Composite
78.2 / 100 percentile
Screener / 315531
C
WINDMERE
snfNJ
151 GRAHAM AVENUE, NORTH HALEDON, NJ 07508 · CCN 315531 · chain CHRISTIAN HEALTH CARE CENTER
Peer group
snf n = 14,684
Evidence depth
moderate
Certified beds
57
Model
v1.2
Reads as: riskier than 78.2% 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.
Score model3ML signals1Components9CHOW radar1Distress radar1Penalties0Deficiencies5Licensure0Ownership47Related party0Transactions0Comps12Market rent33
Composite explanation
3| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 99.8 | 98.2 | 0.30 | 0.4000 | 39.92 | in index |
| chow risk | 82.6 | 35.0 | 0.15 | 0.2000 | 16.52 | in index |
| regulatory risk | 7.9 | 5.0 | 0.30 | 0.4000 | 3.16 | in index |
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
1| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 4 chains | MONTGOMERY DAVID | 5 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.
Component scores and registry models
9| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 35.0 | B | v0.1-pos | default · in composite | 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. |
| financial risk | 98.2 | F | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.1 | — | v0.1 | default · in composite | 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. |
| p chow 12m | 0.1 | — | v0.1 | default · in 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. |
| regulatory risk | 5.0 | A | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| financial risk | 98.2 | F | v0.3 | superseded | 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. |
| financial risk | 98.2 | F | v0.4 | superseded | 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. |
| regulatory risk | 4.9 | A | v0.1 | superseded | 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. |
| regulatory risk | 4.9 | A | v0.2 | superseded | 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.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
33.9
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| No PBJ staffing report | 1.00 | -3.61 | |
| Occupancy | 0.00 | +2.02 | |
| For-profit ownership | 0.00 | -1.24 | |
| Never sold on record | 1.00 | +0.62 | |
| Total nurse staffing (HPRD) | 0.00 | +0.60 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Chain size (log) | 1.10 | -0.17 |
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.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
47.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| No PBJ staffing report | 1.00 | -7.43 | |
| Occupancy | 0.00 | +3.15 | |
| For-profit ownership | 0.00 | +1.62 | |
| Total nurse staffing (HPRD) | 0.00 | +1.35 | |
| Deficiencies, last 12 months | 3.00 | +0.87 | |
| Chain size (log) | 1.10 | +0.56 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 |
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.
Penalties
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
5D × 1F × 4
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-03 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | F | 2026-03-25 |
| 2026-03-03 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-02-26 |
| 2026-03-03 | 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. | D | 2026-03-19 |
| 2024-08-08 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2024-09-30 |
| 2024-08-08 | Health | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | 2024-09-30 |
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
0No 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
47| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BALKEMA, BRUCE | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | current | pecos_ownership |
| BELANUS, JOHN | CORPORATE OFFICER | — | 2023-10-04 | current | pecos_ownership |
| CHRISTIAN HEALTH CARE CENTER | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-10-03 | current | pecos_ownership |
| CUSACK, BEVERLY | CORPORATE OFFICER | — | 2023-10-04 | current | pecos_ownership |
| DE SCLAFANI, JOHN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | current | pecos_ownership |
| DEBEL, RICK | CORPORATE OFFICER | — | 2023-10-04 | current | pecos_ownership |
| DEYOUNG, SANDRA | CORPORATE OFFICER | — | 2023-10-04 | current | pecos_ownership |
| DUMKE, STEPHEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 | current | pecos_ownership |
| DYKHOUSE, THOMAS | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-10-04 | current | pecos_ownership |
| GORTER, ROD | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | current | pecos_ownership |
| GRIMM, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | current | pecos_ownership |
| HOLLAND, JULIE | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | current | pecos_ownership |
| KING, DEBORAH | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | current | pecos_ownership |
| KUIKEN, MATTHEW | CORPORATE OFFICER | — | 2023-10-04 | current | pecos_ownership |
| LYMAN, PAUL | CORPORATE OFFICER | — | 2023-10-04 | current | pecos_ownership |
| MONTGOMERY, DAVID | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | current | pecos_ownership |
| SHOTMEYER, AMY | CORPORATE OFFICER | — | 2023-10-04 | current | pecos_ownership |
| STOCKER, BERYL | ADP OF THE SNF | — | 2023-11-17 | current | pecos_ownership |
| STRUYK, DOUGLAS | CORPORATE OFFICER | — | 2023-10-04 | current | pecos_ownership |
| SVENSSON, ERIK | ADP OF THE SNF | — | 2025-12-12 | current | pecos_ownership |
| TOKARSKI, JULIE | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | current | pecos_ownership |
| VAN DYK, ELIZABETH | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | current | pecos_ownership |
| VANORDEN, ANDREW | ADP OF THE SNF | — | 2023-12-11 | current | pecos_ownership |
| VRIESEMA, CHARLOTTE | CORPORATE OFFICER | — | 2024-03-07 | current | pecos_ownership |
| AMY SHOTMEYER | CORPORATE OFFICER | — | 2023-10-04 | ended 2026-05-18 | pecos_ownership |
| ANDREW VANORDEN | ADP OF THE SNF | — | 2023-12-11 | ended 2026-05-18 | pecos_ownership |
| BERYL STOCKER | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-11-17 | ended 2026-05-18 | pecos_ownership |
| BEVERLY CUSACK | CORPORATE OFFICER | — | 2023-10-04 | ended 2026-05-18 | pecos_ownership |
| BRUCE BALKEMA | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | ended 2026-05-18 | pecos_ownership |
| CHARLOTTE VRIESEMA | CORPORATE OFFICER | — | 2024-03-07 | ended 2026-05-18 | pecos_ownership |
| DANIEL GRIMM | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | ended 2026-05-18 | pecos_ownership |
| DAVID MONTGOMERY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | ended 2026-05-18 | pecos_ownership |
| DEBORAH KING | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | ended 2026-05-18 | pecos_ownership |
| DOUGLAS STRUYK | CORPORATE OFFICER | — | 2023-10-04 | ended 2026-05-18 | pecos_ownership |
| ELIZABETH VAN DYK | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | ended 2026-05-18 | pecos_ownership |
| ERIK SVENSSON | ADP OF THE SNF | — | 2025-12-12 | ended 2026-05-18 | pecos_ownership |
| JOHN BELANUS | CORPORATE OFFICER | — | 2023-10-04 | ended 2026-05-18 | pecos_ownership |
| JOHN DE SCLAFANI | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | ended 2026-05-18 | pecos_ownership |
| JULIE HOLLAND | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | ended 2026-05-18 | pecos_ownership |
| JULIE TOKARSKI | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | ended 2026-05-18 | pecos_ownership |
| MATTHEW KUIKEN | CORPORATE OFFICER | — | 2023-10-04 | ended 2026-05-18 | pecos_ownership |
| PAUL LYMAN | CORPORATE OFFICER | — | 2023-10-04 | ended 2026-05-18 | pecos_ownership |
| RICK DEBEL | CORPORATE OFFICER | — | 2023-10-04 | ended 2026-05-18 | pecos_ownership |
| ROD GORTER | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | ended 2026-05-18 | pecos_ownership |
| SANDRA DEYOUNG | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-10-04 | ended 2026-05-18 | pecos_ownership |
| STEPHEN DUMKE | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 | ended 2026-05-18 | pecos_ownership |
| THOMAS DYKHOUSE | CORPORATE OFFICER | — | 2023-10-04 | 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.
Transactions
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Comparable trades — NJ snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-05-06 | RIVERSIDE HEALTH AND REHABILITATION CENTER LLC | — | — | — | 141 | RIVERSIDE HEALTH AND REHABILITATION CENTER LLC |
| 2024-04-01 | ATLAS REHABILITATION & HEALTHCARE AT WEST DEPTFOR | — | — | — | 156 | WEST DEPTFORD SNF OPERATIONS LLC |
| 2024-04-01 | ATLAS REHABILITATION AND HEALTHCARE AT WASHINGTON | — | — | — | 120 | SEWELL SNF OPERATIONS LLC |
| 2024-04-01 | ACCELERATE SKILLED NURSING AND REHAB PISCATAWAY | — | — | — | 124 | SKILES AVENUE AND STERLING DRIVE URBAN RENEWAL OPERATIONS LLC |
| 2024-03-01 | MEADOWBROOK RESPIRATORY AND NURSING CENTER | — | — | — | 130 | MATAWAN SNF OPERATIONS LLC |
| 2024-03-01 | ATLAS POST ACUTE AT WOODBURY COUNTRY CLUB | — | — | — | 124 | WOODBURY SNF OPERATIONS LLC |
| 2024-02-01 | THE SUBACUTE AT AUTUMN LAKE HEALTHCARE | — | — | — | 124 | 113 SOUTH ROUTE 73 OPCO LLC |
| 2024-02-01 | MOHAWK MEADOWS | — | — | — | 159 | BEMET LLC |
| 2024-01-08 | TOTAL REHAB MOORESTOWN | — | — | — | 124 | MOORESTOWN OPERATOR LLC |
| 2024-01-01 | AUTUMN LAKE HEALTHCARE AT VOORHEES | — | — | — | 120 | 1086 DUMONT CIRCLE OPCO LLC |
| 2024-01-01 | HARTWYCK AT OAK TREE | — | — | — | 120 | HACKENSACK MERIDIAN AMBULATORY CARE, INC. |
| 2023-12-27 | MOUNTAINSIDE SKILLED NURSING AND REHAB | — | — | — | 151 | MOUNTAINSIDE NURSING AND REHAB BHC OPERATIONS |
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 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 07508 | acs median gross | 1 | $1,492 | 2024-12-31 | CENSUS_ACS5 |
| zcta 07508 | acs median gross | 2 | $1,678 | 2024-12-31 | CENSUS_ACS5 |
| zcta 07508 | acs median gross | 3 | $2,187 | 2024-12-31 | CENSUS_ACS5 |
| zcta 07508 | acs median gross | $1,739 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 07508 | acs recent mover gross | $1,993 | 2024-12-31 | CENSUS_ACS5 | |
| zip 07508 | payment standard 110 | 0 | $1,936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 07508 | payment standard 90 | 0 | $1,584 | 2025-10-01 | HUD_USER_SAFMR |
| zip 07508 | safmr | 0 | $1,760 | 2025-10-01 | HUD_USER_SAFMR |
| zip 07508 | payment standard 110 | 1 | $2,200 | 2025-10-01 | HUD_USER_SAFMR |
| zip 07508 | payment standard 90 | 1 | $1,800 | 2025-10-01 | HUD_USER_SAFMR |
| zip 07508 | safmr | 1 | $2,000 | 2025-10-01 | HUD_USER_SAFMR |
| zip 07508 | payment standard 110 | 2 | $2,530 | 2025-10-01 | HUD_USER_SAFMR |
| zip 07508 | payment standard 90 | 2 | $2,070 | 2025-10-01 | HUD_USER_SAFMR |
| zip 07508 | safmr | 2 | $2,300 | 2025-10-01 | HUD_USER_SAFMR |
| zip 07508 | payment standard 110 | 3 | $3,091 | 2025-10-01 | HUD_USER_SAFMR |
| zip 07508 | payment standard 90 | 3 | $2,529 | 2025-10-01 | HUD_USER_SAFMR |
| zip 07508 | safmr | 3 | $2,810 | 2025-10-01 | HUD_USER_SAFMR |
| zip 07508 | payment standard 110 | 4 | $3,938 | 2025-10-01 | HUD_USER_SAFMR |
| zip 07508 | payment standard 90 | 4 | $3,222 | 2025-10-01 | HUD_USER_SAFMR |
| zip 07508 | safmr | 4 | $3,580 | 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.