Reads as: riskier than 67.0% 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
15
2025Q4 HPRD
This facility
NJ median
National median
National p25–p75
Total nurse
3.10
3.31
3.28
2.90–3.77
RN
0.44
0.35
0.39
0.25–0.58
Weekend total
2.96
3.21
3.11
—
Weekday total
3.15
3.37
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
91.3
3.10
0.44
0.70
1.96
2.96
3.6%
2025Q3
92
90.5
3.20
0.49
0.65
2.06
2.99
6.3%
2025Q2
91
90.3
3.26
0.51
0.68
2.07
3.00
3.4%
2025Q1
90
91.8
3.18
0.39
0.78
2.01
2.99
3.9%
2024Q4
92
88.6
3.09
0.32
0.72
2.06
2.83
13.3%
2024Q3
92
86.4
3.33
0.28
0.95
2.10
3.01
8.6%
2024Q2
91
85.3
3.20
0.25
0.85
2.10
2.96
2.9%
2024Q1
91
86.8
3.20
0.26
0.91
2.03
2.97
0.2%
2023Q4
92
84.3
2.98
0.14
0.83
2.01
2.72
0.5%
2023Q3
92
83.9
2.83
0.08
0.75
2.00
2.71
2.0%
2023Q2
91
83.7
3.02
0.09
0.82
2.10
2.87
0.0%
2023Q1
90
85.7
2.89
0.14
0.73
2.02
2.80
0.0%
2022Q4
92
88.7
2.78
0.16
0.65
1.97
2.73
0.6%
2022Q2
91
78.8
3.29
0.22
0.84
2.23
3.15
0.0%
2022Q1
90
51.6
4.95
0.35
1.13
3.48
4.72
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.
Provide and implement an infection prevention and control program.
F
2025-06-27
2024-01-25
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-02-05
2024-01-25
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-02-05
2024-01-25
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
2024-02-05
2024-01-25
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2024-02-05
2024-01-25
Health
F0909
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
E
2024-02-05
2022-03-17
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2022-04-30
2022-03-17
Health
F0563
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
F
2022-05-15
2022-03-17
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2022-05-15
2022-03-17
Health
F0610
Respond appropriately to all alleged violations.
D
2022-04-30
2022-03-17
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
2022-04-30
2022-03-17
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2022-04-30
2022-03-17
Health
F0678
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
L
2022-05-15
2022-03-17
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.
E
2022-04-30
2022-03-17
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2022-05-15
2022-03-17
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2022-05-15
2022-03-17
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
E
2022-05-15
2022-03-17
Health
F0730
Observe each nurse aide's job performance and give regular training.
F
2022-05-15
2022-03-17
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
2022-04-30
2022-03-17
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
2022-05-15
2022-03-17
Health
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2022-05-15
2022-03-17
Health
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F
2022-05-15
2022-03-17
Health
F0841
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
F
2022-04-30
2022-03-17
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F
2022-04-30
2022-03-17
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-05-19
2022-03-17
Health
F0881
Implement a program that monitors antibiotic use.
F
2022-04-30
2022-03-17
Health
F0888
Ensure staff are vaccinated for COVID-19
D
2022-04-30
2022-03-17
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.
E
2022-04-30
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
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
23
Owner
Role
Pct
From
Status
Source
FISHMAN GROUP LLC
DIRECT OWNERSHIP INTEREST
—
2024-01-01
current
pecos_ownership
FISHMAN, BENZION
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
current
pecos_ownership
FISHMAN, MORDECHAI
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
current
pecos_ownership
FISHMAN, MORDECHAI
ADP OF THE SNF
—
2013-12-30
current
pecos_ownership
FISHMAN, NATHAN
ADP OF THE SNF
—
2004-01-01
current
pecos_ownership
FISHMAN, ZEV
INDIRECT OWNERSHIP INTEREST
—
2013-12-30
current
pecos_ownership
FISHMAN, ZEV
ADP OF THE SNF
—
2013-12-01
current
pecos_ownership
KARELITZ, SHLOMO
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-01
current
pecos_ownership
PLAZA NURSING & CONVALESCENT
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
PLAZA NURSING & CONVALESCENT
Individual has financial interest in both related organization and provider
—
2023-01-01
current
hcris_a_8_1
PLAZA NURSING & CONVALESCENT CENTER INC.
ADP OF THE SNF
—
2004-01-01
current
pecos_ownership
SALUJA, RUBY
OPERATIONAL/MANAGERIAL CONTROL
—
2004-01-01
current
pecos_ownership
BENZION FISHMAN
INDIRECT OWNERSHIP INTEREST
33%
2024-01-01
ended 2026-05-18
pecos_ownership
MORDECHAI FISHMAN
INDIRECT OWNERSHIP INTEREST
33%
2024-01-01
ended 2026-05-18
pecos_ownership
ZEV FISHMAN
INDIRECT OWNERSHIP INTEREST
33%
2013-12-30
ended 2026-05-18
pecos_ownership
PLAZA NURSING & CONVALESCENT
Individual has financial interest in both related organization and provider
10%
2022-01-01
ended 2022-12-31
hcris_a_8_1
PLAZA NURSING & CONVALESCENT
Individual has financial interest in both related organization and provider
10%
2021-01-01
ended 2021-12-31
hcris_a_8_1
PLAZA NURSING & CONVALESCENT
Individual has financial interest in both related organization and provider
10%
2020-01-01
ended 2020-12-31
hcris_a_8_1
MORDECHAI FISHMAN
ADP OF THE SNF
—
2013-12-30
ended 2026-05-18
pecos_ownership
NATHAN FISHMAN
ADP OF THE SNF
—
2004-01-01
ended 2026-05-18
pecos_ownership
RUBY SALUJA
ADP OF THE SNF
—
2004-01-01
ended 2026-05-18
pecos_ownership
SHLOMO KARELITZ
ADP OF THE SNF
—
2024-09-01
ended 2026-05-18
pecos_ownership
ZEV FISHMAN
ADP OF THE SNF
—
2013-12-01
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
$6,609
—
—
—
—
2
propco
2023-12-31
$8,460
—
—
—
—
2
propco
2022-12-31
$6,007
—
—
—
—
2
propco
2021-12-31
$8,896
—
—
—
—
2
propco
2020-12-31
$8,896
—
—
—
—
2
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 07202
acs median gross
0
$1,144
2024-12-31
CENSUS_ACS5
zcta 07202
acs median gross
1
$1,227
2024-12-31
CENSUS_ACS5
zcta 07202
acs median gross
2
$1,623
2024-12-31
CENSUS_ACS5
zcta 07202
acs median gross
3
$1,965
2024-12-31
CENSUS_ACS5
zcta 07202
acs median gross
4
$2,243
2024-12-31
CENSUS_ACS5
zcta 07202
acs median gross
$1,565
2024-12-31
CENSUS_ACS5
zcta 07202
acs recent mover gross
$1,968
2024-12-31
CENSUS_ACS5
zip 07202
payment standard 110
0
$1,661
2025-10-01
HUD_USER_SAFMR
zip 07202
payment standard 90
0
$1,359
2025-10-01
HUD_USER_SAFMR
zip 07202
safmr
0
$1,510
2025-10-01
HUD_USER_SAFMR
zip 07202
payment standard 110
1
$1,870
2025-10-01
HUD_USER_SAFMR
zip 07202
payment standard 90
1
$1,530
2025-10-01
HUD_USER_SAFMR
zip 07202
safmr
1
$1,700
2025-10-01
HUD_USER_SAFMR
zip 07202
payment standard 110
2
$2,266
2025-10-01
HUD_USER_SAFMR
zip 07202
payment standard 90
2
$1,854
2025-10-01
HUD_USER_SAFMR
zip 07202
safmr
2
$2,060
2025-10-01
HUD_USER_SAFMR
zip 07202
payment standard 110
3
$2,838
2025-10-01
HUD_USER_SAFMR
zip 07202
payment standard 90
3
$2,322
2025-10-01
HUD_USER_SAFMR
zip 07202
safmr
3
$2,580
2025-10-01
HUD_USER_SAFMR
zip 07202
payment standard 110
4
$3,223
2025-10-01
HUD_USER_SAFMR
zip 07202
payment standard 90
4
$2,637
2025-10-01
HUD_USER_SAFMR
zip 07202
safmr
4
$2,930
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.