THE GRAND REHABILITATION AND NURSING AT SOUTH POIN
snfNY
ONE LONG BEACH ROAD, ISLAND PARK, NY 11558 · CCN 335162
Composite
74.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
185
Model
v1.2
Reads as: riskier than 74.4% 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
5
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+25.9 vs natl
STRAUSS MERYL
5 facilities
connection
Owner fleet risk far above national
+23.6 vs natl
ROGERS ERIC
9 facilities
connection
Owner fleet enforcement cluster
56% fined
ROGERS ERIC
9 facilities
connection
Owner fleet enforcement cluster
47% fined
STRAUSS JEREMY
15 facilities
connection
Owner fleet enforcement cluster
40% fined
STRAUSS MERYL
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
0.48
0.43
0.39
0.25–0.58
Weekend total
2.75
3.03
3.11
—
Weekday total
3.11
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
181.2
3.01
0.48
0.69
1.83
2.75
7.5%
2025Q3
92
178.4
3.04
0.58
0.58
1.88
2.75
4.8%
2025Q2
91
182.9
2.98
0.51
0.65
1.82
2.76
0.0%
2025Q1
90
182.9
2.99
0.49
0.66
1.84
2.81
0.0%
2024Q4
92
180.5
3.03
0.49
0.70
1.84
2.83
0.0%
2024Q3
92
180.6
2.99
0.48
0.72
1.78
2.73
0.6%
2024Q2
91
178.8
3.06
0.47
0.77
1.82
2.74
0.8%
2024Q1
91
177.8
3.19
0.45
0.84
1.90
2.96
2.4%
2023Q4
92
182.3
3.05
0.44
0.76
1.85
2.79
4.1%
2023Q3
92
178.5
2.98
0.37
0.71
1.90
2.76
6.3%
2023Q2
91
176.6
3.02
0.40
0.66
1.96
2.83
20.2%
2023Q1
90
177.9
3.01
0.38
0.66
1.96
2.82
6.0%
2022Q4
92
175.2
3.09
0.41
0.68
1.99
2.85
6.9%
2022Q3
92
175.5
3.22
0.48
0.71
2.03
2.98
9.2%
2022Q2
91
178.9
3.18
0.45
0.70
2.03
2.91
10.8%
2022Q1
90
178.7
2.96
0.43
0.55
1.99
2.69
8.1%
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
21
C × 1D × 19E × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-09-12
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-10-15
2025-06-05
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-07-31
2025-06-05
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
2025-07-31
2025-06-05
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
2025-07-31
2025-06-05
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-07-31
2025-06-05
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-07-31
2025-06-05
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2025-07-31
2025-06-05
Health
F0732
Post nurse staffing information every day.
D
2025-07-31
2025-06-05
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2025-07-31
2025-06-05
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
2025-07-31
2025-06-05
Health
F0838
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
C
2025-07-31
2025-06-05
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-07-31
2023-10-05
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-10-30
2023-10-05
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
2023-10-30
2023-10-05
Health · complaint
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2023-10-30
2023-10-05
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
2023-10-30
2023-10-05
Health · complaint
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
2023-10-30
2023-10-05
Health · complaint
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2023-10-30
2023-10-05
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
2023-10-30
2023-10-05
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-10-30
2021-08-11
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
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
7
Owner
Role
Pct
From
Status
Source
STRAUSS, JEREMY
5% OR GREATER DIRECT OWNERSHIP INTEREST
95%
2019-01-01
current
pecos_ownership
28652 STATE HIGHWAY 23 LLC
Individual has financial interest in both related organization and provider
60%
2023-01-01
current
hcris_a_8_1
STRAUSS, MERYL
5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
2019-01-01
current
pecos_ownership
ROGERS, ERIC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-01-01
current
pecos_ownership
JEREMY STRAUSS
5% OR GREATER DIRECT OWNERSHIP INTEREST
95%
2019-01-01
ended 2026-05-18
pecos_ownership
ERIC ROGERS
OPERATIONAL/MANAGERIAL CONTROL
5%
2019-01-01
ended 2026-05-18
pecos_ownership
MERYL STRAUSS
5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
2019-01-01
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
4
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2023-12-31
$815,603
—
—
$216
$219,280
3
propco
2022-12-31
$874,058
—
—
—
$111,699
1
—
2021-12-31
$874,058
—
—
—
$111,699
1
—
2020-12-31
$728,541
—
—
$50
$76,882
1
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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 36059
acs median gross
0
$1,416
2024-12-31
CENSUS_ACS5
county 36059
fmr
0
$1,992
2025-10-01
HUD_USER_FMR
county 36059
acs median gross
1
$1,867
2024-12-31
CENSUS_ACS5
county 36059
fmr
1
$2,379
2025-10-01
HUD_USER_FMR
county 36059
acs median gross
2
$2,251
2024-12-31
CENSUS_ACS5
county 36059
fmr
2
$2,747
2025-10-01
HUD_USER_FMR
county 36059
acs median gross
3
$2,745
2024-12-31
CENSUS_ACS5
county 36059
fmr
3
$3,563
2025-10-01
HUD_USER_FMR
county 36059
acs median gross
4
$3,084
2024-12-31
CENSUS_ACS5
county 36059
fmr
4
$3,768
2025-10-01
HUD_USER_FMR
county 36059
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
county 36059
acs median gross
$2,252
2024-12-31
CENSUS_ACS5
county 36059
acs recent mover gross
$2,845
2024-12-31
CENSUS_ACS5
zcta 11558
acs median gross
0
$3,407
2024-12-31
CENSUS_ACS5
zcta 11558
acs median gross
1
$1,833
2024-12-31
CENSUS_ACS5
zcta 11558
acs median gross
2
$1,875
2024-12-31
CENSUS_ACS5
zcta 11558
acs median gross
3
$2,871
2024-12-31
CENSUS_ACS5
zcta 11558
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 11558
acs median gross
$2,571
2024-12-31
CENSUS_ACS5
zcta 11558
acs recent mover gross
$2,582
2024-12-31
CENSUS_ACS5
zip 11558
payment standard 110
0
$2,189
2025-10-01
HUD_USER_SAFMR
zip 11558
payment standard 90
0
$1,791
2025-10-01
HUD_USER_SAFMR
zip 11558
safmr
0
$1,990
2025-10-01
HUD_USER_SAFMR
zip 11558
payment standard 110
1
$2,618
2025-10-01
HUD_USER_SAFMR
zip 11558
payment standard 90
1
$2,142
2025-10-01
HUD_USER_SAFMR
zip 11558
safmr
1
$2,380
2025-10-01
HUD_USER_SAFMR
zip 11558
payment standard 110
2
$3,025
2025-10-01
HUD_USER_SAFMR
zip 11558
payment standard 90
2
$2,475
2025-10-01
HUD_USER_SAFMR
zip 11558
safmr
2
$2,750
2025-10-01
HUD_USER_SAFMR
zip 11558
payment standard 110
3
$3,927
2025-10-01
HUD_USER_SAFMR
zip 11558
payment standard 90
3
$3,213
2025-10-01
HUD_USER_SAFMR
zip 11558
safmr
3
$3,570
2025-10-01
HUD_USER_SAFMR
zip 11558
payment standard 110
4
$4,147
2025-10-01
HUD_USER_SAFMR
zip 11558
payment standard 90
4
$3,393
2025-10-01
HUD_USER_SAFMR
zip 11558
safmr
4
$3,770
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.