26 NORTH UNION STREET, DELAWARE, OH 43015 · CCN 366310
Composite
21.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
47
Model
v1.2
Reads as: riskier than 21.6% 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
16
2025Q4 HPRD
This facility
OH median
National median
National p25–p75
Total nurse
4.10
3.24
3.28
2.90–3.77
RN
0.56
0.38
0.39
0.25–0.58
Weekend total
4.02
3.11
3.11
—
Weekday total
4.13
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
44.0
4.10
0.56
1.25
2.29
4.02
3.5%
2025Q3
92
42.8
4.07
0.60
1.10
2.37
3.97
2.3%
2025Q2
91
43.7
4.12
0.63
1.06
2.44
4.07
2.8%
2025Q1
90
45.3
3.71
0.54
1.00
2.17
3.68
4.0%
2024Q4
92
43.9
4.00
0.66
1.02
2.33
3.96
3.4%
2024Q3
92
43.8
4.19
0.68
0.97
2.54
4.12
5.5%
2024Q2
91
42.7
4.26
0.65
1.14
2.48
4.17
8.9%
2024Q1
91
44.0
3.96
0.73
0.95
2.28
3.85
6.9%
2023Q4
92
41.9
4.31
0.82
1.06
2.43
4.19
7.0%
2023Q3
92
42.6
3.78
0.60
1.01
2.17
3.68
8.8%
2023Q2
91
41.4
3.85
0.68
0.87
2.31
3.66
2.8%
2023Q1
90
40.7
3.98
0.70
0.92
2.36
3.86
1.2%
2022Q4
92
40.1
4.00
0.66
0.94
2.40
3.89
4.4%
2022Q3
92
39.5
4.48
0.83
0.95
2.69
4.32
18.4%
2022Q2
91
36.5
4.91
0.81
1.10
3.00
4.75
12.7%
2022Q1
90
31.8
5.30
0.88
1.09
3.33
5.21
14.6%
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.
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
19
C × 1D × 14E × 2F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-19
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
2026-04-10
2026-03-19
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2026-04-10
2026-03-19
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-04-10
2026-03-19
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2026-04-10
2026-03-19
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-04-10
2026-03-19
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2026-04-10
2026-03-19
Health
F0760
Ensure that residents are free from significant medication errors.
D
2026-04-10
2026-03-19
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-04-10
2026-03-19
Health
F0814
Dispose of garbage and refuse properly.
C
2026-04-10
2026-03-19
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-04-10
2026-03-19
Health
F0881
Implement a program that monitors antibiotic use.
D
2026-04-10
2024-04-18
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-05-09
2024-04-18
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
E
2024-05-09
2024-04-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-05-09
2024-04-18
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-05-09
2023-06-22
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
2023-07-21
2023-06-22
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-07-21
2023-06-22
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
2023-07-21
2023-06-22
Health
F0917
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
D
2023-07-21
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
18
Owner
Role
Pct
From
Status
Source
ADAM, SANDRA
CORPORATE DIRECTOR
—
2019-07-01
current
pecos_ownership
ARNETT, ARIC
ADP OF THE SNF
—
2014-09-15
current
pecos_ownership
BELFANCE, LESLIE
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
GUMINA, LAURENCE
CORPORATE OFFICER
—
2016-11-01
current
pecos_ownership
HUCEK, PETER
OPERATIONAL/MANAGERIAL CONTROL
—
2019-05-01
current
pecos_ownership
INGWERSEN, MELISSA
CORPORATE DIRECTOR
—
2022-07-01
current
pecos_ownership
JOYCE, JAMES
CORPORATE DIRECTOR
—
2010-07-01
current
pecos_ownership
STILLMAN, ROBERT
CORPORATE OFFICER
—
2016-11-01
current
pecos_ownership
WHITE, TERRY
CORPORATE DIRECTOR
—
2019-07-01
current
pecos_ownership
JAMES JOYCE
CORPORATE DIRECTOR
0%
2010-07-01
ended 2026-05-18
pecos_ownership
LAURENCE GUMINA
CORPORATE OFFICER
0%
2016-11-01
ended 2026-05-18
pecos_ownership
LESLIE BELFANCE
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
MELISSA INGWERSEN
CORPORATE DIRECTOR
0%
2022-07-01
ended 2026-05-18
pecos_ownership
SANDRA ADAM
CORPORATE DIRECTOR
0%
2019-07-01
ended 2026-05-18
pecos_ownership
TERRY WHITE
CORPORATE DIRECTOR
0%
2019-07-01
ended 2026-05-18
pecos_ownership
ARIC ARNETT
OPERATIONAL/MANAGERIAL CONTROL
—
2014-09-15
ended 2026-05-18
pecos_ownership
PETER HUCEK
ADP OF THE SNF
—
2019-05-01
ended 2026-05-18
pecos_ownership
ROBERT STILLMAN
CORPORATE OFFICER
—
2016-11-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$441,524
—
$318,031
—
—
3
—
2023-12-31
$416,615
—
$299,218
—
—
3
—
2022-12-31
$301,896
—
$301,896
—
—
2
—
2021-12-31
$214,625
—
$214,625
—
—
2
—
2020-12-31
$243,479
—
$243,479
—
—
2
—
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 39041
acs median gross
0
$1,255
2024-12-31
CENSUS_ACS5
county 39041
fmr
0
$1,111
2025-10-01
HUD_USER_FMR
county 39041
acs median gross
1
$1,327
2024-12-31
CENSUS_ACS5
county 39041
fmr
1
$1,194
2025-10-01
HUD_USER_FMR
county 39041
acs median gross
2
$1,551
2024-12-31
CENSUS_ACS5
county 39041
fmr
2
$1,430
2025-10-01
HUD_USER_FMR
county 39041
acs median gross
3
$1,691
2024-12-31
CENSUS_ACS5
county 39041
fmr
3
$1,715
2025-10-01
HUD_USER_FMR
county 39041
acs median gross
4
$2,473
2024-12-31
CENSUS_ACS5
county 39041
fmr
4
$1,927
2025-10-01
HUD_USER_FMR
county 39041
acs median gross
5
$2,005
2024-12-31
CENSUS_ACS5
county 39041
acs median gross
$1,492
2024-12-31
CENSUS_ACS5
county 39041
acs recent mover gross
$1,704
2024-12-31
CENSUS_ACS5
zcta 43015
acs median gross
0
$959
2024-12-31
CENSUS_ACS5
zcta 43015
acs median gross
1
$958
2024-12-31
CENSUS_ACS5
zcta 43015
acs median gross
2
$1,362
2024-12-31
CENSUS_ACS5
zcta 43015
acs median gross
3
$1,560
2024-12-31
CENSUS_ACS5
zcta 43015
acs median gross
4
$1,777
2024-12-31
CENSUS_ACS5
zcta 43015
acs median gross
$1,298
2024-12-31
CENSUS_ACS5
zcta 43015
acs recent mover gross
$1,436
2024-12-31
CENSUS_ACS5
zip 43015
payment standard 110
0
$1,210
2025-10-01
HUD_USER_SAFMR
zip 43015
payment standard 90
0
$990
2025-10-01
HUD_USER_SAFMR
zip 43015
safmr
0
$1,100
2025-10-01
HUD_USER_SAFMR
zip 43015
payment standard 110
1
$1,298
2025-10-01
HUD_USER_SAFMR
zip 43015
payment standard 90
1
$1,062
2025-10-01
HUD_USER_SAFMR
zip 43015
safmr
1
$1,180
2025-10-01
HUD_USER_SAFMR
zip 43015
payment standard 110
2
$1,551
2025-10-01
HUD_USER_SAFMR
zip 43015
payment standard 90
2
$1,269
2025-10-01
HUD_USER_SAFMR
zip 43015
safmr
2
$1,410
2025-10-01
HUD_USER_SAFMR
zip 43015
payment standard 110
3
$1,859
2025-10-01
HUD_USER_SAFMR
zip 43015
payment standard 90
3
$1,521
2025-10-01
HUD_USER_SAFMR
zip 43015
safmr
3
$1,690
2025-10-01
HUD_USER_SAFMR
zip 43015
payment standard 110
4
$2,090
2025-10-01
HUD_USER_SAFMR
zip 43015
payment standard 90
4
$1,710
2025-10-01
HUD_USER_SAFMR
zip 43015
safmr
4
$1,900
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.