Reads as: riskier than 73.3% 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.
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
4.13
3.31
3.28
2.90–3.77
RN
0.93
0.35
0.39
0.25–0.58
Weekend total
3.97
3.21
3.11
—
Weekday total
4.20
3.37
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
40.8
4.13
0.93
0.51
2.69
3.97
3.7%
2025Q3
92
41.8
4.05
0.82
0.56
2.68
3.89
8.0%
2025Q2
91
39.8
4.20
0.84
0.64
2.73
3.97
2.7%
2025Q1
90
40.6
4.16
0.87
0.58
2.70
3.88
2.6%
2024Q4
92
40.7
4.12
0.89
0.55
2.69
3.94
1.6%
2024Q3
92
40.5
4.03
0.93
0.45
2.65
3.90
1.1%
2024Q2
91
40.8
4.09
0.99
0.53
2.56
3.84
0.8%
2024Q1
91
38.3
4.15
1.02
0.55
2.58
3.93
3.5%
2023Q4
92
39.7
4.81
1.21
0.85
2.75
4.60
10.6%
2023Q3
92
49.0
4.11
0.79
0.89
2.43
3.85
17.9%
2023Q2
91
51.8
3.67
0.77
0.79
2.12
3.47
10.8%
2023Q1
90
49.2
4.34
1.01
0.77
2.57
4.20
11.8%
2022Q4
92
40.9
5.00
1.18
0.85
2.97
4.77
13.7%
2022Q3
92
42.8
4.18
0.94
0.69
2.55
4.12
18.8%
2022Q2
91
45.2
0.61
0.06
0.11
0.44
0.73
100.0%
2022Q1
90
45.7
4.12
0.81
0.91
2.40
3.93
15.0%
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.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2026-02-05
2026-01-14
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-01-15
2024-09-13
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D
2024-10-07
2024-09-13
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
2024-10-11
2024-09-13
Health
F0679
Provide activities to meet all resident's needs.
E
2024-10-11
2024-09-13
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2024-10-15
2024-09-13
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2024-10-18
2024-09-13
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-10-11
2024-09-13
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-10-18
2024-09-13
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
2024-10-18
2024-09-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-10-07
2024-09-13
Health
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
E
2024-10-15
2024-09-13
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-10-18
2024-09-13
Health
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
2024-10-07
2023-07-14
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2023-08-31
2023-07-14
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-08-31
2023-07-14
Health
F0730
Observe each nurse aide's job performance and give regular training.
F
2023-08-31
2023-07-14
Health
F0802
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F
2023-08-31
2023-07-14
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-08-30
2023-07-14
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-08-15
2023-07-14
Health
F0947
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
D
2023-08-31
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
25
Owner
Role
Pct
From
Status
Source
LCS HOLDING COMPANY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2021-12-27
ended 2026-05-18
pecos_ownership
LCS NJ I LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2018-07-13
ended 2026-05-18
pecos_ownership
LIFE CARE COMPANIES LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2018-07-13
ended 2026-05-18
pecos_ownership
LIFE CARE SERVICES COMMUNITIES, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2018-07-13
ended 2026-05-18
pecos_ownership
RCI LEGACY HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
74%
2021-12-28
ended 2026-05-18
pecos_ownership
REDWOOD HOLDINGS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
74%
2021-12-28
ended 2026-05-18
pecos_ownership
OAK INVESTMENT TRUST II
5% OR GREATER INDIRECT OWNERSHIP INTEREST
47%
2021-12-28
ended 2026-05-18
pecos_ownership
OAK INVESTMENT TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
18%
2021-12-28
ended 2026-05-18
pecos_ownership
MPM SENIOR LIVING INVESTORS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
15%
2021-12-28
ended 2026-05-18
pecos_ownership
LCS MANAGEMENT HOLDING COMPANY, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
11%
2021-12-28
ended 2026-05-18
pecos_ownership
MCCARTHY GROUP LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2021-12-28
ended 2026-05-18
pecos_ownership
MCCARTHY PARTNERS, LLC
INDIRECT OWNERSHIP INTEREST
1%
2025-01-01
ended 2026-05-18
pecos_ownership
ALOK ANAND
OPERATIONAL/MANAGERIAL CONTROL
0%
2025-01-01
ended 2026-05-18
pecos_ownership
BRIAN ALEXOPOULOS
OPERATIONAL/MANAGERIAL CONTROL
0%
2025-01-01
ended 2026-05-18
pecos_ownership
BRIDGETTE UHLEMANN
CORPORATE OFFICER
0%
2024-02-15
ended 2026-05-18
pecos_ownership
DANIEL LAHEY
CORPORATE OFFICER
0%
2024-02-15
ended 2026-05-18
pecos_ownership
GELYNNA SHAW
CORPORATE OFFICER
0%
2025-01-01
ended 2026-05-18
pecos_ownership
JASON VICTOR
CORPORATE OFFICER
0%
2018-07-13
ended 2026-05-18
pecos_ownership
JOHN BIRD
CORPORATE OFFICER
0%
2024-02-15
ended 2026-05-18
pecos_ownership
LIFE CARE SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
0%
2018-07-13
ended 2026-05-18
pecos_ownership
ROBERTA MCMENAMIN
CORPORATE OFFICER
0%
2018-07-13
ended 2026-05-18
pecos_ownership
ALOK ANAND
ADP OF THE SNF
—
2025-03-27
ended 2026-05-18
pecos_ownership
LIFE CARE SERVICES LLC
ADP OF THE SNF
—
2025-03-27
ended 2026-05-18
pecos_ownership
RONALD NAHASS
ADP OF THE SNF
—
2025-03-27
ended 2026-05-18
pecos_ownership
RONALD NAHASS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-15
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
34
Geo
Kind
BR
Amount
As of
Source
county 34035
acs median gross
0
$1,608
2024-12-31
CENSUS_ACS5
county 34035
fmr
0
$1,804
2025-10-01
HUD_USER_FMR
county 34035
acs median gross
1
$1,793
2024-12-31
CENSUS_ACS5
county 34035
fmr
1
$1,978
2025-10-01
HUD_USER_FMR
county 34035
acs median gross
2
$2,144
2024-12-31
CENSUS_ACS5
county 34035
fmr
2
$2,486
2025-10-01
HUD_USER_FMR
county 34035
acs median gross
3
$2,455
2024-12-31
CENSUS_ACS5
county 34035
fmr
3
$2,981
2025-10-01
HUD_USER_FMR
county 34035
acs median gross
4
$2,658
2024-12-31
CENSUS_ACS5
county 34035
fmr
4
$3,296
2025-10-01
HUD_USER_FMR
county 34035
acs median gross
$2,033
2024-12-31
CENSUS_ACS5
county 34035
acs recent mover gross
$2,491
2024-12-31
CENSUS_ACS5
zcta 08807
acs median gross
0
$1,132
2024-12-31
CENSUS_ACS5
zcta 08807
acs median gross
1
$2,015
2024-12-31
CENSUS_ACS5
zcta 08807
acs median gross
2
$2,124
2024-12-31
CENSUS_ACS5
zcta 08807
acs median gross
3
$2,642
2024-12-31
CENSUS_ACS5
zcta 08807
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 08807
acs median gross
$2,176
2024-12-31
CENSUS_ACS5
zcta 08807
acs recent mover gross
$3,183
2024-12-31
CENSUS_ACS5
zip 08807
payment standard 110
0
$2,167
2025-10-01
HUD_USER_SAFMR
zip 08807
payment standard 90
0
$1,773
2025-10-01
HUD_USER_SAFMR
zip 08807
safmr
0
$1,970
2025-10-01
HUD_USER_SAFMR
zip 08807
payment standard 110
1
$2,376
2025-10-01
HUD_USER_SAFMR
zip 08807
payment standard 90
1
$1,944
2025-10-01
HUD_USER_SAFMR
zip 08807
safmr
1
$2,160
2025-10-01
HUD_USER_SAFMR
zip 08807
payment standard 110
2
$2,992
2025-10-01
HUD_USER_SAFMR
zip 08807
payment standard 90
2
$2,448
2025-10-01
HUD_USER_SAFMR
zip 08807
safmr
2
$2,720
2025-10-01
HUD_USER_SAFMR
zip 08807
payment standard 110
3
$3,586
2025-10-01
HUD_USER_SAFMR
zip 08807
payment standard 90
3
$2,934
2025-10-01
HUD_USER_SAFMR
zip 08807
safmr
3
$3,260
2025-10-01
HUD_USER_SAFMR
zip 08807
payment standard 110
4
$3,971
2025-10-01
HUD_USER_SAFMR
zip 08807
payment standard 90
4
$3,249
2025-10-01
HUD_USER_SAFMR
zip 08807
safmr
4
$3,610
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.