207 WEST SUMMIT AVENUE, SOUDERTON, PA 18964 · CCN 395634 · chain MATEVOSYAN INC
Composite
4.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
71
Model
v1.2
Reads as: riskier than 4.4% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
15 chains
BAKER TILLY US LLP
63 facilities
connection
Owner spans multiple chains
13 chains
FRIENDS SERVICES FOR THE AGING
18 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
4.05
3.38
3.28
2.90–3.77
RN
0.88
0.45
0.39
0.25–0.58
Weekend total
3.88
3.27
3.11
—
Weekday total
4.12
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
67.6
4.05
0.88
0.45
2.73
3.88
10.8%
2025Q3
92
68.9
3.80
0.78
0.40
2.62
3.69
2.2%
2025Q2
91
69.9
3.51
0.71
0.44
2.35
3.39
0.9%
2025Q1
90
67.4
3.43
0.69
0.46
2.28
3.35
0.9%
2024Q4
92
66.0
3.27
0.70
0.43
2.14
3.21
4.2%
2024Q3
92
64.6
3.21
0.73
0.45
2.03
3.13
12.2%
2024Q2
91
65.4
3.15
0.81
0.38
1.96
2.98
11.9%
2024Q1
91
66.2
3.33
0.75
0.48
2.10
3.22
22.6%
2023Q4
92
64.8
3.48
0.76
0.57
2.15
3.22
28.9%
2023Q3
92
64.8
3.47
0.61
0.42
2.44
3.38
33.6%
2023Q2
91
64.1
3.72
0.81
0.38
2.53
3.51
34.4%
2023Q1
90
67.5
3.57
0.85
0.28
2.44
3.45
30.6%
2022Q4
92
65.3
3.77
0.84
0.38
2.55
3.65
37.8%
2022Q3
92
67.1
3.59
0.92
0.30
2.37
3.46
34.3%
2022Q2
91
66.9
3.54
0.96
0.31
2.27
3.47
27.2%
2022Q1
90
62.3
3.53
1.02
0.21
2.30
3.41
14.9%
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
9
B × 2D × 7
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-01
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-04-20
2025-12-02
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
2025-12-15
2025-03-20
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
B
2025-04-15
2025-03-20
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-04-15
2025-03-20
Health
F0810
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
D
2025-04-15
2024-04-04
Health
F0575
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
B
2024-05-27
2024-04-04
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-05-27
2024-04-04
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2024-05-27
2024-04-04
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-05-27
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
55
Owner
Role
Pct
From
Status
Source
ALDERFER, JAMES
CORPORATE DIRECTOR
—
2008-11-24
current
pecos_ownership
ARROYO, JILL
OPERATIONAL/MANAGERIAL CONTROL
—
2019-03-05
current
pecos_ownership
BAKER TILLY US, LLP
ADP OF THE SNF
—
2016-05-10
current
pecos_ownership
BERGEY, LUKE
CORPORATE DIRECTOR
—
2020-07-01
current
pecos_ownership
BRUBAKER, EDWARD
CORPORATE DIRECTOR
—
2008-11-24
current
pecos_ownership
COLE, MONIQUE
ADP OF THE SNF
—
2017-09-05
current
pecos_ownership
COVENANT ALLIANCE REHAB EAST LLC
ADP OF THE SNF
—
2025-10-01
current
pecos_ownership
DERSTEIN, MAURA
CORPORATE DIRECTOR
—
2024-07-01
current
pecos_ownership
DUERKSEN, JOHN
CORPORATE DIRECTOR
—
2011-07-01
current
pecos_ownership
FRIENDS SERVICES FOR THE AGING
ADP OF THE SNF
—
2025-11-04
current
pecos_ownership
FRIENDS SERVICES FOR THE AGING
OPERATIONAL/MANAGERIAL CONTROL
—
2015-01-01
current
pecos_ownership
GENERAL HEALTH CARE RESOURCES, INC.
ADP OF THE SNF
—
2018-05-18
current
pecos_ownership
GINGRICH, JOHN
CORPORATE DIRECTOR
—
2021-07-01
current
pecos_ownership
GODY, THEODORE
ADP OF THE SNF
—
2025-01-27
current
pecos_ownership
HAIMOWITZ, DANIEL
ADP OF THE SNF
—
2014-01-01
current
pecos_ownership
HUNSBERGER, BRYAN
CORPORATE DIRECTOR
—
2008-11-24
current
pecos_ownership
KOLB, AMY
CORPORATE DIRECTOR
—
2017-01-31
current
pecos_ownership
KOLB, LYLE
CORPORATE DIRECTOR
—
2008-11-24
current
pecos_ownership
LIVING BRANCHES
OPERATIONAL/MANAGERIAL CONTROL
—
2008-11-24
current
pecos_ownership
MATEVOSYAN INC
OPERATIONAL/MANAGERIAL CONTROL
—
2013-09-13
current
pecos_ownership
MATEVOSYAN INC
ADP OF THE SNF
—
2017-06-28
current
pecos_ownership
MCCABE, MICHAEL
ADP OF THE SNF
—
2021-06-09
current
pecos_ownership
METRICARTI, ALEXANDRA
ADP OF THE SNF
—
2010-04-08
current
pecos_ownership
MEYER, JOSHUA
CORPORATE DIRECTOR
—
2019-07-01
current
pecos_ownership
MOORE, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-15
current
pecos_ownership
MYERS, STEVEN
ADP OF THE SNF
—
2009-09-01
current
pecos_ownership
NURSING CARE SERVICES, INC.
ADP OF THE SNF
—
2017-08-21
current
pecos_ownership
PHYSICIAN AND TACTICAL HEALTHCARE SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2012-04-01
current
pecos_ownership
PHYSICIAN AND TACTICAL HEALTHCARE SERVICES LLC
ADP OF THE SNF
—
2025-11-04
current
pecos_ownership
RUTH, JANE
CORPORATE DIRECTOR
—
2017-01-31
current
pecos_ownership
THIM, KRISTIN
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-21
current
pecos_ownership
TITAN MEDICAL GROUP, LLC
ADP OF THE SNF
—
2022-02-04
current
pecos_ownership
WEAVER, WENDELL
CORPORATE DIRECTOR
—
2018-07-01
current
pecos_ownership
WELLNESS PHARMACY SERVICES LLC
ADP OF THE SNF
—
2025-02-01
current
pecos_ownership
AMY KOLB
CORPORATE DIRECTOR
0%
2017-01-31
ended 2026-05-18
pecos_ownership
JAMES ALDERFER
CORPORATE DIRECTOR
0%
2008-11-24
ended 2026-05-18
pecos_ownership
JANE RUTH
CORPORATE DIRECTOR
0%
2017-01-31
ended 2026-05-18
pecos_ownership
JOHN DUERKSEN
CORPORATE DIRECTOR
0%
2011-07-01
ended 2026-05-18
pecos_ownership
JOHN GINGRICH
CORPORATE DIRECTOR
0%
2021-07-01
ended 2026-05-18
pecos_ownership
JOSHUA MEYER
CORPORATE DIRECTOR
0%
2019-07-01
ended 2026-05-18
pecos_ownership
LUKE BERGEY
CORPORATE DIRECTOR
0%
2020-07-01
ended 2026-05-18
pecos_ownership
MAURA DERSTEIN
CORPORATE DIRECTOR
0%
2024-07-01
ended 2026-05-18
pecos_ownership
WENDELL WEAVER
CORPORATE DIRECTOR
0%
2018-07-01
ended 2026-05-18
pecos_ownership
ALEXANDRA METRICARTI
OPERATIONAL/MANAGERIAL CONTROL
—
2010-04-08
ended 2026-05-18
pecos_ownership
BRYAN HUNSBERGER
CORPORATE DIRECTOR
—
2008-11-24
ended 2026-05-18
pecos_ownership
DANIEL HAIMOWITZ
ADP OF THE SNF
—
2014-01-01
ended 2026-05-18
pecos_ownership
DAVID MOORE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-15
ended 2026-05-18
pecos_ownership
EDWARD BRUBAKER
ADP OF THE SNF
—
2008-11-24
ended 2026-05-18
pecos_ownership
JILL ARROYO
ADP OF THE SNF
—
2019-03-05
ended 2026-05-18
pecos_ownership
KRISTIN THIM
ADP OF THE SNF
—
2020-01-21
ended 2026-05-18
pecos_ownership
LYLE KOLB
CORPORATE DIRECTOR
—
2008-11-24
ended 2026-05-18
pecos_ownership
MICHAEL MCCABE
ADP OF THE SNF
—
2021-06-09
ended 2026-05-18
pecos_ownership
MONIQUE COLE
ADP OF THE SNF
—
2017-09-05
ended 2026-05-18
pecos_ownership
STEVEN MYERS
OPERATIONAL/MANAGERIAL CONTROL
—
2009-09-01
ended 2026-05-18
pecos_ownership
THEODORE GODY
ADP OF THE SNF
—
2025-01-27
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
2025-06-30
$1,329,999
—
—
—
—
1
—
2024-06-30
$1,212,694
—
—
—
—
1
—
2023-06-30
$1,161,126
—
—
—
—
1
—
2022-06-30
$1,134,499
—
—
—
—
1
—
2021-06-30
$997,844
—
—
—
—
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 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 18964
acs median gross
0
$1,289
2024-12-31
CENSUS_ACS5
zcta 18964
acs median gross
1
$1,191
2024-12-31
CENSUS_ACS5
zcta 18964
acs median gross
2
$1,374
2024-12-31
CENSUS_ACS5
zcta 18964
acs median gross
3
$1,610
2024-12-31
CENSUS_ACS5
zcta 18964
acs median gross
4
$2,117
2024-12-31
CENSUS_ACS5
zcta 18964
acs median gross
5
$2,775
2024-12-31
CENSUS_ACS5
zcta 18964
acs median gross
$1,436
2024-12-31
CENSUS_ACS5
zcta 18964
acs recent mover gross
$1,205
2024-12-31
CENSUS_ACS5
zip 18964
payment standard 110
0
$1,430
2025-10-01
HUD_USER_SAFMR
zip 18964
payment standard 90
0
$1,170
2025-10-01
HUD_USER_SAFMR
zip 18964
safmr
0
$1,300
2025-10-01
HUD_USER_SAFMR
zip 18964
payment standard 110
1
$1,551
2025-10-01
HUD_USER_SAFMR
zip 18964
payment standard 90
1
$1,269
2025-10-01
HUD_USER_SAFMR
zip 18964
safmr
1
$1,410
2025-10-01
HUD_USER_SAFMR
zip 18964
payment standard 110
2
$1,848
2025-10-01
HUD_USER_SAFMR
zip 18964
payment standard 90
2
$1,512
2025-10-01
HUD_USER_SAFMR
zip 18964
safmr
2
$1,680
2025-10-01
HUD_USER_SAFMR
zip 18964
payment standard 110
3
$2,211
2025-10-01
HUD_USER_SAFMR
zip 18964
payment standard 90
3
$1,809
2025-10-01
HUD_USER_SAFMR
zip 18964
safmr
3
$2,010
2025-10-01
HUD_USER_SAFMR
zip 18964
payment standard 110
4
$2,475
2025-10-01
HUD_USER_SAFMR
zip 18964
payment standard 90
4
$2,025
2025-10-01
HUD_USER_SAFMR
zip 18964
safmr
4
$2,250
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.