Composite
72.7 / 100 percentile
Screener / 225412
C
MEDWAY COUNTRY MANOR SKILLED NURSING & REHABILITAT
snfMASFF: SFF
115 HOLLISTON STREET, MEDWAY, MA 02053 · CCN 225412 · chain MAVADO MANAGEMENT LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
123
Model
v1.2
Reads as: riskier than 72.7% 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 model5Components16CHOW radar1Distress radar1Staffing16Penalties4Deficiencies67Licensure0Ownership17Related party5Transactions0Comps12Market rent28
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 99.0 | 98.3 | 0.30 | 0.2308 | 22.85 | in index |
| staffing risk | 60.9 | 60.9 | 0.25 | 0.1923 | 11.71 | in index |
| financial risk | 49.2 | 45.0 | 0.30 | 0.2308 | 11.35 | in index |
| chow risk | 52.0 | 50.2 | 0.15 | 0.1154 | 6.00 | in index |
| billing conduct | 22.6 | 27.3 | 0.30 | 0.2308 | 5.22 | 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.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 27.3 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | 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 | 75.4 | D | v0.6 | default · in composite | |
| financial risk | 45.0 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | 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 | 2.8 | — | 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 | 98.3 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 60.9 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 69.5 | D | 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 | 49.5 | C | 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 | 44.4 | B | 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 | 50.1 | 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 | 98.3 | 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 | 98.3 | 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 | 60.9 | C | 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 | 60.9 | C | 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)
2.8%
model v0.1 · computed 2026-07-29
Percentile among SNFs
75.8
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 | |
| Never sold on record | 1.00 | +0.62 | |
| Occupancy | 0.91 | -0.61 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Chain size (log) | 1.10 | -0.17 | |
| Contract staffing share | 0.01 | -0.09 |
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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.91 | -0.67 | |
| Fine amount, 12m (log) | 11.40 | -0.66 | |
| Chain size (log) | 1.10 | +0.56 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Deficiencies, last 12 months | 9.00 | -0.24 | |
| Staffing trend, last 4 quarters | -0.36 | -0.20 | |
| 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 | 3.12 | 3.39 | 3.28 | 2.90–3.77 |
| RN | 0.21 | 0.39 | 0.39 | 0.25–0.58 |
| Weekend total | 3.03 | 3.26 | 3.11 | — |
| Weekday total | 3.16 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 111.6 | 3.12 | 0.21 | 0.90 | 2.01 | 3.03 | 0.6% |
| 2025Q3 | 92 | 113.6 | 3.10 | 0.26 | 0.83 | 2.00 | 3.05 | 1.3% |
| 2025Q2 | 91 | 110.1 | 3.27 | 0.28 | 0.93 | 2.07 | 3.07 | 6.1% |
| 2025Q1 | 90 | 96.5 | 3.80 | 0.33 | 1.12 | 2.34 | 3.51 | 14.8% |
| 2024Q4 | 92 | 104.5 | 3.48 | 0.30 | 1.04 | 2.15 | 3.23 | 16.2% |
| 2024Q3 | 92 | 104.4 | 3.47 | 0.36 | 0.95 | 2.16 | 3.29 | 15.3% |
| 2024Q2 | 91 | 108.6 | 3.18 | 0.38 | 0.92 | 1.88 | 2.95 | 11.2% |
| 2024Q1 | 91 | 105.6 | 3.19 | 0.43 | 0.84 | 1.91 | 3.00 | 20.0% |
| 2023Q4 | 92 | 96.8 | 3.28 | 0.32 | 0.94 | 2.02 | 3.07 | 18.8% |
| 2023Q3 | 92 | 94.4 | 2.98 | 0.33 | 0.70 | 1.95 | 2.92 | 26.1% |
| 2023Q2 | 91 | 86.3 | 3.17 | 0.48 | 0.78 | 1.90 | 3.06 | 27.3% |
| 2023Q1 | 90 | 76.9 | 2.70 | 0.30 | 0.72 | 1.68 | 2.67 | 9.7% |
| 2022Q4 | 92 | 77.4 | 2.54 | 0.21 | 0.70 | 1.63 | 2.46 | 4.0% |
| 2022Q3 | 92 | 70.0 | 2.81 | 0.21 | 0.89 | 1.72 | 2.82 | 3.6% |
| 2022Q2 | 91 | 74.0 | 2.80 | 0.20 | 0.80 | 1.80 | 2.69 | 4.8% |
| 2022Q1 | 90 | 75.3 | 2.64 | 0.19 | 0.84 | 1.62 | 2.63 | 6.4% |
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
4fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2026-03-19 | Fine | $89,440 | CMS provider data |
| 2025-01-29 | Fine | $134,285 | CMS provider data |
| 2023-09-05 | Fine | $6,293 | CMS provider data |
| 2023-08-10 | Fine | $50,573 | CMS provider data |
Total fines on record: $280,591
Deficiencies
67D × 42E × 14F × 4G × 3L × 4
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-19 | 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 | 2026-04-24 |
| 2026-03-19 | 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. | F | 2026-04-24 |
| 2026-03-19 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2026-04-24 |
| 2026-03-19 | 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 | 2026-04-24 |
| 2026-03-19 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | E | 2026-04-24 |
| 2026-03-19 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2026-04-24 |
| 2026-03-19 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2026-04-24 |
| 2026-03-19 | 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 | 2026-04-24 |
| 2026-03-19 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2026-04-24 |
| 2025-02-05 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2025-02-25 |
| 2025-02-05 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-02-25 |
| 2025-01-29 | Health · complaint | 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. | L | 2025-02-13 |
| 2025-01-29 | Health · complaint | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | L | 2025-02-13 |
| 2025-01-29 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | L | 2025-02-13 |
| 2025-01-29 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | L | 2025-02-13 |
| 2024-11-25 | 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 | 2025-01-07 |
| 2024-11-25 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-01-07 |
| 2024-11-25 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-01-07 |
| 2024-11-25 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-01-07 |
| 2024-11-25 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-01-07 |
| 2024-11-25 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2025-01-07 |
| 2024-11-25 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | 2025-01-07 |
| 2024-11-25 | 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 | 2025-01-07 |
| 2024-11-25 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2025-01-07 |
| 2024-11-25 | 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 | 2025-01-07 |
| 2024-11-25 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-01-07 |
| 2024-11-25 | 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 | 2025-01-07 |
| 2024-11-25 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-01-07 |
| 2024-11-25 | 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 | 2025-01-07 |
| 2024-11-25 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | 2025-01-07 |
| 2024-11-25 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | 2025-01-07 |
| 2024-11-25 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-01-07 |
| 2024-11-25 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2025-01-07 |
| 2024-11-25 | Health | F0924 | Put firmly secured handrails on each side of hallways. | D | 2025-01-07 |
| 2024-11-25 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | 2025-01-07 |
| 2024-07-02 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2024-08-06 |
| 2024-07-02 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-08-06 |
| 2024-07-02 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-08-06 |
| 2024-01-09 | Health · complaint | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | 2024-02-13 |
| 2023-08-22 | 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. | G | 2023-09-22 |
| 2023-08-22 | 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 | 2023-09-22 |
| 2023-08-22 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2023-09-22 |
| 2023-08-22 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2023-09-22 |
| 2023-08-10 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2023-09-15 |
| 2023-08-10 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-09-15 |
| 2023-08-10 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2023-09-15 |
| 2023-08-10 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2023-09-15 |
| 2023-08-10 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-09-15 |
| 2023-08-10 | 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 | 2023-09-15 |
| 2023-08-10 | 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 | 2023-09-15 |
| 2023-08-10 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-09-15 |
| 2023-08-10 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2023-09-15 |
| 2023-08-10 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2023-09-15 |
| 2023-08-10 | 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 | 2023-09-15 |
| 2023-08-10 | 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. | D | 2023-09-15 |
| 2023-08-10 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2023-09-15 |
| 2023-08-10 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-09-15 |
| 2023-08-10 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2023-09-15 |
| 2023-08-10 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2023-09-15 |
| 2023-08-10 | 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 | 2023-09-15 |
| 2023-08-10 | 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 | 2023-09-15 |
| 2023-08-10 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2023-09-15 |
| 2023-08-10 | 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 | 2023-09-15 |
| 2023-08-10 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-09-15 |
| 2023-08-10 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2023-09-15 |
| 2023-08-10 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2023-09-15 |
| 2023-08-10 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2023-09-15 |
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
17| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| LEFKOWITZ, SHIMON | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 65% | 2014-06-01 | current | pecos_ownership |
| SHIMHA LLC | Director, officer, administrator or key person of provider or organization | 65% | 2024-01-01 | current | hcris_a_8_1 |
| SHIMHA LLC | Director, officer, administrator or key person of provider or organization | 65% | 2023-01-01 | current | hcris_a_8_1 |
| BBUYE, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-01 | current | pecos_ownership |
| BBUYE, STEVEN | ADP OF THE SNF | — | 2025-11-25 | current | pecos_ownership |
| CASTIGLIONI, AIMEE | ADP OF THE SNF | — | 2022-06-20 | current | pecos_ownership |
| MAVADO MANAGEMENT LLC | ADP OF THE SNF | — | 2025-11-26 | current | pecos_ownership |
| MAVADO MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-06-01 | current | pecos_ownership |
| SIMHA, DAVID | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-06-01 | current | pecos_ownership |
| SHIMHA LLC | Director, officer, administrator or key person of provider or organization | 65% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| SHIMHA LLC | Director, officer, administrator or key person of provider or organization | 65% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| SHIMHA LLC | Director, officer, administrator or key person of provider or organization | 65% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| SHIMON LEFKOWITZ | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 65% | 2014-06-01 | ended 2026-05-18 | pecos_ownership |
| DAVID SIMHA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 35% | 2014-06-01 | ended 2026-05-18 | pecos_ownership |
| AIMEE CASTIGLIONI | ADP OF THE SNF | — | 2022-06-20 | ended 2026-05-18 | pecos_ownership |
| STEVEN BBUYE | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-01 | ended 2026-05-18 | pecos_ownership |
| STEVEN BBUYE | ADP OF THE SNF | — | 2025-11-25 | 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.
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
28| 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 02053 | acs median gross | 1 | $1,043 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02053 | acs median gross | 2 | $1,545 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02053 | acs median gross | 3 | $2,086 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02053 | acs median gross | $1,575 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 02053 | acs recent mover gross | $3,501 | 2024-12-31 | CENSUS_ACS5 | |
| zip 02053 | payment standard 110 | 0 | $2,244 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02053 | payment standard 90 | 0 | $1,836 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02053 | safmr | 0 | $2,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02053 | payment standard 110 | 1 | $2,376 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02053 | payment standard 90 | 1 | $1,944 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02053 | safmr | 1 | $2,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02053 | payment standard 110 | 2 | $2,816 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02053 | payment standard 90 | 2 | $2,304 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02053 | safmr | 2 | $2,560 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02053 | payment standard 110 | 3 | $3,388 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02053 | payment standard 90 | 3 | $2,772 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02053 | safmr | 3 | $3,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02053 | payment standard 110 | 4 | $3,729 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02053 | payment standard 90 | 4 | $3,051 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02053 | 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.