Reads as: riskier than 72.6% 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
3.14
3.31
3.28
2.90–3.77
RN
0.08
0.35
0.39
0.25–0.58
Weekend total
3.06
3.21
3.11
—
Weekday total
3.18
3.37
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
104.1
3.14
0.08
1.09
1.98
3.06
9.0%
2025Q3
92
103.5
3.14
0.12
1.05
1.97
3.07
10.0%
2025Q2
91
104.7
2.90
0.14
0.99
1.77
2.79
15.7%
2025Q1
90
105.3
2.74
0.12
0.95
1.67
2.68
13.1%
2024Q4
92
106.7
2.77
0.16
0.92
1.69
2.73
6.6%
2024Q3
92
100.9
2.55
0.26
0.91
1.38
2.41
2.9%
2024Q2
91
99.8
2.90
0.37
0.97
1.56
2.64
7.8%
2024Q1
91
102.5
2.74
0.24
0.92
1.59
2.63
15.4%
2023Q4
92
100.5
2.81
0.24
1.01
1.55
2.72
16.5%
2023Q3
92
103.5
2.53
0.28
0.93
1.33
2.47
16.6%
2023Q2
91
104.2
2.46
0.09
0.97
1.39
2.45
20.6%
2023Q1
90
106.4
2.42
0.09
1.04
1.29
2.36
31.6%
2022Q4
92
106.3
2.07
0.06
0.91
1.10
1.79
28.1%
2022Q3
92
108.4
2.15
0.07
0.85
1.24
1.99
29.3%
2022Q2
91
110.7
2.41
0.09
0.82
1.50
2.14
25.9%
2022Q1
90
106.4
2.52
0.10
0.91
1.51
2.24
20.0%
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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D
2026-01-29
2025-12-09
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2026-01-29
2025-12-09
Health
F0638
Assure that each resident’s assessment is updated at least once every 3 months.
D
2026-01-29
2025-12-09
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-01-29
2025-12-09
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
2026-01-29
2025-12-09
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-01-29
2025-12-09
Health
F0917
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
D
2026-01-29
2025-12-09
Health
F0924
Put firmly secured handrails on each side of hallways.
D
2026-01-29
2024-07-15
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
K
2024-08-14
2024-07-15
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-08-14
2024-07-15
Health · complaint
F0610
Respond appropriately to all alleged violations.
H
2024-08-14
2024-07-15
Health
F0637
Assess the resident when there is a significant change in condition
D
2024-08-14
2024-07-15
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
F
2024-08-14
2024-07-15
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2024-08-14
2024-07-15
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
2024-08-14
2024-07-15
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
L
2024-08-14
2024-07-15
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-08-14
2024-07-15
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
2024-08-14
2024-07-15
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2024-08-14
2024-07-15
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.
D
2024-08-14
2024-07-15
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F
2024-08-14
2024-07-15
Health · complaint
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
F
2024-08-14
2024-07-15
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-08-14
2023-06-27
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-08-11
2023-06-27
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2023-08-11
2023-06-27
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-08-11
2022-11-10
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2022-11-11
2022-11-10
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
2022-11-11
2022-11-10
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
2022-11-11
2022-11-10
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2022-12-01
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
CINNAMINSON NURSING HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2019-02-01
current
pecos_ownership
BAK, PINCHOS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2020-07-20
current
pecos_ownership
GOLDBERGER, SHLOMO
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2020-07-02
current
pecos_ownership
BAK, PINCHOS
CORPORATE OFFICER
—
2019-02-01
current
pecos_ownership
COOPER CARE HOLDINGS LLC
ADP OF THE SNF
—
2019-02-01
current
pecos_ownership
GOLDBERGER, SHLOMO
ADP OF THE SNF
—
2019-02-01
current
pecos_ownership
PENCOOK, SANDRA
ADP OF THE SNF
—
2019-02-01
current
pecos_ownership
REVELS, SHEKINAH
ADP OF THE SNF
—
2019-02-01
current
pecos_ownership
SINKOFF, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2019-02-01
current
pecos_ownership
SONNENSCHEIN, MOSHE
ADP OF THE SNF
—
2019-02-01
current
pecos_ownership
SPECTRUM PROPCO REALTY LLC
ADP OF THE SNF
—
2025-07-17
current
pecos_ownership
PINCHOS BAK
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2020-07-20
ended 2026-05-18
pecos_ownership
SHLOMO GOLDBERGER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2020-07-02
ended 2026-05-18
pecos_ownership
MICHAEL SINKOFF
OPERATIONAL/MANAGERIAL CONTROL
—
2019-02-01
ended 2026-05-18
pecos_ownership
MOSHE SONNENSCHEIN
OPERATIONAL/MANAGERIAL CONTROL
—
2019-02-01
ended 2026-05-18
pecos_ownership
PINCHOS BAK
ADP OF THE SNF
—
2019-02-01
ended 2026-05-18
pecos_ownership
SANDRA PENCOOK
ADP OF THE SNF
—
2019-02-01
ended 2026-05-18
pecos_ownership
SHEKINAH REVELS
ADP OF THE SNF
—
2019-02-01
ended 2026-05-18
pecos_ownership
SHLOMO GOLDBERGER
ADP OF THE SNF
—
2019-02-01
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
$2,377,663
$1,788,159
—
—
—
7
—
2023-12-31
$2,636,380
$2,117,391
—
—
—
7
—
2022-12-31
$2,282,580
$2,027,494
—
—
—
7
—
2021-12-31
$1,951,211
$1,680,594
—
—
—
7
—
2020-12-31
$763,649
$763,649
—
—
—
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
33
Geo
Kind
BR
Amount
As of
Source
county 34005
acs median gross
0
$1,308
2024-12-31
CENSUS_ACS5
county 34005
fmr
0
$1,397
2025-10-01
HUD_USER_FMR
county 34005
acs median gross
1
$1,438
2024-12-31
CENSUS_ACS5
county 34005
fmr
1
$1,520
2025-10-01
HUD_USER_FMR
county 34005
acs median gross
2
$1,861
2024-12-31
CENSUS_ACS5
county 34005
fmr
2
$1,810
2025-10-01
HUD_USER_FMR
county 34005
acs median gross
3
$2,220
2024-12-31
CENSUS_ACS5
county 34005
fmr
3
$2,170
2025-10-01
HUD_USER_FMR
county 34005
acs median gross
4
$2,520
2024-12-31
CENSUS_ACS5
county 34005
fmr
4
$2,423
2025-10-01
HUD_USER_FMR
county 34005
acs median gross
5
$2,797
2024-12-31
CENSUS_ACS5
county 34005
acs median gross
$1,745
2024-12-31
CENSUS_ACS5
county 34005
acs recent mover gross
$2,219
2024-12-31
CENSUS_ACS5
zcta 08077
acs median gross
1
$1,232
2024-12-31
CENSUS_ACS5
zcta 08077
acs median gross
2
$2,065
2024-12-31
CENSUS_ACS5
zcta 08077
acs median gross
3
$1,919
2024-12-31
CENSUS_ACS5
zcta 08077
acs median gross
$1,922
2024-12-31
CENSUS_ACS5
zcta 08077
acs recent mover gross
$2,517
2024-12-31
CENSUS_ACS5
zip 08077
payment standard 110
0
$2,101
2025-10-01
HUD_USER_SAFMR
zip 08077
payment standard 90
0
$1,719
2025-10-01
HUD_USER_SAFMR
zip 08077
safmr
0
$1,910
2025-10-01
HUD_USER_SAFMR
zip 08077
payment standard 110
1
$2,288
2025-10-01
HUD_USER_SAFMR
zip 08077
payment standard 90
1
$1,872
2025-10-01
HUD_USER_SAFMR
zip 08077
safmr
1
$2,080
2025-10-01
HUD_USER_SAFMR
zip 08077
payment standard 110
2
$2,728
2025-10-01
HUD_USER_SAFMR
zip 08077
payment standard 90
2
$2,232
2025-10-01
HUD_USER_SAFMR
zip 08077
safmr
2
$2,480
2025-10-01
HUD_USER_SAFMR
zip 08077
payment standard 110
3
$3,267
2025-10-01
HUD_USER_SAFMR
zip 08077
payment standard 90
3
$2,673
2025-10-01
HUD_USER_SAFMR
zip 08077
safmr
3
$2,970
2025-10-01
HUD_USER_SAFMR
zip 08077
payment standard 110
4
$3,652
2025-10-01
HUD_USER_SAFMR
zip 08077
payment standard 90
4
$2,988
2025-10-01
HUD_USER_SAFMR
zip 08077
safmr
4
$3,320
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.