201 W MADISON AVENUE, JOHNSTOWN, NY 12095 · CCN 335314
Composite
58.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
100
Model
v1.2
Reads as: riskier than 58.6% 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
15
2025Q4 HPRD
This facility
NY median
National median
National p25–p75
Total nurse
2.84
3.33
3.28
2.90–3.77
RN
0.26
0.43
0.39
0.25–0.58
Weekend total
2.47
3.03
3.11
—
Weekday total
2.99
3.44
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
90.4
2.84
0.26
0.85
1.73
2.47
1.3%
2025Q2
91
89.4
3.03
0.35
0.76
1.92
2.75
0.0%
2025Q1
90
87.7
3.51
0.40
0.97
2.14
3.21
0.0%
2024Q4
92
87.3
3.74
0.48
0.94
2.33
3.38
0.0%
2024Q3
92
88.2
3.62
0.42
0.88
2.32
3.29
0.2%
2024Q2
91
87.0
3.68
0.43
0.82
2.43
3.37
0.0%
2024Q1
91
82.7
3.93
0.44
0.94
2.55
3.56
0.1%
2023Q4
92
82.8
3.92
0.46
0.90
2.56
3.50
0.2%
2023Q3
92
82.3
3.57
0.43
0.81
2.33
3.21
0.4%
2023Q2
91
85.6
3.52
0.40
0.77
2.35
3.15
0.0%
2023Q1
90
79.2
3.80
0.44
0.85
2.51
3.35
0.0%
2022Q4
92
75.9
3.98
0.49
0.94
2.55
3.58
0.0%
2022Q3
92
73.1
3.84
0.50
0.96
2.39
3.47
0.0%
2022Q2
91
70.3
3.97
0.54
1.00
2.43
3.54
0.0%
2022Q1
90
68.1
3.80
0.56
1.03
2.21
3.32
0.0%
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
—
2024-09-12
Health · complaint
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2024-10-10
2024-09-12
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2024-04-17
2024-09-12
Health · complaint
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
2024-10-09
2021-10-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2021-12-26
2019-05-09
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2019-07-08
2019-05-09
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2019-07-08
2019-05-09
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2019-07-08
2019-05-09
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2019-07-08
2019-05-09
Health
F0660
Plan the resident's discharge to meet the resident's goals and needs.
D
2019-07-08
2019-05-09
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2019-07-08
2019-05-09
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
E
2019-07-08
2019-05-09
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2019-07-08
2019-05-09
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
E
2019-07-15
2019-05-09
Health
F0836
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
D
2019-07-08
2019-05-09
Health
F0943
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
D
2019-07-08
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
25
Owner
Role
Pct
From
Status
Source
BARTHOLOMEW, CAROL
CORPORATE DIRECTOR
—
2014-01-01
current
pecos_ownership
CAMPOS, ANNE
CORPORATE DIRECTOR
—
2009-01-01
current
pecos_ownership
KLINE, GEORGE
CORPORATE DIRECTOR
—
1998-01-01
current
pecos_ownership
MCCOSKI, WILLIAM
W-2 MANAGING EMPLOYEE
—
2006-04-04
current
pecos_ownership
MCNAMARA, PETER
CORPORATE DIRECTOR
—
2005-01-01
current
pecos_ownership
REPPENHAGEN, MARYANN
W-2 MANAGING EMPLOYEE
—
2009-10-26
current
pecos_ownership
SITTERLY, JANE
CORPORATE DIRECTOR
—
2014-01-01
current
pecos_ownership
SLINGERLAND, SARA
CORPORATE DIRECTOR
—
1992-01-01
current
pecos_ownership
SMITH, PETER
CORPORATE DIRECTOR
—
—
current
pecos_ownership
THOMPSON, BARBARA
W-2 MANAGING EMPLOYEE
—
2012-10-15
current
pecos_ownership
VANGORDER, DEE DEE
W-2 MANAGING EMPLOYEE
—
2009-10-26
current
pecos_ownership
VANSLYKE, NEAL
W-2 MANAGING EMPLOYEE
—
2000-09-11
current
pecos_ownership
ANDREA FETTINGER
ADP OF THE SNF
—
2015-01-01
ended 2026-05-18
pecos_ownership
ANNE CAMPOS
MANAGING CONTROL - GOVERNING BODY
—
2014-01-01
ended 2026-05-18
pecos_ownership
BRETT PRESTON
ADP OF THE SNF
—
2015-01-01
ended 2026-05-18
pecos_ownership
BRYAN KURTZ
ADP OF THE SNF
—
2024-10-01
ended 2026-05-18
pecos_ownership
CAROL BARTHOLOMEW
MANAGING CONTROL - GOVERNING BODY
—
2014-01-01
ended 2026-05-18
pecos_ownership
JANE SITTERLY
MANAGING CONTROL - GOVERNING BODY
—
2015-01-01
ended 2026-05-18
pecos_ownership
JOHN MAKOYI
ADP OF THE SNF
—
2025-12-17
ended 2026-05-18
pecos_ownership
JOHN MAKOYI
CORPORATE DIRECTOR
—
2025-05-07
ended 2026-05-18
pecos_ownership
MARY ANN SIMEK
MANAGING CONTROL - GOVERNING BODY
—
2015-01-01
ended 2026-05-18
pecos_ownership
MICHELE DYGERT
OPERATIONAL/MANAGERIAL CONTROL
—
2018-11-30
ended 2026-05-18
pecos_ownership
NANCY BROWN
MANAGING CONTROL - GOVERNING BODY
—
2014-01-01
ended 2026-05-18
pecos_ownership
WELLS HOUSE HEALTH SYSTEM INC
OPERATIONAL/MANAGERIAL CONTROL
—
2004-01-01
ended 2026-05-18
pecos_ownership
WELLS HOUSE HEALTH SYSTEM INC
ADP OF THE SNF
—
2025-04-01
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 36035
acs median gross
0
$591
2024-12-31
CENSUS_ACS5
county 36035
fmr
0
$823
2025-10-01
HUD_USER_FMR
county 36035
acs median gross
1
$724
2024-12-31
CENSUS_ACS5
county 36035
fmr
1
$828
2025-10-01
HUD_USER_FMR
county 36035
acs median gross
2
$930
2024-12-31
CENSUS_ACS5
county 36035
fmr
2
$1,087
2025-10-01
HUD_USER_FMR
county 36035
acs median gross
3
$964
2024-12-31
CENSUS_ACS5
county 36035
fmr
3
$1,303
2025-10-01
HUD_USER_FMR
county 36035
acs median gross
4
$1,098
2024-12-31
CENSUS_ACS5
county 36035
fmr
4
$1,468
2025-10-01
HUD_USER_FMR
county 36035
acs median gross
5
$1,309
2024-12-31
CENSUS_ACS5
county 36035
acs median gross
$912
2024-12-31
CENSUS_ACS5
county 36035
acs recent mover gross
$1,084
2024-12-31
CENSUS_ACS5
zcta 12095
acs median gross
1
$824
2024-12-31
CENSUS_ACS5
zcta 12095
acs median gross
2
$922
2024-12-31
CENSUS_ACS5
zcta 12095
acs median gross
3
$1,071
2024-12-31
CENSUS_ACS5
zcta 12095
acs median gross
$923
2024-12-31
CENSUS_ACS5
zcta 12095
acs recent mover gross
$977
2024-12-31
CENSUS_ACS5
zip 12095
payment standard 110
0
$891
2025-10-01
HUD_USER_SAFMR
zip 12095
payment standard 90
0
$729
2025-10-01
HUD_USER_SAFMR
zip 12095
safmr
0
$810
2025-10-01
HUD_USER_SAFMR
zip 12095
payment standard 110
1
$891
2025-10-01
HUD_USER_SAFMR
zip 12095
payment standard 90
1
$729
2025-10-01
HUD_USER_SAFMR
zip 12095
safmr
1
$810
2025-10-01
HUD_USER_SAFMR
zip 12095
payment standard 110
2
$1,166
2025-10-01
HUD_USER_SAFMR
zip 12095
payment standard 90
2
$954
2025-10-01
HUD_USER_SAFMR
zip 12095
safmr
2
$1,060
2025-10-01
HUD_USER_SAFMR
zip 12095
payment standard 110
3
$1,397
2025-10-01
HUD_USER_SAFMR
zip 12095
payment standard 90
3
$1,143
2025-10-01
HUD_USER_SAFMR
zip 12095
safmr
3
$1,270
2025-10-01
HUD_USER_SAFMR
zip 12095
payment standard 110
4
$1,573
2025-10-01
HUD_USER_SAFMR
zip 12095
payment standard 90
4
$1,287
2025-10-01
HUD_USER_SAFMR
zip 12095
safmr
4
$1,430
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.