Composite
86.9 / 100 percentile
Screener / 335427
D
ONEIDA HEALTH REHABILITATION AND EXTENDED CARE
snfNY
323 GENESEE STREET, ONEIDA, NY 13421 · CCN 335427
Peer group
snf n = 14,684
Evidence depth
moderate
Certified beds
160
Model
v1.2
Reads as: riskier than 86.9% 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 model3Components7CHOW radar1Distress radar1Staffing13Penalties1Deficiencies26Licensure0Ownership22Related party0Transactions0Comps12Market rent35
Composite explanation
3| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 81.0 | 53.6 | 0.30 | 0.4000 | 32.40 | in index |
| regulatory risk | 73.1 | 68.9 | 0.30 | 0.4000 | 29.24 | in index |
| chow risk | 14.1 | 24.3 | 0.15 | 0.2000 | 2.82 | 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
7| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 53.6 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.3 | A | 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. |
| p adverse action 12m | 0.6 | — | 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 | 0.3 | — | 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 | 68.9 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| regulatory risk | 68.7 | D | 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 | 68.7 | D | 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. |
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)
0.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
44.9
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | -1.24 | |
| Occupancy | 0.93 | -0.66 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Facility size (log beds) | 5.08 | -0.11 |
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)
0.6%
model v0.1 · computed 2026-07-29
Percentile among SNFs
76.8
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 | 0.00 | +1.62 | |
| Chain size (log) | 0.00 | +1.20 | |
| Occupancy | 0.93 | -0.74 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Deficiencies, last 12 months | 9.00 | -0.24 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Facility size (log beds) | 5.08 | -0.15 | |
| Never sold on record | 1.00 | +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
13| 2025Q3 HPRD | This facility | NY median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.06 | 3.33 | 3.28 | 2.90–3.77 |
| RN | 0.44 | 0.43 | 0.39 | 0.25–0.58 |
| Weekend total | 2.68 | 3.03 | 3.11 | — |
| Weekday total | 3.21 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q3 | 92 | 148.0 | 3.06 | 0.44 | 0.84 | 1.78 | 2.68 | 6.2% |
| 2025Q2 | 91 | 142.9 | 3.21 | 0.43 | 0.83 | 1.95 | 2.80 | 4.7% |
| 2025Q1 | 90 | 140.2 | 3.21 | 0.45 | 0.83 | 1.94 | 2.77 | 5.5% |
| 2024Q4 | 92 | 134.0 | 3.13 | 0.39 | 0.90 | 1.84 | 2.77 | 4.2% |
| 2024Q3 | 92 | 128.6 | 3.14 | 0.27 | 0.92 | 1.95 | 2.87 | 3.3% |
| 2024Q2 | 91 | 129.4 | 3.12 | 0.37 | 0.91 | 1.84 | 2.86 | 2.1% |
| 2024Q1 | 91 | 127.8 | 2.90 | 0.34 | 0.85 | 1.71 | 2.73 | 0.5% |
| 2023Q4 | 92 | 116.9 | 3.52 | 0.41 | 0.99 | 2.13 | 3.14 | 0.0% |
| 2023Q3 | 92 | 114.2 | 3.22 | 0.46 | 0.88 | 1.89 | 2.90 | 0.0% |
| 2023Q2 | 91 | 100.7 | 3.31 | 0.49 | 0.95 | 1.86 | 2.94 | 0.0% |
| 2023Q1 | 90 | 97.1 | 3.29 | 0.51 | 1.00 | 1.79 | 3.02 | 0.0% |
| 2022Q4 | 92 | 106.5 | 3.06 | 0.44 | 0.94 | 1.67 | 2.77 | 0.3% |
| 2022Q1 | 90 | 97.6 | 3.88 | 0.33 | 1.19 | 2.37 | 3.37 | 0.0% |
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 |
|---|---|---|---|
| 2025-04-25 | Fine | $16,153 | CMS provider data |
Total fines on record: $16,153
Deficiencies
26C × 1D × 19E × 5J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-01-27 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2026-03-20 |
| 2026-01-27 | 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 | 2026-03-20 |
| 2026-01-27 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2026-03-20 |
| 2026-01-27 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-03-20 |
| 2026-01-27 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2026-03-20 |
| 2026-01-27 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-03-20 |
| 2026-01-27 | 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 | 2026-03-20 |
| 2026-01-27 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2026-03-20 |
| 2026-01-27 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2026-03-20 |
| 2025-04-25 | Health · complaint | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | J | 2025-04-15 |
| 2024-04-12 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | C | 2024-05-30 |
| 2024-04-12 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2024-05-30 |
| 2024-04-12 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-05-30 |
| 2024-04-12 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-05-30 |
| 2024-04-12 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2024-05-30 |
| 2024-04-12 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-05-30 |
| 2024-04-12 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-05-30 |
| 2024-04-12 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-05-30 |
| 2024-04-12 | 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 | 2024-05-30 |
| 2024-04-12 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-05-30 |
| 2024-04-12 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2024-05-30 |
| 2024-04-12 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2024-05-30 |
| 2024-04-12 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2024-05-30 |
| 2024-04-12 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-05-30 |
| 2024-04-12 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2024-05-30 |
| 2022-01-25 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2022-02-18 |
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
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
22| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BACH, JANICE | CORPORATE DIRECTOR | — | 2013-01-01 | current | pecos_ownership |
| BELL, NADINE | CORPORATE DIRECTOR | — | 2012-01-01 | current | pecos_ownership |
| DUGAN, CHRIS | CORPORATE DIRECTOR | — | 2023-09-01 | current | pecos_ownership |
| HEDGLON, PETER | CORPORATE DIRECTOR | — | — | current | pecos_ownership |
| KALLET, MICHAEL | CORPORATE DIRECTOR | — | — | current | pecos_ownership |
| KOERNIG, FELISSA | CORPORATE DIRECTOR | — | 2023-09-01 | current | pecos_ownership |
| POTTER, STEVEN | CORPORATE DIRECTOR | — | 2005-01-01 | current | pecos_ownership |
| RATNARAJAH, DANIEL | CORPORATE DIRECTOR | — | 2009-01-01 | current | pecos_ownership |
| SCHAAL, TODD | CORPORATE DIRECTOR | — | 2023-09-01 | current | pecos_ownership |
| SWEET, JEREMIAH | W-2 MANAGING EMPLOYEE | — | 2017-07-31 | current | pecos_ownership |
| WELLS, MARGARET | CORPORATE DIRECTOR | — | 2023-09-01 | current | pecos_ownership |
| CHRIS DUGAN | CORPORATE DIRECTOR | 0% | 2023-09-01 | ended 2026-05-18 | pecos_ownership |
| DANIEL RATNARAJAH | CORPORATE DIRECTOR | 0% | 2009-01-01 | ended 2026-05-18 | pecos_ownership |
| FELISSA KOERNIG | CORPORATE OFFICER | 0% | 2023-09-01 | ended 2026-05-18 | pecos_ownership |
| JANICE BACH | CORPORATE DIRECTOR | 0% | 2013-01-01 | ended 2026-05-18 | pecos_ownership |
| MARGARET WELLS | CORPORATE DIRECTOR | 0% | 2023-09-01 | ended 2026-05-18 | pecos_ownership |
| MICHAEL KALLET | CORPORATE DIRECTOR | 0% | — | ended 2026-05-18 | pecos_ownership |
| NADINE BELL | CORPORATE DIRECTOR | 0% | 2012-01-01 | ended 2026-05-18 | pecos_ownership |
| PETER HEDGLON | CORPORATE DIRECTOR | 0% | — | ended 2026-05-18 | pecos_ownership |
| STEVEN POTTER | CORPORATE DIRECTOR | 0% | 2005-01-01 | ended 2026-05-18 | pecos_ownership |
| TODD SCHAAL | CORPORATE DIRECTOR | 0% | 2023-09-01 | ended 2026-05-18 | pecos_ownership |
| JEREMIAH SWEET | W-2 MANAGING EMPLOYEE | — | 2017-07-31 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Comparable trades — NY snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-06-01 | PINE FOREST CARE CENTER FOR REHAB & HEALTHCARE | — | — | — | 76 | HILAIRE CARE NETWORK LLC |
| 2024-05-17 | Fairport Rehabilitation and Nursing Center | — | — | — | 196 | FAIRPORT SNF LLC |
| 2024-05-09 | MARIA REGINA REHABILITATION AND NURSING | — | — | — | 188 | OPTIMA CARE BRENTWOOD LLC |
| 2024-02-01 | TUPPER LAKE CENTER FOR NURSING AND REHABILITATION | — | — | — | 60 | TUPPER LAKE CENTER LLC |
| 2023-08-31 | WEST VILLAGE REHABILITATION AND NURSING CENTER | — | — | — | 105 | VILLAGE ACQUISITION I LLC |
| 2023-06-23 | Crest Manor Living and Rehabilitation Center | — | — | — | 80 | CREST OPCO LLC |
| 2023-06-23 | East Side Nursing Home | — | — | — | 80 | EASTSIDE OPCO LLC |
| 2023-05-05 | SPRINGVALE NURSING & REHABILITATION CENTER | — | — | — | 200 | THE PREMIER CENTER FOR REHABILITATION OF WESTCHESTER LLC |
| 2023-04-21 | LIVINGSTON HILLS NURSING AND REHABILITATION CENTER | — | — | — | 120 | LIVINGSTON TWO OPERATIONS LLC |
| 2023-01-12 | EDEN REHABILITATION NURSING CENTER | — | — | — | 40 | EDRNC OPERATING LLC |
| 2023-01-01 | DUNKIRK REHABILITATION & NURSING CENTER | — | — | — | 40 | DURNC OPERATING LLC |
| 2022-09-12 | ROSS CENTER FOR NURSING AND REHABILITATION | — | — | — | 135 | ROSS OPCO 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
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 36053 | acs median gross | 0 | $768 | 2024-12-31 | CENSUS_ACS5 |
| county 36053 | fmr | 0 | $995 | 2025-10-01 | HUD_USER_FMR |
| county 36053 | acs median gross | 1 | $681 | 2024-12-31 | CENSUS_ACS5 |
| county 36053 | fmr | 1 | $1,123 | 2025-10-01 | HUD_USER_FMR |
| county 36053 | acs median gross | 2 | $991 | 2024-12-31 | CENSUS_ACS5 |
| county 36053 | fmr | 2 | $1,392 | 2025-10-01 | HUD_USER_FMR |
| county 36053 | acs median gross | 3 | $1,070 | 2024-12-31 | CENSUS_ACS5 |
| county 36053 | fmr | 3 | $1,691 | 2025-10-01 | HUD_USER_FMR |
| county 36053 | acs median gross | 4 | $1,319 | 2024-12-31 | CENSUS_ACS5 |
| county 36053 | fmr | 4 | $1,848 | 2025-10-01 | HUD_USER_FMR |
| county 36053 | acs median gross | 5 | $1,142 | 2024-12-31 | CENSUS_ACS5 |
| county 36053 | acs median gross | $928 | 2024-12-31 | CENSUS_ACS5 | |
| county 36053 | acs recent mover gross | $1,059 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 13421 | acs median gross | 0 | $758 | 2024-12-31 | CENSUS_ACS5 |
| zcta 13421 | acs median gross | 1 | $695 | 2024-12-31 | CENSUS_ACS5 |
| zcta 13421 | acs median gross | 2 | $968 | 2024-12-31 | CENSUS_ACS5 |
| zcta 13421 | acs median gross | 3 | $1,053 | 2024-12-31 | CENSUS_ACS5 |
| zcta 13421 | acs median gross | 4 | $1,115 | 2024-12-31 | CENSUS_ACS5 |
| zcta 13421 | acs median gross | $904 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 13421 | acs recent mover gross | $1,139 | 2024-12-31 | CENSUS_ACS5 | |
| zip 13421 | payment standard 110 | 0 | $957 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13421 | payment standard 90 | 0 | $783 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13421 | safmr | 0 | $870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13421 | payment standard 110 | 1 | $1,067 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13421 | payment standard 90 | 1 | $873 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13421 | safmr | 1 | $970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13421 | payment standard 110 | 2 | $1,309 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13421 | payment standard 90 | 2 | $1,071 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13421 | safmr | 2 | $1,190 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13421 | payment standard 110 | 3 | $1,606 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13421 | payment standard 90 | 3 | $1,314 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13421 | safmr | 3 | $1,460 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13421 | payment standard 110 | 4 | $1,804 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13421 | payment standard 90 | 4 | $1,476 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13421 | safmr | 4 | $1,640 | 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.