Composite
74.9 / 100 percentile
Screener / 395791
C
COMPLETE CARE AT HARSTON HALL LLC
snfPA
350 HAWS LANE, FLOURTOWN, PA 19031 · CCN 395791 · chain SMS 2021 TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 74.9% 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.
Score model5ML signals3Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies91Licensure0Ownership33Related party3Transactions1Comps12Market rent30
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 89.1 | 86.5 | 0.30 | 0.2308 | 20.56 | in index |
| staffing risk | 68.3 | 68.3 | 0.25 | 0.1923 | 13.13 | in index |
| billing conduct | 51.3 | 39.9 | 0.30 | 0.2308 | 11.84 | in index |
| financial risk | 29.7 | 33.6 | 0.30 | 0.2308 | 6.85 | in index |
| chow risk | 49.7 | 47.8 | 0.15 | 0.1154 | 5.73 | in index |
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
3| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 35 chains | WELLTOWER INC | 135 facilities |
| connection | Owner spans multiple chains | 5 chains | LANDAU FAMILY INVESTMENT TRUST | 30 facilities |
| connection | Owner spans multiple chains | 5 chains | J R FAMILY INVESTMENTS LLC | 30 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.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 39.9 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | 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. |
| chow risk | 70.6 | D | v0.6 | default · in composite | |
| financial risk | 33.6 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | 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. |
| p chow 12m | 0.1 | — | v0.1 | default · in 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. |
| regulatory risk | 86.5 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 68.3 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 86.7 | F | v0.1 | superseded | 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. |
| financial risk | 66.7 | D | v0.2 | superseded | 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. |
| financial risk | 52.7 | C | v0.3 | superseded | 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. |
| financial risk | 37.3 | B | v0.4 | superseded | 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. |
| regulatory risk | 86.5 | F | v0.1 | superseded | 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. |
| regulatory risk | 86.5 | F | v0.2 | superseded | 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. |
| staffing risk | 68.3 | D | v0.1 | superseded | 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. |
| staffing risk | 68.3 | D | v0.2 | superseded | 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.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
21.2
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 5.24 | -1.34 | |
| For-profit ownership | 1.00 | +0.69 | |
| Chain size (log) | 4.16 | +0.48 | |
| Occupancy | 0.86 | -0.47 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Contract staffing share | 0.00 | -0.10 |
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.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 4.16 | -1.22 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 4.00 | +0.69 | |
| Occupancy | 0.86 | -0.47 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Staffing trend, last 4 quarters | -0.53 | -0.28 | |
| Current owner tenure (years) | 5.24 | -0.22 |
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 | 3.01 | 3.38 | 3.28 | 2.90–3.77 |
| RN | 0.10 | 0.45 | 0.39 | 0.25–0.58 |
| Weekend total | 2.97 | 3.27 | 3.11 | — |
| Weekday total | 3.02 | 3.43 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 103.1 | 3.01 | 0.10 | 0.95 | 1.96 | 2.97 | 0.0% |
| 2025Q3 | 92 | 103.6 | 3.10 | 0.18 | 0.96 | 1.96 | 2.99 | 10.3% |
| 2025Q2 | 91 | 106.4 | 3.26 | 0.10 | 1.07 | 2.09 | 3.19 | 14.3% |
| 2025Q1 | 90 | 110.4 | 3.17 | 0.07 | 1.11 | 1.99 | 3.07 | 4.0% |
| 2024Q4 | 92 | 111.5 | 3.54 | 0.12 | 1.11 | 2.31 | 3.45 | 8.4% |
| 2024Q3 | 92 | 112.0 | 3.38 | 0.05 | 1.14 | 2.19 | 3.13 | 7.0% |
| 2024Q2 | 91 | 111.7 | 3.75 | 0.21 | 1.17 | 2.37 | 3.12 | 9.0% |
| 2024Q1 | 91 | 114.0 | 3.56 | 0.08 | 1.19 | 2.30 | 3.20 | 8.8% |
| 2023Q4 | 92 | 114.2 | 3.60 | 0.06 | 1.23 | 2.31 | 3.27 | 7.5% |
| 2023Q3 | 92 | 112.7 | 3.42 | 0.10 | 1.13 | 2.19 | 3.09 | 8.3% |
| 2023Q2 | 91 | 114.7 | 3.10 | 0.13 | 1.02 | 1.96 | 2.57 | 13.1% |
| 2023Q1 | 90 | 108.8 | 3.03 | 0.12 | 1.13 | 1.78 | 2.85 | 8.2% |
| 2022Q4 | 92 | 105.3 | 3.34 | 0.15 | 1.26 | 1.93 | 2.94 | 11.8% |
| 2022Q3 | 92 | 105.9 | 3.15 | 0.17 | 1.07 | 1.90 | 2.78 | 17.9% |
| 2022Q2 | 91 | 104.2 | 2.98 | 0.19 | 0.98 | 1.81 | 2.84 | 20.2% |
| 2022Q1 | 90 | 96.9 | 3.11 | 0.26 | 0.95 | 1.89 | 2.76 | 39.4% |
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
2| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-06-21 | Fine | $8,556 | CMS provider data |
| 2024-06-21 | Fine | $8,557 | CMS provider data |
Total fines on record: $17,113
Deficiencies
91B × 1C × 1D × 61E × 24F × 2J × 1K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-01-20 | Health · complaint | 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 | 2026-03-06 |
| 2025-10-06 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | — |
| 2025-09-17 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2025-10-10 |
| 2025-09-17 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-10-10 |
| 2025-04-25 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-06-23 |
| 2025-04-25 | Health · complaint | 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. | E | 2025-06-23 |
| 2025-04-25 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | 2025-06-23 |
| 2025-04-25 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2025-06-23 |
| 2025-04-25 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-06-23 |
| 2025-04-25 | 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. | D | 2025-06-23 |
| 2025-04-25 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-06-23 |
| 2025-04-25 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-06-23 |
| 2025-04-25 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-06-23 |
| 2025-04-25 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-06-23 |
| 2025-04-25 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-06-23 |
| 2025-04-25 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-06-23 |
| 2025-04-25 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2025-06-23 |
| 2025-04-25 | Health · complaint | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2025-06-23 |
| 2025-04-25 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-06-23 |
| 2025-04-25 | 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 | 2025-06-23 |
| 2025-04-25 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-06-23 |
| 2025-04-25 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-06-23 |
| 2025-04-25 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-06-23 |
| 2025-04-25 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-06-23 |
| 2025-04-25 | Health · complaint | F0908 | Keep all essential equipment working safely. | D | 2025-06-23 |
| 2025-04-25 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | 2025-06-23 |
| 2025-04-25 | Health · complaint | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | 2025-06-23 |
| 2025-01-21 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-03-10 |
| 2024-11-05 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | 2024-11-24 |
| 2024-08-15 | Health · complaint | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | 2024-09-20 |
| 2024-08-15 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | D | 2024-09-20 |
| 2024-08-15 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | K | 2024-08-01 |
| 2024-08-15 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | 2024-08-01 |
| 2024-08-15 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | 2024-09-20 |
| 2024-08-15 | Health · complaint | F0895 | Have a Compliance and Ethics Program. | E | 2024-09-20 |
| 2024-06-21 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-08-12 |
| 2024-06-21 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-08-12 |
| 2024-06-21 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2024-08-12 |
| 2024-06-21 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | 2024-08-12 |
| 2024-06-21 | 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. | E | 2024-08-12 |
| 2024-06-21 | Health | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | 2024-08-12 |
| 2024-06-21 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2024-08-12 |
| 2024-06-21 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2024-08-12 |
| 2024-06-21 | Health | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2024-08-12 |
| 2024-06-21 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2024-08-12 |
| 2024-06-21 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2024-08-12 |
| 2024-06-21 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2024-08-12 |
| 2024-06-21 | Health | F0732 | Post nurse staffing information every day. | E | 2024-08-12 |
| 2024-06-21 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2024-08-12 |
| 2024-06-21 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | 2024-08-12 |
| 2024-06-21 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2024-08-12 |
| 2024-06-21 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-08-12 |
| 2024-06-21 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-08-12 |
| 2024-06-21 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2024-08-12 |
| 2024-06-21 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2024-08-12 |
| 2023-09-21 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2023-11-10 |
| 2023-09-21 | Health | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2023-10-20 |
| 2023-09-21 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2023-10-20 |
| 2023-09-21 | Health · complaint | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | 2023-10-20 |
| 2023-09-21 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | D | 2023-10-20 |
| 2023-09-21 | 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 | 2023-10-20 |
| 2023-09-21 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2023-10-20 |
| 2023-09-21 | Health | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2023-10-20 |
| 2023-09-21 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-10-20 |
| 2023-09-21 | Health | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2023-10-20 |
| 2023-09-21 | Health | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | 2023-10-20 |
| 2023-09-21 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2023-10-20 |
| 2023-09-21 | Health | F0610 | Respond appropriately to all alleged violations. | E | 2023-10-20 |
| 2023-09-21 | Health | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2023-10-20 |
| 2023-09-21 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-10-20 |
| 2023-09-21 | 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 | 2023-10-20 |
| 2023-09-21 | 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 | 2023-10-20 |
| 2023-09-21 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-10-20 |
| 2023-09-21 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2023-10-20 |
| 2023-09-21 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-10-20 |
| 2023-09-21 | Health | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2023-10-20 |
| 2023-09-21 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-10-20 |
| 2023-09-21 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2023-10-20 |
| 2023-09-21 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2023-10-20 |
| 2023-09-21 | Health | F0732 | Post nurse staffing information every day. | D | 2023-10-20 |
| 2023-09-21 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-10-20 |
| 2023-09-21 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2023-10-20 |
| 2023-09-21 | 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 | 2023-10-20 |
| 2023-09-21 | Health · complaint | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | 2023-10-20 |
| 2023-09-21 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-10-20 |
| 2023-09-21 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | 2023-10-20 |
| 2023-09-21 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-10-20 |
| 2023-09-21 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | 2023-10-20 |
| 2023-09-21 | Health | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | 2023-10-20 |
| 2023-09-21 | 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 | 2023-10-20 |
| 2023-06-28 | Health · complaint | 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 | 2023-07-20 |
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
0No 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
33| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| PC PA OPCOS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-05-01 | current | pecos_ownership |
| AUGE, JASON | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 | current | pecos_ownership |
| AURORA GUARDIAN HOLDCO II CO-BORROWER, LLC | ADP OF THE SNF | — | 2021-05-01 | current | pecos_ownership |
| AURORA GUARDIAN HOLDCO II MEZZ BORROWER, LLC | ADP OF THE SNF | — | 2021-05-01 | current | pecos_ownership |
| AURORA GUARDIAN HOLDCO II, LLC | ADP OF THE SNF | — | 2021-05-01 | current | pecos_ownership |
| AURORA GUARDIAN II REALTY, LLC | ADP OF THE SNF | — | 2021-05-01 | current | pecos_ownership |
| AURORA GUARDIAN PARTNERS II LLC | ADP OF THE SNF | — | 2021-05-01 | current | pecos_ownership |
| CUNNINGHAM, JESSICA | ADP OF THE SNF | — | 2021-05-01 | current | pecos_ownership |
| HARSTON HALL REALTY, LLC | ADP OF THE SNF | — | 2021-05-01 | current | pecos_ownership |
| J & R FAMILY INVESTMENTS, LLC | ADP OF THE SNF | — | 2021-05-01 | current | pecos_ownership |
| L FRIEDMAN 2018 FAMILY TRUST | ADP OF THE SNF | — | 2021-05-01 | current | pecos_ownership |
| L FRIEDMAN FAMILY HOLDINGS LLC | ADP OF THE SNF | — | 2021-05-01 | current | pecos_ownership |
| LANDAU FAMILY INVESTMENT TRUST | ADP OF THE SNF | — | 2021-05-01 | current | pecos_ownership |
| LEVY, JOSHUA | ADP OF THE SNF | — | 2021-05-01 | current | pecos_ownership |
| M FRIEDMAN 2018 FAMILY TRUST | ADP OF THE SNF | — | 2021-05-01 | current | pecos_ownership |
| PC WTA ACQUISITION LLC | ADP OF THE SNF | — | 2021-05-01 | current | pecos_ownership |
| PC WTA MULTI-STATE LLC | ADP OF THE SNF | — | 2021-05-01 | current | pecos_ownership |
| PC WTA OPCO HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-05-01 | current | pecos_ownership |
| PEACE CAPITAL HOLDINGS LLC (DE) | ADP OF THE SNF | — | 2021-05-01 | current | pecos_ownership |
| R&J FAMILY INVESTMENTS LLC | ADP OF THE SNF | — | 2021-05-01 | current | pecos_ownership |
| SCHWARTZ, HERSHEL | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 | current | pecos_ownership |
| SHAND, JENNIFER | ADP OF THE SNF | — | 2021-05-01 | current | pecos_ownership |
| SMS 2021 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-05-01 | current | pecos_ownership |
| STEIN, SHALOM | TRUSTEE OF THE SNF | — | 2021-05-01 | current | pecos_ownership |
| WELLTOWER INC | 5% OR GREATER SECURITY INTEREST | — | 2021-05-01 | current | pecos_ownership |
| WILLIAMS, CAMERON | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 | current | pecos_ownership |
| SHALOM STEIN | INDIRECT OWNERSHIP INTEREST | 5% | 2021-05-01 | ended 2026-05-18 | pecos_ownership |
| CAMERON WILLIAMS | ADP OF THE SNF | — | 2021-05-01 | ended 2026-05-18 | pecos_ownership |
| HERSHEL SCHWARTZ | ADP OF THE SNF | — | 2021-05-01 | ended 2026-05-18 | pecos_ownership |
| JASON AUGE | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 | ended 2026-05-18 | pecos_ownership |
| JENNIFER SHAND | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 | ended 2026-05-18 | pecos_ownership |
| JESSICA CUNNINGHAM | ADP OF THE SNF | — | 2021-05-01 | ended 2026-05-18 | pecos_ownership |
| JOSHUA LEVY | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 | 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.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2021-05-01 | — | COMPLETE CARE AT HARSTON HALL LLC | 350 HAWS LANE OPERATIONS LLC | chow |
Comparable trades — PA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-06-01 | MANOR AT ST LUKE VILLAGE,THE | — | — | — | 104 | 1711 EAST BROAD STREET OPCO LLC |
| 2025-06-01 | PENNKNOLL VILLAGE | — | — | — | 133 | 208 PENNKNOLL ROAD OPCO LLC |
| 2025-06-01 | MAPLEWOOD NURSING AND REHAB CENTER | — | — | — | 180 | MA OPERATING, LLC |
| 2025-06-01 | PAVILION AT ST LUKE VILLAGE, THE | — | — | — | 120 | 1000 STACIE DRIVE OPCO LLC |
| 2025-06-01 | MANOR AT PENN VILLAGE, THE | — | — | — | 159 | 51 ROUTE 204 OPCO LLC |
| 2025-05-01 | WYNCOTE CARE CENTER | — | — | — | 58 | WYNCOTE CARE LLC |
| 2025-05-01 | ONYX WELLNESS CENTER | — | — | — | 119 | ONYX WELLNESS CENTER LLC |
| 2025-04-24 | HAVENCREST REHABILITATION AND HEALTHCARE CENTER | — | — | — | 48 | HAVENCREST REHABILITATION AND HEALTHCARE CENTER LLC |
| 2025-04-24 | BEAVER VALLEY REHABILITATION AND HEALTHCARE CENTER | — | — | — | 120 | BEAVER VALLEY REHABILITATION AND HEALTHCARE CENTER LLC |
| 2025-04-01 | STROUDSBURG POST ACUTE NURSING & REHABILITATIONLLC | — | — | — | 174 | STROUDSBURG POST ACUTE NURSING & REHABILITATION LLC |
| 2025-02-01 | EDENBROOK OF YEADON | — | — | — | 190 | YEADON SNF OPERATIONS, LLC |
| 2025-02-01 | EDENBROOK OF GREENWOOD HILL | — | — | — | 160 | POTTSVILLE SNF OPERATIONS, LLC |
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
30| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 42091 | acs median gross | 0 | $1,347 | 2024-12-31 | CENSUS_ACS5 |
| county 42091 | fmr | 0 | $1,397 | 2025-10-01 | HUD_USER_FMR |
| county 42091 | acs median gross | 1 | $1,467 | 2024-12-31 | CENSUS_ACS5 |
| county 42091 | fmr | 1 | $1,520 | 2025-10-01 | HUD_USER_FMR |
| county 42091 | acs median gross | 2 | $1,781 | 2024-12-31 | CENSUS_ACS5 |
| county 42091 | fmr | 2 | $1,810 | 2025-10-01 | HUD_USER_FMR |
| county 42091 | acs median gross | 3 | $2,029 | 2024-12-31 | CENSUS_ACS5 |
| county 42091 | fmr | 3 | $2,170 | 2025-10-01 | HUD_USER_FMR |
| county 42091 | acs median gross | 4 | $2,103 | 2024-12-31 | CENSUS_ACS5 |
| county 42091 | fmr | 4 | $2,423 | 2025-10-01 | HUD_USER_FMR |
| county 42091 | acs median gross | 5 | $2,343 | 2024-12-31 | CENSUS_ACS5 |
| county 42091 | acs median gross | $1,683 | 2024-12-31 | CENSUS_ACS5 | |
| county 42091 | acs recent mover gross | $1,838 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 19031 | acs median gross | 2 | $1,730 | 2024-12-31 | CENSUS_ACS5 |
| zcta 19031 | acs median gross | $1,393 | 2024-12-31 | CENSUS_ACS5 | |
| zip 19031 | payment standard 110 | 0 | $1,716 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19031 | payment standard 90 | 0 | $1,404 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19031 | safmr | 0 | $1,560 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19031 | payment standard 110 | 1 | $1,870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19031 | payment standard 90 | 1 | $1,530 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19031 | safmr | 1 | $1,700 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19031 | payment standard 110 | 2 | $2,222 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19031 | payment standard 90 | 2 | $1,818 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19031 | safmr | 2 | $2,020 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19031 | payment standard 110 | 3 | $2,662 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19031 | payment standard 90 | 3 | $2,178 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19031 | safmr | 3 | $2,420 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19031 | payment standard 110 | 4 | $2,970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19031 | payment standard 90 | 4 | $2,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19031 | safmr | 4 | $2,700 | 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.