555 St. Joseph's Boulevard, Elmira, NY 14902 · CCN 335072
Composite
18.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
85
Model
v1.2
Reads as: riskier than 18.6% 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 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
3.78
3.33
3.28
2.90–3.77
RN
0.25
0.43
0.39
0.25–0.58
Weekend total
3.42
3.03
3.11
—
Weekday total
3.92
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
80.5
3.78
0.25
1.17
2.36
3.42
0.0%
2025Q3
92
81.5
3.69
0.30
1.00
2.39
3.46
1.1%
2025Q2
91
77.4
3.75
0.28
0.99
2.48
3.22
1.5%
2025Q1
90
78.0
3.46
0.38
0.63
2.45
3.03
2.2%
2024Q4
92
74.8
3.69
0.38
0.77
2.53
3.43
5.4%
2024Q3
92
74.3
3.61
0.31
0.96
2.33
3.13
8.4%
2024Q2
91
74.9
3.67
0.34
0.90
2.43
3.27
5.4%
2024Q1
91
74.1
3.57
0.47
0.78
2.32
3.09
4.9%
2023Q4
92
75.4
3.83
0.45
0.84
2.54
3.23
8.7%
2023Q3
92
72.5
3.60
0.47
0.81
2.32
3.16
7.1%
2023Q2
91
77.0
3.84
0.42
0.95
2.48
3.42
5.6%
2023Q1
90
73.9
4.15
0.45
1.06
2.63
3.70
6.3%
2022Q4
92
71.1
4.16
0.55
0.90
2.71
3.71
2.7%
2022Q3
92
70.9
4.28
0.48
0.93
2.87
3.61
5.3%
2022Q2
91
76.5
3.71
0.42
0.73
2.56
3.33
6.6%
2022Q1
90
68.0
4.15
0.60
0.78
2.77
3.67
7.1%
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
14
B × 2D × 4E × 7G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-13
Health · complaint
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
2026-02-13
Health · complaint
F0610
Respond appropriately to all alleged violations.
E
2026-04-15
2026-02-13
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2026-04-24
2024-07-26
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
E
2024-09-15
2024-07-26
Health
F0732
Post nurse staffing information every day.
B
2024-09-15
2024-07-26
Health
F0836
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
D
2024-09-15
2022-04-01
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
B
2022-05-30
2022-04-01
Health
F0760
Ensure that residents are free from significant medication errors.
G
2022-05-30
2022-04-01
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2022-05-30
2020-01-24
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2020-04-03
2020-01-24
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2020-04-03
2020-01-24
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
2020-04-03
2020-01-24
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2020-04-03
2020-01-24
Health
F0880
Provide and implement an infection prevention and control program.
D
2020-04-03
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
51
Owner
Role
Pct
From
Status
Source
BURKE, DANIEL
CORPORATE DIRECTOR
—
2011-09-01
current
pecos_ownership
DALRYMPLE, DAVID
CORPORATE DIRECTOR
—
2011-09-01
current
pecos_ownership
DESCHAMPS, CHRISTINE
CORPORATE DIRECTOR
—
2011-09-01
current
pecos_ownership
EBERHARD, S.
CORPORATE DIRECTOR
—
2011-09-01
current
pecos_ownership
FARLEY, H.
CORPORATE OFFICER
—
2011-08-31
current
pecos_ownership
FARLEY, H.
W-2 MANAGING EMPLOYEE
—
2011-09-01
current
pecos_ownership
HAGAN, MARK
CORPORATE DIRECTOR
—
2011-09-01
current
pecos_ownership
HERZL-BETZ, KENNETH
CORPORATE DIRECTOR
—
2014-01-01
current
pecos_ownership
HOSEY, MICHAEL
CORPORATE DIRECTOR
—
2011-09-01
current
pecos_ownership
KINTZ, RONALD
CORPORATE OFFICER
—
2010-12-31
current
pecos_ownership
KYLES, ROY
CORPORATE DIRECTOR
—
2011-09-01
current
pecos_ownership
LAMBERT, ROBERT
CORPORATE OFFICER
—
2013-12-01
current
pecos_ownership
LAMBERT, ROBERT
W-2 MANAGING EMPLOYEE
—
2011-09-01
current
pecos_ownership
LYNCH, BEN
CORPORATE DIRECTOR
—
2011-09-01
current
pecos_ownership
MANNING, JOSEPH
CORPORATE DIRECTOR
—
2011-09-01
current
pecos_ownership
MARTIN, GREGG
W-2 MANAGING EMPLOYEE
—
2011-09-01
current
pecos_ownership
MCNAMARA, ROBERT
CORPORATE DIRECTOR
—
2011-09-01
current
pecos_ownership
MITCHELL, MARY
CORPORATE DIRECTOR
—
2011-09-01
current
pecos_ownership
O'MARA, JOHN
CORPORATE DIRECTOR
—
2011-09-01
current
pecos_ownership
OCONNOR, KEVIN
CORPORATE DIRECTOR
—
2014-01-01
current
pecos_ownership
QUICK, DONALD
CORPORATE DIRECTOR
—
2011-09-01
current
pecos_ownership
ROGERS, PATRICK
CORPORATE DIRECTOR
—
2011-09-01
current
pecos_ownership
RUSTICI, MARC
OPERATIONAL/MANAGERIAL CONTROL
—
2011-09-01
current
pecos_ownership
SARTORI, MELINDA
CORPORATE DIRECTOR
—
2011-09-01
current
pecos_ownership
SCHENONE, ROGER
CORPORATE DIRECTOR
—
2011-09-01
current
pecos_ownership
ARNOT HEALTH INC
OTHER
100%
2011-09-01
ended 2026-05-18
pecos_ownership
BEN LYNCH
CORPORATE DIRECTOR
5%
2011-09-01
ended 2026-05-18
pecos_ownership
CHRISTINE DESCHAMPS
CORPORATE DIRECTOR
5%
2011-09-01
ended 2026-05-18
pecos_ownership
DANIEL BURKE
CORPORATE DIRECTOR
5%
2011-09-01
ended 2026-05-18
pecos_ownership
DAVID DALRYMPLE
CORPORATE DIRECTOR
5%
2011-09-01
ended 2026-05-18
pecos_ownership
DONALD QUICK
CORPORATE DIRECTOR
5%
2011-09-01
ended 2026-05-18
pecos_ownership
JOHN O'MARA
CORPORATE DIRECTOR
5%
2011-09-01
ended 2026-05-18
pecos_ownership
JOSEPH MANNING
CORPORATE DIRECTOR
5%
2011-09-01
ended 2026-05-18
pecos_ownership
KENNETH HERZL-BETZ
CORPORATE DIRECTOR
5%
2014-01-01
ended 2026-05-18
pecos_ownership
KEVIN OCONNOR
CORPORATE DIRECTOR
5%
2014-01-01
ended 2026-05-18
pecos_ownership
MARK HAGAN
CORPORATE DIRECTOR
5%
2011-09-01
ended 2026-05-18
pecos_ownership
MARY MITCHELL
CORPORATE DIRECTOR
5%
2011-09-01
ended 2026-05-18
pecos_ownership
MELINDA SARTORI
CORPORATE DIRECTOR
5%
2011-09-01
ended 2026-05-18
pecos_ownership
MICHAEL HOSEY
CORPORATE DIRECTOR
5%
2011-09-01
ended 2026-05-18
pecos_ownership
PATRICK ROGERS
CORPORATE DIRECTOR
5%
2011-09-01
ended 2026-05-18
pecos_ownership
ROBERT MCNAMARA
CORPORATE DIRECTOR
5%
2011-09-01
ended 2026-05-18
pecos_ownership
ROGER SCHENONE
CORPORATE DIRECTOR
5%
2011-09-01
ended 2026-05-18
pecos_ownership
ROY KYLES
CORPORATE DIRECTOR
5%
2011-09-01
ended 2026-05-18
pecos_ownership
S. EBERHARD
CORPORATE DIRECTOR
5%
2011-09-01
ended 2026-05-18
pecos_ownership
GREGG MARTIN
W-2 MANAGING EMPLOYEE
0%
2011-09-01
ended 2026-05-18
pecos_ownership
H. FARLEY
W-2 MANAGING EMPLOYEE
0%
2011-09-01
ended 2026-05-18
pecos_ownership
H. FARLEY
CORPORATE OFFICER
0%
2011-08-31
ended 2026-05-18
pecos_ownership
ROBERT LAMBERT
W-2 MANAGING EMPLOYEE
0%
2011-09-01
ended 2026-05-18
pecos_ownership
ROBERT LAMBERT
CORPORATE OFFICER
0%
2013-12-01
ended 2026-05-18
pecos_ownership
MARC RUSTICI
OPERATIONAL/MANAGERIAL CONTROL
—
2011-09-01
ended 2026-05-18
pecos_ownership
RONALD KINTZ
CORPORATE OFFICER
—
2010-12-31
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
28
Geo
Kind
BR
Amount
As of
Source
county 36015
acs median gross
0
$868
2024-12-31
CENSUS_ACS5
county 36015
fmr
0
$949
2025-10-01
HUD_USER_FMR
county 36015
acs median gross
1
$821
2024-12-31
CENSUS_ACS5
county 36015
fmr
1
$978
2025-10-01
HUD_USER_FMR
county 36015
acs median gross
2
$1,098
2024-12-31
CENSUS_ACS5
county 36015
fmr
2
$1,283
2025-10-01
HUD_USER_FMR
county 36015
acs median gross
3
$1,216
2024-12-31
CENSUS_ACS5
county 36015
fmr
3
$1,606
2025-10-01
HUD_USER_FMR
county 36015
acs median gross
4
$1,340
2024-12-31
CENSUS_ACS5
county 36015
fmr
4
$1,713
2025-10-01
HUD_USER_FMR
county 36015
acs median gross
5
$1,261
2024-12-31
CENSUS_ACS5
county 36015
acs median gross
$1,059
2024-12-31
CENSUS_ACS5
county 36015
acs recent mover gross
$1,273
2024-12-31
CENSUS_ACS5
zip 14902
payment standard 110
0
$1,045
2025-10-01
HUD_USER_SAFMR
zip 14902
payment standard 90
0
$855
2025-10-01
HUD_USER_SAFMR
zip 14902
safmr
0
$950
2025-10-01
HUD_USER_SAFMR
zip 14902
payment standard 110
1
$1,078
2025-10-01
HUD_USER_SAFMR
zip 14902
payment standard 90
1
$882
2025-10-01
HUD_USER_SAFMR
zip 14902
safmr
1
$980
2025-10-01
HUD_USER_SAFMR
zip 14902
payment standard 110
2
$1,408
2025-10-01
HUD_USER_SAFMR
zip 14902
payment standard 90
2
$1,152
2025-10-01
HUD_USER_SAFMR
zip 14902
safmr
2
$1,280
2025-10-01
HUD_USER_SAFMR
zip 14902
payment standard 110
3
$1,760
2025-10-01
HUD_USER_SAFMR
zip 14902
payment standard 90
3
$1,440
2025-10-01
HUD_USER_SAFMR
zip 14902
safmr
3
$1,600
2025-10-01
HUD_USER_SAFMR
zip 14902
payment standard 110
4
$1,881
2025-10-01
HUD_USER_SAFMR
zip 14902
payment standard 90
4
$1,539
2025-10-01
HUD_USER_SAFMR
zip 14902
safmr
4
$1,710
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.