CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 22:06 UTC
Screener / 225284
F

PLYMOUTH HARBORSIDE HEALTHCARE

snfMASFF: SFF Candidate
19 OBERY STREET, PLYMOUTH, MA 02360 · CCN 225284 · chain NEXT STEP HEALTHCARE LLC
Composite
97.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
101
Model
v1.2
Reads as: riskier than 97.7% 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.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk99.098.30.300.230822.85in index
financial risk67.657.50.300.230815.60in index
staffing risk76.176.10.250.192314.63in index
billing conduct59.743.40.300.230813.78in index
chow risk79.660.30.150.11549.18in index
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.

ML signals — parallel engine

1
KindFindingSignalSubjectFirst seen
anomalyFederal penalty spike22.5x priorthis facility2026-07-29
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct43.4Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk55.0Cv0.1-posdefault · in compositeChange-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 risk65.7Dv0.6default · in composite
financial risk57.5Cv0.5default · in compositeR18.
p adverse action 12m0.0v0.1default · in compositeR23/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 12m0.2v0.1default · in compositeR22/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 risk98.3Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk76.1Dv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk79.4Dv0.1supersededPre-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 risk59.4Cv0.2supersededPre-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 risk61.8Cv0.3supersededPre-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 risk59.0Cv0.4supersededPre-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 risk98.2Fv0.1supersededPre-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 risk98.2Fv0.2supersededPre-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 risk76.1Dv0.1supersededPre-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 risk76.1Dv0.2supersededPre-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)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
43.2
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)8.91-0.98
For-profit ownership1.00+0.69
Occupancy0.86-0.48
No PBJ staffing report0.00+0.42
Deficiencies, last 12 months19.00+0.29
Ownership changes, last 5 years0.00+0.20
High-severity deficiencies, 12m4.00+0.20
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.

Distress radar — 12-month termination probability

full board →
p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months19.00-2.09
Fine amount, 12m (log)12.67-0.75
For-profit ownership1.00-0.69
Occupancy0.86-0.48
No PBJ staffing report0.00+0.39
Chain size (log)2.71-0.37
Never sold on record0.00-0.28
Penalties, last 12 months3.00-0.28
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 HPRDThis facilityMA medianNational medianNational p25–p75
Total nurse2.883.393.282.90–3.77
RN0.500.390.390.25–0.58
Weekend total2.643.263.11
Weekday total2.973.443.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49287.22.880.500.541.842.6416.5%
2025Q39285.22.880.490.531.872.6712.7%
2025Q29182.82.900.530.551.822.7716.3%
2025Q19079.32.980.450.651.882.9514.7%
2024Q49278.43.210.510.632.063.0816.4%
2024Q39277.22.920.510.531.882.8124.2%
2024Q29175.93.040.640.461.942.8522.3%
2024Q19178.03.150.510.711.943.0227.8%
2023Q49282.42.850.450.641.762.6429.8%
2023Q39284.32.880.510.601.772.6938.2%
2023Q29184.42.850.390.731.732.7742.7%
2023Q19082.12.890.490.591.812.8139.3%
2022Q49285.82.540.460.491.592.4234.6%
2022Q39278.32.770.530.511.732.6433.1%
2022Q29176.92.750.470.691.592.6530.2%
2022Q19077.02.610.450.691.472.5020.5%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.

Penalties

6
fines by year
$208.3k$104.2k23242526
DateTypeFineSource
2026-02-13Fine$108,940CMS provider data
2025-09-16Fine$197,977CMS provider data
2025-08-05Fine$10,358CMS provider data
2023-11-14Fine$11,638CMS provider data
2023-08-30Fine$15,269CMS provider data
2023-08-30Fine$15,347CMS provider data
Total fines on record: $359,529

Deficiencies

58
B × 2D × 21E × 24F × 2G × 6J × 3
deficiencies by survey year
251323242526
SurveyTypeTagDeficiencyScopeCorrected
2026-02-13HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.D2026-03-06
2026-02-13HealthF0585Honor 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.D2026-03-06
2026-02-13HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2026-03-06
2026-02-13HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-03-06
2026-02-13HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2026-03-06
2026-02-13HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2026-03-06
2026-02-13HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2026-03-06
2026-02-13HealthF0699Provide care or services that was trauma informed and/or culturally competent.E2026-03-06
2026-02-13HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2026-03-06
2026-02-13HealthF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.E2026-03-06
2026-02-13HealthF0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.E2026-03-06
2026-02-13HealthF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F2026-03-06
2026-02-13HealthF0880Provide and implement an infection prevention and control program.E2026-03-06
2025-12-04Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2025-12-26
2025-09-16Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2025-10-06
2025-09-16Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-10-06
2025-09-16Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-10-06
2025-08-05Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.G2025-08-22
2025-08-05Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2025-08-22
2024-10-23HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesB2024-11-25
2024-10-23HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2024-11-25
2024-10-23HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-11-15
2024-10-23HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2024-11-15
2024-10-23HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E2024-11-15
2024-10-23HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2024-11-15
2024-10-23HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-11-15
2024-10-23HealthF0699Provide care or services that was trauma informed and/or culturally competent.E2024-11-15
2024-10-23HealthF0758Implement 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.D2024-11-15
2024-10-23HealthF0759Ensure medication error rates are not 5 percent or greater.E2024-11-15
2024-10-23HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F2024-11-15
2024-10-23HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-11-15
2024-10-23HealthF0880Provide and implement an infection prevention and control program.E2024-11-15
2024-10-23HealthF0881Implement a program that monitors antibiotic use.E2024-11-15
2023-11-14Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.G2023-12-06
2023-11-14Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2023-12-06
2023-10-11Health · complaintF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J2023-10-21
2023-10-11Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.J2023-10-21
2023-08-30HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2023-10-02
2023-08-30HealthF0551Give the resident's representative the ability to exercise the resident's rights.D2023-10-23
2023-08-30HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.D2023-10-02
2023-08-30HealthF0558Reasonably accommodate the needs and preferences of each resident.D2023-10-02
2023-08-30HealthF0583Keep residents' personal and medical records private and confidential.D2023-10-23
2023-08-30HealthF0584Honor 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.E2023-10-02
2023-08-30HealthF0585Honor 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.E2023-10-02
2023-08-30HealthF0641Ensure each resident receives an accurate assessment.B2023-10-02
2023-08-30HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-10-02
2023-08-30HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2023-10-02
2023-08-30HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2023-10-23
2023-08-30HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E2023-10-02
2023-08-30HealthF0699Provide care or services that was trauma informed and/or culturally competent.D2023-10-02
2023-08-30HealthF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.E2023-10-02
2023-08-30HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2023-10-02
2023-08-30HealthF0758Implement 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.E2023-10-02
2023-08-30HealthF0760Ensure that residents are free from significant medication errors.E2023-10-02
2023-08-30HealthF0761Ensure 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.E2023-10-02
2023-08-30HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2023-10-02
2023-08-30HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2023-10-02
2023-08-30HealthF0887Educate 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.E2023-10-02
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

10
OwnerRolePctFromStatusSource
DELL'ANNO, DAMIANCORPORATE OFFICER2017-09-01currentpecos_ownership
NEXT STEP HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROL2017-09-01currentpecos_ownership
NEXT STEP HEALTHCARE LLCADP OF THE SNF2025-06-24currentpecos_ownership
NGUYEN, NINAADP OF THE SNF2025-04-14currentpecos_ownership
RATTAN, ROHITOPERATIONAL/MANAGERIAL CONTROL2023-11-08currentpecos_ownership
STEPHAN, WILLIAMCORPORATE OFFICER2017-09-01currentpecos_ownership
DAMIAN DELL'ANNOCORPORATE OFFICER50%2017-09-01ended 2026-05-18pecos_ownership
WILLIAM STEPHAN5% OR GREATER INDIRECT OWNERSHIP INTEREST50%2017-09-01ended 2026-05-18pecos_ownership
NINA NGUYENOPERATIONAL/MANAGERIAL CONTROL2025-04-14ended 2026-05-18pecos_ownership
ROHIT RATTANADP OF THE SNF2023-11-08ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2017-09-0119 OBERY STREET OPERATOR LLCGGNSC PLYMOUTH LLCchow

Comparable trades — MA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-09-29Hadley Pointe Nursing Rehab & Care154HADLEY CENTER LLC
2025-08-01Alliance Health at Coleman45ALLIANCE HEALTH OF NORTHBOROUGH INC
2025-05-28PALM SPRINGS POST ACUTE124PALM SPRINGS OPERATOR LLC
2025-05-28HAMPDEN POST ACUTE135HAMPDEN OPERATOR LLC
2025-04-01BROCKTON POST ACUTE CARE169BROCKTON OPERATOR LLC
2025-04-01HIGHLAND PARK REHABILITATION AND HEALTHCARE CENTER195HIGHLAND PARK OPERATOR LLC
2025-03-01THE CENTER AT ADVOCATE190THE CENTER AT ADVOCATE LLC
2025-03-01Premier Healthcare at Harrington House90160 MAIN STREET WALPOLE OPERATOR LLC
2025-02-28PORT REHABILITATION AND HEALTHCARE CENTER123NEWBURYPORT SNF OPERATIONS LLC
2025-02-28MASCONOMET REHABILITATION AND HEALTHCARE CENTER123TOPSFIELD SNF OPERATIONS LLC
2025-02-28SIPPICAN REHABILITATION AND HEALTHCARE CENTER123MARION SNF OPERATIONS LLC
2025-02-28NEMASKET REHABILITATION AND HEALTHCARE CENTER102MIDDLEBOROUGH 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

30
GeoKindBRAmountAs ofSource
county 25023acs median gross0$1,1742024-12-31CENSUS_ACS5
county 25023acs median gross1$1,1972024-12-31CENSUS_ACS5
county 25023acs median gross2$1,8612024-12-31CENSUS_ACS5
county 25023acs median gross3$2,1582024-12-31CENSUS_ACS5
county 25023acs median gross4$2,1682024-12-31CENSUS_ACS5
county 25023acs median gross5$1,9132024-12-31CENSUS_ACS5
county 25023acs median gross$1,7472024-12-31CENSUS_ACS5
county 25023acs recent mover gross$2,3362024-12-31CENSUS_ACS5
zcta 02360acs median gross0$1,7142024-12-31CENSUS_ACS5
zcta 02360acs median gross1$1,7392024-12-31CENSUS_ACS5
zcta 02360acs median gross2$1,9482024-12-31CENSUS_ACS5
zcta 02360acs median gross3$2,2812024-12-31CENSUS_ACS5
zcta 02360acs median gross4$3,3492024-12-31CENSUS_ACS5
zcta 02360acs median gross$1,9332024-12-31CENSUS_ACS5
zcta 02360acs recent mover gross$2,6982024-12-31CENSUS_ACS5
zip 02360payment standard 1100$2,2552025-10-01HUD_USER_SAFMR
zip 02360payment standard 900$1,8452025-10-01HUD_USER_SAFMR
zip 02360safmr0$2,0502025-10-01HUD_USER_SAFMR
zip 02360payment standard 1101$2,3762025-10-01HUD_USER_SAFMR
zip 02360payment standard 901$1,9442025-10-01HUD_USER_SAFMR
zip 02360safmr1$2,1602025-10-01HUD_USER_SAFMR
zip 02360payment standard 1102$2,8162025-10-01HUD_USER_SAFMR
zip 02360payment standard 902$2,3042025-10-01HUD_USER_SAFMR
zip 02360safmr2$2,5602025-10-01HUD_USER_SAFMR
zip 02360payment standard 1103$3,3882025-10-01HUD_USER_SAFMR
zip 02360payment standard 903$2,7722025-10-01HUD_USER_SAFMR
zip 02360safmr3$3,0802025-10-01HUD_USER_SAFMR
zip 02360payment standard 1104$3,7292025-10-01HUD_USER_SAFMR
zip 02360payment standard 904$3,0512025-10-01HUD_USER_SAFMR
zip 02360safmr4$3,3902025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.