Composite
68.6 / 100 percentile
Screener / 225667
C
CAPE COD POST ACUTE CARE
snfMA
383 SOUTH ORLEANS ROAD, BREWSTER, MA 02631 · CCN 225667 · chain NFR 2020 IRRV TR
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
135
Model
v1.2
Reads as: riskier than 68.6% 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 model5Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies69Licensure0Ownership51Related party5Transactions1Comps12Market rent27
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 94.4 | 92.4 | 0.30 | 0.2308 | 21.78 | in index |
| staffing risk | 67.2 | 67.2 | 0.25 | 0.1923 | 12.92 | in index |
| financial risk | 44.9 | 42.4 | 0.30 | 0.2308 | 10.36 | in index |
| billing conduct | 30.3 | 31.8 | 0.30 | 0.2308 | 6.99 | in index |
| chow risk | 29.1 | 27.9 | 0.15 | 0.1154 | 3.36 | 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.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 31.8 | 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 | 30.9 | B | v0.6 | default · in composite | |
| financial risk | 42.4 | B | 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 | 92.4 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 67.2 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 92.2 | F | 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 | 72.2 | D | 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 | 50.7 | 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 | 46.5 | 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 | 92.3 | 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 | 92.3 | 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 | 67.2 | D | 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 | 67.2 | D | 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
1.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 1.74 | -1.68 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.93 | -0.69 | |
| Chain size (log) | 4.38 | +0.53 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Deficiencies, last 12 months | 0.00 | -0.17 |
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
20.0
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 | 0.00 | +1.43 | |
| Chain size (log) | 4.38 | -1.35 | |
| Occupancy | 0.93 | -0.78 | |
| 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) | 1.74 | -0.27 | |
| 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 | MA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.02 | 3.39 | 3.28 | 2.90–3.77 |
| RN | 0.51 | 0.39 | 0.39 | 0.25–0.58 |
| Weekend total | 2.72 | 3.26 | 3.11 | — |
| Weekday total | 3.15 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 126.2 | 3.02 | 0.51 | 0.67 | 1.85 | 2.72 | 0.7% |
| 2025Q3 | 92 | 117.9 | 3.10 | 0.59 | 0.61 | 1.91 | 2.90 | 0.5% |
| 2025Q2 | 91 | 114.3 | 3.27 | 0.67 | 0.64 | 1.96 | 2.93 | 6.0% |
| 2025Q1 | 90 | 122.8 | 3.11 | 0.61 | 0.63 | 1.87 | 2.92 | 5.4% |
| 2024Q4 | 92 | 118.2 | 2.88 | 0.55 | 0.61 | 1.73 | 2.76 | 6.7% |
| 2024Q3 | 92 | 117.4 | 2.90 | 0.56 | 0.44 | 1.91 | 2.72 | 5.4% |
| 2024Q2 | 91 | 120.4 | 3.14 | 0.49 | 0.55 | 2.10 | 3.06 | 9.8% |
| 2024Q1 | 91 | 120.8 | 2.97 | 0.30 | 0.70 | 1.98 | 2.78 | 7.9% |
| 2023Q4 | 92 | 116.8 | 2.65 | 0.25 | 0.54 | 1.86 | 2.56 | 14.9% |
| 2023Q3 | 92 | 114.5 | 2.40 | 0.28 | 0.58 | 1.54 | 2.20 | 25.7% |
| 2023Q2 | 91 | 117.1 | 2.50 | 0.36 | 0.34 | 1.79 | 2.42 | 6.9% |
| 2023Q1 | 90 | 111.2 | 2.81 | 0.37 | 0.55 | 1.89 | 2.75 | 14.5% |
| 2022Q4 | 92 | 100.9 | 2.63 | 0.32 | 0.46 | 1.85 | 2.56 | 12.9% |
| 2022Q3 | 92 | 101.0 | 2.72 | 0.33 | 0.49 | 1.90 | 2.58 | 11.3% |
| 2022Q2 | 91 | 109.4 | 2.63 | 0.36 | 0.42 | 1.85 | 2.45 | 7.9% |
| 2022Q1 | 90 | 103.1 | 2.04 | 0.28 | 0.36 | 1.40 | 1.83 | 12.3% |
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
2| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-03-19 | Fine | $298,483 | CMS provider data |
| 2024-03-19 | Payment Denial | — | CMS provider data |
Total fines on record: $298,483
Deficiencies
69B × 2D × 34E × 17F × 8G × 3H × 5
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-05-08 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-06-03 |
| 2025-05-08 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-06-03 |
| 2025-05-08 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2025-06-03 |
| 2025-05-08 | 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 | 2025-06-03 |
| 2025-05-08 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2025-06-03 |
| 2025-05-08 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-06-03 |
| 2025-05-08 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2025-06-03 |
| 2025-05-08 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | 2025-06-03 |
| 2025-04-29 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-05-20 |
| 2024-07-24 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-08-09 |
| 2024-07-24 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-08-09 |
| 2024-05-21 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-06-09 |
| 2024-03-19 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-04-24 |
| 2024-03-19 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-04-24 |
| 2024-03-19 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2024-04-26 |
| 2024-03-19 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | H | 2024-04-26 |
| 2024-03-19 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2024-04-26 |
| 2024-03-19 | Health | F0641 | Ensure each resident receives an accurate assessment. | B | 2024-04-24 |
| 2024-03-19 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-04-24 |
| 2024-03-19 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | 2024-04-26 |
| 2024-03-19 | 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 | 2024-04-24 |
| 2024-03-19 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-05-26 |
| 2024-03-19 | Health | F0679 | Provide activities to meet all resident's needs. | F | 2024-04-26 |
| 2024-03-19 | Health | F0680 | Ensure the activities program is directed by a qualified professional. | F | 2024-04-24 |
| 2024-03-19 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-04-26 |
| 2024-03-19 | 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 | 2024-04-24 |
| 2024-03-19 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | H | 2024-04-26 |
| 2024-03-19 | 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 | 2024-04-26 |
| 2024-03-19 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | H | 2024-04-26 |
| 2024-03-19 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-05-26 |
| 2024-03-19 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-04-24 |
| 2024-03-19 | 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. | D | 2024-04-26 |
| 2024-03-19 | 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. | D | 2024-05-24 |
| 2024-03-19 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2024-04-24 |
| 2024-03-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-04-26 |
| 2024-03-19 | 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. | F | 2024-04-24 |
| 2024-03-19 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2024-04-26 |
| 2024-03-19 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-04-24 |
| 2024-03-19 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-04-24 |
| 2024-03-19 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2024-04-24 |
| 2024-03-19 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | B | 2024-04-24 |
| 2023-09-20 | Health · complaint | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2023-10-16 |
| 2023-09-20 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2023-10-16 |
| 2023-09-20 | Health · complaint | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | 2023-10-16 |
| 2023-09-20 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-10-16 |
| 2022-08-24 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2022-10-14 |
| 2022-08-24 | Health | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2022-10-14 |
| 2022-08-24 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2022-10-14 |
| 2022-08-24 | 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 | 2022-10-14 |
| 2022-08-24 | 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. | E | 2022-10-14 |
| 2022-08-24 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2022-10-14 |
| 2022-08-24 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2022-09-30 |
| 2022-08-24 | 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 | 2022-10-14 |
| 2022-08-24 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | H | 2022-09-30 |
| 2022-08-24 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | H | 2022-10-07 |
| 2022-08-24 | 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. | F | 2022-10-14 |
| 2022-08-24 | 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. | F | 2022-10-14 |
| 2022-08-24 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2022-10-14 |
| 2022-08-24 | 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. | E | 2022-10-14 |
| 2022-08-24 | 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 | 2022-10-14 |
| 2022-08-24 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2022-10-14 |
| 2022-08-24 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2022-10-14 |
| 2022-08-24 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2022-10-14 |
| 2022-08-24 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-10-14 |
| 2022-08-24 | 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. | F | 2022-10-14 |
| 2022-08-24 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2022-10-14 |
| 2022-08-24 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2022-10-06 |
| 2022-08-24 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2022-10-05 |
| 2022-08-24 | Health | F0886 | Perform COVID19 testing on residents and staff. | E | 2022-10-06 |
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
51| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| 383 SOUTH ORLEANS | Individual has financial interest in both related organization and provider | — | 2023-01-01 | current | hcris_a_8_1 |
| 383 SOUTH ORLEANS LLC | Individual has financial interest in both related organization and provider | — | 2023-10-31 | current | hcris_a_8_1 |
| CAPE COD PROPERTY LLC | ADP OF THE SNF | — | 2024-10-31 | current | pecos_ownership |
| FLAGLER, OSHER | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-02-26 | current | pecos_ownership |
| FORBRIGHT BANK | 5% OR GREATER MORTGAGE INTEREST | — | 2024-10-31 | current | pecos_ownership |
| HARMAN, DINA | MANAGING CONTROL - GOVERNING BODY | — | 2024-10-31 | current | pecos_ownership |
| HARMAN, DINA | ADP OF THE SNF | — | 2025-01-13 | current | pecos_ownership |
| KAHANOW, AVIVA | INDIRECT OWNERSHIP INTEREST | — | 2024-10-31 | current | pecos_ownership |
| LEVOVITZ, TZVI | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-02-26 | current | pecos_ownership |
| LORDAN, NANCY | MANAGING CONTROL - GOVERNING BODY | — | 2025-02-17 | current | pecos_ownership |
| MARQUIS LIMITED LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-31 | current | pecos_ownership |
| MARQUIS LIMITED LLC | ADP OF THE SNF | — | 2025-02-11 | current | pecos_ownership |
| NFR 2020 IRRV TR | ADP OF THE SNF | — | 2025-01-11 | current | pecos_ownership |
| POSEN, MINDEE | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-31 | current | pecos_ownership |
| QUINTO NEXGEN LLC | ADP OF THE SNF | — | 2025-01-11 | current | pecos_ownership |
| RELIANT PRO REHAB LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-11 | current | pecos_ownership |
| ROKEACH, FRAIDE | INDIRECT OWNERSHIP INTEREST | — | 2024-10-31 | current | pecos_ownership |
| ROKOWSKY, YITZCHOK | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-07-22 | current | pecos_ownership |
| RSBRMK HOLDINGS LLC | ADP OF THE SNF | — | 2025-01-11 | current | pecos_ownership |
| SK NEXGEN TR | ADP OF THE SNF | — | 2025-01-11 | current | pecos_ownership |
| SKILLED VENTURE LLC | DIRECT OWNERSHIP INTEREST | — | 2024-09-12 | current | pecos_ownership |
| STEVENS, JOEL | MANAGING CONTROL - GOVERNING BODY | — | 2024-10-31 | current | pecos_ownership |
| STEVENS, JOEL | ADP OF THE SNF | — | 2025-01-13 | current | pecos_ownership |
| TRYKO NEXGEN HOLDINGS LLC | ADP OF THE SNF | — | 2025-01-11 | current | pecos_ownership |
| UAK 2020 IRRV TR | ADP OF THE SNF | — | 2025-01-11 | current | pecos_ownership |
| UKR NEXGEN LLC | ADP OF THE SNF | — | 2025-01-13 | current | pecos_ownership |
| VIROJA, YOGESH | MANAGING CONTROL - GOVERNING BODY | — | 2024-10-31 | current | pecos_ownership |
| YK NEXGEN TR | ADP OF THE SNF | — | 2025-01-13 | current | pecos_ownership |
| YR NEXGEN TR | ADP OF THE SNF | — | 2025-01-13 | current | pecos_ownership |
| ZANFES, ZACHARY | ADP OF THE SNF | — | 2024-10-31 | current | pecos_ownership |
| QUINTO NEXGEN LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 79% | 2024-10-31 | ended 2026-05-18 | pecos_ownership |
| TRYKO NEXGEN HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 57% | 2024-11-01 | ended 2026-05-18 | pecos_ownership |
| YR NEXGEN TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 28% | 2024-10-31 | ended 2026-05-18 | pecos_ownership |
| NFR 2020 IRRV TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 22% | 2024-11-01 | ended 2026-05-18 | pecos_ownership |
| RSBRMK HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 22% | 2024-11-01 | ended 2026-05-18 | pecos_ownership |
| UAK 2020 IRRV TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2024-11-01 | ended 2026-05-18 | pecos_ownership |
| UKR NEXGEN LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2024-10-31 | ended 2026-05-18 | pecos_ownership |
| SK NEXGEN TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 14% | 2024-11-01 | ended 2026-05-18 | pecos_ownership |
| YK NEXGEN TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 14% | 2024-10-31 | ended 2026-05-18 | pecos_ownership |
| AVIVA KAHANOW | INDIRECT OWNERSHIP INTEREST | 0% | 2024-10-31 | ended 2026-05-18 | pecos_ownership |
| FRAIDE ROKEACH | INDIRECT OWNERSHIP INTEREST | 0% | 2024-10-31 | ended 2026-05-18 | pecos_ownership |
| 383 SOUTH ORLEANS | Individual has financial interest in both related organization and provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| 383 SOUTH ORLEANS LLC | Individual has financial interest in both related organization and provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| DINA HARMAN | MANAGING CONTROL - GOVERNING BODY | — | 2024-10-31 | ended 2026-05-18 | pecos_ownership |
| DINA HARMAN | ADP OF THE SNF | — | 2025-01-13 | ended 2026-05-18 | pecos_ownership |
| JOEL STEVENS | MANAGING CONTROL - GOVERNING BODY | — | 2024-10-31 | ended 2026-05-18 | pecos_ownership |
| JOEL STEVENS | ADP OF THE SNF | — | 2025-01-13 | ended 2026-05-18 | pecos_ownership |
| MINDEE POSEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-31 | ended 2026-05-18 | pecos_ownership |
| NANCY LORDAN | MANAGING CONTROL - GOVERNING BODY | — | 2025-02-17 | ended 2026-05-18 | pecos_ownership |
| YOGESH VIROJA | MANAGING CONTROL - GOVERNING BODY | — | 2024-10-31 | ended 2026-05-18 | pecos_ownership |
| ZACHARY ZANFES | ADP OF THE SNF | — | 2024-10-31 | 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 |
|---|---|---|---|---|
| 2024-10-31 | — | CAPE COD OPERATOR LLC | PLEASANT BAY OF BREWSTER REHAB CENTER LLC | chow |
Comparable trades — MA snf
12| 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 |
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
27| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 25001 | acs median gross | 0 | $1,468 | 2024-12-31 | CENSUS_ACS5 |
| county 25001 | acs median gross | 1 | $1,095 | 2024-12-31 | CENSUS_ACS5 |
| county 25001 | acs median gross | 2 | $1,785 | 2024-12-31 | CENSUS_ACS5 |
| county 25001 | acs median gross | 3 | $2,136 | 2024-12-31 | CENSUS_ACS5 |
| county 25001 | acs median gross | 4 | $2,606 | 2024-12-31 | CENSUS_ACS5 |
| county 25001 | acs median gross | 5 | $1,615 | 2024-12-31 | CENSUS_ACS5 |
| county 25001 | acs median gross | $1,678 | 2024-12-31 | CENSUS_ACS5 | |
| county 25001 | acs recent mover gross | $1,874 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 02631 | acs median gross | 1 | $514 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02631 | acs median gross | 2 | $2,210 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02631 | acs median gross | 3 | $1,736 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02631 | acs median gross | $1,589 | 2024-12-31 | CENSUS_ACS5 | |
| zip 02631 | payment standard 110 | 0 | $1,936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02631 | payment standard 90 | 0 | $1,584 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02631 | safmr | 0 | $1,760 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02631 | payment standard 110 | 1 | $1,947 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02631 | payment standard 90 | 1 | $1,593 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02631 | safmr | 1 | $1,770 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02631 | payment standard 110 | 2 | $2,552 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02631 | payment standard 90 | 2 | $2,088 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02631 | safmr | 2 | $2,320 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02631 | payment standard 110 | 3 | $3,146 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02631 | payment standard 90 | 3 | $2,574 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02631 | safmr | 3 | $2,860 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02631 | payment standard 110 | 4 | $3,608 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02631 | payment standard 90 | 4 | $2,952 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02631 | safmr | 4 | $3,280 | 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.