Composite
42.9 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 91.1 | 88.8 | 0.30 | 0.2308 | 21.02 | in index |
| staffing risk | 42.2 | 42.3 | 0.25 | 0.1923 | 8.12 | in index |
| financial risk | 32.6 | 35.4 | 0.30 | 0.2308 | 7.52 | in index |
| billing conduct | 28.0 | 30.7 | 0.30 | 0.2308 | 6.46 | in index |
| chow risk | 23.2 | 22.4 | 0.15 | 0.1154 | 2.68 | in index |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +28.2 vs natl | CURIS SERVICES LLC | 85 facilities |
| connection | Owner fleet risk far above national | +26.3 vs natl | BERKOWITZ DAVID | 77 facilities |
| connection | Owner fleet risk far above national | +26.2 vs natl | MEYSTEL YOSEF | 77 facilities |
| connection | Owner fleet risk far above national | +23.5 vs natl | POINTE GROUP CARE LLC | 9 facilities |
| connection | Owner fleet risk far above national | +22.2 vs natl | BERKOWITZ BENJAMIN | 11 facilities |
| connection | Owner fleet risk far above national | +21.8 vs natl | LABELLA CATERINA | 8 facilities |
| connection | Owner spans multiple chains | 8 chains | BERKOWITZ DAVID | 73 facilities |
| connection | Owner spans multiple chains | 8 chains | MEYSTEL YOSEF | 73 facilities |
| connection | Owner spans multiple chains | 8 chains | CURIS SERVICES LLC | 81 facilities |
| connection | Owner fleet enforcement cluster | 52% fined | CURIS SERVICES LLC | 85 facilities |
| connection | Owner fleet enforcement cluster | 51% fined | BERKOWITZ DAVID | 77 facilities |
| connection | Owner fleet enforcement cluster | 51% fined | MEYSTEL YOSEF | 77 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 30.7 | 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 | 19.8 | A | v0.6 | default · in composite | |
| financial risk | 35.4 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.1 | — | 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 | 88.8 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 42.3 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 71.3 | 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 | 51.3 | 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 | 41.2 | B | 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 | 40.9 | B | 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 | 88.7 | 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 | 88.7 | 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 | 42.3 | 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 | 42.3 | 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. |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 3.59 | -1.50 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Occupancy | 0.80 | -0.30 | |
| Contract staffing share | 0.00 | -0.10 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 3.59 | -0.24 | |
| Ownership changes, last 5 years | 1.00 | +0.23 | |
| Occupancy | 0.80 | -0.23 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
| 2025Q4 HPRD | This facility | MA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.42 | 3.39 | 3.28 | 2.90–3.77 |
| RN | 0.36 | 0.39 | 0.39 | 0.25–0.58 |
| Weekend total | 3.27 | 3.26 | 3.11 | — |
| Weekday total | 3.47 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 88.3 | 3.42 | 0.36 | 0.64 | 2.42 | 3.27 | 0.1% |
| 2025Q3 | 92 | 86.5 | 3.27 | 0.27 | 0.62 | 2.38 | 3.15 | 0.1% |
| 2025Q2 | 91 | 78.0 | 3.53 | 0.40 | 0.53 | 2.60 | 3.35 | 0.3% |
| 2025Q1 | 90 | 75.9 | 3.45 | 0.37 | 0.57 | 2.51 | 3.32 | 1.0% |
| 2024Q4 | 92 | 76.5 | 3.37 | 0.38 | 0.56 | 2.43 | 3.22 | 0.5% |
| 2024Q3 | 92 | 79.5 | 3.39 | 0.46 | 0.47 | 2.46 | 3.19 | 0.9% |
| 2024Q2 | 91 | 79.4 | 3.66 | 0.48 | 0.69 | 2.49 | 3.53 | 2.6% |
| 2024Q1 | 91 | 77.9 | 4.18 | 0.69 | 0.76 | 2.73 | 4.21 | 0.0% |
| 2023Q4 | 92 | 85.9 | 3.12 | 0.39 | 0.54 | 2.19 | 2.93 | 10.2% |
| 2023Q3 | 92 | 89.4 | 3.32 | 0.35 | 0.77 | 2.21 | 3.07 | 11.4% |
| 2023Q2 | 91 | 87.8 | 3.47 | 0.51 | 0.70 | 2.25 | 3.15 | 9.8% |
| 2023Q1 | 90 | 92.2 | 3.30 | 0.55 | 0.67 | 2.08 | 3.13 | 11.2% |
| 2022Q4 | 92 | 96.3 | 2.81 | 0.49 | 0.52 | 1.80 | 2.63 | 11.9% |
| 2022Q3 | 92 | 100.5 | 2.97 | 0.44 | 0.55 | 1.98 | 2.90 | 12.0% |
| 2022Q2 | 91 | 95.5 | 3.04 | 0.47 | 0.59 | 1.99 | 3.00 | 10.3% |
| 2022Q1 | 90 | 93.3 | 3.13 | 0.44 | 0.60 | 2.09 | 3.07 | 5.8% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2023-12-19 | Fine | $132,408 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-31 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2026-02-13 |
| 2025-12-31 | 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. | E | 2026-02-13 |
| 2025-12-31 | 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 | 2026-02-13 |
| 2025-12-31 | 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 | 2026-02-13 |
| 2025-12-31 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2026-02-13 |
| 2025-12-31 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2026-02-13 |
| 2025-12-31 | 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. | E | 2026-02-13 |
| 2025-12-31 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2026-02-13 |
| 2024-12-12 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-01-14 |
| 2024-12-12 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2025-01-14 |
| 2024-12-12 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-01-14 |
| 2024-12-12 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-01-14 |
| 2024-12-12 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2025-01-14 |
| 2024-12-12 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-01-14 |
| 2024-12-12 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2025-01-14 |
| 2023-12-19 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-02-02 |
| 2023-12-19 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-01-24 |
| 2023-12-19 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-01-24 |
| 2023-12-19 | 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. | E | 2024-01-24 |
| 2023-12-19 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2024-01-24 |
| 2023-12-19 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | H | 2024-01-24 |
| 2023-12-19 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2024-01-24 |
| 2023-12-19 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2024-01-24 |
| 2023-12-19 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2024-01-24 |
| 2023-12-19 | 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 | 2024-01-24 |
| 2023-12-19 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-01-24 |
| 2023-12-19 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-01-24 |
| 2023-12-19 | Health | F0679 | Provide activities to meet all resident's needs. | F | 2024-01-24 |
| 2023-12-19 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-01-24 |
| 2023-12-19 | Health | F0687 | Provide appropriate foot care. | D | 2024-01-24 |
| 2023-12-19 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-01-24 |
| 2023-12-19 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | H | 2024-01-24 |
| 2023-12-19 | 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. | I | 2024-01-24 |
| 2023-12-19 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2024-01-24 |
| 2023-12-19 | Health | F0732 | Post nurse staffing information every day. | C | 2024-01-24 |
| 2023-12-19 | 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 | 2024-02-02 |
| 2023-12-19 | Health | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | 2024-02-02 |
| 2023-12-19 | Health | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2024-02-02 |
| 2023-12-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-02-02 |
| 2023-12-19 | Health | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | I | 2024-01-24 |
| 2023-12-19 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-01-24 |
| 2023-12-19 | 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 | 2024-01-24 |
| 2023-09-28 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-10-31 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| 694 WORCESTER ST LLC | Individual has financial interest in both related organization and provider | — | 2023-01-01 | current | hcris_a_8_1 |
| 695 WORCESTER ST LLC | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| BERKOWITZ, BENJAMIN | CORPORATE OFFICER | — | 2022-12-27 | current | pecos_ownership |
| BERKOWITZ, DAVID | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-27 | current | pecos_ownership |
| CURIS SERVICES LLC | ADP OF THE SNF | — | 2022-12-27 | current | pecos_ownership |
| LABELLA, CATERINA | CORPORATE OFFICER | — | 2022-12-27 | current | pecos_ownership |
| MA HOLDCO OP, LLC | DIRECT OWNERSHIP INTEREST | — | 2022-12-27 | current | pecos_ownership |
| MA5 POINTE MANAGER LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-27 | current | pecos_ownership |
| MA5 POINTE MANAGER LLC | ADP OF THE SNF | — | 2025-06-24 | current | pecos_ownership |
| MEYSTEL, YOSEF | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-27 | current | pecos_ownership |
| MONTGOMERY, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-27 | current | pecos_ownership |
| POINTE GROUP CARE LLC | ADP OF THE SNF | — | 2025-06-24 | current | pecos_ownership |
| POINTE GROUP CARE LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-27 | current | pecos_ownership |
| POINTE PROPERTY LLC | ADP OF THE SNF | — | 2022-12-27 | current | pecos_ownership |
| BENJAMIN BERKOWITZ | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 60% | 2022-12-27 | ended 2026-05-18 | pecos_ownership |
| DAVID BERKOWITZ | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2022-12-27 | ended 2026-05-18 | pecos_ownership |
| YOSEF MEYSTEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2022-12-27 | ended 2026-05-18 | pecos_ownership |
| CATERINA LABELLA | CORPORATE OFFICER | — | 2022-12-27 | ended 2026-05-18 | pecos_ownership |
| ROBERT MONTGOMERY | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-27 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2022-12-27 | — | ADVINIACARE NEWTON WELLESLEY LLC | VK WELLESLEY LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-29 | Hadley Pointe Nursing Rehab & Care | — | — | — | 154 | HADLEY CENTER LLC |
| 2025-08-01 | Alliance Health at Coleman | — | — | — | 45 | ALLIANCE HEALTH OF NORTHBOROUGH INC |
| 2025-05-28 | PALM SPRINGS POST ACUTE | — | — | — | 124 | PALM SPRINGS OPERATOR LLC |
| 2025-05-28 | HAMPDEN POST ACUTE | — | — | — | 135 | HAMPDEN OPERATOR LLC |
| 2025-04-01 | BROCKTON POST ACUTE CARE | — | — | — | 169 | BROCKTON OPERATOR LLC |
| 2025-04-01 | HIGHLAND PARK REHABILITATION AND HEALTHCARE CENTER | — | — | — | 195 | HIGHLAND PARK OPERATOR LLC |
| 2025-03-01 | THE CENTER AT ADVOCATE | — | — | — | 190 | THE CENTER AT ADVOCATE LLC |
| 2025-03-01 | Premier Healthcare at Harrington House | — | — | — | 90 | 160 MAIN STREET WALPOLE OPERATOR LLC |
| 2025-02-28 | PORT REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | NEWBURYPORT SNF OPERATIONS LLC |
| 2025-02-28 | MASCONOMET REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | TOPSFIELD SNF OPERATIONS LLC |
| 2025-02-28 | SIPPICAN REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | MARION SNF OPERATIONS LLC |
| 2025-02-28 | NEMASKET REHABILITATION AND HEALTHCARE CENTER | — | — | — | 102 | MIDDLEBOROUGH SNF OPERATIONS LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 25021 | acs median gross | 0 | $1,664 | 2024-12-31 | CENSUS_ACS5 |
| county 25021 | acs median gross | 1 | $1,877 | 2024-12-31 | CENSUS_ACS5 |
| county 25021 | acs median gross | 2 | $2,314 | 2024-12-31 | CENSUS_ACS5 |
| county 25021 | acs median gross | 3 | $2,488 | 2024-12-31 | CENSUS_ACS5 |
| county 25021 | acs median gross | 4 | $2,959 | 2024-12-31 | CENSUS_ACS5 |
| county 25021 | acs median gross | 5 | $2,191 | 2024-12-31 | CENSUS_ACS5 |
| county 25021 | acs median gross | $2,149 | 2024-12-31 | CENSUS_ACS5 | |
| county 25021 | acs recent mover gross | $2,459 | 2024-12-31 | CENSUS_ACS5 |