144 45 87TH AVENUE, JAMAICA, NY 11435 · CCN 335724
Composite
84.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
320
Model
v1.2
Reads as: riskier than 84.0% 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.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16
2025Q4 HPRD
This facility
NY median
National median
National p25–p75
Total nurse
3.83
3.33
3.28
2.90–3.77
RN
1.01
0.43
0.39
0.25–0.58
Weekend total
3.59
3.03
3.11
—
Weekday total
3.93
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
292.3
3.83
1.01
0.29
2.53
3.59
7.1%
2025Q3
92
300.2
3.77
1.04
0.28
2.45
3.63
6.3%
2025Q2
91
301.2
3.82
1.01
0.32
2.49
3.69
4.9%
2025Q1
90
298.4
4.07
1.09
0.44
2.54
3.92
7.9%
2024Q4
92
302.9
4.17
1.09
0.46
2.63
3.98
9.6%
2024Q3
92
301.6
4.07
1.05
0.49
2.53
3.84
11.0%
2024Q2
91
302.8
3.96
0.97
0.52
2.47
3.75
9.1%
2024Q1
91
308.0
3.90
0.94
0.51
2.45
3.75
4.9%
2023Q4
92
302.2
3.99
0.99
0.52
2.48
3.81
2.7%
2023Q3
92
299.1
4.10
1.00
0.52
2.58
3.90
2.8%
2023Q2
91
302.0
4.15
1.02
0.54
2.59
3.84
3.6%
2023Q1
90
300.3
4.10
1.03
0.58
2.48
3.74
3.3%
2022Q4
92
308.5
3.86
1.01
0.60
2.25
3.55
3.8%
2022Q3
92
309.2
3.60
0.94
0.50
2.17
3.36
2.1%
2022Q2
91
313.3
3.76
0.97
0.52
2.27
3.35
4.8%
2022Q1
90
293.7
3.75
0.94
0.58
2.22
3.35
5.1%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
J
2025-02-14
2024-12-19
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
2025-02-16
2024-12-19
Health
F0568
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
D
2025-02-16
2024-12-19
Health
F0570
Assure the security of all personal funds of residents deposited with the facility.
E
2025-02-16
2024-12-19
Health
F0576
Ensure residents have reasonable access to and privacy in their use of communication methods.
E
2025-02-16
2024-12-19
Health · complaint
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
E
2025-02-16
2024-12-19
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-02-16
2024-12-19
Health · complaint
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F
2025-02-16
2024-12-19
Health
F0732
Post nurse staffing information every day.
D
2025-02-16
2024-12-19
Health · complaint
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
D
2025-02-16
2024-12-19
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2025-02-16
2024-08-01
Health · complaint
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2024-09-27
2022-12-06
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
2023-02-06
2022-12-06
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-02-06
2022-12-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-02-06
2020-09-22
Health
F0880
Provide and implement an infection prevention and control program.
D
2020-10-20
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
30
Owner
Role
Pct
From
Status
Source
COTE-TAYLOR, ANNE
CORPORATE DIRECTOR
—
2021-12-31
current
pecos_ownership
EVANS, RICHARD
CORPORATE DIRECTOR
—
2021-12-31
current
pecos_ownership
IENUSO, JOSEPH
CORPORATE DIRECTOR
—
2021-12-31
current
pecos_ownership
MALATYALI, BURAK
CORPORATE DIRECTOR
—
2021-12-31
current
pecos_ownership
MILLS, STEPHEN
CORPORATE DIRECTOR
—
2021-12-31
current
pecos_ownership
MUCARIA, JACLYN
CORPORATE DIRECTOR
—
2021-12-31
current
pecos_ownership
NEMNOM, ELIAS
CORPORATE OFFICER
—
2017-11-01
current
pecos_ownership
NEMNOM, ELIAS
W-2 MANAGING EMPLOYEE
—
2015-11-01
current
pecos_ownership
O'TOOLE, NANCY
CORPORATE DIRECTOR
—
2021-12-31
current
pecos_ownership
PALUMBO, WILLIAM
CORPORATE OFFICER
—
2021-05-03
current
pecos_ownership
PEREZ, CESAR
CORPORATE DIRECTOR
—
2021-12-31
current
pecos_ownership
PERUGGI, REGINA
CORPORATE DIRECTOR
—
2021-12-31
current
pecos_ownership
RODRIGUES, LUCAN
CORPORATE OFFICER
—
2020-05-25
current
pecos_ownership
TRETOLA, MICHAEL
CORPORATE OFFICER
—
2011-01-01
current
pecos_ownership
WESTERVELT, KAREN
CORPORATE DIRECTOR
—
2021-12-31
current
pecos_ownership
ANNE COTE-TAYLOR
CORPORATE DIRECTOR
100%
2021-12-31
ended 2026-05-18
pecos_ownership
BURAK MALATYALI
CORPORATE DIRECTOR
100%
2021-12-31
ended 2026-05-18
pecos_ownership
CESAR PEREZ
CORPORATE DIRECTOR
100%
2021-12-31
ended 2026-05-18
pecos_ownership
ELIAS NEMNOM
W-2 MANAGING EMPLOYEE
100%
2015-11-01
ended 2026-05-18
pecos_ownership
ELIAS NEMNOM
CORPORATE OFFICER
100%
2017-11-01
ended 2026-05-18
pecos_ownership
JACLYN MUCARIA
CORPORATE DIRECTOR
100%
2021-12-31
ended 2026-05-18
pecos_ownership
JOSEPH IENUSO
CORPORATE DIRECTOR
100%
2021-12-31
ended 2026-05-18
pecos_ownership
KAREN WESTERVELT
CORPORATE DIRECTOR
100%
2021-12-31
ended 2026-05-18
pecos_ownership
LUCAN RODRIGUES
CORPORATE OFFICER
100%
2020-05-25
ended 2026-05-18
pecos_ownership
MICHAEL TRETOLA
CORPORATE OFFICER
100%
2011-01-01
ended 2026-05-18
pecos_ownership
NANCY O'TOOLE
CORPORATE DIRECTOR
100%
2021-12-31
ended 2026-05-18
pecos_ownership
REGINA PERUGGI
CORPORATE DIRECTOR
100%
2021-12-31
ended 2026-05-18
pecos_ownership
RICHARD EVANS
CORPORATE DIRECTOR
100%
2021-12-31
ended 2026-05-18
pecos_ownership
STEPHEN MILLS
CORPORATE DIRECTOR
100%
2021-12-31
ended 2026-05-18
pecos_ownership
WILLIAM PALUMBO
CORPORATE OFFICER
100%
2021-05-03
ended 2026-05-18
pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,790,826
—
—
—
$934,576
3
—
2023-12-31
$2,311,655
—
—
—
$1,376,029
3
—
2022-12-31
$1,323,692
—
—
—
$350,002
3
—
2021-12-31
$1,347,899
—
—
—
$398,334
3
—
2020-12-31
$907,463
—
—
—
$800,357
3
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 36081
acs median gross
0
$1,597
2024-12-31
CENSUS_ACS5
county 36081
fmr
0
$2,529
2025-10-01
HUD_USER_FMR
county 36081
acs median gross
1
$1,792
2024-12-31
CENSUS_ACS5
county 36081
fmr
1
$2,655
2025-10-01
HUD_USER_FMR
county 36081
acs median gross
2
$2,033
2024-12-31
CENSUS_ACS5
county 36081
fmr
2
$2,910
2025-10-01
HUD_USER_FMR
county 36081
acs median gross
3
$2,384
2024-12-31
CENSUS_ACS5
county 36081
fmr
3
$3,644
2025-10-01
HUD_USER_FMR
county 36081
acs median gross
4
$2,637
2024-12-31
CENSUS_ACS5
county 36081
fmr
4
$3,959
2025-10-01
HUD_USER_FMR
county 36081
acs median gross
5
$2,292
2024-12-31
CENSUS_ACS5
county 36081
acs median gross
$1,956
2024-12-31
CENSUS_ACS5
county 36081
acs recent mover gross
$2,285
2024-12-31
CENSUS_ACS5
zcta 11435
acs median gross
0
$1,490
2024-12-31
CENSUS_ACS5
zcta 11435
acs median gross
1
$1,728
2024-12-31
CENSUS_ACS5
zcta 11435
acs median gross
2
$1,922
2024-12-31
CENSUS_ACS5
zcta 11435
acs median gross
3
$2,357
2024-12-31
CENSUS_ACS5
zcta 11435
acs median gross
4
$2,646
2024-12-31
CENSUS_ACS5
zcta 11435
acs median gross
$1,842
2024-12-31
CENSUS_ACS5
zcta 11435
acs recent mover gross
$2,209
2024-12-31
CENSUS_ACS5
zip 11435
payment standard 110
0
$2,805
2025-10-01
HUD_USER_SAFMR
zip 11435
payment standard 90
0
$2,295
2025-10-01
HUD_USER_SAFMR
zip 11435
safmr
0
$2,550
2025-10-01
HUD_USER_SAFMR
zip 11435
payment standard 110
1
$2,948
2025-10-01
HUD_USER_SAFMR
zip 11435
payment standard 90
1
$2,412
2025-10-01
HUD_USER_SAFMR
zip 11435
safmr
1
$2,680
2025-10-01
HUD_USER_SAFMR
zip 11435
payment standard 110
2
$3,234
2025-10-01
HUD_USER_SAFMR
zip 11435
payment standard 90
2
$2,646
2025-10-01
HUD_USER_SAFMR
zip 11435
safmr
2
$2,940
2025-10-01
HUD_USER_SAFMR
zip 11435
payment standard 110
3
$4,048
2025-10-01
HUD_USER_SAFMR
zip 11435
payment standard 90
3
$3,312
2025-10-01
HUD_USER_SAFMR
zip 11435
safmr
3
$3,680
2025-10-01
HUD_USER_SAFMR
zip 11435
payment standard 110
4
$4,400
2025-10-01
HUD_USER_SAFMR
zip 11435
payment standard 90
4
$3,600
2025-10-01
HUD_USER_SAFMR
zip 11435
safmr
4
$4,000
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.