HUNTINGTON HILLS CTR FOR HEALTH AND REHABILITATION
snfNY
400 SOUTH SERVICE ROAD, MELVILLE, NY 11747 · CCN 335818
Composite
32.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
320
Model
v1.2
Reads as: riskier than 32.1% 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.
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
3.46
3.33
3.28
2.90–3.77
RN
0.51
0.43
0.39
0.25–0.58
Weekend total
3.11
3.03
3.11
—
Weekday total
3.59
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
304.5
3.46
0.51
0.80
2.15
3.11
4.9%
2025Q3
92
296.5
3.52
0.51
0.80
2.20
3.14
5.3%
2025Q2
91
292.2
3.55
0.47
0.84
2.23
3.25
6.1%
2025Q1
90
295.5
3.50
0.48
0.83
2.19
3.13
5.1%
2024Q4
92
291.5
3.51
0.47
0.81
2.22
3.12
4.1%
2024Q3
92
291.9
3.36
0.47
0.72
2.17
2.88
2.7%
2024Q2
91
292.5
3.34
0.48
0.73
2.13
2.82
2.9%
2024Q1
91
300.9
3.29
0.49
0.71
2.08
2.70
3.6%
2023Q4
92
302.9
3.23
0.46
0.70
2.07
2.67
3.4%
2023Q3
92
307.6
3.08
0.47
0.64
1.98
2.49
2.7%
2023Q2
91
306.3
3.07
0.47
0.65
1.95
2.48
2.3%
2023Q1
90
305.7
3.14
0.48
0.66
2.01
2.60
1.4%
2022Q4
92
299.8
3.16
0.44
0.68
2.04
2.56
1.5%
2022Q3
92
294.7
3.13
0.44
0.66
2.03
2.49
1.4%
2022Q2
91
290.9
3.16
0.42
0.67
2.06
2.56
1.1%
2022Q1
90
287.9
3.15
0.44
0.70
2.01
2.61
1.0%
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
16
C × 1D × 12E × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-11-15
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-01-14
2024-11-15
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-01-14
2024-11-15
Health · complaint
F0711
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
D
2025-01-14
2024-11-15
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.
E
2025-01-14
2024-11-15
Health
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
E
2025-01-14
2024-11-15
Health
F0838
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
E
2025-01-14
2024-11-15
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
2025-01-14
2024-11-15
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-01-14
2023-06-09
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
2023-07-31
2023-06-09
Health · complaint
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
2023-07-31
2023-06-09
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-07-31
2023-06-09
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
2023-07-31
2023-06-09
Health
F0838
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
C
2023-07-31
2021-10-28
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2021-11-19
2021-10-28
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2021-11-19
2021-10-28
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2021-11-19
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
20
Owner
Role
Pct
From
Status
Source
OSTREICHER, SUSAN
5% OR GREATER DIRECT OWNERSHIP INTEREST
29%
2010-01-04
current
pecos_ownership
LAUFER, DORIS
5% OR GREATER DIRECT OWNERSHIP INTEREST
11%
2010-01-04
current
pecos_ownership
LIPSCHITZ, DAVID
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2010-01-04
current
pecos_ownership
ZITTER, AGNES
5% OR GREATER DIRECT OWNERSHIP INTEREST
8%
2013-04-01
current
pecos_ownership
ESTATE OF TALI SKOCZYLAS
5% OR GREATER DIRECT OWNERSHIP INTEREST
6%
2020-01-07
current
pecos_ownership
ELWOOD PROPERTIES
Individual has financial interest in both related organization and provider
—
2023-01-01
current
hcris_a_8_1
ELWOOD PROPERTIES
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
LETTER, MICHAEL
W-2 MANAGING EMPLOYEE
—
2021-04-26
current
pecos_ownership
NICHOLS, NANCY
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2010-01-04
current
pecos_ownership
MICHAEL LETTER
W-2 MANAGING EMPLOYEE
100%
2021-04-26
ended 2026-05-18
pecos_ownership
SUSAN OSTREICHER
CORPORATE DIRECTOR
29%
2010-01-04
ended 2026-05-18
pecos_ownership
DORIS LAUFER
5% OR GREATER DIRECT OWNERSHIP INTEREST
11%
2010-01-04
ended 2026-05-18
pecos_ownership
DAVID LIPSCHITZ
5% OR GREATER DIRECT OWNERSHIP INTEREST
10%
2010-01-04
ended 2026-05-18
pecos_ownership
AGNES ZITTER
5% OR GREATER DIRECT OWNERSHIP INTEREST
8%
2013-04-01
ended 2026-05-18
pecos_ownership
NATHAN POLLACK
5% OR GREATER DIRECT OWNERSHIP INTEREST
7%
2010-01-04
ended 2026-05-18
pecos_ownership
GERALD NEUMAN
5% OR GREATER DIRECT OWNERSHIP INTEREST
6%
2010-01-04
ended 2026-05-18
pecos_ownership
NANCY NICHOLS
5% OR GREATER DIRECT OWNERSHIP INTEREST
3%
2010-01-04
ended 2026-05-18
pecos_ownership
ELWOOD PROPERTIES
Individual has financial interest in both related organization and provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
ELWOOD PROPERTIES
Individual has financial interest in both related organization and provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
ELWOOD PROPERTIES
Individual has financial interest in both related organization and 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.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$10,102,087
—
—
$2,889,024
$486,712
6
propco
2023-12-31
$9,416,168
—
—
$2,640,602
$1,579,425
6
propco
2022-12-31
$8,216,728
—
—
$2,481,006
$1,223,431
6
propco
2021-12-31
$6,178,025
—
—
$2,061,835
$1,018,805
5
propco
2020-12-31
$7,517,293
—
—
$1,860,464
$887,981
5
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
33
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 11747
acs median gross
1
$3,501
2024-12-31
CENSUS_ACS5
zcta 11747
acs median gross
2
$3,192
2024-12-31
CENSUS_ACS5
zcta 11747
acs median gross
3
$3,501
2024-12-31
CENSUS_ACS5
zcta 11747
acs median gross
4
$3,000
2024-12-31
CENSUS_ACS5
zcta 11747
acs median gross
$3,501
2024-12-31
CENSUS_ACS5
zip 11747
payment standard 110
0
$2,981
2025-10-01
HUD_USER_SAFMR
zip 11747
payment standard 90
0
$2,439
2025-10-01
HUD_USER_SAFMR
zip 11747
safmr
0
$2,710
2025-10-01
HUD_USER_SAFMR
zip 11747
payment standard 110
1
$3,553
2025-10-01
HUD_USER_SAFMR
zip 11747
payment standard 90
1
$2,907
2025-10-01
HUD_USER_SAFMR
zip 11747
safmr
1
$3,230
2025-10-01
HUD_USER_SAFMR
zip 11747
payment standard 110
2
$4,103
2025-10-01
HUD_USER_SAFMR
zip 11747
payment standard 90
2
$3,357
2025-10-01
HUD_USER_SAFMR
zip 11747
safmr
2
$3,730
2025-10-01
HUD_USER_SAFMR
zip 11747
payment standard 110
3
$5,324
2025-10-01
HUD_USER_SAFMR
zip 11747
payment standard 90
3
$4,356
2025-10-01
HUD_USER_SAFMR
zip 11747
safmr
3
$4,840
2025-10-01
HUD_USER_SAFMR
zip 11747
payment standard 110
4
$5,632
2025-10-01
HUD_USER_SAFMR
zip 11747
payment standard 90
4
$4,608
2025-10-01
HUD_USER_SAFMR
zip 11747
safmr
4
$5,120
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.