Composite
64.2 / 100 percentile
Screener / 225395
C
LANESSA EXTENDED CARE
snfMA
751 SCHOOL STREET, WEBSTER, MA 01570 · CCN 225395 · chain ATHENA HEALTH CARE ASSOCIATES INC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
96
Model
v1.2
Reads as: riskier than 64.2% 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 model5ML signals6Components16CHOW radar1Distress radar1Staffing16Penalties1Deficiencies71Licensure0Ownership13Related party5Transactions0Comps12Market rent30
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 89.0 | 86.4 | 0.30 | 0.2308 | 20.54 | in index |
| staffing risk | 86.1 | 86.1 | 0.25 | 0.1923 | 16.56 | in index |
| financial risk | 45.2 | 42.6 | 0.30 | 0.2308 | 10.43 | in index |
| chow risk | 53.2 | 35.2 | 0.15 | 0.1154 | 6.14 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.2308 | 0.00 | 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.
ML signals — parallel engine
6| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +28.8 vs natl | SANTILLI LAWRENCE | 24 facilities |
| connection | Owner fleet risk far above national | +26.2 vs natl | MOSIER MICHAEL | 24 facilities |
| connection | Owner fleet risk far above national | +25.8 vs natl | CURTIS DIANE | 15 facilities |
| connection | Owner fleet risk far above national | +25.6 vs natl | CHAKALOS SANTILLI VALERIE | 14 facilities |
| connection | Owner fleet risk far above national | +25.0 vs natl | ATHENA HEALTH CARE ASSOCIATES INC | 29 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | ATHENA HEALTH CARE SYSTEMS MA III LLC | 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.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 0.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 55.0 | C | 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 | 15.4 | A | v0.6 | default · in composite | |
| financial risk | 42.6 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.1 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 3.1 | — | 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 | 86.4 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 86.1 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 93.4 | 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 | 73.4 | 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 | 48.9 | 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 | 46.9 | 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 | 86.4 | 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 | 86.4 | 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 | 86.1 | F | 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 | 86.1 | F | 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)
3.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
78.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.93 | -0.66 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.30 | +0.30 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 1.00 | -0.15 |
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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
38.3
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 | 1.00 | +1.24 | |
| Occupancy | 0.93 | -0.75 | |
| Chain size (log) | 3.30 | -0.72 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 2.66 | +0.23 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 |
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 | 2.66 | 3.39 | 3.28 | 2.90–3.77 |
| RN | 0.19 | 0.39 | 0.39 | 0.25–0.58 |
| Weekend total | 2.50 | 3.26 | 3.11 | — |
| Weekday total | 2.72 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 88.9 | 2.66 | 0.19 | 0.72 | 1.75 | 2.50 | 0.0% |
| 2025Q3 | 92 | 87.2 | 2.65 | 0.22 | 0.65 | 1.77 | 2.49 | 0.0% |
| 2025Q2 | 91 | 89.2 | 2.48 | 0.18 | 0.64 | 1.66 | 2.35 | 0.0% |
| 2025Q1 | 90 | 87.3 | 2.41 | 0.23 | 0.57 | 1.61 | 2.40 | 0.0% |
| 2024Q4 | 92 | 83.1 | 2.55 | 0.15 | 0.72 | 1.68 | 2.45 | 1.1% |
| 2024Q3 | 92 | 76.3 | 2.71 | 0.15 | 0.83 | 1.74 | 2.50 | 1.1% |
| 2024Q2 | 91 | 70.9 | 2.90 | 0.17 | 0.81 | 1.93 | 2.73 | 4.1% |
| 2024Q1 | 91 | 78.8 | 2.35 | 0.14 | 0.74 | 1.47 | 2.20 | 4.3% |
| 2023Q4 | 92 | 79.8 | 2.30 | 0.16 | 0.76 | 1.39 | 2.17 | 0.8% |
| 2023Q3 | 92 | 72.9 | 2.54 | 0.08 | 0.84 | 1.62 | 2.32 | 2.3% |
| 2023Q2 | 91 | 74.9 | 2.23 | 0.04 | 0.65 | 1.54 | 2.10 | 0.7% |
| 2023Q1 | 90 | 85.2 | 2.12 | 0.03 | 0.66 | 1.43 | 2.02 | 0.1% |
| 2022Q4 | 92 | 85.7 | 2.01 | 0.01 | 0.58 | 1.42 | 1.95 | 0.0% |
| 2022Q3 | 92 | 86.0 | 2.23 | 0.04 | 0.69 | 1.51 | 2.11 | 0.0% |
| 2022Q2 | 91 | 76.8 | 2.40 | 0.05 | 0.62 | 1.73 | 2.15 | 4.0% |
| 2022Q1 | 90 | 80.3 | 2.04 | 0.08 | 0.55 | 1.41 | 1.93 | 9.9% |
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
1| Date | Type | Fine | Source |
|---|---|---|---|
| 2023-11-08 | Fine | $119,962 | CMS provider data |
Total fines on record: $119,962
Deficiencies
71B × 2C × 1D × 40E × 19F × 6G × 2H × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-01-21 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-01-12 |
| 2025-06-10 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-07-01 |
| 2025-06-10 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-07-01 |
| 2025-02-03 | Health | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2025-02-28 |
| 2025-02-03 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-02-28 |
| 2025-02-03 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | 2025-02-28 |
| 2025-02-03 | Health | 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 | 2025-02-28 |
| 2025-02-03 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2025-02-28 |
| 2025-02-03 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2025-02-28 |
| 2025-02-03 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | B | 2025-02-28 |
| 2025-02-03 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2025-02-28 |
| 2025-02-03 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-02-28 |
| 2025-02-03 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-02-28 |
| 2025-02-03 | 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 | 2025-02-28 |
| 2025-02-03 | 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. | D | 2025-02-28 |
| 2025-02-03 | 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. | D | 2025-02-28 |
| 2025-02-03 | Health | F0732 | Post nurse staffing information every day. | C | 2025-02-28 |
| 2025-02-03 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2025-02-28 |
| 2025-02-03 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | 2025-02-28 |
| 2025-02-03 | 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 | 2025-02-28 |
| 2025-02-03 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2025-02-28 |
| 2025-02-03 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | 2025-02-28 |
| 2025-02-03 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-02-28 |
| 2025-02-03 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-02-28 |
| 2025-02-03 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-02-28 |
| 2025-02-03 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2025-02-28 |
| 2024-04-03 | Health · complaint | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | 2024-04-24 |
| 2024-04-03 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-04-24 |
| 2024-04-03 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-04-26 |
| 2024-04-03 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-04-24 |
| 2024-04-03 | 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. | D | 2024-04-26 |
| 2023-11-08 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-11-21 |
| 2023-11-08 | Health | F0641 | Ensure each resident receives an accurate assessment. | B | 2023-11-21 |
| 2023-11-08 | 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 | 2023-11-21 |
| 2023-11-08 | 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. | E | 2024-01-21 |
| 2023-11-08 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | G | 2023-12-19 |
| 2023-11-08 | 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 | 2023-11-21 |
| 2023-11-08 | 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 | 2023-11-21 |
| 2023-11-08 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2024-01-21 |
| 2023-11-08 | 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 | 2023-11-21 |
| 2023-11-08 | 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 | 2023-11-21 |
| 2023-11-08 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-11-21 |
| 2023-11-08 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-11-21 |
| 2023-11-08 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | 2023-11-21 |
| 2023-11-08 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-11-21 |
| 2023-11-08 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2023-11-21 |
| 2023-09-14 | 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 | 2023-10-21 |
| 2022-09-07 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2022-10-14 |
| 2022-09-07 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2022-11-09 |
| 2022-09-07 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2022-10-14 |
| 2022-09-07 | 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 | 2022-10-14 |
| 2022-09-07 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2022-10-14 |
| 2022-09-07 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2022-11-09 |
| 2022-09-07 | 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. | G | 2022-10-14 |
| 2022-09-07 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2022-10-14 |
| 2022-09-07 | Health | F0675 | Honor each resident's preferences, choices, values and beliefs. | E | 2022-10-14 |
| 2022-09-07 | Health | F0687 | Provide appropriate foot care. | E | 2022-11-09 |
| 2022-09-07 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | H | 2022-10-14 |
| 2022-09-07 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | 2022-10-14 |
| 2022-09-07 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2022-10-14 |
| 2022-09-07 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2022-10-14 |
| 2022-09-07 | Health | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | 2022-10-14 |
| 2022-09-07 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | 2022-11-09 |
| 2022-09-07 | 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 |
| 2022-09-07 | Health | 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. | E | 2022-10-14 |
| 2022-09-07 | 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 | 2022-10-14 |
| 2022-09-07 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2022-11-09 |
| 2022-09-07 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2022-10-14 |
| 2022-09-07 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | 2022-10-14 |
| 2022-09-07 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2022-11-03 |
| 2022-09-07 | Health | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | 2022-10-14 |
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
13| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ATHENA HEALTH CARE SYSTEMS MA III LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2014-06-01 | current | pecos_ownership |
| SANTILLI, LAWRENCE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 62% | 2019-10-03 | current | pecos_ownership |
| MOSIER, MICHAEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2014-06-01 | current | pecos_ownership |
| CHAKALOS-SANTILLI, VALERIE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2014-06-01 | current | pecos_ownership |
| ATHENA HEALTH CARE ASSOCIATES, INC. | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-06-01 | current | pecos_ownership |
| CURTIS, DIANE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2014-06-01 | current | pecos_ownership |
| LAWRENCE SANTILLI | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 62% | 2019-10-03 | ended 2026-05-18 | pecos_ownership |
| LAWRENCE SANTILLI | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12% | 2014-06-01 | ended 2026-05-18 | pecos_ownership |
| MICHAEL MOSIER | W-2 MANAGING EMPLOYEE | 7% | 2014-06-01 | ended 2026-05-18 | pecos_ownership |
| VALERIE CHAKALOS-SANTILLI | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2014-06-01 | ended 2026-05-18 | pecos_ownership |
| DIANE CURTIS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 3% | 2014-06-01 | ended 2026-05-18 | pecos_ownership |
| LANESSA LANDLORD MA LLC | Corporation, partnership or other organization has financial interest in provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| LANESSA LANDLORD MA LLC | Corporation, partnership or other organization has financial interest in 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.
Transactions
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
30| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 25027 | acs median gross | 0 | $1,120 | 2024-12-31 | CENSUS_ACS5 |
| county 25027 | acs median gross | 1 | $1,068 | 2024-12-31 | CENSUS_ACS5 |
| county 25027 | acs median gross | 2 | $1,483 | 2024-12-31 | CENSUS_ACS5 |
| county 25027 | acs median gross | 3 | $1,745 | 2024-12-31 | CENSUS_ACS5 |
| county 25027 | acs median gross | 4 | $1,929 | 2024-12-31 | CENSUS_ACS5 |
| county 25027 | acs median gross | 5 | $1,739 | 2024-12-31 | CENSUS_ACS5 |
| county 25027 | acs median gross | $1,426 | 2024-12-31 | CENSUS_ACS5 | |
| county 25027 | acs recent mover gross | $1,868 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 01570 | acs median gross | 1 | $997 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01570 | acs median gross | 2 | $1,212 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01570 | acs median gross | 3 | $1,563 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01570 | acs median gross | 4 | $2,597 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01570 | acs median gross | 5 | $1,653 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01570 | acs median gross | $1,228 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 01570 | acs recent mover gross | $1,780 | 2024-12-31 | CENSUS_ACS5 | |
| zip 01570 | payment standard 110 | 0 | $1,419 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01570 | payment standard 90 | 0 | $1,161 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01570 | safmr | 0 | $1,290 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01570 | payment standard 110 | 1 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01570 | payment standard 90 | 1 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01570 | safmr | 1 | $1,300 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01570 | payment standard 110 | 2 | $1,837 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01570 | payment standard 90 | 2 | $1,503 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01570 | safmr | 2 | $1,670 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01570 | payment standard 110 | 3 | $2,266 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01570 | payment standard 90 | 3 | $1,854 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01570 | safmr | 3 | $2,060 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01570 | payment standard 110 | 4 | $2,508 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01570 | payment standard 90 | 4 | $2,052 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01570 | safmr | 4 | $2,280 | 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.