Reads as: riskier than 35.0% 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.
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
PA median
National median
National p25–p75
Total nurse
3.10
3.38
3.28
2.90–3.77
RN
0.42
0.45
0.39
0.25–0.58
Weekend total
2.84
3.27
3.11
—
Weekday total
3.20
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
53.6
3.10
0.42
0.78
1.90
2.84
2.0%
2025Q3
92
53.0
3.30
0.36
0.90
2.05
3.18
8.0%
2025Q2
91
53.7
3.31
0.39
0.93
1.99
3.20
3.9%
2025Q1
90
56.0
3.27
0.41
0.90
1.96
3.16
7.4%
2024Q4
92
55.1
3.34
0.46
0.95
1.92
3.01
3.5%
2024Q3
92
53.4
3.11
0.29
1.05
1.76
2.83
0.6%
2024Q2
91
53.8
2.93
0.39
0.96
1.59
2.46
2.5%
2024Q1
91
54.2
3.36
0.46
0.94
1.96
3.20
14.1%
2023Q4
92
53.4
3.38
0.53
0.84
2.01
3.20
15.5%
2023Q3
92
55.1
3.03
0.48
0.72
1.83
2.85
22.7%
2023Q2
91
53.8
3.26
0.55
0.76
1.96
3.12
16.3%
2023Q1
90
55.7
3.24
0.51
0.74
1.98
2.92
17.7%
2022Q4
92
55.5
3.23
0.47
0.71
2.04
2.98
9.0%
2022Q3
92
57.4
3.39
0.57
0.70
2.11
3.21
12.6%
2022Q2
91
55.8
3.24
0.60
0.67
1.97
3.08
18.6%
2022Q1
90
53.1
3.37
0.61
0.74
2.03
3.21
8.9%
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.
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
25
D × 20E × 3F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-14
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-09-24
2025-08-14
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-09-24
2025-08-14
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
2025-09-24
2025-08-14
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-09-24
2025-08-14
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-09-24
2025-08-14
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F
2025-09-24
2025-08-14
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-09-24
2025-08-14
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-09-24
2024-10-09
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-12-02
2024-10-09
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-12-02
2024-10-09
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2024-12-02
2024-10-09
Health
F0710
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
D
2024-12-02
2024-10-09
Health
F0730
Observe each nurse aide's job performance and give regular training.
D
2024-12-02
2024-10-09
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
2024-12-02
2024-10-09
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
D
2024-12-02
2024-10-09
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
2024-12-02
2024-10-09
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-12-02
2024-10-09
Health
F0881
Implement a program that monitors antibiotic use.
E
2024-12-02
2024-10-09
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
D
2024-12-02
2024-10-09
Health
F0947
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
E
2024-12-02
2024-07-25
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.
D
2024-09-09
2024-07-25
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-09-09
2024-07-25
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-09-09
2023-12-21
Health
F0710
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
D
2024-01-23
2023-12-21
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-01-23
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
PENNSYLVANIA LTC INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2007-08-20
current
pecos_ownership
BURGHART, KEVIN
W-2 MANAGING EMPLOYEE
—
2021-12-01
current
pecos_ownership
DELOZIER, ARTHUR
CORPORATE DIRECTOR
—
2013-06-12
current
pecos_ownership
DUGGAN, TIMOTHY
CORPORATE DIRECTOR
—
2022-05-12
current
pecos_ownership
KEYES, GLORIA
W-2 MANAGING EMPLOYEE
—
2022-05-30
current
pecos_ownership
WALDROP, MARK
CORPORATE OFFICER
—
2022-05-12
current
pecos_ownership
ARTHUR DELOZIER
CORPORATE DIRECTOR
—
2013-06-12
ended 2026-05-18
pecos_ownership
GLORIA KEYES
W-2 MANAGING EMPLOYEE
—
2022-05-30
ended 2026-05-18
pecos_ownership
KEVIN BURGHART
W-2 MANAGING EMPLOYEE
—
2021-12-01
ended 2026-05-18
pecos_ownership
MARK WALDROP
CORPORATE DIRECTOR
—
2022-05-12
ended 2026-05-18
pecos_ownership
TIMOTHY DUGGAN
CORPORATE DIRECTOR
—
2022-05-12
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
2025-06-30
$100,377
—
$100,377
—
—
0
—
2024-06-30
$79,418
—
$79,418
—
—
0
—
2023-06-30
$79,418
—
$79,418
—
—
0
—
2022-06-30
$79,418
—
$79,418
—
—
0
—
2021-06-30
$79,418
—
$79,418
—
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 42091
acs median gross
0
$1,347
2024-12-31
CENSUS_ACS5
county 42091
fmr
0
$1,397
2025-10-01
HUD_USER_FMR
county 42091
acs median gross
1
$1,467
2024-12-31
CENSUS_ACS5
county 42091
fmr
1
$1,520
2025-10-01
HUD_USER_FMR
county 42091
acs median gross
2
$1,781
2024-12-31
CENSUS_ACS5
county 42091
fmr
2
$1,810
2025-10-01
HUD_USER_FMR
county 42091
acs median gross
3
$2,029
2024-12-31
CENSUS_ACS5
county 42091
fmr
3
$2,170
2025-10-01
HUD_USER_FMR
county 42091
acs median gross
4
$2,103
2024-12-31
CENSUS_ACS5
county 42091
fmr
4
$2,423
2025-10-01
HUD_USER_FMR
county 42091
acs median gross
5
$2,343
2024-12-31
CENSUS_ACS5
county 42091
acs median gross
$1,683
2024-12-31
CENSUS_ACS5
county 42091
acs recent mover gross
$1,838
2024-12-31
CENSUS_ACS5
zcta 19038
acs median gross
0
$1,363
2024-12-31
CENSUS_ACS5
zcta 19038
acs median gross
1
$1,227
2024-12-31
CENSUS_ACS5
zcta 19038
acs median gross
2
$1,613
2024-12-31
CENSUS_ACS5
zcta 19038
acs median gross
3
$1,932
2024-12-31
CENSUS_ACS5
zcta 19038
acs median gross
4
$1,990
2024-12-31
CENSUS_ACS5
zcta 19038
acs median gross
$1,425
2024-12-31
CENSUS_ACS5
zcta 19038
acs recent mover gross
$1,438
2024-12-31
CENSUS_ACS5
zip 19038
payment standard 110
0
$1,507
2025-10-01
HUD_USER_SAFMR
zip 19038
payment standard 90
0
$1,233
2025-10-01
HUD_USER_SAFMR
zip 19038
safmr
0
$1,370
2025-10-01
HUD_USER_SAFMR
zip 19038
payment standard 110
1
$1,650
2025-10-01
HUD_USER_SAFMR
zip 19038
payment standard 90
1
$1,350
2025-10-01
HUD_USER_SAFMR
zip 19038
safmr
1
$1,500
2025-10-01
HUD_USER_SAFMR
zip 19038
payment standard 110
2
$1,958
2025-10-01
HUD_USER_SAFMR
zip 19038
payment standard 90
2
$1,602
2025-10-01
HUD_USER_SAFMR
zip 19038
safmr
2
$1,780
2025-10-01
HUD_USER_SAFMR
zip 19038
payment standard 110
3
$2,343
2025-10-01
HUD_USER_SAFMR
zip 19038
payment standard 90
3
$1,917
2025-10-01
HUD_USER_SAFMR
zip 19038
safmr
3
$2,130
2025-10-01
HUD_USER_SAFMR
zip 19038
payment standard 110
4
$2,618
2025-10-01
HUD_USER_SAFMR
zip 19038
payment standard 90
4
$2,142
2025-10-01
HUD_USER_SAFMR
zip 19038
safmr
4
$2,380
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.