Composite
88.6 / 100 percentile
Screener / 335184
D
Van Duyn Center For Rehabilitation And Nursing
snfNYSFF: SFF
5075 WEST SENECA TURNPIKE, SYRACUSE, NY 13215 · CCN 335184
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
513
Model
v1.2
Reads as: riskier than 88.6% 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 model5Components16CHOW radar1Distress radar1Staffing16Penalties6Deficiencies82Licensure0Ownership16Related party5Transactions0Comps12Market rent32
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 100.0 | 99.9 | 0.30 | 0.2308 | 23.08 | in index |
| financial risk | 91.4 | 79.4 | 0.30 | 0.2308 | 21.09 | in index |
| billing conduct | 41.2 | 36.0 | 0.30 | 0.2308 | 9.51 | in index |
| chow risk | 57.1 | 55.4 | 0.15 | 0.1154 | 6.59 | in index |
| staffing risk | 28.1 | 28.2 | 0.25 | 0.1923 | 5.40 | 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.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 36.0 | 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 | 85.9 | F | v0.6 | default · in composite | |
| financial risk | 79.4 | D | 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 | 4.9 | — | 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 | 99.9 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 28.2 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 73.8 | 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 | 53.8 | 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 | 73.9 | 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 | 77.8 | 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 | 99.9 | 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 | 99.9 | 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 | 28.2 | B | 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 | 28.2 | B | 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)
4.9%
model v0.1 · computed 2026-07-29
Percentile among SNFs
89.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 37.00 | +0.73 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.93 | -0.68 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| High-severity deficiencies, 12m | 8.00 | +0.42 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 |
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
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 37.00 | -5.43 | |
| Chain size (log) | 0.00 | +1.20 | |
| Occupancy | 0.93 | -0.77 | |
| Fine amount, 12m (log) | 12.38 | -0.73 | |
| For-profit ownership | 1.00 | -0.69 | |
| High-severity deficiencies, 12m | 8.00 | -0.60 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Facility size (log beds) | 6.24 | -0.39 |
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 | 3.70 | 3.33 | 3.28 | 2.90–3.77 |
| RN | 0.32 | 0.43 | 0.39 | 0.25–0.58 |
| Weekend total | 3.35 | 3.03 | 3.11 | — |
| Weekday total | 3.84 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 477.7 | 3.70 | 0.32 | 0.79 | 2.59 | 3.35 | 7.7% |
| 2025Q3 | 92 | 484.6 | 3.56 | 0.30 | 0.79 | 2.47 | 3.14 | 7.1% |
| 2025Q2 | 91 | 480.9 | 3.67 | 0.30 | 0.83 | 2.54 | 3.30 | 8.3% |
| 2025Q1 | 90 | 498.7 | 3.54 | 0.28 | 0.80 | 2.46 | 3.07 | 7.5% |
| 2024Q4 | 92 | 492.6 | 3.35 | 0.27 | 0.79 | 2.29 | 3.02 | 7.1% |
| 2024Q3 | 92 | 468.2 | 3.80 | 0.29 | 0.79 | 2.72 | 3.35 | 7.8% |
| 2024Q2 | 91 | 425.9 | 4.00 | 0.29 | 0.81 | 2.90 | 3.54 | 7.8% |
| 2024Q1 | 91 | 395.0 | 3.55 | 0.24 | 0.75 | 2.55 | 3.07 | 7.6% |
| 2023Q4 | 92 | 373.4 | 3.87 | 0.31 | 0.76 | 2.80 | 3.32 | 7.7% |
| 2023Q3 | 92 | 367.5 | 3.73 | 0.33 | 0.75 | 2.65 | 2.94 | 15.4% |
| 2023Q2 | 91 | 376.7 | 2.96 | 0.30 | 0.68 | 1.98 | 2.30 | 21.7% |
| 2023Q1 | 90 | 360.6 | 2.85 | 0.28 | 0.74 | 1.82 | 2.36 | 25.7% |
| 2022Q4 | 92 | 385.1 | 2.47 | 0.21 | 0.60 | 1.65 | 2.15 | 17.4% |
| 2022Q3 | 92 | 389.2 | 3.02 | 0.23 | 0.65 | 2.14 | 2.53 | 14.0% |
| 2022Q2 | 91 | 352.8 | 3.15 | 0.24 | 0.66 | 2.24 | 2.50 | 11.8% |
| 2022Q1 | 90 | 329.1 | 2.86 | 0.25 | 0.69 | 1.93 | 2.30 | 11.5% |
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
6fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-12-15 | Fine | $238,135 | CMS provider data |
| 2025-12-15 | Payment Denial | — | CMS provider data |
| 2025-04-18 | Fine | $158,555 | CMS provider data |
| 2025-01-23 | Fine | $9,620 | CMS provider data |
| 2023-09-13 | Fine | $186,513 | CMS provider data |
| 2023-07-28 | Fine | $26,767 | CMS provider data |
Total fines on record: $619,590
Deficiencies
82D × 38E × 15F × 14G × 4H × 1J × 6K × 4
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-11 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2026-04-02 |
| 2026-03-04 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2026-04-02 |
| 2026-03-04 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-04-02 |
| 2026-03-04 | 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. | J | 2026-04-02 |
| 2026-02-03 | 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. | J | 2026-03-03 |
| 2026-02-03 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | 2026-03-03 |
| 2026-02-03 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2026-03-03 |
| 2026-02-03 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2026-03-03 |
| 2026-02-03 | 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. | E | 2026-03-03 |
| 2026-02-03 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2026-03-03 |
| 2026-02-03 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2026-03-03 |
| 2026-02-03 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-03-03 |
| 2026-02-03 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-03-03 |
| 2026-02-03 | Health · complaint | F0895 | Have a Compliance and Ethics Program. | F | 2026-03-03 |
| 2026-01-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2026-02-03 |
| 2025-12-15 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | F | 2026-02-03 |
| 2025-12-15 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2026-02-03 |
| 2025-12-15 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2026-01-27 |
| 2025-12-15 | 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. | F | 2026-03-27 |
| 2025-12-15 | 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 | 2026-01-07 |
| 2025-12-15 | 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 | 2026-01-27 |
| 2025-12-15 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | F | 2026-02-03 |
| 2025-12-15 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2026-02-03 |
| 2025-12-15 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-01-27 |
| 2025-12-15 | 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. | E | 2026-01-27 |
| 2025-12-15 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-01-27 |
| 2025-12-15 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2026-02-03 |
| 2025-12-15 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2026-01-27 |
| 2025-12-15 | 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 | 2026-03-27 |
| 2025-12-15 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2026-02-03 |
| 2025-12-15 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-03-27 |
| 2025-12-15 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2026-02-03 |
| 2025-12-15 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2026-02-03 |
| 2025-12-15 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | F | 2026-02-04 |
| 2025-12-15 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2026-02-03 |
| 2025-12-15 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2026-02-03 |
| 2025-12-15 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2026-02-03 |
| 2025-07-14 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-08-19 |
| 2025-04-18 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | H | 2025-06-03 |
| 2025-04-18 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-06-03 |
| 2025-04-18 | Health · complaint | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | K | 2025-06-03 |
| 2025-04-18 | 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 | 2025-06-03 |
| 2025-04-18 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2025-06-03 |
| 2025-04-18 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-06-03 |
| 2025-04-18 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-06-03 |
| 2025-04-18 | 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 | 2025-06-03 |
| 2025-04-18 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-06-03 |
| 2025-04-18 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-06-03 |
| 2025-04-18 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-06-03 |
| 2025-04-18 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-06-03 |
| 2025-04-18 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-06-03 |
| 2025-04-18 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-06-03 |
| 2025-04-18 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-06-03 |
| 2025-04-18 | 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 | 2025-06-03 |
| 2025-04-18 | Health | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | 2025-06-03 |
| 2025-04-18 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-06-03 |
| 2025-04-18 | 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 | 2025-06-03 |
| 2025-04-18 | Health · complaint | F0791 | Provide or obtain dental services for each resident. | D | 2025-06-03 |
| 2025-04-18 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-06-03 |
| 2025-04-18 | Health · complaint | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | 2025-06-03 |
| 2025-04-18 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-06-03 |
| 2025-04-18 | Health | F0880 | Provide and implement an infection prevention and control program. | K | 2025-06-03 |
| 2025-04-18 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2025-06-03 |
| 2025-01-23 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-01-23 |
| 2023-10-26 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | 2023-11-29 |
| 2023-09-13 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2023-09-14 |
| 2023-09-13 | Health · complaint | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | J | 2023-09-14 |
| 2023-07-28 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-08-30 |
| 2023-07-28 | 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 | 2023-08-30 |
| 2023-07-28 | Health · complaint | 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 | 2023-08-30 |
| 2023-07-28 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-08-30 |
| 2023-07-28 | 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 | 2023-08-30 |
| 2023-07-28 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-08-30 |
| 2023-07-28 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2023-08-30 |
| 2023-07-28 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | 2023-08-30 |
| 2023-07-28 | 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 | 2023-08-30 |
| 2023-07-28 | Health | F0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D | 2023-08-30 |
| 2023-07-28 | 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 | 2023-08-30 |
| 2023-07-28 | Health · complaint | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | 2023-08-30 |
| 2023-07-28 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-08-30 |
| 2023-07-28 | Health · complaint | F0908 | Keep all essential equipment working safely. | D | 2023-08-30 |
| 2023-07-28 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | 2023-08-30 |
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
16| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| KOENIG, URI | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 60% | 2010-12-22 | current | pecos_ownership |
| STEIF, EFRAIM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 40% | 2012-12-17 | current | pecos_ownership |
| 5075 WEST | Individual has financial interest in both related organization and provider | — | 2023-01-01 | current | hcris_a_8_1 |
| 5075 WEST | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| AUGENSTEIN, JACK | CORPORATE OFFICER | — | 2013-12-01 | current | pecos_ownership |
| STEIF, EFRAIM | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-08-15 | current | pecos_ownership |
| WUERTZER, AMY | CORPORATE OFFICER | — | 2017-09-14 | current | pecos_ownership |
| URI KOENIG | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 60% | 2010-12-22 | ended 2026-05-18 | pecos_ownership |
| EFRAIM STEIF | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 40% | 2012-12-17 | ended 2026-05-18 | pecos_ownership |
| EFRAIM STEIF | OPERATIONAL/MANAGERIAL CONTROL | 40% | 2017-08-15 | ended 2026-05-18 | pecos_ownership |
| DAVID CAMEROTA | OTHER | 0% | 2010-12-22 | ended 2026-05-18 | pecos_ownership |
| AMY WUERTZER | CORPORATE OFFICER | 0% | 2017-09-14 | ended 2026-05-18 | pecos_ownership |
| 5075 WEST | Individual has financial interest in both related organization and provider | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| 5075 WEST | Individual has financial interest in both related organization and provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| 5075 WEST | Individual has financial interest in both related organization and provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| JACK AUGENSTEIN | CORPORATE OFFICER | — | 2013-12-01 | 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
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Comparable trades — NY snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-06-01 | PINE FOREST CARE CENTER FOR REHAB & HEALTHCARE | — | — | — | 76 | HILAIRE CARE NETWORK LLC |
| 2024-05-17 | Fairport Rehabilitation and Nursing Center | — | — | — | 196 | FAIRPORT SNF LLC |
| 2024-05-09 | MARIA REGINA REHABILITATION AND NURSING | — | — | — | 188 | OPTIMA CARE BRENTWOOD LLC |
| 2024-02-01 | TUPPER LAKE CENTER FOR NURSING AND REHABILITATION | — | — | — | 60 | TUPPER LAKE CENTER LLC |
| 2023-08-31 | WEST VILLAGE REHABILITATION AND NURSING CENTER | — | — | — | 105 | VILLAGE ACQUISITION I LLC |
| 2023-06-23 | Crest Manor Living and Rehabilitation Center | — | — | — | 80 | CREST OPCO LLC |
| 2023-06-23 | East Side Nursing Home | — | — | — | 80 | EASTSIDE OPCO LLC |
| 2023-05-05 | SPRINGVALE NURSING & REHABILITATION CENTER | — | — | — | 200 | THE PREMIER CENTER FOR REHABILITATION OF WESTCHESTER LLC |
| 2023-04-21 | LIVINGSTON HILLS NURSING AND REHABILITATION CENTER | — | — | — | 120 | LIVINGSTON TWO OPERATIONS LLC |
| 2023-01-12 | EDEN REHABILITATION NURSING CENTER | — | — | — | 40 | EDRNC OPERATING LLC |
| 2023-01-01 | DUNKIRK REHABILITATION & NURSING CENTER | — | — | — | 40 | DURNC OPERATING LLC |
| 2022-09-12 | ROSS CENTER FOR NURSING AND REHABILITATION | — | — | — | 135 | ROSS OPCO 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
32| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 36067 | acs median gross | 0 | $786 | 2024-12-31 | CENSUS_ACS5 |
| county 36067 | fmr | 0 | $995 | 2025-10-01 | HUD_USER_FMR |
| county 36067 | acs median gross | 1 | $924 | 2024-12-31 | CENSUS_ACS5 |
| county 36067 | fmr | 1 | $1,123 | 2025-10-01 | HUD_USER_FMR |
| county 36067 | acs median gross | 2 | $1,164 | 2024-12-31 | CENSUS_ACS5 |
| county 36067 | fmr | 2 | $1,392 | 2025-10-01 | HUD_USER_FMR |
| county 36067 | acs median gross | 3 | $1,313 | 2024-12-31 | CENSUS_ACS5 |
| county 36067 | fmr | 3 | $1,691 | 2025-10-01 | HUD_USER_FMR |
| county 36067 | acs median gross | 4 | $1,354 | 2024-12-31 | CENSUS_ACS5 |
| county 36067 | fmr | 4 | $1,848 | 2025-10-01 | HUD_USER_FMR |
| county 36067 | acs median gross | 5 | $1,295 | 2024-12-31 | CENSUS_ACS5 |
| county 36067 | acs median gross | $1,108 | 2024-12-31 | CENSUS_ACS5 | |
| county 36067 | acs recent mover gross | $1,309 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 13215 | acs median gross | 1 | $1,173 | 2024-12-31 | CENSUS_ACS5 |
| zcta 13215 | acs median gross | 2 | $1,608 | 2024-12-31 | CENSUS_ACS5 |
| zcta 13215 | acs median gross | $1,343 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 13215 | acs recent mover gross | $1,660 | 2024-12-31 | CENSUS_ACS5 | |
| zip 13215 | payment standard 110 | 0 | $1,210 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13215 | payment standard 90 | 0 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13215 | safmr | 0 | $1,100 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13215 | payment standard 110 | 1 | $1,364 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13215 | payment standard 90 | 1 | $1,116 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13215 | safmr | 1 | $1,240 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13215 | payment standard 110 | 2 | $1,694 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13215 | payment standard 90 | 2 | $1,386 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13215 | safmr | 2 | $1,540 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13215 | payment standard 110 | 3 | $2,057 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13215 | payment standard 90 | 3 | $1,683 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13215 | safmr | 3 | $1,870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13215 | payment standard 110 | 4 | $2,244 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13215 | payment standard 90 | 4 | $1,836 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13215 | safmr | 4 | $2,040 | 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.