7 Creek Lane, Bristol, RI 02809 · CCN 415031 · chain DASAY 2019 TRUST
Composite
86.5 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
128
Model
v1.2
Reads as: riskier than 86.5% 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
15
2025Q4 HPRD
This facility
RI median
National median
National p25–p75
Total nurse
3.24
3.22
3.28
2.90–3.77
RN
0.50
0.53
0.39
0.25–0.58
Weekend total
3.03
3.04
3.11
—
Weekday total
3.33
3.28
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
110.2
3.24
0.50
0.37
2.37
3.03
2.2%
2025Q3
92
111.8
3.24
0.50
0.39
2.35
2.95
3.5%
2025Q2
91
109.5
3.48
0.55
0.49
2.43
3.14
4.2%
2025Q1
90
106.6
3.46
0.57
0.51
2.38
3.12
6.6%
2024Q4
92
106.1
3.57
0.54
0.53
2.50
3.22
21.8%
2024Q3
92
108.0
3.45
0.52
0.56
2.36
3.13
20.3%
2024Q2
91
109.5
3.38
0.51
0.57
2.30
3.01
15.7%
2024Q1
91
111.3
3.45
0.55
0.56
2.34
3.08
13.1%
2023Q4
92
110.5
3.49
0.55
0.44
2.49
3.12
13.7%
2023Q3
92
113.9
3.41
0.61
0.40
2.40
2.92
16.0%
2023Q2
91
112.5
3.56
0.63
0.38
2.55
3.01
10.3%
2023Q1
90
115.7
3.47
0.64
0.32
2.50
2.91
12.9%
2022Q4
92
106.1
3.62
0.80
0.26
2.56
3.06
8.6%
2022Q3
92
102.6
3.78
0.83
0.27
2.68
3.23
13.7%
2022Q1
90
104.9
3.63
0.72
0.32
2.59
2.97
16.9%
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 be treated with respect and dignity and to retain and use personal possessions.
D
2026-02-22
2026-01-23
Health
F0567
Honor the resident's right to manage his or her financial affairs.
E
2026-02-22
2026-01-23
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
C
2026-02-22
2026-01-23
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-02-22
2026-01-23
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2026-02-22
2026-01-23
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-02-22
2026-01-23
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
2026-02-22
2026-01-23
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2026-02-22
2026-01-23
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.
E
2026-02-22
2026-01-23
Health
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2026-02-22
2026-01-23
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-02-22
2025-01-27
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
L
2025-02-12
2024-10-31
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-11-30
2024-10-31
Health
F0691
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
H
2024-11-30
2024-10-31
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-11-30
2024-08-13
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2024-08-22
2024-08-13
Health · complaint
F0610
Respond appropriately to all alleged violations.
J
2024-08-22
2024-08-02
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-08-22
2024-08-02
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2024-08-22
2023-12-28
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2024-01-27
2023-12-28
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2024-01-27
2023-11-02
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.
E
2023-12-02
2023-11-02
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-12-02
2023-11-02
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-12-02
2023-11-02
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-12-02
2023-11-02
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.
E
2023-12-02
2023-11-02
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-12-02
2023-11-02
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2023-12-02
2023-08-16
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
G
2023-09-15
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
23
Owner
Role
Pct
From
Status
Source
RHODE ISLAND HEALTHCARE HOLDCO 1 LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2020-11-03
current
pecos_ownership
BLUNDO, NATHAN
ADP OF THE SNF
—
2025-04-09
current
pecos_ownership
BLUNDO, NATHAN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-02
current
pecos_ownership
DASARI, NARESH
ADP OF THE SNF
—
2025-04-24
current
pecos_ownership
DASARI, NARESH
OPERATIONAL/MANAGERIAL CONTROL
—
2021-04-01
current
pecos_ownership
DASAY 2019 TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-04-01
current
pecos_ownership
GAMTA 2020 TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-04-01
current
pecos_ownership
GRI SNF INVESTORS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-11-04
current
pecos_ownership
MRI SNF INVESTORS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-11-04
current
pecos_ownership
STERN, AHARON
OPERATIONAL/MANAGERIAL CONTROL
—
2021-04-01
current
pecos_ownership
STERN, AHARON
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-11-02
current
pecos_ownership
STERN, SIMON
CORPORATE OFFICER
—
2020-11-02
current
pecos_ownership
STERN, SIMON
OPERATIONAL/MANAGERIAL CONTROL
—
2021-04-01
current
pecos_ownership
AHARON STERN
OPERATIONAL/MANAGERIAL CONTROL
100%
2021-04-01
ended 2026-05-18
pecos_ownership
SIMON STERN
OPERATIONAL/MANAGERIAL CONTROL
100%
2021-04-01
ended 2026-05-18
pecos_ownership
SIMON STERN
CORPORATE OFFICER
100%
2020-11-02
ended 2026-05-18
pecos_ownership
SLIVER CREEK REALTY
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-03-31
hcris_a_8_1
AHARON STERN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
2020-11-02
ended 2026-05-18
pecos_ownership
NARESH DASARI
OPERATIONAL/MANAGERIAL CONTROL
—
2021-04-01
ended 2026-05-18
pecos_ownership
NARESH DASARI
ADP OF THE SNF
—
2025-04-24
ended 2026-05-18
pecos_ownership
NATHAN BLUNDO
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-02
ended 2026-05-18
pecos_ownership
NATHAN BLUNDO
ADP OF THE SNF
—
2025-04-09
ended 2026-05-18
pecos_ownership
SILVER CREEK REALTY
Individual has financial interest in both related organization and provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,837,592
$1,518,910
—
—
—
2
—
2023-12-31
$1,629,964
$1,500,800
—
—
—
2
—
2022-12-31
$1,363,001
$1,200,000
—
—
—
2
—
2021-12-31
$593,159
$495,600
—
—
—
2
—
2021-03-31
$51,540
$51,540
—
—
—
1
propco
2020-12-31
$165,549
$165,549
—
—
—
1
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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
28
Geo
Kind
BR
Amount
As of
Source
county 44001
acs median gross
0
$796
2024-12-31
CENSUS_ACS5
county 44001
acs median gross
1
$1,120
2024-12-31
CENSUS_ACS5
county 44001
acs median gross
2
$1,664
2024-12-31
CENSUS_ACS5
county 44001
acs median gross
3
$1,814
2024-12-31
CENSUS_ACS5
county 44001
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
county 44001
acs median gross
$1,528
2024-12-31
CENSUS_ACS5
county 44001
acs recent mover gross
$1,978
2024-12-31
CENSUS_ACS5
zcta 02809
acs median gross
1
$1,096
2024-12-31
CENSUS_ACS5
zcta 02809
acs median gross
2
$1,655
2024-12-31
CENSUS_ACS5
zcta 02809
acs median gross
3
$1,747
2024-12-31
CENSUS_ACS5
zcta 02809
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 02809
acs median gross
$1,579
2024-12-31
CENSUS_ACS5
zcta 02809
acs recent mover gross
$1,922
2024-12-31
CENSUS_ACS5
zip 02809
payment standard 110
0
$1,540
2025-10-01
HUD_USER_SAFMR
zip 02809
payment standard 90
0
$1,260
2025-10-01
HUD_USER_SAFMR
zip 02809
safmr
0
$1,400
2025-10-01
HUD_USER_SAFMR
zip 02809
payment standard 110
1
$1,628
2025-10-01
HUD_USER_SAFMR
zip 02809
payment standard 90
1
$1,332
2025-10-01
HUD_USER_SAFMR
zip 02809
safmr
1
$1,480
2025-10-01
HUD_USER_SAFMR
zip 02809
payment standard 110
2
$2,013
2025-10-01
HUD_USER_SAFMR
zip 02809
payment standard 90
2
$1,647
2025-10-01
HUD_USER_SAFMR
zip 02809
safmr
2
$1,830
2025-10-01
HUD_USER_SAFMR
zip 02809
payment standard 110
3
$2,431
2025-10-01
HUD_USER_SAFMR
zip 02809
payment standard 90
3
$1,989
2025-10-01
HUD_USER_SAFMR
zip 02809
safmr
3
$2,210
2025-10-01
HUD_USER_SAFMR
zip 02809
payment standard 110
4
$2,893
2025-10-01
HUD_USER_SAFMR
zip 02809
payment standard 90
4
$2,367
2025-10-01
HUD_USER_SAFMR
zip 02809
safmr
4
$2,630
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.