Composite
76.6 / 100 percentile
Screener / 225133
C
BLUEBERRY HILL REHABILITATION AND HEALTHCARE CTR
snfMA
75 BRIMBAL AVENUE, BEVERLY, MA 01915 · CCN 225133 · chain NFR 2020 IRRV TR
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
132
Model
v1.2
Reads as: riskier than 76.6% 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 model5ML signals1Components16CHOW radar1Distress radar1Staffing16Penalties3Deficiencies70Licensure0Ownership14Related party5Transactions0Comps12Market rent30
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 98.9 | 98.2 | 0.30 | 0.2308 | 22.82 | in index |
| billing conduct | 66.2 | 45.9 | 0.30 | 0.2308 | 15.28 | in index |
| staffing risk | 60.8 | 60.8 | 0.25 | 0.1923 | 11.69 | in index |
| chow risk | 51.7 | 49.9 | 0.15 | 0.1154 | 5.97 | in index |
| financial risk | 13.5 | 22.2 | 0.30 | 0.2308 | 3.12 | 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
1| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 15 chains | CIBC BANK USA | 155 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 | 45.9 | C | 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 | 74.8 | D | v0.6 | default · in composite | |
| financial risk | 22.2 | A | 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 | 3.9 | — | 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 | 98.2 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 60.8 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 85.5 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 65.5 | D | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 38.5 | B | 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 | 28.0 | B | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 98.2 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 98.2 | 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 | 60.8 | C | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 60.8 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
3.9%
model v0.1 · computed 2026-07-29
Percentile among SNFs
84.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| 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 | |
| Chain size (log) | 4.38 | +0.53 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Facility size (log beds) | 4.89 | -0.08 |
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
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 4.38 | -1.35 | |
| Occupancy | 0.93 | -0.77 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Deficiencies, last 12 months | 7.00 | +0.13 | |
| Never sold on record | 1.00 | +0.12 | |
| Facility size (log beds) | 4.89 | -0.11 |
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 | 3.12 | 3.39 | 3.28 | 2.90–3.77 |
| RN | 0.34 | 0.39 | 0.39 | 0.25–0.58 |
| Weekend total | 3.04 | 3.26 | 3.11 | — |
| Weekday total | 3.16 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 123.0 | 3.12 | 0.34 | 0.76 | 2.02 | 3.04 | 1.3% |
| 2025Q3 | 92 | 117.4 | 3.33 | 0.34 | 0.83 | 2.16 | 3.19 | 0.2% |
| 2025Q2 | 91 | 113.6 | 3.40 | 0.42 | 0.95 | 2.03 | 3.05 | 7.4% |
| 2025Q1 | 90 | 115.2 | 3.11 | 0.23 | 0.90 | 1.99 | 3.04 | 0.6% |
| 2024Q4 | 92 | 111.5 | 3.17 | 0.31 | 0.83 | 2.04 | 3.11 | 2.5% |
| 2024Q3 | 92 | 120.4 | 2.90 | 0.34 | 0.72 | 1.84 | 2.70 | 1.7% |
| 2024Q2 | 91 | 119.7 | 2.80 | 0.36 | 0.68 | 1.77 | 2.73 | 10.2% |
| 2024Q1 | 91 | 121.6 | 2.81 | 0.49 | 0.67 | 1.65 | 2.80 | 38.9% |
| 2023Q4 | 92 | 120.5 | 2.84 | 0.59 | 0.65 | 1.60 | 2.70 | 52.4% |
| 2023Q3 | 92 | 116.9 | 2.96 | 0.66 | 0.67 | 1.63 | 2.79 | 53.8% |
| 2023Q2 | 91 | 118.3 | 2.94 | 0.58 | 0.72 | 1.65 | 2.70 | 54.7% |
| 2023Q1 | 90 | 126.8 | 2.69 | 0.56 | 0.56 | 1.57 | 2.44 | 53.6% |
| 2022Q4 | 92 | 116.9 | 3.33 | 0.44 | 0.79 | 2.11 | 3.23 | 63.3% |
| 2022Q3 | 92 | 121.2 | 2.91 | 0.32 | 0.83 | 1.77 | 2.71 | 62.8% |
| 2022Q2 | 91 | 119.5 | 3.13 | 0.41 | 0.74 | 1.99 | 3.01 | 58.1% |
| 2022Q1 | 90 | 117.7 | 3.14 | 0.43 | 0.72 | 1.99 | 2.91 | 43.4% |
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
3fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-02-19 | Fine | $12,935 | CMS provider data |
| 2024-11-12 | Fine | $157,749 | CMS provider data |
| 2023-10-26 | Fine | $60,775 | CMS provider data |
Total fines on record: $231,459
Deficiencies
70D × 36E × 17F × 8G × 5J × 3K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-17 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-01-12 |
| 2025-12-17 | 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 | 2026-01-12 |
| 2025-12-17 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-01-12 |
| 2025-12-17 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2026-01-12 |
| 2025-12-17 | 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 | 2026-01-12 |
| 2025-12-17 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2026-01-12 |
| 2025-12-17 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2026-01-12 |
| 2025-02-19 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-03-24 |
| 2025-02-19 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | G | 2025-03-24 |
| 2024-11-12 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-12-11 |
| 2024-11-12 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2024-12-11 |
| 2024-11-12 | Health | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2024-12-11 |
| 2024-11-12 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2024-12-11 |
| 2024-11-12 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | 2024-12-11 |
| 2024-11-12 | Health | 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. | D | 2024-12-11 |
| 2024-11-12 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2024-12-11 |
| 2024-11-12 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2024-12-11 |
| 2024-11-12 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2024-12-11 |
| 2024-11-12 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-12-11 |
| 2024-11-12 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-12-11 |
| 2024-11-12 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2024-12-11 |
| 2024-11-12 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | 2024-12-11 |
| 2024-11-12 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-12-11 |
| 2024-11-12 | Health | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2024-12-11 |
| 2024-11-12 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | G | 2024-12-11 |
| 2024-11-12 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-12-11 |
| 2024-11-12 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-12-11 |
| 2024-11-12 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2024-12-11 |
| 2024-11-12 | Health · complaint | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | J | 2024-12-11 |
| 2024-11-12 | 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 | 2024-12-11 |
| 2024-11-12 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2024-12-11 |
| 2024-11-12 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | 2024-12-11 |
| 2024-11-12 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2024-12-11 |
| 2024-11-12 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-12-11 |
| 2024-11-12 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2024-12-11 |
| 2024-11-12 | Health | F0791 | Provide or obtain dental services for each resident. | E | 2024-12-11 |
| 2024-11-12 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-12-11 |
| 2024-11-12 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2024-12-11 |
| 2024-11-12 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-12-11 |
| 2024-11-12 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2024-12-11 |
| 2024-11-12 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-12-11 |
| 2024-01-23 | 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 | 2024-02-12 |
| 2023-10-26 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2023-12-11 |
| 2023-10-26 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2023-12-11 |
| 2023-10-26 | Health | 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 | 2023-12-11 |
| 2023-10-26 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2023-12-11 |
| 2023-10-26 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-12-11 |
| 2023-10-26 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2023-12-11 |
| 2023-10-26 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2023-12-11 |
| 2023-10-26 | 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 | 2023-12-11 |
| 2023-10-26 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2023-12-11 |
| 2023-10-26 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-12-11 |
| 2023-10-26 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-12-11 |
| 2023-10-26 | 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 | 2023-12-11 |
| 2023-10-26 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-12-11 |
| 2023-10-26 | 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. | F | 2023-12-11 |
| 2023-10-26 | 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. | F | 2023-12-11 |
| 2023-10-26 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2023-12-11 |
| 2023-10-26 | 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 | 2023-12-11 |
| 2023-10-26 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-12-11 |
| 2023-10-26 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2023-12-11 |
| 2023-10-26 | Health | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2023-12-11 |
| 2023-10-26 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | 2023-12-11 |
| 2023-10-26 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-12-11 |
| 2023-10-26 | Health | F0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | F | 2023-12-11 |
| 2023-10-26 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-12-11 |
| 2023-10-26 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-12-11 |
| 2023-10-26 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2023-12-11 |
| 2023-10-26 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2023-12-11 |
| 2023-10-26 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | 2023-12-11 |
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
14| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| YR 2013 INVESTMENT TRUST U/A/D 3/25/13 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 23% | 2014-06-01 | current | pecos_ownership |
| CIBC BANK USA | 5% OR GREATER SECURITY INTEREST | — | 2014-06-02 | current | pecos_ownership |
| POSEN, MINDEE | CORPORATE OFFICER | — | 2014-06-01 | current | pecos_ownership |
| TORMEY, GREG | CORPORATE DIRECTOR | — | 2021-10-18 | current | pecos_ownership |
| QUINTO GUARDIAN LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 90% | 2014-06-01 | ended 2026-05-18 | pecos_ownership |
| TRYKO GUARDIAN HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 68% | 2014-06-01 | ended 2026-05-18 | pecos_ownership |
| NFR 2020 IRRV TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 23% | 2021-12-31 | ended 2026-05-18 | pecos_ownership |
| RSBRMK HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 23% | 2021-12-31 | ended 2026-05-18 | pecos_ownership |
| SK 2013 INVESTMENT TR UA 03252013 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 23% | 2021-12-31 | ended 2026-05-18 | pecos_ownership |
| KOHN FAM TR GST EXEMPT UAD 3-25-13 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 22% | 2021-12-31 | ended 2026-05-18 | pecos_ownership |
| UKR CONSULTING LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | 2014-06-01 | ended 2026-05-18 | pecos_ownership |
| UAK 2020 IRRV TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2021-12-31 | ended 2026-05-18 | pecos_ownership |
| GREG TORMEY | CORPORATE DIRECTOR | — | 2021-10-18 | ended 2026-05-18 | pecos_ownership |
| MINDEE POSEN | CORPORATE OFFICER | — | 2014-06-01 | 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 — MA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-29 | Hadley Pointe Nursing Rehab & Care | — | — | — | 154 | HADLEY CENTER LLC |
| 2025-08-01 | Alliance Health at Coleman | — | — | — | 45 | ALLIANCE HEALTH OF NORTHBOROUGH INC |
| 2025-05-28 | PALM SPRINGS POST ACUTE | — | — | — | 124 | PALM SPRINGS OPERATOR LLC |
| 2025-05-28 | HAMPDEN POST ACUTE | — | — | — | 135 | HAMPDEN OPERATOR LLC |
| 2025-04-01 | BROCKTON POST ACUTE CARE | — | — | — | 169 | BROCKTON OPERATOR LLC |
| 2025-04-01 | HIGHLAND PARK REHABILITATION AND HEALTHCARE CENTER | — | — | — | 195 | HIGHLAND PARK OPERATOR LLC |
| 2025-03-01 | THE CENTER AT ADVOCATE | — | — | — | 190 | THE CENTER AT ADVOCATE LLC |
| 2025-03-01 | Premier Healthcare at Harrington House | — | — | — | 90 | 160 MAIN STREET WALPOLE OPERATOR LLC |
| 2025-02-28 | PORT REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | NEWBURYPORT SNF OPERATIONS LLC |
| 2025-02-28 | MASCONOMET REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | TOPSFIELD SNF OPERATIONS LLC |
| 2025-02-28 | SIPPICAN REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | MARION SNF OPERATIONS LLC |
| 2025-02-28 | NEMASKET REHABILITATION AND HEALTHCARE CENTER | — | — | — | 102 | MIDDLEBOROUGH SNF OPERATIONS LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
30| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 25009 | acs median gross | 0 | $1,355 | 2024-12-31 | CENSUS_ACS5 |
| county 25009 | acs median gross | 1 | $1,383 | 2024-12-31 | CENSUS_ACS5 |
| county 25009 | acs median gross | 2 | $1,864 | 2024-12-31 | CENSUS_ACS5 |
| county 25009 | acs median gross | 3 | $1,998 | 2024-12-31 | CENSUS_ACS5 |
| county 25009 | acs median gross | 4 | $2,198 | 2024-12-31 | CENSUS_ACS5 |
| county 25009 | acs median gross | 5 | $2,425 | 2024-12-31 | CENSUS_ACS5 |
| county 25009 | acs median gross | $1,756 | 2024-12-31 | CENSUS_ACS5 | |
| county 25009 | acs recent mover gross | $2,174 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 01915 | acs median gross | 0 | $861 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01915 | acs median gross | 1 | $1,518 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01915 | acs median gross | 2 | $2,123 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01915 | acs median gross | 3 | $1,736 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01915 | acs median gross | 4 | $1,613 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01915 | acs median gross | $1,770 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 01915 | acs recent mover gross | $2,408 | 2024-12-31 | CENSUS_ACS5 | |
| zip 01915 | payment standard 110 | 0 | $2,365 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01915 | payment standard 90 | 0 | $1,935 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01915 | safmr | 0 | $2,150 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01915 | payment standard 110 | 1 | $2,486 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01915 | payment standard 90 | 1 | $2,034 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01915 | safmr | 1 | $2,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01915 | payment standard 110 | 2 | $2,948 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01915 | payment standard 90 | 2 | $2,412 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01915 | safmr | 2 | $2,680 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01915 | payment standard 110 | 3 | $3,531 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01915 | payment standard 90 | 3 | $2,889 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01915 | safmr | 3 | $3,210 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01915 | payment standard 110 | 4 | $3,905 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01915 | payment standard 90 | 4 | $3,195 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01915 | safmr | 4 | $3,550 | 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.