2140 WARRENSVILLE ROAD, MONTOURSVILLE, PA 17754 · CCN 395895
Composite
29.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
163
Model
v1.2
Reads as: riskier than 29.2% 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
4.12
3.38
3.28
2.90–3.77
RN
0.49
0.45
0.39
0.25–0.58
Weekend total
3.91
3.27
3.11
—
Weekday total
4.20
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
138.9
4.12
0.49
1.00
2.63
3.91
0.0%
2025Q3
92
129.8
4.34
0.55
1.12
2.67
4.12
0.0%
2025Q2
91
130.8
4.41
0.49
1.13
2.79
4.18
0.0%
2025Q1
90
133.0
4.29
0.47
1.08
2.75
4.01
0.0%
2024Q4
92
125.4
4.19
0.46
1.08
2.65
4.00
0.0%
2024Q3
92
133.3
4.08
0.48
1.01
2.58
3.78
0.0%
2024Q2
91
132.8
3.88
0.45
1.03
2.40
3.57
0.0%
2024Q1
91
128.2
4.07
0.52
1.12
2.43
3.77
0.0%
2023Q4
92
131.1
3.84
0.46
1.05
2.33
3.60
0.0%
2023Q3
92
132.3
3.63
0.50
0.99
2.14
3.40
0.0%
2023Q2
91
131.6
3.83
0.50
1.08
2.25
3.51
0.4%
2023Q1
90
127.3
3.85
0.47
1.06
2.33
3.57
0.2%
2022Q4
92
121.7
4.03
0.44
1.09
2.49
3.77
1.8%
2022Q3
92
123.1
3.94
0.44
1.08
2.42
3.69
0.9%
2022Q2
91
116.2
4.03
0.44
1.12
2.48
3.80
0.0%
2022Q1
90
118.1
3.83
0.35
1.17
2.32
3.62
0.0%
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.
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
C
2026-05-29
2026-04-10
Health
F0578
Honor 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.
D
2026-05-29
2026-04-10
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2026-05-29
2026-04-10
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-05-29
2026-04-10
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2026-05-29
2026-04-10
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2026-05-29
2026-04-10
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
E
2026-05-29
2026-04-10
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-05-29
2026-04-10
Health
F0814
Dispose of garbage and refuse properly.
C
2026-05-29
2026-04-10
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-05-29
2026-04-10
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2026-05-29
2026-01-29
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2026-03-02
2025-05-23
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2025-06-30
2025-05-23
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2025-06-30
2025-05-23
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2025-06-30
2025-05-23
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
E
2025-06-30
2025-05-23
Health
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2025-06-30
2025-05-23
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2025-06-30
2025-05-23
Health
F0791
Provide or obtain dental services for each resident.
D
2025-06-30
2025-05-23
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-06-30
2024-06-20
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-08-09
2024-06-20
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2024-08-09
2024-06-20
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
2024-08-09
2024-06-20
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2024-08-09
2024-06-20
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-08-09
2024-06-20
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2024-08-09
2024-06-20
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2024-08-09
2024-06-20
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2024-08-09
2024-06-20
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-08-09
2024-06-20
Health
F0846
Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully.
E
2024-08-09
2024-06-20
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-08-09
2024-06-20
Health
F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
E
2024-08-09
2024-06-05
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
E
2024-07-12
2023-11-14
Health · complaint
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2023-12-15
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
30
Owner
Role
Pct
From
Status
Source
ALEXANDER, AMY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-31
current
pecos_ownership
CALDER, STEPHANIE
CORPORATE DIRECTOR
—
2025-01-31
current
pecos_ownership
DUFF, STEPHANIE
ADP OF THE SNF
—
2020-01-01
current
pecos_ownership
FORQUER, ADELE
CORPORATE DIRECTOR
—
2021-01-31
current
pecos_ownership
FORQUER, ADELE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-31
current
pecos_ownership
FRY, STEPHEN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-29
current
pecos_ownership
FRY, STEPHEN
ADP OF THE SNF
—
2025-06-04
current
pecos_ownership
HOSTRANDER, AMY
CORPORATE OFFICER
—
2017-10-30
current
pecos_ownership
JOHNSON, TARYN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-11-12
current
pecos_ownership
LEIDHECKER, ROBIN
CORPORATE DIRECTOR
—
2023-01-31
current
pecos_ownership
MCCREARY, GLENN
CORPORATE DIRECTOR
—
2024-01-31
current
pecos_ownership
MUTCHLER, RICHARD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-31
current
pecos_ownership
STROBLE, TRACEY
CORPORATE OFFICER
—
2019-06-03
current
pecos_ownership
VANEMON, KIMBERLY
CORPORATE DIRECTOR
—
2025-01-31
current
pecos_ownership
WHITE, ELIZABETH
CORPORATE DIRECTOR
—
2022-01-31
current
pecos_ownership
ADELE FORQUER
CORPORATE DIRECTOR
0%
2021-01-31
ended 2026-05-18
pecos_ownership
AMY ALEXANDER
CORPORATE DIRECTOR
0%
2025-01-31
ended 2026-05-18
pecos_ownership
ELIZABETH WHITE
CORPORATE DIRECTOR
0%
2022-01-31
ended 2026-05-18
pecos_ownership
KIMBERLY VANEMON
CORPORATE DIRECTOR
0%
2025-01-31
ended 2026-05-18
pecos_ownership
ROBIN LEIDHECKER
CORPORATE DIRECTOR
0%
2023-01-31
ended 2026-05-18
pecos_ownership
STEPHANIE CALDER
CORPORATE DIRECTOR
0%
2025-01-31
ended 2026-05-18
pecos_ownership
STEPHEN FRY
CORPORATE OFFICER
0%
2023-10-29
ended 2026-05-18
pecos_ownership
ADELE FORQUER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-31
ended 2026-05-18
pecos_ownership
AMY HOSTRANDER
OPERATIONAL/MANAGERIAL CONTROL
—
2017-10-30
ended 2026-05-18
pecos_ownership
GLENN MCCREARY
CORPORATE DIRECTOR
—
2024-01-31
ended 2026-05-18
pecos_ownership
RICHARD MUTCHLER
CORPORATE DIRECTOR
—
2024-01-31
ended 2026-05-18
pecos_ownership
STEPHANIE DUFF
ADP OF THE SNF
—
2020-01-01
ended 2026-05-18
pecos_ownership
STEPHEN FRY
ADP OF THE SNF
—
2025-06-04
ended 2026-05-18
pecos_ownership
TARYN JOHNSON
CORPORATE OFFICER
—
2023-11-12
ended 2026-05-18
pecos_ownership
TRACEY STROBLE
CORPORATE OFFICER
—
2019-06-03
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
32
Geo
Kind
BR
Amount
As of
Source
county 42081
acs median gross
0
$637
2024-12-31
CENSUS_ACS5
county 42081
fmr
0
$824
2025-10-01
HUD_USER_FMR
county 42081
acs median gross
1
$772
2024-12-31
CENSUS_ACS5
county 42081
fmr
1
$995
2025-10-01
HUD_USER_FMR
county 42081
acs median gross
2
$936
2024-12-31
CENSUS_ACS5
county 42081
fmr
2
$1,195
2025-10-01
HUD_USER_FMR
county 42081
acs median gross
3
$1,117
2024-12-31
CENSUS_ACS5
county 42081
fmr
3
$1,586
2025-10-01
HUD_USER_FMR
county 42081
acs median gross
4
$1,291
2024-12-31
CENSUS_ACS5
county 42081
fmr
4
$1,737
2025-10-01
HUD_USER_FMR
county 42081
acs median gross
5
$1,159
2024-12-31
CENSUS_ACS5
county 42081
acs median gross
$913
2024-12-31
CENSUS_ACS5
county 42081
acs recent mover gross
$974
2024-12-31
CENSUS_ACS5
zcta 17754
acs median gross
1
$593
2024-12-31
CENSUS_ACS5
zcta 17754
acs median gross
2
$960
2024-12-31
CENSUS_ACS5
zcta 17754
acs median gross
3
$1,117
2024-12-31
CENSUS_ACS5
zcta 17754
acs median gross
$959
2024-12-31
CENSUS_ACS5
zip 17754
payment standard 110
0
$935
2025-10-01
HUD_USER_SAFMR
zip 17754
payment standard 90
0
$765
2025-10-01
HUD_USER_SAFMR
zip 17754
safmr
0
$850
2025-10-01
HUD_USER_SAFMR
zip 17754
payment standard 110
1
$1,133
2025-10-01
HUD_USER_SAFMR
zip 17754
payment standard 90
1
$927
2025-10-01
HUD_USER_SAFMR
zip 17754
safmr
1
$1,030
2025-10-01
HUD_USER_SAFMR
zip 17754
payment standard 110
2
$1,364
2025-10-01
HUD_USER_SAFMR
zip 17754
payment standard 90
2
$1,116
2025-10-01
HUD_USER_SAFMR
zip 17754
safmr
2
$1,240
2025-10-01
HUD_USER_SAFMR
zip 17754
payment standard 110
3
$1,815
2025-10-01
HUD_USER_SAFMR
zip 17754
payment standard 90
3
$1,485
2025-10-01
HUD_USER_SAFMR
zip 17754
safmr
3
$1,650
2025-10-01
HUD_USER_SAFMR
zip 17754
payment standard 110
4
$1,980
2025-10-01
HUD_USER_SAFMR
zip 17754
payment standard 90
4
$1,620
2025-10-01
HUD_USER_SAFMR
zip 17754
safmr
4
$1,800
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.