134 GREAT EAST NECK ROAD, WEST BABYLON, NY 11704 · CCN 335681
Composite
50.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
300
Model
v1.2
Reads as: riskier than 50.9% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16
2025Q4 HPRD
This facility
NY median
National median
National p25–p75
Total nurse
3.20
3.33
3.28
2.90–3.77
RN
1.02
0.43
0.39
0.25–0.58
Weekend total
3.07
3.03
3.11
—
Weekday total
3.25
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
265.9
3.20
1.02
0.17
2.01
3.07
9.7%
2025Q3
92
271.6
3.13
0.93
0.20
2.01
2.95
11.5%
2025Q2
91
266.7
3.16
0.92
0.25
1.99
2.93
12.6%
2025Q1
90
259.2
3.04
0.85
0.30
1.89
2.84
7.9%
2024Q4
92
248.9
3.12
0.82
0.31
1.99
2.96
4.8%
2024Q3
92
255.4
3.06
0.73
0.34
2.00
2.86
3.9%
2024Q2
91
247.0
3.11
0.62
0.40
2.09
2.89
5.3%
2024Q1
91
259.1
2.93
0.59
0.42
1.92
2.79
11.5%
2023Q4
92
252.3
3.01
0.66
0.40
1.95
2.86
13.0%
2023Q3
92
251.0
2.98
0.63
0.37
1.97
2.82
12.0%
2023Q2
91
238.8
3.21
0.69
0.39
2.13
3.06
11.3%
2023Q1
90
253.6
3.10
0.69
0.34
2.07
2.97
11.1%
2022Q4
92
249.6
3.13
0.66
0.37
2.09
3.00
10.2%
2022Q3
92
248.3
3.16
0.73
0.38
2.05
3.02
8.8%
2022Q2
91
237.3
3.20
0.74
0.40
2.06
3.07
8.4%
2022Q1
90
241.0
3.10
0.73
0.37
2.00
2.94
5.6%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
29
D × 27E × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-12-09
Health · complaint
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
2026-01-19
2025-11-19
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
2026-01-13
2025-11-19
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-01-13
2025-11-19
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-01-13
2025-11-19
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2026-01-13
2025-11-19
Health
F0732
Post nurse staffing information every day.
D
2026-01-13
2025-11-19
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
2026-01-13
2025-11-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-01-13
2025-11-19
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2026-01-13
2024-08-08
Health · complaint
F0573
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
D
2024-10-03
2024-08-08
Health · complaint
F0622
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
D
2024-10-03
2024-08-08
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
2024-10-03
2024-08-08
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
2024-10-03
2024-08-08
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-10-03
2024-08-08
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-10-03
2024-08-08
Health · complaint
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
2024-10-03
2024-08-08
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-10-03
2024-08-08
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-10-03
2024-08-08
Health · complaint
F0840
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
D
2024-10-03
2024-08-08
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-10-03
2024-08-08
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-10-03
2024-08-08
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2024-10-03
2022-12-16
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2023-02-13
2022-12-16
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
2023-02-13
2022-12-16
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-02-13
2022-12-16
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-02-13
2022-12-16
Health
F0776
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
D
2023-02-13
2022-12-16
Health
F0777
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
D
2023-02-13
2022-12-16
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-02-13
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
19
Owner
Role
Pct
From
Status
Source
OSTREICHER, DVORA
5% OR GREATER DIRECT OWNERSHIP INTEREST
30%
2005-02-01
current
pecos_ownership
CARILLO, JOSEPH
5% OR GREATER DIRECT OWNERSHIP INTEREST
27%
2005-02-01
current
pecos_ownership
DEBENEDICTIS, PASQUALE
5% OR GREATER DIRECT OWNERSHIP INTEREST
15%
2005-02-01
current
pecos_ownership
SOLOVEY, ALEX
5% OR GREATER DIRECT OWNERSHIP INTEREST
15%
2005-02-01
current
pecos_ownership
BANGER, LISA
5% OR GREATER DIRECT OWNERSHIP INTEREST
7%
2005-02-01
current
pecos_ownership
CARILLO, ROBERT
5% OR GREATER DIRECT OWNERSHIP INTEREST
7%
2005-02-01
current
pecos_ownership
DEROSA, ANTHONY
OPERATIONAL/MANAGERIAL CONTROL
—
2007-08-06
current
pecos_ownership
LOPAL GSB LLC
Individual has financial interest in both related organization and provider
—
2023-01-01
current
hcris_a_8_1
LOPAL GSB LLC
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
DVORA OSTREICHER
LIMITED PARTNERSHIP INTEREST
30%
2005-02-01
ended 2026-05-18
pecos_ownership
JOSEPH CARILLO
5% OR GREATER DIRECT OWNERSHIP INTEREST
27%
2005-02-01
ended 2026-05-18
pecos_ownership
ALEX SOLOVEY
LIMITED PARTNERSHIP INTEREST
15%
2005-02-01
ended 2026-05-18
pecos_ownership
PASQUALE DEBENEDICTIS
LIMITED PARTNERSHIP INTEREST
15%
2005-02-01
ended 2026-05-18
pecos_ownership
LISA BANGER
LIMITED PARTNERSHIP INTEREST
7%
2005-02-01
ended 2026-05-18
pecos_ownership
ROBERT CARILLO
LIMITED PARTNERSHIP INTEREST
7%
2005-02-01
ended 2026-05-18
pecos_ownership
ANTHONY DEROSA
OPERATIONAL/MANAGERIAL CONTROL
—
2007-08-06
ended 2026-05-18
pecos_ownership
JOPAL GSN LLC
Individual has financial interest in both related organization and provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
JOPAL GSN LLC
Individual has financial interest in both related organization and provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
LOPAL GSB LLC
Individual has financial interest in both related organization and provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$10,510,768
—
—
$1,304,838
$2,377,517
12
propco
2023-12-31
$9,677,417
—
—
$2,320,482
$747,698
12
propco
2022-12-31
$9,478,559
—
—
$2,501,955
$442,178
11
propco
2021-12-31
$8,060,663
—
—
$2,000,000
$470,000
12
propco
2020-12-31
$7,825,763
—
—
$1,929,976
$341,954
12
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
36
Geo
Kind
BR
Amount
As of
Source
county 36103
acs median gross
0
$1,765
2024-12-31
CENSUS_ACS5
county 36103
fmr
0
$1,992
2025-10-01
HUD_USER_FMR
county 36103
acs median gross
1
$1,944
2024-12-31
CENSUS_ACS5
county 36103
fmr
1
$2,379
2025-10-01
HUD_USER_FMR
county 36103
acs median gross
2
$2,332
2024-12-31
CENSUS_ACS5
county 36103
fmr
2
$2,747
2025-10-01
HUD_USER_FMR
county 36103
acs median gross
3
$2,669
2024-12-31
CENSUS_ACS5
county 36103
fmr
3
$3,563
2025-10-01
HUD_USER_FMR
county 36103
acs median gross
4
$2,795
2024-12-31
CENSUS_ACS5
county 36103
fmr
4
$3,768
2025-10-01
HUD_USER_FMR
county 36103
acs median gross
5
$2,721
2024-12-31
CENSUS_ACS5
county 36103
acs median gross
$2,255
2024-12-31
CENSUS_ACS5
county 36103
acs recent mover gross
$2,479
2024-12-31
CENSUS_ACS5
zcta 11704
acs median gross
0
$1,700
2024-12-31
CENSUS_ACS5
zcta 11704
acs median gross
1
$1,965
2024-12-31
CENSUS_ACS5
zcta 11704
acs median gross
2
$2,374
2024-12-31
CENSUS_ACS5
zcta 11704
acs median gross
3
$3,081
2024-12-31
CENSUS_ACS5
zcta 11704
acs median gross
4
$1,905
2024-12-31
CENSUS_ACS5
zcta 11704
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
zcta 11704
acs median gross
$2,182
2024-12-31
CENSUS_ACS5
zcta 11704
acs recent mover gross
$2,558
2024-12-31
CENSUS_ACS5
zip 11704
payment standard 110
0
$2,134
2025-10-01
HUD_USER_SAFMR
zip 11704
payment standard 90
0
$1,746
2025-10-01
HUD_USER_SAFMR
zip 11704
safmr
0
$1,940
2025-10-01
HUD_USER_SAFMR
zip 11704
payment standard 110
1
$2,552
2025-10-01
HUD_USER_SAFMR
zip 11704
payment standard 90
1
$2,088
2025-10-01
HUD_USER_SAFMR
zip 11704
safmr
1
$2,320
2025-10-01
HUD_USER_SAFMR
zip 11704
payment standard 110
2
$2,948
2025-10-01
HUD_USER_SAFMR
zip 11704
payment standard 90
2
$2,412
2025-10-01
HUD_USER_SAFMR
zip 11704
safmr
2
$2,680
2025-10-01
HUD_USER_SAFMR
zip 11704
payment standard 110
3
$3,828
2025-10-01
HUD_USER_SAFMR
zip 11704
payment standard 90
3
$3,132
2025-10-01
HUD_USER_SAFMR
zip 11704
safmr
3
$3,480
2025-10-01
HUD_USER_SAFMR
zip 11704
payment standard 110
4
$4,048
2025-10-01
HUD_USER_SAFMR
zip 11704
payment standard 90
4
$3,312
2025-10-01
HUD_USER_SAFMR
zip 11704
safmr
4
$3,680
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.