369 East Main Street, Waterloo, NY 13165 · CCN 335879
Composite
0.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
moderate
Certified beds
—
Model
v1.2
Reads as: riskier than 0.0% 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.
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.
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
0
No deficiencies on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
38
Owner
Role
Pct
From
Status
Source
FINGER LAKES REGIONAL HEALTH SYSTEM INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-07-31
current
pecos_ownership
UNIVERSITY OF ROCHESTER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2023-08-01
current
pecos_ownership
BERKADIA COMMERCIAL MORTGAGE LLC
5% OR GREATER MORTGAGE INTEREST
31%
—
current
pecos_ownership
ANN MCMULLEN
CORPORATE DIRECTOR
—
2020-04-22
current
pecos_ownership
CHEVANNE DEVANEY
CORPORATE DIRECTOR
—
2017-04-26
current
pecos_ownership
CRAIG COLLINS
CORPORATE DIRECTOR
—
2023-04-26
current
pecos_ownership
CRAIG DENSMORE
CORPORATE DIRECTOR
—
2018-04-25
current
pecos_ownership
FINGER LAKES REGIONAL HEALTH SYSTEM INC
ADP OF THE SNF
—
2024-12-19
current
pecos_ownership
FINGER LAKES REGIONAL HEALTH SYSTEM INC
OPERATIONAL/MANAGERIAL CONTROL
—
2019-11-01
current
pecos_ownership
JAMES ADAMS
CORPORATE DIRECTOR
—
2011-04-27
current
pecos_ownership
JAMES ADAMS
CORPORATE OFFICER
—
2024-04-24
current
pecos_ownership
JAMES CHENEY
CORPORATE DIRECTOR
—
2016-04-27
current
pecos_ownership
JAMES NARDOZZI
CORPORATE OFFICER
—
2021-04-28
current
pecos_ownership
JEFFREY MORGAN
CORPORATE DIRECTOR
—
2019-03-27
current
pecos_ownership
JOHN HICKS
CORPORATE DIRECTOR
—
2019-04-24
current
pecos_ownership
JOHN SHEPPARD
CORPORATE DIRECTOR
—
2016-04-22
current
pecos_ownership
JOHN SHEPPARD
CORPORATE OFFICER
—
2018-04-25
current
pecos_ownership
JOSE ACEVEDO
CORPORATE DIRECTOR
—
2018-04-25
current
pecos_ownership
JOSE ACEVEDO
CORPORATE OFFICER
—
2010-04-01
current
pecos_ownership
KATHI FINIZIO
CORPORATE DIRECTOR
—
2013-06-28
current
pecos_ownership
KYLENE ABRAHAM
CORPORATE DIRECTOR
—
2017-04-26
current
pecos_ownership
LANCE WARD
CORPORATE DIRECTOR
—
2015-04-22
current
pecos_ownership
LANCE WARD
CORPORATE OFFICER
—
2018-04-25
current
pecos_ownership
MARK TAUBMAN
CORPORATE DIRECTOR
—
2023-08-01
current
pecos_ownership
MATTHEW TALBOTT
CORPORATE DIRECTOR
—
2019-04-01
current
pecos_ownership
MICHAEL ROTONDO
CORPORATE DIRECTOR
—
2023-08-01
current
pecos_ownership
PHILLIP BECKLEY
CORPORATE DIRECTOR
—
2018-09-26
current
pecos_ownership
ROBERT ANDERSON
CORPORATE DIRECTOR
—
2016-12-12
current
pecos_ownership
RODOLFO QUEIROZ
CORPORATE DIRECTOR
—
2020-04-22
current
pecos_ownership
RYAN HALLINGS
CORPORATE DIRECTOR
—
2019-04-24
current
pecos_ownership
STEPHEN GRIFFIN
CORPORATE DIRECTOR
—
2024-04-24
current
pecos_ownership
STEVEN GOLDSTEIN
CORPORATE DIRECTOR
—
2023-08-01
current
pecos_ownership
SUSAN STORK
CORPORATE DIRECTOR
—
2019-04-24
current
pecos_ownership
THOMAS BURRALL
CORPORATE DIRECTOR
—
2018-04-25
current
pecos_ownership
THOMAS THOMPSON
CORPORATE DIRECTOR
—
2017-04-26
current
pecos_ownership
TRISHA KOCZENT
CORPORATE DIRECTOR
—
2021-05-31
current
pecos_ownership
UNIVERSITY OF ROCHESTER
ADP OF THE SNF
—
2024-12-26
current
pecos_ownership
WILLIAM GARRITY
CORPORATE OFFICER
—
2012-12-03
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
33
Geo
Kind
BR
Amount
As of
Source
county 36099
acs median gross
0
$528
2024-12-31
CENSUS_ACS5
county 36099
fmr
0
$879
2025-10-01
HUD_USER_FMR
county 36099
acs median gross
1
$730
2024-12-31
CENSUS_ACS5
county 36099
fmr
1
$921
2025-10-01
HUD_USER_FMR
county 36099
acs median gross
2
$960
2024-12-31
CENSUS_ACS5
county 36099
fmr
2
$1,169
2025-10-01
HUD_USER_FMR
county 36099
acs median gross
3
$1,234
2024-12-31
CENSUS_ACS5
county 36099
fmr
3
$1,550
2025-10-01
HUD_USER_FMR
county 36099
acs median gross
4
$1,415
2024-12-31
CENSUS_ACS5
county 36099
fmr
4
$1,961
2025-10-01
HUD_USER_FMR
county 36099
acs median gross
$957
2024-12-31
CENSUS_ACS5
county 36099
acs recent mover gross
$974
2024-12-31
CENSUS_ACS5
zcta 13165
acs median gross
0
$522
2024-12-31
CENSUS_ACS5
zcta 13165
acs median gross
1
$496
2024-12-31
CENSUS_ACS5
zcta 13165
acs median gross
2
$945
2024-12-31
CENSUS_ACS5
zcta 13165
acs median gross
3
$1,200
2024-12-31
CENSUS_ACS5
zcta 13165
acs median gross
4
$1,342
2024-12-31
CENSUS_ACS5
zcta 13165
acs median gross
$929
2024-12-31
CENSUS_ACS5
zip 13165
payment standard 110
0
$1,012
2025-10-01
HUD_USER_SAFMR
zip 13165
payment standard 90
0
$828
2025-10-01
HUD_USER_SAFMR
zip 13165
safmr
0
$920
2025-10-01
HUD_USER_SAFMR
zip 13165
payment standard 110
1
$1,144
2025-10-01
HUD_USER_SAFMR
zip 13165
payment standard 90
1
$936
2025-10-01
HUD_USER_SAFMR
zip 13165
safmr
1
$1,040
2025-10-01
HUD_USER_SAFMR
zip 13165
payment standard 110
2
$1,419
2025-10-01
HUD_USER_SAFMR
zip 13165
payment standard 90
2
$1,161
2025-10-01
HUD_USER_SAFMR
zip 13165
safmr
2
$1,290
2025-10-01
HUD_USER_SAFMR
zip 13165
payment standard 110
3
$1,705
2025-10-01
HUD_USER_SAFMR
zip 13165
payment standard 90
3
$1,395
2025-10-01
HUD_USER_SAFMR
zip 13165
safmr
3
$1,550
2025-10-01
HUD_USER_SAFMR
zip 13165
payment standard 110
4
$2,123
2025-10-01
HUD_USER_SAFMR
zip 13165
payment standard 90
4
$1,737
2025-10-01
HUD_USER_SAFMR
zip 13165
safmr
4
$1,930
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.