540 COAL VALLEY ROAD, JEFFERSON HILLS, PA 15025 · CCN 395948
Composite
44.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
50
Model
v1.2
Reads as: riskier than 44.3% 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.
ML signals — parallel engine
2
Kind
Finding
Signal
Subject
First seen
anomaly
Quarter-over-quarter staffing cliff
−86% QoQ
this facility
2026-07-29
anomaly
Staffing collapse vs state peers
4.3σ below
this facility
2026-07-29
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.
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
4.14
3.38
3.28
2.90–3.77
RN
0.80
0.45
0.39
0.25–0.58
Weekend total
4.00
3.27
3.11
—
Weekday total
4.19
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
42.9
4.14
0.80
0.77
2.57
4.00
8.3%
2025Q3
92
44.1
0.65
0.15
0.04
0.46
0.79
86.9%
2025Q2
91
42.8
4.54
0.89
1.01
2.63
4.00
14.0%
2025Q1
90
42.8
3.92
0.61
0.98
2.33
3.91
18.8%
2024Q4
92
44.1
3.73
0.41
1.03
2.28
3.78
15.5%
2024Q3
92
44.2
3.79
0.49
0.90
2.40
3.84
13.1%
2024Q2
91
42.0
3.52
0.65
0.82
2.05
3.44
7.7%
2024Q1
91
44.9
3.95
0.58
0.97
2.41
3.94
39.1%
2023Q4
92
44.1
4.06
0.58
1.05
2.42
3.69
50.8%
2023Q3
92
42.2
4.30
0.65
0.99
2.65
4.06
66.6%
2023Q2
91
42.6
4.00
0.62
1.00
2.38
3.80
74.1%
2023Q1
90
45.5
3.28
0.59
0.86
1.83
3.18
74.1%
2022Q4
92
44.0
3.04
0.68
0.83
1.53
2.89
61.9%
2022Q3
92
42.2
2.74
0.60
0.77
1.37
2.63
48.7%
2022Q2
91
40.9
3.35
0.76
0.82
1.77
3.24
65.7%
2022Q1
90
44.8
2.72
0.66
0.73
1.33
2.83
66.3%
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.
Ensure residents have reasonable access to and privacy in their use of communication methods.
D
2026-03-30
2026-02-13
Health
F0579
Provide information about how to apply for and use Medicare and Medicaid benefits.
B
2026-03-30
2026-02-13
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.
E
2026-03-30
2026-02-13
Health
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
E
2026-03-30
2026-02-13
Health
F0679
Provide activities to meet all resident's needs.
E
2026-03-30
2026-02-13
Health
F0680
Ensure the activities program is directed by a qualified professional.
E
2026-03-30
2026-02-13
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2026-03-30
2026-02-13
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-03-30
2026-02-13
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
2026-03-30
2026-02-13
Health
F0941
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
B
2026-03-30
2026-02-13
Health
F0944
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
B
2026-03-30
2025-05-06
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-05-30
2025-03-13
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-04-15
2025-03-13
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-04-15
2025-03-13
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-04-15
2024-08-22
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
2024-09-28
2024-08-22
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-09-28
2024-03-07
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-04-03
2024-03-07
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-04-03
2024-03-07
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
2024-04-03
2024-03-07
Health
F0847
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
F
2024-04-03
2024-03-07
Health
F0848
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
E
2024-04-03
2024-03-07
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-04-03
2024-03-07
Health
F0941
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
C
2024-04-03
2024-03-07
Health
F0944
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
C
2024-04-03
2024-03-07
Health
F0947
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
E
2024-04-03
2023-12-01
Health · complaint
F0563
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
D
2023-12-22
2023-12-01
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2023-12-22
2023-12-01
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
2023-12-22
2023-12-01
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2023-12-22
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
6
Owner
Role
Pct
From
Status
Source
FERRARO, DAVID
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-12-10
current
pecos_ownership
JEFFERSON HILLS HOLDING LLC
Corporation, partnership or other organization has financial interest in provider
100%
2023-07-01
current
hcris_a_8_1
DAVID FERRARO
CORPORATE OFFICER
100%
2023-12-10
ended 2026-05-18
pecos_ownership
JEFFERSON HILLS HOLDING LLC
Corporation, partnership or other organization has financial interest in provider
100%
2021-07-01
ended 2022-06-30
hcris_a_8_1
JEFFERSON HILLS HOLDING LLC
Corporation, partnership or other organization has financial interest in provider
100%
2022-07-01
ended 2023-06-30
hcris_a_8_1
JEFFERSON HILLS HOLDINGS LLC
Corporation, partnership or other organization has financial interest in provider
100%
2020-07-01
ended 2021-06-30
hcris_a_8_1
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
4
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2023-12-09
$254,166
$116,718
—
—
—
4
propco
2023-06-30
$284,769
$1
—
—
—
4
propco
2022-06-30
$1
$1
—
—
—
1
propco
2021-06-30
$248,953
$248,953
—
—
—
1
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
1
Close date
Price
Buyer
Seller
Evidence
2023-12-10
—
4R0, LLC
JEFFERSON HILLS REHABILITATION AND WELLNESS CENTER 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
32
Geo
Kind
BR
Amount
As of
Source
county 42003
acs median gross
0
$1,022
2024-12-31
CENSUS_ACS5
county 42003
fmr
0
$1,001
2025-10-01
HUD_USER_FMR
county 42003
acs median gross
1
$965
2024-12-31
CENSUS_ACS5
county 42003
fmr
1
$1,077
2025-10-01
HUD_USER_FMR
county 42003
acs median gross
2
$1,201
2024-12-31
CENSUS_ACS5
county 42003
fmr
2
$1,299
2025-10-01
HUD_USER_FMR
county 42003
acs median gross
3
$1,426
2024-12-31
CENSUS_ACS5
county 42003
fmr
3
$1,661
2025-10-01
HUD_USER_FMR
county 42003
acs median gross
4
$1,624
2024-12-31
CENSUS_ACS5
county 42003
fmr
4
$1,789
2025-10-01
HUD_USER_FMR
county 42003
acs median gross
5
$1,697
2024-12-31
CENSUS_ACS5
county 42003
acs median gross
$1,153
2024-12-31
CENSUS_ACS5
county 42003
acs recent mover gross
$1,351
2024-12-31
CENSUS_ACS5
zcta 15025
acs median gross
1
$802
2024-12-31
CENSUS_ACS5
zcta 15025
acs median gross
2
$1,291
2024-12-31
CENSUS_ACS5
zcta 15025
acs median gross
3
$1,268
2024-12-31
CENSUS_ACS5
zcta 15025
acs median gross
$1,191
2024-12-31
CENSUS_ACS5
zip 15025
payment standard 110
0
$1,188
2025-10-01
HUD_USER_SAFMR
zip 15025
payment standard 90
0
$972
2025-10-01
HUD_USER_SAFMR
zip 15025
safmr
0
$1,080
2025-10-01
HUD_USER_SAFMR
zip 15025
payment standard 110
1
$1,276
2025-10-01
HUD_USER_SAFMR
zip 15025
payment standard 90
1
$1,044
2025-10-01
HUD_USER_SAFMR
zip 15025
safmr
1
$1,160
2025-10-01
HUD_USER_SAFMR
zip 15025
payment standard 110
2
$1,540
2025-10-01
HUD_USER_SAFMR
zip 15025
payment standard 90
2
$1,260
2025-10-01
HUD_USER_SAFMR
zip 15025
safmr
2
$1,400
2025-10-01
HUD_USER_SAFMR
zip 15025
payment standard 110
3
$1,969
2025-10-01
HUD_USER_SAFMR
zip 15025
payment standard 90
3
$1,611
2025-10-01
HUD_USER_SAFMR
zip 15025
safmr
3
$1,790
2025-10-01
HUD_USER_SAFMR
zip 15025
payment standard 110
4
$2,123
2025-10-01
HUD_USER_SAFMR
zip 15025
payment standard 90
4
$1,737
2025-10-01
HUD_USER_SAFMR
zip 15025
safmr
4
$1,930
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.