800 FRONT STREET, HEMPSTEAD, NY 11550 · CCN 335808
Composite
88.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
251
Model
v1.2
Reads as: riskier than 88.9% 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.
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
3.05
3.33
3.28
2.90–3.77
RN
0.31
0.43
0.39
0.25–0.58
Weekend total
2.77
3.03
3.11
—
Weekday total
3.16
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
234.7
3.05
0.31
0.71
2.02
2.77
5.7%
2025Q3
92
233.0
2.93
0.30
0.69
1.94
2.67
5.4%
2025Q2
91
235.7
2.77
0.28
0.65
1.84
2.58
6.9%
2025Q1
90
236.1
2.80
0.26
0.61
1.92
2.62
12.9%
2024Q4
92
222.3
3.02
0.29
0.69
2.04
2.80
16.6%
2024Q3
92
215.9
3.09
0.29
0.70
2.09
2.85
14.3%
2024Q2
91
218.9
3.05
0.31
0.67
2.07
2.83
14.0%
2024Q1
91
221.7
2.69
0.32
0.64
1.74
2.40
13.5%
2023Q4
92
218.1
2.62
0.30
0.65
1.66
2.29
9.9%
2023Q3
92
211.4
2.59
0.34
0.60
1.65
2.29
9.0%
2023Q2
91
215.9
2.77
0.36
0.65
1.76
2.37
8.3%
2023Q1
90
220.5
2.63
0.30
0.67
1.67
2.31
6.9%
2022Q4
92
221.9
2.64
0.31
0.69
1.64
2.38
6.0%
2022Q3
92
221.3
2.68
0.30
0.70
1.68
2.39
3.8%
2022Q2
91
219.5
2.75
0.24
0.72
1.79
2.47
0.5%
2022Q1
90
219.7
2.75
0.22
0.69
1.84
2.52
0.4%
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
2025-09-30
2025-08-05
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
E
2025-09-30
2025-08-05
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-09-30
2025-08-05
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
2025-09-30
2025-08-05
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-09-30
2025-08-05
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-09-30
2025-08-05
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.
E
2025-09-30
2025-08-05
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.
D
2025-09-30
2025-08-05
Health · complaint
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.
C
2025-09-30
2025-08-05
Health
F0840
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
D
2025-09-30
2025-08-05
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2025-09-30
2025-01-03
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-02-03
2024-03-20
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2024-05-13
2023-12-05
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
2024-01-29
2023-12-05
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-01-29
2023-12-05
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-01-29
2023-12-05
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-01-29
2023-12-05
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-01-29
2023-12-05
Health
F0710
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
D
2024-01-29
2023-12-05
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
2024-01-29
2023-12-05
Health · complaint
F0776
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
D
2024-01-29
2021-11-08
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
2022-01-11
2021-11-08
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2022-01-11
2021-11-08
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2022-01-11
2021-11-08
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
2022-01-11
2021-11-08
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2022-01-11
2021-11-08
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-01-11
2021-11-08
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
2022-01-11
2021-11-08
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.
D
2022-01-11
2021-11-08
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-01-12
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
11
Owner
Role
Pct
From
Status
Source
MELNICKE, MICHAEL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
1998-06-03
current
pecos_ownership
BACK SREET REALTY
Individual has financial interest in both related organization and provider
—
2023-01-01
current
hcris_a_8_1
BACK SREET REALTY
Individual has financial interest in both related organization and provider
—
2024-01-01
current
hcris_a_8_1
MELNICKE, ISRAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2013-05-13
current
pecos_ownership
SIRKIS, AVROM
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-30
current
pecos_ownership
MICHAEL MELNICKE
CORPORATE OFFICER
100%
1998-06-03
ended 2026-05-18
pecos_ownership
AVROM SIRKIS
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-30
ended 2026-05-18
pecos_ownership
BACK SREET REALTY
Individual has financial interest in both related organization and provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
BACK SREET REALTY
Individual has financial interest in both related organization and provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
BACK SREET REALTY
Individual has financial interest in both related organization and provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
ISRAEL MELNICKE
OPERATIONAL/MANAGERIAL CONTROL
—
2013-05-13
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$118,467
—
—
—
—
7
propco
2023-12-31
$118,467
—
—
—
—
7
propco
2022-12-31
$258,480
—
—
—
—
7
propco
2021-12-31
$2,258,864
—
—
$76,609
$24,405
7
propco
2020-12-31
$1,841,356
—
—
$92,833
$25,572
7
propco
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 36059
acs median gross
0
$1,416
2024-12-31
CENSUS_ACS5
county 36059
fmr
0
$1,992
2025-10-01
HUD_USER_FMR
county 36059
acs median gross
1
$1,867
2024-12-31
CENSUS_ACS5
county 36059
fmr
1
$2,379
2025-10-01
HUD_USER_FMR
county 36059
acs median gross
2
$2,251
2024-12-31
CENSUS_ACS5
county 36059
fmr
2
$2,747
2025-10-01
HUD_USER_FMR
county 36059
acs median gross
3
$2,745
2024-12-31
CENSUS_ACS5
county 36059
fmr
3
$3,563
2025-10-01
HUD_USER_FMR
county 36059
acs median gross
4
$3,084
2024-12-31
CENSUS_ACS5
county 36059
fmr
4
$3,768
2025-10-01
HUD_USER_FMR
county 36059
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
county 36059
acs median gross
$2,252
2024-12-31
CENSUS_ACS5
county 36059
acs recent mover gross
$2,845
2024-12-31
CENSUS_ACS5
zcta 11550
acs median gross
0
$1,220
2024-12-31
CENSUS_ACS5
zcta 11550
acs median gross
1
$1,499
2024-12-31
CENSUS_ACS5
zcta 11550
acs median gross
2
$1,604
2024-12-31
CENSUS_ACS5
zcta 11550
acs median gross
3
$1,903
2024-12-31
CENSUS_ACS5
zcta 11550
acs median gross
4
$2,870
2024-12-31
CENSUS_ACS5
zcta 11550
acs median gross
5
$2,438
2024-12-31
CENSUS_ACS5
zcta 11550
acs median gross
$1,626
2024-12-31
CENSUS_ACS5
zcta 11550
acs recent mover gross
$1,605
2024-12-31
CENSUS_ACS5
zip 11550
payment standard 110
0
$1,903
2025-10-01
HUD_USER_SAFMR
zip 11550
payment standard 90
0
$1,557
2025-10-01
HUD_USER_SAFMR
zip 11550
safmr
0
$1,730
2025-10-01
HUD_USER_SAFMR
zip 11550
payment standard 110
1
$2,266
2025-10-01
HUD_USER_SAFMR
zip 11550
payment standard 90
1
$1,854
2025-10-01
HUD_USER_SAFMR
zip 11550
safmr
1
$2,060
2025-10-01
HUD_USER_SAFMR
zip 11550
payment standard 110
2
$2,618
2025-10-01
HUD_USER_SAFMR
zip 11550
payment standard 90
2
$2,142
2025-10-01
HUD_USER_SAFMR
zip 11550
safmr
2
$2,380
2025-10-01
HUD_USER_SAFMR
zip 11550
payment standard 110
3
$3,399
2025-10-01
HUD_USER_SAFMR
zip 11550
payment standard 90
3
$2,781
2025-10-01
HUD_USER_SAFMR
zip 11550
safmr
3
$3,090
2025-10-01
HUD_USER_SAFMR
zip 11550
payment standard 110
4
$3,586
2025-10-01
HUD_USER_SAFMR
zip 11550
payment standard 90
4
$2,934
2025-10-01
HUD_USER_SAFMR
zip 11550
safmr
4
$3,260
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.