211 FRANKLIN STREET, QUINCY, MA 02169 · CCN 225522 · chain RC OPCO HOLDCO LLC
Composite
69.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
71
Model
v1.2
Reads as: riskier than 69.8% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
4 chains
MIRLIS ELIYAHU
18 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
3.43
3.39
3.28
2.90–3.77
RN
0.31
0.39
0.39
0.25–0.58
Weekend total
3.17
3.26
3.11
—
Weekday total
3.53
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
53.7
3.43
0.31
1.08
2.04
3.17
0.0%
2025Q3
92
44.6
3.63
0.41
1.05
2.18
3.34
0.0%
2025Q2
91
49.7
3.50
0.53
0.88
2.10
3.17
0.0%
2025Q1
90
50.7
3.42
0.47
0.87
2.08
3.15
0.0%
2024Q4
92
43.8
3.27
0.55
0.93
1.78
3.03
0.0%
2024Q3
92
49.1
3.23
0.53
0.78
1.92
3.03
0.0%
2024Q2
91
43.0
3.30
0.42
0.98
1.90
3.08
0.0%
2024Q1
91
38.7
3.89
0.32
1.38
2.19
3.78
0.0%
2023Q4
92
46.9
3.65
0.51
1.03
2.11
3.36
12.2%
2023Q3
92
44.7
3.53
0.66
0.82
2.04
3.32
22.3%
2023Q2
91
47.3
3.35
0.70
0.51
2.14
2.98
4.3%
2023Q1
90
56.3
3.46
0.78
0.66
2.02
3.14
14.6%
2022Q4
92
52.4
3.47
0.81
0.60
2.06
3.06
14.5%
2022Q3
92
53.1
2.65
0.73
0.43
1.49
2.30
10.9%
2022Q2
91
56.6
3.90
1.08
0.58
2.24
3.21
11.9%
2022Q1
90
59.5
3.65
0.99
0.61
2.04
3.02
18.5%
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.
Reasonably accommodate the needs and preferences of each resident.
E
2025-04-30
2025-04-08
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.
E
2025-04-30
2025-04-08
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-04-30
2025-04-08
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2025-04-30
2025-04-08
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-04-30
2025-04-08
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2025-04-30
2025-04-08
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
E
2025-04-30
2025-04-08
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2025-04-30
2025-04-08
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2025-04-30
2025-04-08
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
2025-04-30
2025-04-08
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.
E
2025-04-30
2025-04-08
Health
F0761
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
E
2025-04-30
2025-04-08
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2025-04-30
2025-04-08
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-04-30
2025-04-08
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-04-30
2025-04-08
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-04-30
2025-04-08
Health
F0908
Keep all essential equipment working safely.
B
2025-04-30
2024-05-15
Health
F0761
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
2024-06-13
2024-05-15
Health
F0777
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
D
2024-06-13
2024-05-15
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-06-13
2023-11-21
Health · complaint
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
E
2023-12-21
2023-11-21
Health · complaint
F0675
Honor each resident's preferences, choices, values and beliefs.
D
2023-12-21
2023-11-21
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-12-21
2023-09-19
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-10-31
2023-09-19
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-10-09
2023-06-08
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2023-06-28
2023-06-08
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2023-05-19
2023-06-08
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-06-28
2022-12-27
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2023-01-20
2022-12-27
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
B
2023-01-20
2022-12-27
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
B
2023-01-20
2022-12-27
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-01-20
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
3
Owner
Role
Pct
From
Status
Source
RC OPCO HOLDCO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-09-01
current
pecos_ownership
MIRLIS, ELIYAHU
5% OR GREATER INDIRECT OWNERSHIP INTEREST
99%
2022-09-01
current
pecos_ownership
ELIYAHU MIRLIS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
99%
2022-09-01
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$402,076
—
—
$253,129
—
4
—
2023-12-31
$684,111
—
—
$473,795
—
4
—
2022-12-31
$134,385
—
—
$124,535
—
4
—
2022-08-31
$377,455
—
—
—
—
1
—
2021-12-31
$712,247
—
—
$24,747
$21,376
1
—
2020-12-31
$841,678
—
—
$229,013
$25,975
1
—
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
30
Geo
Kind
BR
Amount
As of
Source
county 25021
acs median gross
0
$1,664
2024-12-31
CENSUS_ACS5
county 25021
acs median gross
1
$1,877
2024-12-31
CENSUS_ACS5
county 25021
acs median gross
2
$2,314
2024-12-31
CENSUS_ACS5
county 25021
acs median gross
3
$2,488
2024-12-31
CENSUS_ACS5
county 25021
acs median gross
4
$2,959
2024-12-31
CENSUS_ACS5
county 25021
acs median gross
5
$2,191
2024-12-31
CENSUS_ACS5
county 25021
acs median gross
$2,149
2024-12-31
CENSUS_ACS5
county 25021
acs recent mover gross
$2,459
2024-12-31
CENSUS_ACS5
zcta 02169
acs median gross
0
$1,398
2024-12-31
CENSUS_ACS5
zcta 02169
acs median gross
1
$1,884
2024-12-31
CENSUS_ACS5
zcta 02169
acs median gross
2
$2,291
2024-12-31
CENSUS_ACS5
zcta 02169
acs median gross
3
$2,454
2024-12-31
CENSUS_ACS5
zcta 02169
acs median gross
4
$2,155
2024-12-31
CENSUS_ACS5
zcta 02169
acs median gross
$2,089
2024-12-31
CENSUS_ACS5
zcta 02169
acs recent mover gross
$2,497
2024-12-31
CENSUS_ACS5
zip 02169
payment standard 110
0
$2,596
2025-10-01
HUD_USER_SAFMR
zip 02169
payment standard 90
0
$2,124
2025-10-01
HUD_USER_SAFMR
zip 02169
safmr
0
$2,360
2025-10-01
HUD_USER_SAFMR
zip 02169
payment standard 110
1
$2,728
2025-10-01
HUD_USER_SAFMR
zip 02169
payment standard 90
1
$2,232
2025-10-01
HUD_USER_SAFMR
zip 02169
safmr
1
$2,480
2025-10-01
HUD_USER_SAFMR
zip 02169
payment standard 110
2
$3,234
2025-10-01
HUD_USER_SAFMR
zip 02169
payment standard 90
2
$2,646
2025-10-01
HUD_USER_SAFMR
zip 02169
safmr
2
$2,940
2025-10-01
HUD_USER_SAFMR
zip 02169
payment standard 110
3
$3,883
2025-10-01
HUD_USER_SAFMR
zip 02169
payment standard 90
3
$3,177
2025-10-01
HUD_USER_SAFMR
zip 02169
safmr
3
$3,530
2025-10-01
HUD_USER_SAFMR
zip 02169
payment standard 110
4
$4,279
2025-10-01
HUD_USER_SAFMR
zip 02169
payment standard 90
4
$3,501
2025-10-01
HUD_USER_SAFMR
zip 02169
safmr
4
$3,890
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.