Composite
96.5 / 100 percentile
Screener / 225644
F
SALEM REHAB CENTER
snfMA
7 LORING HILLS AVENUE, SALEM, MA 01970 · CCN 225644 · chain DECLARATION OF TRUST OF YOSEF MEYSTEL
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
123
Model
v1.2
Reads as: riskier than 96.5% 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.
Score model5ML signals25Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies86Licensure0Ownership27Related party5Transactions1Comps12Market rent30
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 99.3 | 98.7 | 0.30 | 0.2308 | 22.92 | in index |
| financial risk | 90.9 | 78.7 | 0.30 | 0.2308 | 20.98 | in index |
| staffing risk | 64.6 | 64.6 | 0.25 | 0.1923 | 12.42 | in index |
| billing conduct | 44.7 | 37.2 | 0.30 | 0.2308 | 10.32 | in index |
| chow risk | 60.2 | 58.7 | 0.15 | 0.1154 | 6.95 | 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
25| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +28.2 vs natl | CURIS SERVICES LLC | 85 facilities |
| connection | Owner fleet risk far above national | +28.1 vs natl | TUROFSKY STEVEN | 87 facilities |
| connection | Owner fleet risk far above national | +27.4 vs natl | SPECTOR JENNIFER | 93 facilities |
| connection | Owner fleet risk far above national | +27.3 vs natl | TALAMONA RAYMOND | 8 facilities |
| connection | Owner fleet risk far above national | +26.3 vs natl | BERKOWITZ DAVID | 77 facilities |
| connection | Owner fleet risk far above national | +26.2 vs natl | MEYSTEL YOSEF | 77 facilities |
| connection | Owner fleet risk far above national | +23.6 vs natl | DECLARATION OF TRUST OF YOSEF MEYSTEL | 11 facilities |
| connection | Owner fleet risk far above national | +23.5 vs natl | POINTE GROUP CARE LLC | 9 facilities |
| connection | Owner fleet risk far above national | +22.2 vs natl | BERKOWITZ BENJAMIN | 11 facilities |
| connection | Owner fleet risk far above national | +21.8 vs natl | LABELLA CATERINA | 8 facilities |
| connection | Owner fleet risk far above national | +20.3 vs natl | DAVID A BERKOWITZ REVOCABLE TRUST | 9 facilities |
| connection | Owner spans multiple chains | 9 chains | TUROFSKY STEVEN | 84 facilities |
| connection | Owner spans multiple chains | 9 chains | SPECTOR JENNIFER | 90 facilities |
| connection | Owner spans multiple chains | 8 chains | CURIS SERVICES LLC | 81 facilities |
| connection | Owner spans multiple chains | 8 chains | MEYSTEL YOSEF | 73 facilities |
| connection | Owner spans multiple chains | 8 chains | BERKOWITZ DAVID | 73 facilities |
| connection | Owner spans multiple chains | 5 chains | DAVID A BERKOWITZ REVOCABLE TRUST | 9 facilities |
| connection | Owner spans multiple chains | 5 chains | DECLARATION OF TRUST OF YOSEF MEYSTEL | 10 facilities |
| connection | Owner fleet enforcement cluster | 53% fined | SPECTOR JENNIFER | 93 facilities |
| connection | Owner fleet enforcement cluster | 52% fined | CURIS SERVICES LLC | 85 facilities |
| connection | Owner fleet enforcement cluster | 52% fined | TUROFSKY STEVEN | 87 facilities |
| connection | Owner fleet enforcement cluster | 51% fined | MEYSTEL YOSEF | 77 facilities |
| connection | Owner fleet enforcement cluster | 51% fined | BERKOWITZ DAVID | 77 facilities |
| connection | Owner fleet enforcement cluster | 46% fined | DECLARATION OF TRUST OF YOSEF MEYSTEL | 11 facilities |
| connection | Owner fleet enforcement cluster | 44% fined | DAVID A BERKOWITZ REVOCABLE TRUST | 9 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 | 37.2 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | 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 | 92.5 | F | v0.6 | default · in composite | |
| financial risk | 78.7 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.1 | — | 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 | 0.1 | — | 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 | 98.7 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 64.6 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 96.4 | F | 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 | 76.4 | D | 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 | 76.9 | 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 | 77.2 | 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 | 98.9 | 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 | 98.9 | 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 | 64.6 | 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 | 64.6 | 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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
33.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 7.16 | -1.15 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.53 | +0.48 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Contract staffing share | 0.01 | -0.08 | |
| Deficiencies, last 12 months | 4.00 | -0.07 |
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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
53.5
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.53 | +0.91 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 4.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Staffing trend, last 4 quarters | -0.41 | -0.22 | |
| Current owner tenure (years) | 7.16 | -0.18 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
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 | 3.07 | 3.39 | 3.28 | 2.90–3.77 |
| RN | 0.36 | 0.39 | 0.39 | 0.25–0.58 |
| Weekend total | 3.03 | 3.26 | 3.11 | — |
| Weekday total | 3.08 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 65.6 | 3.07 | 0.36 | 0.71 | 2.00 | 3.03 | 1.2% |
| 2025Q3 | 92 | 66.0 | 3.13 | 0.40 | 0.78 | 1.95 | 3.15 | 2.9% |
| 2025Q2 | 91 | 70.0 | 3.10 | 0.52 | 0.66 | 1.92 | 3.11 | 1.6% |
| 2025Q1 | 90 | 76.3 | 3.01 | 0.41 | 0.62 | 1.98 | 3.07 | 3.3% |
| 2024Q4 | 92 | 89.7 | 3.48 | 0.47 | 0.73 | 2.27 | 3.47 | 7.8% |
| 2024Q3 | 92 | 102.8 | 3.42 | 0.51 | 0.75 | 2.17 | 3.30 | 7.0% |
| 2024Q2 | 91 | 109.2 | 3.38 | 0.43 | 0.65 | 2.30 | 3.27 | 0.0% |
| 2024Q1 | 91 | 113.3 | 3.38 | 0.50 | 0.69 | 2.18 | 3.28 | 0.0% |
| 2023Q4 | 92 | 106.5 | 3.53 | 0.63 | 0.70 | 2.20 | 3.35 | 7.3% |
| 2023Q3 | 92 | 99.0 | 3.45 | 0.65 | 0.68 | 2.11 | 3.26 | 26.1% |
| 2023Q2 | 91 | 83.4 | 3.47 | 0.72 | 0.56 | 2.20 | 3.32 | 29.6% |
| 2023Q1 | 90 | 84.6 | 3.44 | 0.53 | 0.72 | 2.18 | 3.51 | 18.2% |
| 2022Q4 | 92 | 83.0 | 3.77 | 0.61 | 0.79 | 2.37 | 3.79 | 14.0% |
| 2022Q3 | 92 | 74.3 | 3.58 | 0.48 | 0.99 | 2.11 | 3.36 | 21.0% |
| 2022Q2 | 91 | 72.7 | 3.14 | 0.43 | 0.86 | 1.85 | 3.04 | 16.0% |
| 2022Q1 | 90 | 73.3 | 3.26 | 0.49 | 0.79 | 1.98 | 3.16 | 11.3% |
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 |
|---|---|---|---|
| 2024-08-12 | Fine | $238,905 | CMS provider data |
| 2023-07-25 | Fine | $13,880 | CMS provider data |
Total fines on record: $252,785
Deficiencies
86B × 5D × 37E × 26F × 8G × 2H × 1K × 7
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-09-05 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-09-12 |
| 2025-09-05 | 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 | 2025-09-12 |
| 2025-09-05 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2025-09-12 |
| 2025-09-05 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-09-12 |
| 2025-04-17 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-05-28 |
| 2025-04-17 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-05-28 |
| 2025-04-17 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-05-28 |
| 2025-04-17 | 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 | 2025-05-28 |
| 2025-04-17 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-05-28 |
| 2025-04-17 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2025-05-28 |
| 2025-04-17 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-05-28 |
| 2025-04-17 | 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 | 2025-05-28 |
| 2024-08-12 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-10-14 |
| 2024-08-12 | Health | 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. | B | 2024-10-14 |
| 2024-08-12 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2024-10-14 |
| 2024-08-12 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | 2024-10-14 |
| 2024-08-12 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2024-11-15 |
| 2024-08-12 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | K | 2024-10-14 |
| 2024-08-12 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | 2024-10-14 |
| 2024-08-12 | Health | F0583 | Keep residents' personal and medical records private and confidential. | E | 2024-10-14 |
| 2024-08-12 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | 2024-10-14 |
| 2024-08-12 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2024-10-14 |
| 2024-08-12 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-10-14 |
| 2024-08-12 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2024-10-14 |
| 2024-08-12 | 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 | 2024-10-14 |
| 2024-08-12 | 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 | 2024-10-14 |
| 2024-08-12 | Health | F0641 | Ensure each resident receives an accurate assessment. | B | 2024-10-14 |
| 2024-08-12 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-10-14 |
| 2024-08-12 | 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 | 2024-10-14 |
| 2024-08-12 | 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 | 2024-10-14 |
| 2024-08-12 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-10-14 |
| 2024-08-12 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-10-14 |
| 2024-08-12 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2024-11-15 |
| 2024-08-12 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | 2024-10-14 |
| 2024-08-12 | 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 | 2024-10-14 |
| 2024-08-12 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-10-14 |
| 2024-08-12 | 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 | 2024-11-15 |
| 2024-08-12 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | K | 2024-10-14 |
| 2024-08-12 | 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 | 2024-10-14 |
| 2024-08-12 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2024-11-15 |
| 2024-08-12 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2024-10-14 |
| 2024-08-12 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | H | 2024-11-15 |
| 2024-08-12 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2024-11-15 |
| 2024-08-12 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | E | 2024-10-14 |
| 2024-08-12 | Health | 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 | 2024-10-14 |
| 2024-08-12 | 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. | K | 2024-11-15 |
| 2024-08-12 | Health | F0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | E | 2024-10-14 |
| 2024-08-12 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2024-10-14 |
| 2024-08-12 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-10-14 |
| 2024-08-12 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2024-10-14 |
| 2024-08-12 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-10-14 |
| 2024-08-12 | Health | 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. | E | 2024-10-14 |
| 2024-08-12 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2024-11-15 |
| 2024-08-12 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2024-10-14 |
| 2024-08-12 | 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 | 2024-11-15 |
| 2024-08-12 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2024-10-14 |
| 2024-08-12 | Health | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2024-10-14 |
| 2024-08-12 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2024-10-14 |
| 2024-08-12 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-10-14 |
| 2024-08-12 | 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 | 2024-10-14 |
| 2024-08-12 | Health | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | E | 2024-10-14 |
| 2024-08-12 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-10-14 |
| 2024-08-12 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | K | 2024-10-14 |
| 2024-08-12 | Health | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | K | 2024-10-14 |
| 2024-08-12 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-11-15 |
| 2024-08-12 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-11-15 |
| 2024-08-12 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-10-14 |
| 2024-08-12 | Health | F0926 | Have policies on smoking. | E | 2024-10-14 |
| 2024-08-12 | Health | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | 2024-10-14 |
| 2024-08-12 | Health | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | F | 2024-10-14 |
| 2024-08-12 | Health | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | F | 2024-10-14 |
| 2024-08-12 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | 2024-10-14 |
| 2024-08-12 | Health | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | F | 2024-10-14 |
| 2024-08-12 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | 2024-10-14 |
| 2024-08-12 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | 2024-10-14 |
| 2024-05-08 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-07-08 |
| 2024-02-29 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2024-04-05 |
| 2024-01-26 | 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 | 2024-03-07 |
| 2024-01-26 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-03-07 |
| 2023-09-21 | Health · complaint | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | 2023-11-03 |
| 2023-09-21 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-11-03 |
| 2023-09-21 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-11-03 |
| 2023-09-21 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-11-03 |
| 2023-07-25 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | 2023-07-03 |
| 2023-07-25 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-07-03 |
| 2023-06-21 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2023-07-17 |
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
27| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ARSENAULT, DEBRA | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-11-20 | current | pecos_ownership |
| BERKOWITZ, BENJAMIN | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-11-20 | current | pecos_ownership |
| BERKOWITZ, DAVID | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2026-02-13 | current | pecos_ownership |
| CAROL WAY LLC | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| CAROL WAY LLC | Individual has financial interest in both related organization and provider | — | 2023-01-01 | current | hcris_a_8_1 |
| CURIS SERVICES LLC | ADP OF THE SNF | — | 2018-11-20 | current | pecos_ownership |
| DAVID A. BERKOWITZ REVOCABLE TRUST | DIRECT OWNERSHIP INTEREST | — | 2018-11-20 | current | pecos_ownership |
| DECLARATION OF TRUST OF YOSEF MEYSTEL | DIRECT OWNERSHIP INTEREST | — | 2018-11-20 | current | pecos_ownership |
| LABELLA, CATERINA | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-11-20 | current | pecos_ownership |
| LEGER, GARY | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-11-20 | current | pecos_ownership |
| MEYSTEL, YOSEF | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2026-02-13 | current | pecos_ownership |
| POINTE GROUP CARE LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-11-20 | current | pecos_ownership |
| POINTE GROUP CARE LLC | ADP OF THE SNF | — | 2025-05-19 | current | pecos_ownership |
| SPECTOR, JENNIFER | CORPORATE OFFICER | — | 2018-11-20 | current | pecos_ownership |
| TALAMONA, RAYMOND | ADP OF THE SNF | — | 2018-11-20 | current | pecos_ownership |
| TUROFSKY, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-11-20 | current | pecos_ownership |
| WALGER, MICHAEL | ADP OF THE SNF | — | 2018-11-20 | current | pecos_ownership |
| BENJAMIN BERKOWITZ | ADP OF THE SNF | — | 2018-11-20 | ended 2026-05-18 | pecos_ownership |
| CAROL WAY LLC | Individual has financial interest in both related organization and provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| CAROL WAY LLC | Individual has financial interest in both related organization and provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| CATERINA LABELLA | CORPORATE OFFICER | — | 2018-11-20 | ended 2026-05-18 | pecos_ownership |
| DEBRA ARSENAULT | ADP OF THE SNF | — | 2018-11-20 | ended 2026-05-18 | pecos_ownership |
| GARY LEGER | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-11-20 | ended 2026-05-18 | pecos_ownership |
| JENNIFER SPECTOR | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-11-20 | ended 2026-05-18 | pecos_ownership |
| MICHAEL WALGER | ADP OF THE SNF | — | 2018-11-20 | ended 2026-05-18 | pecos_ownership |
| RAYMOND TALAMONA | ADP OF THE SNF | — | 2018-11-20 | ended 2026-05-18 | pecos_ownership |
| STEVEN TUROFSKY | ADP OF THE SNF | — | 2018-11-20 | 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 |
|---|---|---|---|---|
| 2019-06-01 | — | SALEM REHAB CENTER LLC | GROSVENOR PARK HEALTH CENTER 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 ADVOCATE | — | — | — | 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
30| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 25009 | acs median gross | 0 | $1,355 | 2024-12-31 | CENSUS_ACS5 |
| county 25009 | acs median gross | 1 | $1,383 | 2024-12-31 | CENSUS_ACS5 |
| county 25009 | acs median gross | 2 | $1,864 | 2024-12-31 | CENSUS_ACS5 |
| county 25009 | acs median gross | 3 | $1,998 | 2024-12-31 | CENSUS_ACS5 |
| county 25009 | acs median gross | 4 | $2,198 | 2024-12-31 | CENSUS_ACS5 |
| county 25009 | acs median gross | 5 | $2,425 | 2024-12-31 | CENSUS_ACS5 |
| county 25009 | acs median gross | $1,756 | 2024-12-31 | CENSUS_ACS5 | |
| county 25009 | acs recent mover gross | $2,174 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 01970 | acs median gross | 0 | $1,385 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01970 | acs median gross | 1 | $1,691 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01970 | acs median gross | 2 | $1,883 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01970 | acs median gross | 3 | $2,228 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01970 | acs median gross | 5 | $2,808 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01970 | acs median gross | $1,836 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 01970 | acs recent mover gross | $2,229 | 2024-12-31 | CENSUS_ACS5 | |
| zip 01970 | payment standard 110 | 0 | $2,244 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01970 | payment standard 90 | 0 | $1,836 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01970 | safmr | 0 | $2,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01970 | payment standard 110 | 1 | $2,376 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01970 | payment standard 90 | 1 | $1,944 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01970 | safmr | 1 | $2,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01970 | payment standard 110 | 2 | $2,816 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01970 | payment standard 90 | 2 | $2,304 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01970 | safmr | 2 | $2,560 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01970 | payment standard 110 | 3 | $3,388 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01970 | payment standard 90 | 3 | $2,772 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01970 | safmr | 3 | $3,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01970 | payment standard 110 | 4 | $3,729 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01970 | payment standard 90 | 4 | $3,051 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01970 | safmr | 4 | $3,390 | 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.