Reads as: riskier than 69.4% 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
7
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+23.9 vs natl
DES 2009 GST TRUST
19 facilities
connection
Owner fleet risk far above national
+22.5 vs natl
BARUCH DAVID
37 facilities
connection
Owner fleet risk far above national
+22.1 vs natl
DES HOLDING CO INC
17 facilities
connection
Owner fleet risk far above national
+22.0 vs natl
CARE ONE MANAGEMENT LLC
16 facilities
connection
Owner fleet risk far above national
+21.8 vs natl
STRAUS DANIEL
37 facilities
connection
Owner fleet risk far above national
+21.5 vs natl
CARE ONE LLC
19 facilities
connection
Owner fleet risk far above national
+21.5 vs natl
DES C 2009 GRAT
19 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
3.77
3.31
3.28
2.90–3.77
RN
0.49
0.35
0.39
0.25–0.58
Weekend total
3.71
3.21
3.11
—
Weekday total
3.80
3.37
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
80.3
3.77
0.49
0.99
2.29
3.71
0.0%
2025Q3
92
83.3
3.69
0.54
0.91
2.23
3.52
0.0%
2025Q2
91
90.2
3.35
0.50
0.87
1.98
3.15
0.0%
2025Q1
90
89.7
3.28
0.47
0.88
1.93
3.09
0.0%
2024Q4
92
92.9
2.96
0.42
0.78
1.76
2.79
0.0%
2024Q3
92
79.0
3.39
0.62
0.88
1.88
3.10
0.0%
2024Q2
91
77.4
3.68
0.74
0.92
2.02
3.42
0.0%
2024Q1
91
85.2
3.35
0.77
0.81
1.77
3.04
2.9%
2023Q4
92
72.7
3.50
0.72
0.91
1.87
3.09
1.1%
2023Q3
92
63.5
3.99
0.73
1.09
2.17
3.61
0.0%
2023Q2
91
65.8
3.98
0.68
1.13
2.18
3.64
0.3%
2023Q1
90
83.0
3.34
0.69
0.89
1.76
3.06
1.5%
2022Q4
92
84.2
3.14
0.51
0.89
1.74
2.84
0.9%
2022Q3
92
68.3
3.61
0.70
0.88
2.03
3.35
0.0%
2022Q2
91
72.5
4.16
0.81
1.17
2.19
3.89
24.1%
2022Q1
90
82.7
3.59
0.68
1.07
1.85
3.27
37.8%
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
29
B × 1C × 1D × 24E × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-19
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2026-04-23
2026-03-19
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2026-04-23
2026-03-19
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2026-04-23
2026-03-19
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
E
2026-04-23
2026-03-19
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2026-04-23
2026-03-19
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-04-23
2026-03-19
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2026-04-23
2026-03-19
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2026-04-23
2026-03-19
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-04-23
2026-03-19
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
2026-04-23
2026-03-19
Health
F0732
Post nurse staffing information every day.
D
2026-04-23
2026-03-19
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.
D
2026-04-23
2026-03-19
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2026-04-23
2026-03-19
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
2026-04-23
2026-03-19
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-04-23
2026-03-19
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2026-04-23
2024-10-29
Health
F0637
Assess the resident when there is a significant change in condition
C
2024-10-30
2024-10-29
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-11-11
2024-10-29
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-10-30
2024-10-29
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-10-30
2024-10-29
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2024-10-30
2024-10-29
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2024-10-30
2024-10-29
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-10-30
2024-10-29
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-10-30
2024-01-25
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
B
2024-02-21
2023-07-21
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-08-18
2023-07-21
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-08-18
2023-07-21
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-08-18
2023-07-21
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
2023-08-18
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
10
Owner
Role
Pct
From
Status
Source
CARE ONE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2004-09-01
current
pecos_ownership
DES HOLDING CO., INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
24%
2004-09-01
current
pecos_ownership
DES-C 2009 GRAT
5% OR GREATER INDIRECT OWNERSHIP INTEREST
21%
2009-10-26
current
pecos_ownership
BARUCH, DAVID
CORPORATE OFFICER
—
2021-12-01
current
pecos_ownership
CARE ONE MANAGEMENT, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2007-08-17
current
pecos_ownership
DES 2009 GST TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-12-01
current
pecos_ownership
HEALTHBRIDGE MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2008-07-28
current
pecos_ownership
STRAUS, DANIEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2007-12-31
current
pecos_ownership
DANIEL STRAUS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2007-12-31
ended 2026-05-18
pecos_ownership
DAVID BARUCH
W-2 MANAGING EMPLOYEE
—
2021-12-01
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
$2,675,393
—
—
$-3,002
—
3
—
2023-12-31
$1,463,469
—
—
$192,560
—
3
—
2022-12-31
$1,386,229
—
—
$110,651
—
3
—
2021-12-31
$1,519,331
—
—
$148,354
—
3
—
2020-12-31
$1,561,771
—
—
$231,808
—
3
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 34003
acs median gross
0
$1,638
2024-12-31
CENSUS_ACS5
county 34003
fmr
0
$1,778
2025-10-01
HUD_USER_FMR
county 34003
acs median gross
1
$1,698
2024-12-31
CENSUS_ACS5
county 34003
fmr
1
$2,024
2025-10-01
HUD_USER_FMR
county 34003
acs median gross
2
$2,014
2024-12-31
CENSUS_ACS5
county 34003
fmr
2
$2,324
2025-10-01
HUD_USER_FMR
county 34003
acs median gross
3
$2,431
2024-12-31
CENSUS_ACS5
county 34003
fmr
3
$2,835
2025-10-01
HUD_USER_FMR
county 34003
acs median gross
4
$3,170
2024-12-31
CENSUS_ACS5
county 34003
fmr
4
$3,618
2025-10-01
HUD_USER_FMR
county 34003
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
county 34003
acs median gross
$1,914
2024-12-31
CENSUS_ACS5
county 34003
acs recent mover gross
$2,373
2024-12-31
CENSUS_ACS5
zcta 07626
acs median gross
1
$2,154
2024-12-31
CENSUS_ACS5
zcta 07626
acs median gross
2
$1,938
2024-12-31
CENSUS_ACS5
zcta 07626
acs median gross
3
$3,501
2024-12-31
CENSUS_ACS5
zcta 07626
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 07626
acs median gross
$2,599
2024-12-31
CENSUS_ACS5
zcta 07626
acs recent mover gross
$2,956
2024-12-31
CENSUS_ACS5
zip 07626
payment standard 110
0
$2,750
2025-10-01
HUD_USER_SAFMR
zip 07626
payment standard 90
0
$2,250
2025-10-01
HUD_USER_SAFMR
zip 07626
safmr
0
$2,500
2025-10-01
HUD_USER_SAFMR
zip 07626
payment standard 110
1
$3,135
2025-10-01
HUD_USER_SAFMR
zip 07626
payment standard 90
1
$2,565
2025-10-01
HUD_USER_SAFMR
zip 07626
safmr
1
$2,850
2025-10-01
HUD_USER_SAFMR
zip 07626
payment standard 110
2
$3,597
2025-10-01
HUD_USER_SAFMR
zip 07626
payment standard 90
2
$2,943
2025-10-01
HUD_USER_SAFMR
zip 07626
safmr
2
$3,270
2025-10-01
HUD_USER_SAFMR
zip 07626
payment standard 110
3
$4,389
2025-10-01
HUD_USER_SAFMR
zip 07626
payment standard 90
3
$3,591
2025-10-01
HUD_USER_SAFMR
zip 07626
safmr
3
$3,990
2025-10-01
HUD_USER_SAFMR
zip 07626
payment standard 110
4
$5,599
2025-10-01
HUD_USER_SAFMR
zip 07626
payment standard 90
4
$4,581
2025-10-01
HUD_USER_SAFMR
zip 07626
safmr
4
$5,090
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.