429 SOUTH MARKET STREET, MARTINSBURG, PA 16662 · CCN 395563
Composite
23.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
114
Model
v1.2
Reads as: riskier than 23.9% 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
3.87
3.38
3.28
2.90–3.77
RN
0.57
0.45
0.39
0.25–0.58
Weekend total
3.80
3.27
3.11
—
Weekday total
3.90
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
60.8
3.87
0.57
0.90
2.40
3.80
6.8%
2025Q3
92
63.8
3.95
0.59
0.90
2.46
3.84
5.8%
2025Q2
91
63.5
3.98
0.54
1.02
2.42
3.81
5.9%
2025Q1
90
67.1
4.24
0.55
1.14
2.55
4.13
19.3%
2024Q4
92
72.0
4.07
0.54
1.07
2.46
3.95
25.1%
2024Q3
92
80.0
4.25
0.46
1.11
2.68
4.09
28.7%
2024Q2
91
81.0
3.88
0.43
1.10
2.35
3.74
24.4%
2024Q1
91
81.5
3.60
0.46
1.16
1.97
3.44
19.4%
2023Q4
92
81.8
3.54
0.42
1.11
2.02
3.42
17.0%
2023Q3
92
79.0
3.59
0.56
1.06
1.96
3.54
20.9%
2023Q2
91
81.5
3.57
0.44
0.97
2.15
3.51
22.4%
2023Q1
90
80.6
3.29
0.49
0.91
1.88
3.21
25.5%
2022Q4
92
80.0
3.42
0.50
0.84
2.08
3.30
14.3%
2022Q3
92
80.8
3.44
0.55
0.98
1.91
3.30
18.4%
2022Q2
91
86.2
3.08
0.50
0.98
1.61
2.98
15.9%
2022Q1
90
87.5
3.17
0.48
1.01
1.68
3.08
9.7%
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
26
B × 1D × 22E × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-12
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2026-04-06
2026-02-12
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2026-04-06
2026-02-12
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-04-06
2026-02-12
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2026-04-06
2026-02-12
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2026-04-06
2025-01-24
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
2025-03-19
2025-01-24
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
2025-03-19
2025-01-24
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2025-03-19
2025-01-24
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
E
2025-03-19
2025-01-24
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-03-19
2025-01-24
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2025-03-19
2025-01-24
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2025-03-19
2025-01-24
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-03-19
2025-01-24
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
2025-03-19
2025-01-24
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-03-19
2024-09-11
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
2024-10-08
2024-01-04
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2024-02-23
2024-01-04
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2024-02-23
2024-01-04
Health
F0641
Ensure each resident receives an accurate assessment.
B
2024-02-23
2024-01-04
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2024-02-23
2024-01-04
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2024-02-23
2024-01-04
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-02-23
2024-01-04
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-02-23
2024-01-04
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
2024-02-23
2024-01-04
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
2024-02-23
2024-01-04
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
E
2024-02-23
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
24
Owner
Role
Pct
From
Status
Source
BIDDLE, KAREN
CORPORATE DIRECTOR
—
2014-01-01
current
pecos_ownership
BLACK, SCOTT
W-2 MANAGING EMPLOYEE
—
2018-06-20
current
pecos_ownership
CAPORUSCIO, JAMES
CORPORATE DIRECTOR
—
2005-01-01
current
pecos_ownership
CRAGAN, CONSTANCE
CORPORATE DIRECTOR
—
2003-01-01
current
pecos_ownership
FARRINGER, IMOGENE
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
HALBRITTER, BARRY
CORPORATE DIRECTOR
—
2006-01-01
current
pecos_ownership
JONES, COREY
CORPORATE OFFICER
—
1998-06-29
current
pecos_ownership
KENSINGER, CHARLES
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
NEFF, ROBERT
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
ROBISON, BONNIE
W-2 MANAGING EMPLOYEE
—
2014-04-16
current
pecos_ownership
SELL, JANET
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
WASON, HARVEY
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
BONNIE ROBISON
W-2 MANAGING EMPLOYEE
0%
2014-04-16
ended 2026-05-18
pecos_ownership
CHARLES KENSINGER
CORPORATE DIRECTOR
0%
2022-01-01
ended 2026-05-18
pecos_ownership
HARVEY WASON
CORPORATE DIRECTOR
0%
2022-01-01
ended 2026-05-18
pecos_ownership
IMOGENE FARRINGER
CORPORATE DIRECTOR
0%
2022-01-01
ended 2026-05-18
pecos_ownership
JANET SELL
CORPORATE DIRECTOR
0%
2022-01-01
ended 2026-05-18
pecos_ownership
ROBERT NEFF
CORPORATE DIRECTOR
0%
2022-01-01
ended 2026-05-18
pecos_ownership
SCOTT BLACK
W-2 MANAGING EMPLOYEE
0%
2018-06-20
ended 2026-05-18
pecos_ownership
BARRY HALBRITTER
CORPORATE DIRECTOR
—
2006-01-01
ended 2026-05-18
pecos_ownership
CONSTANCE CRAGAN
CORPORATE DIRECTOR
—
2003-01-01
ended 2026-05-18
pecos_ownership
COREY JONES
CORPORATE OFFICER
—
1998-06-29
ended 2026-05-18
pecos_ownership
JAMES CAPORUSCIO
CORPORATE DIRECTOR
—
2005-01-01
ended 2026-05-18
pecos_ownership
KAREN BIDDLE
CORPORATE DIRECTOR
—
2014-01-01
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.
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
33
Geo
Kind
BR
Amount
As of
Source
county 42013
acs median gross
0
$598
2024-12-31
CENSUS_ACS5
county 42013
fmr
0
$802
2025-10-01
HUD_USER_FMR
county 42013
acs median gross
1
$701
2024-12-31
CENSUS_ACS5
county 42013
fmr
1
$948
2025-10-01
HUD_USER_FMR
county 42013
acs median gross
2
$896
2024-12-31
CENSUS_ACS5
county 42013
fmr
2
$1,138
2025-10-01
HUD_USER_FMR
county 42013
acs median gross
3
$1,041
2024-12-31
CENSUS_ACS5
county 42013
fmr
3
$1,458
2025-10-01
HUD_USER_FMR
county 42013
acs median gross
4
$1,178
2024-12-31
CENSUS_ACS5
county 42013
fmr
4
$1,705
2025-10-01
HUD_USER_FMR
county 42013
acs median gross
5
$1,095
2024-12-31
CENSUS_ACS5
county 42013
acs median gross
$885
2024-12-31
CENSUS_ACS5
county 42013
acs recent mover gross
$1,062
2024-12-31
CENSUS_ACS5
zcta 16662
acs median gross
1
$783
2024-12-31
CENSUS_ACS5
zcta 16662
acs median gross
2
$911
2024-12-31
CENSUS_ACS5
zcta 16662
acs median gross
3
$950
2024-12-31
CENSUS_ACS5
zcta 16662
acs median gross
4
$1,125
2024-12-31
CENSUS_ACS5
zcta 16662
acs median gross
$878
2024-12-31
CENSUS_ACS5
zip 16662
payment standard 110
0
$869
2025-10-01
HUD_USER_SAFMR
zip 16662
payment standard 90
0
$711
2025-10-01
HUD_USER_SAFMR
zip 16662
safmr
0
$790
2025-10-01
HUD_USER_SAFMR
zip 16662
payment standard 110
1
$1,023
2025-10-01
HUD_USER_SAFMR
zip 16662
payment standard 90
1
$837
2025-10-01
HUD_USER_SAFMR
zip 16662
safmr
1
$930
2025-10-01
HUD_USER_SAFMR
zip 16662
payment standard 110
2
$1,232
2025-10-01
HUD_USER_SAFMR
zip 16662
payment standard 90
2
$1,008
2025-10-01
HUD_USER_SAFMR
zip 16662
safmr
2
$1,120
2025-10-01
HUD_USER_SAFMR
zip 16662
payment standard 110
3
$1,573
2025-10-01
HUD_USER_SAFMR
zip 16662
payment standard 90
3
$1,287
2025-10-01
HUD_USER_SAFMR
zip 16662
safmr
3
$1,430
2025-10-01
HUD_USER_SAFMR
zip 16662
payment standard 110
4
$1,837
2025-10-01
HUD_USER_SAFMR
zip 16662
payment standard 90
4
$1,503
2025-10-01
HUD_USER_SAFMR
zip 16662
safmr
4
$1,670
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.