30 PRINCETON BOULEVARD, LOWELL, MA 01851 · CCN 225511
Composite
87.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
90
Model
v1.2
Reads as: riskier than 87.1% 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
2
Kind
Finding
Signal
Subject
First seen
anomaly
Federal penalty spike
6.0x prior
this facility
2026-07-29
connection
Owner spans multiple chains
4 chains
MIRLIS ELIYAHU
18 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
MA median
National median
National p25–p75
Total nurse
3.26
3.39
3.28
2.90–3.77
RN
0.40
0.39
0.39
0.25–0.58
Weekend total
3.08
3.26
3.11
—
Weekday total
3.33
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
60.7
3.26
0.40
1.12
1.73
3.08
0.0%
2025Q3
92
59.1
3.19
0.42
1.00
1.76
3.09
0.0%
2025Q2
91
55.4
3.29
0.52
0.97
1.80
3.24
0.0%
2025Q1
90
58.0
3.02
0.44
0.99
1.59
2.94
0.0%
2024Q4
92
53.6
3.17
0.40
1.06
1.71
3.06
0.0%
2024Q3
92
54.6
2.99
0.38
0.95
1.66
2.90
0.0%
2024Q2
91
53.8
3.21
0.55
0.96
1.70
2.99
3.3%
2024Q1
91
56.1
3.17
0.41
0.95
1.81
2.98
0.0%
2023Q4
92
58.6
3.03
0.42
0.89
1.72
2.81
0.0%
2023Q3
92
63.5
3.02
0.48
0.75
1.79
2.76
11.6%
2023Q2
91
65.0
3.39
0.43
0.89
2.07
3.15
22.0%
2023Q1
90
69.2
3.44
0.42
0.95
2.08
3.15
29.3%
2022Q4
92
72.0
2.91
0.23
0.87
1.81
2.73
18.1%
2022Q3
92
76.2
3.20
0.30
1.02
1.88
2.89
27.2%
2022Q2
91
75.5
3.01
0.29
0.93
1.78
2.87
20.2%
2022Q1
90
68.7
3.28
0.29
1.10
1.89
3.20
21.7%
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.
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
2026-03-13
2026-03-10
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
2026-03-13
2026-03-10
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2026-03-13
2026-03-10
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2026-03-13
2026-03-10
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2026-03-13
2026-03-10
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2026-03-13
2026-03-10
Health
F0760
Ensure that residents are free from significant medication errors.
D
2026-03-13
2026-03-10
Health
F0790
Provide routine and 24-hour emergency dental care for each resident.
D
2026-03-13
2026-03-10
Health
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2026-03-13
2026-01-29
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2026-02-19
2025-03-31
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-04-12
2025-03-31
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-04-12
2025-03-31
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.
F
2025-04-12
2025-03-31
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
2025-04-12
2025-03-31
Health
F0679
Provide activities to meet all resident's needs.
E
2025-04-12
2025-03-31
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-04-12
2025-03-31
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
2025-04-12
2025-03-31
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2025-04-12
2025-03-31
Health
F0742
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
J
2025-04-12
2025-03-31
Health
F0745
Provide medically-related social services to help each resident achieve the highest possible quality of life.
D
2025-04-12
2025-03-31
Health
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
E
2025-04-12
2025-03-31
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2025-04-12
2025-03-31
Health
F0808
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
E
2025-04-12
2025-03-31
Health
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
D
2025-04-12
2025-03-31
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2025-04-12
2024-04-03
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-04-19
2024-04-03
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2024-04-19
2024-04-03
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.
E
2024-04-19
2024-04-03
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2024-04-19
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
4
Owner
Role
Pct
From
Status
Source
MIRLIS, ELIYAHU
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-11-01
current
pecos_ownership
ELI MIRLIS
—
—
2023-01-01
current
hcris_a_8_1
ELIYAHU MIRLIS
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-11-01
ended 2026-05-18
pecos_ownership
LOWELL REALTY
—
—
2022-11-01
ended 2022-12-31
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$991,889
—
—
$267,242
—
4
—
2023-12-31
$1,011,822
—
—
$202,353
—
5
propco
2022-12-31
$129,054
—
—
$35,719
—
5
propco
2022-10-31
$2,089,382
$61,848
$409,094
$368,133
$1,227,447
6
—
2021-12-31
$1,297,679
—
$423,474
$355,185
$491,588
5
—
2020-12-31
$1,164,126
—
$437,767
$340,447
$357,179
9
—
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
31
Geo
Kind
BR
Amount
As of
Source
county 25017
acs median gross
0
$1,773
2024-12-31
CENSUS_ACS5
county 25017
acs median gross
1
$1,807
2024-12-31
CENSUS_ACS5
county 25017
acs median gross
2
$2,336
2024-12-31
CENSUS_ACS5
county 25017
acs median gross
3
$2,612
2024-12-31
CENSUS_ACS5
county 25017
acs median gross
4
$2,955
2024-12-31
CENSUS_ACS5
county 25017
acs median gross
5
$2,755
2024-12-31
CENSUS_ACS5
county 25017
acs median gross
$2,201
2024-12-31
CENSUS_ACS5
county 25017
acs recent mover gross
$2,657
2024-12-31
CENSUS_ACS5
zcta 01851
acs median gross
0
$851
2024-12-31
CENSUS_ACS5
zcta 01851
acs median gross
1
$1,446
2024-12-31
CENSUS_ACS5
zcta 01851
acs median gross
2
$1,763
2024-12-31
CENSUS_ACS5
zcta 01851
acs median gross
3
$1,877
2024-12-31
CENSUS_ACS5
zcta 01851
acs median gross
4
$1,673
2024-12-31
CENSUS_ACS5
zcta 01851
acs median gross
5
$1,996
2024-12-31
CENSUS_ACS5
zcta 01851
acs median gross
$1,714
2024-12-31
CENSUS_ACS5
zcta 01851
acs recent mover gross
$1,988
2024-12-31
CENSUS_ACS5
zip 01851
payment standard 110
0
$1,727
2025-10-01
HUD_USER_SAFMR
zip 01851
payment standard 90
0
$1,413
2025-10-01
HUD_USER_SAFMR
zip 01851
safmr
0
$1,570
2025-10-01
HUD_USER_SAFMR
zip 01851
payment standard 110
1
$1,903
2025-10-01
HUD_USER_SAFMR
zip 01851
payment standard 90
1
$1,557
2025-10-01
HUD_USER_SAFMR
zip 01851
safmr
1
$1,730
2025-10-01
HUD_USER_SAFMR
zip 01851
payment standard 110
2
$2,497
2025-10-01
HUD_USER_SAFMR
zip 01851
payment standard 90
2
$2,043
2025-10-01
HUD_USER_SAFMR
zip 01851
safmr
2
$2,270
2025-10-01
HUD_USER_SAFMR
zip 01851
payment standard 110
3
$2,992
2025-10-01
HUD_USER_SAFMR
zip 01851
payment standard 90
3
$2,448
2025-10-01
HUD_USER_SAFMR
zip 01851
safmr
3
$2,720
2025-10-01
HUD_USER_SAFMR
zip 01851
payment standard 110
4
$3,311
2025-10-01
HUD_USER_SAFMR
zip 01851
payment standard 90
4
$2,709
2025-10-01
HUD_USER_SAFMR
zip 01851
safmr
4
$3,010
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.