318 SOUTH ALBANY STREET, ITHACA, NY 14850 · CCN 335017
Composite
80.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 80.3% 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.
ML signals — parallel engine
1
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+22.0 vs natl
CAMEROTA DAVID
5 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
3.01
3.33
3.28
2.90–3.77
RN
0.34
0.43
0.39
0.25–0.58
Weekend total
2.62
3.03
3.11
—
Weekday total
3.17
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
116.2
3.01
0.34
0.82
1.86
2.62
5.4%
2025Q3
92
113.7
2.77
0.32
0.75
1.70
2.36
6.2%
2025Q2
91
111.4
2.81
0.33
0.68
1.80
2.42
6.7%
2025Q1
90
114.9
2.66
0.28
0.67
1.72
2.36
6.2%
2024Q4
92
113.7
2.83
0.23
0.81
1.78
2.58
6.9%
2024Q3
92
115.7
2.71
0.29
0.76
1.66
2.35
9.3%
2024Q2
91
115.5
3.06
0.31
0.78
1.97
2.68
10.6%
2024Q1
91
115.4
2.80
0.31
0.66
1.83
2.61
9.9%
2023Q4
92
113.9
2.98
0.36
0.72
1.89
2.76
9.0%
2023Q3
92
114.4
3.56
0.35
0.83
2.38
3.31
28.0%
2023Q2
91
116.7
3.24
0.34
0.77
2.13
3.01
43.6%
2023Q1
90
113.7
2.91
0.47
0.79
1.65
2.80
52.1%
2022Q4
92
114.1
2.55
0.43
0.77
1.35
2.49
50.6%
2022Q3
92
113.3
2.44
0.48
0.66
1.31
2.33
51.3%
2022Q2
91
114.5
2.49
0.36
0.73
1.40
2.22
52.0%
2022Q1
90
119.0
2.43
0.32
0.73
1.38
2.23
49.9%
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.
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
20
D × 15E × 4F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-29
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-10-28
2025-08-29
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
2025-10-28
2025-08-29
Health
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.
D
2025-10-28
2025-08-29
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2025-10-28
2025-08-29
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-10-28
2025-08-29
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-10-28
2023-11-17
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-01-16
2023-11-17
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
2024-01-16
2023-11-17
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.
D
2024-01-16
2023-11-17
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-01-16
2023-11-17
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-01-16
2023-11-17
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-01-16
2023-11-17
Health · complaint
F0790
Provide routine and 24-hour emergency dental care for each resident.
D
2024-01-16
2023-11-17
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2024-01-16
2023-11-17
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2024-01-16
2023-11-17
Health
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
D
2024-01-16
2021-08-09
Health
F0560
Protect a residents' right to refuse some types of non-requested transfers within the nursing home.
D
2021-10-01
2021-08-09
Health
F0692
Provide enough food/fluids to maintain a resident's health.
E
2021-10-01
2021-08-09
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2021-10-01
2021-08-09
Health
F0810
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
D
2021-10-01
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
18
Owner
Role
Pct
From
Status
Source
KOENIG, URI
5% OR GREATER DIRECT OWNERSHIP INTEREST
60%
2010-12-22
current
pecos_ownership
STEIF, EFRAIM
5% OR GREATER DIRECT OWNERSHIP INTEREST
40%
2010-12-22
current
pecos_ownership
CAMEROTA, DAVID
DIRECT OWNERSHIP INTEREST
—
2010-12-20
current
pecos_ownership
DINELLO, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
current
pecos_ownership
DINELLO, DAVID
ADP OF THE SNF
—
2025-04-07
current
pecos_ownership
KHAN, NASAR
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-20
current
pecos_ownership
STEIF, EFRAIM
OPERATIONAL/MANAGERIAL CONTROL
—
2013-09-01
current
pecos_ownership
TYBERG, ABRAHAM
ADP OF THE SNF
—
2024-09-01
current
pecos_ownership
URI KOENIG
5% OR GREATER DIRECT OWNERSHIP INTEREST
60%
2010-12-22
ended 2026-05-18
pecos_ownership
EFRAIM STEIF
5% OR GREATER DIRECT OWNERSHIP INTEREST
40%
2010-12-22
ended 2026-05-18
pecos_ownership
DAVID CAMEROTA
DIRECT OWNERSHIP INTEREST
0%
2010-12-20
ended 2026-05-18
pecos_ownership
EFRAIM STEIF
OPERATIONAL/MANAGERIAL CONTROL
0%
2013-09-01
ended 2026-05-18
pecos_ownership
ABRAHAM TYBERG
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-01
ended 2026-05-18
pecos_ownership
DAVID DINELLO
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
ended 2026-05-18
pecos_ownership
DAVID DINELLO
ADP OF THE SNF
—
2025-04-07
ended 2026-05-18
pecos_ownership
NASAR KHAN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-20
ended 2026-05-18
pecos_ownership
SOUTH ALBANY ST
Individual has financial interest in both related organization and provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
SOUTH ALBANY ST
Individual has financial interest in both related organization and provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
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
$248,551
—
—
—
—
2
—
2021-12-31
$297,368
—
—
—
—
2
propco
2020-12-31
$745,630
—
—
—
—
2
propco
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
36
Geo
Kind
BR
Amount
As of
Source
county 36109
acs median gross
0
$1,053
2024-12-31
CENSUS_ACS5
county 36109
fmr
0
$1,263
2025-10-01
HUD_USER_FMR
county 36109
acs median gross
1
$1,226
2024-12-31
CENSUS_ACS5
county 36109
fmr
1
$1,466
2025-10-01
HUD_USER_FMR
county 36109
acs median gross
2
$1,493
2024-12-31
CENSUS_ACS5
county 36109
fmr
2
$1,753
2025-10-01
HUD_USER_FMR
county 36109
acs median gross
3
$1,666
2024-12-31
CENSUS_ACS5
county 36109
fmr
3
$2,102
2025-10-01
HUD_USER_FMR
county 36109
acs median gross
4
$2,205
2024-12-31
CENSUS_ACS5
county 36109
fmr
4
$2,624
2025-10-01
HUD_USER_FMR
county 36109
acs median gross
5
$1,359
2024-12-31
CENSUS_ACS5
county 36109
acs median gross
$1,411
2024-12-31
CENSUS_ACS5
county 36109
acs recent mover gross
$1,480
2024-12-31
CENSUS_ACS5
zcta 14850
acs median gross
0
$1,076
2024-12-31
CENSUS_ACS5
zcta 14850
acs median gross
1
$1,314
2024-12-31
CENSUS_ACS5
zcta 14850
acs median gross
2
$1,663
2024-12-31
CENSUS_ACS5
zcta 14850
acs median gross
3
$1,724
2024-12-31
CENSUS_ACS5
zcta 14850
acs median gross
4
$2,255
2024-12-31
CENSUS_ACS5
zcta 14850
acs median gross
5
$1,355
2024-12-31
CENSUS_ACS5
zcta 14850
acs median gross
$1,480
2024-12-31
CENSUS_ACS5
zcta 14850
acs recent mover gross
$1,577
2024-12-31
CENSUS_ACS5
zip 14850
payment standard 110
0
$1,496
2025-10-01
HUD_USER_SAFMR
zip 14850
payment standard 90
0
$1,224
2025-10-01
HUD_USER_SAFMR
zip 14850
safmr
0
$1,360
2025-10-01
HUD_USER_SAFMR
zip 14850
payment standard 110
1
$1,738
2025-10-01
HUD_USER_SAFMR
zip 14850
payment standard 90
1
$1,422
2025-10-01
HUD_USER_SAFMR
zip 14850
safmr
1
$1,580
2025-10-01
HUD_USER_SAFMR
zip 14850
payment standard 110
2
$2,079
2025-10-01
HUD_USER_SAFMR
zip 14850
payment standard 90
2
$1,701
2025-10-01
HUD_USER_SAFMR
zip 14850
safmr
2
$1,890
2025-10-01
HUD_USER_SAFMR
zip 14850
payment standard 110
3
$2,497
2025-10-01
HUD_USER_SAFMR
zip 14850
payment standard 90
3
$2,043
2025-10-01
HUD_USER_SAFMR
zip 14850
safmr
3
$2,270
2025-10-01
HUD_USER_SAFMR
zip 14850
payment standard 110
4
$3,113
2025-10-01
HUD_USER_SAFMR
zip 14850
payment standard 90
4
$2,547
2025-10-01
HUD_USER_SAFMR
zip 14850
safmr
4
$2,830
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.