4499 MANHATTAN COLLEGE PARKWAY, BRONX, NY 10471 · CCN 335524
Composite
41.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 41.3% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16
2025Q4 HPRD
This facility
NY median
National median
National p25–p75
Total nurse
3.52
3.33
3.28
2.90–3.77
RN
0.93
0.43
0.39
0.25–0.58
Weekend total
3.27
3.03
3.11
—
Weekday total
3.61
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
108.8
3.52
0.93
0.34
2.24
3.27
14.5%
2025Q3
92
108.0
3.50
0.90
0.38
2.22
3.22
16.2%
2025Q2
91
103.7
3.61
0.94
0.40
2.27
3.31
17.2%
2025Q1
90
102.0
3.77
0.94
0.44
2.39
3.53
16.5%
2024Q4
92
101.6
3.82
0.96
0.42
2.43
3.55
16.1%
2024Q3
92
113.7
3.52
0.92
0.37
2.23
3.18
16.7%
2024Q2
91
108.0
3.36
0.87
0.35
2.14
3.08
17.7%
2024Q1
91
106.5
3.43
0.86
0.35
2.21
3.19
16.2%
2023Q4
92
107.0
3.39
0.89
0.35
2.15
3.05
14.6%
2023Q3
92
100.8
3.43
0.85
0.43
2.15
3.04
14.2%
2023Q2
91
104.1
3.28
0.74
0.44
2.10
2.91
12.6%
2023Q1
90
98.9
3.40
0.81
0.45
2.14
3.09
14.0%
2022Q4
92
93.4
3.37
0.82
0.46
2.10
2.98
12.4%
2022Q3
92
89.4
3.30
0.70
0.50
2.11
2.95
9.7%
2022Q2
91
95.7
3.22
0.58
0.57
2.07
2.92
8.3%
2022Q1
90
97.3
3.03
0.48
0.56
1.98
2.72
5.3%
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
5
D × 4E × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-05-16
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-07-05
2022-08-22
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2022-09-22
2022-08-22
Health
F0641
Ensure each resident receives an accurate assessment.
D
2022-09-22
2022-08-22
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2022-09-22
2019-10-01
Health
F0880
Provide and implement an infection prevention and control program.
E
2019-10-16
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
58
Owner
Role
Pct
From
Status
Source
BECKER, EVA
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
BERNAL, DENISE
ADP OF THE SNF
—
2018-06-28
current
pecos_ownership
BRUNO, JASON
ADP OF THE SNF
—
—
current
pecos_ownership
BRUNO, JASON
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-03
current
pecos_ownership
BYNUM, SUSAN
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
CARROLL, ANN
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
CASTILLO, GENEVIEVE
ADP OF THE SNF
—
1996-10-06
current
pecos_ownership
CAVALUZZI, PAUL
ADP OF THE SNF
—
2026-01-02
current
pecos_ownership
CAVALUZZI, PAUL
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
current
pecos_ownership
CHUE, SHERWIN
CORPORATE DIRECTOR
—
2010-03-01
current
pecos_ownership
FRIAS, MINERVA
ADP OF THE SNF
—
2016-10-03
current
pecos_ownership
GREFALDEO, VIVIAN
OPERATIONAL/MANAGERIAL CONTROL
—
2010-01-01
current
pecos_ownership
GREFALDEO, VIVIAN
ADP OF THE SNF
—
1996-10-06
current
pecos_ownership
HALLER, PAMELA
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
HARRIS, ELIZABETH
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-04
current
pecos_ownership
HUERTAS, JAIME
CORPORATE DIRECTOR
—
2024-03-04
current
pecos_ownership
JORDAN, BENJAMIN
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
KETCHUM, MARY
CORPORATE DIRECTOR
—
2013-03-01
current
pecos_ownership
KLEIN, CHRISTOPHER
CORPORATE DIRECTOR
—
2024-03-04
current
pecos_ownership
KLEIN, JULIE
CORPORATE DIRECTOR
—
2014-03-01
current
pecos_ownership
PEREZ, MARIA
OPERATIONAL/MANAGERIAL CONTROL
—
2006-07-19
current
pecos_ownership
PEREZ, MARIA
ADP OF THE SNF
—
2006-07-01
current
pecos_ownership
RELF, GRAHAM
CORPORATE DIRECTOR
—
2024-03-04
current
pecos_ownership
RIVERA, SANDRA
ADP OF THE SNF
—
2018-01-29
current
pecos_ownership
ROY, RANI
CORPORATE DIRECTOR
—
2024-03-04
current
pecos_ownership
RUBINOFF-HIRSCHBERG, CANDACE
ADP OF THE SNF
—
2017-06-12
current
pecos_ownership
TIRADO, ARNEL
ADP OF THE SNF
—
2016-11-29
current
pecos_ownership
WIESMAN, WILLIAM
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
YI, JON
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
ANN CARROLL
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
BENJAMIN JORDAN
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
CHRISTOPHER KLEIN
CORPORATE DIRECTOR
0%
2024-03-04
ended 2026-05-18
pecos_ownership
EVA BECKER
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
GRAHAM RELF
CORPORATE DIRECTOR
0%
2024-03-04
ended 2026-05-18
pecos_ownership
JAIME HUERTAS
CORPORATE DIRECTOR
0%
2024-03-04
ended 2026-05-18
pecos_ownership
JULIE KLEIN
CORPORATE DIRECTOR
0%
2014-03-01
ended 2026-05-18
pecos_ownership
MARIA PEREZ
CORPORATE OFFICER
0%
2006-07-19
ended 2026-05-18
pecos_ownership
MARY KETCHUM
CORPORATE DIRECTOR
0%
2013-03-01
ended 2026-05-18
pecos_ownership
PAMELA HALLER
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
RANI ROY
CORPORATE DIRECTOR
0%
2024-03-04
ended 2026-05-18
pecos_ownership
SANDRA RIVERA
CORPORATE OFFICER
0%
2018-01-29
ended 2026-05-18
pecos_ownership
SHERWIN CHUE
CORPORATE DIRECTOR
0%
2010-03-01
ended 2026-05-18
pecos_ownership
SUSAN BYNUM
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
WILLIAM WIESMAN
CORPORATE DIRECTOR
0%
2020-01-01
ended 2026-05-18
pecos_ownership
ARNEL TIRADO
OPERATIONAL/MANAGERIAL CONTROL
—
2016-11-29
ended 2026-05-18
pecos_ownership
CANDACE RUBINOFF-HIRSCHBERG
ADP OF THE SNF
—
2017-06-12
ended 2026-05-18
pecos_ownership
DENISE BERNAL
OPERATIONAL/MANAGERIAL CONTROL
—
2018-06-28
ended 2026-05-18
pecos_ownership
ELIZABETH HARRIS
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-04
ended 2026-05-18
pecos_ownership
GENEVIEVE CASTILLO
OPERATIONAL/MANAGERIAL CONTROL
—
1996-10-06
ended 2026-05-18
pecos_ownership
JASON BRUNO
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-03
ended 2026-05-18
pecos_ownership
JASON BRUNO
ADP OF THE SNF
—
—
ended 2026-05-18
pecos_ownership
JON YI
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
MARIA PEREZ
ADP OF THE SNF
—
2006-07-01
ended 2026-05-18
pecos_ownership
MINERVA FRIAS
ADP OF THE SNF
—
2016-10-03
ended 2026-05-18
pecos_ownership
PAUL CAVALUZZI
OPERATIONAL/MANAGERIAL CONTROL
—
2018-04-01
ended 2026-05-18
pecos_ownership
PAUL CAVALUZZI
ADP OF THE SNF
—
2026-01-02
ended 2026-05-18
pecos_ownership
VIVIAN GREFALDEO
OPERATIONAL/MANAGERIAL CONTROL
—
2010-01-01
ended 2026-05-18
pecos_ownership
VIVIAN GREFALDEO
ADP OF THE SNF
—
1996-10-06
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
35
Geo
Kind
BR
Amount
As of
Source
county 36005
acs median gross
0
$1,191
2024-12-31
CENSUS_ACS5
county 36005
fmr
0
$2,529
2025-10-01
HUD_USER_FMR
county 36005
acs median gross
1
$1,380
2024-12-31
CENSUS_ACS5
county 36005
fmr
1
$2,655
2025-10-01
HUD_USER_FMR
county 36005
acs median gross
2
$1,525
2024-12-31
CENSUS_ACS5
county 36005
fmr
2
$2,910
2025-10-01
HUD_USER_FMR
county 36005
acs median gross
3
$1,733
2024-12-31
CENSUS_ACS5
county 36005
fmr
3
$3,644
2025-10-01
HUD_USER_FMR
county 36005
acs median gross
4
$1,771
2024-12-31
CENSUS_ACS5
county 36005
fmr
4
$3,959
2025-10-01
HUD_USER_FMR
county 36005
acs median gross
5
$2,128
2024-12-31
CENSUS_ACS5
county 36005
acs median gross
$1,458
2024-12-31
CENSUS_ACS5
county 36005
acs recent mover gross
$1,701
2024-12-31
CENSUS_ACS5
zcta 10471
acs median gross
0
$1,273
2024-12-31
CENSUS_ACS5
zcta 10471
acs median gross
1
$1,662
2024-12-31
CENSUS_ACS5
zcta 10471
acs median gross
2
$1,836
2024-12-31
CENSUS_ACS5
zcta 10471
acs median gross
3
$2,280
2024-12-31
CENSUS_ACS5
zcta 10471
acs median gross
5
$2,193
2024-12-31
CENSUS_ACS5
zcta 10471
acs median gross
$1,699
2024-12-31
CENSUS_ACS5
zcta 10471
acs recent mover gross
$2,629
2024-12-31
CENSUS_ACS5
zip 10471
payment standard 110
0
$2,596
2025-10-01
HUD_USER_SAFMR
zip 10471
payment standard 90
0
$2,124
2025-10-01
HUD_USER_SAFMR
zip 10471
safmr
0
$2,360
2025-10-01
HUD_USER_SAFMR
zip 10471
payment standard 110
1
$2,728
2025-10-01
HUD_USER_SAFMR
zip 10471
payment standard 90
1
$2,232
2025-10-01
HUD_USER_SAFMR
zip 10471
safmr
1
$2,480
2025-10-01
HUD_USER_SAFMR
zip 10471
payment standard 110
2
$2,992
2025-10-01
HUD_USER_SAFMR
zip 10471
payment standard 90
2
$2,448
2025-10-01
HUD_USER_SAFMR
zip 10471
safmr
2
$2,720
2025-10-01
HUD_USER_SAFMR
zip 10471
payment standard 110
3
$3,751
2025-10-01
HUD_USER_SAFMR
zip 10471
payment standard 90
3
$3,069
2025-10-01
HUD_USER_SAFMR
zip 10471
safmr
3
$3,410
2025-10-01
HUD_USER_SAFMR
zip 10471
payment standard 110
4
$4,070
2025-10-01
HUD_USER_SAFMR
zip 10471
payment standard 90
4
$3,330
2025-10-01
HUD_USER_SAFMR
zip 10471
safmr
4
$3,700
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.