1000 EAST WYOMISSING BLVD, READING, PA 19611 · CCN 395237
Composite
18.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
103
Model
v1.2
Reads as: riskier than 18.9% 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
3.36
3.38
3.28
2.90–3.77
RN
0.38
0.45
0.39
0.25–0.58
Weekend total
3.19
3.27
3.11
—
Weekday total
3.43
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
97.6
3.36
0.38
0.93
2.05
3.19
0.1%
2025Q3
92
97.7
3.27
0.36
0.86
2.05
3.14
0.0%
2025Q2
91
95.2
3.43
0.32
0.89
2.23
3.35
0.5%
2025Q1
90
98.5
3.37
0.31
0.88
2.17
3.26
4.9%
2024Q4
92
96.4
3.33
0.35
0.90
2.08
3.25
20.9%
2024Q3
92
97.9
3.14
0.32
0.86
1.96
3.00
23.4%
2024Q2
91
94.7
3.14
0.41
1.00
1.73
3.02
26.1%
2024Q1
91
96.6
3.11
0.36
1.01
1.73
2.92
14.7%
2023Q4
92
95.4
3.23
0.43
0.96
1.83
3.04
32.4%
2023Q3
92
96.5
3.13
0.35
1.00
1.78
3.02
46.9%
2023Q2
91
94.5
3.03
0.21
1.15
1.68
3.02
45.1%
2023Q1
90
97.6
2.90
0.24
1.09
1.58
2.81
41.7%
2022Q4
92
95.1
2.85
0.18
1.08
1.59
2.88
41.0%
2022Q3
92
94.4
2.83
0.21
1.10
1.52
2.81
39.1%
2022Q2
91
95.2
2.82
0.28
1.06
1.49
2.70
25.7%
2022Q1
90
91.2
2.87
0.18
1.11
1.59
2.78
30.8%
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
16
C × 2D × 14
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-16
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-04-18
2026-03-16
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2026-04-18
2026-02-17
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-03-23
2026-01-19
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2026-02-10
2026-01-02
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2026-02-10
2025-08-28
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2025-10-08
2025-08-28
Health · complaint
F0620
Not 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.
D
2025-10-08
2025-08-28
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
C
2025-10-08
2025-08-28
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-10-08
2025-08-09
Health · complaint
F0732
Post nurse staffing information every day.
C
2025-08-26
2024-10-24
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-12-03
2024-10-24
Health
F0687
Provide appropriate foot care.
D
2024-12-03
2023-10-21
Health · complaint
F0687
Provide appropriate foot care.
D
2023-11-23
2023-09-28
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-11-01
2023-09-28
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-11-01
2023-09-28
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2023-11-01
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
7
Owner
Role
Pct
From
Status
Source
BLEIER, AHARON
5% OR GREATER DIRECT OWNERSHIP INTEREST
80%
2019-10-30
current
pecos_ownership
GERSON, YOSEF
5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
2019-11-01
current
pecos_ownership
FORBRIGHT BANK
5% OR GREATER SECURITY INTEREST
—
2021-10-26
current
pecos_ownership
WALTER, CYNTHIA
W-2 MANAGING EMPLOYEE
—
2019-11-01
current
pecos_ownership
AHARON BLEIER
5% OR GREATER DIRECT OWNERSHIP INTEREST
80%
2019-10-30
ended 2026-05-18
pecos_ownership
YOSEF GERSON
5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
2019-11-01
ended 2026-05-18
pecos_ownership
CYNTHIA WALTER
W-2 MANAGING EMPLOYEE
—
2019-11-01
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.
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
33
Geo
Kind
BR
Amount
As of
Source
county 42011
acs median gross
0
$826
2024-12-31
CENSUS_ACS5
county 42011
fmr
0
$1,086
2025-10-01
HUD_USER_FMR
county 42011
acs median gross
1
$922
2024-12-31
CENSUS_ACS5
county 42011
fmr
1
$1,237
2025-10-01
HUD_USER_FMR
county 42011
acs median gross
2
$1,243
2024-12-31
CENSUS_ACS5
county 42011
fmr
2
$1,575
2025-10-01
HUD_USER_FMR
county 42011
acs median gross
3
$1,430
2024-12-31
CENSUS_ACS5
county 42011
fmr
3
$1,937
2025-10-01
HUD_USER_FMR
county 42011
acs median gross
4
$1,467
2024-12-31
CENSUS_ACS5
county 42011
fmr
4
$2,085
2025-10-01
HUD_USER_FMR
county 42011
acs median gross
5
$1,388
2024-12-31
CENSUS_ACS5
county 42011
acs median gross
$1,181
2024-12-31
CENSUS_ACS5
county 42011
acs recent mover gross
$1,347
2024-12-31
CENSUS_ACS5
zcta 19611
acs median gross
1
$1,044
2024-12-31
CENSUS_ACS5
zcta 19611
acs median gross
2
$1,343
2024-12-31
CENSUS_ACS5
zcta 19611
acs median gross
3
$1,217
2024-12-31
CENSUS_ACS5
zcta 19611
acs median gross
$1,151
2024-12-31
CENSUS_ACS5
zcta 19611
acs recent mover gross
$1,165
2024-12-31
CENSUS_ACS5
zip 19611
payment standard 110
0
$1,166
2025-10-01
HUD_USER_SAFMR
zip 19611
payment standard 90
0
$954
2025-10-01
HUD_USER_SAFMR
zip 19611
safmr
0
$1,060
2025-10-01
HUD_USER_SAFMR
zip 19611
payment standard 110
1
$1,331
2025-10-01
HUD_USER_SAFMR
zip 19611
payment standard 90
1
$1,089
2025-10-01
HUD_USER_SAFMR
zip 19611
safmr
1
$1,210
2025-10-01
HUD_USER_SAFMR
zip 19611
payment standard 110
2
$1,694
2025-10-01
HUD_USER_SAFMR
zip 19611
payment standard 90
2
$1,386
2025-10-01
HUD_USER_SAFMR
zip 19611
safmr
2
$1,540
2025-10-01
HUD_USER_SAFMR
zip 19611
payment standard 110
3
$2,079
2025-10-01
HUD_USER_SAFMR
zip 19611
payment standard 90
3
$1,701
2025-10-01
HUD_USER_SAFMR
zip 19611
safmr
3
$1,890
2025-10-01
HUD_USER_SAFMR
zip 19611
payment standard 110
4
$2,244
2025-10-01
HUD_USER_SAFMR
zip 19611
payment standard 90
4
$1,836
2025-10-01
HUD_USER_SAFMR
zip 19611
safmr
4
$2,040
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.