Reads as: riskier than 51.7% 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.
ML signals — parallel engine
5
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+24.2 vs natl
CONTINUUM HEALTHCARE I INC
10 facilities
connection
Owner fleet risk far above national
+23.7 vs natl
LITMAN WARREN
8 facilities
connection
Owner fleet risk far above national
+23.7 vs natl
MANDELBAUM DANIEL
8 facilities
connection
Owner fleet risk far above national
+22.1 vs natl
BRUCKSTEIN DANIEL
11 facilities
connection
Owner spans multiple chains
11 chains
TWOMAGNETS LLC
45 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
2.96
3.31
3.28
2.90–3.77
RN
0.27
0.35
0.39
0.25–0.58
Weekend total
2.99
3.21
3.11
—
Weekday total
2.95
3.37
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
99.9
2.96
0.27
0.74
1.96
2.99
0.1%
2025Q3
92
102.8
3.02
0.33
0.66
2.03
3.05
3.3%
2025Q2
91
103.7
3.02
0.33
0.65
2.04
2.99
10.0%
2025Q1
90
111.1
3.09
0.34
0.65
2.10
2.97
16.5%
2024Q4
92
107.2
2.98
0.30
0.67
2.01
2.83
17.8%
2024Q3
92
104.3
3.08
0.35
0.64
2.10
2.92
20.7%
2024Q2
91
105.6
3.14
0.35
0.71
2.08
2.93
7.8%
2024Q1
91
106.2
4.48
0.51
1.28
2.70
3.41
6.9%
2023Q4
92
105.3
2.93
0.23
0.79
1.91
2.73
12.3%
2023Q3
92
107.5
2.90
0.17
0.78
1.95
2.66
10.8%
2023Q2
91
106.5
2.96
0.16
0.78
2.02
2.75
13.6%
2023Q1
90
105.7
3.05
0.15
0.74
2.15
2.94
18.3%
2022Q4
92
111.3
3.01
0.16
0.75
2.09
2.93
16.1%
2022Q3
92
110.1
2.99
0.25
0.75
1.99
2.71
14.3%
2022Q2
91
105.1
3.32
0.14
0.88
2.30
2.92
3.8%
2022Q1
90
101.8
3.41
0.14
0.91
2.37
2.86
3.8%
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
28
D × 22E × 6
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-28
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2025-10-04
2025-08-28
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
D
2025-10-04
2025-08-28
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
2025-10-04
2025-08-28
Health
F0712
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
D
2025-10-04
2025-08-28
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-10-04
2024-03-25
Health · complaint
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2024-04-30
2024-03-08
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.
D
2024-04-15
2024-03-08
Health
F0610
Respond appropriately to all alleged violations.
E
2024-04-15
2024-03-08
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-04-15
2024-03-08
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-04-15
2024-03-08
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
2024-04-15
2024-03-08
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-04-15
2024-03-08
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
2024-04-15
2024-03-08
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-04-15
2024-03-08
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-04-15
2024-03-08
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-04-15
2024-03-08
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-04-15
2024-03-08
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-04-15
2023-08-08
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2023-09-08
2021-11-22
Health
F0637
Assess the resident when there is a significant change in condition
D
2022-01-14
2021-11-22
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
2022-01-14
2021-11-22
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
2022-01-14
2021-11-22
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2022-01-14
2021-11-22
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2022-01-14
2021-11-22
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
2022-01-14
2021-11-22
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.
E
2022-01-14
2021-11-22
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2022-01-14
2021-11-22
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-01-14
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
30
Owner
Role
Pct
From
Status
Source
BLOOMINGDALE REAL PROPERTY LLC
Individual has financial interest in both related organization and provider
81%
2024-01-01
current
hcris_a_8_1
BLOOMINGDALE REAL PROPERTY LLC
Individual has financial interest in both related organization and provider
81%
2023-01-01
current
hcris_a_8_1
BLOOMINGDALE REAL PROPERTY, LLC
5% OR GREATER MORTGAGE INTEREST
—
2019-10-03
current
pecos_ownership
BRABSTON, TIMOTHY
OPERATIONAL/MANAGERIAL CONTROL
—
2019-10-03
current
pecos_ownership
BRUCKSTEIN, DANIEL
DIRECT OWNERSHIP INTEREST
—
2019-10-03
current
pecos_ownership
BRUCKSTEIN, ROBERT
ADP OF THE SNF
—
2019-10-03
current
pecos_ownership
CONTINUUM HEALTHCARE I INC
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
CONTINUUM HEALTHCARE I INC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-10-03
current
pecos_ownership
DORN, CHERYL
OPERATIONAL/MANAGERIAL CONTROL
—
2022-02-01
current
pecos_ownership
EXECUCARE ASSOCIATES
ADP OF THE SNF
—
2025-03-31
current
pecos_ownership
EXECUCARE ASSOCIATES
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-15
current
pecos_ownership
LESHKOWITZ & COMPANY LLP
ADP OF THE SNF
—
2025-03-31
current
pecos_ownership
LESHKOWITZ & COMPANY LLP
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
current
pecos_ownership
LITMAN, WARREN
ADP OF THE SNF
—
2024-06-01
current
pecos_ownership
MANDELBAUM, DANIEL
OPERATIONAL/MANAGERIAL CONTROL
—
2019-10-03
current
pecos_ownership
OCHS, AVRAHAM
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-03
current
pecos_ownership
STONEBRIDGE HEALTHCARE HOLDINGS LLC
ADP OF THE SNF
—
2019-10-03
current
pecos_ownership
STONEBRIDGE HEALTHCARE MEMBER III LLC
ADP OF THE SNF
—
2019-10-03
current
pecos_ownership
TWOMAGNETS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-11-02
current
pecos_ownership
TWOMAGNETS LLC
ADP OF THE SNF
—
2025-04-07
current
pecos_ownership
DANIEL BRUCKSTEIN
DIRECT OWNERSHIP INTEREST
100%
2019-10-03
ended 2026-05-18
pecos_ownership
STONEBRIDGE HEALTHCARE HOLDINGS LLC
Individual has financial interest in both related organization and provider
50%
2022-01-01
ended 2022-12-31
hcris_a_8_1
STONEBRIDGE HEALTHCARE HOLDINGS LLC
Individual has financial interest in both related organization and provider
50%
2020-01-01
ended 2020-12-31
hcris_a_8_1
STONEBRIDGE HEALTHCARE HOLDINGS LLC
Individual has financial interest in both related organization and provider
50%
2021-01-01
ended 2021-12-31
hcris_a_8_1
ROBERT BRUCKSTEIN
DIRECT OWNERSHIP INTEREST
6%
2019-10-03
ended 2026-05-18
pecos_ownership
AVRAHAM OCHS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-03
ended 2026-05-18
pecos_ownership
CHERYL DORN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-02-01
ended 2026-05-18
pecos_ownership
DANIEL MANDELBAUM
OPERATIONAL/MANAGERIAL CONTROL
—
2019-10-03
ended 2026-05-18
pecos_ownership
TIMOTHY BRABSTON
OPERATIONAL/MANAGERIAL CONTROL
—
2019-10-03
ended 2026-05-18
pecos_ownership
WARREN LITMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-06-01
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
$3,983,463
$2,742,869
—
—
—
3
propco
2023-12-31
$2,566,089
$1,702,529
—
—
—
3
propco
2022-12-31
$2,027,801
$1,138,404
—
—
—
5
propco
2021-12-31
$2,914,834
$2,050,860
—
—
—
5
propco
2020-12-31
$2,812,738
$1,871,708
—
—
—
5
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
32
Geo
Kind
BR
Amount
As of
Source
county 34031
acs median gross
0
$1,057
2024-12-31
CENSUS_ACS5
county 34031
fmr
0
$1,778
2025-10-01
HUD_USER_FMR
county 34031
acs median gross
1
$1,362
2024-12-31
CENSUS_ACS5
county 34031
fmr
1
$2,024
2025-10-01
HUD_USER_FMR
county 34031
acs median gross
2
$1,663
2024-12-31
CENSUS_ACS5
county 34031
fmr
2
$2,324
2025-10-01
HUD_USER_FMR
county 34031
acs median gross
3
$1,869
2024-12-31
CENSUS_ACS5
county 34031
fmr
3
$2,835
2025-10-01
HUD_USER_FMR
county 34031
acs median gross
4
$2,191
2024-12-31
CENSUS_ACS5
county 34031
fmr
4
$3,618
2025-10-01
HUD_USER_FMR
county 34031
acs median gross
5
$2,154
2024-12-31
CENSUS_ACS5
county 34031
acs median gross
$1,621
2024-12-31
CENSUS_ACS5
county 34031
acs recent mover gross
$1,888
2024-12-31
CENSUS_ACS5
zcta 07403
acs median gross
1
$1,788
2024-12-31
CENSUS_ACS5
zcta 07403
acs median gross
2
$1,592
2024-12-31
CENSUS_ACS5
zcta 07403
acs median gross
3
$1,762
2024-12-31
CENSUS_ACS5
zcta 07403
acs median gross
$1,753
2024-12-31
CENSUS_ACS5
zip 07403
payment standard 110
0
$2,090
2025-10-01
HUD_USER_SAFMR
zip 07403
payment standard 90
0
$1,710
2025-10-01
HUD_USER_SAFMR
zip 07403
safmr
0
$1,900
2025-10-01
HUD_USER_SAFMR
zip 07403
payment standard 110
1
$2,376
2025-10-01
HUD_USER_SAFMR
zip 07403
payment standard 90
1
$1,944
2025-10-01
HUD_USER_SAFMR
zip 07403
safmr
1
$2,160
2025-10-01
HUD_USER_SAFMR
zip 07403
payment standard 110
2
$2,728
2025-10-01
HUD_USER_SAFMR
zip 07403
payment standard 90
2
$2,232
2025-10-01
HUD_USER_SAFMR
zip 07403
safmr
2
$2,480
2025-10-01
HUD_USER_SAFMR
zip 07403
payment standard 110
3
$3,322
2025-10-01
HUD_USER_SAFMR
zip 07403
payment standard 90
3
$2,718
2025-10-01
HUD_USER_SAFMR
zip 07403
safmr
3
$3,020
2025-10-01
HUD_USER_SAFMR
zip 07403
payment standard 110
4
$4,246
2025-10-01
HUD_USER_SAFMR
zip 07403
payment standard 90
4
$3,474
2025-10-01
HUD_USER_SAFMR
zip 07403
safmr
4
$3,860
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.