37 MESIER AVENUE, WAPPINGERS FALLS, NY 12590 · CCN 335275
Composite
74.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
62
Model
v1.2
Reads as: riskier than 74.8% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+23.4 vs natl
PLATSCHEK RICHARD
15 facilities
connection
Owner fleet risk far above national
+20.2 vs natl
ABRAMCZYK MACHLA
5 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
16
2025Q4 HPRD
This facility
NY median
National median
National p25–p75
Total nurse
3.19
3.33
3.28
2.90–3.77
RN
0.69
0.43
0.39
0.25–0.58
Weekend total
2.72
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
55.0
3.19
0.69
0.83
1.67
2.72
8.3%
2025Q3
92
56.5
2.79
0.60
0.75
1.44
2.56
3.6%
2025Q2
91
55.8
2.55
0.61
0.57
1.37
2.24
0.0%
2025Q1
90
58.6
2.89
0.62
0.65
1.62
2.53
0.0%
2024Q4
92
54.0
3.16
0.45
0.87
1.84
2.90
0.0%
2024Q3
92
55.0
3.11
0.36
0.98
1.77
2.67
0.0%
2024Q2
91
56.0
2.98
0.47
0.96
1.55
2.46
0.0%
2024Q1
91
57.0
2.96
0.56
0.91
1.49
2.48
0.0%
2023Q4
92
56.9
2.77
0.60
0.81
1.36
2.15
0.3%
2023Q3
92
55.6
2.18
0.49
0.69
0.99
1.70
29.6%
2023Q2
91
56.0
3.13
0.40
1.06
1.66
2.46
38.8%
2023Q1
90
55.0
1.54
0.26
0.54
0.75
1.30
10.6%
2022Q4
92
57.7
2.25
0.45
0.77
1.03
1.74
10.4%
2022Q3
92
61.0
2.22
0.46
0.67
1.10
1.71
18.6%
2022Q2
91
58.4
2.72
0.49
0.76
1.48
2.26
28.4%
2022Q1
90
57.3
2.53
0.50
0.71
1.31
2.19
24.4%
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
32
D × 24E × 8
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-07-08
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
E
2025-08-20
2025-07-08
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2025-08-20
2025-07-08
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
E
2025-08-20
2024-09-03
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-10-16
2024-04-17
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-06-14
2024-04-17
Health · complaint
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2024-06-14
2024-04-17
Health
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
2024-06-14
2024-04-17
Health
F0622
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
D
2024-06-14
2024-04-17
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.
D
2024-06-14
2024-04-17
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2024-06-14
2024-04-17
Health
F0679
Provide activities to meet all resident's needs.
D
2024-06-14
2024-04-17
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2024-06-14
2024-04-17
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2024-06-14
2024-04-17
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.
E
2024-06-14
2024-04-17
Health
F0730
Observe each nurse aide's job performance and give regular training.
E
2024-06-14
2024-04-17
Health
F0732
Post nurse staffing information every day.
D
2024-06-14
2024-04-17
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-06-14
2024-04-17
Health · complaint
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.
D
2024-06-14
2024-04-17
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-06-14
2024-04-17
Health
F0881
Implement a program that monitors antibiotic use.
D
2024-06-14
2024-04-17
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2024-06-14
2023-10-31
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2023-12-15
2023-10-31
Health · complaint
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
2023-12-15
2023-10-31
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-12-15
2023-10-31
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E
2023-12-15
2020-01-17
Health
F0637
Assess the resident when there is a significant change in condition
D
2020-03-13
2020-01-17
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
2020-03-13
2020-01-17
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
2020-03-13
2020-01-17
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2020-03-13
2020-01-17
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2020-03-13
2020-01-17
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2020-03-13
2020-01-17
Health
F0880
Provide and implement an infection prevention and control program.
D
2020-03-13
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
13
Owner
Role
Pct
From
Status
Source
FARKOWITZ, ESTHER
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2017-04-26
current
pecos_ownership
PLATSCHEK, RICHARD
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2017-04-26
current
pecos_ownership
ABRAMCZYK, MACHLA
5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
2017-04-26
current
pecos_ownership
SCHUCK, ROBERT
5% OR GREATER DIRECT OWNERSHIP INTEREST
13%
2017-04-26
current
pecos_ownership
37 MESIER AVENUE REAL ESTATE LLC
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
37 MESIER AVENUE REAL ESTATE LLC
Individual has financial interest in both related organization and provider
—
2023-01-01
current
hcris_a_8_1
RICHARD PLATSCHEK
OPERATIONAL/MANAGERIAL CONTROL
100%
2017-04-26
ended 2026-05-18
pecos_ownership
ESTHER FARKOWITZ
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2017-04-26
ended 2026-05-18
pecos_ownership
MACHLA ABRAMCZYK
5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
2017-04-26
ended 2026-05-18
pecos_ownership
ROBERT SCHUCK
5% OR GREATER DIRECT OWNERSHIP INTEREST
13%
2017-04-26
ended 2026-05-18
pecos_ownership
37 MESIER AVENUE REAL ESTATE LLC
Individual has financial interest in both related organization and provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
37 MESIER AVENUE REAL ESTATE LLC
Individual has financial interest in both related organization and provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
37 MESIER AVENUE REAL ESTATE LLC
Individual has financial interest in both related organization and provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
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
$1,277,367
—
—
—
$801,377
3
propco
2023-12-31
$1,378,612
—
—
—
$483,426
3
propco
2022-12-31
$893,412
—
—
—
$304,815
3
propco
2021-12-31
$1,127,460
—
—
—
$468,017
4
propco
2020-12-31
$649,560
—
—
—
$143,023
4
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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 36027
acs median gross
0
$1,078
2024-12-31
CENSUS_ACS5
county 36027
fmr
0
$1,364
2025-10-01
HUD_USER_FMR
county 36027
acs median gross
1
$1,364
2024-12-31
CENSUS_ACS5
county 36027
fmr
1
$1,549
2025-10-01
HUD_USER_FMR
county 36027
acs median gross
2
$1,740
2024-12-31
CENSUS_ACS5
county 36027
fmr
2
$1,979
2025-10-01
HUD_USER_FMR
county 36027
acs median gross
3
$1,984
2024-12-31
CENSUS_ACS5
county 36027
fmr
3
$2,511
2025-10-01
HUD_USER_FMR
county 36027
acs median gross
4
$2,211
2024-12-31
CENSUS_ACS5
county 36027
fmr
4
$2,694
2025-10-01
HUD_USER_FMR
county 36027
acs median gross
5
$1,648
2024-12-31
CENSUS_ACS5
county 36027
acs median gross
$1,582
2024-12-31
CENSUS_ACS5
county 36027
acs recent mover gross
$1,745
2024-12-31
CENSUS_ACS5
zcta 12590
acs median gross
0
$1,149
2024-12-31
CENSUS_ACS5
zcta 12590
acs median gross
1
$1,448
2024-12-31
CENSUS_ACS5
zcta 12590
acs median gross
2
$2,108
2024-12-31
CENSUS_ACS5
zcta 12590
acs median gross
3
$1,954
2024-12-31
CENSUS_ACS5
zcta 12590
acs median gross
4
$2,100
2024-12-31
CENSUS_ACS5
zcta 12590
acs median gross
$1,747
2024-12-31
CENSUS_ACS5
zcta 12590
acs recent mover gross
$1,735
2024-12-31
CENSUS_ACS5
zip 12590
payment standard 110
0
$1,606
2025-10-01
HUD_USER_SAFMR
zip 12590
payment standard 90
0
$1,314
2025-10-01
HUD_USER_SAFMR
zip 12590
safmr
0
$1,460
2025-10-01
HUD_USER_SAFMR
zip 12590
payment standard 110
1
$1,826
2025-10-01
HUD_USER_SAFMR
zip 12590
payment standard 90
1
$1,494
2025-10-01
HUD_USER_SAFMR
zip 12590
safmr
1
$1,660
2025-10-01
HUD_USER_SAFMR
zip 12590
payment standard 110
2
$2,332
2025-10-01
HUD_USER_SAFMR
zip 12590
payment standard 90
2
$1,908
2025-10-01
HUD_USER_SAFMR
zip 12590
safmr
2
$2,120
2025-10-01
HUD_USER_SAFMR
zip 12590
payment standard 110
3
$2,959
2025-10-01
HUD_USER_SAFMR
zip 12590
payment standard 90
3
$2,421
2025-10-01
HUD_USER_SAFMR
zip 12590
safmr
3
$2,690
2025-10-01
HUD_USER_SAFMR
zip 12590
payment standard 110
4
$3,179
2025-10-01
HUD_USER_SAFMR
zip 12590
payment standard 90
4
$2,601
2025-10-01
HUD_USER_SAFMR
zip 12590
safmr
4
$2,890
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.