Composite
60.1 / 100 percentile
Screener / 415039
C
Heritage Hills Nursing & Rehabilitation Center
snfRI
80 Douglas Pike, Smithfield, RI 02917 · CCN 415039 · chain NFR 2020 IRRV TR
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
100
Model
v1.2
Reads as: riskier than 60.1% 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 model5ML signals1Components16CHOW radar1Distress radar1Staffing16Penalties3Deficiencies73Licensure0Ownership33Related party6Transactions1Comps12Market rent28
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 85.2 | 82.2 | 0.30 | 0.2308 | 19.66 | in index |
| financial risk | 54.9 | 48.8 | 0.30 | 0.2308 | 12.67 | in index |
| billing conduct | 35.1 | 33.9 | 0.30 | 0.2308 | 8.10 | in index |
| staffing risk | 41.4 | 41.5 | 0.25 | 0.1923 | 7.96 | in index |
| chow risk | 32.5 | 31.1 | 0.15 | 0.1154 | 3.75 | 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 | 15 chains | CIBC BANK USA | 155 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
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 33.9 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | 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. |
| chow risk | 37.2 | B | v0.6 | default · in composite | |
| financial risk | 48.8 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | 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 | 0.0 | — | 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 | 82.2 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 41.5 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 70.7 | D | v0.1 | 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 | 50.7 | C | v0.2 | 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 | 47.1 | C | 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 | 53.4 | C | 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 | 82.4 | F | 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 | 82.4 | F | 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. |
| staffing risk | 41.5 | B | v0.1 | superseded | 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. |
| staffing risk | 41.5 | B | v0.2 | superseded | 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.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
15.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 3.74 | -1.48 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Chain size (log) | 4.38 | +0.53 | |
| Occupancy | 0.88 | -0.51 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Deficiencies, last 12 months | 20.00 | +0.31 |
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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 20.00 | -2.28 | |
| Chain size (log) | 4.38 | -1.35 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.88 | -0.53 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 3.74 | -0.24 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
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 | RI median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.42 | 3.22 | 3.28 | 2.90–3.77 |
| RN | 0.40 | 0.53 | 0.39 | 0.25–0.58 |
| Weekend total | 3.30 | 3.04 | 3.11 | — |
| Weekday total | 3.46 | 3.28 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 87.5 | 3.42 | 0.40 | 0.97 | 2.05 | 3.30 | 2.0% |
| 2025Q3 | 92 | 84.2 | 3.25 | 0.31 | 0.89 | 2.04 | 3.10 | 1.0% |
| 2025Q2 | 91 | 85.7 | 3.21 | 0.30 | 0.83 | 2.08 | 3.23 | 0.6% |
| 2025Q1 | 90 | 89.4 | 3.29 | 0.41 | 0.77 | 2.12 | 3.17 | 1.4% |
| 2024Q4 | 92 | 83.2 | 3.35 | 0.38 | 0.89 | 2.08 | 3.31 | 0.3% |
| 2024Q3 | 92 | 90.2 | 3.33 | 0.53 | 0.85 | 1.94 | 2.90 | 10.3% |
| 2024Q2 | 91 | 88.1 | 3.26 | 0.49 | 0.71 | 2.06 | 3.03 | 13.0% |
| 2024Q1 | 91 | 87.7 | 3.26 | 0.41 | 0.77 | 2.07 | 3.17 | 15.0% |
| 2023Q4 | 92 | 82.8 | 3.37 | 0.51 | 0.82 | 2.05 | 3.36 | 15.8% |
| 2023Q3 | 92 | 81.2 | 3.44 | 0.44 | 0.81 | 2.20 | 3.23 | 26.4% |
| 2023Q2 | 91 | 89.7 | 3.24 | 0.46 | 0.87 | 1.91 | 2.99 | 34.4% |
| 2023Q1 | 90 | 95.8 | 3.11 | 0.39 | 0.85 | 1.87 | 2.91 | 14.8% |
| 2022Q4 | 92 | 90.7 | 3.58 | 0.49 | 0.62 | 2.47 | 3.37 | 9.7% |
| 2022Q3 | 92 | 87.5 | 2.25 | 0.41 | 0.40 | 1.44 | 2.19 | 10.7% |
| 2022Q2 | 91 | 83.5 | 3.53 | 0.70 | 0.66 | 2.17 | 3.37 | 10.7% |
| 2022Q1 | 90 | 80.4 | 3.63 | 0.74 | 0.72 | 2.17 | 3.45 | 15.5% |
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
3fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-09-16 | Payment Denial | — | CMS provider data |
| 2024-05-09 | Fine | $8,827 | CMS provider data |
| 2023-06-28 | Fine | $8,648 | CMS provider data |
Total fines on record: $17,475
Deficiencies
73D × 41E × 23F × 5G × 1J × 3
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-06 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-02-16 |
| 2026-01-14 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2026-02-06 |
| 2026-01-14 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-02-06 |
| 2026-01-14 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-02-06 |
| 2025-09-18 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-10-18 |
| 2025-09-18 | 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. | F | 2025-10-18 |
| 2025-09-18 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-10-18 |
| 2025-09-18 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-10-18 |
| 2025-09-18 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2025-10-18 |
| 2025-09-18 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-10-18 |
| 2025-09-18 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2025-10-18 |
| 2025-09-18 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-10-18 |
| 2025-09-18 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | J | 2025-10-18 |
| 2025-09-18 | Health | F0811 | Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | D | 2025-10-18 |
| 2025-09-18 | Health | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | E | 2025-10-18 |
| 2025-09-18 | Health | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | 2025-10-18 |
| 2025-09-18 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | 2025-10-18 |
| 2025-09-18 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-10-18 |
| 2025-09-18 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2025-10-18 |
| 2025-08-01 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-08-18 |
| 2025-04-02 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2025-04-18 |
| 2025-01-23 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-01-30 |
| 2025-01-10 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-01-30 |
| 2025-01-06 | Health · complaint | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | D | 2025-01-30 |
| 2025-01-06 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-01-30 |
| 2024-09-13 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-10-13 |
| 2024-09-13 | Health | F0675 | Honor each resident's preferences, choices, values and beliefs. | D | 2024-10-13 |
| 2024-09-13 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-10-13 |
| 2024-09-13 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2024-10-13 |
| 2024-09-13 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-10-13 |
| 2024-09-13 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-10-13 |
| 2024-09-13 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-10-13 |
| 2024-09-13 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2024-10-13 |
| 2024-09-13 | 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 | 2024-10-13 |
| 2024-09-13 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2024-10-13 |
| 2024-09-13 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-10-13 |
| 2024-09-13 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-10-13 |
| 2024-09-13 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2024-10-13 |
| 2024-08-16 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-08-30 |
| 2024-08-16 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-08-30 |
| 2024-08-16 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-08-30 |
| 2024-07-31 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-08-30 |
| 2024-06-18 | Health · complaint | 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. | D | 2024-05-14 |
| 2024-05-09 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-05-09 |
| 2024-04-02 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2024-03-27 |
| 2024-04-02 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-03-27 |
| 2023-11-02 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-11-03 |
| 2023-10-16 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-11-03 |
| 2023-10-16 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-11-03 |
| 2023-10-16 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-11-03 |
| 2023-10-16 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-11-03 |
| 2023-10-16 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-11-03 |
| 2023-10-16 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-11-03 |
| 2023-10-16 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2023-11-03 |
| 2023-10-16 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2023-11-03 |
| 2023-10-16 | 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. | D | 2023-11-03 |
| 2023-10-16 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-11-03 |
| 2023-10-16 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-11-03 |
| 2023-10-16 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2023-11-03 |
| 2023-10-16 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2023-11-03 |
| 2023-10-04 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2023-11-03 |
| 2023-10-04 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-11-03 |
| 2023-09-13 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2023-09-25 |
| 2023-09-13 | Health · complaint | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2023-09-25 |
| 2023-08-24 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-09-05 |
| 2023-08-24 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-09-05 |
| 2023-07-26 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2023-08-11 |
| 2023-07-26 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-08-11 |
| 2023-07-26 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-08-11 |
| 2023-07-26 | Health · complaint | F0791 | Provide or obtain dental services for each resident. | E | 2023-08-11 |
| 2023-06-28 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2023-07-26 |
| 2023-06-28 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-07-13 |
| 2023-06-28 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | G | 2023-07-26 |
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
33| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| HERITAGE HILLS PROPERTY | Individual has financial interest in both related organization and provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| HERITAGE HILLS PROPERTY | Individual has financial interest in both related organization and provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| CIBC BANK USA | 5% OR GREATER SECURITY INTEREST | — | 2022-11-01 | current | pecos_ownership |
| FLAGLER, OSHER | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-03-13 | current | pecos_ownership |
| JOHNSON, ERIC | ADP OF THE SNF | — | 2025-02-19 | current | pecos_ownership |
| JOHNSON, ERIC | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-09 | current | pecos_ownership |
| KAHANOW, AVIVA | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-03-13 | current | pecos_ownership |
| LEVOVITZ, TZVI | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-03-13 | current | pecos_ownership |
| MARQUIS LIMITED LLC | ADP OF THE SNF | — | 2025-03-10 | current | pecos_ownership |
| MARQUIS LIMITED LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-11-01 | current | pecos_ownership |
| NFR 2020 IRRV TR | ADP OF THE SNF | — | 2022-11-01 | current | pecos_ownership |
| NORTON, NATHAN | CORPORATE DIRECTOR | — | 2022-11-01 | current | pecos_ownership |
| POSEN, MINDEE | CORPORATE OFFICER | — | 2022-11-01 | current | pecos_ownership |
| QUINTO NEXGEN LLC | ADP OF THE SNF | — | 2022-11-01 | current | pecos_ownership |
| RELIANT PRO REHAB LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-11-01 | current | pecos_ownership |
| RELIANT PRO REHAB LLC | ADP OF THE SNF | — | 2025-09-18 | current | pecos_ownership |
| ROKEACH, FRAIDE | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-09-16 | current | pecos_ownership |
| ROKOWSKY, YITZCHOK | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-03-13 | current | pecos_ownership |
| RSBRMK HOLDINGS LLC | ADP OF THE SNF | — | 2022-11-01 | current | pecos_ownership |
| SK NEXGEN TR | ADP OF THE SNF | — | 2022-11-01 | current | pecos_ownership |
| SKILLED VENTURE LLC | DIRECT OWNERSHIP INTEREST | — | 2022-11-01 | current | pecos_ownership |
| SUHAIL, MOHAMMAD | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-11-01 | current | pecos_ownership |
| TRYKO NEXGEN HOLDINGS LLC | ADP OF THE SNF | — | 2022-11-01 | current | pecos_ownership |
| UAK 2020 IRRV TR | ADP OF THE SNF | — | 2022-11-01 | current | pecos_ownership |
| UKR NEXGEN LLC | ADP OF THE SNF | — | 2022-11-01 | current | pecos_ownership |
| YK NEXGEN TR | ADP OF THE SNF | — | 2022-11-01 | current | pecos_ownership |
| YR NEXGEN TR | ADP OF THE SNF | — | 2022-11-01 | current | pecos_ownership |
| HERITAGE HILLS PROPERTY | Individual has financial interest in both related organization and provider | 100% | 2022-11-01 | ended 2022-12-31 | hcris_a_8_1 |
| ERIC JOHNSON | ADP OF THE SNF | — | 2025-02-19 | ended 2026-05-18 | pecos_ownership |
| ERIC JOHNSON | MANAGING CONTROL - GOVERNING BODY | — | 2025-02-09 | ended 2026-05-18 | pecos_ownership |
| MINDEE POSEN | ADP OF THE SNF | — | 2022-11-01 | ended 2026-05-18 | pecos_ownership |
| MOHAMMAD SUHAIL | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-11-01 | ended 2026-05-18 | pecos_ownership |
| NATHAN NORTON | CORPORATE DIRECTOR | — | 2022-11-01 | 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.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2022-11-01 | — | HERITAGE HILLS OPERATOR LLC | 80 DOUGLAS PIKE LLC | chow |
Comparable trades — RI snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-06-01 | Cedar Haven Operations LLC DBA Lake Forrest Health | — | — | — | 133 | CEDAR HAVEN OPERATIONS LLC |
| 2025-05-23 | Warren Operations RI, LLC DBA Warren Center | — | — | — | 63 | WARREN OPERATIONS RI LLC |
| 2025-02-01 | Adviniacare Providence Dodge Rehab Center, LLC | — | — | — | 161 | ADVINIACARE PROVIDENCE DODGE REHAB CENTER LLC |
| 2025-02-01 | Adviniacare Pawtucket Pleasant Rehab Center, LLC | — | — | — | 129 | ADVINIACARE PAWTUCKET PLEASANT REHAB CENTER LLC |
| 2024-01-31 | The Friendly Home | — | — | — | 126 | FRIENDLY EDEN OPERATIONS LLC |
| 2024-01-01 | Pawtucket Falls Healthcare Center | — | — | — | 154 | VIOLET SNF HOLDCO LLC |
| 2022-11-01 | Riverview Healthcare Community | — | — | — | 190 | RIVERVIEW OPERATOR LLC |
| 2022-11-01 | Morgan Health Center | — | — | — | 120 | MORGAN OPERATOR LLC |
| 2022-11-01 | Westerly Health Center | — | — | — | 120 | WESTERLY OPERATOR LLC |
| 2022-11-01 | Heritage Hills Nursing & Rehabilitation Centerthis facility | — | — | — | 100 | HERITAGE HILLS OPERATOR LLC |
| 2022-08-19 | South County Eden Operations LLC DBA Lakeside Nurs | — | — | — | 120 | SOUTH COUNTY EDEN OPERATIONS LLC |
| 2022-06-07 | Brentwood Health Center | — | — | — | 96 | 4000 POST ROAD EDEN OPERATIONS LLC |
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
28| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 44007 | acs median gross | 0 | $963 | 2024-12-31 | CENSUS_ACS5 |
| county 44007 | acs median gross | 1 | $952 | 2024-12-31 | CENSUS_ACS5 |
| county 44007 | acs median gross | 2 | $1,397 | 2024-12-31 | CENSUS_ACS5 |
| county 44007 | acs median gross | 3 | $1,597 | 2024-12-31 | CENSUS_ACS5 |
| county 44007 | acs median gross | 4 | $1,647 | 2024-12-31 | CENSUS_ACS5 |
| county 44007 | acs median gross | 5 | $1,808 | 2024-12-31 | CENSUS_ACS5 |
| county 44007 | acs median gross | $1,312 | 2024-12-31 | CENSUS_ACS5 | |
| county 44007 | acs recent mover gross | $1,677 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 02917 | acs median gross | 1 | $928 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02917 | acs median gross | 2 | $1,210 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02917 | acs median gross | 3 | $2,014 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02917 | acs median gross | 4 | $1,819 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02917 | acs median gross | $1,001 | 2024-12-31 | CENSUS_ACS5 | |
| zip 02917 | payment standard 110 | 0 | $1,221 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02917 | payment standard 90 | 0 | $999 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02917 | safmr | 0 | $1,110 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02917 | payment standard 110 | 1 | $1,309 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02917 | payment standard 90 | 1 | $1,071 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02917 | safmr | 1 | $1,190 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02917 | payment standard 110 | 2 | $1,606 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02917 | payment standard 90 | 2 | $1,314 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02917 | safmr | 2 | $1,460 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02917 | payment standard 110 | 3 | $1,936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02917 | payment standard 90 | 3 | $1,584 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02917 | safmr | 3 | $1,760 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02917 | payment standard 110 | 4 | $2,343 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02917 | payment standard 90 | 4 | $1,917 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02917 | safmr | 4 | $2,130 | 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.