Composite
69.7 / 100 percentile
Screener / 225264
C
Brandon Woods of New Bedford
snfMASFF: SFF Candidate
397 COUNTY STREET, NEW BEDFORD, MA 02740 · CCN 225264 · chain ESSEX GROUP INCORPORATED
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
135
Model
v1.2
Reads as: riskier than 69.7% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5Components16CHOW radar1Distress radar1Staffing15Penalties1Deficiencies80Licensure0Ownership20Related party5Transactions0Comps12Market rent31
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 |
| financial risk | 55.8 | 49.4 | 0.30 | 0.2308 | 12.88 | in index |
| chow risk | 89.7 | 70.6 | 0.15 | 0.1154 | 10.35 | in index |
| billing conduct | 34.8 | 33.7 | 0.30 | 0.2308 | 8.03 | in index |
| staffing risk | 9.3 | 9.4 | 0.25 | 0.1923 | 1.79 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 33.7 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 55.0 | 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 | 86.2 | F | v0.6 | default · in composite | |
| financial risk | 49.4 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.2 | — | 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 | 2.8 | — | 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 | 9.4 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 76.6 | D | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 56.6 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 49.8 | C | 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 | 53.6 | C | 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 | 9.4 | A | 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 | 9.4 | A | 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)
2.8%
model v0.1 · computed 2026-07-29
Percentile among SNFs
75.8
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 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Total nurse staffing (HPRD) | 4.40 | -0.27 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Occupancy | 0.75 | -0.16 | |
| Deficiencies, last 12 months | 1.00 | -0.15 |
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)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
58.2
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 1.00 | +1.24 | |
| For-profit ownership | 1.00 | -0.69 | |
| Total nurse staffing (HPRD) | 4.40 | -0.50 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Staffing trend, last 4 quarters | 0.77 | +0.33 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 | |
| Facility size (log beds) | 4.91 | -0.12 |
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 | 4.40 | 3.39 | 3.28 | 2.90–3.77 |
| RN | 0.47 | 0.39 | 0.39 | 0.25–0.58 |
| Weekend total | 4.04 | 3.26 | 3.11 | — |
| Weekday total | 4.55 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 101.8 | 4.40 | 0.47 | 0.91 | 3.02 | 4.04 | 7.0% |
| 2025Q3 | 92 | 100.8 | 4.06 | 0.48 | 0.86 | 2.71 | 3.69 | 9.0% |
| 2025Q2 | 91 | 100.8 | 3.99 | 0.42 | 0.90 | 2.68 | 3.61 | 12.2% |
| 2025Q1 | 90 | 98.5 | 4.20 | 0.47 | 0.84 | 2.88 | 3.83 | 12.6% |
| 2024Q4 | 92 | 110.4 | 3.64 | 0.28 | 0.90 | 2.46 | 3.43 | 12.7% |
| 2024Q3 | 92 | 111.4 | 3.34 | 0.28 | 0.81 | 2.25 | 3.09 | 22.8% |
| 2024Q2 | 91 | 109.2 | 3.52 | 0.40 | 0.84 | 2.28 | 3.25 | 28.6% |
| 2024Q1 | 91 | 105.6 | 3.35 | 0.25 | 0.83 | 2.26 | 2.97 | 29.5% |
| 2023Q4 | 92 | 100.7 | 3.76 | 0.29 | 0.95 | 2.52 | 3.47 | 32.6% |
| 2023Q3 | 92 | 103.4 | 3.67 | 0.37 | 0.88 | 2.42 | 3.40 | 47.0% |
| 2023Q2 | 91 | 106.4 | 3.30 | 0.28 | 0.84 | 2.18 | 2.87 | 59.3% |
| 2023Q1 | 90 | 107.6 | 3.26 | 0.26 | 0.87 | 2.13 | 2.80 | 56.8% |
| 2022Q4 | 92 | 100.7 | 3.32 | 0.26 | 0.86 | 2.21 | 2.93 | 49.0% |
| 2022Q2 | 91 | 96.3 | 3.47 | 0.43 | 0.83 | 2.22 | 2.89 | 39.1% |
| 2022Q1 | 90 | 93.4 | 3.09 | 0.53 | 0.53 | 2.03 | 2.73 | 23.8% |
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
1| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-12-16 | Fine | $464,490 | CMS provider data |
Total fines on record: $464,490
Deficiencies
80B × 7C × 2D × 28E × 20F × 15G × 1H × 4K × 3
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-09-16 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2025-12-02 |
| 2025-06-12 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2025-05-23 |
| 2024-12-16 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-02-07 |
| 2024-12-16 | Health | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2025-01-06 |
| 2024-12-16 | 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 | 2025-02-07 |
| 2024-12-16 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | 2025-01-03 |
| 2024-12-16 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | 2025-01-06 |
| 2024-12-16 | Health | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | 2025-02-07 |
| 2024-12-16 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | H | 2025-02-07 |
| 2024-12-16 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | H | 2025-01-09 |
| 2024-12-16 | Health | F0610 | Respond appropriately to all alleged violations. | H | 2025-02-07 |
| 2024-12-16 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | 2025-01-06 |
| 2024-12-16 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2025-01-03 |
| 2024-12-16 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | H | 2025-02-07 |
| 2024-12-16 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-02-07 |
| 2024-12-16 | Health | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2025-01-06 |
| 2024-12-16 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-02-18 |
| 2024-12-16 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-01-06 |
| 2024-12-16 | 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 | 2025-01-03 |
| 2024-12-16 | Health | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | 2025-01-03 |
| 2024-12-16 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | 2025-01-03 |
| 2024-12-16 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | 2025-01-06 |
| 2024-12-16 | Health | F0732 | Post nurse staffing information every day. | C | 2025-01-06 |
| 2024-12-16 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | K | 2025-02-07 |
| 2024-12-16 | Health | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | K | 2025-01-06 |
| 2024-12-16 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2025-01-03 |
| 2024-12-16 | 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 | 2025-01-03 |
| 2024-12-16 | 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 | 2025-01-09 |
| 2024-12-16 | 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 | 2025-01-06 |
| 2024-12-16 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-02-07 |
| 2024-12-16 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2025-01-10 |
| 2024-12-16 | 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 | 2025-02-07 |
| 2024-12-16 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-01-10 |
| 2024-12-16 | Health | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | 2025-01-06 |
| 2024-12-16 | Health | F0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | E | 2025-01-06 |
| 2024-12-16 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | 2025-01-06 |
| 2024-12-16 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-02-18 |
| 2024-12-16 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2025-02-07 |
| 2024-12-16 | Health | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | F | 2025-01-10 |
| 2024-12-16 | Health | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | F | 2025-01-10 |
| 2024-12-16 | Health | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | F | 2025-01-10 |
| 2024-12-16 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | 2025-02-07 |
| 2024-12-16 | Health | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | F | 2025-01-10 |
| 2024-12-16 | Health | F0946 | Provide training in compliance and ethics. | F | 2025-01-06 |
| 2024-12-16 | 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 | 2025-02-07 |
| 2024-12-16 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | 2025-01-06 |
| 2023-08-30 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | 2023-09-22 |
| 2023-08-30 | Health | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | B | 2023-09-22 |
| 2023-08-30 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | 2023-09-22 |
| 2023-08-30 | 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. | B | 2023-09-22 |
| 2023-08-30 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | 2023-09-22 |
| 2023-08-30 | Health | F0641 | Ensure each resident receives an accurate assessment. | B | 2023-09-22 |
| 2023-08-30 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-09-28 |
| 2023-08-30 | Health | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2023-09-22 |
| 2023-08-30 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-09-22 |
| 2023-08-30 | 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 | 2023-09-28 |
| 2023-08-30 | 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 | 2023-09-22 |
| 2023-08-30 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-09-28 |
| 2023-08-30 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2023-09-28 |
| 2023-08-30 | Health | F0885 | Report COVID19 data to residents and families. | F | 2023-09-22 |
| 2021-04-02 | Health | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2021-06-06 |
| 2021-04-02 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2021-06-06 |
| 2021-04-02 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2021-07-05 |
| 2021-04-02 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2021-06-06 |
| 2021-04-02 | 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 | 2021-06-06 |
| 2021-04-02 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2021-06-06 |
| 2021-04-02 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2021-06-06 |
| 2021-04-02 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2021-06-06 |
| 2021-04-02 | 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 | 2021-06-06 |
| 2021-04-02 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2021-06-06 |
| 2021-04-02 | 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 | 2021-06-06 |
| 2021-04-02 | 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 | 2021-07-05 |
| 2021-04-02 | 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 | 2021-06-06 |
| 2021-04-02 | Health | 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. | D | 2021-06-06 |
| 2021-04-02 | 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 | 2021-06-06 |
| 2021-04-02 | 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 | 2021-06-06 |
| 2021-04-02 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2021-07-05 |
| 2021-04-02 | Health | F0885 | Report COVID19 data to residents and families. | E | 2021-07-05 |
| 2021-04-02 | Health | F0886 | Perform COVID19 testing on residents and staff. | F | 2021-07-05 |
| 2021-04-02 | 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. | E | 2021-06-06 |
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
20| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| COUNTY ST. LP | Individual has financial interest in both related organization and provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| COUNTY ST. LP | Individual has financial interest in both related organization and provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| ROMANO, FRANK | CORPORATE DIRECTOR | — | — | current | pecos_ownership |
| ROMANO, JAMES | W-2 MANAGING EMPLOYEE | — | 2013-06-25 | current | pecos_ownership |
| ROMANO, KATELYN | W-2 MANAGING EMPLOYEE | — | 2017-05-08 | current | pecos_ownership |
| ROMANO, KYLE | W-2 MANAGING EMPLOYEE | — | 2010-01-17 | current | pecos_ownership |
| ESSEX GROUP INCORPORATED | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | ended 2026-05-18 | pecos_ownership |
| FRANK ROMANO | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 44% | 2013-02-02 | ended 2026-05-18 | pecos_ownership |
| FRANK ROMANO | CORPORATE OFFICER | 44% | — | ended 2026-05-18 | pecos_ownership |
| BRANDON ROMANO | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12% | 2013-02-02 | ended 2026-05-18 | pecos_ownership |
| JAMES ROMANO | W-2 MANAGING EMPLOYEE | 12% | 2013-06-25 | ended 2026-05-18 | pecos_ownership |
| JAMES ROMANO | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12% | 2013-02-02 | ended 2026-05-18 | pecos_ownership |
| KATELYN ROMANO | W-2 MANAGING EMPLOYEE | 12% | 2017-05-08 | ended 2026-05-18 | pecos_ownership |
| KATELYN ROMANO | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12% | 2013-02-02 | ended 2026-05-18 | pecos_ownership |
| KYLE ROMANO | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12% | 2013-02-02 | ended 2026-05-18 | pecos_ownership |
| KYLE ROMANO | W-2 MANAGING EMPLOYEE | 12% | 2010-01-17 | ended 2026-05-18 | pecos_ownership |
| PHILIP DOYLE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% | 2013-02-02 | ended 2026-05-18 | pecos_ownership |
| COUNTY ST. LP | Individual has financial interest in both related organization and provider | 1% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| COUNTY ST. LP | Individual has financial interest in both related organization and provider | 1% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| COUNTY ST. LP | Individual has financial interest in both related organization and provider | 1% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
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
31| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 25005 | acs median gross | 0 | $1,032 | 2024-12-31 | CENSUS_ACS5 |
| county 25005 | acs median gross | 1 | $925 | 2024-12-31 | CENSUS_ACS5 |
| county 25005 | acs median gross | 2 | $1,347 | 2024-12-31 | CENSUS_ACS5 |
| county 25005 | acs median gross | 3 | $1,395 | 2024-12-31 | CENSUS_ACS5 |
| county 25005 | acs median gross | 4 | $1,574 | 2024-12-31 | CENSUS_ACS5 |
| county 25005 | acs median gross | 5 | $1,414 | 2024-12-31 | CENSUS_ACS5 |
| county 25005 | acs median gross | $1,245 | 2024-12-31 | CENSUS_ACS5 | |
| county 25005 | acs recent mover gross | $1,554 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 02740 | acs median gross | 0 | $750 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02740 | acs median gross | 1 | $798 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02740 | acs median gross | 2 | $1,125 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02740 | acs median gross | 3 | $1,241 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02740 | acs median gross | 4 | $1,451 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02740 | acs median gross | 5 | $1,391 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02740 | acs median gross | $1,086 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 02740 | acs recent mover gross | $1,324 | 2024-12-31 | CENSUS_ACS5 | |
| zip 02740 | payment standard 110 | 0 | $1,276 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02740 | payment standard 90 | 0 | $1,044 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02740 | safmr | 0 | $1,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02740 | payment standard 110 | 1 | $1,298 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02740 | payment standard 90 | 1 | $1,062 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02740 | safmr | 1 | $1,180 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02740 | payment standard 110 | 2 | $1,617 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02740 | payment standard 90 | 2 | $1,323 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02740 | safmr | 2 | $1,470 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02740 | payment standard 110 | 3 | $1,936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02740 | payment standard 90 | 3 | $1,584 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02740 | safmr | 3 | $1,760 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02740 | payment standard 110 | 4 | $2,420 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02740 | payment standard 90 | 4 | $1,980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02740 | safmr | 4 | $2,200 | 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.