Sarah Neuman Center for Rehabilitation and Nursing
snfNY
845 PALMER AVENUE, MAMARONECK, NY 10543 · CCN 335296
Composite
86.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
300
Model
v1.2
Reads as: riskier than 86.2% 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.
ML signals — parallel engine
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
5 chains
WOLOFSKY CHAVA
10 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.
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
3.20
3.33
3.28
2.90–3.77
RN
0.73
0.43
0.39
0.25–0.58
Weekend total
2.90
3.03
3.11
—
Weekday total
3.32
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
278.7
3.20
0.73
0.44
2.03
2.90
15.7%
2025Q3
92
277.5
2.95
0.51
0.43
2.02
2.63
14.0%
2025Q2
91
272.7
2.73
0.31
0.40
2.02
2.57
14.0%
2025Q1
90
279.1
3.36
0.37
0.50
2.49
3.20
28.6%
2024Q4
92
278.6
2.30
0.25
0.38
1.67
2.25
0.0%
2024Q3
92
282.7
2.42
0.25
0.36
1.80
2.30
0.0%
2024Q2
91
281.8
2.58
0.28
0.37
1.92
2.48
2.0%
2024Q1
91
286.8
2.73
0.28
0.43
2.02
2.63
9.0%
2023Q4
92
287.3
2.51
0.27
0.38
1.86
2.48
3.0%
2023Q3
92
288.9
2.54
0.27
0.39
1.88
2.47
0.0%
2023Q2
91
284.9
2.60
0.32
0.40
1.88
2.50
0.0%
2023Q1
90
284.2
2.57
0.33
0.38
1.86
2.40
0.0%
2022Q4
92
282.9
2.37
0.31
0.36
1.70
2.21
0.0%
2022Q3
92
283.1
2.49
0.31
0.37
1.81
2.42
0.2%
2022Q2
91
283.1
2.70
0.34
0.41
1.95
2.51
3.1%
2022Q1
90
286.7
2.74
0.33
0.41
2.00
2.49
0.8%
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2026-01-29
2025-10-23
Health · complaint
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F
2026-01-29
2025-06-04
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
2025-07-31
2025-06-04
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-07-31
2025-03-14
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-04-29
2025-01-30
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2025-03-24
2025-01-30
Health · complaint
F0583
Keep residents' personal and medical records private and confidential.
D
2025-03-24
2025-01-30
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-03-24
2025-01-30
Health · complaint
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2025-03-24
2025-01-30
Health · complaint
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.
D
2025-03-24
2025-01-30
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
B
2025-03-24
2025-01-30
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-03-24
2025-01-30
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-03-24
2025-01-30
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
H
2025-03-24
2025-01-30
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-03-24
2025-01-30
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2025-03-24
2025-01-30
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
2025-03-24
2025-01-30
Health
F0730
Observe each nurse aide's job performance and give regular training.
D
2025-03-24
2025-01-30
Health
F0732
Post nurse staffing information every day.
D
2025-03-24
2025-01-30
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-03-24
2025-01-30
Health
F0947
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
D
2025-03-24
2025-01-06
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-03-15
2025-01-06
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-03-15
2024-07-12
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-09-10
2024-05-09
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-06-14
2018-12-19
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
2019-02-17
2018-12-19
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
2019-02-17
2018-12-19
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2019-02-17
2018-12-19
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2019-02-17
2018-12-19
Health
F0760
Ensure that residents are free from significant medication errors.
D
2019-02-17
2018-12-19
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2019-02-17
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
20
Owner
Role
Pct
From
Status
Source
PALMER AVENUE SNF OPERATIONS HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2025-08-04
current
pecos_ownership
KLEIN, ESTHER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
95%
2025-08-04
current
pecos_ownership
PEREZ, KATHRYN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2025-08-04
current
pecos_ownership
845 PALMER AVENUE REALTY LLC
ADP OF THE SNF
—
2025-08-04
current
pecos_ownership
ABRAMS, LAURENCE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-04
current
pecos_ownership
BERKOWITZ, JARED
ADP OF THE SNF
—
2025-08-04
current
pecos_ownership
GUPTA, GAYATRI
ADP OF THE SNF
—
2025-08-04
current
pecos_ownership
HOGAN, TARA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-04
current
pecos_ownership
HYNES, TAMARA
ADP OF THE SNF
—
2025-08-04
current
pecos_ownership
MARCUCCI, MIRELLE
ADP OF THE SNF
—
2025-08-04
current
pecos_ownership
MYITCREW INC
ADP OF THE SNF
—
2025-08-19
current
pecos_ownership
MYITCREW INC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-04
current
pecos_ownership
NATIONAL DATACARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-04
current
pecos_ownership
NATIONAL DATACARE LLC
ADP OF THE SNF
—
2025-08-19
current
pecos_ownership
SEAM NY 2020 TRUST
ADP OF THE SNF
—
2025-08-04
current
pecos_ownership
STREAMLINE VERIFY LLC
ADP OF THE SNF
—
2025-08-19
current
pecos_ownership
STREAMLINE VERIFY LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-04
current
pecos_ownership
WOLOFSKY, CHAVA
ADP OF THE SNF
—
2025-08-04
current
pecos_ownership
ZUNTA LLC
ADP OF THE SNF
—
2025-08-19
current
pecos_ownership
ZUNTA LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-04
current
pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$5,403,035
—
$5,403,035
—
—
1
—
2023-12-31
$5,388,109
—
$5,388,109
—
—
1
—
2022-12-31
$5,233,009
—
$5,233,009
—
—
1
—
2021-12-31
$4,872,977
—
$4,872,977
—
—
1
—
2020-12-31
$6,483,201
—
$6,483,201
—
—
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 36119
acs median gross
0
$1,443
2024-12-31
CENSUS_ACS5
county 36119
fmr
0
$2,529
2025-10-01
HUD_USER_FMR
county 36119
acs median gross
1
$1,767
2024-12-31
CENSUS_ACS5
county 36119
fmr
1
$2,655
2025-10-01
HUD_USER_FMR
county 36119
acs median gross
2
$2,095
2024-12-31
CENSUS_ACS5
county 36119
fmr
2
$2,910
2025-10-01
HUD_USER_FMR
county 36119
acs median gross
3
$2,400
2024-12-31
CENSUS_ACS5
county 36119
fmr
3
$3,644
2025-10-01
HUD_USER_FMR
county 36119
acs median gross
4
$2,539
2024-12-31
CENSUS_ACS5
county 36119
fmr
4
$3,959
2025-10-01
HUD_USER_FMR
county 36119
acs median gross
5
$3,074
2024-12-31
CENSUS_ACS5
county 36119
acs median gross
$1,951
2024-12-31
CENSUS_ACS5
county 36119
acs recent mover gross
$2,334
2024-12-31
CENSUS_ACS5
zcta 10543
acs median gross
0
$3,501
2024-12-31
CENSUS_ACS5
zcta 10543
acs median gross
1
$1,847
2024-12-31
CENSUS_ACS5
zcta 10543
acs median gross
2
$2,156
2024-12-31
CENSUS_ACS5
zcta 10543
acs median gross
3
$2,690
2024-12-31
CENSUS_ACS5
zcta 10543
acs median gross
4
$2,435
2024-12-31
CENSUS_ACS5
zcta 10543
acs median gross
$2,165
2024-12-31
CENSUS_ACS5
zcta 10543
acs recent mover gross
$3,501
2024-12-31
CENSUS_ACS5
zip 10543
payment standard 110
0
$3,069
2025-10-01
HUD_USER_SAFMR
zip 10543
payment standard 90
0
$2,511
2025-10-01
HUD_USER_SAFMR
zip 10543
safmr
0
$2,790
2025-10-01
HUD_USER_SAFMR
zip 10543
payment standard 110
1
$3,223
2025-10-01
HUD_USER_SAFMR
zip 10543
payment standard 90
1
$2,637
2025-10-01
HUD_USER_SAFMR
zip 10543
safmr
1
$2,930
2025-10-01
HUD_USER_SAFMR
zip 10543
payment standard 110
2
$3,531
2025-10-01
HUD_USER_SAFMR
zip 10543
payment standard 90
2
$2,889
2025-10-01
HUD_USER_SAFMR
zip 10543
safmr
2
$3,210
2025-10-01
HUD_USER_SAFMR
zip 10543
payment standard 110
3
$4,422
2025-10-01
HUD_USER_SAFMR
zip 10543
payment standard 90
3
$3,618
2025-10-01
HUD_USER_SAFMR
zip 10543
safmr
3
$4,020
2025-10-01
HUD_USER_SAFMR
zip 10543
payment standard 110
4
$4,807
2025-10-01
HUD_USER_SAFMR
zip 10543
payment standard 90
4
$3,933
2025-10-01
HUD_USER_SAFMR
zip 10543
safmr
4
$4,370
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.