1500 Portland Avenue, Rochester, NY 14621 · CCN 335081
Composite
45.5 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
470
Model
v1.2
Reads as: riskier than 45.5% 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.
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
3.55
3.33
3.28
2.90–3.77
RN
0.32
0.43
0.39
0.25–0.58
Weekend total
3.40
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
369.0
3.55
0.32
1.02
2.21
3.40
0.1%
2025Q3
92
366.5
3.60
0.31
1.02
2.26
3.38
0.2%
2025Q2
91
365.6
3.88
0.30
1.12
2.46
3.66
0.7%
2025Q1
90
365.0
3.91
0.35
1.14
2.41
3.66
0.9%
2024Q4
92
360.4
3.88
0.34
1.14
2.39
3.62
0.5%
2024Q3
92
359.3
3.64
0.31
1.09
2.23
3.35
0.0%
2024Q2
91
365.4
4.14
0.33
1.27
2.54
3.82
0.6%
2024Q1
91
364.1
4.29
0.35
1.30
2.65
4.00
0.4%
2023Q4
92
361.9
4.40
0.32
1.38
2.71
4.09
0.7%
2023Q3
92
366.6
4.58
0.38
1.38
2.81
4.18
1.0%
2023Q2
91
366.4
4.54
0.33
1.37
2.85
4.19
1.4%
2023Q1
90
363.4
4.51
0.34
1.35
2.81
4.19
1.6%
2022Q4
92
338.6
4.75
0.36
1.45
2.94
4.39
1.5%
2022Q3
92
306.7
4.75
0.33
1.47
2.94
4.36
2.8%
2022Q2
91
289.7
4.85
0.32
1.45
3.08
4.57
1.7%
2022Q1
90
276.2
4.91
0.35
1.54
3.02
4.64
3.0%
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.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2025-02-20
2024-04-16
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-06-07
2024-04-16
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2024-06-07
2024-04-16
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-06-07
2022-09-22
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2020-02-07
2022-09-22
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
E
2022-12-01
2022-09-22
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2022-12-01
2022-09-22
Health
F0836
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
D
2022-12-01
2020-01-07
Health
F0610
Respond appropriately to all alleged violations.
D
2020-03-07
2020-01-07
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2020-03-07
2020-01-07
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2020-03-07
2020-01-07
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
2020-03-07
2020-01-07
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2020-03-07
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
29
Owner
Role
Pct
From
Status
Source
ADAMS, DANIEL
MANAGING CONTROL - GOVERNING BODY
—
2019-03-20
current
pecos_ownership
BOURG, ROBERT
ADP OF THE SNF
—
2001-07-01
current
pecos_ownership
BROWN, KEVIN
ADP OF THE SNF
—
2023-02-27
current
pecos_ownership
BURKE, PATRICK
ADP OF THE SNF
—
2022-09-21
current
pecos_ownership
HAYES, JOHN
ADP OF THE SNF
—
2018-03-28
current
pecos_ownership
INDIANO, CARMEN
MANAGING CONTROL - GOVERNING BODY
—
2017-03-29
current
pecos_ownership
KUHN, KARI
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-10
current
pecos_ownership
LYNCH, ANNA
MANAGING CONTROL - GOVERNING BODY
—
2015-03-24
current
pecos_ownership
LYNCH, ANNA
ADP OF THE SNF
—
2015-03-25
current
pecos_ownership
MARRO, NICOLE
ADP OF THE SNF
—
2024-04-24
current
pecos_ownership
MCRAE, MICHAEL
ADP OF THE SNF
—
2010-09-01
current
pecos_ownership
MCRAE, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2010-09-07
current
pecos_ownership
MITCHELL, MARY
MANAGING CONTROL - GOVERNING BODY
—
2024-04-24
current
pecos_ownership
MORRIS, LUCAS
MANAGING CONTROL - GOVERNING BODY
—
2024-04-24
current
pecos_ownership
PETRONE, KIM
OPERATIONAL/MANAGERIAL CONTROL
—
2018-02-09
current
pecos_ownership
RISSONE, PATRICIA
MANAGING CONTROL - GOVERNING BODY
—
2019-03-20
current
pecos_ownership
RYAN, CHERYL
ADP OF THE SNF
—
2014-03-26
current
pecos_ownership
SALLUZZO, RONALD
ADP OF THE SNF
—
2016-03-30
current
pecos_ownership
SALLUZZO, STEPHEN
MANAGING CONTROL - GOVERNING BODY
—
2025-02-19
current
pecos_ownership
SCHAUSEIL, DEBORAH
MANAGING CONTROL - GOVERNING BODY
—
2017-03-29
current
pecos_ownership
SCHNELL, JAMES
ADP OF THE SNF
—
2025-03-26
current
pecos_ownership
SCHRADER, ROBERT
ADP OF THE SNF
—
2020-03-31
current
pecos_ownership
SIMS, ANGELA
MANAGING CONTROL - GOVERNING BODY
—
2023-04-26
current
pecos_ownership
SOCOLA, JASON
ADP OF THE SNF
—
2025-03-26
current
pecos_ownership
TAI, MAZIE
MANAGING CONTROL - GOVERNING BODY
—
2025-03-26
current
pecos_ownership
TEHAN, THOMAS
ADP OF THE SNF
—
2025-03-26
current
pecos_ownership
VANDER HORST, RICHARD
MANAGING CONTROL - GOVERNING BODY
—
2023-04-26
current
pecos_ownership
WESLEY, JOSEPH
MANAGING CONTROL - GOVERNING BODY
—
2020-03-31
current
pecos_ownership
WIEFLING, BRIDGETTE
MANAGING CONTROL - GOVERNING BODY
—
2020-03-31
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
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
36
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 14621
acs median gross
0
$716
2024-12-31
CENSUS_ACS5
zcta 14621
acs median gross
1
$688
2024-12-31
CENSUS_ACS5
zcta 14621
acs median gross
2
$1,087
2024-12-31
CENSUS_ACS5
zcta 14621
acs median gross
3
$1,233
2024-12-31
CENSUS_ACS5
zcta 14621
acs median gross
4
$1,212
2024-12-31
CENSUS_ACS5
zcta 14621
acs median gross
5
$1,547
2024-12-31
CENSUS_ACS5
zcta 14621
acs median gross
$1,039
2024-12-31
CENSUS_ACS5
zcta 14621
acs recent mover gross
$1,166
2024-12-31
CENSUS_ACS5
zip 14621
payment standard 110
0
$1,111
2025-10-01
HUD_USER_SAFMR
zip 14621
payment standard 90
0
$909
2025-10-01
HUD_USER_SAFMR
zip 14621
safmr
0
$1,010
2025-10-01
HUD_USER_SAFMR
zip 14621
payment standard 110
1
$1,254
2025-10-01
HUD_USER_SAFMR
zip 14621
payment standard 90
1
$1,026
2025-10-01
HUD_USER_SAFMR
zip 14621
safmr
1
$1,140
2025-10-01
HUD_USER_SAFMR
zip 14621
payment standard 110
2
$1,573
2025-10-01
HUD_USER_SAFMR
zip 14621
payment standard 90
2
$1,287
2025-10-01
HUD_USER_SAFMR
zip 14621
safmr
2
$1,430
2025-10-01
HUD_USER_SAFMR
zip 14621
payment standard 110
3
$1,892
2025-10-01
HUD_USER_SAFMR
zip 14621
payment standard 90
3
$1,548
2025-10-01
HUD_USER_SAFMR
zip 14621
safmr
3
$1,720
2025-10-01
HUD_USER_SAFMR
zip 14621
payment standard 110
4
$2,079
2025-10-01
HUD_USER_SAFMR
zip 14621
payment standard 90
4
$1,701
2025-10-01
HUD_USER_SAFMR
zip 14621
safmr
4
$1,890
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.