500 Hahnemann Trail, Pittsford, NY 14534 · CCN 335786
Composite
56.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
122
Model
v1.2
Reads as: riskier than 56.4% 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
NY median
National median
National p25–p75
Total nurse
3.29
3.33
3.28
2.90–3.77
RN
0.34
0.43
0.39
0.25–0.58
Weekend total
3.08
3.03
3.11
—
Weekday total
3.37
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
113.0
3.29
0.34
1.08
1.87
3.08
4.0%
2025Q3
92
114.9
3.28
0.37
0.99
1.92
3.09
3.9%
2025Q2
91
113.0
3.11
0.35
1.07
1.69
2.83
6.7%
2025Q1
90
114.3
3.34
0.37
1.12
1.85
3.08
9.2%
2024Q4
92
111.1
3.73
0.40
1.23
2.10
3.37
9.9%
2024Q3
92
112.5
3.70
0.33
1.26
2.11
3.20
12.8%
2024Q2
91
114.7
3.75
0.34
1.09
2.32
3.25
21.0%
2024Q1
91
110.0
3.67
0.32
1.21
2.15
3.24
24.0%
2023Q4
92
113.1
3.41
0.30
1.09
2.02
2.87
15.6%
2023Q3
92
113.0
3.73
0.41
1.24
2.09
3.21
14.0%
2023Q2
91
109.1
3.69
0.37
1.38
1.94
3.11
14.5%
2023Q1
90
107.8
3.56
0.33
1.25
1.98
3.17
14.6%
2022Q4
92
107.6
3.60
0.37
1.10
2.13
2.98
9.3%
2022Q3
92
109.8
3.53
0.36
1.16
2.01
3.02
9.6%
2022Q2
91
108.5
3.94
0.33
1.42
2.19
3.36
9.9%
2022Q1
90
105.5
3.77
0.34
1.32
2.10
3.34
7.2%
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
17
B × 1D × 8E × 8
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-02-19
Health
F0610
Respond appropriately to all alleged violations.
E
2025-04-15
2025-02-19
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
2025-04-15
2025-02-19
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-04-15
2025-02-19
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-04-15
2025-02-19
Health
F0760
Ensure that residents are free from significant medication errors.
D
2025-04-15
2025-02-19
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-04-15
2025-02-19
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
E
2025-04-15
2025-02-19
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2025-04-15
2023-06-09
Health
F0692
Provide enough food/fluids to maintain a resident's health.
E
2023-07-26
2023-06-09
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-07-26
2023-06-09
Health · complaint
F0791
Provide or obtain dental services for each resident.
D
2023-07-26
2023-06-09
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-08-24
2023-06-09
Health · complaint
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.
E
2023-07-26
2023-06-09
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2023-07-26
2021-09-02
Health
F0732
Post nurse staffing information every day.
B
2021-10-07
2021-09-02
Health
F0880
Provide and implement an infection prevention and control program.
D
2021-10-07
2021-09-02
Health
F0885
Report COVID19 data to residents and families.
E
2021-10-07
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
28
Owner
Role
Pct
From
Status
Source
BUSARI, SAMUEL
OPERATIONAL/MANAGERIAL CONTROL
—
2021-07-14
current
pecos_ownership
BUSARI, SAMUEL
ADP OF THE SNF
—
2025-03-04
current
pecos_ownership
GARRETT, ELIZABETH
CORPORATE OFFICER
—
2011-01-01
current
pecos_ownership
HALL, WILLIAM
CORPORATE OFFICER
—
2011-01-01
current
pecos_ownership
LATELLA, ROBERT
CORPORATE OFFICER
—
2011-01-01
current
pecos_ownership
MAGEE, ROBBIE
CORPORATE OFFICER
—
2011-01-01
current
pecos_ownership
MCCANN, ROBERT
CORPORATE OFFICER
—
2012-10-01
current
pecos_ownership
NICHOLAS, NIRMALA
ADP OF THE SNF
—
2025-03-04
current
pecos_ownership
NICHOLAS, NIRMALA
OPERATIONAL/MANAGERIAL CONTROL
—
2003-07-07
current
pecos_ownership
RIORDAN, MICHAEL
CORPORATE OFFICER
—
2011-01-01
current
pecos_ownership
STRONG PARTNERS HEALTHSYSTEM, INC
TRUSTEE OF THE SNF
—
1995-03-16
current
pecos_ownership
STRONG PARTNERS HEALTHSYSTEM, INC
ADP OF THE SNF
—
2025-03-04
current
pecos_ownership
VANSTRYDONCK, GERALD
CORPORATE OFFICER
—
2011-01-01
current
pecos_ownership
YALE, ELIZABETH
ADP OF THE SNF
—
2024-12-23
current
pecos_ownership
YALE, ELIZABETH
CORPORATE OFFICER
—
2023-07-31
current
pecos_ownership
SAMUEL BUSARI
OPERATIONAL/MANAGERIAL CONTROL
100%
2021-07-14
ended 2026-05-18
pecos_ownership
ELIZABETH GARRETT
CORPORATE OFFICER
0%
2011-01-01
ended 2026-05-18
pecos_ownership
GERALD VANSTRYDONCK
CORPORATE OFFICER
0%
2011-01-01
ended 2026-05-18
pecos_ownership
MICHAEL RIORDAN
CORPORATE OFFICER
0%
2011-01-01
ended 2026-05-18
pecos_ownership
ROBBIE MAGEE
CORPORATE OFFICER
0%
2011-01-01
ended 2026-05-18
pecos_ownership
ROBERT LATELLA
CORPORATE OFFICER
0%
2011-01-01
ended 2026-05-18
pecos_ownership
ROBERT MCCANN
CORPORATE OFFICER
0%
2012-10-01
ended 2026-05-18
pecos_ownership
WILLIAM HALL
CORPORATE OFFICER
0%
2011-01-01
ended 2026-05-18
pecos_ownership
ELIZABETH YALE
CORPORATE OFFICER
—
2023-07-31
ended 2026-05-18
pecos_ownership
ELIZABETH YALE
ADP OF THE SNF
—
2024-12-23
ended 2026-05-18
pecos_ownership
NIRMALA NICHOLAS
ADP OF THE SNF
—
2025-03-04
ended 2026-05-18
pecos_ownership
NIRMALA NICHOLAS
OPERATIONAL/MANAGERIAL CONTROL
—
2003-07-07
ended 2026-05-18
pecos_ownership
SAMUEL BUSARI
ADP OF THE SNF
—
2025-03-04
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.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$573,563
—
—
—
—
2
—
2023-12-31
$554,340
—
—
—
—
2
—
2022-12-31
$437,260
—
—
—
—
2
—
2021-12-31
$242,585
—
—
—
—
2
—
2020-12-31
$214,155
—
—
—
—
2
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 36055
acs median gross
0
$857
2024-12-31
CENSUS_ACS5
county 36055
fmr
0
$1,116
2025-10-01
HUD_USER_FMR
county 36055
acs median gross
1
$985
2024-12-31
CENSUS_ACS5
county 36055
fmr
1
$1,256
2025-10-01
HUD_USER_FMR
county 36055
acs median gross
2
$1,268
2024-12-31
CENSUS_ACS5
county 36055
fmr
2
$1,573
2025-10-01
HUD_USER_FMR
county 36055
acs median gross
3
$1,407
2024-12-31
CENSUS_ACS5
county 36055
fmr
3
$1,895
2025-10-01
HUD_USER_FMR
county 36055
acs median gross
4
$1,510
2024-12-31
CENSUS_ACS5
county 36055
fmr
4
$2,083
2025-10-01
HUD_USER_FMR
county 36055
acs median gross
5
$1,736
2024-12-31
CENSUS_ACS5
county 36055
acs median gross
$1,173
2024-12-31
CENSUS_ACS5
county 36055
acs recent mover gross
$1,340
2024-12-31
CENSUS_ACS5
zcta 14534
acs median gross
1
$1,084
2024-12-31
CENSUS_ACS5
zcta 14534
acs median gross
2
$1,818
2024-12-31
CENSUS_ACS5
zcta 14534
acs median gross
3
$1,811
2024-12-31
CENSUS_ACS5
zcta 14534
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
zcta 14534
acs median gross
$1,731
2024-12-31
CENSUS_ACS5
zcta 14534
acs recent mover gross
$2,231
2024-12-31
CENSUS_ACS5
zip 14534
payment standard 110
0
$1,837
2025-10-01
HUD_USER_SAFMR
zip 14534
payment standard 90
0
$1,503
2025-10-01
HUD_USER_SAFMR
zip 14534
safmr
0
$1,670
2025-10-01
HUD_USER_SAFMR
zip 14534
payment standard 110
1
$2,068
2025-10-01
HUD_USER_SAFMR
zip 14534
payment standard 90
1
$1,692
2025-10-01
HUD_USER_SAFMR
zip 14534
safmr
1
$1,880
2025-10-01
HUD_USER_SAFMR
zip 14534
payment standard 110
2
$2,596
2025-10-01
HUD_USER_SAFMR
zip 14534
payment standard 90
2
$2,124
2025-10-01
HUD_USER_SAFMR
zip 14534
safmr
2
$2,360
2025-10-01
HUD_USER_SAFMR
zip 14534
payment standard 110
3
$3,124
2025-10-01
HUD_USER_SAFMR
zip 14534
payment standard 90
3
$2,556
2025-10-01
HUD_USER_SAFMR
zip 14534
safmr
3
$2,840
2025-10-01
HUD_USER_SAFMR
zip 14534
payment standard 110
4
$3,432
2025-10-01
HUD_USER_SAFMR
zip 14534
payment standard 90
4
$2,808
2025-10-01
HUD_USER_SAFMR
zip 14534
safmr
4
$3,120
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.