810 SOUTH BROOM STREET, WILMINGTON, DE 19805 · CCN 085013 · chain SMS 2021 TRUST
Composite
45.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
106
Model
v1.2
Reads as: riskier than 45.7% 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
4
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
35 chains
WELLTOWER INC
135 facilities
connection
Owner fleet risk far above national
+20.1 vs natl
SILVERBERG NISANEL
21 facilities
connection
Owner spans multiple chains
5 chains
LANDAU FAMILY INVESTMENT TRUST
30 facilities
connection
Owner spans multiple chains
5 chains
J R FAMILY INVESTMENTS LLC
30 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
DE median
National median
National p25–p75
Total nurse
3.98
3.64
3.28
2.90–3.77
RN
0.40
0.51
0.39
0.25–0.58
Weekend total
3.89
3.58
3.11
—
Weekday total
4.01
3.69
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
92.0
3.98
0.40
1.12
2.46
3.89
14.8%
2025Q3
92
91.8
3.83
0.48
1.02
2.33
3.69
18.6%
2025Q2
91
95.6
3.63
0.48
0.89
2.26
3.59
23.3%
2025Q1
90
96.6
3.63
0.56
0.82
2.26
3.60
20.4%
2024Q4
92
97.6
3.48
0.45
0.83
2.20
3.49
17.7%
2024Q3
92
95.0
3.58
0.42
0.87
2.28
3.54
19.5%
2024Q2
91
92.7
3.52
0.52
0.80
2.21
3.44
20.5%
2024Q1
91
97.3
3.39
0.54
0.77
2.08
3.35
32.6%
2023Q4
92
93.5
3.39
0.55
0.82
2.01
3.35
24.8%
2023Q3
92
89.8
3.52
0.56
0.87
2.08
3.38
17.6%
2023Q2
91
89.6
3.53
0.53
0.92
2.09
3.48
16.7%
2023Q1
90
93.4
3.44
0.47
0.96
2.00
3.35
18.1%
2022Q4
92
90.3
3.55
0.50
0.95
2.10
3.46
16.7%
2022Q3
92
88.6
3.55
0.51
0.99
2.05
3.48
16.0%
2022Q2
91
88.5
3.41
0.53
0.95
1.93
3.24
11.5%
2022Q1
90
88.1
3.41
0.60
0.88
1.93
3.21
25.0%
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.
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
35
B × 1C × 1D × 28E × 2F × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-01-30
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2026-03-16
2026-01-30
Health · complaint
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
2026-03-16
2026-01-30
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2026-03-16
2026-01-30
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-03-16
2025-02-06
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-03-12
2025-02-06
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-03-12
2025-02-06
Health
F0610
Respond appropriately to all alleged violations.
D
2025-03-12
2025-02-06
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
2025-03-12
2025-02-06
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-03-12
2025-02-06
Health
F0680
Ensure the activities program is directed by a qualified professional.
C
2025-03-12
2025-02-06
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-03-12
2025-02-06
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2025-03-12
2025-02-06
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-03-12
2025-02-06
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
2025-03-12
2025-02-06
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2025-03-12
2025-02-06
Health
F0760
Ensure that residents are free from significant medication errors.
D
2025-03-12
2025-02-06
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
2025-03-12
2025-02-06
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-03-12
2025-02-06
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2025-03-12
2025-02-06
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2025-03-12
2024-02-01
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-04-09
2024-02-01
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
2024-04-09
2024-02-01
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-04-09
2024-02-01
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-04-09
2024-02-01
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-04-09
2024-02-01
Health · complaint
F0880
Provide and implement an infection prevention and control program.
F
2024-04-09
2023-11-17
Health · complaint
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
2023-12-20
2023-11-17
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-12-20
2023-11-17
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
2023-12-20
2022-01-19
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
B
2022-02-25
2022-01-19
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
2022-02-25
2022-01-19
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-02-25
2022-01-19
Health
F0773
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
D
2022-02-25
2022-01-19
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
2022-02-25
2022-01-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2022-02-25
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
37
Owner
Role
Pct
From
Status
Source
HILLSIDE CENTER REALTY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2023-07-01
current
hcris_a_8_1
HILLSIDE CENTER REALTY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2024-07-01
current
hcris_a_8_1
PC DE OPCOS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2021-06-01
current
pecos_ownership
AURORA GUARDIAN HOLDCO II CO-BORROWER, LLC
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
AURORA GUARDIAN HOLDCO II MEZZ BORROWER, LLC
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
AURORA GUARDIAN HOLDCO II, LLC
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
AURORA GUARDIAN II REALTY, LLC
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
AURORA GUARDIAN PARTNERS II LLC
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
BAICH-PIETLOCK, DEBRA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-01
current
pecos_ownership
COX, VICKIE
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
GRAZIANO, RUTH
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
HILLSIDE CENTER REALTY, LLC
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
J & R FAMILY INVESTMENTS, LLC
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
L FRIEDMAN 2018 FAMILY TRUST
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
L FRIEDMAN FAMILY HOLDINGS LLC
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
LANDAU FAMILY INVESTMENT TRUST
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
M FRIEDMAN 2018 FAMILY TRUST
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
MANSFIELD, MELISSA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-01
current
pecos_ownership
MCGHEE, KAREN
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
PC WTA ACQUISITION LLC
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
PC WTA MULTI-STATE LLC
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
PC WTA OPCO HOLDCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-06-01
current
pecos_ownership
PEACE CAPITAL HOLDINGS LLC (DE)
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
R&J FAMILY INVESTMENTS LLC
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
SILVERBERG, NISANEL
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
SMS 2021 TRUST
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
STEIN, SHALOM
TRUSTEE OF THE SNF
—
2021-06-01
current
pecos_ownership
WELLTOWER INC
ADP OF THE SNF
—
2021-06-01
current
pecos_ownership
HILLSIDE CENTER REALTY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2022-07-01
ended 2023-06-30
hcris_a_8_1
HILLSIDE CENTER REALTY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2021-06-01
ended 2022-06-30
hcris_a_8_1
DEBRA BAICH-PIETLOCK
ADP OF THE SNF
—
2021-06-01
ended 2026-05-18
pecos_ownership
KAREN MCGHEE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-01
ended 2026-05-18
pecos_ownership
MELISSA MANSFIELD
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-01
ended 2026-05-18
pecos_ownership
NISANEL SILVERBERG
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-01
ended 2026-05-18
pecos_ownership
RUTH GRAZIANO
ADP OF THE SNF
—
2021-06-01
ended 2026-05-18
pecos_ownership
SHALOM STEIN
CORPORATE OFFICER
—
2021-06-01
ended 2026-05-18
pecos_ownership
VICKIE COX
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-01
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
2025-06-30
$2,597,553
$2,106,143
—
—
—
2
propco
2024-06-30
$1,583,483
$1,144,848
—
—
—
2
propco
2023-06-30
$1,689,787
$1,228,875
—
—
—
2
propco
2022-06-30
$1,289,304
$916,866
—
—
—
2
propco
2021-05-31
$1,198,728
—
$618,065
$557,123
—
5
—
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 10003
acs median gross
0
$1,239
2024-12-31
CENSUS_ACS5
county 10003
fmr
0
$1,397
2025-10-01
HUD_USER_FMR
county 10003
acs median gross
1
$1,241
2024-12-31
CENSUS_ACS5
county 10003
fmr
1
$1,520
2025-10-01
HUD_USER_FMR
county 10003
acs median gross
2
$1,487
2024-12-31
CENSUS_ACS5
county 10003
fmr
2
$1,810
2025-10-01
HUD_USER_FMR
county 10003
acs median gross
3
$1,714
2024-12-31
CENSUS_ACS5
county 10003
fmr
3
$2,170
2025-10-01
HUD_USER_FMR
county 10003
acs median gross
4
$1,851
2024-12-31
CENSUS_ACS5
county 10003
fmr
4
$2,423
2025-10-01
HUD_USER_FMR
county 10003
acs median gross
5
$1,864
2024-12-31
CENSUS_ACS5
county 10003
acs median gross
$1,448
2024-12-31
CENSUS_ACS5
county 10003
acs recent mover gross
$1,718
2024-12-31
CENSUS_ACS5
zcta 19805
acs median gross
0
$1,152
2024-12-31
CENSUS_ACS5
zcta 19805
acs median gross
1
$1,086
2024-12-31
CENSUS_ACS5
zcta 19805
acs median gross
2
$1,152
2024-12-31
CENSUS_ACS5
zcta 19805
acs median gross
3
$1,552
2024-12-31
CENSUS_ACS5
zcta 19805
acs median gross
4
$1,438
2024-12-31
CENSUS_ACS5
zcta 19805
acs median gross
$1,215
2024-12-31
CENSUS_ACS5
zcta 19805
acs recent mover gross
$1,455
2024-12-31
CENSUS_ACS5
zip 19805
payment standard 110
0
$1,320
2025-10-01
HUD_USER_SAFMR
zip 19805
payment standard 90
0
$1,080
2025-10-01
HUD_USER_SAFMR
zip 19805
safmr
0
$1,200
2025-10-01
HUD_USER_SAFMR
zip 19805
payment standard 110
1
$1,430
2025-10-01
HUD_USER_SAFMR
zip 19805
payment standard 90
1
$1,170
2025-10-01
HUD_USER_SAFMR
zip 19805
safmr
1
$1,300
2025-10-01
HUD_USER_SAFMR
zip 19805
payment standard 110
2
$1,705
2025-10-01
HUD_USER_SAFMR
zip 19805
payment standard 90
2
$1,395
2025-10-01
HUD_USER_SAFMR
zip 19805
safmr
2
$1,550
2025-10-01
HUD_USER_SAFMR
zip 19805
payment standard 110
3
$2,046
2025-10-01
HUD_USER_SAFMR
zip 19805
payment standard 90
3
$1,674
2025-10-01
HUD_USER_SAFMR
zip 19805
safmr
3
$1,860
2025-10-01
HUD_USER_SAFMR
zip 19805
payment standard 110
4
$2,277
2025-10-01
HUD_USER_SAFMR
zip 19805
payment standard 90
4
$1,863
2025-10-01
HUD_USER_SAFMR
zip 19805
safmr
4
$2,070
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.