Composite
89.2 / 100 percentile
Screener / 225332
D
ADVINIACARE NEWBURYPORT
snfMA
180 LOW STREET, NEWBURYPORT, MA 01950 · CCN 225332 · chain YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
111
Model
v1.2
Reads as: riskier than 89.2% 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 radar1Staffing16Penalties5Deficiencies72Licensure0Ownership34Related party5Transactions1Comps12Market rent28
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 99.5 | 99.0 | 0.30 | 0.2308 | 22.96 | in index |
| financial risk | 76.7 | 64.3 | 0.30 | 0.2308 | 17.70 | in index |
| staffing risk | 65.4 | 65.4 | 0.25 | 0.1923 | 12.58 | in index |
| billing conduct | 43.6 | 36.8 | 0.30 | 0.2308 | 10.06 | in index |
| chow risk | 23.4 | 22.6 | 0.15 | 0.1154 | 2.70 | 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 | +32.7 vs natl | YOSEF MEYSTEL DELTA TRUST | 39 facilities |
| connection | Owner fleet risk far above national | +32.3 vs natl | DAVID A BERKOWITZ DELTA TRUST | 38 facilities |
| connection | Owner fleet risk far above national | +31.9 vs natl | FREDERICK S FRANKEL TRUST | 13 facilities |
| connection | Owner fleet risk far above national | +28.7 vs natl | WILHELM NAFTALI | 81 facilities |
| 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 | DAVID A BERKOWITZ REVOC TR DAVID BERKOWITZ TTEE | 21 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 | +24.4 vs natl | YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE | 21 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 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 | BERKOWITZ DAVID | 73 facilities |
| connection | Owner spans multiple chains | 8 chains | WILHELM NAFTALI | 78 facilities |
| connection | Owner spans multiple chains | 5 chains | DAVID A BERKOWITZ DELTA TRUST | 36 facilities |
| connection | Owner spans multiple chains | 5 chains | YOSEF MEYSTEL DELTA TRUST | 37 facilities |
| connection | Owner fleet enforcement cluster | 64% fined | YOSEF MEYSTEL DELTA TRUST | 39 facilities |
| connection | Owner fleet enforcement cluster | 63% fined | DAVID A BERKOWITZ DELTA TRUST | 38 facilities |
| connection | Owner fleet enforcement cluster | 54% fined | WILHELM NAFTALI | 81 facilities |
| connection | Owner fleet enforcement cluster | 53% fined | SPECTOR JENNIFER | 93 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 | 36.8 | 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 | 20.2 | A | v0.6 | default · in composite | |
| financial risk | 64.3 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | 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 | 99.0 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 65.4 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 71.1 | D | 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 | 51.1 | C | 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 | 60.7 | C | 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 | 66.1 | 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 | 99.0 | 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 | 99.0 | 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 | 65.4 | D | 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 | 65.4 | D | 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
7.0
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) | 3.59 | -1.50 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.83 | -0.39 | |
| Chain size (log) | 3.18 | +0.27 | |
| 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
20.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 4.00 | +0.69 | |
| Chain size (log) | 3.18 | -0.65 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.83 | -0.36 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 3.59 | -0.24 | |
| 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 | 3.06 | 3.39 | 3.28 | 2.90–3.77 |
| RN | 0.45 | 0.39 | 0.39 | 0.25–0.58 |
| Weekend total | 2.96 | 3.26 | 3.11 | — |
| Weekday total | 3.10 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 92.5 | 3.06 | 0.45 | 0.67 | 1.94 | 2.96 | 2.0% |
| 2025Q3 | 92 | 96.8 | 3.03 | 0.49 | 0.61 | 1.94 | 2.94 | 3.3% |
| 2025Q2 | 91 | 90.4 | 3.21 | 0.41 | 0.76 | 2.04 | 3.17 | 4.5% |
| 2025Q1 | 90 | 93.4 | 3.19 | 0.29 | 0.86 | 2.04 | 3.10 | 12.5% |
| 2024Q4 | 92 | 87.9 | 3.17 | 0.26 | 1.03 | 1.88 | 2.95 | 12.5% |
| 2024Q3 | 92 | 87.0 | 3.43 | 0.21 | 1.19 | 2.04 | 3.08 | 18.6% |
| 2024Q2 | 91 | 87.4 | 3.62 | 0.22 | 1.17 | 2.23 | 3.37 | 21.7% |
| 2024Q1 | 91 | 66.8 | 3.61 | 0.29 | 1.07 | 2.25 | 3.42 | 1.8% |
| 2023Q4 | 92 | 72.7 | 3.24 | 0.28 | 1.07 | 1.90 | 2.93 | 58.6% |
| 2023Q3 | 92 | 81.3 | 1.72 | 0.18 | 0.35 | 1.19 | 1.81 | 44.8% |
| 2023Q2 | 91 | 78.9 | 3.19 | 0.30 | 1.09 | 1.80 | 2.80 | 67.5% |
| 2023Q1 | 90 | 89.9 | 2.76 | 0.41 | 0.56 | 1.80 | 2.69 | 51.4% |
| 2022Q4 | 92 | 102.7 | 2.70 | 0.36 | 0.87 | 1.47 | 2.52 | 28.8% |
| 2022Q3 | 92 | 99.3 | 2.76 | 0.41 | 0.88 | 1.47 | 2.60 | 42.4% |
| 2022Q2 | 91 | 92.9 | 2.81 | 0.56 | 0.90 | 1.35 | 2.62 | 33.6% |
| 2022Q1 | 90 | 92.2 | 2.84 | 0.61 | 0.91 | 1.32 | 2.68 | 14.9% |
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
5fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-10-10 | Fine | $82,856 | CMS provider data |
| 2024-02-20 | Fine | $2,279 | CMS provider data |
| 2024-02-12 | Fine | $1,899 | CMS provider data |
| 2024-01-22 | Fine | $3,418 | CMS provider data |
| 2023-11-07 | Fine | $231,652 | CMS provider data |
Total fines on record: $322,104
Deficiencies
72C × 1D × 40E × 9F × 14G × 2H × 1J × 3K × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-09-18 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-10-07 |
| 2025-09-18 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-10-07 |
| 2025-09-18 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2025-10-07 |
| 2025-09-18 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-10-07 |
| 2024-10-10 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-10-28 |
| 2024-10-10 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-10-28 |
| 2024-10-10 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-10-28 |
| 2024-10-10 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-10-28 |
| 2024-10-10 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-11-19 |
| 2024-10-10 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-10-28 |
| 2024-10-10 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-10-28 |
| 2024-10-10 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-11-19 |
| 2024-10-10 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-10-28 |
| 2024-01-31 | 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. | D | 2024-03-08 |
| 2024-01-31 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-03-08 |
| 2024-01-31 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-03-08 |
| 2024-01-31 | Health · complaint | F0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | 2024-03-08 |
| 2023-11-07 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2023-12-19 |
| 2023-11-07 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2023-12-19 |
| 2023-11-07 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2023-12-19 |
| 2023-11-07 | 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 | 2023-12-19 |
| 2023-11-07 | 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 | 2023-12-19 |
| 2023-11-07 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-01-06 |
| 2023-11-07 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-12-19 |
| 2023-11-07 | Health | F0610 | Respond appropriately to all alleged violations. | E | 2023-12-19 |
| 2023-11-07 | Health | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | 2023-12-19 |
| 2023-11-07 | 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 | 2023-12-19 |
| 2023-11-07 | 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 | 2023-12-19 |
| 2023-11-07 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-01-06 |
| 2023-11-07 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | H | 2023-12-19 |
| 2023-11-07 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-12-19 |
| 2023-11-07 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-12-19 |
| 2023-11-07 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | 2023-12-19 |
| 2023-11-07 | 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 | 2023-12-19 |
| 2023-11-07 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2023-12-19 |
| 2023-11-07 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-12-19 |
| 2023-11-07 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | 2023-12-19 |
| 2023-11-07 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2023-12-19 |
| 2023-11-07 | 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 | 2023-12-19 |
| 2023-11-07 | Health | F0732 | Post nurse staffing information every day. | C | 2023-12-19 |
| 2023-11-07 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2023-12-19 |
| 2023-11-07 | Health | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | D | 2023-12-19 |
| 2023-11-07 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2023-12-19 |
| 2023-11-07 | 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. | D | 2023-12-19 |
| 2023-11-07 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-12-19 |
| 2023-11-07 | 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. | D | 2023-12-19 |
| 2023-11-07 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2023-12-19 |
| 2023-11-07 | 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. | F | 2023-12-19 |
| 2023-11-07 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2023-12-19 |
| 2023-11-07 | 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 | 2023-12-19 |
| 2023-11-07 | Health | 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. | J | 2023-12-19 |
| 2023-11-07 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J | 2023-12-19 |
| 2023-11-07 | 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. | J | 2023-12-19 |
| 2023-11-07 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-01-06 |
| 2023-11-07 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2023-12-19 |
| 2023-11-07 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2023-12-19 |
| 2023-11-07 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2023-12-19 |
| 2023-11-07 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2023-12-19 |
| 2023-11-07 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2023-12-19 |
| 2023-11-07 | Health | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | K | 2023-12-19 |
| 2023-11-07 | Health | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | F | 2023-12-19 |
| 2023-11-07 | Health | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | F | 2023-12-19 |
| 2023-11-07 | Health | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | F | 2023-12-19 |
| 2023-11-07 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | 2023-12-19 |
| 2023-11-07 | 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 | 2023-12-19 |
| 2023-11-07 | Health | F0946 | Provide training in compliance and ethics. | F | 2023-12-19 |
| 2023-11-07 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | 2023-12-19 |
| 2023-08-09 | 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. | D | 2023-09-28 |
| 2023-08-09 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-09-28 |
| 2023-08-09 | Health · complaint | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2023-09-28 |
| 2023-08-09 | Health · complaint | F0777 | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | D | 2023-09-28 |
| 2023-08-09 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-09-28 |
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
34| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| MA HOLDCO OP LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-12-27 | current | pecos_ownership |
| 108 LOW ST | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| 180 LOW ST LLC | ADP OF THE SNF | — | 2025-04-10 | current | pecos_ownership |
| 180 LOW STREET | Individual has financial interest in both related organization and provider | — | 2023-01-01 | current | hcris_a_8_1 |
| BERKOWITZ, BENJAMIN | ADP OF THE SNF | — | 2022-12-27 | current | pecos_ownership |
| BERKOWITZ, DAVID | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-04-10 | current | pecos_ownership |
| CURIS SERVICES LLC | ADP OF THE SNF | — | 2022-12-27 | current | pecos_ownership |
| CYNEWSKI, STEPHEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-27 | current | pecos_ownership |
| DAVID A BERKOWITZ DELTA TRUST | ADP OF THE SNF | — | 2022-12-27 | current | pecos_ownership |
| DAVID A BERKOWITZ REVOC TR DAVID BERKOWITZ TTEE | ADP OF THE SNF | — | 2022-12-27 | current | pecos_ownership |
| FREDERICK S FRANKEL TRUST | INDIRECT OWNERSHIP INTEREST | — | 2022-12-27 | current | pecos_ownership |
| JOSEPH, JOE | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-27 | current | pecos_ownership |
| LABELLA, CATERINA | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-27 | current | pecos_ownership |
| MA5 POINTE MANAGER LLC | ADP OF THE SNF | — | 2025-04-10 | current | pecos_ownership |
| MA5 POINTE MANAGER LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-27 | current | pecos_ownership |
| POINTE GROUP CARE LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-27 | current | pecos_ownership |
| POINTE GROUP CARE LLC | ADP OF THE SNF | — | 2025-04-10 | current | pecos_ownership |
| POINTE PROPERTY LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-27 | current | pecos_ownership |
| SPECTOR, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-27 | current | pecos_ownership |
| TALAMONA, RAYMOND | ADP OF THE SNF | — | 2022-12-27 | current | pecos_ownership |
| TOMOLONIUS, BARBARA | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-27 | current | pecos_ownership |
| TUROFSKY, STEVEN | ADP OF THE SNF | — | 2022-12-27 | current | pecos_ownership |
| WILHELM, NAFTALI | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-27 | current | pecos_ownership |
| YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE | ADP OF THE SNF | — | 2022-12-27 | current | pecos_ownership |
| YOSEF MEYSTEL DELTA TRUST | ADP OF THE SNF | — | 2022-12-27 | current | pecos_ownership |
| BENJAMIN BERKOWITZ | INDIRECT OWNERSHIP INTEREST | 60% | 2022-12-27 | ended 2026-05-18 | pecos_ownership |
| CATERINA LABELLA | OPERATIONAL/MANAGERIAL CONTROL | 0% | 2022-12-27 | ended 2026-05-18 | pecos_ownership |
| BARBARA TOMOLONIUS | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-27 | ended 2026-05-18 | pecos_ownership |
| JENNIFER SPECTOR | ADP OF THE SNF | — | 2022-12-27 | ended 2026-05-18 | pecos_ownership |
| JOE JOSEPH | ADP OF THE SNF | — | 2022-12-27 | ended 2026-05-18 | pecos_ownership |
| NAFTALI WILHELM | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-27 | ended 2026-05-18 | pecos_ownership |
| RAYMOND TALAMONA | MANAGING CONTROL - GOVERNING BODY | — | 2022-12-27 | ended 2026-05-18 | pecos_ownership |
| STEPHEN CYNEWSKI | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-27 | ended 2026-05-18 | pecos_ownership |
| STEVEN TUROFSKY | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-27 | 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 |
|---|---|---|---|---|
| 2022-12-27 | — | ADVINIACARE NEWBURYPORT LLC | VK NEWBURYPORT 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
28| 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 01950 | acs median gross | 1 | $1,139 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01950 | acs median gross | 2 | $1,775 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01950 | acs median gross | 3 | $2,460 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01950 | acs median gross | $1,592 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 01950 | acs recent mover gross | $2,006 | 2024-12-31 | CENSUS_ACS5 | |
| zip 01950 | payment standard 110 | 0 | $2,244 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | payment standard 90 | 0 | $1,836 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | safmr | 0 | $2,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | payment standard 110 | 1 | $2,376 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | payment standard 90 | 1 | $1,944 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | safmr | 1 | $2,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | payment standard 110 | 2 | $2,816 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | payment standard 90 | 2 | $2,304 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | safmr | 2 | $2,560 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | payment standard 110 | 3 | $3,388 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | payment standard 90 | 3 | $2,772 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | safmr | 3 | $3,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | payment standard 110 | 4 | $3,729 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | payment standard 90 | 4 | $3,051 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | 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.