425 WESTMINSTER AVENUE, HANOVER, PA 17331 · CCN 395898
Composite
20.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 20.8% 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.
ML signals — parallel engine
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
4 chains
MILLER RICHARD
13 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
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
4.02
3.38
3.28
2.90–3.77
RN
0.57
0.45
0.39
0.25–0.58
Weekend total
3.87
3.27
3.11
—
Weekday total
4.08
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
96.2
4.02
0.57
0.83
2.62
3.87
0.0%
2025Q3
92
95.5
3.86
0.58
0.77
2.50
3.75
0.0%
2025Q2
91
93.4
3.89
0.61
0.80
2.48
3.75
0.0%
2025Q1
90
93.9
4.01
0.64
0.81
2.57
3.83
0.0%
2024Q4
92
92.8
3.91
0.68
0.81
2.42
3.80
0.0%
2024Q3
92
89.1
4.11
0.73
0.80
2.58
3.95
0.0%
2024Q2
91
92.8
3.91
0.66
0.80
2.45
3.72
0.0%
2024Q1
91
90.5
3.85
0.66
0.81
2.38
3.70
0.0%
2023Q4
92
90.9
3.84
0.69
0.76
2.39
3.69
0.0%
2023Q3
92
89.9
3.83
0.64
0.79
2.39
3.70
0.2%
2023Q2
91
89.1
3.92
0.60
0.83
2.48
3.77
0.0%
2023Q1
90
88.6
4.00
0.58
0.88
2.54
3.81
0.0%
2022Q4
92
94.4
3.77
0.54
0.84
2.38
3.56
0.0%
2022Q3
92
94.2
3.65
0.61
0.82
2.22
3.51
0.7%
2022Q2
91
92.4
3.87
0.60
0.80
2.47
3.63
0.0%
2022Q1
90
85.2
4.09
0.67
0.88
2.55
3.86
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.
Provide and implement an infection prevention and control program.
D
2026-01-26
2025-01-23
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-02-25
2025-01-23
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-02-25
2025-01-23
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-02-25
2025-01-23
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2025-02-25
2025-01-23
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-02-25
2024-02-15
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2024-04-08
2024-02-15
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-04-08
2024-02-15
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
2024-04-08
2023-08-30
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2023-08-28
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
22
Owner
Role
Pct
From
Status
Source
BECKER, DOUGLAS
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
BITTINGER, ALLEN
CORPORATE DIRECTOR
—
2015-01-01
current
pecos_ownership
BRADLEY, BUFFY
OPERATIONAL/MANAGERIAL CONTROL
—
2000-10-16
current
pecos_ownership
COLEMAN, KAREN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
current
pecos_ownership
CRAMPTON, WENDY
CORPORATE DIRECTOR
—
2019-03-01
current
pecos_ownership
LIVELSBERGER, JOHN
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
MCKONLY, STEVEN
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
MILLER, RICHARD
CORPORATE DIRECTOR
—
2021-01-15
current
pecos_ownership
PECK, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
current
pecos_ownership
PECK, MICHAEL
ADP OF THE SNF
—
2025-04-08
current
pecos_ownership
ROTHROCK, THAD
CORPORATE DIRECTOR
—
2019-03-01
current
pecos_ownership
RICHARD MILLER
CORPORATE DIRECTOR
100%
2021-01-15
ended 2026-05-18
pecos_ownership
THAD ROTHROCK
CORPORATE DIRECTOR
100%
2019-03-01
ended 2026-05-18
pecos_ownership
WENDY CRAMPTON
CORPORATE DIRECTOR
100%
2019-03-01
ended 2026-05-18
pecos_ownership
ALLEN BITTINGER
CORPORATE DIRECTOR
0%
2015-01-01
ended 2026-05-18
pecos_ownership
DOUGLAS BECKER
CORPORATE DIRECTOR
0%
2025-01-01
ended 2026-05-18
pecos_ownership
JOHN LIVELSBERGER
CORPORATE DIRECTOR
0%
2025-01-01
ended 2026-05-18
pecos_ownership
STEVEN MCKONLY
CORPORATE DIRECTOR
0%
2025-01-01
ended 2026-05-18
pecos_ownership
BUFFY BRADLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2000-10-16
ended 2026-05-18
pecos_ownership
KAREN COLEMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
ended 2026-05-18
pecos_ownership
MICHAEL PECK
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
ended 2026-05-18
pecos_ownership
MICHAEL PECK
ADP OF THE SNF
—
2025-04-08
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
$1,699,401
—
$1,699,401
—
—
1
—
2023-12-31
$1,836,657
—
$1,836,657
—
—
1
—
2022-12-31
$1,762,387
—
$1,762,387
—
—
1
—
2021-12-31
$1,466,487
—
$1,466,487
—
—
1
—
2020-12-31
$1,276,807
—
$1,276,807
—
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 42133
acs median gross
0
$962
2024-12-31
CENSUS_ACS5
county 42133
fmr
0
$925
2025-10-01
HUD_USER_FMR
county 42133
acs median gross
1
$919
2024-12-31
CENSUS_ACS5
county 42133
fmr
1
$1,060
2025-10-01
HUD_USER_FMR
county 42133
acs median gross
2
$1,220
2024-12-31
CENSUS_ACS5
county 42133
fmr
2
$1,335
2025-10-01
HUD_USER_FMR
county 42133
acs median gross
3
$1,426
2024-12-31
CENSUS_ACS5
county 42133
fmr
3
$1,796
2025-10-01
HUD_USER_FMR
county 42133
acs median gross
4
$1,552
2024-12-31
CENSUS_ACS5
county 42133
fmr
4
$1,850
2025-10-01
HUD_USER_FMR
county 42133
acs median gross
5
$1,547
2024-12-31
CENSUS_ACS5
county 42133
acs median gross
$1,193
2024-12-31
CENSUS_ACS5
county 42133
acs recent mover gross
$1,282
2024-12-31
CENSUS_ACS5
zcta 17331
acs median gross
0
$860
2024-12-31
CENSUS_ACS5
zcta 17331
acs median gross
1
$951
2024-12-31
CENSUS_ACS5
zcta 17331
acs median gross
2
$1,233
2024-12-31
CENSUS_ACS5
zcta 17331
acs median gross
3
$1,511
2024-12-31
CENSUS_ACS5
zcta 17331
acs median gross
4
$1,414
2024-12-31
CENSUS_ACS5
zcta 17331
acs median gross
5
$1,396
2024-12-31
CENSUS_ACS5
zcta 17331
acs median gross
$1,198
2024-12-31
CENSUS_ACS5
zcta 17331
acs recent mover gross
$1,271
2024-12-31
CENSUS_ACS5
zip 17331
payment standard 110
0
$1,078
2025-10-01
HUD_USER_SAFMR
zip 17331
payment standard 90
0
$882
2025-10-01
HUD_USER_SAFMR
zip 17331
safmr
0
$980
2025-10-01
HUD_USER_SAFMR
zip 17331
payment standard 110
1
$1,221
2025-10-01
HUD_USER_SAFMR
zip 17331
payment standard 90
1
$999
2025-10-01
HUD_USER_SAFMR
zip 17331
safmr
1
$1,110
2025-10-01
HUD_USER_SAFMR
zip 17331
payment standard 110
2
$1,529
2025-10-01
HUD_USER_SAFMR
zip 17331
payment standard 90
2
$1,251
2025-10-01
HUD_USER_SAFMR
zip 17331
safmr
2
$1,390
2025-10-01
HUD_USER_SAFMR
zip 17331
payment standard 110
3
$2,057
2025-10-01
HUD_USER_SAFMR
zip 17331
payment standard 90
3
$1,683
2025-10-01
HUD_USER_SAFMR
zip 17331
safmr
3
$1,870
2025-10-01
HUD_USER_SAFMR
zip 17331
payment standard 110
4
$2,134
2025-10-01
HUD_USER_SAFMR
zip 17331
payment standard 90
4
$1,746
2025-10-01
HUD_USER_SAFMR
zip 17331
safmr
4
$1,940
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.