Reads as: riskier than 74.0% 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
3.77
3.38
3.28
2.90–3.77
RN
0.61
0.45
0.39
0.25–0.58
Weekend total
3.60
3.27
3.11
—
Weekday total
3.83
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
106.3
3.77
0.61
0.92
2.23
3.60
12.5%
2025Q3
92
102.4
4.24
0.60
1.06
2.57
4.02
12.6%
2025Q2
91
108.1
4.10
0.47
1.19
2.44
3.91
21.2%
2025Q1
90
100.1
3.94
0.51
1.16
2.28
3.85
18.7%
2024Q4
92
97.7
3.82
0.56
1.05
2.21
3.76
24.9%
2024Q3
92
94.5
3.83
0.62
0.97
2.24
3.71
19.5%
2024Q2
91
93.0
3.37
0.42
1.01
1.93
3.27
4.9%
2024Q1
91
91.0
3.27
0.39
0.97
1.92
3.20
0.0%
2023Q4
92
89.1
3.23
0.29
0.95
1.98
3.14
5.2%
2023Q3
92
94.1
2.65
0.32
0.81
1.51
2.65
0.0%
2023Q2
91
102.7
2.36
0.35
0.83
1.18
2.37
0.0%
2023Q1
90
99.0
2.27
0.29
0.88
1.09
2.30
0.0%
2022Q4
92
97.4
2.35
0.32
0.98
1.05
2.26
0.0%
2022Q3
92
95.7
2.68
0.30
1.09
1.29
2.53
0.0%
2022Q2
91
93.5
2.84
0.29
1.10
1.45
2.56
0.0%
2022Q1
90
85.1
2.92
0.25
1.17
1.50
2.76
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.
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
17
B × 1D × 8E × 8
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-31
Health · complaint
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
—
2026-03-31
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
—
2026-02-05
Health · complaint
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
E
2026-03-06
2026-01-08
Health
F0584
Honor 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.
D
2026-02-27
2026-01-08
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2026-02-27
2026-01-08
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
E
2026-02-27
2026-01-08
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
2026-02-27
2026-01-08
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-02-27
2026-01-08
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.
E
2026-02-27
2026-01-08
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.
E
2026-02-27
2026-01-08
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2026-02-27
2026-01-08
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-02-27
2025-06-18
Health · complaint
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
B
2025-08-01
2025-01-13
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2025-02-28
2024-08-09
Health · complaint
F0584
Honor 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.
D
2024-09-20
2024-02-16
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
2024-03-17
2024-02-16
Health
F0809
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
E
2024-03-17
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
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
25
Owner
Role
Pct
From
Status
Source
MILLCREEK HEALTH SYSTEM
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2016-02-01
current
pecos_ownership
BABIAK, JAIME
ADP OF THE SNF
—
2022-11-21
current
pecos_ownership
BEERBOWER, JOSHUA
ADP OF THE SNF
—
2023-11-03
current
pecos_ownership
ECKERT, MARY
CORPORATE DIRECTOR
—
2016-02-01
current
pecos_ownership
FERRETTI, JOHN
CORPORATE DIRECTOR
—
2016-02-01
current
pecos_ownership
HANSEN, DANIELLE
TRUSTEE OF THE SNF
—
2023-01-01
current
pecos_ownership
INMAN, STEVEN
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
LIN, JAMES
ADP OF THE SNF
—
2025-04-29
current
pecos_ownership
LIN, JAMES
CORPORATE DIRECTOR
—
2016-02-01
current
pecos_ownership
LIN, JAMES
TRUSTEE OF THE SNF
—
2024-07-01
current
pecos_ownership
MOSCO, MARLENE
CORPORATE DIRECTOR
—
2016-02-01
current
pecos_ownership
MOYER, TONYA
ADP OF THE SNF
—
2025-06-16
current
pecos_ownership
TITZEL, MELANIE
CORPORATE DIRECTOR
—
2016-02-01
current
pecos_ownership
STEVEN INMAN
CORPORATE DIRECTOR
0%
2021-01-01
ended 2026-05-18
pecos_ownership
DANIELLE HANSEN
TRUSTEE OF THE SNF
—
2023-01-01
ended 2026-05-18
pecos_ownership
JAIME BABIAK
ADP OF THE SNF
—
2022-11-21
ended 2026-05-18
pecos_ownership
JAMES LIN
TRUSTEE OF THE SNF
—
2024-07-01
ended 2026-05-18
pecos_ownership
JAMES LIN
CORPORATE DIRECTOR
—
2016-02-01
ended 2026-05-18
pecos_ownership
JAMES LIN
ADP OF THE SNF
—
2025-04-29
ended 2026-05-18
pecos_ownership
JOHN FERRETTI
CORPORATE DIRECTOR
—
2016-02-01
ended 2026-05-18
pecos_ownership
JOSHUA BEERBOWER
OPERATIONAL/MANAGERIAL CONTROL
—
2023-11-03
ended 2026-05-18
pecos_ownership
MARLENE MOSCO
CORPORATE DIRECTOR
—
2016-02-01
ended 2026-05-18
pecos_ownership
MARY ECKERT
CORPORATE DIRECTOR
—
2016-02-01
ended 2026-05-18
pecos_ownership
MELANIE TITZEL
CORPORATE DIRECTOR
—
2016-02-01
ended 2026-05-18
pecos_ownership
TONYA MOYER
ADP OF THE SNF
—
2025-06-16
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
$1
—
—
—
$1
1
—
2024-06-30
$4
—
—
—
$4
4
—
2023-06-30
$3
—
—
—
$3
3
—
2022-06-30
$238,368
—
—
$24,523
$39,843
13
—
2021-06-30
$954,558
—
—
$154,295
$443,899
19
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 42049
acs median gross
0
$621
2024-12-31
CENSUS_ACS5
county 42049
fmr
0
$836
2025-10-01
HUD_USER_FMR
county 42049
acs median gross
1
$709
2024-12-31
CENSUS_ACS5
county 42049
fmr
1
$945
2025-10-01
HUD_USER_FMR
county 42049
acs median gross
2
$949
2024-12-31
CENSUS_ACS5
county 42049
fmr
2
$1,212
2025-10-01
HUD_USER_FMR
county 42049
acs median gross
3
$1,044
2024-12-31
CENSUS_ACS5
county 42049
fmr
3
$1,499
2025-10-01
HUD_USER_FMR
county 42049
acs median gross
4
$1,265
2024-12-31
CENSUS_ACS5
county 42049
fmr
4
$1,683
2025-10-01
HUD_USER_FMR
county 42049
acs median gross
5
$1,151
2024-12-31
CENSUS_ACS5
county 42049
acs median gross
$904
2024-12-31
CENSUS_ACS5
county 42049
acs recent mover gross
$1,024
2024-12-31
CENSUS_ACS5
zcta 16508
acs median gross
1
$643
2024-12-31
CENSUS_ACS5
zcta 16508
acs median gross
2
$850
2024-12-31
CENSUS_ACS5
zcta 16508
acs median gross
3
$1,182
2024-12-31
CENSUS_ACS5
zcta 16508
acs median gross
4
$1,432
2024-12-31
CENSUS_ACS5
zcta 16508
acs median gross
$880
2024-12-31
CENSUS_ACS5
zcta 16508
acs recent mover gross
$938
2024-12-31
CENSUS_ACS5
zip 16508
payment standard 110
0
$847
2025-10-01
HUD_USER_SAFMR
zip 16508
payment standard 90
0
$693
2025-10-01
HUD_USER_SAFMR
zip 16508
safmr
0
$770
2025-10-01
HUD_USER_SAFMR
zip 16508
payment standard 110
1
$957
2025-10-01
HUD_USER_SAFMR
zip 16508
payment standard 90
1
$783
2025-10-01
HUD_USER_SAFMR
zip 16508
safmr
1
$870
2025-10-01
HUD_USER_SAFMR
zip 16508
payment standard 110
2
$1,232
2025-10-01
HUD_USER_SAFMR
zip 16508
payment standard 90
2
$1,008
2025-10-01
HUD_USER_SAFMR
zip 16508
safmr
2
$1,120
2025-10-01
HUD_USER_SAFMR
zip 16508
payment standard 110
3
$1,529
2025-10-01
HUD_USER_SAFMR
zip 16508
payment standard 90
3
$1,251
2025-10-01
HUD_USER_SAFMR
zip 16508
safmr
3
$1,390
2025-10-01
HUD_USER_SAFMR
zip 16508
payment standard 110
4
$1,716
2025-10-01
HUD_USER_SAFMR
zip 16508
payment standard 90
4
$1,404
2025-10-01
HUD_USER_SAFMR
zip 16508
safmr
4
$1,560
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.