Composite
93.4 / 100 percentile
Screener / 335389
D
LIVINGSTON HILLS NURSING AND REHABILITATION CENTER
snfNYSFF: SFF Candidate
2781 ROUTE 9, LIVINGSTON, NY 12541 · CCN 335389
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 93.4% 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 radar1Staffing16Penalties2Deficiencies73Licensure0Ownership30Related party0Transactions1Comps12Market rent28
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 93.8 | 91.6 | 0.30 | 0.2308 | 21.65 | in index |
| staffing risk | 98.6 | 98.6 | 0.25 | 0.1923 | 18.96 | in index |
| billing conduct | 75.8 | 50.6 | 0.30 | 0.2308 | 17.49 | in index |
| financial risk | 27.6 | 32.4 | 0.30 | 0.2308 | 6.37 | in index |
| chow risk | 44.6 | 46.2 | 0.15 | 0.1154 | 5.15 | 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 | 50.6 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.6 | A | 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 | 67.7 | D | v0.6 | default · in composite | |
| financial risk | 32.4 | B | 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 | 0.0 | — | 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 | 91.6 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 98.6 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 90.0 | F | 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 | 70.0 | D | 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 | 52.1 | C | 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 | 36.2 | B | 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 | 91.6 | 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 | 91.6 | 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 | 98.6 | F | 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 | 98.6 | F | 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
1.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 3.27 | -1.53 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.93 | -0.67 | |
| Deficiencies, last 12 months | 27.00 | +0.48 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 |
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
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 27.00 | -3.58 | |
| Chain size (log) | 0.00 | +1.20 | |
| Occupancy | 0.93 | -0.76 | |
| For-profit ownership | 1.00 | -0.69 | |
| Total nurse staffing (HPRD) | 1.87 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 3.27 | -0.25 |
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 | 1.87 | 3.33 | 3.28 | 2.90–3.77 |
| RN | 0.13 | 0.43 | 0.39 | 0.25–0.58 |
| Weekend total | 1.73 | 3.03 | 3.11 | — |
| Weekday total | 1.92 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 111.6 | 1.87 | 0.13 | 0.47 | 1.26 | 1.73 | 0.0% |
| 2025Q3 | 92 | 109.6 | 1.82 | 0.18 | 0.51 | 1.14 | 1.57 | 0.0% |
| 2025Q2 | 91 | 104.9 | 2.08 | 0.26 | 0.59 | 1.23 | 1.67 | 0.0% |
| 2025Q1 | 90 | 110.3 | 1.86 | 0.33 | 0.52 | 1.00 | 1.63 | 1.3% |
| 2024Q4 | 92 | 111.5 | 1.76 | 0.28 | 0.47 | 1.01 | 1.67 | 2.9% |
| 2024Q3 | 92 | 109.1 | 1.58 | 0.29 | 0.50 | 0.79 | 1.39 | 0.0% |
| 2024Q2 | 91 | 110.2 | 2.07 | 0.32 | 0.73 | 1.02 | 1.71 | 4.1% |
| 2024Q1 | 91 | 115.4 | 1.92 | 0.29 | 0.67 | 0.96 | 1.63 | 4.5% |
| 2023Q4 | 92 | 115.0 | 1.86 | 0.29 | 0.59 | 0.98 | 1.62 | 5.7% |
| 2023Q3 | 92 | 115.2 | 1.75 | 0.28 | 0.56 | 0.91 | 1.64 | 4.7% |
| 2023Q2 | 91 | 116.2 | 1.77 | 0.29 | 0.62 | 0.85 | 1.54 | 15.0% |
| 2023Q1 | 90 | 115.6 | 1.83 | 0.22 | 0.75 | 0.86 | 1.52 | 13.8% |
| 2022Q4 | 92 | 118.9 | 1.93 | 0.17 | 0.86 | 0.90 | 1.69 | 11.1% |
| 2022Q3 | 92 | 116.9 | 1.99 | 0.10 | 0.78 | 1.11 | 1.83 | 22.1% |
| 2022Q2 | 91 | 117.0 | 1.88 | 0.12 | 0.83 | 0.93 | 1.64 | 15.5% |
| 2022Q1 | 90 | 114.6 | 1.64 | 0.17 | 0.72 | 0.75 | 1.51 | 0.0% |
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
2| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-05-01 | Fine | $89,794 | CMS provider data |
| 2024-05-01 | Payment Denial | — | CMS provider data |
Total fines on record: $89,794
Deficiencies
73D × 28E × 26F × 18K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-07-30 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-11-29 |
| 2025-07-30 | Health | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2025-09-26 |
| 2025-07-30 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | F | 2025-10-30 |
| 2025-07-30 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | F | 2025-09-26 |
| 2025-07-30 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | 2025-09-26 |
| 2025-07-30 | 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 | 2025-09-26 |
| 2025-07-30 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-09-26 |
| 2025-07-30 | 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 | 2025-09-26 |
| 2025-07-30 | 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 | 2025-09-26 |
| 2025-07-30 | Health | F0675 | Honor each resident's preferences, choices, values and beliefs. | D | 2025-09-26 |
| 2025-07-30 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-09-26 |
| 2025-07-30 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2025-09-26 |
| 2025-07-30 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-09-26 |
| 2025-07-30 | Health | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2025-09-26 |
| 2025-07-30 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-09-26 |
| 2025-07-30 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-09-26 |
| 2025-07-30 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2025-09-26 |
| 2025-07-30 | 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 | 2025-09-26 |
| 2025-07-30 | Health | F0732 | Post nurse staffing information every day. | D | 2025-09-26 |
| 2025-07-30 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2025-09-26 |
| 2025-07-30 | 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. | F | 2025-11-29 |
| 2025-07-30 | Health · complaint | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | 2025-09-26 |
| 2025-07-30 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2025-09-26 |
| 2025-07-30 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | F | 2025-09-26 |
| 2025-07-30 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | F | 2025-09-26 |
| 2025-07-30 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2025-11-29 |
| 2025-07-30 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2025-11-24 |
| 2025-07-14 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | F | 2025-09-25 |
| 2025-07-14 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-09-25 |
| 2025-07-14 | Health · complaint | F0895 | Have a Compliance and Ethics Program. | F | 2025-09-25 |
| 2025-07-14 | Health · complaint | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | 2025-09-25 |
| 2024-05-23 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-07-31 |
| 2024-05-23 | Health · complaint | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2024-07-31 |
| 2024-05-23 | Health · complaint | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2024-07-31 |
| 2024-05-23 | 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 | 2024-07-31 |
| 2024-05-23 | Health · complaint | 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 | 2024-07-31 |
| 2024-05-23 | Health · complaint | F0637 | Assess the resident when there is a significant change in condition | D | 2024-07-24 |
| 2024-05-23 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-07-24 |
| 2024-05-23 | 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. | E | 2024-07-24 |
| 2024-05-23 | 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 | 2024-09-09 |
| 2024-05-23 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-07-31 |
| 2024-05-23 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-09-09 |
| 2024-05-23 | Health · complaint | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | 2024-07-31 |
| 2024-05-23 | 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. | E | 2024-07-31 |
| 2024-05-23 | Health · complaint | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2024-07-31 |
| 2024-05-23 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-09-09 |
| 2024-05-23 | Health · complaint | 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 | 2024-07-31 |
| 2024-05-23 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-09-09 |
| 2024-05-23 | Health · complaint | F0814 | Dispose of garbage and refuse properly. | D | 2024-09-09 |
| 2024-05-23 | Health | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | F | 2024-07-16 |
| 2024-05-23 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2024-07-31 |
| 2024-05-23 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-07-31 |
| 2024-05-01 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-09-01 |
| 2024-05-01 | Health · complaint | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-08-09 |
| 2024-05-01 | 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 | 2024-09-01 |
| 2024-05-01 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2024-08-06 |
| 2024-05-01 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-08-06 |
| 2024-05-01 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-08-16 |
| 2024-05-01 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-08-06 |
| 2024-05-01 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-08-06 |
| 2024-05-01 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | 2024-08-16 |
| 2024-05-01 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2024-08-06 |
| 2024-05-01 | 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. | F | 2024-08-06 |
| 2024-05-01 | Health · complaint | 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. | F | 2024-08-06 |
| 2024-05-01 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-08-08 |
| 2024-05-01 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2024-09-01 |
| 2023-05-10 | 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 | 2023-08-08 |
| 2023-05-10 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2023-07-07 |
| 2023-05-10 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | 2023-07-07 |
| 2023-05-10 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-07-07 |
| 2023-05-10 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-08-04 |
| 2023-05-10 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-07-07 |
| 2023-05-10 | Health | F0924 | Put firmly secured handrails on each side of hallways. | E | 2023-07-07 |
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
30| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ALBRECHT, BARBARA | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-09-01 | current | pecos_ownership |
| BEGLEY, CRYSTYN | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-09-01 | current | pecos_ownership |
| KIMBALL, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-13 | current | pecos_ownership |
| KOSCHITZKI, ELLIOT | ADP OF THE SNF | — | 2024-02-01 | current | pecos_ownership |
| KOSCHITZKI, JACK | CORPORATE OFFICER | — | 2021-02-05 | current | pecos_ownership |
| KREIN, JASON | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-07 | current | pecos_ownership |
| MARTIN, SONYA | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-13 | current | pecos_ownership |
| MARTINEZ-PEREZ, GIOVANNA | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-15 | current | pecos_ownership |
| MEUS, KELLY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-05 | current | pecos_ownership |
| PATEL, DEEPESH | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-09-13 | current | pecos_ownership |
| PATEL, DEEPESH | ADP OF THE SNF | — | 2025-04-02 | current | pecos_ownership |
| PATEL, ULKA | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-09-01 | current | pecos_ownership |
| RAND, PINCUS | DIRECT OWNERSHIP INTEREST | — | 2021-02-05 | current | pecos_ownership |
| SMITH, MARIA | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-12 | current | pecos_ownership |
| SVENDSEN, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-15 | current | pecos_ownership |
| JACK KOSCHITZKI | CORPORATE OFFICER | 50% | 2021-02-05 | ended 2026-05-18 | pecos_ownership |
| PINCUS RAND | CORPORATE OFFICER | 50% | 2021-02-05 | ended 2026-05-18 | pecos_ownership |
| BARBARA ALBRECHT | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-09-01 | ended 2026-05-18 | pecos_ownership |
| CRYSTYN BEGLEY | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-09-01 | ended 2026-05-18 | pecos_ownership |
| DEEPESH PATEL | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-09-13 | ended 2026-05-18 | pecos_ownership |
| DEEPESH PATEL | ADP OF THE SNF | — | 2025-04-02 | ended 2026-05-18 | pecos_ownership |
| ELLIOT KOSCHITZKI | ADP OF THE SNF | — | 2024-02-01 | ended 2026-05-18 | pecos_ownership |
| GIOVANNA MARTINEZ-PEREZ | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-15 | ended 2026-05-18 | pecos_ownership |
| JASON KREIN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-07 | ended 2026-05-18 | pecos_ownership |
| JENNIFER KIMBALL | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-13 | ended 2026-05-18 | pecos_ownership |
| KELLY MEUS | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-05 | ended 2026-05-18 | pecos_ownership |
| MARIA SMITH | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-12 | ended 2026-05-18 | pecos_ownership |
| MICHAEL SVENDSEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-15 | ended 2026-05-18 | pecos_ownership |
| SONYA MARTIN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-13 | ended 2026-05-18 | pecos_ownership |
| ULKA PATEL | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-09-01 | 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.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2023-04-21 | — | LIVINGSTON TWO OPERATIONS LLC | LIVINGSTON S AND V OPERATIONS LLC | chow |
Comparable trades — NY snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-06-01 | PINE FOREST CARE CENTER FOR REHAB & HEALTHCARE | — | — | — | 76 | HILAIRE CARE NETWORK LLC |
| 2024-05-17 | Fairport Rehabilitation and Nursing Center | — | — | — | 196 | FAIRPORT SNF LLC |
| 2024-05-09 | MARIA REGINA REHABILITATION AND NURSING | — | — | — | 188 | OPTIMA CARE BRENTWOOD LLC |
| 2024-02-01 | TUPPER LAKE CENTER FOR NURSING AND REHABILITATION | — | — | — | 60 | TUPPER LAKE CENTER LLC |
| 2023-08-31 | WEST VILLAGE REHABILITATION AND NURSING CENTER | — | — | — | 105 | VILLAGE ACQUISITION I LLC |
| 2023-06-23 | Crest Manor Living and Rehabilitation Center | — | — | — | 80 | CREST OPCO LLC |
| 2023-06-23 | East Side Nursing Home | — | — | — | 80 | EASTSIDE OPCO LLC |
| 2023-05-05 | SPRINGVALE NURSING & REHABILITATION CENTER | — | — | — | 200 | THE PREMIER CENTER FOR REHABILITATION OF WESTCHESTER LLC |
| 2023-04-21 | LIVINGSTON HILLS NURSING AND REHABILITATION CENTERthis facility | — | — | — | 120 | LIVINGSTON TWO OPERATIONS LLC |
| 2023-01-12 | EDEN REHABILITATION NURSING CENTER | — | — | — | 40 | EDRNC OPERATING LLC |
| 2023-01-01 | DUNKIRK REHABILITATION & NURSING CENTER | — | — | — | 40 | DURNC OPERATING LLC |
| 2022-09-12 | ROSS CENTER FOR NURSING AND REHABILITATION | — | — | — | 135 | ROSS OPCO 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 36021 | acs median gross | 0 | $980 | 2024-12-31 | CENSUS_ACS5 |
| county 36021 | fmr | 0 | $1,249 | 2025-10-01 | HUD_USER_FMR |
| county 36021 | acs median gross | 1 | $1,068 | 2024-12-31 | CENSUS_ACS5 |
| county 36021 | fmr | 1 | $1,263 | 2025-10-01 | HUD_USER_FMR |
| county 36021 | acs median gross | 2 | $1,377 | 2024-12-31 | CENSUS_ACS5 |
| county 36021 | fmr | 2 | $1,434 | 2025-10-01 | HUD_USER_FMR |
| county 36021 | acs median gross | 3 | $1,457 | 2024-12-31 | CENSUS_ACS5 |
| county 36021 | fmr | 3 | $1,730 | 2025-10-01 | HUD_USER_FMR |
| county 36021 | acs median gross | 4 | $1,346 | 2024-12-31 | CENSUS_ACS5 |
| county 36021 | fmr | 4 | $1,899 | 2025-10-01 | HUD_USER_FMR |
| county 36021 | acs median gross | 5 | $2,282 | 2024-12-31 | CENSUS_ACS5 |
| county 36021 | acs median gross | $1,260 | 2024-12-31 | CENSUS_ACS5 | |
| county 36021 | acs recent mover gross | $1,658 | 2024-12-31 | CENSUS_ACS5 | |
| zip 12541 | payment standard 110 | 0 | $1,375 | 2025-10-01 | HUD_USER_SAFMR |
| zip 12541 | payment standard 90 | 0 | $1,125 | 2025-10-01 | HUD_USER_SAFMR |
| zip 12541 | safmr | 0 | $1,250 | 2025-10-01 | HUD_USER_SAFMR |
| zip 12541 | payment standard 110 | 1 | $1,386 | 2025-10-01 | HUD_USER_SAFMR |
| zip 12541 | payment standard 90 | 1 | $1,134 | 2025-10-01 | HUD_USER_SAFMR |
| zip 12541 | safmr | 1 | $1,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 12541 | payment standard 110 | 2 | $1,573 | 2025-10-01 | HUD_USER_SAFMR |
| zip 12541 | payment standard 90 | 2 | $1,287 | 2025-10-01 | HUD_USER_SAFMR |
| zip 12541 | safmr | 2 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 12541 | payment standard 110 | 3 | $1,892 | 2025-10-01 | HUD_USER_SAFMR |
| zip 12541 | payment standard 90 | 3 | $1,548 | 2025-10-01 | HUD_USER_SAFMR |
| zip 12541 | safmr | 3 | $1,720 | 2025-10-01 | HUD_USER_SAFMR |
| zip 12541 | payment standard 110 | 4 | $2,079 | 2025-10-01 | HUD_USER_SAFMR |
| zip 12541 | payment standard 90 | 4 | $1,701 | 2025-10-01 | HUD_USER_SAFMR |
| zip 12541 | safmr | 4 | $1,890 | 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.