3115 HORSEBLOCK ROAD, MEDFORD, NY 11763 · CCN 335840
Composite
81.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
320
Model
v1.2
Reads as: riskier than 81.1% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16
2025Q4 HPRD
This facility
NY median
National median
National p25–p75
Total nurse
3.86
3.33
3.28
2.90–3.77
RN
0.46
0.43
0.39
0.25–0.58
Weekend total
3.42
3.03
3.11
—
Weekday total
4.03
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
286.0
3.86
0.46
1.14
2.26
3.42
11.7%
2025Q3
92
279.9
3.84
0.41
1.10
2.32
3.39
11.8%
2025Q2
91
265.6
4.07
0.49
1.16
2.41
3.50
12.3%
2025Q1
90
265.8
3.99
0.42
1.17
2.39
3.58
12.6%
2024Q4
92
267.9
3.97
0.43
1.16
2.38
3.58
10.4%
2024Q3
92
268.4
3.94
0.45
1.09
2.40
3.47
7.6%
2024Q2
91
254.4
4.22
0.55
1.14
2.53
3.72
7.7%
2024Q1
91
259.0
4.06
0.54
1.07
2.45
3.68
8.6%
2023Q4
92
260.3
4.11
0.53
1.09
2.49
3.67
10.4%
2023Q3
92
258.8
3.88
0.49
1.03
2.36
3.30
7.8%
2023Q2
91
254.5
3.81
0.50
0.96
2.35
3.29
5.3%
2023Q1
90
266.4
3.60
0.46
0.87
2.27
3.19
2.7%
2022Q4
92
264.6
3.46
0.47
0.77
2.22
3.13
2.8%
2022Q3
92
269.7
3.40
0.47
0.71
2.22
3.00
5.0%
2022Q2
91
293.3
3.47
0.49
0.72
2.26
2.93
5.3%
2022Q1
90
291.7
3.42
0.45
0.82
2.15
2.92
4.8%
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2005-04-18
2025-02-28
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-04-09
2025-02-28
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2025-04-09
2025-02-28
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-04-09
2025-02-28
Health
F0711
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
D
2025-04-09
2025-02-28
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-04-09
2024-04-26
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-06-07
2024-04-26
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2024-06-07
2024-04-26
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
J
2024-06-07
2024-04-26
Health
F0610
Respond appropriately to all alleged violations.
J
2024-06-07
2024-04-26
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
2024-06-14
2024-04-26
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-07-17
2024-04-26
Health · complaint
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
2024-06-07
2024-04-26
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2024-06-07
2024-04-26
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2024-06-07
2024-04-26
Health
F0760
Ensure that residents are free from significant medication errors.
D
2024-06-07
2024-04-26
Health
F0914
Provide bedrooms that don't allow residents to see each other when privacy is needed.
D
2024-06-07
2022-06-08
Health
F0559
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
D
2022-08-05
2022-06-08
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2022-08-05
2022-06-08
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2022-08-05
2022-06-08
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2022-08-05
2022-06-08
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2022-08-05
2022-06-08
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2022-08-05
2022-06-08
Health
F0712
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
D
2022-08-05
2022-06-08
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
2022-08-05
2022-06-08
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2022-08-05
2022-06-08
Health
F0791
Provide or obtain dental services for each resident.
D
2022-08-05
2022-06-08
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.
D
2022-08-05
2022-06-08
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-07-31
2022-06-08
Health
F0888
Ensure staff are vaccinated for COVID-19
D
2022-08-05
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
12
Owner
Role
Pct
From
Status
Source
KLEIN, MORDECHAI
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2002-01-01
current
pecos_ownership
BRASKA, LAUREN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-01
current
pecos_ownership
BRASKA, LAUREN
ADP OF THE SNF
—
2025-02-12
current
pecos_ownership
KUMAR, NEERU
ADP OF THE SNF
—
2023-12-19
current
pecos_ownership
LOEB, MARTIN
GENERAL PARTNERSHIP INTEREST
—
2019-05-19
current
pecos_ownership
RAUSMAN, NORMAN
CORPORATE DIRECTOR
—
2002-01-01
current
pecos_ownership
MORDECHAI KLEIN
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2002-01-01
ended 2026-05-18
pecos_ownership
NORMAN RAUSMAN
DIRECT OWNERSHIP INTEREST
50%
2002-01-01
ended 2026-05-18
pecos_ownership
MARTIN LOEB
GENERAL PARTNERSHIP INTEREST
1%
2019-05-19
ended 2026-05-18
pecos_ownership
LAUREN BRASKA
ADP OF THE SNF
—
2025-02-12
ended 2026-05-18
pecos_ownership
LAUREN BRASKA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-01
ended 2026-05-18
pecos_ownership
NEERU KUMAR
ADP OF THE SNF
—
2023-12-19
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.
Related-party costs
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 36103
acs median gross
0
$1,765
2024-12-31
CENSUS_ACS5
county 36103
fmr
0
$1,992
2025-10-01
HUD_USER_FMR
county 36103
acs median gross
1
$1,944
2024-12-31
CENSUS_ACS5
county 36103
fmr
1
$2,379
2025-10-01
HUD_USER_FMR
county 36103
acs median gross
2
$2,332
2024-12-31
CENSUS_ACS5
county 36103
fmr
2
$2,747
2025-10-01
HUD_USER_FMR
county 36103
acs median gross
3
$2,669
2024-12-31
CENSUS_ACS5
county 36103
fmr
3
$3,563
2025-10-01
HUD_USER_FMR
county 36103
acs median gross
4
$2,795
2024-12-31
CENSUS_ACS5
county 36103
fmr
4
$3,768
2025-10-01
HUD_USER_FMR
county 36103
acs median gross
5
$2,721
2024-12-31
CENSUS_ACS5
county 36103
acs median gross
$2,255
2024-12-31
CENSUS_ACS5
county 36103
acs recent mover gross
$2,479
2024-12-31
CENSUS_ACS5
zcta 11763
acs median gross
2
$2,715
2024-12-31
CENSUS_ACS5
zcta 11763
acs median gross
3
$2,660
2024-12-31
CENSUS_ACS5
zcta 11763
acs median gross
$2,415
2024-12-31
CENSUS_ACS5
zip 11763
payment standard 110
0
$2,332
2025-10-01
HUD_USER_SAFMR
zip 11763
payment standard 90
0
$1,908
2025-10-01
HUD_USER_SAFMR
zip 11763
safmr
0
$2,120
2025-10-01
HUD_USER_SAFMR
zip 11763
payment standard 110
1
$2,783
2025-10-01
HUD_USER_SAFMR
zip 11763
payment standard 90
1
$2,277
2025-10-01
HUD_USER_SAFMR
zip 11763
safmr
1
$2,530
2025-10-01
HUD_USER_SAFMR
zip 11763
payment standard 110
2
$3,212
2025-10-01
HUD_USER_SAFMR
zip 11763
payment standard 90
2
$2,628
2025-10-01
HUD_USER_SAFMR
zip 11763
safmr
2
$2,920
2025-10-01
HUD_USER_SAFMR
zip 11763
payment standard 110
3
$4,169
2025-10-01
HUD_USER_SAFMR
zip 11763
payment standard 90
3
$3,411
2025-10-01
HUD_USER_SAFMR
zip 11763
safmr
3
$3,790
2025-10-01
HUD_USER_SAFMR
zip 11763
payment standard 110
4
$4,411
2025-10-01
HUD_USER_SAFMR
zip 11763
payment standard 90
4
$3,609
2025-10-01
HUD_USER_SAFMR
zip 11763
safmr
4
$4,010
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.