Composite
88.5 / 100 percentile
Screener / 225421
D
AYER VALLEY REHAB AND NURSING
snfMA
400 GROTON ROAD, AYER, MA 01432 · CCN 225421 · chain E NEWHOUSE FAMILY TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
123
Model
v1.2
Reads as: riskier than 88.5% 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 model5ML signals4Components16CHOW radar1Distress radar1Staffing16Penalties3Deficiencies80Licensure0Ownership34Related party6Transactions1Comps12Market rent29
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 91.3 | 89.0 | 0.30 | 0.2308 | 21.07 | in index |
| financial risk | 63.4 | 54.6 | 0.30 | 0.2308 | 14.63 | in index |
| billing conduct | 59.6 | 43.3 | 0.30 | 0.2308 | 13.75 | in index |
| staffing risk | 52.7 | 52.7 | 0.25 | 0.1923 | 10.13 | in index |
| chow risk | 52.2 | 50.4 | 0.15 | 0.1154 | 6.02 | 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.
ML signals — parallel engine
4| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +24.0 vs natl | FRIEDMAN SHANA | 7 facilities |
| connection | Owner fleet risk far above national | +22.9 vs natl | BEATTY BRITTANY | 6 facilities |
| connection | Owner fleet enforcement cluster | 42% fined | FRIEDMAN BENJAMIN | 26 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | PLEW ANDREA | 15 facilities |
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 43.3 | 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 | 75.7 | D | v0.6 | default · in composite | |
| financial risk | 54.6 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.1 | — | 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 | 89.0 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 52.7 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 81.9 | 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 | 61.9 | 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 | 67.6 | D | 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 | 54.3 | 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 | 88.9 | 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 | 88.9 | 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 | 52.7 | 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 | 52.7 | 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
7.0
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) | 2.78 | -1.57 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.86 | -0.48 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.09 | +0.25 | |
| Deficiencies, last 12 months | 0.00 | -0.17 |
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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
38.3
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 | 0.00 | +1.43 | |
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 3.09 | -0.60 | |
| Occupancy | 0.86 | -0.49 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 2.78 | -0.26 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
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 | 3.24 | 3.39 | 3.28 | 2.90–3.77 |
| RN | 0.60 | 0.39 | 0.39 | 0.25–0.58 |
| Weekend total | 3.13 | 3.26 | 3.11 | — |
| Weekday total | 3.29 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 106.3 | 3.24 | 0.60 | 0.49 | 2.15 | 3.13 | 14.1% |
| 2025Q3 | 92 | 109.4 | 3.18 | 0.57 | 0.51 | 2.10 | 3.03 | 12.2% |
| 2025Q2 | 91 | 109.1 | 3.31 | 0.55 | 0.55 | 2.21 | 3.09 | 10.7% |
| 2025Q1 | 90 | 113.3 | 3.21 | 0.63 | 0.56 | 2.03 | 2.91 | 18.2% |
| 2024Q4 | 92 | 107.2 | 3.27 | 0.45 | 0.70 | 2.12 | 2.99 | 29.9% |
| 2024Q3 | 92 | 104.8 | 3.16 | 0.28 | 0.83 | 2.06 | 2.94 | 40.4% |
| 2024Q2 | 91 | 104.5 | 2.98 | 0.23 | 0.87 | 1.88 | 2.72 | 30.0% |
| 2024Q1 | 91 | 109.1 | 2.83 | 0.26 | 0.90 | 1.68 | 2.67 | 31.1% |
| 2023Q4 | 92 | 113.7 | 2.83 | 0.33 | 0.85 | 1.65 | 2.75 | 35.0% |
| 2023Q3 | 92 | 113.6 | 3.23 | 0.36 | 1.05 | 1.83 | 2.96 | 25.9% |
| 2023Q2 | 91 | 116.1 | 2.88 | 0.47 | 0.77 | 1.64 | 2.67 | 22.3% |
| 2023Q1 | 90 | 104.8 | 3.18 | 0.50 | 0.77 | 1.91 | 2.94 | 27.0% |
| 2022Q4 | 92 | 112.2 | 2.73 | 0.40 | 0.83 | 1.49 | 2.43 | 26.9% |
| 2022Q3 | 92 | 104.4 | 2.74 | 0.27 | 0.91 | 1.56 | 2.45 | 22.5% |
| 2022Q2 | 91 | 107.9 | 2.80 | 0.23 | 0.94 | 1.63 | 2.49 | 18.2% |
| 2022Q1 | 90 | 98.4 | 3.01 | 0.28 | 1.06 | 1.67 | 2.66 | 17.8% |
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
3fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-03-05 | Fine | $53,264 | CMS provider data |
| 2023-09-27 | Fine | $9,770 | CMS provider data |
| 2023-07-05 | Fine | $9,770 | CMS provider data |
Total fines on record: $72,804
Deficiencies
80B × 1C × 4D × 43E × 18F × 7G × 7
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-03-13 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-03-25 |
| 2025-03-13 | 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 | 2025-03-25 |
| 2025-03-13 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2025-03-25 |
| 2025-03-13 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2025-03-25 |
| 2025-03-13 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2025-03-25 |
| 2025-03-13 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | 2025-03-25 |
| 2025-03-13 | 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 | 2025-03-25 |
| 2025-03-13 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2025-03-25 |
| 2025-03-13 | 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. | E | 2025-03-25 |
| 2025-03-13 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-03-25 |
| 2025-03-13 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2025-03-25 |
| 2025-03-13 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2025-03-25 |
| 2025-03-13 | Health | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2025-03-25 |
| 2025-03-13 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-03-25 |
| 2025-03-13 | Health | F0843 | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | C | 2025-03-25 |
| 2025-03-13 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-03-25 |
| 2025-03-13 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-03-25 |
| 2025-03-13 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2025-03-25 |
| 2025-01-02 | 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. | D | 2025-01-20 |
| 2025-01-02 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-01-20 |
| 2025-01-02 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-01-20 |
| 2024-06-05 | 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 | 2024-06-17 |
| 2024-06-05 | 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. | E | 2024-06-21 |
| 2024-06-05 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | 2024-06-17 |
| 2024-03-05 | Health | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2024-03-25 |
| 2024-03-05 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | 2024-03-22 |
| 2024-03-05 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-03-25 |
| 2024-03-05 | 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 | 2024-03-25 |
| 2024-03-05 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | 2024-03-25 |
| 2024-03-05 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-03-25 |
| 2024-03-05 | 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. | E | 2024-03-25 |
| 2024-03-05 | Health | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2024-03-25 |
| 2024-03-05 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-03-25 |
| 2024-03-05 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-03-22 |
| 2024-03-05 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-03-25 |
| 2024-03-05 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-03-25 |
| 2024-03-05 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2024-03-25 |
| 2024-03-05 | 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. | E | 2024-03-25 |
| 2024-03-05 | 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 | 2024-03-25 |
| 2024-03-05 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | 2024-03-25 |
| 2024-03-05 | 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 | 2024-03-25 |
| 2024-03-05 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-03-25 |
| 2024-03-05 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2024-03-25 |
| 2024-03-05 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-03-25 |
| 2024-03-05 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | 2024-03-25 |
| 2024-03-05 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-03-25 |
| 2023-12-29 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | F | 2024-02-23 |
| 2023-12-29 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2024-02-23 |
| 2023-12-29 | 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 | 2024-02-23 |
| 2023-12-29 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-02-23 |
| 2023-12-29 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | D | 2024-02-23 |
| 2023-12-29 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-02-23 |
| 2023-12-29 | 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 | 2024-02-23 |
| 2023-12-29 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2024-02-23 |
| 2023-12-29 | Health · complaint | 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. | C | 2024-02-23 |
| 2023-12-29 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | F | 2024-02-23 |
| 2023-12-29 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2024-02-23 |
| 2023-12-29 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | C | 2024-02-23 |
| 2023-12-29 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | C | 2024-02-23 |
| 2023-09-27 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2023-09-01 |
| 2023-09-27 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2023-09-01 |
| 2023-09-27 | 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. | D | 2023-10-31 |
| 2023-07-05 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | G | 2023-08-04 |
| 2023-07-05 | Health · complaint | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | 2023-08-04 |
| 2023-07-05 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-08-04 |
| 2022-06-16 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | 2022-07-21 |
| 2022-06-16 | 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 | 2022-07-21 |
| 2022-06-16 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-07-21 |
| 2022-06-16 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2022-08-16 |
| 2022-06-16 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-07-21 |
| 2022-06-16 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | G | 2022-07-21 |
| 2022-06-16 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2022-07-21 |
| 2022-06-16 | 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. | E | 2022-07-21 |
| 2022-06-16 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2022-07-21 |
| 2022-06-16 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2022-07-21 |
| 2022-06-16 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | 2022-08-26 |
| 2022-06-16 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2022-08-16 |
| 2022-06-16 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2022-08-26 |
| 2022-06-16 | Health | F0886 | Perform COVID19 testing on residents and staff. | E | 2022-07-21 |
| 2022-06-16 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2022-08-16 |
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
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
34| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| FRIEDMAN, SHANA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12% | 2023-10-16 | current | pecos_ownership |
| COM FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2023-10-16 | current | pecos_ownership |
| AYER VALLEY PROPCO LLC | ADP OF THE SNF | — | 2023-10-16 | current | pecos_ownership |
| BEATTY, BRITTANY | ADP OF THE SNF | — | 2023-10-16 | current | pecos_ownership |
| CAMBRIDGE, JOSHUA | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-10-16 | current | pecos_ownership |
| E NEWHOUSE FAMILY TRUST | ADP OF THE SNF | — | 2023-10-16 | current | pecos_ownership |
| ERBLICH, AVRAHAM | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-10-16 | current | pecos_ownership |
| ETN FAMILY HOLDINGS LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-10-16 | current | pecos_ownership |
| FRIEDMAN, BENJAMIN | DIRECT OWNERSHIP INTEREST | — | 2023-10-16 | current | pecos_ownership |
| MILLMAN, CHAIM | TRUSTEE OF THE SNF | — | 2023-10-16 | current | pecos_ownership |
| NEWHOUSE, ERIC | MANAGING CONTROL - GOVERNING BODY | — | 2023-10-16 | current | pecos_ownership |
| NILSSON, CLAES | ADP OF THE SNF | — | 2023-10-16 | current | pecos_ownership |
| PLEW, ANDREA | ADP OF THE SNF | — | 2023-10-16 | current | pecos_ownership |
| SHEPS, BORUCH | MANAGING CONTROL - GOVERNING BODY | — | 2023-10-16 | current | pecos_ownership |
| STERN THERAPY CONSULTANTS LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-10-16 | current | pecos_ownership |
| STERN THERAPY CONSULTANTS LLC | ADP OF THE SNF | — | 2025-07-06 | current | pecos_ownership |
| STERN, BEZALEL | ADP OF THE SNF | — | 2023-10-16 | current | pecos_ownership |
| T NEWHOUSE FAMILY TRUST | ADP OF THE SNF | — | 2023-10-16 | current | pecos_ownership |
| TLCO HOLDINGS LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-10-16 | current | pecos_ownership |
| TLM FAMILY TRUST | ADP OF THE SNF | — | 2023-10-16 | current | pecos_ownership |
| AVRAHAM ERBLICH | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2023-10-16 | ended 2026-05-18 | pecos_ownership |
| ETN FAMILY HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2023-09-01 | ended 2026-05-18 | pecos_ownership |
| TLCO HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2023-09-01 | ended 2026-05-18 | pecos_ownership |
| BORUCH SHEPS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | 2023-10-16 | ended 2026-05-18 | pecos_ownership |
| AVRAHAM ERBLICH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 14% | 2023-09-01 | ended 2026-05-18 | pecos_ownership |
| SHANA FRIEDMAN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12% | 2023-10-16 | ended 2026-05-18 | pecos_ownership |
| BEZALEL STERN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 9% | 2023-10-16 | ended 2026-05-18 | pecos_ownership |
| BENJAMIN FRIEDMAN | DIRECT OWNERSHIP INTEREST | 4% | 2023-10-16 | ended 2026-05-18 | pecos_ownership |
| BRITTANY BEATTY | DIRECT OWNERSHIP INTEREST | 2% | 2023-10-16 | ended 2026-05-18 | pecos_ownership |
| CHAIM MILLMAN | INDIRECT OWNERSHIP INTEREST | 0% | 2023-10-16 | ended 2026-05-18 | pecos_ownership |
| ERIC NEWHOUSE | INDIRECT OWNERSHIP INTEREST | 0% | 2023-10-16 | ended 2026-05-18 | pecos_ownership |
| ANDREA PLEW | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-10-16 | ended 2026-05-18 | pecos_ownership |
| CLAES NILSSON | ADP OF THE SNF | — | 2023-10-16 | ended 2026-05-18 | pecos_ownership |
| JOSHUA CAMBRIDGE | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-10-16 | 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 |
|---|---|---|---|---|
| 2023-10-16 | — | AYER VALLEY REHAB AND NURSING LLC | 400 GROTON ROAD OPERATIONS LLC | chow |
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
29| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 25017 | acs median gross | 0 | $1,773 | 2024-12-31 | CENSUS_ACS5 |
| county 25017 | acs median gross | 1 | $1,807 | 2024-12-31 | CENSUS_ACS5 |
| county 25017 | acs median gross | 2 | $2,336 | 2024-12-31 | CENSUS_ACS5 |
| county 25017 | acs median gross | 3 | $2,612 | 2024-12-31 | CENSUS_ACS5 |
| county 25017 | acs median gross | 4 | $2,955 | 2024-12-31 | CENSUS_ACS5 |
| county 25017 | acs median gross | 5 | $2,755 | 2024-12-31 | CENSUS_ACS5 |
| county 25017 | acs median gross | $2,201 | 2024-12-31 | CENSUS_ACS5 | |
| county 25017 | acs recent mover gross | $2,657 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 01432 | acs median gross | 0 | $1,186 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01432 | acs median gross | 1 | $1,131 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01432 | acs median gross | 2 | $1,714 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01432 | acs median gross | 3 | $1,625 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01432 | acs median gross | $1,442 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 01432 | acs recent mover gross | $1,168 | 2024-12-31 | CENSUS_ACS5 | |
| zip 01432 | payment standard 110 | 0 | $2,244 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01432 | payment standard 90 | 0 | $1,836 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01432 | safmr | 0 | $2,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01432 | payment standard 110 | 1 | $2,376 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01432 | payment standard 90 | 1 | $1,944 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01432 | safmr | 1 | $2,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01432 | payment standard 110 | 2 | $2,816 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01432 | payment standard 90 | 2 | $2,304 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01432 | safmr | 2 | $2,560 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01432 | payment standard 110 | 3 | $3,388 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01432 | payment standard 90 | 3 | $2,772 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01432 | safmr | 3 | $3,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01432 | payment standard 110 | 4 | $3,729 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01432 | payment standard 90 | 4 | $3,051 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01432 | 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.