THE HAMLET REHABILITATION AND HEALTHCARE CENTER AT
snfNY
100 SOUTHERN BOULEVARD, NESCONSET, NY 11767 · CCN 335674
Composite
68.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
240
Model
v1.2
Reads as: riskier than 68.4% 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
3.20
3.33
3.28
2.90–3.77
RN
0.34
0.43
0.39
0.25–0.58
Weekend total
2.82
3.03
3.11
—
Weekday total
3.35
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
232.2
3.20
0.34
0.84
2.02
2.82
1.1%
2025Q3
92
233.8
3.17
0.38
0.81
1.98
2.76
1.6%
2025Q2
91
234.8
3.25
0.38
0.79
2.09
2.86
2.4%
2025Q1
90
228.8
3.32
0.32
0.89
2.11
2.93
3.3%
2024Q4
92
229.1
3.31
0.29
0.91
2.11
2.92
4.7%
2024Q3
92
230.0
3.21
0.31
0.85
2.04
2.79
5.1%
2024Q2
91
228.1
3.28
0.33
0.84
2.11
2.86
6.8%
2024Q1
91
226.8
3.34
0.38
0.81
2.15
2.88
7.9%
2023Q4
92
228.7
3.25
0.42
0.72
2.11
2.84
9.8%
2023Q3
92
229.9
3.31
0.43
0.72
2.16
2.82
17.4%
2023Q2
91
232.7
3.38
0.50
0.74
2.15
2.96
21.1%
2023Q1
90
239.0
3.20
0.45
0.76
1.99
2.86
20.1%
2022Q4
92
235.6
3.11
0.43
0.72
1.95
2.63
18.7%
2022Q3
92
235.1
3.19
0.43
0.64
2.13
2.72
20.6%
2022Q2
91
236.8
2.67
0.29
0.60
1.78
2.25
14.6%
2022Q1
90
236.6
2.75
0.26
0.67
1.83
2.30
18.1%
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.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-04-11
2025-02-20
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2025-04-11
2025-02-20
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-04-11
2024-04-05
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2024-05-02
2023-11-22
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2024-01-05
2023-11-22
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
2024-01-05
2023-11-22
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-01-05
2023-11-22
Health · complaint
F0710
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
D
2024-01-05
2023-09-08
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
J
2023-10-11
2021-07-22
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2021-09-10
2021-07-22
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2021-09-10
2021-07-22
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2021-09-10
2021-07-22
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2021-09-10
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
22
Owner
Role
Pct
From
Status
Source
EINHORN, NEAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
44%
2017-08-22
current
pecos_ownership
FRIEDMAN, MARK
5% OR GREATER DIRECT OWNERSHIP INTEREST
44%
2017-08-22
current
pecos_ownership
NESCONSET PROPERTY NY LLC
Individual has financial interest in both related organization and provider
42%
2024-01-01
current
hcris_a_8_1
NESCONSET PROPERTY NY LLC
Individual has financial interest in both related organization and provider
42%
2023-01-01
current
hcris_a_8_1
45 ROCKY POINT REALTY LLC
Individual has financial interest in both related organization and provider
5%
2024-01-01
current
hcris_a_8_1
DESIRE, NATHANIEL
ADP OF THE SNF
—
2024-03-01
current
pecos_ownership
ESPINAL, SANTA
ADP OF THE SNF
—
2021-02-15
current
pecos_ownership
MALONE, STEPHANIE
OPERATIONAL/MANAGERIAL CONTROL
—
2020-11-16
current
pecos_ownership
RUDNER, AKIVA
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2017-08-22
current
pecos_ownership
SAX, STEVEN
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2017-08-22
current
pecos_ownership
ZUCKER, YOSSIE
ADP OF THE SNF
—
2017-08-22
current
pecos_ownership
MARK FRIEDMAN
5% OR GREATER DIRECT OWNERSHIP INTEREST
44%
2017-08-22
ended 2026-05-18
pecos_ownership
NEAL EINHORN
5% OR GREATER DIRECT OWNERSHIP INTEREST
44%
2017-08-22
ended 2026-05-18
pecos_ownership
NESCONSET PROPERTY NY LLC
Other (financial or non-financial)
42%
2021-01-01
ended 2021-12-31
hcris_a_8_1
NESCONSET PROPERTY NY LLC
Individual has financial interest in both related organization and provider
42%
2020-01-01
ended 2020-12-31
hcris_a_8_1
NESCONSET PROPERTY NY LLC 45 ROCKY
Individual has financial interest in both related organization and provider
42%
2022-01-01
ended 2022-12-31
hcris_a_8_1
YOSSIE ZUCKER
5% OR GREATER DIRECT OWNERSHIP INTEREST
5%
2017-08-22
ended 2026-05-18
pecos_ownership
AKIVA RUDNER
5% OR GREATER DIRECT OWNERSHIP INTEREST
4%
2017-08-22
ended 2026-05-18
pecos_ownership
STEVEN SAX
5% OR GREATER DIRECT OWNERSHIP INTEREST
4%
2017-08-22
ended 2026-05-18
pecos_ownership
NATHANIEL DESIRE
ADP OF THE SNF
—
2024-03-01
ended 2026-05-18
pecos_ownership
SANTA ESPINAL
ADP OF THE SNF
—
2021-02-15
ended 2026-05-18
pecos_ownership
STEPHANIE MALONE
OPERATIONAL/MANAGERIAL CONTROL
—
2020-11-16
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
$4,941,521
—
—
—
—
8
propco
2023-12-31
$4,374,208
—
—
—
—
6
propco
2022-12-31
$4,720,899
—
—
—
—
6
propco
2021-12-31
$4,245,024
—
—
—
—
6
propco
2020-12-31
$4,242,859
—
—
—
—
6
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
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 11767
acs median gross
1
$2,140
2024-12-31
CENSUS_ACS5
zcta 11767
acs median gross
2
$2,668
2024-12-31
CENSUS_ACS5
zcta 11767
acs median gross
$2,254
2024-12-31
CENSUS_ACS5
zip 11767
payment standard 110
0
$2,189
2025-10-01
HUD_USER_SAFMR
zip 11767
payment standard 90
0
$1,791
2025-10-01
HUD_USER_SAFMR
zip 11767
safmr
0
$1,990
2025-10-01
HUD_USER_SAFMR
zip 11767
payment standard 110
1
$2,618
2025-10-01
HUD_USER_SAFMR
zip 11767
payment standard 90
1
$2,142
2025-10-01
HUD_USER_SAFMR
zip 11767
safmr
1
$2,380
2025-10-01
HUD_USER_SAFMR
zip 11767
payment standard 110
2
$3,025
2025-10-01
HUD_USER_SAFMR
zip 11767
payment standard 90
2
$2,475
2025-10-01
HUD_USER_SAFMR
zip 11767
safmr
2
$2,750
2025-10-01
HUD_USER_SAFMR
zip 11767
payment standard 110
3
$3,927
2025-10-01
HUD_USER_SAFMR
zip 11767
payment standard 90
3
$3,213
2025-10-01
HUD_USER_SAFMR
zip 11767
safmr
3
$3,570
2025-10-01
HUD_USER_SAFMR
zip 11767
payment standard 110
4
$4,147
2025-10-01
HUD_USER_SAFMR
zip 11767
payment standard 90
4
$3,393
2025-10-01
HUD_USER_SAFMR
zip 11767
safmr
4
$3,770
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.