89 Genesee Street, Rochester, NY 14611 · CCN 335620
Composite
32.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 32.6% 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 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
4.09
3.33
3.28
2.90–3.77
RN
0.46
0.43
0.39
0.25–0.58
Weekend total
3.84
3.03
3.11
—
Weekday total
4.18
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
116.3
4.09
0.46
1.36
2.27
3.84
0.0%
2025Q3
92
113.1
4.09
0.33
1.38
2.38
3.85
0.0%
2025Q2
91
116.7
4.05
0.29
1.47
2.29
3.74
0.0%
2025Q1
90
118.7
3.87
0.20
1.42
2.25
3.60
0.5%
2024Q4
92
116.9
4.06
0.26
1.38
2.42
3.83
0.8%
2024Q3
92
116.0
4.00
0.22
1.51
2.27
3.73
0.9%
2024Q2
91
117.4
4.07
0.25
1.40
2.43
3.83
4.1%
2024Q1
91
117.2
4.05
0.29
1.39
2.36
3.87
4.5%
2023Q4
92
116.8
3.93
0.25
1.32
2.36
3.70
4.3%
2023Q3
92
117.1
3.69
0.20
1.27
2.22
3.58
4.1%
2023Q2
91
115.6
3.80
0.17
1.33
2.30
3.66
6.9%
2023Q1
90
115.2
3.77
0.17
1.32
2.28
3.55
5.4%
2022Q4
92
115.3
3.93
0.20
1.36
2.36
3.61
4.4%
2022Q3
92
116.5
3.97
0.28
1.32
2.37
3.69
3.2%
2022Q2
91
115.5
3.94
0.26
1.33
2.35
3.77
6.9%
2022Q1
90
113.9
4.00
0.21
1.33
2.45
3.91
8.9%
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.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2025-08-14
2024-07-25
Health
F0760
Ensure that residents are free from significant medication errors.
D
2024-08-28
2024-07-25
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
2024-08-28
2024-07-25
Health
F0880
Provide and implement an infection prevention and control program.
J
2024-08-28
2022-09-09
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.
B
2022-11-07
2022-09-09
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2022-11-07
2022-09-09
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2022-11-07
2022-09-09
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2022-11-07
2022-09-09
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-11-07
2020-02-26
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.
D
2020-04-26
2020-02-26
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2020-04-26
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
54
Owner
Role
Pct
From
Status
Source
ADONIS, RACHEL
CORPORATE DIRECTOR
—
2014-07-01
current
pecos_ownership
ALAG, KARAN
CORPORATE DIRECTOR
—
2019-10-25
current
pecos_ownership
BECKER, LINDA
CORPORATE DIRECTOR
—
2014-07-01
current
pecos_ownership
COONEY-MINER, DIANNE
CORPORATE DIRECTOR
—
2019-10-28
current
pecos_ownership
CRILLY, THOMAS
CORPORATE OFFICER
—
2010-01-01
current
pecos_ownership
DESTEPHANO, RALPH
CORPORATE DIRECTOR
—
2014-07-01
current
pecos_ownership
FERRIS, NANCY
CORPORATE DIRECTOR
—
2014-07-01
current
pecos_ownership
GALLINA, KAREN
CORPORATE DIRECTOR
—
2014-07-01
current
pecos_ownership
GLASTONBURY, HOWARD
CORPORATE DIRECTOR
—
2020-03-01
current
pecos_ownership
HOLDER, NICHOLE
W-2 MANAGING EMPLOYEE
—
2021-01-01
current
pecos_ownership
HOUSEKNECHT, THOMAS
CORPORATE DIRECTOR
—
2016-12-07
current
pecos_ownership
HOYT, SHAWN
W-2 MANAGING EMPLOYEE
—
2021-04-14
current
pecos_ownership
LYNCH, ANNA
CORPORATE DIRECTOR
—
2014-07-01
current
pecos_ownership
MAPSTONE, JEFFREY
CORPORATE DIRECTOR
—
2014-07-01
current
pecos_ownership
MEYERS, DANIEL
CORPORATE DIRECTOR
—
2014-07-01
current
pecos_ownership
MULCONRY, MARCY
CORPORATE DIRECTOR
—
2019-10-25
current
pecos_ownership
NUCCITELLI, MICHAEL
CORPORATE DIRECTOR
—
2014-07-01
current
pecos_ownership
OLIVIERI, LEONARD
CORPORATE DIRECTOR
—
2014-07-01
current
pecos_ownership
PATTON, ELIZABETH
CORPORATE DIRECTOR
—
2014-07-01
current
pecos_ownership
RIEDMAN, DAVID
CORPORATE DIRECTOR
—
2016-12-07
current
pecos_ownership
RIEDY, DAWN
CORPORATE DIRECTOR
—
2019-10-28
current
pecos_ownership
RILEY, THOMAS
CORPORATE DIRECTOR
—
2014-07-01
current
pecos_ownership
RIVERA, EFRAIN
CORPORATE DIRECTOR
—
2016-12-07
current
pecos_ownership
SANDA, ROBERT
CORPORATE DIRECTOR
—
2014-07-01
current
pecos_ownership
SAWYKO, LEON
CORPORATE DIRECTOR
—
2014-07-01
current
pecos_ownership
SMITH, JUSTIN
CORPORATE DIRECTOR
—
2014-07-01
current
pecos_ownership
TEDESCO, JULIA
CORPORATE DIRECTOR
—
2019-10-28
current
pecos_ownership
THOMAS CRILLY
CORPORATE OFFICER
100%
2010-01-01
ended 2026-05-18
pecos_ownership
ANNA LYNCH
CORPORATE DIRECTOR
0%
2014-07-01
ended 2026-05-18
pecos_ownership
DANIEL MEYERS
CORPORATE DIRECTOR
0%
2014-07-01
ended 2026-05-18
pecos_ownership
DAVID RIEDMAN
CORPORATE DIRECTOR
0%
2016-12-07
ended 2026-05-18
pecos_ownership
DAWN RIEDY
CORPORATE DIRECTOR
0%
2019-10-28
ended 2026-05-18
pecos_ownership
DIANNE COONEY-MINER
CORPORATE DIRECTOR
0%
2019-10-28
ended 2026-05-18
pecos_ownership
EFRAIN RIVERA
CORPORATE DIRECTOR
0%
2016-12-07
ended 2026-05-18
pecos_ownership
ELIZABETH PATTON
CORPORATE DIRECTOR
0%
2014-07-01
ended 2026-05-18
pecos_ownership
HOWARD GLASTONBURY
CORPORATE DIRECTOR
0%
2020-03-01
ended 2026-05-18
pecos_ownership
JEFFREY MAPSTONE
CORPORATE DIRECTOR
0%
2014-07-01
ended 2026-05-18
pecos_ownership
JULIA TEDESCO
CORPORATE DIRECTOR
0%
2019-10-28
ended 2026-05-18
pecos_ownership
JUSTIN SMITH
CORPORATE DIRECTOR
0%
2014-07-01
ended 2026-05-18
pecos_ownership
KARAN ALAG
CORPORATE DIRECTOR
0%
2019-10-25
ended 2026-05-18
pecos_ownership
KAREN GALLINA
CORPORATE DIRECTOR
0%
2014-07-01
ended 2026-05-18
pecos_ownership
LEON SAWYKO
CORPORATE DIRECTOR
0%
2014-07-01
ended 2026-05-18
pecos_ownership
LEONARD OLIVIERI
CORPORATE DIRECTOR
0%
2014-07-01
ended 2026-05-18
pecos_ownership
LINDA BECKER
CORPORATE DIRECTOR
0%
2014-07-01
ended 2026-05-18
pecos_ownership
MARCY MULCONRY
CORPORATE DIRECTOR
0%
2019-10-25
ended 2026-05-18
pecos_ownership
MICHAEL NUCCITELLI
CORPORATE DIRECTOR
0%
2014-07-01
ended 2026-05-18
pecos_ownership
NANCY FERRIS
CORPORATE DIRECTOR
0%
2014-07-01
ended 2026-05-18
pecos_ownership
NICHOLE HOLDER
W-2 MANAGING EMPLOYEE
0%
2021-01-01
ended 2026-05-18
pecos_ownership
RACHEL ADONIS
CORPORATE DIRECTOR
0%
2014-07-01
ended 2026-05-18
pecos_ownership
RALPH DESTEPHANO
CORPORATE DIRECTOR
0%
2014-07-01
ended 2026-05-18
pecos_ownership
ROBERT SANDA
CORPORATE DIRECTOR
0%
2014-07-01
ended 2026-05-18
pecos_ownership
SHAWN HOYT
W-2 MANAGING EMPLOYEE
0%
2021-04-14
ended 2026-05-18
pecos_ownership
THOMAS HOUSEKNECHT
CORPORATE DIRECTOR
0%
2016-12-07
ended 2026-05-18
pecos_ownership
THOMAS RILEY
CORPORATE DIRECTOR
0%
2014-07-01
ended 2026-05-18
pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,576,192
$59,567
—
—
—
1
—
2023-12-31
$1,599,609
$45,199
—
—
—
1
—
2022-12-31
$1,450,027
$28,307
—
—
—
1
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 36055
acs median gross
0
$857
2024-12-31
CENSUS_ACS5
county 36055
fmr
0
$1,116
2025-10-01
HUD_USER_FMR
county 36055
acs median gross
1
$985
2024-12-31
CENSUS_ACS5
county 36055
fmr
1
$1,256
2025-10-01
HUD_USER_FMR
county 36055
acs median gross
2
$1,268
2024-12-31
CENSUS_ACS5
county 36055
fmr
2
$1,573
2025-10-01
HUD_USER_FMR
county 36055
acs median gross
3
$1,407
2024-12-31
CENSUS_ACS5
county 36055
fmr
3
$1,895
2025-10-01
HUD_USER_FMR
county 36055
acs median gross
4
$1,510
2024-12-31
CENSUS_ACS5
county 36055
fmr
4
$2,083
2025-10-01
HUD_USER_FMR
county 36055
acs median gross
5
$1,736
2024-12-31
CENSUS_ACS5
county 36055
acs median gross
$1,173
2024-12-31
CENSUS_ACS5
county 36055
acs recent mover gross
$1,340
2024-12-31
CENSUS_ACS5
zcta 14611
acs median gross
0
$544
2024-12-31
CENSUS_ACS5
zcta 14611
acs median gross
1
$717
2024-12-31
CENSUS_ACS5
zcta 14611
acs median gross
2
$996
2024-12-31
CENSUS_ACS5
zcta 14611
acs median gross
3
$1,529
2024-12-31
CENSUS_ACS5
zcta 14611
acs median gross
4
$1,661
2024-12-31
CENSUS_ACS5
zcta 14611
acs median gross
$1,034
2024-12-31
CENSUS_ACS5
zcta 14611
acs recent mover gross
$1,235
2024-12-31
CENSUS_ACS5
zip 14611
payment standard 110
0
$1,166
2025-10-01
HUD_USER_SAFMR
zip 14611
payment standard 90
0
$954
2025-10-01
HUD_USER_SAFMR
zip 14611
safmr
0
$1,060
2025-10-01
HUD_USER_SAFMR
zip 14611
payment standard 110
1
$1,320
2025-10-01
HUD_USER_SAFMR
zip 14611
payment standard 90
1
$1,080
2025-10-01
HUD_USER_SAFMR
zip 14611
safmr
1
$1,200
2025-10-01
HUD_USER_SAFMR
zip 14611
payment standard 110
2
$1,650
2025-10-01
HUD_USER_SAFMR
zip 14611
payment standard 90
2
$1,350
2025-10-01
HUD_USER_SAFMR
zip 14611
safmr
2
$1,500
2025-10-01
HUD_USER_SAFMR
zip 14611
payment standard 110
3
$1,991
2025-10-01
HUD_USER_SAFMR
zip 14611
payment standard 90
3
$1,629
2025-10-01
HUD_USER_SAFMR
zip 14611
safmr
3
$1,810
2025-10-01
HUD_USER_SAFMR
zip 14611
payment standard 110
4
$2,189
2025-10-01
HUD_USER_SAFMR
zip 14611
payment standard 90
4
$1,791
2025-10-01
HUD_USER_SAFMR
zip 14611
safmr
4
$1,990
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.