1695 LENAPE ROAD, WEST CHESTER, PA 19382 · CCN 395384
Composite
52.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
275
Model
v1.2
Reads as: riskier than 52.9% 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
4.05
3.38
3.28
2.90–3.77
RN
0.47
0.45
0.39
0.25–0.58
Weekend total
3.64
3.27
3.11
—
Weekday total
4.21
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
156.7
4.05
0.47
1.03
2.55
3.64
20.3%
2025Q3
92
163.4
3.92
0.47
1.09
2.36
3.57
18.5%
2025Q2
91
162.1
4.13
0.42
1.22
2.48
3.61
15.6%
2025Q1
90
160.3
4.05
0.43
1.09
2.53
3.47
11.2%
2024Q4
92
170.8
3.67
0.38
1.00
2.30
3.02
8.7%
2024Q3
92
173.8
3.78
0.35
1.07
2.36
3.35
10.9%
2024Q2
91
174.4
3.63
0.32
1.08
2.23
3.20
7.4%
2024Q1
91
166.6
3.65
0.27
1.06
2.32
3.21
4.8%
2023Q4
92
171.9
3.62
0.33
1.02
2.27
3.22
7.0%
2023Q3
92
174.7
3.51
0.31
0.98
2.23
3.08
4.5%
2023Q2
91
168.9
3.87
0.34
1.06
2.48
3.38
6.9%
2023Q1
90
165.6
3.88
0.44
1.07
2.37
3.36
8.4%
2022Q4
92
166.9
3.63
0.37
0.99
2.27
3.17
5.4%
2022Q3
92
164.8
3.76
0.41
1.01
2.34
3.31
7.9%
2022Q2
91
161.2
0.30
0.11
0.00
0.19
0.41
78.3%
2022Q1
90
166.8
2.70
0.37
0.09
2.24
2.24
7.6%
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.
Provide and implement an infection prevention and control program.
D
2024-04-05
2024-02-14
Health · complaint
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
G
2024-03-08
2024-02-14
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-03-08
2024-02-14
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-03-08
2024-02-14
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
G
2024-03-08
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
4
Owner
Role
Pct
From
Status
Source
MANCILL, THOMAS
OPERATIONAL/MANAGERIAL CONTROL
—
2003-07-31
current
pecos_ownership
MCKENNA, JACQUELINE
W-2 MANAGING EMPLOYEE
—
2013-09-01
current
pecos_ownership
JACQUELINE MCKENNA
W-2 MANAGING EMPLOYEE
100%
2013-09-01
ended 2026-05-18
pecos_ownership
THOMAS MANCILL
OPERATIONAL/MANAGERIAL CONTROL
100%
2003-07-31
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
2024-12-31
$1,881,433
—
—
—
$3,720
1
—
2023-12-31
$1,785,527
—
—
—
—
1
—
2022-12-31
$1,703,798
—
—
—
—
1
—
2021-12-31
$1,570,146
—
—
—
$2,898
1
—
2020-12-31
$1,552,593
—
—
—
$5,975
1
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 42029
acs median gross
0
$1,440
2024-12-31
CENSUS_ACS5
county 42029
fmr
0
$1,397
2025-10-01
HUD_USER_FMR
county 42029
acs median gross
1
$1,604
2024-12-31
CENSUS_ACS5
county 42029
fmr
1
$1,520
2025-10-01
HUD_USER_FMR
county 42029
acs median gross
2
$1,870
2024-12-31
CENSUS_ACS5
county 42029
fmr
2
$1,810
2025-10-01
HUD_USER_FMR
county 42029
acs median gross
3
$1,942
2024-12-31
CENSUS_ACS5
county 42029
fmr
3
$2,170
2025-10-01
HUD_USER_FMR
county 42029
acs median gross
4
$1,944
2024-12-31
CENSUS_ACS5
county 42029
fmr
4
$2,423
2025-10-01
HUD_USER_FMR
county 42029
acs median gross
5
$2,291
2024-12-31
CENSUS_ACS5
county 42029
acs median gross
$1,763
2024-12-31
CENSUS_ACS5
county 42029
acs recent mover gross
$2,005
2024-12-31
CENSUS_ACS5
zcta 19382
acs median gross
0
$1,170
2024-12-31
CENSUS_ACS5
zcta 19382
acs median gross
1
$1,725
2024-12-31
CENSUS_ACS5
zcta 19382
acs median gross
2
$1,823
2024-12-31
CENSUS_ACS5
zcta 19382
acs median gross
3
$2,378
2024-12-31
CENSUS_ACS5
zcta 19382
acs median gross
4
$2,739
2024-12-31
CENSUS_ACS5
zcta 19382
acs median gross
$1,830
2024-12-31
CENSUS_ACS5
zcta 19382
acs recent mover gross
$2,120
2024-12-31
CENSUS_ACS5
zip 19382
payment standard 110
0
$1,837
2025-10-01
HUD_USER_SAFMR
zip 19382
payment standard 90
0
$1,503
2025-10-01
HUD_USER_SAFMR
zip 19382
safmr
0
$1,670
2025-10-01
HUD_USER_SAFMR
zip 19382
payment standard 110
1
$1,991
2025-10-01
HUD_USER_SAFMR
zip 19382
payment standard 90
1
$1,629
2025-10-01
HUD_USER_SAFMR
zip 19382
safmr
1
$1,810
2025-10-01
HUD_USER_SAFMR
zip 19382
payment standard 110
2
$2,376
2025-10-01
HUD_USER_SAFMR
zip 19382
payment standard 90
2
$1,944
2025-10-01
HUD_USER_SAFMR
zip 19382
safmr
2
$2,160
2025-10-01
HUD_USER_SAFMR
zip 19382
payment standard 110
3
$2,849
2025-10-01
HUD_USER_SAFMR
zip 19382
payment standard 90
3
$2,331
2025-10-01
HUD_USER_SAFMR
zip 19382
safmr
3
$2,590
2025-10-01
HUD_USER_SAFMR
zip 19382
payment standard 110
4
$3,179
2025-10-01
HUD_USER_SAFMR
zip 19382
payment standard 90
4
$2,601
2025-10-01
HUD_USER_SAFMR
zip 19382
safmr
4
$2,890
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.