Composite
91.7 / 100 percentile
Screener / 395298
D
LAKEWOOD REHABILITATION & HEALTHCARE CENTER
snfPA
147 OLD NEWPORT STREET, NANTICOKE, PA 18634 · CCN 395298 · chain KULANU OC TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
110
Model
v1.2
Reads as: riskier than 91.7% 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.
Score model5ML signals4Components16CHOW radar1Distress radar1Staffing16Penalties4Deficiencies100Licensure0Ownership13Related party6Transactions1Comps12Market rent33
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 99.4 | 98.8 | 0.30 | 0.2308 | 22.94 | in index |
| financial risk | 83.2 | 69.9 | 0.30 | 0.2308 | 19.20 | in index |
| staffing risk | 64.7 | 64.7 | 0.25 | 0.1923 | 12.44 | in index |
| chow risk | 89.8 | 70.7 | 0.15 | 0.1154 | 10.36 | in index |
| billing conduct | 13.7 | 12.7 | 0.30 | 0.2308 | 3.16 | in index |
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
4| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +24.9 vs natl | KULANU OC TRUST | 9 facilities |
| connection | Owner fleet risk far above national | +23.3 vs natl | BERDUGO SHAI | 18 facilities |
| connection | Owner spans multiple chains | 7 chains | BERDUGO SHAI | 17 facilities |
| connection | Owner fleet enforcement cluster | 44% fined | KULANU OC TRUST | 9 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.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 12.7 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 55.0 | C | v0.1-pos | default · in composite | 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. |
| chow risk | 86.5 | F | v0.6 | default · in composite | |
| financial risk | 69.9 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | 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. |
| p chow 12m | 0.0 | — | v0.1 | default · in 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. |
| regulatory risk | 98.8 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 64.7 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 82.9 | F | v0.1 | superseded | 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. |
| financial risk | 62.9 | C | v0.2 | superseded | 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. |
| financial risk | 70.1 | D | v0.3 | superseded | 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. |
| financial risk | 69.0 | D | v0.4 | superseded | 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. |
| regulatory risk | 98.8 | F | v0.1 | superseded | 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. |
| regulatory risk | 98.8 | F | v0.2 | superseded | 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. |
| staffing risk | 64.7 | C | v0.1 | superseded | 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. |
| staffing risk | 64.7 | C | v0.2 | superseded | 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.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
12.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 3.24 | -1.53 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.91 | -0.62 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Contract staffing share | 0.26 | +0.31 | |
| Deficiencies, last 12 months | 18.00 | +0.27 |
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.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 18.00 | -1.91 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.91 | -0.69 | |
| Fine amount, 12m (log) | 10.32 | -0.58 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 3.24 | -0.25 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
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 | 3.07 | 3.38 | 3.28 | 2.90–3.77 |
| RN | 0.38 | 0.45 | 0.39 | 0.25–0.58 |
| Weekend total | 3.08 | 3.27 | 3.11 | — |
| Weekday total | 3.06 | 3.43 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 100.3 | 3.07 | 0.38 | 0.72 | 1.97 | 3.08 | 26.0% |
| 2025Q3 | 92 | 99.2 | 3.00 | 0.35 | 0.78 | 1.88 | 2.94 | 30.8% |
| 2025Q2 | 91 | 90.6 | 3.18 | 0.31 | 0.83 | 2.04 | 3.19 | 30.3% |
| 2025Q1 | 90 | 96.0 | 3.22 | 0.35 | 0.78 | 2.08 | 3.12 | 20.0% |
| 2024Q4 | 92 | 94.2 | 3.23 | 0.35 | 0.77 | 2.11 | 3.20 | 12.2% |
| 2024Q3 | 92 | 96.4 | 3.05 | 0.36 | 0.68 | 2.00 | 2.97 | 13.1% |
| 2024Q2 | 91 | 91.5 | 3.09 | 0.35 | 0.68 | 2.06 | 2.86 | 0.0% |
| 2024Q1 | 91 | 90.5 | 3.05 | 0.41 | 0.71 | 1.94 | 2.88 | 0.0% |
| 2023Q4 | 92 | 87.8 | 3.25 | 0.39 | 0.84 | 2.02 | 3.35 | 5.6% |
| 2023Q3 | 92 | 87.1 | 3.03 | 0.35 | 0.82 | 1.86 | 3.02 | 24.1% |
| 2023Q2 | 91 | 85.0 | 3.68 | 0.48 | 0.97 | 2.22 | 3.65 | 22.0% |
| 2023Q1 | 90 | 85.6 | 2.96 | 0.30 | 0.89 | 1.76 | 2.97 | 25.0% |
| 2022Q4 | 92 | 83.9 | 2.89 | 0.30 | 0.94 | 1.66 | 2.92 | 37.3% |
| 2022Q3 | 92 | 81.5 | 2.83 | 0.30 | 0.93 | 1.60 | 2.66 | 42.3% |
| 2022Q2 | 91 | 74.5 | 2.64 | 0.37 | 0.94 | 1.32 | 2.52 | 27.1% |
| 2022Q1 | 90 | 77.5 | 3.10 | 0.37 | 1.04 | 1.69 | 3.01 | 30.6% |
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
4fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2026-01-16 | Fine | $30,257 | CMS provider data |
| 2024-12-30 | Fine | $59,401 | CMS provider data |
| 2024-07-21 | Fine | $102,684 | CMS provider data |
| 2024-02-01 | Fine | $99,271 | CMS provider data |
Total fines on record: $291,613
Deficiencies
100B × 1D × 63E × 25F × 5G × 4J × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-24 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2026-05-27 |
| 2026-04-24 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2026-05-27 |
| 2026-04-24 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-05-27 |
| 2026-04-24 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2026-05-27 |
| 2026-04-24 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-05-27 |
| 2026-04-24 | 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 | 2026-05-27 |
| 2026-04-24 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2026-05-27 |
| 2026-04-24 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2026-05-27 |
| 2026-04-24 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2026-05-27 |
| 2026-04-24 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | 2026-05-27 |
| 2026-04-24 | 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 | 2026-05-27 |
| 2026-04-24 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2026-05-27 |
| 2026-04-24 | Health | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | 2026-05-27 |
| 2026-03-26 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2026-04-03 |
| 2026-01-16 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2026-01-23 |
| 2026-01-16 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-01-23 |
| 2026-01-16 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | 2026-01-23 |
| 2025-12-22 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | D | — |
| 2025-06-13 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-07-29 |
| 2025-06-13 | Health | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | 2025-07-29 |
| 2025-06-13 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-07-29 |
| 2025-06-13 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-07-29 |
| 2025-06-13 | 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 | 2025-07-29 |
| 2025-06-13 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-08-13 |
| 2025-06-13 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-08-13 |
| 2025-06-13 | 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 | 2025-07-29 |
| 2025-06-13 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-07-29 |
| 2025-06-13 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-08-13 |
| 2025-06-13 | Health | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | E | 2025-07-29 |
| 2025-06-13 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-07-29 |
| 2025-04-02 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-04-15 |
| 2025-02-05 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-02-25 |
| 2025-01-18 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2025-02-25 |
| 2025-01-18 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | 2025-02-25 |
| 2025-01-09 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-02-25 |
| 2024-12-30 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2025-02-25 |
| 2024-12-30 | Health · complaint | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2025-02-25 |
| 2024-12-30 | Health · complaint | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2025-02-25 |
| 2024-08-30 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-10-01 |
| 2024-08-30 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-10-01 |
| 2024-08-30 | Health | F0583 | Keep residents' personal and medical records private and confidential. | E | 2024-10-01 |
| 2024-08-30 | 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 | 2024-10-01 |
| 2024-08-30 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-10-01 |
| 2024-08-30 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | 2024-10-01 |
| 2024-08-30 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2024-10-01 |
| 2024-08-30 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2024-10-01 |
| 2024-08-30 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2024-10-01 |
| 2024-08-30 | Health | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | E | 2024-10-01 |
| 2024-08-30 | Health | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | 2024-10-01 |
| 2024-08-30 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | 2024-10-01 |
| 2024-08-30 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-10-01 |
| 2024-08-30 | Health · complaint | F0732 | Post nurse staffing information every day. | B | 2024-10-01 |
| 2024-08-30 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-10-01 |
| 2024-08-30 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-10-01 |
| 2024-08-30 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2024-10-01 |
| 2024-08-30 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | E | 2024-11-12 |
| 2024-08-30 | 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. | D | 2024-10-01 |
| 2024-08-30 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2024-10-01 |
| 2024-08-30 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | 2024-10-01 |
| 2024-08-30 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-10-01 |
| 2024-08-30 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-10-01 |
| 2024-08-30 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2024-10-01 |
| 2024-08-30 | Health | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | 2024-10-01 |
| 2024-07-21 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-08-30 |
| 2024-07-21 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-08-30 |
| 2024-07-21 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2024-08-30 |
| 2024-07-21 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-08-30 |
| 2024-07-21 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-08-30 |
| 2024-07-21 | Health · complaint | F0687 | Provide appropriate foot care. | D | 2024-08-30 |
| 2024-07-21 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-08-30 |
| 2024-07-21 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-10-01 |
| 2024-04-23 | Health · complaint | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2024-06-06 |
| 2024-04-23 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-06-06 |
| 2024-03-21 | Health · complaint | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | D | 2024-04-23 |
| 2024-03-21 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-04-23 |
| 2024-03-21 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-06-06 |
| 2024-03-21 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-04-23 |
| 2024-03-21 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | 2024-06-06 |
| 2024-03-21 | Health · complaint | 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 | 2024-04-23 |
| 2024-03-21 | Health · complaint | 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. | F | 2024-06-06 |
| 2024-03-21 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-04-23 |
| 2024-03-21 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | 2024-06-06 |
| 2024-02-29 | Health · complaint | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | D | 2024-04-23 |
| 2024-02-29 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-03-21 |
| 2024-02-29 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-03-21 |
| 2024-02-29 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2024-03-21 |
| 2024-02-29 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | 2024-06-06 |
| 2024-02-29 | Health · complaint | 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 | 2024-04-23 |
| 2024-02-29 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-03-21 |
| 2024-02-01 | Health · complaint | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2024-03-21 |
| 2024-02-01 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-03-21 |
| 2024-02-01 | Health · complaint | F0687 | Provide appropriate foot care. | D | 2024-03-21 |
| 2024-02-01 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-06-06 |
| 2024-02-01 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-03-21 |
| 2024-02-01 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2024-03-21 |
| 2023-10-05 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-11-07 |
| 2023-07-12 | Health · complaint | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2023-08-17 |
| 2023-07-12 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-08-17 |
| 2023-07-12 | 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 | 2023-08-17 |
| 2023-07-12 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-08-17 |
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
0No 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
13| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CENTURY PENNSYLVANIA HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-05-01 | current | pecos_ownership |
| BERDUGO, SHAI | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-04 | current | pecos_ownership |
| BERDUGO, SHAI | CORPORATE OFFICER | — | 2023-05-01 | current | pecos_ownership |
| CENTURY I TBD HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-01 | current | pecos_ownership |
| KULANU OC TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-05-01 | current | pecos_ownership |
| RALLEY LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-05-01 | current | pecos_ownership |
| SHIBAK, BRITTANY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-19 | current | pecos_ownership |
| SHIBAK, BRITTANY | ADP OF THE SNF | — | 2026-04-07 | current | pecos_ownership |
| WOLANIN, JANUSZ | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-05-01 | current | pecos_ownership |
| WOLANIN, JANUSZ | ADP OF THE SNF | — | 2026-04-07 | current | pecos_ownership |
| EFRAIM KLEIN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 29% | 2023-05-01 | ended 2026-05-18 | pecos_ownership |
| SHAI BERDUGO | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 18% | 2023-05-01 | ended 2026-05-18 | pecos_ownership |
| MELISSA SWEETZ | W-2 MANAGING EMPLOYEE | — | 2023-05-01 | 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.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2023-05-01 | — | NANTICOKE REHABILITATION AND HEALTHCARE LLC | GUARDIAN ELDER CARE AT NANTICOKE LLC | chow |
Comparable trades — PA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-06-01 | MANOR AT ST LUKE VILLAGE,THE | — | — | — | 104 | 1711 EAST BROAD STREET OPCO LLC |
| 2025-06-01 | PENNKNOLL VILLAGE | — | — | — | 133 | 208 PENNKNOLL ROAD OPCO LLC |
| 2025-06-01 | MAPLEWOOD NURSING AND REHAB CENTER | — | — | — | 180 | MA OPERATING, LLC |
| 2025-06-01 | PAVILION AT ST LUKE VILLAGE, THE | — | — | — | 120 | 1000 STACIE DRIVE OPCO LLC |
| 2025-06-01 | MANOR AT PENN VILLAGE, THE | — | — | — | 159 | 51 ROUTE 204 OPCO LLC |
| 2025-05-01 | WYNCOTE CARE CENTER | — | — | — | 58 | WYNCOTE CARE LLC |
| 2025-05-01 | ONYX WELLNESS CENTER | — | — | — | 119 | ONYX WELLNESS CENTER LLC |
| 2025-04-24 | HAVENCREST REHABILITATION AND HEALTHCARE CENTER | — | — | — | 48 | HAVENCREST REHABILITATION AND HEALTHCARE CENTER LLC |
| 2025-04-24 | BEAVER VALLEY REHABILITATION AND HEALTHCARE CENTER | — | — | — | 120 | BEAVER VALLEY REHABILITATION AND HEALTHCARE CENTER LLC |
| 2025-04-01 | STROUDSBURG POST ACUTE NURSING & REHABILITATIONLLC | — | — | — | 174 | STROUDSBURG POST ACUTE NURSING & REHABILITATION LLC |
| 2025-02-01 | EDENBROOK OF YEADON | — | — | — | 190 | YEADON SNF OPERATIONS, LLC |
| 2025-02-01 | EDENBROOK OF GREENWOOD HILL | — | — | — | 160 | POTTSVILLE SNF OPERATIONS, LLC |
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
33| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 42079 | acs median gross | 0 | $600 | 2024-12-31 | CENSUS_ACS5 |
| county 42079 | fmr | 0 | $863 | 2025-10-01 | HUD_USER_FMR |
| county 42079 | acs median gross | 1 | $752 | 2024-12-31 | CENSUS_ACS5 |
| county 42079 | fmr | 1 | $1,028 | 2025-10-01 | HUD_USER_FMR |
| county 42079 | acs median gross | 2 | $1,016 | 2024-12-31 | CENSUS_ACS5 |
| county 42079 | fmr | 2 | $1,252 | 2025-10-01 | HUD_USER_FMR |
| county 42079 | acs median gross | 3 | $1,194 | 2024-12-31 | CENSUS_ACS5 |
| county 42079 | fmr | 3 | $1,631 | 2025-10-01 | HUD_USER_FMR |
| county 42079 | acs median gross | 4 | $1,306 | 2024-12-31 | CENSUS_ACS5 |
| county 42079 | fmr | 4 | $1,766 | 2025-10-01 | HUD_USER_FMR |
| county 42079 | acs median gross | 5 | $1,428 | 2024-12-31 | CENSUS_ACS5 |
| county 42079 | acs median gross | $1,004 | 2024-12-31 | CENSUS_ACS5 | |
| county 42079 | acs recent mover gross | $1,218 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 18634 | acs median gross | 0 | $363 | 2024-12-31 | CENSUS_ACS5 |
| zcta 18634 | acs median gross | 1 | $678 | 2024-12-31 | CENSUS_ACS5 |
| zcta 18634 | acs median gross | 2 | $927 | 2024-12-31 | CENSUS_ACS5 |
| zcta 18634 | acs median gross | 3 | $950 | 2024-12-31 | CENSUS_ACS5 |
| zcta 18634 | acs median gross | $822 | 2024-12-31 | CENSUS_ACS5 | |
| zip 18634 | payment standard 110 | 0 | $858 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18634 | payment standard 90 | 0 | $702 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18634 | safmr | 0 | $780 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18634 | payment standard 110 | 1 | $1,023 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18634 | payment standard 90 | 1 | $837 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18634 | safmr | 1 | $930 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18634 | payment standard 110 | 2 | $1,243 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18634 | payment standard 90 | 2 | $1,017 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18634 | safmr | 2 | $1,130 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18634 | payment standard 110 | 3 | $1,617 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18634 | payment standard 90 | 3 | $1,323 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18634 | safmr | 3 | $1,470 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18634 | payment standard 110 | 4 | $1,749 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18634 | payment standard 90 | 4 | $1,431 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18634 | safmr | 4 | $1,590 | 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.