Composite
92.0 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 90.5 | 60.2 | 0.30 | 0.2308 | 20.88 | in index |
| financial risk | 72.4 | 60.8 | 0.30 | 0.2308 | 16.71 | in index |
| staffing risk | 79.2 | 79.2 | 0.25 | 0.1923 | 15.23 | in index |
| regulatory risk | 45.0 | 33.9 | 0.30 | 0.2308 | 10.38 | in index |
| chow risk | 45.0 | 43.2 | 0.15 | 0.1154 | 5.19 | in index |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 8 chains | STERN SAMUEL | 14 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 60.2 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | 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. |
| chow risk | 61.4 | C | v0.6 | default · in composite | |
| financial risk | 60.8 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | 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. |
| p chow 12m | 0.0 | — | v0.1 | default · in 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. |
| regulatory risk | 33.9 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 79.2 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 55.7 | C | v0.1 | superseded | 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. |
| financial risk | 35.7 | B | v0.2 | superseded | 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. |
| financial risk | 68.6 | D | v0.3 | superseded | 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. |
| financial risk | 60.2 | C | v0.4 | superseded | 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. |
| regulatory risk | 33.8 | B | v0.1 | superseded | 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. |
| regulatory risk | 33.8 | B | v0.2 | superseded | 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. |
| staffing risk | 79.2 | D | v0.1 | superseded | 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. |
| staffing risk | 79.2 | D | v0.2 | superseded | 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. |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 4.08 | -1.45 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.92 | -0.66 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Facility size (log beds) | 5.20 | -0.13 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| Occupancy | 0.92 | -0.74 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 11.00 | -0.61 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 4.08 | -0.24 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
| 2025Q4 HPRD | This facility | NJ median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.82 | 3.31 | 3.28 | 2.90–3.77 |
| RN | 0.01 | 0.35 | 0.39 | 0.25–0.58 |
| Weekend total | 2.67 | 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 | 166.4 | 2.82 | 0.01 | 0.89 | 1.92 | 2.67 | 7.5% |
| 2025Q3 | 92 | 157.4 | 2.81 | 0.03 | 0.89 | 1.89 | 2.70 | 3.7% |
| 2025Q2 | 91 | 164.3 | 2.75 | 0.03 | 0.87 | 1.85 | 2.67 | 14.6% |
| 2025Q1 | 90 | 173.7 | 2.52 | 0.05 | 0.77 | 1.71 | 2.57 | 17.6% |
| 2024Q4 | 92 | 172.6 | 2.68 | 0.01 | 0.79 | 1.88 | 2.67 | 25.9% |
| 2024Q3 | 92 | 164.6 | 2.58 | 0.00 | 0.85 | 1.73 | 2.47 | 26.6% |
| 2024Q2 | 91 | 166.6 | 2.50 | 0.00 | 0.88 | 1.62 | 2.32 | 18.1% |
| 2024Q1 | 91 | 165.4 | 2.50 | 0.00 | 0.93 | 1.58 | 2.27 | 19.1% |
| 2023Q4 | 92 | 155.1 | 2.74 | 0.01 | 1.06 | 1.66 | 2.44 | 28.3% |
| 2023Q3 | 92 | 160.1 | 2.93 | 0.00 | 1.13 | 1.80 | 2.60 | 39.5% |
| 2023Q2 | 91 | 158.2 | 1.86 | 0.00 | 0.74 | 1.12 | 1.62 | 23.0% |
| 2023Q1 | 90 | 161.1 | 1.19 | 0.00 | 0.51 | 0.68 | 1.05 | 0.0% |
| 2022Q4 | 92 | 157.2 | 2.74 | 0.22 | 0.88 | 1.65 | 2.42 | 6.4% |
| 2022Q3 | 92 | 161.7 | 1.36 | 0.05 | 0.43 | 0.89 | 1.18 | 0.0% |
| 2022Q2 | 91 | 164.6 | 1.97 | 0.04 | 0.86 | 1.06 | 1.78 | 18.4% |
| 2022Q1 | 90 | 155.9 | 2.29 | 0.00 | 0.88 | 1.41 | 1.97 | 9.4% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-01-15 | Health | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2026-03-26 |
| 2026-01-15 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2026-03-26 |
| 2026-01-15 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2026-03-26 |
| 2026-01-15 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2026-03-26 |
| 2025-11-21 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-12-26 |
| 2025-11-21 | 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 | 2025-12-26 |
| 2025-11-21 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-12-26 |
| 2025-11-21 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-12-26 |
| 2025-11-21 | 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 | 2025-12-26 |
| 2025-11-21 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-12-26 |
| 2025-11-21 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2025-12-26 |
| 2025-02-10 | 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 | 2025-03-05 |
| 2024-08-14 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-09-25 |
| 2024-08-14 | 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. | D | 2024-09-26 |
| 2024-08-14 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-10-02 |
| 2024-08-14 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-10-02 |
| 2024-08-14 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2024-10-02 |
| 2024-08-14 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-10-02 |
| 2024-08-14 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-10-02 |
| 2024-08-14 | 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. | F | 2024-10-02 |
| 2024-08-14 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-10-02 |
| 2024-08-14 | 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 | 2024-09-25 |
| 2024-08-14 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-09-25 |
| 2024-08-14 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2024-09-25 |
| 2024-08-14 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-10-02 |
| 2022-12-16 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2022-12-30 |
| 2022-12-16 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2022-12-30 |
| 2022-12-16 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2022-12-30 |
| 2022-12-16 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-12-30 |
| 2022-12-16 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2022-12-30 |
| 2022-12-16 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | 2022-12-30 |
| 2022-12-16 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2022-12-30 |
| 2022-12-16 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2022-12-30 |
| 2022-12-16 | Health | F0814 | Dispose of garbage and refuse properly. | D | 2022-12-30 |
| 2022-12-16 | Health | 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. | C | 2022-12-30 |
| 2022-12-16 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2022-12-30 |
| 2022-12-16 | Health | F0886 | Perform COVID19 testing on residents and staff. | F | 2022-12-30 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| COOPER RIVER REALTY | Individual has financial interest in both related organization and provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| COOPER RIVER REALTY | Individual has financial interest in both related organization and provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| COOPER CARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2022-07-01 | current | pecos_ownership |
| RIBIAT, YITZCHOK | W-2 MANAGING EMPLOYEE | — | 2022-07-01 | current | pecos_ownership |
| STERN, SAMUEL | CORPORATE OFFICER | — | 2022-07-01 | current | pecos_ownership |
| COOPER RIVER REALTY | Individual has financial interest in both related organization and provider | 100% | 2022-07-01 | ended 2022-12-31 | hcris_a_8_1 |
| CHESKEL BERKOWITZ | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-07-01 | ended 2026-05-18 | pecos_ownership |
| JOEL LEIFER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-07-01 | ended 2026-05-18 | pecos_ownership |
| JOEL ZUPNICK | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-07-01 | ended 2026-05-18 | pecos_ownership |
| SAMUEL STERN | CORPORATE OFFICER | — | 2022-07-01 | ended 2026-05-18 | pecos_ownership |
| YITZCHOK RIBIAT | W-2 MANAGING EMPLOYEE | — | 2022-07-01 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2022-07-01 | — | COOPER RIVER GARDEN GROUP LLC | COOPER CARE LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-05-06 | RIVERSIDE HEALTH AND REHABILITATION CENTER LLC | — | — | — | 141 | RIVERSIDE HEALTH AND REHABILITATION CENTER LLC |
| 2024-04-01 | ATLAS REHABILITATION & HEALTHCARE AT WEST DEPTFOR | — | — | — | 156 | WEST DEPTFORD SNF OPERATIONS LLC |
| 2024-04-01 | ATLAS REHABILITATION AND HEALTHCARE AT WASHINGTON | — | — | — | 120 | SEWELL SNF OPERATIONS LLC |
| 2024-04-01 | ACCELERATE SKILLED NURSING AND REHAB PISCATAWAY | — | — | — | 124 | SKILES AVENUE AND STERLING DRIVE URBAN RENEWAL OPERATIONS LLC |
| 2024-03-01 | MEADOWBROOK RESPIRATORY AND NURSING CENTER | — | — | — | 130 | MATAWAN SNF OPERATIONS LLC |
| 2024-03-01 | ATLAS POST ACUTE AT WOODBURY COUNTRY CLUB | — | — | — | 124 | WOODBURY SNF OPERATIONS LLC |
| 2024-02-01 | THE SUBACUTE AT AUTUMN LAKE HEALTHCARE | — | — | — | 124 | 113 SOUTH ROUTE 73 OPCO LLC |
| 2024-02-01 | MOHAWK MEADOWS | — | — | — | 159 | BEMET LLC |
| 2024-01-08 | TOTAL REHAB MOORESTOWN | — | — | — | 124 | MOORESTOWN OPERATOR LLC |
| 2024-01-01 | AUTUMN LAKE HEALTHCARE AT VOORHEES | — | — | — | 120 | 1086 DUMONT CIRCLE OPCO LLC |
| 2024-01-01 | HARTWYCK AT OAK TREE | — | — | — | 120 | HACKENSACK MERIDIAN AMBULATORY CARE, INC. |
| 2023-12-27 | MOUNTAINSIDE SKILLED NURSING AND REHAB | — | — | — | 151 | MOUNTAINSIDE NURSING AND REHAB BHC OPERATIONS |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 34007 | acs median gross | 0 | $1,114 | 2024-12-31 | CENSUS_ACS5 |
| county 34007 | fmr | 0 | $1,397 | 2025-10-01 | HUD_USER_FMR |
| county 34007 | acs median gross | 1 | $1,177 | 2024-12-31 | CENSUS_ACS5 |
| county 34007 | fmr | 1 | $1,520 | 2025-10-01 | HUD_USER_FMR |
| county 34007 | acs median gross | 2 | $1,499 | 2024-12-31 | CENSUS_ACS5 |
| county 34007 | fmr | 2 | $1,810 | 2025-10-01 | HUD_USER_FMR |
| county 34007 | acs median gross | 3 | $1,763 | 2024-12-31 | CENSUS_ACS5 |
| county 34007 | fmr | 3 | $2,170 | 2025-10-01 | HUD_USER_FMR |
| county 34007 | acs median gross | 4 | $1,802 | 2024-12-31 | CENSUS_ACS5 |
| county 34007 | fmr | 4 | $2,423 | 2025-10-01 | HUD_USER_FMR |
| county 34007 | acs median gross | 5 | $1,981 | 2024-12-31 | CENSUS_ACS5 |
| county 34007 | acs median gross | $1,402 | 2024-12-31 | CENSUS_ACS5 | |
| county 34007 | acs recent mover gross | $1,567 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 08109 | acs median gross | 0 | $1,005 | 2024-12-31 | CENSUS_ACS5 |
| zcta 08109 | acs median gross | 1 | $1,038 | 2024-12-31 | CENSUS_ACS5 |
| zcta 08109 | acs median gross | 2 | $1,318 | 2024-12-31 | CENSUS_ACS5 |
| zcta 08109 | acs median gross | 3 | $1,365 | 2024-12-31 | CENSUS_ACS5 |
| zcta 08109 | acs median gross | 4 | $2,549 | 2024-12-31 | CENSUS_ACS5 |
| zcta 08109 | acs median gross | $1,167 | 2024-12-31 | CENSUS_ACS5 | |
| zip 08109 | payment standard 110 | 0 | $1,342 | 2025-10-01 | HUD_USER_SAFMR |
| zip 08109 | payment standard 90 | 0 | $1,098 | 2025-10-01 | HUD_USER_SAFMR |
| zip 08109 | safmr | 0 | $1,220 | 2025-10-01 | HUD_USER_SAFMR |
| zip 08109 | payment standard 110 | 1 | $1,463 | 2025-10-01 | HUD_USER_SAFMR |
| zip 08109 | payment standard 90 | 1 | $1,197 | 2025-10-01 | HUD_USER_SAFMR |
| zip 08109 | safmr | 1 | $1,330 | 2025-10-01 | HUD_USER_SAFMR |
| zip 08109 | payment standard 110 | 2 | $1,738 | 2025-10-01 | HUD_USER_SAFMR |
| zip 08109 | payment standard 90 | 2 | $1,422 | 2025-10-01 | HUD_USER_SAFMR |
| zip 08109 | safmr | 2 | $1,580 | 2025-10-01 | HUD_USER_SAFMR |
| zip 08109 | payment standard 110 | 3 | $2,079 | 2025-10-01 | HUD_USER_SAFMR |
| zip 08109 | payment standard 90 | 3 | $1,701 | 2025-10-01 | HUD_USER_SAFMR |
| zip 08109 | safmr | 3 | $1,890 | 2025-10-01 | HUD_USER_SAFMR |
| zip 08109 | payment standard 110 | 4 | $2,332 | 2025-10-01 | HUD_USER_SAFMR |
| zip 08109 | payment standard 90 | 4 | $1,908 | 2025-10-01 | HUD_USER_SAFMR |
| zip 08109 | safmr | 4 | $2,120 | 2025-10-01 | HUD_USER_SAFMR |