Reads as: riskier than 89.9% 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.
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
13
2025Q3 HPRD
This facility
NJ median
National median
National p25–p75
Total nurse
3.19
3.31
3.28
2.90–3.77
RN
0.13
0.35
0.39
0.25–0.58
Weekend total
3.04
3.21
3.11
—
Weekday total
3.25
3.37
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q3
92
53.4
3.19
0.13
1.02
2.04
3.04
9.5%
2025Q2
91
54.1
3.13
0.04
1.10
1.98
3.06
11.5%
2025Q1
90
55.2
2.99
0.01
0.94
2.04
2.86
4.5%
2024Q4
92
51.6
3.35
0.06
1.12
2.17
3.24
2.6%
2024Q3
92
50.8
3.36
0.17
0.82
2.38
3.17
6.6%
2024Q1
91
54.0
3.46
0.25
1.23
1.98
2.97
0.0%
2023Q4
92
49.2
3.33
0.00
1.33
2.00
3.03
15.9%
2023Q3
92
51.2
2.92
0.34
0.93
1.66
2.57
0.0%
2023Q1
90
51.0
3.08
0.41
0.89
1.77
2.81
0.0%
2022Q4
92
49.5
3.21
0.37
1.02
1.82
2.61
9.1%
2022Q3
92
52.6
3.18
0.32
1.02
1.84
2.75
43.8%
2022Q2
91
50.5
3.35
0.23
1.10
2.02
2.87
39.4%
2022Q1
90
49.8
3.12
0.08
1.01
2.03
2.68
46.0%
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.
Provide and implement an infection prevention and control program.
F
2026-03-30
2026-03-05
Health · complaint
F0908
Keep all essential equipment working safely.
F
2026-03-30
2026-01-09
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2026-02-20
2026-01-09
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
2026-02-20
2026-01-09
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F
2026-03-13
2026-01-09
Health
F0610
Respond appropriately to all alleged violations.
E
2026-02-20
2026-01-09
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2026-02-20
2026-01-09
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-02-20
2026-01-09
Health · complaint
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
E
2026-02-20
2026-01-09
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2026-02-20
2026-01-09
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2026-02-20
2026-01-09
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
H
2026-01-10
2026-01-09
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-02-20
2026-01-09
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.
F
2026-02-20
2026-01-09
Health
F0730
Observe each nurse aide's job performance and give regular training.
F
2026-02-20
2026-01-09
Health
F0742
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
D
2026-02-20
2026-01-09
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-02-20
2026-01-09
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.
E
2026-02-20
2026-01-09
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F
2026-02-20
2026-01-09
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-02-20
2026-01-09
Health
F0825
Provide or get specialized rehabilitative services as required for a resident.
E
2026-02-20
2026-01-09
Health
F0836
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
F
2026-02-20
2026-01-09
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.
F
2026-02-20
2026-01-09
Health
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
F
2026-02-20
2026-01-09
Health
F0880
Provide and implement an infection prevention and control program.
F
2026-02-20
2026-01-09
Health
F0940
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
F
2026-02-20
2024-06-28
Health
F0638
Assure that each resident’s assessment is updated at least once every 3 months.
D
2024-08-12
2024-06-28
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
2024-08-12
2024-06-28
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-08-12
2024-06-28
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-08-12
2024-06-28
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-08-12
2024-06-28
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2024-08-12
2023-12-06
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2023-03-06
2023-12-06
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
B
2024-01-23
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
13
Owner
Role
Pct
From
Status
Source
SAGE OPERATIONS NJ LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2019-11-22
current
pecos_ownership
FOUNTAINS PROPCO LLC
Individual has financial interest in both related organization and provider
50%
2024-01-01
current
hcris_a_8_1
FOUNTAINS PROPCO LLC
Individual has financial interest in both related organization and provider
50%
2023-01-01
current
hcris_a_8_1
SATT, AVRAHAM
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2019-11-22
current
pecos_ownership
TENNENBAUM, SAMUEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2019-11-22
current
pecos_ownership
MENDELL, ELYZE
W-2 MANAGING EMPLOYEE
—
2019-11-22
current
pecos_ownership
AVRAHAM SATT
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2019-11-22
ended 2026-05-18
pecos_ownership
FOUNTAINS PROPCO LLC
Individual has financial interest in both related organization and provider
50%
2020-01-01
ended 2020-12-31
hcris_a_8_1
FOUNTAINS PROPCO LLC
Individual has financial interest in both related organization and provider
50%
2019-11-22
ended 2019-12-31
hcris_a_8_1
FOUNTAINS PROPCO LLC
Individual has financial interest in both related organization and provider
50%
2021-01-01
ended 2021-12-31
hcris_a_8_1
FOUNTAINS PROPCO LLC
Individual has financial interest in both related organization and provider
50%
2022-01-01
ended 2022-12-31
hcris_a_8_1
SAMUEL TENNENBAUM
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2019-11-22
ended 2026-05-18
pecos_ownership
ELYZE MENDELL
W-2 MANAGING EMPLOYEE
—
2019-11-22
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$4,307,842
—
—
—
—
4
propco
2023-12-31
$5,081,420
—
—
—
—
4
propco
2022-12-31
$4,983,019
—
—
—
—
4
propco
2021-12-31
$4,990,561
—
—
—
—
4
propco
2020-12-31
$4,796,938
—
—
—
—
4
propco
2019-12-31
$638,219
—
—
—
—
4
propco
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
32
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 08004
acs median gross
1
$941
2024-12-31
CENSUS_ACS5
zcta 08004
acs median gross
2
$1,641
2024-12-31
CENSUS_ACS5
zcta 08004
acs median gross
3
$1,833
2024-12-31
CENSUS_ACS5
zcta 08004
acs median gross
$1,119
2024-12-31
CENSUS_ACS5
zip 08004
payment standard 110
0
$1,661
2025-10-01
HUD_USER_SAFMR
zip 08004
payment standard 90
0
$1,359
2025-10-01
HUD_USER_SAFMR
zip 08004
safmr
0
$1,510
2025-10-01
HUD_USER_SAFMR
zip 08004
payment standard 110
1
$1,815
2025-10-01
HUD_USER_SAFMR
zip 08004
payment standard 90
1
$1,485
2025-10-01
HUD_USER_SAFMR
zip 08004
safmr
1
$1,650
2025-10-01
HUD_USER_SAFMR
zip 08004
payment standard 110
2
$2,156
2025-10-01
HUD_USER_SAFMR
zip 08004
payment standard 90
2
$1,764
2025-10-01
HUD_USER_SAFMR
zip 08004
safmr
2
$1,960
2025-10-01
HUD_USER_SAFMR
zip 08004
payment standard 110
3
$2,585
2025-10-01
HUD_USER_SAFMR
zip 08004
payment standard 90
3
$2,115
2025-10-01
HUD_USER_SAFMR
zip 08004
safmr
3
$2,350
2025-10-01
HUD_USER_SAFMR
zip 08004
payment standard 110
4
$2,882
2025-10-01
HUD_USER_SAFMR
zip 08004
payment standard 90
4
$2,358
2025-10-01
HUD_USER_SAFMR
zip 08004
safmr
4
$2,620
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.