Composite
86.3 / 100 percentile
Screener / 225413
D
THE CENTER AT ADVOCATE
snfMA
111 ORIENT AVENUE, EAST BOSTON, MA 02128 · CCN 225413
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
190
Model
v1.2
Reads as: riskier than 86.3% 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.
Score model5ML signals2Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies66Licensure0Ownership30Related party6Transactions1Comps12Market rent31
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 93.6 | 91.4 | 0.30 | 0.2308 | 21.60 | in index |
| financial risk | 86.1 | 72.8 | 0.30 | 0.2308 | 19.87 | in index |
| staffing risk | 60.4 | 60.4 | 0.25 | 0.1923 | 11.62 | in index |
| billing conduct | 24.5 | 28.6 | 0.30 | 0.2308 | 5.65 | in index |
| chow risk | 46.2 | 47.1 | 0.15 | 0.1154 | 5.33 | in index |
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 |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 11 chains | TWOMAGNETS LLC | 45 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | LIKHI RISHI | 6 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.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 28.6 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.7 | A | v0.1-pos | default · in composite | 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. |
| chow risk | 69.5 | D | v0.6 | default · in composite | |
| financial risk | 72.8 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.2 | — | v0.1 | default · in composite | 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. |
| p chow 12m | 0.0 | — | v0.1 | default · in 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. |
| regulatory risk | 91.4 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 60.4 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 45.3 | C | v0.1 | superseded | 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. |
| financial risk | 25.3 | B | v0.2 | superseded | 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. |
| financial risk | 66.6 | D | v0.3 | superseded | 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. |
| financial risk | 72.9 | D | v0.4 | superseded | 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. |
| regulatory risk | 91.3 | F | v0.1 | superseded | 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. |
| regulatory risk | 91.3 | F | v0.2 | superseded | 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. |
| staffing risk | 60.4 | C | v0.1 | superseded | 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. |
| staffing risk | 60.4 | C | v0.2 | superseded | 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.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
1.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 1.41 | -1.71 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Occupancy | 0.84 | -0.40 | |
| Facility size (log beds) | 5.25 | -0.14 |
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.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
58.2
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| Deficiencies, last 12 months | 3.00 | +0.87 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.84 | -0.37 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 1.41 | -0.28 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
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 | 3.13 | 3.39 | 3.28 | 2.90–3.77 |
| RN | 0.36 | 0.39 | 0.39 | 0.25–0.58 |
| Weekend total | 2.98 | 3.26 | 3.11 | — |
| Weekday total | 3.19 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 158.8 | 3.13 | 0.36 | 0.85 | 1.91 | 2.98 | 12.5% |
| 2025Q3 | 92 | 160.2 | 3.13 | 0.34 | 0.80 | 2.00 | 2.92 | 8.3% |
| 2025Q2 | 91 | 158.6 | 3.14 | 0.35 | 0.82 | 1.98 | 2.95 | 17.0% |
| 2025Q1 | 90 | 149.2 | 3.15 | 0.38 | 0.73 | 2.04 | 2.96 | 18.9% |
| 2024Q4 | 92 | 127.3 | 3.29 | 0.50 | 0.69 | 2.10 | 3.00 | 16.7% |
| 2024Q3 | 92 | 125.4 | 3.48 | 0.50 | 0.80 | 2.17 | 3.27 | 22.1% |
| 2024Q2 | 91 | 129.0 | 3.28 | 0.55 | 0.69 | 2.05 | 3.15 | 18.4% |
| 2024Q1 | 91 | 125.6 | 3.22 | 0.65 | 0.64 | 1.93 | 3.06 | 13.3% |
| 2023Q4 | 92 | 127.7 | 3.23 | 0.67 | 0.71 | 1.85 | 3.03 | 15.0% |
| 2023Q3 | 92 | 122.0 | 2.92 | 0.65 | 0.55 | 1.73 | 2.80 | 11.0% |
| 2023Q2 | 91 | 116.4 | 3.35 | 0.71 | 0.64 | 1.99 | 3.17 | 11.9% |
| 2023Q1 | 90 | 113.2 | 3.31 | 0.66 | 0.73 | 1.92 | 3.10 | 16.2% |
| 2022Q4 | 92 | 111.5 | 3.46 | 0.60 | 0.76 | 2.09 | 2.62 | 14.2% |
| 2022Q3 | 92 | 110.6 | 3.16 | 0.60 | 0.66 | 1.90 | 2.55 | 9.7% |
| 2022Q2 | 91 | 119.9 | 3.33 | 0.64 | 0.76 | 1.93 | 2.69 | 13.4% |
| 2022Q1 | 90 | 122.2 | 3.17 | 0.64 | 0.72 | 1.81 | 2.51 | 6.8% |
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
2fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-04-23 | Fine | $15,316 | CMS provider data |
| 2024-06-10 | Fine | $53,684 | CMS provider data |
Total fines on record: $69,000
Deficiencies
66B × 2D × 48E × 7F × 2G × 4J × 3
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-19 | Health · complaint | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2025-11-21 |
| 2025-12-19 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-02-11 |
| 2025-12-19 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2026-02-11 |
| 2025-06-05 | Health | 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 | 2025-06-30 |
| 2025-06-05 | 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 | 2025-06-30 |
| 2025-06-05 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-06-30 |
| 2025-06-05 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-06-30 |
| 2025-06-05 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-06-30 |
| 2025-06-05 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2025-06-30 |
| 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 | 2025-06-30 |
| 2025-06-05 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-06-30 |
| 2025-04-23 | Health · complaint | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2025-05-21 |
| 2025-04-23 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-05-21 |
| 2025-04-23 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-05-21 |
| 2025-04-23 | Health · complaint | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2025-05-21 |
| 2025-04-23 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-03-29 |
| 2025-04-23 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-05-21 |
| 2024-11-04 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-12-20 |
| 2024-06-10 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-06-27 |
| 2024-06-10 | 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. | D | 2024-06-27 |
| 2024-06-10 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-06-27 |
| 2024-06-10 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-06-27 |
| 2024-06-10 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-06-27 |
| 2024-06-10 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2024-06-27 |
| 2024-06-10 | 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 | 2024-06-27 |
| 2024-06-10 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-06-27 |
| 2024-06-10 | 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. | G | 2024-06-27 |
| 2024-06-10 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-06-27 |
| 2024-06-10 | 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 | 2024-06-27 |
| 2024-06-10 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-06-27 |
| 2024-06-10 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2024-06-27 |
| 2024-06-10 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2024-06-27 |
| 2024-06-10 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2024-06-27 |
| 2024-06-10 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | J | 2024-06-27 |
| 2024-06-10 | 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 | 2024-06-27 |
| 2024-06-10 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | G | 2024-06-27 |
| 2024-06-10 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-06-27 |
| 2024-06-10 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-06-27 |
| 2024-06-10 | 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. | E | 2024-06-27 |
| 2024-06-10 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2024-06-27 |
| 2024-06-10 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J | 2024-06-27 |
| 2024-06-10 | 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. | D | 2024-06-27 |
| 2024-06-10 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-06-27 |
| 2024-06-10 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-06-27 |
| 2024-06-10 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2024-06-27 |
| 2024-06-10 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-06-27 |
| 2023-04-26 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2023-05-22 |
| 2023-04-26 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-05-22 |
| 2023-04-26 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-05-22 |
| 2023-04-26 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2023-05-22 |
| 2023-04-26 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2023-05-22 |
| 2023-04-26 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2023-05-22 |
| 2023-04-26 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | 2023-05-22 |
| 2023-04-26 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | B | 2023-05-22 |
| 2023-04-26 | 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 | 2023-05-22 |
| 2023-04-26 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-05-22 |
| 2023-04-26 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-05-22 |
| 2023-04-26 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2023-05-22 |
| 2023-04-26 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-05-22 |
| 2023-04-26 | 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 | 2023-05-22 |
| 2023-04-26 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-05-22 |
| 2023-04-26 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2023-05-22 |
| 2023-04-26 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-05-22 |
| 2023-04-26 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2023-05-22 |
| 2023-04-26 | 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. | D | 2023-05-22 |
| 2023-04-26 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-05-22 |
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
0No 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
30| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| 111 ORIENT AVE LLC | Corporation, partnership or other organization has financial interest in provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| 111 ORIENT AVE LLC | Corporation, partnership or other organization has financial interest in provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| 111 ORIENT PROPCO LLC | ADP OF THE SNF | — | 2025-03-01 | current | pecos_ownership |
| ADVOCATE OPCO TRUST | INDIRECT OWNERSHIP INTEREST | — | 2025-03-01 | current | pecos_ownership |
| APFELBAUM, NAFTALI | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-01 | current | pecos_ownership |
| ASMA 1 LLC | ADP OF THE SNF | — | 2025-03-01 | current | pecos_ownership |
| BH 1 MA LLC | ADP OF THE SNF | — | 2025-03-01 | current | pecos_ownership |
| BRASS MA TRUST | INDIRECT OWNERSHIP INTEREST | — | 2025-03-01 | current | pecos_ownership |
| BSD ELM TRUST | INDIRECT OWNERSHIP INTEREST | — | 2025-03-01 | current | pecos_ownership |
| CARE NETWORK SERVICES LLC | ADP OF THE SNF | — | 2025-03-01 | current | pecos_ownership |
| GELBWACHS, GITTELL | INDIRECT OWNERSHIP INTEREST | — | 2025-03-01 | current | pecos_ownership |
| LIKHI, RISHI | ADP OF THE SNF | — | 2025-03-01 | current | pecos_ownership |
| MA 1 HOLDCO OPCO LLC | DIRECT OWNERSHIP INTEREST | — | 2025-03-01 | current | pecos_ownership |
| NBH BANK | 5% OR GREATER MORTGAGE INTEREST | — | 2025-03-01 | current | pecos_ownership |
| NEVILLE, ANNE | ADP OF THE SNF | — | 2025-03-01 | current | pecos_ownership |
| NEVILLE, ANNE | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-05 | current | pecos_ownership |
| OFG MAGENTA LLC | INDIRECT OWNERSHIP INTEREST | — | 2025-03-01 | current | pecos_ownership |
| RABINOWITZ, DEVORAH | INDIRECT OWNERSHIP INTEREST | — | 2025-03-01 | current | pecos_ownership |
| SALZMAN, DAVID | INDIRECT OWNERSHIP INTEREST | — | 2025-03-01 | current | pecos_ownership |
| SUPPORT OPCO DESCENDANTS TRUST | INDIRECT OWNERSHIP INTEREST | — | 2025-03-01 | current | pecos_ownership |
| TJA HC HOLDINGS LLC | INDIRECT OWNERSHIP INTEREST | — | 2025-03-01 | current | pecos_ownership |
| TWOMAGNETS LLC | ADP OF THE SNF | — | 2025-03-01 | current | pecos_ownership |
| 111 ORIENT AVE LLC | Corporation, partnership or other organization has financial interest in provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| DAVID SALZMAN | INDIRECT OWNERSHIP INTEREST | 33% | 2025-03-01 | ended 2026-05-18 | pecos_ownership |
| NAFTALI APFELBAUM | INDIRECT OWNERSHIP INTEREST | 30% | 2025-03-01 | ended 2026-05-18 | pecos_ownership |
| DEVORAH RABINOWITZ | INDIRECT OWNERSHIP INTEREST | 18% | 2025-03-01 | ended 2026-05-18 | pecos_ownership |
| GITTELL GELBWACHS | INDIRECT OWNERSHIP INTEREST | 18% | 2025-03-01 | ended 2026-05-18 | pecos_ownership |
| ANNE NEVILLE | ADP OF THE SNF | — | 2025-03-01 | ended 2026-05-18 | pecos_ownership |
| ANNE NEVILLE | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-05 | ended 2026-05-18 | pecos_ownership |
| RISHI LIKHI | ADP OF THE SNF | — | 2025-03-01 | 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.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2025-03-01 | — | THE CENTER AT ADVOCATE LLC | ADVOCATE HEALTHCARE OF EAST BOSTON LLC | chow |
Comparable trades — MA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-29 | Hadley Pointe Nursing Rehab & Care | — | — | — | 154 | HADLEY CENTER LLC |
| 2025-08-01 | Alliance Health at Coleman | — | — | — | 45 | ALLIANCE HEALTH OF NORTHBOROUGH INC |
| 2025-05-28 | PALM SPRINGS POST ACUTE | — | — | — | 124 | PALM SPRINGS OPERATOR LLC |
| 2025-05-28 | HAMPDEN POST ACUTE | — | — | — | 135 | HAMPDEN OPERATOR LLC |
| 2025-04-01 | BROCKTON POST ACUTE CARE | — | — | — | 169 | BROCKTON OPERATOR LLC |
| 2025-04-01 | HIGHLAND PARK REHABILITATION AND HEALTHCARE CENTER | — | — | — | 195 | HIGHLAND PARK OPERATOR LLC |
| 2025-03-01 | THE CENTER AT ADVOCATEthis facility | — | — | — | 190 | THE CENTER AT ADVOCATE LLC |
| 2025-03-01 | Premier Healthcare at Harrington House | — | — | — | 90 | 160 MAIN STREET WALPOLE OPERATOR LLC |
| 2025-02-28 | PORT REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | NEWBURYPORT SNF OPERATIONS LLC |
| 2025-02-28 | MASCONOMET REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | TOPSFIELD SNF OPERATIONS LLC |
| 2025-02-28 | SIPPICAN REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | MARION SNF OPERATIONS LLC |
| 2025-02-28 | NEMASKET REHABILITATION AND HEALTHCARE CENTER | — | — | — | 102 | MIDDLEBOROUGH SNF OPERATIONS LLC |
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 25025 | acs median gross | 0 | $1,947 | 2024-12-31 | CENSUS_ACS5 |
| county 25025 | acs median gross | 1 | $1,966 | 2024-12-31 | CENSUS_ACS5 |
| county 25025 | acs median gross | 2 | $2,210 | 2024-12-31 | CENSUS_ACS5 |
| county 25025 | acs median gross | 3 | $2,269 | 2024-12-31 | CENSUS_ACS5 |
| county 25025 | acs median gross | 4 | $2,554 | 2024-12-31 | CENSUS_ACS5 |
| county 25025 | acs median gross | 5 | $2,169 | 2024-12-31 | CENSUS_ACS5 |
| county 25025 | acs median gross | $2,129 | 2024-12-31 | CENSUS_ACS5 | |
| county 25025 | acs recent mover gross | $2,759 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 02128 | acs median gross | 0 | $1,914 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02128 | acs median gross | 1 | $1,934 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02128 | acs median gross | 2 | $2,045 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02128 | acs median gross | 3 | $2,197 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02128 | acs median gross | 4 | $2,272 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02128 | acs median gross | 5 | $2,601 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02128 | acs median gross | $2,064 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 02128 | acs recent mover gross | $2,317 | 2024-12-31 | CENSUS_ACS5 | |
| zip 02128 | payment standard 110 | 0 | $2,420 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02128 | payment standard 90 | 0 | $1,980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02128 | safmr | 0 | $2,200 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02128 | payment standard 110 | 1 | $2,541 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02128 | payment standard 90 | 1 | $2,079 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02128 | safmr | 1 | $2,310 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02128 | payment standard 110 | 2 | $3,014 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02128 | payment standard 90 | 2 | $2,466 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02128 | safmr | 2 | $2,740 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02128 | payment standard 110 | 3 | $3,619 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02128 | payment standard 90 | 3 | $2,961 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02128 | safmr | 3 | $3,290 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02128 | payment standard 110 | 4 | $3,993 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02128 | payment standard 90 | 4 | $3,267 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02128 | safmr | 4 | $3,630 | 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.