300 CENTER AVENUE, WAYNESBURG, PA 15370 · CCN 395675 · chain ISKEB 2024 TRUST
Composite
30.5 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
111
Model
v1.2
Reads as: riskier than 30.5% 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
9
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
6 chains
WASHINGTON STATE INVESTMENT BOARD
77 facilities
connection
Owner spans multiple chains
6 chains
GEARY PROPERTY HOLDINGS LLC
21 facilities
connection
Owner spans multiple chains
5 chains
BEVERLY HEALTH AND REHABILITIATION SERVICES INC
18 facilities
connection
Owner spans multiple chains
5 chains
BEVERLY ENTERPRISES PENNSYLVANIA INC
17 facilities
connection
Owner spans multiple chains
4 chains
PEARL SENIOR CARE LLC
18 facilities
connection
Owner spans multiple chains
4 chains
DRUMM MERGER CO SUB LLC
19 facilities
connection
Owner spans multiple chains
4 chains
DRUMM MERGER CO
19 facilities
connection
Owner spans multiple chains
4 chains
DRUMM INTERMEDIARY SUB CO LLC
18 facilities
connection
Owner spans multiple chains
4 chains
LINAM KIM
16 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.
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
3.30
3.38
3.28
2.90–3.77
RN
0.26
0.45
0.39
0.25–0.58
Weekend total
3.28
3.27
3.11
—
Weekday total
3.31
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
99.5
3.30
0.26
1.01
2.03
3.28
0.0%
2025Q3
92
100.4
3.23
0.25
1.00
1.98
3.24
0.0%
2025Q2
91
99.5
3.32
0.26
1.01
2.05
3.38
0.1%
2025Q1
90
101.5
3.29
0.17
1.10
2.03
3.40
0.0%
2024Q4
92
100.4
3.22
0.15
1.14
1.93
3.22
0.0%
2024Q3
92
104.9
3.22
0.24
1.08
1.89
3.23
0.0%
2024Q2
91
103.9
3.02
0.25
1.00
1.77
3.01
0.0%
2024Q1
91
105.6
3.00
0.28
0.97
1.75
3.01
0.0%
2023Q4
92
106.4
3.00
0.27
0.97
1.77
2.96
0.0%
2023Q3
92
104.6
3.08
0.30
1.00
1.77
3.03
0.0%
2023Q2
91
100.5
2.98
0.27
0.96
1.75
2.92
0.0%
2023Q1
90
104.2
2.90
0.24
1.00
1.67
2.90
0.0%
2022Q4
92
102.3
2.81
0.30
0.97
1.54
2.76
0.0%
2022Q3
92
102.6
2.64
0.30
0.98
1.36
2.55
0.0%
2022Q2
91
100.7
2.56
0.33
0.92
1.30
2.45
1.8%
2022Q1
90
102.8
2.52
0.30
0.94
1.28
2.45
5.0%
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.
Ensure each resident receives an accurate assessment.
D
2026-03-03
2026-02-05
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2026-03-03
2026-02-05
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F
2026-03-03
2026-02-05
Health
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2026-03-03
2025-03-21
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
2025-04-15
2025-03-21
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
2025-04-15
2025-03-21
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2025-04-15
2025-03-21
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.
E
2025-04-15
2025-02-11
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-03-10
2024-12-03
Health · complaint
F0908
Keep all essential equipment working safely.
D
2024-12-18
2024-03-14
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.
E
2024-04-02
2024-02-03
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2024-02-20
2024-02-03
Health · complaint
F0679
Provide activities to meet all resident's needs.
E
2024-02-20
2023-09-22
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-10-17
2023-09-22
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-10-17
2023-09-22
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-10-17
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
43
Owner
Role
Pct
From
Status
Source
WESTERN PA OPCO HOLDINGS I LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-10-29
current
pecos_ownership
ANDREWS, HEATHER
MANAGING CONTROL - GOVERNING BODY
—
2021-09-03
current
pecos_ownership
BEVERLY ENTERPRISES - PENNSYLVANIA, INC.
ADP OF THE SNF
—
2024-12-19
current
pecos_ownership
BEVERLY ENTERPRISES LLC
ADP OF THE SNF
—
2024-12-19
current
pecos_ownership
BEVERLY HEALTH AND REHABILITIATION SERVICES, INC
ADP OF THE SNF
—
2024-12-19
current
pecos_ownership
DRUMM INTERMEDIARY SUB CO LLC
ADP OF THE SNF
—
2024-12-19
current
pecos_ownership
DRUMM MERGER CO
ADP OF THE SNF
—
2024-12-19
current
pecos_ownership
DRUMM MERGER CO SUB LLC
ADP OF THE SNF
—
2024-12-19
current
pecos_ownership
FILLMORE STRATEGIC INVESTORS LLC
ADP OF THE SNF
—
2024-12-19
current
pecos_ownership
FINN, NICHOLAS
MANAGING CONTROL - GOVERNING BODY
—
2018-01-03
current
pecos_ownership
FINN, NICHOLAS
ADP OF THE SNF
—
2024-12-19
current
pecos_ownership
FRANCO, AHARON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-29
current
pecos_ownership
GEARY PROPERTY HOLDINGS LLC
ADP OF THE SNF
—
2024-12-19
current
pecos_ownership
GPH WAYNESBURG LP
ADP OF THE SNF
—
2024-12-19
current
pecos_ownership
HARDING, WILLIAM
ADP OF THE SNF
—
2024-12-18
current
pecos_ownership
ISKEB WESTERN PA LLC
ADP OF THE SNF
—
2024-12-18
current
pecos_ownership
KARITY, SARAH
TRUSTEE OF THE SNF
—
2024-10-29
current
pecos_ownership
KEYSTONE VENTURES LLC
ADP OF THE SNF
—
2024-12-18
current
pecos_ownership
LINAM, KIM
MANAGING CONTROL - GOVERNING BODY
—
2023-09-27
current
pecos_ownership
MATULULA, KING
ADP OF THE SNF
—
2024-12-18
current
pecos_ownership
MILLER, JEAN
ADP OF THE SNF
—
2024-11-15
current
pecos_ownership
PEARL SENIOR CARE, LLC.
ADP OF THE SNF
—
2024-12-19
current
pecos_ownership
RAMI, ISAAC
ADP OF THE SNF
—
2024-10-29
current
pecos_ownership
RASMUSSEN-JONES, HOLLY
MANAGING CONTROL - GOVERNING BODY
—
2016-09-26
current
pecos_ownership
SURETY COMPLIANCE
ADP OF THE SNF
—
2024-10-29
current
pecos_ownership
VALLEY WEST HEALTH LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-15
current
pecos_ownership
VALLEY WEST HEALTH LLC
ADP OF THE SNF
—
2024-12-19
current
pecos_ownership
WASHINGTON STATE INVESTMENT BOARD
ADP OF THE SNF
—
2024-12-19
current
pecos_ownership
WESTERN PA OPCO HOLDINGS I LLC
ADP OF THE SNF
—
2024-12-18
current
pecos_ownership
ISKEB 2024 TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
95%
2024-10-29
ended 2026-05-18
pecos_ownership
ISKEB WESTERN PA LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
95%
2024-10-29
ended 2026-05-18
pecos_ownership
AHARON FRANCO
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2024-10-29
ended 2026-05-18
pecos_ownership
KEYSTONE VENTURES LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2024-10-29
ended 2026-05-18
pecos_ownership
HEATHER ANDREWS
MANAGING CONTROL - GOVERNING BODY
—
2021-09-03
ended 2026-05-18
pecos_ownership
HOLLY RASMUSSEN-JONES
MANAGING CONTROL - GOVERNING BODY
—
2016-09-26
ended 2026-05-18
pecos_ownership
ISAAC RAMI
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-29
ended 2026-05-18
pecos_ownership
JEAN MILLER
ADP OF THE SNF
—
2024-11-15
ended 2026-05-18
pecos_ownership
KIM LINAM
MANAGING CONTROL - GOVERNING BODY
—
2023-09-27
ended 2026-05-18
pecos_ownership
KING MATULULA
ADP OF THE SNF
—
2024-12-18
ended 2026-05-18
pecos_ownership
NICHOLAS FINN
ADP OF THE SNF
—
2024-12-19
ended 2026-05-18
pecos_ownership
NICHOLAS FINN
MANAGING CONTROL - GOVERNING BODY
—
2018-01-03
ended 2026-05-18
pecos_ownership
SARAH KARITY
TRUSTEE OF THE SNF
—
2024-10-29
ended 2026-05-18
pecos_ownership
WILLIAM HARDING
ADP OF THE SNF
—
2024-12-18
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
2024-10-28
$1,425,157
—
$452,464
$596,420
$17,704
4
—
2023-12-31
$1,598,689
—
$510,245
$785,446
$19,735
4
—
2022-12-31
$1,692,210
—
$471,086
$840,175
$76,688
4
—
2021-12-31
$1,521,042
—
$415,917
$809,749
$12,567
4
—
2020-12-31
$1,392,400
—
$355,477
$742,269
$9,529
4
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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
Geo
Kind
BR
Amount
As of
Source
county 42059
acs median gross
0
$814
2024-12-31
CENSUS_ACS5
county 42059
fmr
0
$830
2025-10-01
HUD_USER_FMR
county 42059
acs median gross
1
$613
2024-12-31
CENSUS_ACS5
county 42059
fmr
1
$835
2025-10-01
HUD_USER_FMR
county 42059
acs median gross
2
$911
2024-12-31
CENSUS_ACS5
county 42059
fmr
2
$1,096
2025-10-01
HUD_USER_FMR
county 42059
acs median gross
3
$918
2024-12-31
CENSUS_ACS5
county 42059
fmr
3
$1,314
2025-10-01
HUD_USER_FMR
county 42059
acs median gross
4
$641
2024-12-31
CENSUS_ACS5
county 42059
fmr
4
$1,451
2025-10-01
HUD_USER_FMR
county 42059
acs median gross
5
$817
2024-12-31
CENSUS_ACS5
county 42059
acs median gross
$789
2024-12-31
CENSUS_ACS5
county 42059
acs recent mover gross
$867
2024-12-31
CENSUS_ACS5
zcta 15370
acs median gross
0
$823
2024-12-31
CENSUS_ACS5
zcta 15370
acs median gross
1
$596
2024-12-31
CENSUS_ACS5
zcta 15370
acs median gross
2
$959
2024-12-31
CENSUS_ACS5
zcta 15370
acs median gross
3
$814
2024-12-31
CENSUS_ACS5
zcta 15370
acs median gross
4
$635
2024-12-31
CENSUS_ACS5
zcta 15370
acs median gross
$693
2024-12-31
CENSUS_ACS5
zcta 15370
acs recent mover gross
$988
2024-12-31
CENSUS_ACS5
zip 15370
payment standard 110
0
$924
2025-10-01
HUD_USER_SAFMR
zip 15370
payment standard 90
0
$756
2025-10-01
HUD_USER_SAFMR
zip 15370
safmr
0
$840
2025-10-01
HUD_USER_SAFMR
zip 15370
payment standard 110
1
$935
2025-10-01
HUD_USER_SAFMR
zip 15370
payment standard 90
1
$765
2025-10-01
HUD_USER_SAFMR
zip 15370
safmr
1
$850
2025-10-01
HUD_USER_SAFMR
zip 15370
payment standard 110
2
$1,221
2025-10-01
HUD_USER_SAFMR
zip 15370
payment standard 90
2
$999
2025-10-01
HUD_USER_SAFMR
zip 15370
safmr
2
$1,110
2025-10-01
HUD_USER_SAFMR
zip 15370
payment standard 110
3
$1,463
2025-10-01
HUD_USER_SAFMR
zip 15370
payment standard 90
3
$1,197
2025-10-01
HUD_USER_SAFMR
zip 15370
safmr
3
$1,330
2025-10-01
HUD_USER_SAFMR
zip 15370
payment standard 110
4
$1,617
2025-10-01
HUD_USER_SAFMR
zip 15370
payment standard 90
4
$1,323
2025-10-01
HUD_USER_SAFMR
zip 15370
safmr
4
$1,470
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.