CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 11:02 UTC
Screener / 395506
B

KADIMA REHABILITATION & NURSING AT PALMYRA

snfPA
341 NORTH RAILROAD ST, PALMYRA, PA 17078 · CCN 395506 · chain KADIMA HEALTHCARE GROUP INC
Composite
31.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
39
Model
v1.2
Reads as: riskier than 31.4% 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 signals11Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies72Licensure0Ownership23Related party3Transactions1Comps12Market rent35

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk90.488.00.300.230820.86in index
staffing risk56.956.90.250.192310.94in index
financial risk20.027.10.300.23084.62in index
billing conduct13.914.50.300.23083.21in index
chow risk14.314.10.150.11541.65in 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

11
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains15 chainsCIBC BANK USA155 facilities
connectionOwner spans multiple chains7 chainsPEARLSTEIN ROBERT16 facilities
connectionOwner spans multiple chains4 chainsMARTIN FRIEDMAN CPA PC10 facilities
connectionOwner fleet enforcement cluster83% finedHARKINS ANDREA6 facilities
connectionOwner fleet enforcement cluster53% finedMARTIN FRIEDMAN CPA PC17 facilities
connectionOwner fleet enforcement cluster47% finedSTRAUSS JONATHAN19 facilities
connectionOwner fleet enforcement cluster45% finedPEARLSTEIN ROBERT20 facilities
connectionOwner fleet enforcement cluster43% finedLOWDEN THOMAS14 facilities
connectionOwner fleet enforcement cluster43% finedKADIMA HEALTHCARE GROUP INC14 facilities
connectionOwner fleet enforcement cluster41% finedPINNACLE HEALTHCARE SOLUTIONS INC 17 facilities
connectionOwner fleet enforcement cluster40% finedMORRIS DANIEL15 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 typeScoreGradeModelStatusRegistry model notes
billing conduct14.5Av0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-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 risk3.1Av0.6default · in composite
financial risk27.1Bv0.5default · in compositeR18.
p adverse action 12m0.0—v0.1default · in compositeR23/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 12m0.1—v0.1default · in compositeR22/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 risk88.0Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk56.9Cv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk64.2Cv0.1supersededPre-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 risk44.2Bv0.2supersededPre-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 risk47.2Cv0.3supersededPre-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 risk31.7Bv0.4supersededPre-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 risk87.9Fv0.1supersededPre-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 risk87.9Fv0.2supersededPre-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 risk56.9Cv0.1supersededPre-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 risk56.9Cv0.2supersededPre-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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
23.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)7.92-1.08
For-profit ownership1.00+0.69
Occupancy0.91-0.60
No PBJ staffing report0.00+0.42
Ownership changes, last 5 years0.00+0.20
Chain size (log)2.71+0.17
Deficiencies, last 12 months14.00+0.17
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
DriverValuePull on odds
Deficiencies, last 12 months14.00-1.17
For-profit ownership1.00-0.69
Occupancy0.91-0.66
No PBJ staffing report0.00+0.39
Chain size (log)2.71-0.37
Never sold on record0.00-0.28
Fine amount, 12m (log)0.00+0.18
Current owner tenure (years)7.92-0.17
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 HPRDThis facilityPA medianNational medianNational p25–p75
Total nurse3.173.383.282.90–3.77
RN0.690.450.390.25–0.58
Weekend total3.143.273.11—
Weekday total3.183.433.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49235.33.170.690.621.863.140.0%
2025Q39236.93.370.860.651.873.070.0%
2025Q29136.83.490.860.641.983.270.0%
2025Q19035.73.240.930.541.773.060.0%
2024Q49235.03.070.600.641.833.122.7%
2024Q39236.83.420.490.802.143.2917.1%
2024Q29136.33.100.320.911.882.9029.8%
2024Q19136.22.970.710.791.482.9622.7%
2023Q49236.93.240.431.011.803.0222.6%
2023Q39237.43.220.411.071.743.3141.6%
2023Q29135.82.930.570.611.752.8814.2%
2023Q19036.62.950.470.671.822.969.2%
2022Q49235.92.990.400.691.913.0123.2%
2022Q39237.73.120.420.851.843.0130.0%
2022Q29137.12.570.360.691.522.5530.3%
2022Q19039.02.520.370.871.292.4113.3%
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

2
DateTypeFineSource
2025-07-03Fine$30,884CMS provider data
2025-07-03Payment Denial—CMS provider data
Total fines on record: $30,884

Deficiencies

72
B × 2C × 6D × 39E × 13F × 10L × 2
deficiencies by survey year
291523242526
SurveyTypeTagDeficiencyScopeCorrected
2026-03-05HealthF0565Honor the resident's right to organize and participate in resident/family groups in the facility.D2026-04-01
2026-03-05HealthF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D2026-04-01
2026-03-05HealthF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D2026-04-01
2026-03-05HealthF0610Respond appropriately to all alleged violations.D2026-04-01
2026-03-05HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2026-04-01
2026-03-05HealthF0688Provide 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.D2026-04-01
2026-03-05HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2026-04-01
2026-03-05HealthF0692Provide enough food/fluids to maintain a resident's health.D2026-04-01
2026-03-05Health · complaintF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.D2026-04-01
2026-03-05HealthF0761Ensure 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.D2026-04-01
2026-03-05HealthF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyD2026-04-01
2026-03-05HealthF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2026-04-01
2026-02-04Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2026-02-19
2026-02-04Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2026-02-19
2025-07-03HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2025-08-06
2025-07-03HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2025-08-06
2025-07-03HealthF0565Honor the resident's right to organize and participate in resident/family groups in the facility.D2025-08-06
2025-07-03HealthF0576Ensure residents have reasonable access to and privacy in their use of communication methods.E2025-08-06
2025-07-03HealthF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E2025-08-06
2025-07-03HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-08-06
2025-07-03HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-08-06
2025-07-03HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2025-08-06
2025-07-03HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-08-06
2025-07-03HealthF0692Provide enough food/fluids to maintain a resident's health.F2025-08-06
2025-07-03HealthF0693Ensure 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.D2025-08-06
2025-07-03HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.E2025-08-06
2025-07-03HealthF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.D2025-08-06
2025-07-03HealthF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F2025-08-06
2025-07-03HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E2025-08-06
2025-07-03HealthF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F2025-08-06
2025-07-03HealthF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.L2025-08-06
2025-07-03HealthF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D2025-08-06
2025-07-03HealthF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.F2025-08-06
2025-07-03HealthF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.D2025-08-06
2025-07-03HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.L2025-08-06
2025-07-03HealthF0836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.F2025-08-07
2025-07-03HealthF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.F2025-08-06
2025-07-03HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-08-26
2025-07-03HealthF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyF2025-08-06
2025-05-30Health · complaintF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D2025-06-04
2025-04-04Health · complaintF0732Post nurse staffing information every day.C—
2025-03-01Health · complaintF0732Post nurse staffing information every day.C2025-03-25
2025-02-14Health · complaintF0880Provide and implement an infection prevention and control program.E2025-03-11
2024-08-09HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2024-10-30
2024-08-09HealthF0565Honor the resident's right to organize and participate in resident/family groups in the facility.B2024-09-26
2024-08-09HealthF0574The resident has the right to receive notices in a format and a language he or she understands.C2024-09-26
2024-08-09HealthF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.C2024-09-26
2024-08-09HealthF0583Keep residents' personal and medical records private and confidential.B2024-09-26
2024-08-09HealthF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E2024-09-26
2024-08-09HealthF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2024-09-26
2024-08-09HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.C2024-09-26
2024-08-09HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2024-09-26
2024-08-09HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-09-26
2024-08-09HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2024-09-26
2024-08-09HealthF0761Ensure 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.E2024-09-26
2024-08-09HealthF0791Provide or obtain dental services for each resident.D2024-09-26
2024-08-09HealthF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F2024-10-30
2024-08-09HealthF0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.D2024-09-26
2024-08-09HealthF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.D2024-09-26
2024-08-09HealthF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.D2024-09-26
2024-08-09HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-09-26
2024-08-09HealthF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyC2024-09-26
2024-08-09HealthF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F2024-09-26
2024-04-27Health · complaintF0620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.D2024-06-04
2024-04-27Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-06-04
2024-04-27Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E2024-06-04
2024-03-07Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-04-16
2024-02-25Health · complaintF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2024-04-08
2023-12-19Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2024-01-18
2023-12-10Health · complaintF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2024-01-16
2023-11-19Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-12-23
2023-11-19Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-12-23
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

23
OwnerRolePctFromStatusSource
CIBC BANK USAOPERATIONAL/MANAGERIAL CONTROL—2025-08-06currentpecos_ownership
HARKINS, ANDREAADP OF THE SNF—2025-09-15currentpecos_ownership
KADIMA HEALTHCARE GROUP INCOPERATIONAL/MANAGERIAL CONTROL—2018-08-29currentpecos_ownership
KADIMA HEALTHCARE GROUP INCADP OF THE SNF—2025-11-25currentpecos_ownership
LOWDEN, THOMASOPERATIONAL/MANAGERIAL CONTROL—2025-10-01currentpecos_ownership
MARTIN FRIEDMAN CPA PCADP OF THE SNF—2025-01-01currentpecos_ownership
MORRIS, DANIELADP OF THE SNF—2018-08-29currentpecos_ownership
PALMYRA PROPERTY MANAGEMENT LLCADP OF THE SNF—2018-08-29currentpecos_ownership
PEARLSTEIN, ROBERTADP OF THE SNF—2021-01-01currentpecos_ownership
PINNACLE HEALTHCARE SOLUTIONS INCADP OF THE SNF—2025-11-25currentpecos_ownership
PINNACLE HEALTHCARE SOLUTIONS INCOPERATIONAL/MANAGERIAL CONTROL—2024-11-01currentpecos_ownership
RIVERA, ZENAIDAADP OF THE SNF—2025-10-27currentpecos_ownership
ROSEN, JACOBOPERATIONAL/MANAGERIAL CONTROL—2025-07-29currentpecos_ownership
STRAUSS, JONATHANOPERATIONAL/MANAGERIAL CONTROL—2018-08-29currentpecos_ownership
DANIEL MORRIS5% OR GREATER DIRECT OWNERSHIP INTEREST50%2024-11-01ended 2026-05-18pecos_ownership
JONATHAN STRAUSS5% OR GREATER DIRECT OWNERSHIP INTEREST50%2024-11-01ended 2026-05-18pecos_ownership
ANDREA HARKINSADP OF THE SNF—2025-09-15ended 2026-05-18pecos_ownership
DANIEL MORRISOPERATIONAL/MANAGERIAL CONTROL—2018-08-29ended 2026-05-18pecos_ownership
JACOB ROSENOPERATIONAL/MANAGERIAL CONTROL—2025-07-29ended 2026-05-18pecos_ownership
JONATHAN STRAUSSOPERATIONAL/MANAGERIAL CONTROL—2018-08-29ended 2026-05-18pecos_ownership
ROBERT PEARLSTEINADP OF THE SNF—2021-01-01ended 2026-05-18pecos_ownership
THOMAS LOWDENADP OF THE SNF—2025-10-01ended 2026-05-18pecos_ownership
ZENAIDA RIVERAADP OF THE SNF—2025-10-27ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2018-08-28—PALMYRA REHABILITATION & NURSING LLCMAYBROOK-P PALMYRA OPCO, LLCchow

Comparable trades — PA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-06-01MANOR AT ST LUKE VILLAGE,THE———1041711 EAST BROAD STREET OPCO LLC
2025-06-01PENNKNOLL VILLAGE———133208 PENNKNOLL ROAD OPCO LLC
2025-06-01MAPLEWOOD NURSING AND REHAB CENTER———180MA OPERATING, LLC
2025-06-01PAVILION AT ST LUKE VILLAGE, THE———1201000 STACIE DRIVE OPCO LLC
2025-06-01MANOR AT PENN VILLAGE, THE———15951 ROUTE 204 OPCO LLC
2025-05-01WYNCOTE CARE CENTER———58WYNCOTE CARE LLC
2025-05-01ONYX WELLNESS CENTER———119ONYX WELLNESS CENTER LLC
2025-04-24HAVENCREST REHABILITATION AND HEALTHCARE CENTER———48HAVENCREST REHABILITATION AND HEALTHCARE CENTER LLC
2025-04-24BEAVER VALLEY REHABILITATION AND HEALTHCARE CENTER———120BEAVER VALLEY REHABILITATION AND HEALTHCARE CENTER LLC
2025-04-01STROUDSBURG POST ACUTE NURSING & REHABILITATIONLLC———174STROUDSBURG POST ACUTE NURSING & REHABILITATION LLC
2025-02-01EDENBROOK OF YEADON———190YEADON SNF OPERATIONS, LLC
2025-02-01EDENBROOK OF GREENWOOD HILL———160POTTSVILLE 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

35
GeoKindBRAmountAs ofSource
county 42075acs median gross0$8702024-12-31CENSUS_ACS5
county 42075fmr0$1,0352025-10-01HUD_USER_FMR
county 42075acs median gross1$8662024-12-31CENSUS_ACS5
county 42075fmr1$1,1122025-10-01HUD_USER_FMR
county 42075acs median gross2$1,1092024-12-31CENSUS_ACS5
county 42075fmr2$1,4112025-10-01HUD_USER_FMR
county 42075acs median gross3$1,3052024-12-31CENSUS_ACS5
county 42075fmr3$1,7972025-10-01HUD_USER_FMR
county 42075acs median gross4$1,3772024-12-31CENSUS_ACS5
county 42075fmr4$1,9592025-10-01HUD_USER_FMR
county 42075acs median gross5$9262024-12-31CENSUS_ACS5
county 42075acs median gross$1,1102024-12-31CENSUS_ACS5
county 42075acs recent mover gross$1,2682024-12-31CENSUS_ACS5
zcta 17078acs median gross0$1,1182024-12-31CENSUS_ACS5
zcta 17078acs median gross1$8972024-12-31CENSUS_ACS5
zcta 17078acs median gross2$1,2682024-12-31CENSUS_ACS5
zcta 17078acs median gross3$1,5602024-12-31CENSUS_ACS5
zcta 17078acs median gross4$1,5302024-12-31CENSUS_ACS5
zcta 17078acs median gross$1,2472024-12-31CENSUS_ACS5
zcta 17078acs recent mover gross$1,7172024-12-31CENSUS_ACS5
zip 17078payment standard 1100$1,2982025-10-01HUD_USER_SAFMR
zip 17078payment standard 900$1,0622025-10-01HUD_USER_SAFMR
zip 17078safmr0$1,1802025-10-01HUD_USER_SAFMR
zip 17078payment standard 1101$1,4082025-10-01HUD_USER_SAFMR
zip 17078payment standard 901$1,1522025-10-01HUD_USER_SAFMR
zip 17078safmr1$1,2802025-10-01HUD_USER_SAFMR
zip 17078payment standard 1102$1,7822025-10-01HUD_USER_SAFMR
zip 17078payment standard 902$1,4582025-10-01HUD_USER_SAFMR
zip 17078safmr2$1,6202025-10-01HUD_USER_SAFMR
zip 17078payment standard 1103$2,2662025-10-01HUD_USER_SAFMR
zip 17078payment standard 903$1,8542025-10-01HUD_USER_SAFMR
zip 17078safmr3$2,0602025-10-01HUD_USER_SAFMR
zip 17078payment standard 1104$2,4532025-10-01HUD_USER_SAFMR
zip 17078payment standard 904$2,0072025-10-01HUD_USER_SAFMR
zip 17078safmr4$2,2302025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · KADIMA REHABILITATION & NURSING AT PALMYRA (395506) · generated 2026-08-05 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency