4988 STATE HWY 30, AMSTERDAM, NY 12010 · CCN 335857
Composite
7.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
160
Model
v1.2
Reads as: riskier than 7.0% 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.
ML signals — parallel engine
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
7 chains
OMNICARE LLC
43 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
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 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
3.73
3.33
3.28
2.90–3.77
RN
0.29
0.43
0.39
0.25–0.58
Weekend total
3.31
3.03
3.11
—
Weekday total
3.90
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
104.7
3.73
0.29
1.19
2.26
3.31
17.5%
2025Q3
92
107.4
3.84
0.31
1.25
2.29
3.33
14.7%
2025Q2
91
105.7
3.79
0.29
1.26
2.24
3.37
11.7%
2025Q1
90
105.0
3.67
0.30
1.22
2.15
3.22
12.1%
2024Q4
92
103.7
3.81
0.31
1.22
2.28
3.37
10.4%
2024Q3
92
103.3
3.71
0.30
1.29
2.13
3.22
8.7%
2024Q2
91
103.8
3.77
0.38
1.28
2.12
3.42
8.7%
2024Q1
91
102.8
3.85
0.34
1.30
2.21
3.47
10.1%
2023Q4
92
101.8
3.79
0.33
1.30
2.17
3.44
10.0%
2023Q3
92
102.9
3.74
0.33
1.25
2.16
3.32
12.3%
2023Q2
91
104.0
3.56
0.31
1.17
2.08
3.12
8.2%
2023Q1
90
104.3
3.64
0.32
1.15
2.16
3.29
7.7%
2022Q4
92
100.5
3.69
0.45
1.13
2.11
3.30
12.3%
2022Q3
92
99.9
3.75
0.42
1.16
2.17
3.35
10.7%
2022Q2
91
100.6
3.83
0.41
1.25
2.17
3.29
11.9%
2022Q1
90
97.0
3.97
0.52
1.18
2.28
3.52
10.2%
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
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
20
C × 2D × 13E × 4F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-05-27
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
E
2025-07-23
2025-05-27
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2025-07-23
2025-05-27
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-07-23
2025-05-27
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2025-07-24
2025-05-27
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2025-07-27
2025-05-27
Health · complaint
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2025-07-23
2025-05-27
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
D
2025-07-23
2025-05-27
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F
2025-07-23
2025-05-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2025-07-23
2022-08-09
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2022-10-05
2022-08-09
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2022-09-30
2022-08-09
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
2022-09-30
2022-08-09
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
C
2022-10-01
2020-02-03
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2020-04-03
2020-02-03
Health
F0679
Provide activities to meet all resident's needs.
D
2020-04-03
2020-02-03
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2020-04-03
2020-02-03
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.
D
2020-04-03
2020-02-03
Health
F0807
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
D
2020-04-03
2020-02-03
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2020-04-03
2020-02-03
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
C
2020-04-03
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
35
Owner
Role
Pct
From
Status
Source
BAGHAEI-RAD, NANCY
CORPORATE DIRECTOR
—
2022-12-01
current
pecos_ownership
BEIN-AIME, JOEL
CORPORATE DIRECTOR
—
2022-12-01
current
pecos_ownership
CICHY, THOMAS
CORPORATE DIRECTOR
—
2022-12-01
current
pecos_ownership
DEMARTINIS, ROBERT
CORPORATE DIRECTOR
—
2022-12-01
current
pecos_ownership
ETZKORN, EMILY
CORPORATE DIRECTOR
—
2022-12-01
current
pecos_ownership
FEDULLO, JOHN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-12-01
current
pecos_ownership
GHAZI-MOGHADAM, MOHAMMAD-REZA
CORPORATE DIRECTOR
—
2022-12-01
current
pecos_ownership
HECK, ANDREW
CORPORATE DIRECTOR
—
2022-12-01
current
pecos_ownership
HEENAN, MARY ANNE
CORPORATE DIRECTOR
—
2022-12-01
current
pecos_ownership
HELD, JOSHUA
ADP OF THE SNF
—
2022-12-01
current
pecos_ownership
MARSH, RONALD
CORPORATE DIRECTOR
—
2022-12-01
current
pecos_ownership
METHVEN, JEFFREY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-12-01
current
pecos_ownership
OMNICARE LLC
ADP OF THE SNF
—
2021-12-01
current
pecos_ownership
PEPE, MICHAEL
CORPORATE DIRECTOR
—
2022-12-01
current
pecos_ownership
SANTOS, DAVID
CORPORATE DIRECTOR
—
2022-12-01
current
pecos_ownership
VERTUCCI, RICHARD
CORPORATE DIRECTOR
—
2022-12-01
current
pecos_ownership
WATERS, KEITH
CORPORATE DIRECTOR
—
2022-12-01
current
pecos_ownership
ZISKIN, BENJAMIN
CORPORATE DIRECTOR
—
2022-12-01
current
pecos_ownership
JEFFREY METHVEN
CORPORATE DIRECTOR
100%
2022-12-01
ended 2026-05-18
pecos_ownership
ANDREW HECK
CORPORATE DIRECTOR
—
2022-12-01
ended 2026-05-18
pecos_ownership
BENJAMIN ZISKIN
CORPORATE DIRECTOR
—
2022-12-01
ended 2026-05-18
pecos_ownership
DAVID SANTOS
CORPORATE DIRECTOR
—
2022-12-01
ended 2026-05-18
pecos_ownership
EMILY ETZKORN
CORPORATE DIRECTOR
—
2022-12-01
ended 2026-05-18
pecos_ownership
JOEL BEIN-AIME
CORPORATE DIRECTOR
—
2022-12-01
ended 2026-05-18
pecos_ownership
JOHN FEDULLO
OPERATIONAL/MANAGERIAL CONTROL
—
2022-12-01
ended 2026-05-18
pecos_ownership
JOSHUA HELD
OPERATIONAL/MANAGERIAL CONTROL
—
2022-12-01
ended 2026-05-18
pecos_ownership
KEITH WATERS
CORPORATE DIRECTOR
—
2022-12-01
ended 2026-05-18
pecos_ownership
MARY ANNE HEENAN
CORPORATE DIRECTOR
—
2022-12-01
ended 2026-05-18
pecos_ownership
MICHAEL PEPE
CORPORATE DIRECTOR
—
2022-12-01
ended 2026-05-18
pecos_ownership
MOHAMMAD-REZA GHAZI-MOGHADAM
CORPORATE DIRECTOR
—
2022-12-01
ended 2026-05-18
pecos_ownership
NANCY BAGHAEI-RAD
CORPORATE DIRECTOR
—
2022-12-01
ended 2026-05-18
pecos_ownership
RICHARD VERTUCCI
CORPORATE DIRECTOR
—
2022-12-01
ended 2026-05-18
pecos_ownership
ROBERT DEMARTINIS
CORPORATE DIRECTOR
—
2022-12-01
ended 2026-05-18
pecos_ownership
RONALD MARSH
CORPORATE DIRECTOR
—
2022-12-01
ended 2026-05-18
pecos_ownership
THOMAS CICHY
CORPORATE DIRECTOR
—
2022-12-01
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
36
Geo
Kind
BR
Amount
As of
Source
county 36057
acs median gross
0
$757
2024-12-31
CENSUS_ACS5
county 36057
fmr
0
$892
2025-10-01
HUD_USER_FMR
county 36057
acs median gross
1
$684
2024-12-31
CENSUS_ACS5
county 36057
fmr
1
$899
2025-10-01
HUD_USER_FMR
county 36057
acs median gross
2
$971
2024-12-31
CENSUS_ACS5
county 36057
fmr
2
$1,102
2025-10-01
HUD_USER_FMR
county 36057
acs median gross
3
$1,036
2024-12-31
CENSUS_ACS5
county 36057
fmr
3
$1,381
2025-10-01
HUD_USER_FMR
county 36057
acs median gross
4
$1,051
2024-12-31
CENSUS_ACS5
county 36057
fmr
4
$1,484
2025-10-01
HUD_USER_FMR
county 36057
acs median gross
5
$941
2024-12-31
CENSUS_ACS5
county 36057
acs median gross
$940
2024-12-31
CENSUS_ACS5
county 36057
acs recent mover gross
$1,082
2024-12-31
CENSUS_ACS5
zcta 12010
acs median gross
0
$1,055
2024-12-31
CENSUS_ACS5
zcta 12010
acs median gross
1
$788
2024-12-31
CENSUS_ACS5
zcta 12010
acs median gross
2
$1,024
2024-12-31
CENSUS_ACS5
zcta 12010
acs median gross
3
$1,098
2024-12-31
CENSUS_ACS5
zcta 12010
acs median gross
4
$1,080
2024-12-31
CENSUS_ACS5
zcta 12010
acs median gross
5
$936
2024-12-31
CENSUS_ACS5
zcta 12010
acs median gross
$1,000
2024-12-31
CENSUS_ACS5
zcta 12010
acs recent mover gross
$1,124
2024-12-31
CENSUS_ACS5
zip 12010
payment standard 110
0
$1,067
2025-10-01
HUD_USER_SAFMR
zip 12010
payment standard 90
0
$873
2025-10-01
HUD_USER_SAFMR
zip 12010
safmr
0
$970
2025-10-01
HUD_USER_SAFMR
zip 12010
payment standard 110
1
$1,221
2025-10-01
HUD_USER_SAFMR
zip 12010
payment standard 90
1
$999
2025-10-01
HUD_USER_SAFMR
zip 12010
safmr
1
$1,110
2025-10-01
HUD_USER_SAFMR
zip 12010
payment standard 110
2
$1,474
2025-10-01
HUD_USER_SAFMR
zip 12010
payment standard 90
2
$1,206
2025-10-01
HUD_USER_SAFMR
zip 12010
safmr
2
$1,340
2025-10-01
HUD_USER_SAFMR
zip 12010
payment standard 110
3
$1,782
2025-10-01
HUD_USER_SAFMR
zip 12010
payment standard 90
3
$1,458
2025-10-01
HUD_USER_SAFMR
zip 12010
safmr
3
$1,620
2025-10-01
HUD_USER_SAFMR
zip 12010
payment standard 110
4
$1,958
2025-10-01
HUD_USER_SAFMR
zip 12010
payment standard 90
4
$1,602
2025-10-01
HUD_USER_SAFMR
zip 12010
safmr
4
$1,780
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.