Composite
90.5 / 100 percentile
Screener / 225549
D
BRIGHAM HEALTH AND REHABILITATION CENTER
snfMA
77 HIGH STREET, NEWBURYPORT, MA 01950 · CCN 225549 · chain ALPHA SNF MA LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
64
Model
v1.2
Reads as: riskier than 90.5% 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.
Score model5ML signals5Components16CHOW radar1Distress radar1Staffing15Penalties2Deficiencies66Licensure0Ownership13Related party6Transactions1Comps12Market rent28
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 96.0 | 94.4 | 0.30 | 0.2308 | 22.15 | in index |
| financial risk | 86.4 | 73.2 | 0.30 | 0.2308 | 19.94 | in index |
| staffing risk | 50.3 | 50.4 | 0.25 | 0.1923 | 9.67 | in index |
| chow risk | 76.1 | 54.5 | 0.15 | 0.1154 | 8.78 | in index |
| billing conduct | 28.2 | 30.8 | 0.30 | 0.2308 | 6.51 | 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
5| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +36.6 vs natl | SEGAL WILLIAM | 5 facilities |
| connection | Owner fleet risk far above national | +30.6 vs natl | FLANAGAN MICHAEL | 19 facilities |
| connection | Owner spans multiple chains | 5 chains | FLANAGAN MICHAEL | 17 facilities |
| connection | Owner fleet enforcement cluster | 47% fined | FLANAGAN MICHAEL | 19 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | SEGAL WILLIAM | 5 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 | 30.8 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 45.0 | C | 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 | 63.9 | C | v0.6 | default · in composite | |
| financial risk | 73.2 | 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 | 0.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 94.4 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 50.4 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 59.6 | C | 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 | 39.6 | B | 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 | 73.3 | 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 | 71.6 | 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 | 94.4 | 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 | 94.4 | 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 | 50.4 | 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 | 50.4 | 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
12.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 2.79 | -1.57 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.66 | +0.11 | |
| Contract staffing share | 0.11 | +0.07 | |
| Deficiencies, last 12 months | 9.00 | +0.05 |
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
33.6
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.66 | +0.38 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 2.79 | -0.26 | |
| Deficiencies, last 12 months | 9.00 | -0.24 | |
| Ownership changes, last 5 years | 1.00 | +0.23 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
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
15| 2025Q4 HPRD | This facility | MA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.27 | 3.39 | 3.28 | 2.90–3.77 |
| RN | 0.38 | 0.39 | 0.39 | 0.25–0.58 |
| Weekend total | 3.26 | 3.26 | 3.11 | — |
| Weekday total | 3.27 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 42.1 | 3.27 | 0.38 | 0.77 | 2.12 | 3.26 | 11.0% |
| 2025Q3 | 92 | 42.5 | 3.25 | 0.42 | 0.72 | 2.11 | 3.20 | 10.9% |
| 2025Q2 | 91 | 41.1 | 3.27 | 0.38 | 0.78 | 2.11 | 3.17 | 10.7% |
| 2024Q4 | 92 | 39.1 | 3.47 | 0.66 | 0.61 | 2.20 | 3.38 | 5.9% |
| 2024Q3 | 92 | 45.6 | 2.93 | 0.57 | 0.53 | 1.83 | 2.81 | 0.0% |
| 2024Q2 | 91 | 45.3 | 2.90 | 0.44 | 0.71 | 1.76 | 2.79 | 14.0% |
| 2024Q1 | 91 | 49.2 | 2.88 | 0.42 | 0.79 | 1.68 | 2.65 | 23.6% |
| 2023Q4 | 92 | 48.4 | 0.47 | 0.06 | 0.15 | 0.27 | 0.46 | 0.0% |
| 2023Q3 | 92 | 48.6 | 3.15 | 0.34 | 0.91 | 1.90 | 3.05 | 0.0% |
| 2023Q2 | 91 | 51.8 | 3.18 | 0.41 | 0.90 | 1.87 | 3.17 | 1.2% |
| 2023Q1 | 90 | 51.6 | 3.38 | 0.48 | 0.87 | 2.03 | 3.38 | 0.9% |
| 2022Q4 | 92 | 53.4 | 3.40 | 0.56 | 0.70 | 2.14 | 3.33 | 0.4% |
| 2022Q3 | 92 | 54.5 | 3.38 | 0.57 | 0.56 | 2.23 | 3.23 | 0.0% |
| 2022Q2 | 91 | 54.9 | 3.13 | 0.46 | 0.61 | 2.06 | 2.98 | 0.0% |
| 2022Q1 | 90 | 55.5 | 2.72 | 0.43 | 0.45 | 1.83 | 2.59 | 3.3% |
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
2| Date | Type | Fine | Source |
|---|---|---|---|
| 2023-08-22 | Fine | $152,988 | CMS provider data |
| 2023-08-22 | Payment Denial | — | CMS provider data |
Total fines on record: $152,988
Deficiencies
66B × 5C × 1D × 34E × 21F × 3J × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-09-17 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-10-23 |
| 2025-09-17 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2025-10-23 |
| 2025-09-17 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-10-23 |
| 2025-09-17 | 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 | 2025-10-23 |
| 2025-09-17 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-10-23 |
| 2025-09-17 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2025-10-23 |
| 2025-09-17 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-10-23 |
| 2025-09-17 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2025-10-23 |
| 2025-09-17 | Health | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | 2025-10-23 |
| 2024-11-05 | 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 | 2024-11-29 |
| 2024-11-05 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-11-29 |
| 2024-09-12 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-10-24 |
| 2024-09-12 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | 2024-10-24 |
| 2024-09-12 | 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. | E | 2024-10-24 |
| 2024-09-12 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-10-24 |
| 2024-09-12 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2024-10-24 |
| 2024-09-12 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | 2024-10-24 |
| 2024-09-12 | Health | F0641 | Ensure each resident receives an accurate assessment. | B | 2024-10-24 |
| 2024-09-12 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-10-24 |
| 2024-09-12 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-10-24 |
| 2024-09-12 | 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 | 2024-10-24 |
| 2024-09-12 | 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 | 2024-10-24 |
| 2024-09-12 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-10-24 |
| 2024-09-12 | 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 | 2024-10-24 |
| 2024-09-12 | 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 | 2024-10-24 |
| 2024-09-12 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-10-24 |
| 2024-09-12 | 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 | 2024-10-24 |
| 2024-09-12 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-10-24 |
| 2024-09-12 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2024-10-24 |
| 2024-09-12 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2024-10-24 |
| 2024-09-12 | 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 | 2024-10-24 |
| 2024-09-12 | Health | F0732 | Post nurse staffing information every day. | B | 2024-10-24 |
| 2024-09-12 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | 2024-10-24 |
| 2024-09-12 | 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. | E | 2024-10-24 |
| 2024-09-12 | 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 | 2024-10-24 |
| 2024-09-12 | 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 | 2024-10-24 |
| 2024-09-12 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | E | 2024-10-24 |
| 2024-09-12 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | 2024-10-24 |
| 2024-09-12 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | 2024-10-24 |
| 2024-09-12 | Health | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | 2024-10-24 |
| 2024-09-12 | Health | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | 2024-10-24 |
| 2024-09-12 | Health | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2024-10-24 |
| 2024-09-12 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-10-24 |
| 2024-09-12 | Health | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | 2024-10-24 |
| 2024-09-12 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-10-24 |
| 2024-09-12 | Health | F0844 | Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | C | 2024-10-24 |
| 2024-09-03 | Health · complaint | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | 2024-09-25 |
| 2024-09-03 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-09-25 |
| 2024-09-03 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-09-25 |
| 2024-07-17 | 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 | 2024-08-16 |
| 2024-03-26 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2024-05-01 |
| 2024-03-26 | 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. | D | 2024-05-01 |
| 2024-02-01 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-03-13 |
| 2023-09-05 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2023-09-13 |
| 2023-09-05 | Health | F0641 | Ensure each resident receives an accurate assessment. | B | 2023-09-13 |
| 2023-09-05 | 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 | 2023-09-13 |
| 2023-09-05 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-09-13 |
| 2023-09-05 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-09-13 |
| 2023-09-05 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2023-09-13 |
| 2023-09-05 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-09-13 |
| 2023-09-05 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-09-13 |
| 2023-09-05 | 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. | J | 2023-09-13 |
| 2023-09-05 | 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 | 2023-09-13 |
| 2023-09-05 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-09-13 |
| 2023-09-05 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2023-09-13 |
| 2023-09-05 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-09-13 |
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
13| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BELL, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-04 | current | pecos_ownership |
| BELL, MICHAEL | ADP OF THE SNF | — | 2025-04-26 | current | pecos_ownership |
| FAJANA, ADEKUNLE | ADP OF THE SNF | — | 2025-04-26 | current | pecos_ownership |
| FAJANA, ADEKUNLE | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-04 | current | pecos_ownership |
| FLANAGAN, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-04 | current | pecos_ownership |
| SEGAL, WILLIAM | INDIRECT OWNERSHIP INTEREST | — | 2023-03-24 | current | pecos_ownership |
| ALPHA SNF MA LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-03-24 | ended 2026-05-18 | pecos_ownership |
| WILLIAM SEGAL | INDIRECT OWNERSHIP INTEREST | 100% | 2023-03-24 | ended 2026-05-18 | pecos_ownership |
| ADEKUNLE FAJANA | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-04 | ended 2026-05-18 | pecos_ownership |
| ADEKUNLE FAJANA | ADP OF THE SNF | — | 2025-04-26 | ended 2026-05-18 | pecos_ownership |
| MICHAEL BELL | ADP OF THE SNF | — | 2025-04-26 | ended 2026-05-18 | pecos_ownership |
| MICHAEL BELL | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-04 | ended 2026-05-18 | pecos_ownership |
| MICHAEL FLANAGAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-04 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2023-10-15 | — | NEWBURYPORT OPCO, LLC | BEAR MT NEWBURYPORT LLC | chow |
Comparable trades — MA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-29 | Hadley Pointe Nursing Rehab & Care | — | — | — | 154 | HADLEY CENTER LLC |
| 2025-08-01 | Alliance Health at Coleman | — | — | — | 45 | ALLIANCE HEALTH OF NORTHBOROUGH INC |
| 2025-05-28 | PALM SPRINGS POST ACUTE | — | — | — | 124 | PALM SPRINGS OPERATOR LLC |
| 2025-05-28 | HAMPDEN POST ACUTE | — | — | — | 135 | HAMPDEN OPERATOR LLC |
| 2025-04-01 | BROCKTON POST ACUTE CARE | — | — | — | 169 | BROCKTON OPERATOR LLC |
| 2025-04-01 | HIGHLAND PARK REHABILITATION AND HEALTHCARE CENTER | — | — | — | 195 | HIGHLAND PARK OPERATOR LLC |
| 2025-03-01 | THE CENTER AT ADVOCATE | — | — | — | 190 | THE CENTER AT ADVOCATE LLC |
| 2025-03-01 | Premier Healthcare at Harrington House | — | — | — | 90 | 160 MAIN STREET WALPOLE OPERATOR LLC |
| 2025-02-28 | PORT REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | NEWBURYPORT SNF OPERATIONS LLC |
| 2025-02-28 | MASCONOMET REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | TOPSFIELD SNF OPERATIONS LLC |
| 2025-02-28 | SIPPICAN REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | MARION SNF OPERATIONS LLC |
| 2025-02-28 | NEMASKET REHABILITATION AND HEALTHCARE CENTER | — | — | — | 102 | MIDDLEBOROUGH SNF OPERATIONS LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
28| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 25009 | acs median gross | 0 | $1,355 | 2024-12-31 | CENSUS_ACS5 |
| county 25009 | acs median gross | 1 | $1,383 | 2024-12-31 | CENSUS_ACS5 |
| county 25009 | acs median gross | 2 | $1,864 | 2024-12-31 | CENSUS_ACS5 |
| county 25009 | acs median gross | 3 | $1,998 | 2024-12-31 | CENSUS_ACS5 |
| county 25009 | acs median gross | 4 | $2,198 | 2024-12-31 | CENSUS_ACS5 |
| county 25009 | acs median gross | 5 | $2,425 | 2024-12-31 | CENSUS_ACS5 |
| county 25009 | acs median gross | $1,756 | 2024-12-31 | CENSUS_ACS5 | |
| county 25009 | acs recent mover gross | $2,174 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 01950 | acs median gross | 1 | $1,139 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01950 | acs median gross | 2 | $1,775 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01950 | acs median gross | 3 | $2,460 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01950 | acs median gross | $1,592 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 01950 | acs recent mover gross | $2,006 | 2024-12-31 | CENSUS_ACS5 | |
| zip 01950 | payment standard 110 | 0 | $2,244 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | payment standard 90 | 0 | $1,836 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | safmr | 0 | $2,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | payment standard 110 | 1 | $2,376 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | payment standard 90 | 1 | $1,944 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | safmr | 1 | $2,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | payment standard 110 | 2 | $2,816 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | payment standard 90 | 2 | $2,304 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | safmr | 2 | $2,560 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | payment standard 110 | 3 | $3,388 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | payment standard 90 | 3 | $2,772 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | safmr | 3 | $3,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | payment standard 110 | 4 | $3,729 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | payment standard 90 | 4 | $3,051 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01950 | safmr | 4 | $3,390 | 2025-10-01 | HUD_USER_SAFMR |
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.