129 FRANKLIN AVENUE, UNIONTOWN, PA 15401 · CCN 395674 · chain ISKEB 2024 TRUST
Composite
30.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 30.6% 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.
ML signals — parallel engine
9
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
6 chains
WASHINGTON STATE INVESTMENT BOARD
77 facilities
connection
Owner spans multiple chains
6 chains
GEARY PROPERTY HOLDINGS LLC
21 facilities
connection
Owner spans multiple chains
5 chains
BEVERLY HEALTH AND REHABILITIATION SERVICES INC
18 facilities
connection
Owner spans multiple chains
5 chains
BEVERLY ENTERPRISES PENNSYLVANIA INC
17 facilities
connection
Owner spans multiple chains
4 chains
PEARL SENIOR CARE LLC
18 facilities
connection
Owner spans multiple chains
4 chains
DRUMM MERGER CO SUB LLC
19 facilities
connection
Owner spans multiple chains
4 chains
DRUMM MERGER CO
19 facilities
connection
Owner spans multiple chains
4 chains
DRUMM INTERMEDIARY SUB CO LLC
18 facilities
connection
Owner spans multiple chains
4 chains
LINAM KIM
16 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
3.26
3.38
3.28
2.90–3.77
RN
0.60
0.45
0.39
0.25–0.58
Weekend total
3.18
3.27
3.11
—
Weekday total
3.29
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
101.2
3.26
0.60
0.57
2.08
3.18
4.3%
2025Q3
92
99.8
3.19
0.50
0.56
2.13
3.22
0.0%
2025Q2
91
100.8
3.16
0.50
0.55
2.12
3.18
0.0%
2025Q1
90
103.2
3.26
0.53
0.55
2.18
3.27
0.0%
2024Q4
92
94.1
3.33
0.61
0.52
2.21
3.36
0.0%
2024Q3
92
92.4
3.33
0.69
0.53
2.11
3.30
0.0%
2024Q2
91
95.6
3.06
0.62
0.59
1.85
3.06
0.0%
2024Q1
91
101.9
3.03
0.55
0.57
1.92
3.04
0.0%
2023Q4
92
101.8
3.09
0.49
0.63
1.97
3.22
0.0%
2023Q3
92
104.6
3.12
0.54
0.56
2.02
3.21
0.0%
2023Q2
91
102.5
3.01
0.48
0.50
2.04
2.98
0.0%
2023Q1
90
105.5
2.85
0.43
0.49
1.93
2.86
0.0%
2022Q4
92
106.1
2.75
0.44
0.43
1.88
2.77
0.0%
2022Q3
92
105.3
2.45
0.44
0.40
1.62
2.44
0.0%
2022Q2
91
105.7
2.25
0.45
0.45
1.35
2.22
0.0%
2022Q1
90
103.4
2.27
0.51
0.53
1.23
2.23
0.9%
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
21
D × 13E × 5F × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-07-24
Health
F0940
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
F
2025-09-03
2025-07-24
Health
F0941
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
D
2025-09-03
2025-07-24
Health
F0942
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
D
2025-09-03
2025-07-24
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
2025-09-03
2025-07-24
Health
F0944
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
D
2025-09-03
2025-07-24
Health
F0945
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
E
2025-09-03
2025-07-24
Health
F0946
Provide training in compliance and ethics.
D
2025-09-03
2025-07-24
Health
F0947
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F
2025-09-03
2025-07-24
Health
F0949
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
D
2025-09-03
2024-08-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-09-10
2024-08-07
Health · complaint
F0908
Keep all essential equipment working safely.
D
2024-09-10
2023-08-11
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2023-09-21
2023-08-11
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2023-09-21
2023-08-11
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2023-09-21
2023-08-11
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
2023-09-21
2023-08-11
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.
E
2023-09-21
2023-08-11
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2023-09-21
2023-08-11
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
2023-09-21
2023-08-11
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.
D
2023-09-21
2023-08-11
Health
F0809
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
D
2023-09-21
2023-08-11
Health
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
D
2023-09-21
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
39
Owner
Role
Pct
From
Status
Source
WESTERN PA OPCO HOLDINGS I LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-10-29
current
pecos_ownership
ANDREWS, HEATHER
MANAGING CONTROL - GOVERNING BODY
—
2021-09-03
current
pecos_ownership
BEVERLY ENTERPRISES - PENNSYLVANIA, INC.
ADP OF THE SNF
—
2024-10-29
current
pecos_ownership
BEVERLY ENTERPRISES LLC
ADP OF THE SNF
—
2024-10-29
current
pecos_ownership
BEVERLY HEALTH AND REHABILITIATION SERVICES, INC
ADP OF THE SNF
—
2024-10-29
current
pecos_ownership
DRUMM INTERMEDIARY SUB CO LLC
ADP OF THE SNF
—
2024-10-29
current
pecos_ownership
DRUMM MERGER CO
ADP OF THE SNF
—
2017-06-18
current
pecos_ownership
DRUMM MERGER CO SUB LLC
ADP OF THE SNF
—
2024-10-29
current
pecos_ownership
FILLMORE STRATEGIC INVESTORS LLC
ADP OF THE SNF
—
2016-09-27
current
pecos_ownership
FINN, NICHOLAS
MANAGING CONTROL - GOVERNING BODY
—
2021-09-03
current
pecos_ownership
FLORES, MAY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-29
current
pecos_ownership
FRANCO, AHARON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-29
current
pecos_ownership
GEARY PROPERTY HOLDINGS LLC
ADP OF THE SNF
—
2024-10-29
current
pecos_ownership
GPH UNIONTOWN LP
ADP OF THE SNF
—
2005-12-12
current
pecos_ownership
KARITY, SARAH
TRUSTEE OF THE SNF
—
2024-10-29
current
pecos_ownership
LINAM, KIM
MANAGING CONTROL - GOVERNING BODY
—
2023-09-27
current
pecos_ownership
MATTHEWS, DEBORAH
ADP OF THE SNF
—
2024-10-29
current
pecos_ownership
MILLER, JEAN
ADP OF THE SNF
—
2024-11-15
current
pecos_ownership
NULL, JACI
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-29
current
pecos_ownership
PEARL SENIOR CARE, LLC.
ADP OF THE SNF
—
2018-12-20
current
pecos_ownership
RAMI, ISAAC
ADP OF THE SNF
—
2024-10-29
current
pecos_ownership
RASMUSSEN-JONES, HOLLY
MANAGING CONTROL - GOVERNING BODY
—
2016-09-26
current
pecos_ownership
SURETY COMPLIANCE
ADP OF THE SNF
—
2024-10-29
current
pecos_ownership
VALLEY WEST HEALTH LLC
ADP OF THE SNF
—
2024-11-15
current
pecos_ownership
WASHINGTON STATE INVESTMENT BOARD
ADP OF THE SNF
—
2024-10-29
current
pecos_ownership
ISKEB 2024 TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
95%
2024-10-29
ended 2026-05-18
pecos_ownership
ISKEB WESTERN PA LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
95%
2024-10-29
ended 2026-05-18
pecos_ownership
SARAH KARITY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
95%
2024-10-29
ended 2026-05-18
pecos_ownership
AHARON FRANCO
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2024-10-29
ended 2026-05-18
pecos_ownership
KEYSTONE VENTURES LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2024-10-29
ended 2026-05-18
pecos_ownership
DEBORAH MATTHEWS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-29
ended 2026-05-18
pecos_ownership
HEATHER ANDREWS
MANAGING CONTROL - GOVERNING BODY
—
2021-09-03
ended 2026-05-18
pecos_ownership
HOLLY RASMUSSEN-JONES
MANAGING CONTROL - GOVERNING BODY
—
2016-09-26
ended 2026-05-18
pecos_ownership
ISAAC RAMI
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-29
ended 2026-05-18
pecos_ownership
JACI NULL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-29
ended 2026-05-18
pecos_ownership
JEAN MILLER
ADP OF THE SNF
—
2024-11-15
ended 2026-05-18
pecos_ownership
KIM LINAM
MANAGING CONTROL - GOVERNING BODY
—
2023-09-27
ended 2026-05-18
pecos_ownership
MAY FLORES
ADP OF THE SNF
—
2024-10-29
ended 2026-05-18
pecos_ownership
NICHOLAS FINN
MANAGING CONTROL - GOVERNING BODY
—
2021-09-03
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
2024-10-28
$1,561,597
—
$461,934
$732,247
$19,619
4
—
2023-12-31
$1,937,244
—
$533,833
$995,506
$21,708
4
—
2022-12-31
$1,959,995
—
$521,630
$1,079,404
$45,666
4
—
2021-12-31
$1,981,104
—
$435,253
$1,119,064
$25,859
4
—
2020-12-31
$1,662,935
—
$374,674
$937,905
$10,701
4
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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 42051
acs median gross
0
$503
2024-12-31
CENSUS_ACS5
county 42051
fmr
0
$1,001
2025-10-01
HUD_USER_FMR
county 42051
acs median gross
1
$596
2024-12-31
CENSUS_ACS5
county 42051
fmr
1
$1,077
2025-10-01
HUD_USER_FMR
county 42051
acs median gross
2
$828
2024-12-31
CENSUS_ACS5
county 42051
fmr
2
$1,299
2025-10-01
HUD_USER_FMR
county 42051
acs median gross
3
$914
2024-12-31
CENSUS_ACS5
county 42051
fmr
3
$1,661
2025-10-01
HUD_USER_FMR
county 42051
acs median gross
4
$1,051
2024-12-31
CENSUS_ACS5
county 42051
fmr
4
$1,789
2025-10-01
HUD_USER_FMR
county 42051
acs median gross
5
$1,540
2024-12-31
CENSUS_ACS5
county 42051
acs median gross
$793
2024-12-31
CENSUS_ACS5
county 42051
acs recent mover gross
$785
2024-12-31
CENSUS_ACS5
zcta 15401
acs median gross
0
$267
2024-12-31
CENSUS_ACS5
zcta 15401
acs median gross
1
$565
2024-12-31
CENSUS_ACS5
zcta 15401
acs median gross
2
$845
2024-12-31
CENSUS_ACS5
zcta 15401
acs median gross
3
$868
2024-12-31
CENSUS_ACS5
zcta 15401
acs median gross
4
$1,010
2024-12-31
CENSUS_ACS5
zcta 15401
acs median gross
5
$1,650
2024-12-31
CENSUS_ACS5
zcta 15401
acs median gross
$794
2024-12-31
CENSUS_ACS5
zcta 15401
acs recent mover gross
$815
2024-12-31
CENSUS_ACS5
zip 15401
payment standard 110
0
$858
2025-10-01
HUD_USER_SAFMR
zip 15401
payment standard 90
0
$702
2025-10-01
HUD_USER_SAFMR
zip 15401
safmr
0
$780
2025-10-01
HUD_USER_SAFMR
zip 15401
payment standard 110
1
$924
2025-10-01
HUD_USER_SAFMR
zip 15401
payment standard 90
1
$756
2025-10-01
HUD_USER_SAFMR
zip 15401
safmr
1
$840
2025-10-01
HUD_USER_SAFMR
zip 15401
payment standard 110
2
$1,111
2025-10-01
HUD_USER_SAFMR
zip 15401
payment standard 90
2
$909
2025-10-01
HUD_USER_SAFMR
zip 15401
safmr
2
$1,010
2025-10-01
HUD_USER_SAFMR
zip 15401
payment standard 110
3
$1,419
2025-10-01
HUD_USER_SAFMR
zip 15401
payment standard 90
3
$1,161
2025-10-01
HUD_USER_SAFMR
zip 15401
safmr
3
$1,290
2025-10-01
HUD_USER_SAFMR
zip 15401
payment standard 110
4
$1,529
2025-10-01
HUD_USER_SAFMR
zip 15401
payment standard 90
4
$1,251
2025-10-01
HUD_USER_SAFMR
zip 15401
safmr
4
$1,390
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.