2 MANOR BOULEVARD, MIFFLINTOWN, PA 17059 · CCN 395418
Composite
67.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
85
Model
v1.2
Reads as: riskier than 67.1% 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
PA median
National median
National p25–p75
Total nurse
3.21
3.38
3.28
2.90–3.77
RN
0.34
0.45
0.39
0.25–0.58
Weekend total
3.13
3.27
3.11
—
Weekday total
3.24
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
82.5
3.21
0.34
0.95
1.91
3.13
8.3%
2025Q3
92
81.7
3.22
0.34
0.92
1.97
3.13
8.2%
2025Q2
91
79.0
3.25
0.36
0.96
1.94
3.16
3.2%
2025Q1
90
82.0
3.14
0.34
0.90
1.91
3.09
6.4%
2024Q4
92
82.0
3.23
0.34
0.92
1.97
3.19
3.8%
2024Q3
92
82.5
3.13
0.30
0.90
1.93
3.09
9.8%
2024Q2
91
82.7
3.20
0.31
0.95
1.94
3.00
16.6%
2024Q1
91
82.2
3.02
0.32
0.85
1.85
2.99
15.4%
2023Q4
92
83.3
2.93
0.32
0.83
1.79
2.90
16.9%
2023Q3
92
80.8
3.09
0.32
0.87
1.89
3.06
15.3%
2023Q2
91
78.4
2.77
0.33
0.73
1.71
2.74
19.3%
2023Q1
90
78.7
2.84
0.33
0.72
1.79
2.81
23.5%
2022Q4
92
81.2
2.70
0.32
0.70
1.68
2.65
29.0%
2022Q3
92
81.1
2.72
0.33
0.71
1.68
2.67
31.4%
2022Q2
91
80.7
2.88
0.38
0.73
1.77
2.85
8.6%
2022Q1
90
76.1
2.91
0.38
0.77
1.77
2.84
9.3%
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
30
C × 1D × 21E × 8
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-27
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2026-04-15
2026-02-27
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2026-04-15
2026-02-27
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-04-15
2026-02-27
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
2026-04-15
2026-02-27
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-04-15
2026-02-27
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-04-15
2026-02-27
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2026-04-15
2026-02-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-04-15
2026-02-27
Health
F0880
Provide and implement an infection prevention and control program.
E
2026-04-15
2026-02-27
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2026-04-15
2026-01-22
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2026-02-17
2025-03-21
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-05-06
2025-03-21
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.
D
2025-05-06
2025-03-21
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
C
2025-05-06
2025-03-21
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2025-05-06
2025-03-21
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
2025-05-06
2025-03-21
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-05-06
2025-03-21
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2025-05-06
2025-03-21
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
E
2025-05-06
2025-03-21
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-05-06
2025-03-21
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.
E
2025-05-06
2024-03-22
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
2024-04-30
2024-03-22
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2024-04-30
2024-03-22
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2024-04-30
2024-03-22
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-04-30
2024-03-22
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
E
2024-04-30
2024-03-22
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-04-30
2024-03-22
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2024-04-30
2024-03-22
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-04-30
2024-03-22
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
D
2024-04-30
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
9
Owner
Role
Pct
From
Status
Source
BROOKLINE HEALTH HOLDCO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-04-01
current
pecos_ownership
FELDHEIM, ISRAEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2024-04-01
current
pecos_ownership
PALMER GARDENS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
2024-04-01
current
pecos_ownership
BROOKLINE 101 LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2024-04-01
current
pecos_ownership
KRAUSZ, ARON
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2024-04-01
current
pecos_ownership
MAGYAR, SHARON
W-2 MANAGING EMPLOYEE
—
2024-04-01
current
pecos_ownership
ISRAEL FELDHEIM
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2024-04-01
ended 2026-05-18
pecos_ownership
ARON KRAUSZ
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2024-04-01
ended 2026-05-18
pecos_ownership
SHARON MAGYAR
W-2 MANAGING EMPLOYEE
—
2024-04-01
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$431,192
—
—
—
—
1
—
2024-03-31
$378,783
—
$107,952
$142,538
$4,115
4
—
2023-12-31
$1,375,311
—
$428,478
$609,899
$14,497
4
—
2022-12-31
$1,149,457
—
$374,058
$514,520
$85,444
4
—
2021-12-31
$1,170,602
—
$342,282
$632,908
$18,399
4
—
2020-12-31
$1,051,153
—
$302,931
$609,229
$7,261
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
34
Geo
Kind
BR
Amount
As of
Source
county 42067
acs median gross
0
$586
2024-12-31
CENSUS_ACS5
county 42067
fmr
0
$680
2025-10-01
HUD_USER_FMR
county 42067
acs median gross
1
$604
2024-12-31
CENSUS_ACS5
county 42067
fmr
1
$742
2025-10-01
HUD_USER_FMR
county 42067
acs median gross
2
$785
2024-12-31
CENSUS_ACS5
county 42067
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 42067
acs median gross
3
$859
2024-12-31
CENSUS_ACS5
county 42067
fmr
3
$1,250
2025-10-01
HUD_USER_FMR
county 42067
acs median gross
4
$985
2024-12-31
CENSUS_ACS5
county 42067
fmr
4
$1,478
2025-10-01
HUD_USER_FMR
county 42067
acs median gross
5
$1,037
2024-12-31
CENSUS_ACS5
county 42067
acs median gross
$756
2024-12-31
CENSUS_ACS5
county 42067
acs recent mover gross
$915
2024-12-31
CENSUS_ACS5
zcta 17059
acs median gross
1
$624
2024-12-31
CENSUS_ACS5
zcta 17059
acs median gross
2
$810
2024-12-31
CENSUS_ACS5
zcta 17059
acs median gross
3
$950
2024-12-31
CENSUS_ACS5
zcta 17059
acs median gross
5
$1,080
2024-12-31
CENSUS_ACS5
zcta 17059
acs median gross
$784
2024-12-31
CENSUS_ACS5
zcta 17059
acs recent mover gross
$1,135
2024-12-31
CENSUS_ACS5
zip 17059
payment standard 110
0
$748
2025-10-01
HUD_USER_SAFMR
zip 17059
payment standard 90
0
$612
2025-10-01
HUD_USER_SAFMR
zip 17059
safmr
0
$680
2025-10-01
HUD_USER_SAFMR
zip 17059
payment standard 110
1
$814
2025-10-01
HUD_USER_SAFMR
zip 17059
payment standard 90
1
$666
2025-10-01
HUD_USER_SAFMR
zip 17059
safmr
1
$740
2025-10-01
HUD_USER_SAFMR
zip 17059
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 17059
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 17059
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 17059
payment standard 110
3
$1,375
2025-10-01
HUD_USER_SAFMR
zip 17059
payment standard 90
3
$1,125
2025-10-01
HUD_USER_SAFMR
zip 17059
safmr
3
$1,250
2025-10-01
HUD_USER_SAFMR
zip 17059
payment standard 110
4
$1,628
2025-10-01
HUD_USER_SAFMR
zip 17059
payment standard 90
4
$1,332
2025-10-01
HUD_USER_SAFMR
zip 17059
safmr
4
$1,480
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.