100 N BEACON STREET, BOSTON, MA 02134 · CCN 225014
Composite
50.5 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
123
Model
v1.2
Reads as: riskier than 50.5% 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.
ML signals — parallel engine
1
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+29.1 vs natl
FISCHER DAVID
8 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.
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
7.17
3.39
3.28
2.90–3.77
RN
2.78
0.39
0.39
0.25–0.58
Weekend total
6.62
3.26
3.11
—
Weekday total
7.39
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
93.4
7.17
2.78
0.34
4.05
6.62
1.1%
2025Q3
92
90.5
7.53
2.81
0.35
4.38
6.79
4.1%
2025Q2
91
90.3
7.87
2.78
0.37
4.72
7.29
8.9%
2025Q1
90
90.8
7.86
3.02
0.43
4.40
7.45
13.1%
2024Q4
92
89.3
7.72
3.01
0.44
4.27
7.10
15.4%
2024Q3
92
85.1
7.74
3.12
0.51
4.10
7.22
16.2%
2024Q2
91
82.0
7.93
2.86
0.53
4.54
7.39
14.9%
2024Q1
91
79.3
8.01
2.62
0.56
4.82
7.33
8.2%
2023Q4
92
79.0
8.32
2.70
0.55
5.07
7.38
13.5%
2023Q3
92
74.8
8.10
2.76
0.47
4.86
7.28
20.3%
2023Q2
91
80.6
7.64
2.83
0.51
4.29
6.95
25.9%
2023Q1
90
81.0
6.79
2.75
0.47
3.56
6.36
21.6%
2022Q4
92
69.9
7.62
3.17
0.57
3.88
6.86
20.1%
2022Q3
92
62.3
7.32
2.66
0.64
4.02
6.87
5.0%
2022Q2
91
64.1
7.42
2.86
0.65
3.92
6.78
6.3%
2022Q1
90
60.8
7.35
3.12
0.63
3.59
6.71
1.1%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
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
6
D × 5E × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-03-12
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-04-22
2025-03-12
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-04-22
2025-03-12
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
2025-04-22
2025-03-12
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.
E
2025-04-22
2025-03-12
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-04-22
2024-03-19
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2024-03-18
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
32
Owner
Role
Pct
From
Status
Source
MASS GENERAL BRIGHAM INCORPORATED
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2017-10-28
current
pecos_ownership
SPAULDING REHABILITATION, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2017-10-28
current
pecos_ownership
BAGGIO TORMEY, MONICA
OPERATIONAL/MANAGERIAL CONTROL
—
2017-07-01
current
pecos_ownership
BAGGIO TORMEY, MONICA
CORPORATE OFFICER
—
2017-10-01
current
pecos_ownership
BRENNAN, MELISSA
CORPORATE OFFICER
—
2014-03-05
current
pecos_ownership
DESANTIS, SAMANTHA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-22
current
pecos_ownership
FISCHER, DAVID
CORPORATE DIRECTOR
—
2019-01-16
current
pecos_ownership
GEE, MICHAEL
CORPORATE DIRECTOR
—
2024-01-18
current
pecos_ownership
JACKSON, RUEL
CORPORATE OFFICER
—
2024-10-11
current
pecos_ownership
JACKSON, RUEL
OPERATIONAL/MANAGERIAL CONTROL
—
2023-05-22
current
pecos_ownership
JONES, DANIEL
CORPORATE DIRECTOR
—
2016-01-26
current
pecos_ownership
JONES, ROBIN
CORPORATE DIRECTOR
—
2025-01-16
current
pecos_ownership
JOY, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-10
current
pecos_ownership
JOY, MICHAEL
ADP OF THE SNF
—
2025-04-16
current
pecos_ownership
KANIARU, MARTHA
ADP OF THE SNF
—
2016-02-03
current
pecos_ownership
KENNEDY, JOSEPH
CORPORATE DIRECTOR
—
2024-07-01
current
pecos_ownership
KLIBANSKI, ANNE
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-01
current
pecos_ownership
LUKEN, DONNA
CORPORATE OFFICER
—
2011-07-25
current
pecos_ownership
MCCREARY, MAKEEBA
CORPORATE DIRECTOR
—
2024-07-01
current
pecos_ownership
MCDERMOTT, VINCENT
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-25
current
pecos_ownership
PIEDRAHITA, VICENTE
CORPORATE DIRECTOR
—
2024-07-01
current
pecos_ownership
POLLARD, TEVIA
CORPORATE DIRECTOR
—
2023-07-01
current
pecos_ownership
PULLEN, MATTHEW
CORPORATE DIRECTOR
—
2025-01-16
current
pecos_ownership
RAJA, ALI
CORPORATE DIRECTOR
—
2022-06-30
current
pecos_ownership
RYAN, JOSEPH
CORPORATE DIRECTOR
—
2017-11-08
current
pecos_ownership
SALLOP, LINDA
CORPORATE DIRECTOR
—
2022-07-20
current
pecos_ownership
SCHNEIDER, JEFFREY
CORPORATE DIRECTOR
—
2025-08-01
current
pecos_ownership
SCHWARTZ, JONATHON
CORPORATE DIRECTOR
—
2025-09-02
current
pecos_ownership
SILBERSWEIG, DAVID
CORPORATE DIRECTOR
—
2017-11-08
current
pecos_ownership
SPEERS, PAULA
CORPORATE OFFICER
—
2021-07-01
current
pecos_ownership
WALDMAN, LOUIS
OPERATIONAL/MANAGERIAL CONTROL
—
2019-10-01
current
pecos_ownership
WHEELER, MARK
CORPORATE DIRECTOR
—
2025-09-30
current
pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-09-30
$5,079,400
—
—
—
$252,469
0
—
2023-09-30
$4,584,160
—
—
—
$405,024
0
—
2022-09-30
$4,180,749
—
—
—
$583,038
2
—
2021-09-30
$3,845,945
—
—
—
$385,191
2
—
2020-09-30
$4,266,586
—
—
—
$732,074
2
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
31
Geo
Kind
BR
Amount
As of
Source
county 25025
acs median gross
0
$1,947
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
1
$1,966
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
2
$2,210
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
3
$2,269
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
4
$2,554
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
5
$2,169
2024-12-31
CENSUS_ACS5
county 25025
acs median gross
$2,129
2024-12-31
CENSUS_ACS5
county 25025
acs recent mover gross
$2,759
2024-12-31
CENSUS_ACS5
zcta 02134
acs median gross
0
$1,954
2024-12-31
CENSUS_ACS5
zcta 02134
acs median gross
1
$2,069
2024-12-31
CENSUS_ACS5
zcta 02134
acs median gross
2
$2,481
2024-12-31
CENSUS_ACS5
zcta 02134
acs median gross
3
$2,781
2024-12-31
CENSUS_ACS5
zcta 02134
acs median gross
4
$3,309
2024-12-31
CENSUS_ACS5
zcta 02134
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
zcta 02134
acs median gross
$2,358
2024-12-31
CENSUS_ACS5
zcta 02134
acs recent mover gross
$2,683
2024-12-31
CENSUS_ACS5
zip 02134
payment standard 110
0
$2,915
2025-10-01
HUD_USER_SAFMR
zip 02134
payment standard 90
0
$2,385
2025-10-01
HUD_USER_SAFMR
zip 02134
safmr
0
$2,650
2025-10-01
HUD_USER_SAFMR
zip 02134
payment standard 110
1
$3,058
2025-10-01
HUD_USER_SAFMR
zip 02134
payment standard 90
1
$2,502
2025-10-01
HUD_USER_SAFMR
zip 02134
safmr
1
$2,780
2025-10-01
HUD_USER_SAFMR
zip 02134
payment standard 110
2
$3,630
2025-10-01
HUD_USER_SAFMR
zip 02134
payment standard 90
2
$2,970
2025-10-01
HUD_USER_SAFMR
zip 02134
safmr
2
$3,300
2025-10-01
HUD_USER_SAFMR
zip 02134
payment standard 110
3
$4,356
2025-10-01
HUD_USER_SAFMR
zip 02134
payment standard 90
3
$3,564
2025-10-01
HUD_USER_SAFMR
zip 02134
safmr
3
$3,960
2025-10-01
HUD_USER_SAFMR
zip 02134
payment standard 110
4
$4,807
2025-10-01
HUD_USER_SAFMR
zip 02134
payment standard 90
4
$3,933
2025-10-01
HUD_USER_SAFMR
zip 02134
safmr
4
$4,370
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.