Composite
95.1 / 100 percentile
Screener / 395751
F
ROCHESTER RESIDENCE AND CARE CENTER
snfPASFF: SFF
174 VIRGINIA AVENUE, ROCHESTER, PA 15074 · CCN 395751 · chain POLLAK HOLDINGS LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
119
Model
v1.2
Reads as: riskier than 95.1% 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.
Score model4ML signals3Components13CHOW radar1Distress radar1Staffing15Penalties7Deficiencies141Licensure0Ownership11Related party2Transactions1Comps12Market rent35
Composite explanation
4| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 99.9 | 99.8 | 0.30 | 0.2857 | 28.54 | in index |
| financial risk | 80.8 | 67.7 | 0.30 | 0.2857 | 23.09 | in index |
| billing conduct | 51.7 | 40.1 | 0.30 | 0.2857 | 14.77 | in index |
| chow risk | 35.8 | 34.3 | 0.15 | 0.1429 | 5.11 | 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 fleet risk far above national | +33.2 vs natl | POLLAK ELIE | 6 facilities |
| connection | Owner fleet risk far above national | +23.0 vs natl | POLLAK THEODORE | 7 facilities |
| connection | Owner fleet enforcement cluster | 43% fined | POLLAK THEODORE | 7 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
13| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 40.1 | 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 | 43.6 | B | v0.6 | default · in composite | |
| financial risk | 67.7 | D | 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 | 0.6 | — | 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 | 99.8 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| financial risk | 95.8 | 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 | 75.8 | 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 | 55.9 | 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 | 70.8 | D | 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 | 99.8 | 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 | 99.8 | 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. |
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)
0.6%
model v0.1 · computed 2026-07-29
Percentile among SNFs
55.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 80.00 | +1.77 | |
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 5.17 | -1.34 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Penalties, last 12 months | 2.00 | +0.09 | |
| Contract staffing share | 0.12 | +0.09 |
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
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 80.00 | -13.40 | |
| Fine amount, 12m (log) | 11.98 | -0.70 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Chain size (log) | 1.61 | +0.26 | |
| Current owner tenure (years) | 5.17 | -0.22 | |
| Penalties, last 12 months | 2.00 | -0.17 |
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
15| 2025Q3 HPRD | This facility | PA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.34 | 3.38 | 3.28 | 2.90–3.77 |
| RN | 0.67 | 0.45 | 0.39 | 0.25–0.58 |
| Weekend total | 3.19 | 3.27 | 3.11 | — |
| Weekday total | 3.39 | 3.43 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q3 | 92 | 85.6 | 3.34 | 0.67 | 0.55 | 2.12 | 3.19 | 12.2% |
| 2025Q2 | 91 | 85.7 | 3.50 | 0.69 | 0.71 | 2.09 | 3.52 | 18.6% |
| 2025Q1 | 90 | 92.9 | 2.96 | 0.57 | 0.50 | 1.90 | 3.05 | 14.7% |
| 2024Q4 | 92 | 96.7 | 2.94 | 0.61 | 0.54 | 1.79 | 2.95 | 10.1% |
| 2024Q3 | 92 | 95.4 | 3.04 | 0.54 | 0.64 | 1.86 | 2.85 | 14.5% |
| 2024Q2 | 91 | 95.6 | 2.91 | 0.57 | 0.65 | 1.69 | 2.86 | 12.7% |
| 2024Q1 | 91 | 98.1 | 2.78 | 0.46 | 0.61 | 1.71 | 2.77 | 10.2% |
| 2023Q4 | 92 | 101.2 | 2.85 | 0.49 | 0.48 | 1.88 | 2.96 | 9.6% |
| 2023Q3 | 92 | 97.0 | 2.90 | 0.62 | 0.52 | 1.77 | 2.75 | 4.0% |
| 2023Q2 | 91 | 104.3 | 2.86 | 0.53 | 0.47 | 1.86 | 2.69 | 3.4% |
| 2023Q1 | 90 | 105.0 | 2.82 | 0.64 | 0.39 | 1.79 | 2.74 | 6.2% |
| 2022Q4 | 92 | 105.2 | 2.81 | 0.63 | 0.42 | 1.75 | 2.72 | 12.0% |
| 2022Q3 | 92 | 106.9 | 2.58 | 0.68 | 0.39 | 1.51 | 2.44 | 3.0% |
| 2022Q2 | 91 | 101.0 | 2.86 | 0.68 | 0.48 | 1.70 | 2.63 | 3.3% |
| 2022Q1 | 90 | 100.5 | 2.87 | 0.81 | 0.44 | 1.62 | 2.70 | 3.9% |
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
7fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2026-01-31 | Fine | $159,665 | CMS provider data |
| 2025-09-19 | Payment Denial | — | CMS provider data |
| 2025-05-15 | Fine | $17,749 | CMS provider data |
| 2025-01-28 | Fine | $286,709 | CMS provider data |
| 2024-06-07 | Fine | $8,772 | CMS provider data |
| 2024-06-07 | Fine | $8,773 | CMS provider data |
| 2023-12-18 | Fine | $32,019 | CMS provider data |
Total fines on record: $513,687
Deficiencies
141D × 83E × 33F × 17G × 4J × 3L × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-01 | Health · complaint | F0844 | Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | D | 2026-04-28 |
| 2026-04-01 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2026-04-28 |
| 2026-04-01 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | 2026-04-28 |
| 2026-02-13 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2026-04-03 |
| 2026-02-13 | 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. | F | 2026-04-03 |
| 2026-02-13 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2026-04-03 |
| 2026-02-13 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2026-04-03 |
| 2026-02-13 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | 2026-04-03 |
| 2026-02-13 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2026-04-03 |
| 2026-02-13 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2026-04-03 |
| 2026-02-13 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2026-04-03 |
| 2026-02-13 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2026-04-03 |
| 2026-02-13 | 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 | 2026-04-03 |
| 2026-02-13 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2026-04-03 |
| 2026-02-13 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2026-04-03 |
| 2026-02-13 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2026-04-03 |
| 2026-02-13 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2026-04-03 |
| 2026-02-13 | 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. | E | 2026-04-03 |
| 2026-02-13 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-05-19 |
| 2026-02-13 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | 2026-04-03 |
| 2026-02-13 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | 2026-04-03 |
| 2026-02-13 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2026-04-03 |
| 2026-02-13 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2026-04-03 |
| 2026-02-13 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | 2026-04-03 |
| 2026-02-13 | Health | F0908 | Keep all essential equipment working safely. | F | 2026-04-03 |
| 2026-02-13 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | F | 2026-04-13 |
| 2026-02-13 | Health | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | 2026-04-03 |
| 2026-02-13 | Health | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | 2026-04-03 |
| 2026-02-13 | 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 | 2026-04-03 |
| 2026-02-13 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | 2026-04-03 |
| 2026-02-13 | Health | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D | 2026-04-03 |
| 2026-02-13 | Health | F0946 | Provide training in compliance and ethics. | D | 2026-04-03 |
| 2026-02-13 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | 2026-04-03 |
| 2026-01-31 | Health · complaint | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2026-03-09 |
| 2026-01-31 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | D | 2026-03-09 |
| 2026-01-31 | 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. | L | 2026-03-09 |
| 2026-01-31 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-03-09 |
| 2026-01-31 | 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 | 2026-03-09 |
| 2026-01-31 | Health · complaint | F0814 | Dispose of garbage and refuse properly. | F | 2026-03-09 |
| 2026-01-31 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | 2026-03-09 |
| 2025-09-19 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | F | 2025-10-30 |
| 2025-09-19 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | E | 2025-10-30 |
| 2025-09-19 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-10-30 |
| 2025-09-19 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | 2025-10-30 |
| 2025-09-19 | 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. | D | 2025-10-30 |
| 2025-09-19 | 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. | F | 2025-10-30 |
| 2025-09-19 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2025-10-30 |
| 2025-09-19 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | 2025-10-30 |
| 2025-09-19 | Health | F0620 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | D | 2025-10-30 |
| 2025-09-19 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-10-30 |
| 2025-09-19 | 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 | 2025-10-30 |
| 2025-09-19 | 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 | 2025-10-30 |
| 2025-09-19 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-10-30 |
| 2025-09-19 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2025-10-30 |
| 2025-09-19 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2025-10-30 |
| 2025-09-19 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2025-10-30 |
| 2025-09-19 | 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 | 2025-10-30 |
| 2025-09-19 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-10-30 |
| 2025-09-19 | 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 | 2025-10-30 |
| 2025-09-19 | 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 | 2025-10-30 |
| 2025-09-19 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2025-10-30 |
| 2025-09-19 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2025-10-30 |
| 2025-09-19 | 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. | E | 2025-10-30 |
| 2025-09-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-10-30 |
| 2025-09-19 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2025-10-30 |
| 2025-09-19 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2025-10-30 |
| 2025-09-19 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2025-10-30 |
| 2025-09-19 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2025-10-30 |
| 2025-09-19 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2025-10-30 |
| 2025-09-19 | Health | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | 2025-10-30 |
| 2025-09-19 | Health | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | 2025-10-30 |
| 2025-09-19 | 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 | 2025-10-30 |
| 2025-09-19 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | 2025-10-30 |
| 2025-09-19 | Health | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D | 2025-10-30 |
| 2025-09-19 | Health | F0946 | Provide training in compliance and ethics. | D | 2025-10-30 |
| 2025-09-19 | 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. | D | 2025-10-30 |
| 2025-09-19 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | 2025-10-30 |
| 2025-08-12 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-09-03 |
| 2025-08-12 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2025-09-03 |
| 2025-08-12 | Health · complaint | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | F | 2025-09-03 |
| 2025-06-17 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-07-03 |
| 2025-05-15 | 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 | 2025-05-29 |
| 2025-05-15 | 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 | 2025-05-29 |
| 2025-05-15 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-05-29 |
| 2025-05-15 | Health · complaint | 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. | J | 2025-05-29 |
| 2025-05-15 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | G | 2025-05-29 |
| 2025-03-21 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2025-04-23 |
| 2025-03-21 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2025-04-23 |
| 2025-03-21 | 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 | 2025-04-23 |
| 2025-03-21 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-04-23 |
| 2025-03-21 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2025-04-23 |
| 2025-03-21 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2025-04-23 |
| 2025-03-21 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-04-23 |
| 2025-03-21 | 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 | 2025-04-23 |
| 2025-03-21 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2025-04-23 |
| 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. | E | 2025-04-23 |
| 2025-03-21 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2025-04-23 |
| 2025-03-21 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2025-04-23 |
| 2025-03-21 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2025-04-23 |
| 2025-03-21 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-04-23 |
| 2025-03-21 | 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 | 2025-04-23 |
| 2025-03-21 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2025-04-23 |
| 2025-03-21 | 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 | 2025-04-23 |
| 2025-03-21 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | 2025-04-23 |
| 2025-03-21 | 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. | E | 2025-04-23 |
| 2025-03-21 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2025-04-23 |
| 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. | F | 2025-04-23 |
| 2025-03-21 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2025-04-23 |
| 2025-03-21 | Health · complaint | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | 2025-04-23 |
| 2025-03-21 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2025-04-23 |
| 2025-02-26 | Health · complaint | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-04-02 |
| 2025-02-26 | Health · complaint | 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 | 2025-04-02 |
| 2025-02-26 | 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. | D | 2025-04-02 |
| 2025-02-26 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-04-02 |
| 2025-02-26 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-04-02 |
| 2025-01-28 | 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 | 2025-03-15 |
| 2025-01-28 | Health · complaint | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | 2025-03-15 |
| 2025-01-28 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2025-03-15 |
| 2025-01-28 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2025-03-15 |
| 2024-12-17 | 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. | F | 2025-01-09 |
| 2024-12-17 | Health · complaint | 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 | 2025-01-09 |
| 2024-12-17 | Health · complaint | F0908 | Keep all essential equipment working safely. | F | 2025-01-09 |
| 2024-11-19 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-12-13 |
| 2024-11-19 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2024-12-13 |
| 2024-11-06 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-12-13 |
| 2024-11-06 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-12-13 |
| 2024-09-23 | Health · complaint | 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 | 2024-10-18 |
| 2024-09-23 | 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. | D | 2024-10-18 |
| 2024-09-23 | Health · complaint | 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 | 2024-10-18 |
| 2024-09-23 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-10-18 |
| 2024-08-13 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-09-06 |
| 2024-08-13 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-09-06 |
| 2024-08-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-09-06 |
| 2024-06-07 | 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 | 2024-07-31 |
| 2024-06-07 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2024-07-31 |
| 2024-06-07 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-07-31 |
| 2023-10-16 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-11-28 |
| 2023-10-16 | 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 | 2023-11-28 |
| 2023-10-16 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-11-28 |
| 2023-10-16 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-11-28 |
| 2023-10-16 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-11-28 |
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
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
11| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| GEHRLEIN, CHRIS | ADP OF THE SNF | — | 2025-06-25 | current | pecos_ownership |
| HUNTER, SARAH | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 | current | pecos_ownership |
| HUNTER, SARAH | ADP OF THE SNF | — | 2025-06-25 | current | pecos_ownership |
| POLLAK HOLDINGS LLC | DIRECT OWNERSHIP INTEREST | — | 2021-05-28 | current | pecos_ownership |
| POLLAK, ELIE | CORPORATE DIRECTOR | — | 2021-05-28 | current | pecos_ownership |
| POLLAK, THEODORE | CORPORATE DIRECTOR | — | 2021-05-28 | current | pecos_ownership |
| ELIE POLLAK | INDIRECT OWNERSHIP INTEREST | 50% | 2021-05-28 | ended 2026-05-18 | pecos_ownership |
| THEODORE POLLAK | CORPORATE DIRECTOR | 50% | 2021-05-28 | ended 2026-05-18 | pecos_ownership |
| CHRIS GEHRLEIN | ADP OF THE SNF | — | 2025-06-25 | ended 2026-05-18 | pecos_ownership |
| SARAH HUNTER | ADP OF THE SNF | — | 2025-06-25 | ended 2026-05-18 | pecos_ownership |
| SARAH HUNTER | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 | 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 |
|---|---|---|---|---|
| 2021-05-28 | — | ROCHESTER MANOR OPCO LLC | KOPSACK ASSOCIATES, INC. | 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
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 42007 | acs median gross | 0 | $773 | 2024-12-31 | CENSUS_ACS5 |
| county 42007 | fmr | 0 | $1,001 | 2025-10-01 | HUD_USER_FMR |
| county 42007 | acs median gross | 1 | $698 | 2024-12-31 | CENSUS_ACS5 |
| county 42007 | fmr | 1 | $1,077 | 2025-10-01 | HUD_USER_FMR |
| county 42007 | acs median gross | 2 | $905 | 2024-12-31 | CENSUS_ACS5 |
| county 42007 | fmr | 2 | $1,299 | 2025-10-01 | HUD_USER_FMR |
| county 42007 | acs median gross | 3 | $1,111 | 2024-12-31 | CENSUS_ACS5 |
| county 42007 | fmr | 3 | $1,661 | 2025-10-01 | HUD_USER_FMR |
| county 42007 | acs median gross | 4 | $1,317 | 2024-12-31 | CENSUS_ACS5 |
| county 42007 | fmr | 4 | $1,789 | 2025-10-01 | HUD_USER_FMR |
| county 42007 | acs median gross | 5 | $1,122 | 2024-12-31 | CENSUS_ACS5 |
| county 42007 | acs median gross | $890 | 2024-12-31 | CENSUS_ACS5 | |
| county 42007 | acs recent mover gross | $1,039 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 15074 | acs median gross | 0 | $774 | 2024-12-31 | CENSUS_ACS5 |
| zcta 15074 | acs median gross | 1 | $752 | 2024-12-31 | CENSUS_ACS5 |
| zcta 15074 | acs median gross | 2 | $832 | 2024-12-31 | CENSUS_ACS5 |
| zcta 15074 | acs median gross | 3 | $899 | 2024-12-31 | CENSUS_ACS5 |
| zcta 15074 | acs median gross | 4 | $1,382 | 2024-12-31 | CENSUS_ACS5 |
| zcta 15074 | acs median gross | $797 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 15074 | acs recent mover gross | $824 | 2024-12-31 | CENSUS_ACS5 | |
| zip 15074 | payment standard 110 | 0 | $869 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15074 | payment standard 90 | 0 | $711 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15074 | safmr | 0 | $790 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15074 | payment standard 110 | 1 | $935 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15074 | payment standard 90 | 1 | $765 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15074 | safmr | 1 | $850 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15074 | payment standard 110 | 2 | $1,122 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15074 | payment standard 90 | 2 | $918 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15074 | safmr | 2 | $1,020 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15074 | payment standard 110 | 3 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15074 | payment standard 90 | 3 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15074 | safmr | 3 | $1,300 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15074 | payment standard 110 | 4 | $1,540 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15074 | payment standard 90 | 4 | $1,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15074 | safmr | 4 | $1,400 | 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.