200 SEVENTH STREET, BUFFALO, NY 14201 · CCN 335437
Composite
56.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
160
Model
v1.2
Reads as: riskier than 56.2% 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
3.30
3.33
3.28
2.90–3.77
RN
0.15
0.43
0.39
0.25–0.58
Weekend total
3.00
3.03
3.11
—
Weekday total
3.42
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
155.1
3.30
0.15
1.01
2.15
3.00
0.0%
2025Q3
92
153.3
3.36
0.13
0.99
2.24
2.92
0.0%
2025Q2
91
152.7
3.32
0.10
1.01
2.20
2.94
0.0%
2025Q1
90
155.6
3.13
0.16
0.95
2.02
2.69
0.1%
2024Q4
92
156.8
3.16
0.22
0.85
2.09
2.76
0.8%
2024Q3
92
153.0
3.43
0.28
0.90
2.25
3.01
5.0%
2024Q2
91
155.6
3.71
0.16
1.12
2.43
3.05
8.9%
2024Q1
91
153.6
3.87
0.21
1.17
2.50
3.29
19.8%
2023Q4
92
144.7
3.81
0.30
1.18
2.34
3.17
28.8%
2023Q3
92
144.5
2.96
0.33
1.05
1.59
2.42
34.2%
2023Q2
91
146.2
3.18
0.34
0.96
1.88
2.46
32.9%
2023Q1
90
153.9
3.20
0.30
0.98
1.92
2.57
39.7%
2022Q4
92
148.4
3.15
0.22
0.98
1.95
2.52
41.1%
2022Q3
92
142.9
3.26
0.24
1.15
1.87
2.48
53.8%
2022Q2
91
147.0
2.88
0.23
1.04
1.61
2.32
59.4%
2022Q1
90
151.1
2.88
0.27
0.95
1.66
2.12
57.8%
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.
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
2025-04-02
2025-02-13
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
B
2025-04-02
2025-02-13
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-05-08
2025-02-13
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
2025-04-02
2025-02-13
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2025-04-02
2025-02-13
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2025-04-02
2025-02-13
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
G
2025-04-02
2025-02-13
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
2025-04-02
2025-02-13
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2025-04-02
2025-02-13
Health
F0836
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
C
2025-04-02
2025-02-13
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
B
2025-05-08
2025-02-13
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-04-02
2025-02-07
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F
2025-05-08
2024-11-13
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.
D
2024-11-11
2023-10-04
Health · complaint
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2023-11-21
2023-10-04
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
2023-11-21
2023-10-04
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.
D
2023-11-21
2023-10-04
Health · complaint
F0660
Plan the resident's discharge to meet the resident's goals and needs.
D
2023-11-21
2023-10-04
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-11-21
2023-10-04
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-11-21
2023-10-04
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-11-21
2023-10-04
Health · complaint
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F
2023-11-21
2023-10-04
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2023-11-21
2021-09-22
Health
F0567
Honor the resident's right to manage his or her financial affairs.
B
2021-11-03
2021-09-22
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.
B
2021-11-03
2021-09-22
Health
F0610
Respond appropriately to all alleged violations.
D
2021-11-03
2021-09-22
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
2021-11-03
2021-09-22
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2021-11-03
2021-09-22
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
2021-11-03
2021-09-22
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.
E
2021-11-03
2021-09-22
Health
F0814
Dispose of garbage and refuse properly.
D
2021-11-03
2021-09-22
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
2021-11-03
2021-09-22
Health
F0880
Provide and implement an infection prevention and control program.
D
2021-11-03
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
18
Owner
Role
Pct
From
Status
Source
ROZENBERG, KENNETH
5% OR GREATER DIRECT OWNERSHIP INTEREST
81%
2011-08-15
current
pecos_ownership
SICKLICK, JEFFREY
5% OR GREATER DIRECT OWNERSHIP INTEREST
19%
2013-01-01
current
pecos_ownership
ARORA, NITIN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-15
current
pecos_ownership
GOLDMAN, NATHAN
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
HAGLER, DARYL
ADP OF THE SNF
—
2011-08-15
current
pecos_ownership
HENDRIX, HEIDI
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
LANTZITSKY, AHARON
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
PATTERSON, ENIJAH
OPERATIONAL/MANAGERIAL CONTROL
—
2023-09-21
current
pecos_ownership
ROZENBERG, KENNETH
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
KENNETH ROZENBERG
5% OR GREATER DIRECT OWNERSHIP INTEREST
81%
2011-08-15
ended 2026-05-18
pecos_ownership
JEFFREY SICKLICK
5% OR GREATER DIRECT OWNERSHIP INTEREST
19%
2013-01-01
ended 2026-05-18
pecos_ownership
AHARON LANTZITSKY
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
DARYL HAGLER
ADP OF THE SNF
—
2011-08-15
ended 2026-05-18
pecos_ownership
ENIJAH PATTERSON
ADP OF THE SNF
—
2023-09-21
ended 2026-05-18
pecos_ownership
HEIDI HENDRIX
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
KENNETH ROZENBERG
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
NATHAN GOLDMAN
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
NITIN ARORA
ADP OF THE SNF
—
2024-04-15
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
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$3,352,549
—
—
—
$5,307
6
—
2023-12-31
$2,279,964
—
—
—
$4,941
6
—
2022-12-31
$2,060,762
—
—
—
$131,893
5
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 36029
acs median gross
0
$942
2024-12-31
CENSUS_ACS5
county 36029
fmr
0
$1,105
2025-10-01
HUD_USER_FMR
county 36029
acs median gross
1
$916
2024-12-31
CENSUS_ACS5
county 36029
fmr
1
$1,139
2025-10-01
HUD_USER_FMR
county 36029
acs median gross
2
$1,110
2024-12-31
CENSUS_ACS5
county 36029
fmr
2
$1,343
2025-10-01
HUD_USER_FMR
county 36029
acs median gross
3
$1,174
2024-12-31
CENSUS_ACS5
county 36029
fmr
3
$1,640
2025-10-01
HUD_USER_FMR
county 36029
acs median gross
4
$1,363
2024-12-31
CENSUS_ACS5
county 36029
fmr
4
$1,869
2025-10-01
HUD_USER_FMR
county 36029
acs median gross
5
$1,387
2024-12-31
CENSUS_ACS5
county 36029
acs median gross
$1,090
2024-12-31
CENSUS_ACS5
county 36029
acs recent mover gross
$1,282
2024-12-31
CENSUS_ACS5
zcta 14201
acs median gross
0
$925
2024-12-31
CENSUS_ACS5
zcta 14201
acs median gross
1
$928
2024-12-31
CENSUS_ACS5
zcta 14201
acs median gross
2
$1,099
2024-12-31
CENSUS_ACS5
zcta 14201
acs median gross
3
$1,037
2024-12-31
CENSUS_ACS5
zcta 14201
acs median gross
4
$1,814
2024-12-31
CENSUS_ACS5
zcta 14201
acs median gross
5
$1,272
2024-12-31
CENSUS_ACS5
zcta 14201
acs median gross
$1,053
2024-12-31
CENSUS_ACS5
zcta 14201
acs recent mover gross
$1,283
2024-12-31
CENSUS_ACS5
zip 14201
payment standard 110
0
$1,232
2025-10-01
HUD_USER_SAFMR
zip 14201
payment standard 90
0
$1,008
2025-10-01
HUD_USER_SAFMR
zip 14201
safmr
0
$1,120
2025-10-01
HUD_USER_SAFMR
zip 14201
payment standard 110
1
$1,265
2025-10-01
HUD_USER_SAFMR
zip 14201
payment standard 90
1
$1,035
2025-10-01
HUD_USER_SAFMR
zip 14201
safmr
1
$1,150
2025-10-01
HUD_USER_SAFMR
zip 14201
payment standard 110
2
$1,496
2025-10-01
HUD_USER_SAFMR
zip 14201
payment standard 90
2
$1,224
2025-10-01
HUD_USER_SAFMR
zip 14201
safmr
2
$1,360
2025-10-01
HUD_USER_SAFMR
zip 14201
payment standard 110
3
$1,826
2025-10-01
HUD_USER_SAFMR
zip 14201
payment standard 90
3
$1,494
2025-10-01
HUD_USER_SAFMR
zip 14201
safmr
3
$1,660
2025-10-01
HUD_USER_SAFMR
zip 14201
payment standard 110
4
$2,079
2025-10-01
HUD_USER_SAFMR
zip 14201
payment standard 90
4
$1,701
2025-10-01
HUD_USER_SAFMR
zip 14201
safmr
4
$1,890
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.