700 NORTH FRANKLIN, WEST CHESTER, PA 19380 · CCN 395848
Composite
2.5 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
64
Model
v1.2
Reads as: riskier than 2.5% 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.
ML signals — parallel engine
2
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
10 chains
RKL LLP
52 facilities
connection
Owner spans multiple chains
6 chains
FUNCTIONAL PATHWAYS OF TENNESSEE LLC
22 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 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
PA median
National median
National p25–p75
Total nurse
4.32
3.38
3.28
2.90–3.77
RN
0.87
0.45
0.39
0.25–0.58
Weekend total
4.13
3.27
3.11
—
Weekday total
4.39
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
61.2
4.32
0.87
0.82
2.63
4.13
0.0%
2025Q3
92
61.9
4.34
0.88
0.80
2.66
4.20
0.0%
2025Q2
91
61.3
4.30
0.97
0.71
2.62
4.21
0.0%
2025Q1
90
60.7
4.27
0.94
0.71
2.62
4.25
1.3%
2024Q3
92
64.2
4.03
1.07
0.61
2.35
3.89
0.0%
2024Q2
91
62.6
4.21
1.04
0.70
2.47
4.13
0.0%
2024Q1
91
73.1
4.33
1.09
0.67
2.57
4.29
1.3%
2023Q4
92
86.5
4.25
0.96
0.80
2.50
4.11
4.7%
2023Q3
92
83.9
4.30
0.93
0.99
2.38
4.04
4.3%
2023Q2
91
84.2
4.55
0.99
1.08
2.48
4.26
5.3%
2023Q1
90
86.3
4.09
0.91
0.92
2.25
3.79
0.0%
2022Q4
92
80.9
3.81
0.72
0.82
2.27
3.60
0.0%
2022Q3
92
75.9
4.41
0.71
1.20
2.50
4.23
12.2%
2022Q2
91
71.2
3.98
0.87
0.89
2.23
3.81
0.0%
2022Q1
90
72.4
4.10
0.96
0.87
2.27
4.04
3.1%
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.
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
1
F × 1
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-06-13
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2025-08-01
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
41
Owner
Role
Pct
From
Status
Source
BARCLAY FRIENDS
OPERATIONAL/MANAGERIAL CONTROL
—
2014-07-01
current
pecos_ownership
BOYD, TIMOTHY
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
CHARTER, DAVID
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
DAVIS, MATTHEW
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
FUNCTIONAL PATHWAYS OF TENNESSEE LLC
GENERAL PARTNERSHIP INTEREST
—
2024-03-05
current
pecos_ownership
GEMBERLING, CENDRINE
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
GERHARDT, JOHN
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
GILBERT, ELLEN
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
GLEASON, KEVIN
CORPORATE DIRECTOR
—
2024-09-23
current
pecos_ownership
HACKING, MARINA
ADP OF THE SNF
—
2025-04-21
current
pecos_ownership
KARP, JOLIE
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
LAWRENCE, THOMAS
GENERAL PARTNERSHIP INTEREST
—
2019-02-01
current
pecos_ownership
LAWRENCE, THOMAS
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
PEACE CHURCH RISK RETENTION GROUP
ADP OF THE SNF
—
2025-12-29
current
pecos_ownership
PEACE CHURCH RISK RETENTION GROUP
GENERAL PARTNERSHIP INTEREST
—
2020-04-01
current
pecos_ownership
PESSOGNELLI, MARIANNE
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
RANDOLPH, TERRANCE
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
RKL LLP
GENERAL PARTNERSHIP INTEREST
—
2025-01-01
current
pecos_ownership
RKL LLP
ADP OF THE SNF
—
2025-12-29
current
pecos_ownership
SANTANGELO, MARIA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-03
current
pecos_ownership
SCHEUREN, MICHAEL
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
SPANGLER, JOHN
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
THE KENDAL CORPORATION
OPERATIONAL/MANAGERIAL CONTROL
—
1991-01-01
current
pecos_ownership
WILMINGTON TRUST COMPANY
INDIRECT OWNERSHIP INTEREST
—
2009-12-22
current
pecos_ownership
WILMINGTON TRUST COMPANY
ADP OF THE SNF
—
2025-12-29
current
pecos_ownership
MARIA SANTANGELO
CORPORATE OFFICER
100%
2024-04-03
ended 2026-05-18
pecos_ownership
CENDRINE GEMBERLING
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
DAVID CHARTER
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
ELLEN GILBERT
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
JOHN GERHARDT
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
JOHN SPANGLER
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
JOLIE KARP
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
KEVIN GLEASON
CORPORATE DIRECTOR
0%
2024-09-23
ended 2026-05-18
pecos_ownership
MARIANNE PESSOGNELLI
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
MARINA HACKING
CORPORATE DIRECTOR
0%
2025-04-21
ended 2026-05-18
pecos_ownership
MATTHEW DAVIS
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
MICHAEL SCHEUREN
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
TERRANCE RANDOLPH
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
THOMAS LAWRENCE
GENERAL PARTNERSHIP INTEREST
0%
2019-02-01
ended 2026-05-18
pecos_ownership
THOMAS LAWRENCE
CORPORATE DIRECTOR
0%
2024-01-01
ended 2026-05-18
pecos_ownership
TIMOTHY BOYD
CORPORATE DIRECTOR
0%
2024-01-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$621,024
—
—
—
—
1
—
2023-12-31
$621,024
—
—
—
—
1
—
2022-12-31
$533,912
—
—
—
—
1
—
2021-12-31
$420,489
—
—
—
—
1
—
2020-12-31
$429,144
—
—
—
—
1
—
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 42029
acs median gross
0
$1,440
2024-12-31
CENSUS_ACS5
county 42029
fmr
0
$1,397
2025-10-01
HUD_USER_FMR
county 42029
acs median gross
1
$1,604
2024-12-31
CENSUS_ACS5
county 42029
fmr
1
$1,520
2025-10-01
HUD_USER_FMR
county 42029
acs median gross
2
$1,870
2024-12-31
CENSUS_ACS5
county 42029
fmr
2
$1,810
2025-10-01
HUD_USER_FMR
county 42029
acs median gross
3
$1,942
2024-12-31
CENSUS_ACS5
county 42029
fmr
3
$2,170
2025-10-01
HUD_USER_FMR
county 42029
acs median gross
4
$1,944
2024-12-31
CENSUS_ACS5
county 42029
fmr
4
$2,423
2025-10-01
HUD_USER_FMR
county 42029
acs median gross
5
$2,291
2024-12-31
CENSUS_ACS5
county 42029
acs median gross
$1,763
2024-12-31
CENSUS_ACS5
county 42029
acs recent mover gross
$2,005
2024-12-31
CENSUS_ACS5
zcta 19380
acs median gross
0
$1,565
2024-12-31
CENSUS_ACS5
zcta 19380
acs median gross
1
$1,769
2024-12-31
CENSUS_ACS5
zcta 19380
acs median gross
2
$1,927
2024-12-31
CENSUS_ACS5
zcta 19380
acs median gross
3
$2,355
2024-12-31
CENSUS_ACS5
zcta 19380
acs median gross
4
$2,856
2024-12-31
CENSUS_ACS5
zcta 19380
acs median gross
5
$1,757
2024-12-31
CENSUS_ACS5
zcta 19380
acs median gross
$1,869
2024-12-31
CENSUS_ACS5
zcta 19380
acs recent mover gross
$1,901
2024-12-31
CENSUS_ACS5
zip 19380
payment standard 110
0
$2,134
2025-10-01
HUD_USER_SAFMR
zip 19380
payment standard 90
0
$1,746
2025-10-01
HUD_USER_SAFMR
zip 19380
safmr
0
$1,940
2025-10-01
HUD_USER_SAFMR
zip 19380
payment standard 110
1
$2,321
2025-10-01
HUD_USER_SAFMR
zip 19380
payment standard 90
1
$1,899
2025-10-01
HUD_USER_SAFMR
zip 19380
safmr
1
$2,110
2025-10-01
HUD_USER_SAFMR
zip 19380
payment standard 110
2
$2,761
2025-10-01
HUD_USER_SAFMR
zip 19380
payment standard 90
2
$2,259
2025-10-01
HUD_USER_SAFMR
zip 19380
safmr
2
$2,510
2025-10-01
HUD_USER_SAFMR
zip 19380
payment standard 110
3
$3,311
2025-10-01
HUD_USER_SAFMR
zip 19380
payment standard 90
3
$2,709
2025-10-01
HUD_USER_SAFMR
zip 19380
safmr
3
$3,010
2025-10-01
HUD_USER_SAFMR
zip 19380
payment standard 110
4
$3,696
2025-10-01
HUD_USER_SAFMR
zip 19380
payment standard 90
4
$3,024
2025-10-01
HUD_USER_SAFMR
zip 19380
safmr
4
$3,360
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.