447 HILL STREET, WHITINSVILLE, MA 01588 · CCN 225312
Composite
42.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
123
Model
v1.2
Reads as: riskier than 42.3% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
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
MA median
National median
National p25–p75
Total nurse
3.10
3.39
3.28
2.90–3.77
RN
0.29
0.39
0.39
0.25–0.58
Weekend total
3.01
3.26
3.11
—
Weekday total
3.13
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
112.9
3.10
0.29
1.01
1.80
3.01
0.0%
2025Q3
92
121.7
3.05
0.28
0.97
1.80
2.93
0.0%
2025Q2
91
116.7
3.27
0.34
1.05
1.88
3.09
3.9%
2025Q1
90
112.8
3.31
0.28
1.05
1.99
3.16
2.3%
2024Q4
92
103.9
3.45
0.29
1.07
2.10
3.25
0.8%
2024Q3
92
106.3
3.05
0.48
0.69
1.89
2.89
12.2%
2024Q2
91
125.0
2.93
0.28
0.82
1.82
2.91
6.5%
2024Q1
91
120.3
3.00
0.26
0.87
1.87
3.03
16.5%
2023Q4
92
114.3
2.95
0.20
0.92
1.84
2.98
15.1%
2023Q3
92
115.3
2.81
0.26
0.81
1.74
2.81
3.7%
2023Q2
91
117.6
2.94
0.29
0.89
1.76
2.94
10.6%
2023Q1
90
117.3
3.18
0.31
1.19
1.67
3.01
25.3%
2022Q4
92
117.3
3.34
0.51
0.84
1.99
2.93
20.4%
2022Q3
92
109.3
3.17
0.51
0.72
1.94
2.94
21.0%
2022Q2
91
103.9
3.60
0.50
0.84
2.25
3.32
27.8%
2022Q1
90
102.2
3.06
0.22
1.00
1.84
2.81
27.2%
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
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
28
D × 27E × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-04-29
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2025-05-23
2025-04-29
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
2025-05-23
2025-04-29
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-05-23
2025-04-29
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-05-23
2025-04-29
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-05-23
2025-04-29
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
2025-05-23
2025-04-29
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2025-05-23
2025-04-29
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-05-23
2025-04-29
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2025-05-23
2025-04-29
Health
F0825
Provide or get specialized rehabilitative services as required for a resident.
D
2025-05-23
2025-04-29
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-05-23
2024-02-02
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2024-03-01
2024-02-02
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
2024-03-01
2024-02-02
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2024-03-01
2024-02-02
Health
F0742
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
D
2024-03-01
2024-02-02
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
D
2024-03-01
2022-07-26
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2022-08-30
2022-07-26
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
2022-08-30
2022-07-26
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2022-08-30
2022-07-26
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2022-08-30
2022-07-26
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
2022-08-30
2022-07-26
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-08-30
2022-07-26
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2022-08-30
2022-07-26
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2022-08-30
2022-07-26
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-08-30
2022-07-26
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2022-08-30
2022-07-26
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-08-30
2022-07-26
Health
F0886
Perform COVID19 testing on residents and staff.
D
2022-08-30
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
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
8
Owner
Role
Pct
From
Status
Source
BLUPOINT REALTY LLC
Individual has financial interest in both related organization and provider
100%
2024-01-01
current
hcris_a_8_1
BLUPOINT REALTY LLC
Individual has financial interest in both related organization and provider
1%
2023-01-01
current
hcris_a_8_1
BLUPOINT MANAGEMENT II LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2020-11-13
current
pecos_ownership
CUZZUPOLI, JOSEPH
CONTRACTED MANAGING EMPLOYEE
—
2020-11-13
current
pecos_ownership
BLUPOINT HEALTHCARE REALTY II LLC
Individual has financial interest in both related organization and provider
100%
2020-11-13
ended 2020-12-31
hcris_a_8_1
JOSEPH CUZZUPOLI
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2020-11-13
ended 2026-05-18
pecos_ownership
BLUPOINT HEALTHCARE REALTY II LLC
Individual has financial interest in both related organization and provider
26%
2021-01-01
ended 2021-12-31
hcris_a_8_1
BLUPOINT REALTY II
Individual has financial interest in both related organization and provider
26%
2022-01-01
ended 2022-12-31
hcris_a_8_1
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,006,993
$1,006,993
—
—
—
1
propco
2023-12-31
$1,720,745
$882,495
—
—
—
2
propco
2022-12-31
$1,372,208
$609,039
—
—
—
2
propco
2021-12-31
$555,001
$555,001
—
—
—
3
propco
2020-12-31
$91,866
$26,223
—
—
—
2
propco
2020-11-12
$411,567
$403,693
—
—
—
0
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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
27
Geo
Kind
BR
Amount
As of
Source
county 25027
acs median gross
0
$1,120
2024-12-31
CENSUS_ACS5
county 25027
acs median gross
1
$1,068
2024-12-31
CENSUS_ACS5
county 25027
acs median gross
2
$1,483
2024-12-31
CENSUS_ACS5
county 25027
acs median gross
3
$1,745
2024-12-31
CENSUS_ACS5
county 25027
acs median gross
4
$1,929
2024-12-31
CENSUS_ACS5
county 25027
acs median gross
5
$1,739
2024-12-31
CENSUS_ACS5
county 25027
acs median gross
$1,426
2024-12-31
CENSUS_ACS5
county 25027
acs recent mover gross
$1,868
2024-12-31
CENSUS_ACS5
zcta 01588
acs median gross
1
$883
2024-12-31
CENSUS_ACS5
zcta 01588
acs median gross
2
$1,310
2024-12-31
CENSUS_ACS5
zcta 01588
acs median gross
3
$1,369
2024-12-31
CENSUS_ACS5
zcta 01588
acs median gross
$1,198
2024-12-31
CENSUS_ACS5
zip 01588
payment standard 110
0
$1,485
2025-10-01
HUD_USER_SAFMR
zip 01588
payment standard 90
0
$1,215
2025-10-01
HUD_USER_SAFMR
zip 01588
safmr
0
$1,350
2025-10-01
HUD_USER_SAFMR
zip 01588
payment standard 110
1
$1,496
2025-10-01
HUD_USER_SAFMR
zip 01588
payment standard 90
1
$1,224
2025-10-01
HUD_USER_SAFMR
zip 01588
safmr
1
$1,360
2025-10-01
HUD_USER_SAFMR
zip 01588
payment standard 110
2
$1,925
2025-10-01
HUD_USER_SAFMR
zip 01588
payment standard 90
2
$1,575
2025-10-01
HUD_USER_SAFMR
zip 01588
safmr
2
$1,750
2025-10-01
HUD_USER_SAFMR
zip 01588
payment standard 110
3
$2,387
2025-10-01
HUD_USER_SAFMR
zip 01588
payment standard 90
3
$1,953
2025-10-01
HUD_USER_SAFMR
zip 01588
safmr
3
$2,170
2025-10-01
HUD_USER_SAFMR
zip 01588
payment standard 110
4
$2,640
2025-10-01
HUD_USER_SAFMR
zip 01588
payment standard 90
4
$2,160
2025-10-01
HUD_USER_SAFMR
zip 01588
safmr
4
$2,400
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.