123 HIGH STREET, TOPSFIELD, MA 01983 · CCN 225750 · chain JMH FAMILY LLC
Composite
46.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
123
Model
v1.2
Reads as: riskier than 46.1% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
5
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+21.5 vs natl
GLEN OAK 11 LLC
6 facilities
connection
Owner fleet risk far above national
+21.5 vs natl
WHITTIER 6 OPERATIONS HOLDINGS LLC
6 facilities
connection
Owner fleet risk far above national
+21.5 vs natl
WHITTIER OPCO MANAGER LLC
6 facilities
connection
Owner fleet risk far above national
+20.8 vs natl
MILLER NACHUM
7 facilities
connection
Owner fleet enforcement cluster
43% fined
MILLER NACHUM
7 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16
2025Q4 HPRD
This facility
MA median
National median
National p25–p75
Total nurse
3.29
3.39
3.28
2.90–3.77
RN
0.31
0.39
0.39
0.25–0.58
Weekend total
3.28
3.26
3.11
—
Weekday total
3.30
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
113.7
3.29
0.31
0.95
2.03
3.28
29.9%
2025Q3
92
113.4
3.24
0.35
0.92
1.96
3.13
23.6%
2025Q2
91
112.6
3.40
0.44
0.96
2.00
3.28
21.7%
2025Q1
90
116.3
3.22
0.51
0.64
2.06
3.18
16.6%
2024Q4
92
117.0
3.21
0.50
0.60
2.11
3.22
20.8%
2024Q3
92
113.9
3.28
0.53
0.58
2.17
3.25
19.1%
2024Q2
91
108.5
3.24
0.53
0.54
2.17
3.19
19.8%
2024Q1
91
108.8
3.11
0.47
0.52
2.12
3.03
21.1%
2023Q4
92
106.2
3.08
0.47
0.55
2.06
3.02
18.2%
2023Q3
92
111.4
3.00
0.40
0.52
2.09
2.88
24.2%
2023Q2
91
111.2
3.03
0.37
0.55
2.11
2.93
26.9%
2023Q1
90
108.0
2.88
0.33
0.57
1.99
2.80
26.7%
2022Q4
92
111.1
2.94
0.33
0.82
1.78
2.84
24.0%
2022Q3
92
107.7
2.85
0.38
0.66
1.81
2.71
19.5%
2022Q2
91
102.0
3.16
0.41
0.81
1.93
2.97
16.8%
2022Q1
90
97.5
3.12
0.43
0.85
1.84
2.94
15.3%
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
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
13
D × 11E × 1F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-12
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
2026-04-01
2026-03-12
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-04-01
2026-03-12
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-04-01
2026-03-12
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
2026-04-01
2026-03-12
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-04-01
2026-03-12
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-04-01
2025-03-20
Health
F0568
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
D
2025-04-28
2025-03-20
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-04-28
2025-03-20
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-04-28
2025-03-20
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-04-28
2025-03-20
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
2025-04-28
2025-03-20
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
2025-04-28
2024-04-11
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-05-16
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
33
Owner
Role
Pct
From
Status
Source
WHITTIER MOP OPERATIONS HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2025-02-28
current
pecos_ownership
TOPS ASSOC
—
1%
2023-01-01
current
hcris_a_8_1
TOPS ASSOC
—
1%
2024-01-01
current
hcris_a_8_1
BAK, PINCHOS
ADP OF THE SNF
—
2025-02-28
current
pecos_ownership
BEARSE, BROOK
ADP OF THE SNF
—
2025-02-28
current
pecos_ownership
ELMS, DIANE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-28
current
pecos_ownership
GLEN OAK 11, LLC
LIMITED PARTNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
GOLDBERGER, SHLOMO
ADP OF THE SNF
—
2025-02-28
current
pecos_ownership
JMH FAMILY LLC
ADP OF THE SNF
—
2025-02-28
current
pecos_ownership
JMH FAMILY TRUST
ADP OF THE SNF
—
2025-02-28
current
pecos_ownership
MALT FAMILY TRUST
LIMITED PARTNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
MILLER, NACHUM
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
MLS FAMILY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
MLS FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
SGS 2010 FAMILY TRUST
LIMITED PARTNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
SGS FAMILY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
SGS FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
SONNENSCHEIN, MOSHE
TRUSTEE OF THE SNF
—
2025-02-28
current
pecos_ownership
TYH 2017 TRUST
LIMITED PARTNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
UDOM, CHIEKE
ADP OF THE SNF
—
2025-02-28
current
pecos_ownership
WHITTIER 6 OPERATIONS HOLDINGS LLC
LIMITED PARTNERSHIP INTEREST
—
2025-02-28
current
pecos_ownership
WHITTIER OPCO MANAGER LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-28
current
pecos_ownership
WHITTIER OPCO MANAGER LLC
ADP OF THE SNF
—
2025-03-24
current
pecos_ownership
TOPS ASSOC
Individual has financial interest in both related organization and provider
33%
2020-01-01
ended 2020-12-31
hcris_a_8_1
TOPS ASSOC
Individual has financial interest in both related organization and provider
33%
2021-01-01
ended 2021-12-31
hcris_a_8_1
NACHUM MILLER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2025-02-28
ended 2026-05-18
pecos_ownership
TOPS ASSOC
Individual has financial interest in both related organization and provider
1%
2022-01-01
ended 2022-12-31
hcris_a_8_1
BROOK BEARSE
ADP OF THE SNF
—
2025-02-28
ended 2026-05-18
pecos_ownership
CHIEKE UDOM
ADP OF THE SNF
—
2025-02-28
ended 2026-05-18
pecos_ownership
DIANE ELMS
ADP OF THE SNF
—
2025-02-28
ended 2026-05-18
pecos_ownership
MOSHE SONNENSCHEIN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-28
ended 2026-05-18
pecos_ownership
PINCHOS BAK
CORPORATE OFFICER
—
2025-02-28
ended 2026-05-18
pecos_ownership
SHLOMO GOLDBERGER
ADP OF THE SNF
—
2025-02-28
ended 2026-05-18
pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$2,077,892
$642,392
—
$28,789
$401,027
3
propco
2023-12-31
$1,964,816
$643,185
—
$769
$362,260
3
propco
2022-12-31
$1,859,774
$642,653
—
—
$336,180
3
propco
2021-12-31
$1,716,349
$647,089
—
—
$300,993
3
propco
2020-12-31
$1,724,061
$638,327
—
—
$294,218
3
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
25
Geo
Kind
BR
Amount
As of
Source
county 25009
acs median gross
0
$1,355
2024-12-31
CENSUS_ACS5
county 25009
acs median gross
1
$1,383
2024-12-31
CENSUS_ACS5
county 25009
acs median gross
2
$1,864
2024-12-31
CENSUS_ACS5
county 25009
acs median gross
3
$1,998
2024-12-31
CENSUS_ACS5
county 25009
acs median gross
4
$2,198
2024-12-31
CENSUS_ACS5
county 25009
acs median gross
5
$2,425
2024-12-31
CENSUS_ACS5
county 25009
acs median gross
$1,756
2024-12-31
CENSUS_ACS5
county 25009
acs recent mover gross
$2,174
2024-12-31
CENSUS_ACS5
zcta 01983
acs median gross
1
$994
2024-12-31
CENSUS_ACS5
zcta 01983
acs median gross
$1,115
2024-12-31
CENSUS_ACS5
zip 01983
payment standard 110
0
$2,244
2025-10-01
HUD_USER_SAFMR
zip 01983
payment standard 90
0
$1,836
2025-10-01
HUD_USER_SAFMR
zip 01983
safmr
0
$2,040
2025-10-01
HUD_USER_SAFMR
zip 01983
payment standard 110
1
$2,376
2025-10-01
HUD_USER_SAFMR
zip 01983
payment standard 90
1
$1,944
2025-10-01
HUD_USER_SAFMR
zip 01983
safmr
1
$2,160
2025-10-01
HUD_USER_SAFMR
zip 01983
payment standard 110
2
$2,816
2025-10-01
HUD_USER_SAFMR
zip 01983
payment standard 90
2
$2,304
2025-10-01
HUD_USER_SAFMR
zip 01983
safmr
2
$2,560
2025-10-01
HUD_USER_SAFMR
zip 01983
payment standard 110
3
$3,388
2025-10-01
HUD_USER_SAFMR
zip 01983
payment standard 90
3
$2,772
2025-10-01
HUD_USER_SAFMR
zip 01983
safmr
3
$3,080
2025-10-01
HUD_USER_SAFMR
zip 01983
payment standard 110
4
$3,729
2025-10-01
HUD_USER_SAFMR
zip 01983
payment standard 90
4
$3,051
2025-10-01
HUD_USER_SAFMR
zip 01983
safmr
4
$3,390
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.