current
pecos_ownership
PUCCIO, ANTHONY
OPERATIONAL/MANAGERIAL CONTROL
—
2000-04-17
current
pecos_ownership
SLEZAK, ALYSON
OPERATIONAL/MANAGERIAL CONTROL
—
2021-08-09
current
pecos_ownership
STEWART, TIMOTHY
CORPORATE DIRECTOR
—
2017-07-01
current
pecos_ownership
STEWART, TIMOTHY
CORPORATE OFFICER
—
2025-07-01
current
pecos_ownership
STUKES, CATHY
OPERATIONAL/MANAGERIAL CONTROL
—
2005-04-18
current
pecos_ownership
UBHI, DAMANPREET
ADP OF THE SNF
—
2025-11-13
current
pecos_ownership
UBHI, DAMANPREET
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
current
pecos_ownership
VANBRUNT, PETER
CORPORATE OFFICER
—
2021-07-01
current
pecos_ownership
VANBRUNT, PETER
CORPORATE DIRECTOR
—
1997-07-01
current
pecos_ownership
ALLISON GARDE
CORPORATE DIRECTOR
—
2012-07-01
ended 2026-05-18
pecos_ownership
ALYSON SLEZAK
OPERATIONAL/MANAGERIAL CONTROL
—
2021-08-09
ended 2026-05-18
pecos_ownership
ANTHONY PUCCIO
CORPORATE OFFICER
—
2000-04-17
ended 2026-05-18
pecos_ownership
CATHY STUKES
OPERATIONAL/MANAGERIAL CONTROL
—
2005-04-18
ended 2026-05-18
pecos_ownership
CHRIS KNAUS
CORPORATE DIRECTOR
—
2024-07-01
ended 2026-05-18
pecos_ownership
DAMANPREET UBHI
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
ended 2026-05-18
pecos_ownership
DAMANPREET UBHI
ADP OF THE SNF
—
2025-11-13
ended 2026-05-18
pecos_ownership
DANIELLE PANGALLO
OPERATIONAL/MANAGERIAL CONTROL
—
2008-11-10
ended 2026-05-18
pecos_ownership
DIANE HORNER
OPERATIONAL/MANAGERIAL CONTROL
—
2007-01-01
ended 2026-05-18
pecos_ownership
HAROLD LAPPIN
CORPORATE DIRECTOR
—
1993-07-01
ended 2026-05-18
pecos_ownership
JEANNE KRISTIANSEN
OPERATIONAL/MANAGERIAL CONTROL
—
1996-08-12
ended 2026-05-18
pecos_ownership
JILL MUTEK
OPERATIONAL/MANAGERIAL CONTROL
—
2004-07-28
ended 2026-05-18
pecos_ownership
MARK BAHNUK
CORPORATE OFFICER
—
2024-07-01
ended 2026-05-18
pecos_ownership
MARY ELLEN BOVE
CORPORATE OFFICER
—
2009-03-25
ended 2026-05-18
pecos_ownership
MARY ELLEN BOVE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-03
ended 2026-05-18
pecos_ownership
PAMELA ALVAREZ
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-01
ended 2026-05-18
pecos_ownership
PETER VANBRUNT
CORPORATE DIRECTOR
—
1997-07-01
ended 2026-05-18
pecos_ownership
PETER VANBRUNT
CORPORATE OFFICER
—
2021-07-01
ended 2026-05-18
pecos_ownership
ROBERT GALLAGHER
CORPORATE DIRECTOR
—
2017-07-01
ended 2026-05-18
pecos_ownership
THERESA BORZELLI
CORPORATE DIRECTOR
—
1994-07-01
ended 2026-05-18
pecos_ownership
TIMOTHY DROWN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-08-01
ended 2026-05-18
pecos_ownership
TIMOTHY STEWART
CORPORATE DIRECTOR
—
2017-07-01
ended 2026-05-18
pecos_ownership
TIMOTHY STEWART
CORPORATE OFFICER
—
2025-07-01
ended 2026-05-18
pecos_ownership
VIVIAN BLANDURA
ADP OF THE SNF
—
2025-11-25
ended 2026-05-18
pecos_ownership
VIVIAN BLANDURA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-03
ended 2026-05-18
pecos_ownership
WILLIAM CARPENTER
CORPORATE DIRECTOR
—
2005-07-01
ended 2026-05-18
pecos_ownership
WILLIAM CARPENTER
CORPORATE OFFICER
—
2024-07-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
35
Geo
Kind
BR
Amount
As of
Source
county 34027
acs median gross
0
$1,553
2024-12-31
CENSUS_ACS5
county 34027
fmr
0
$1,612
2025-10-01
HUD_USER_FMR
county 34027
acs median gross
1
$1,669
2024-12-31
CENSUS_ACS5
county 34027
fmr
1
$1,822
2025-10-01
HUD_USER_FMR
county 34027
acs median gross
2
$2,183
2024-12-31
CENSUS_ACS5
county 34027
fmr
2
$2,205
2025-10-01
HUD_USER_FMR
county 34027
acs median gross
3
$2,471
2024-12-31
CENSUS_ACS5
county 34027
fmr
3
$2,761
2025-10-01
HUD_USER_FMR
county 34027
acs median gross
4
$3,102
2024-12-31
CENSUS_ACS5
county 34027
fmr
4
$3,137
2025-10-01
HUD_USER_FMR
county 34027
acs median gross
5
$2,632
2024-12-31
CENSUS_ACS5
county 34027
acs median gross
$1,904
2024-12-31
CENSUS_ACS5
county 34027
acs recent mover gross
$2,253
2024-12-31
CENSUS_ACS5
zcta 07840
acs median gross
0
$1,397
2024-12-31
CENSUS_ACS5
zcta 07840
acs median gross
1
$1,362
2024-12-31
CENSUS_ACS5
zcta 07840
acs median gross
2
$1,751
2024-12-31
CENSUS_ACS5
zcta 07840
acs median gross
3
$1,838
2024-12-31
CENSUS_ACS5
zcta 07840
acs median gross
4
$2,288
2024-12-31
CENSUS_ACS5
zcta 07840
acs median gross
$1,487
2024-12-31
CENSUS_ACS5
zcta 07840
acs recent mover gross
$1,874
2024-12-31
CENSUS_ACS5
zip 07840
payment standard 110
0
$1,727
2025-10-01
HUD_USER_SAFMR
zip 07840
payment standard 90
0
$1,413
2025-10-01
HUD_USER_SAFMR
zip 07840
safmr
0
$1,570
2025-10-01
HUD_USER_SAFMR
zip 07840
payment standard 110
1
$1,782
2025-10-01
HUD_USER_SAFMR
zip 07840
payment standard 90
1
$1,458
2025-10-01
HUD_USER_SAFMR
zip 07840
safmr
1
$1,620
2025-10-01
HUD_USER_SAFMR
zip 07840
payment standard 110
2
$2,200
2025-10-01
HUD_USER_SAFMR
zip 07840
payment standard 90
2
$1,800
2025-10-01
HUD_USER_SAFMR
zip 07840
safmr
2
$2,000
2025-10-01
HUD_USER_SAFMR
zip 07840
payment standard 110
3
$2,783
2025-10-01
HUD_USER_SAFMR
zip 07840
payment standard 90
3
$2,277
2025-10-01
HUD_USER_SAFMR
zip 07840
safmr
3
$2,530
2025-10-01
HUD_USER_SAFMR
zip 07840
payment standard 110
4
$3,223
2025-10-01
HUD_USER_SAFMR
zip 07840
payment standard 90
4
$2,637
2025-10-01
HUD_USER_SAFMR
zip 07840
safmr
4
$2,930
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.