Reads as: riskier than 73.5% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
4 chains
POWERBACK REHABILITATION LLC
32 facilities
connection
Owner fleet enforcement cluster
40% fined
GENESIS ADMINISTRATIVE SERVICES LLC
15 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
3.06
3.31
3.28
2.90–3.77
RN
0.46
0.35
0.39
0.25–0.58
Weekend total
2.78
3.21
3.11
—
Weekday total
3.17
3.37
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
128.6
3.06
0.46
0.73
1.87
2.78
0.1%
2025Q3
92
128.7
2.83
0.49
0.67
1.66
2.52
0.0%
2025Q2
91
131.5
2.91
0.52
0.72
1.67
2.59
0.0%
2025Q1
90
138.2
2.75
0.53
0.59
1.64
2.49
0.3%
2024Q4
92
130.7
2.87
0.56
0.58
1.74
2.58
0.0%
2024Q3
92
124.7
3.02
0.56
0.65
1.82
2.86
0.4%
2024Q2
91
125.8
3.18
0.68
0.71
1.80
2.98
1.1%
2024Q1
91
130.9
2.96
0.62
0.72
1.62
2.83
1.9%
2023Q4
92
121.0
2.94
0.61
0.70
1.64
2.80
0.8%
2023Q3
92
107.4
2.91
0.57
0.76
1.58
2.69
1.1%
2023Q2
91
106.6
2.89
0.65
0.73
1.51
2.44
0.5%
2023Q1
90
107.8
2.91
0.80
0.64
1.47
2.57
1.8%
2022Q4
92
104.5
2.92
0.69
0.85
1.38
2.58
9.9%
2022Q3
92
119.3
3.10
0.48
0.90
1.72
2.98
26.5%
2022Q2
91
116.5
2.86
0.59
0.75
1.51
2.71
15.1%
2022Q1
90
109.8
2.87
0.63
0.70
1.54
2.78
8.2%
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
24
D × 12E × 10F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-06-16
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
E
2025-08-09
2025-06-16
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-08-09
2025-06-16
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-08-09
2025-06-16
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2025-08-09
2025-06-16
Health
F0809
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
F
2025-08-09
2025-06-16
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-08-09
2025-06-16
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
F
2025-08-09
2024-06-25
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-07-31
2024-02-06
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2024-03-12
2024-02-06
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2024-03-12
2024-02-06
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-03-12
2024-02-06
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
2024-03-12
2024-02-06
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
2024-03-12
2024-02-06
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.
E
2024-03-12
2024-02-06
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-03-12
2024-02-06
Health
F0711
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
E
2024-03-12
2024-02-06
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.
E
2024-03-12
2024-02-06
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2024-03-12
2024-02-06
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
2024-03-12
2024-02-06
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2024-03-12
2024-02-06
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-03-12
2021-11-01
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
2021-12-01
2021-11-01
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2021-12-01
2021-11-01
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-01-12
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
32
Owner
Role
Pct
From
Status
Source
GENESIS OPERATIONS IV LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2011-12-31
current
pecos_ownership
AVERSA, THADDEUS
ADP OF THE SNF
—
2025-01-28
current
pecos_ownership
AVERSA, THADDEUS
OPERATIONAL/MANAGERIAL CONTROL
—
2002-01-01
current
pecos_ownership
BERG, MICHAEL
CORPORATE OFFICER
—
2012-12-01
current
pecos_ownership
BRIDGEFORD, LAURA
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
GEN OPERATIONS I LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2011-04-01
current
pecos_ownership
GEN OPERATIONS II LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2011-04-01
current
pecos_ownership
GENESIS ADMINISTRATIVE SERVICES LLC
ADP OF THE SNF
—
2019-02-01
current
pecos_ownership
GENESIS HEALTHCARE INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-02-02
current
pecos_ownership
GENESIS HEALTHCARE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2011-04-01
current
pecos_ownership
GENESIS HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-02-02
current
pecos_ownership
MENDELSON, AVI
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
POWERBACK REHABILITATION LLC
ADP OF THE SNF
—
2023-02-01
current
pecos_ownership
SCHEIER, BARRY
ADP OF THE SNF
—
2025-01-28
current
pecos_ownership
SCHEIER, BARRY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-12-27
current
pecos_ownership
SUN HEALTHCARE GROUP INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-02-02
current
pecos_ownership
WHITMAN, ARNOLD
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2011-12-31
current
pecos_ownership
AVI MENDELSON
CORPORATE OFFICER
100%
2024-01-01
ended 2026-05-18
pecos_ownership
FC-GEN OPERATIONS INVESTMENT LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2011-04-01
ended 2026-05-18
pecos_ownership
GHC HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2011-02-01
ended 2026-05-18
pecos_ownership
LAURA BRIDGEFORD
CORPORATE OFFICER
100%
2024-01-01
ended 2026-05-18
pecos_ownership
MICHAEL BERG
CORPORATE OFFICER
100%
2012-12-01
ended 2026-05-18
pecos_ownership
ARNOLD WHITMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
11%
2011-12-31
ended 2026-05-18
pecos_ownership
HCCF MANAGEMENT GROUP XI LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
11%
2011-12-31
ended 2026-05-18
pecos_ownership
STEVEN FISHMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2011-12-31
ended 2026-05-18
pecos_ownership
ZAC PROPERTIES XI LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2011-12-31
ended 2026-05-18
pecos_ownership
WELLTOWER OP, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
6%
2024-01-01
ended 2026-05-18
pecos_ownership
SUNDANCE REHABILITATION HOLDCO INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2015-02-02
ended 2026-05-18
pecos_ownership
BARRY SCHEIER
OPERATIONAL/MANAGERIAL CONTROL
—
2023-12-27
ended 2026-05-18
pecos_ownership
BARRY SCHEIER
ADP OF THE SNF
—
2025-01-28
ended 2026-05-18
pecos_ownership
THADDEUS AVERSA
OPERATIONAL/MANAGERIAL CONTROL
—
2002-01-01
ended 2026-05-18
pecos_ownership
THADDEUS AVERSA
ADP OF THE SNF
—
2025-01-28
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
$1,996,427
—
$741,206
$1,108,161
$76,425
5
—
2023-12-31
$1,744,644
—
$673,395
$903,979
$96,359
5
—
2022-12-31
$3,149,546
—
$765,939
$1,053,147
$1,258,739
5
—
2021-12-31
$2,235,298
—
$708,163
$871,311
$610,224
5
—
2020-12-31
$2,386,998
—
$739,534
$749,373
$876,639
9
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 34041
acs median gross
0
$1,433
2024-12-31
CENSUS_ACS5
county 34041
fmr
0
$1,517
2025-10-01
HUD_USER_FMR
county 34041
acs median gross
1
$1,257
2024-12-31
CENSUS_ACS5
county 34041
fmr
1
$1,527
2025-10-01
HUD_USER_FMR
county 34041
acs median gross
2
$1,553
2024-12-31
CENSUS_ACS5
county 34041
fmr
2
$1,895
2025-10-01
HUD_USER_FMR
county 34041
acs median gross
3
$1,645
2024-12-31
CENSUS_ACS5
county 34041
fmr
3
$2,404
2025-10-01
HUD_USER_FMR
county 34041
acs median gross
4
$2,104
2024-12-31
CENSUS_ACS5
county 34041
fmr
4
$2,800
2025-10-01
HUD_USER_FMR
county 34041
acs median gross
$1,409
2024-12-31
CENSUS_ACS5
county 34041
acs recent mover gross
$1,774
2024-12-31
CENSUS_ACS5
zcta 08865
acs median gross
0
$2,026
2024-12-31
CENSUS_ACS5
zcta 08865
acs median gross
1
$1,132
2024-12-31
CENSUS_ACS5
zcta 08865
acs median gross
2
$1,446
2024-12-31
CENSUS_ACS5
zcta 08865
acs median gross
3
$1,609
2024-12-31
CENSUS_ACS5
zcta 08865
acs median gross
4
$1,985
2024-12-31
CENSUS_ACS5
zcta 08865
acs median gross
5
$845
2024-12-31
CENSUS_ACS5
zcta 08865
acs median gross
$1,348
2024-12-31
CENSUS_ACS5
zcta 08865
acs recent mover gross
$1,907
2024-12-31
CENSUS_ACS5
zip 08865
payment standard 110
0
$1,595
2025-10-01
HUD_USER_SAFMR
zip 08865
payment standard 90
0
$1,305
2025-10-01
HUD_USER_SAFMR
zip 08865
safmr
0
$1,450
2025-10-01
HUD_USER_SAFMR
zip 08865
payment standard 110
1
$1,606
2025-10-01
HUD_USER_SAFMR
zip 08865
payment standard 90
1
$1,314
2025-10-01
HUD_USER_SAFMR
zip 08865
safmr
1
$1,460
2025-10-01
HUD_USER_SAFMR
zip 08865
payment standard 110
2
$1,991
2025-10-01
HUD_USER_SAFMR
zip 08865
payment standard 90
2
$1,629
2025-10-01
HUD_USER_SAFMR
zip 08865
safmr
2
$1,810
2025-10-01
HUD_USER_SAFMR
zip 08865
payment standard 110
3
$2,530
2025-10-01
HUD_USER_SAFMR
zip 08865
payment standard 90
3
$2,070
2025-10-01
HUD_USER_SAFMR
zip 08865
safmr
3
$2,300
2025-10-01
HUD_USER_SAFMR
zip 08865
payment standard 110
4
$2,937
2025-10-01
HUD_USER_SAFMR
zip 08865
payment standard 90
4
$2,403
2025-10-01
HUD_USER_SAFMR
zip 08865
safmr
4
$2,670
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.