Reads as: riskier than 98.9% 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.
ML signals — parallel engine
3
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+44.7 vs natl
JACOBS HYMAN
8 facilities
connection
Owner fleet risk far above national
+44.1 vs natl
METTERNICH CHRISTOPHER
8 facilities
connection
Owner fleet risk far above national
+43.6 vs natl
JACOBS LIVIA
7 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
15
2025Q4 HPRD
This facility
NJ median
National median
National p25–p75
Total nurse
3.22
3.31
3.28
2.90–3.77
RN
0.49
0.35
0.39
0.25–0.58
Weekend total
3.04
3.21
3.11
—
Weekday total
3.30
3.37
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
131.1
3.22
0.49
0.54
2.20
3.04
0.0%
2025Q3
92
114.5
3.43
0.58
0.61
2.25
3.07
0.0%
2025Q2
91
104.5
3.67
0.63
0.70
2.34
3.37
0.0%
2025Q1
90
110.2
3.80
0.62
0.82
2.36
3.51
0.0%
2024Q4
92
111.2
3.69
0.65
0.79
2.25
3.30
0.0%
2024Q3
92
126.4
3.37
0.57
0.68
2.12
3.15
0.0%
2024Q2
91
118.9
3.55
0.65
0.58
2.32
3.31
0.0%
2024Q1
91
116.8
3.23
0.62
0.57
2.03
3.02
0.0%
2023Q4
92
111.5
3.44
0.56
0.76
2.12
3.17
0.0%
2023Q2
91
107.7
3.52
0.52
0.88
2.13
3.31
0.0%
2023Q1
90
106.7
3.38
0.41
0.88
2.09
3.17
0.0%
2022Q4
92
105.3
3.31
0.34
0.86
2.11
3.01
0.0%
2022Q3
92
98.9
3.48
0.38
0.87
2.24
3.15
0.0%
2022Q2
91
92.8
3.44
0.38
0.86
2.19
3.17
0.0%
2022Q1
90
91.9
3.49
0.41
0.89
2.19
3.02
0.0%
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.
Assess the resident when there is a significant change in condition
B
2025-05-30
2025-04-16
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-05-30
2025-04-16
Health
F0760
Ensure that residents are free from significant medication errors.
E
2025-05-30
2025-04-16
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-05-30
2024-10-25
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-12-16
2024-01-24
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2024-02-22
2024-01-24
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E
2024-02-22
2024-01-24
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
C
2024-02-22
2024-01-24
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
C
2024-02-22
2024-01-24
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2024-02-18
2024-01-24
Health
F0641
Ensure each resident receives an accurate assessment.
C
2024-02-22
2024-01-24
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
2024-02-09
2024-01-24
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-02-22
2024-01-24
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2024-02-22
2024-01-24
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
G
2024-04-11
2024-01-24
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-02-22
2024-01-24
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.
F
2024-02-22
2024-01-24
Health
F0730
Observe each nurse aide's job performance and give regular training.
D
2024-02-22
2024-01-24
Health
F0732
Post nurse staffing information every day.
D
2024-02-22
2024-01-24
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
2024-02-22
2024-01-24
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
2024-02-22
2024-01-24
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2024-02-22
2024-01-24
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2024-02-22
2024-01-24
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
D
2024-02-22
2024-01-24
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-02-22
2024-01-24
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
D
2024-02-22
2024-01-24
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
2024-02-22
2022-11-10
Health
F0637
Assess the resident when there is a significant change in condition
D
2022-12-20
2022-11-10
Health
F0641
Ensure each resident receives an accurate assessment.
D
2022-12-20
2022-11-10
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
2022-12-20
2022-11-10
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2022-12-20
2022-11-10
Health
F0712
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
D
2023-02-07
2022-11-10
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-01-31
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
15
Owner
Role
Pct
From
Status
Source
CORNELL HOLDINGS LLC
Director, officer, administrator or key person of related organization, or relative, has financial interest in provider
95%
2024-01-01
current
hcris_a_8_1
CORNELL HOLDINGS LLC
Director, officer, administrator or key person of related organization, or relative, has financial interest in provider
95%
2023-01-01
current
hcris_a_8_1
JACOBS, HYMAN
5% OR GREATER DIRECT OWNERSHIP INTEREST
95%
2009-04-30
current
pecos_ownership
JACOBS, LIVIA
5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
2009-04-30
current
pecos_ownership
HAYES, VICKI
W-2 MANAGING EMPLOYEE
—
2015-02-26
current
pecos_ownership
JACOBS, HYMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2009-12-16
current
pecos_ownership
METTERNICH, CHRISTOPHER
CORPORATE OFFICER
—
2017-08-17
current
pecos_ownership
CHRISTOPHER METTERNICH
CORPORATE OFFICER
100%
2017-08-17
ended 2026-05-18
pecos_ownership
VICKI HAYES
W-2 MANAGING EMPLOYEE
100%
2015-02-26
ended 2026-05-18
pecos_ownership
CORNELL HOLDINGS
Individual has financial interest in both related organization and provider
95%
2022-01-01
ended 2022-12-31
hcris_a_8_1
CORNELL HOLDINGS
Individual has financial interest in both related organization and provider
95%
2021-01-01
ended 2021-12-31
hcris_a_8_1
CORNELL HOLDINGS
Individual has financial interest in both related organization and provider
95%
2020-01-01
ended 2020-12-31
hcris_a_8_1
HYMAN JACOBS
5% OR GREATER DIRECT OWNERSHIP INTEREST
95%
2009-04-30
ended 2026-05-18
pecos_ownership
LIVIA JACOBS
5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
2009-04-30
ended 2026-05-18
pecos_ownership
HYMAN JACOBS
OPERATIONAL/MANAGERIAL CONTROL
—
2009-12-16
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
$1,849,621
$596,422
—
—
—
4
propco
2023-12-31
$1,400,184
$639,417
—
—
$29,857
4
propco
2022-12-31
$1,457,281
$639,417
—
—
—
4
propco
2021-12-31
$1,696,386
$812,959
—
—
—
4
propco
2020-12-31
$1,813,153
$825,278
—
—
—
4
propco
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 34039
acs median gross
0
$1,283
2024-12-31
CENSUS_ACS5
county 34039
fmr
0
$1,612
2025-10-01
HUD_USER_FMR
county 34039
acs median gross
1
$1,407
2024-12-31
CENSUS_ACS5
county 34039
fmr
1
$1,822
2025-10-01
HUD_USER_FMR
county 34039
acs median gross
2
$1,785
2024-12-31
CENSUS_ACS5
county 34039
fmr
2
$2,205
2025-10-01
HUD_USER_FMR
county 34039
acs median gross
3
$2,085
2024-12-31
CENSUS_ACS5
county 34039
fmr
3
$2,761
2025-10-01
HUD_USER_FMR
county 34039
acs median gross
4
$2,369
2024-12-31
CENSUS_ACS5
county 34039
fmr
4
$3,137
2025-10-01
HUD_USER_FMR
county 34039
acs median gross
5
$2,426
2024-12-31
CENSUS_ACS5
county 34039
acs median gross
$1,730
2024-12-31
CENSUS_ACS5
county 34039
acs recent mover gross
$2,111
2024-12-31
CENSUS_ACS5
zcta 07083
acs median gross
0
$2,004
2024-12-31
CENSUS_ACS5
zcta 07083
acs median gross
1
$1,778
2024-12-31
CENSUS_ACS5
zcta 07083
acs median gross
2
$2,180
2024-12-31
CENSUS_ACS5
zcta 07083
acs median gross
3
$2,132
2024-12-31
CENSUS_ACS5
zcta 07083
acs median gross
4
$3,274
2024-12-31
CENSUS_ACS5
zcta 07083
acs median gross
$2,060
2024-12-31
CENSUS_ACS5
zcta 07083
acs recent mover gross
$2,230
2024-12-31
CENSUS_ACS5
zip 07083
payment standard 110
0
$2,123
2025-10-01
HUD_USER_SAFMR
zip 07083
payment standard 90
0
$1,737
2025-10-01
HUD_USER_SAFMR
zip 07083
safmr
0
$1,930
2025-10-01
HUD_USER_SAFMR
zip 07083
payment standard 110
1
$2,398
2025-10-01
HUD_USER_SAFMR
zip 07083
payment standard 90
1
$1,962
2025-10-01
HUD_USER_SAFMR
zip 07083
safmr
1
$2,180
2025-10-01
HUD_USER_SAFMR
zip 07083
payment standard 110
2
$2,904
2025-10-01
HUD_USER_SAFMR
zip 07083
payment standard 90
2
$2,376
2025-10-01
HUD_USER_SAFMR
zip 07083
safmr
2
$2,640
2025-10-01
HUD_USER_SAFMR
zip 07083
payment standard 110
3
$3,641
2025-10-01
HUD_USER_SAFMR
zip 07083
payment standard 90
3
$2,979
2025-10-01
HUD_USER_SAFMR
zip 07083
safmr
3
$3,310
2025-10-01
HUD_USER_SAFMR
zip 07083
payment standard 110
4
$4,136
2025-10-01
HUD_USER_SAFMR
zip 07083
payment standard 90
4
$3,384
2025-10-01
HUD_USER_SAFMR
zip 07083
safmr
4
$3,760
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.