100 COVINGTON DRIVE, EAST PALESTINE, OH 44413 · CCN 366378
Composite
34.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
65
Model
v1.2
Reads as: riskier than 34.6% 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.
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
OH median
National median
National p25–p75
Total nurse
2.90
3.24
3.28
2.90–3.77
RN
0.44
0.38
0.39
0.25–0.58
Weekend total
2.85
3.11
3.11
—
Weekday total
2.92
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
54.2
2.90
0.44
0.61
1.85
2.85
11.9%
2025Q3
92
52.8
2.95
0.42
0.66
1.87
2.89
10.6%
2025Q2
91
53.7
3.13
0.45
0.67
2.01
3.00
9.9%
2025Q1
90
58.9
3.21
0.51
0.58
2.12
3.18
17.9%
2024Q4
92
58.3
3.10
0.41
0.59
2.10
2.94
12.8%
2024Q3
92
55.4
3.28
0.40
0.74
2.13
3.07
14.0%
2024Q2
91
56.8
3.03
0.41
0.75
1.87
2.60
9.3%
2024Q1
91
53.6
3.08
0.42
0.82
1.85
2.72
1.4%
2023Q4
92
58.6
2.65
0.32
0.58
1.76
2.57
0.0%
2023Q3
92
57.0
2.85
0.40
0.61
1.85
2.52
0.0%
2023Q2
91
55.2
2.73
0.39
0.54
1.80
2.32
0.0%
2023Q1
90
58.9
2.45
0.32
0.54
1.58
2.21
0.0%
2022Q4
92
54.1
2.69
0.44
0.68
1.58
2.52
0.0%
2022Q3
92
48.3
2.71
0.35
0.66
1.71
2.45
0.0%
2022Q2
91
47.0
2.91
0.35
0.75
1.81
2.60
0.0%
2022Q1
90
44.5
2.83
0.29
0.80
1.74
2.53
0.0%
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
22
C × 2D × 13E × 5F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-05-01
Health
F0559
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
D
2025-05-21
2025-05-01
Health
F0680
Ensure the activities program is directed by a qualified professional.
C
2025-05-21
2025-05-01
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-05-21
2025-05-01
Health
F0838
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
C
2025-05-21
2022-08-08
Health
F0569
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
D
2022-09-01
2022-08-08
Health
F0610
Respond appropriately to all alleged violations.
E
2022-09-01
2022-08-08
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
2022-09-01
2022-08-08
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2022-09-01
2022-08-08
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2022-09-01
2022-08-08
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
2022-09-01
2022-08-08
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2022-09-01
2019-08-29
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2019-11-06
2019-08-29
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
E
2019-11-06
2019-08-29
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F
2019-11-06
2019-08-29
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2019-11-06
2019-08-29
Health
F0638
Assure that each resident’s assessment is updated at least once every 3 months.
D
2019-11-06
2019-08-29
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2019-11-06
2019-08-29
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
2019-11-06
2019-08-29
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2019-11-06
2019-08-29
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.
D
2019-11-06
2019-08-29
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2019-11-06
2019-08-29
Health
F0880
Provide and implement an infection prevention and control program.
F
2019-11-06
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
21
Owner
Role
Pct
From
Status
Source
JILLTIN EPSNF
Corporation, partnership or other organization has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
JILLTIN EPSNF
Corporation, partnership or other organization has financial interest in provider
100%
2023-01-01
current
hcris_a_8_1
MICHAEL P. SLYK REVOCABLE TRUST
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-12-31
current
pecos_ownership
SLYK, MICHAEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2009-10-01
current
pecos_ownership
CHESNEY, TIMOTHY
MANAGING CONTROL - GOVERNING BODY
—
2009-10-01
current
pecos_ownership
CRAWFORD, DINA
ADP OF THE SNF
—
2024-03-13
current
pecos_ownership
D'AMICO, DANIEL
CORPORATE OFFICER
—
2022-04-01
current
pecos_ownership
D'AMICO, DANIEL
OPERATIONAL/MANAGERIAL CONTROL
—
2018-05-18
current
pecos_ownership
LOCKSO, TIMOTHY
ADP OF THE SNF
—
2024-09-07
current
pecos_ownership
MSTC DEVELOPMENT INC
OPERATIONAL/MANAGERIAL CONTROL
—
2009-10-01
current
pecos_ownership
RYDER, GWYNN
CORPORATE OFFICER
—
2018-06-01
current
pecos_ownership
JILLTIN EPSNF
Corporation, partnership or other organization has financial interest in provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
JILLTIN EPSNF
Corporation, partnership or other organization has financial interest in provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
JILLTIN EPSNF
Corporation, partnership or other organization has financial interest in provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
MICHAEL SLYK
CORPORATE OFFICER
100%
2009-10-01
ended 2026-05-18
pecos_ownership
DANIEL D'AMICO
CORPORATE OFFICER
0%
2022-04-01
ended 2026-05-18
pecos_ownership
DANIEL D'AMICO
OPERATIONAL/MANAGERIAL CONTROL
—
2018-05-18
ended 2026-05-18
pecos_ownership
DINA CRAWFORD
ADP OF THE SNF
—
2024-03-13
ended 2026-05-18
pecos_ownership
GWYNN RYDER
ADP OF THE SNF
—
2018-06-01
ended 2026-05-18
pecos_ownership
TIMOTHY CHESNEY
MANAGING CONTROL - GOVERNING BODY
—
2009-10-01
ended 2026-05-18
pecos_ownership
TIMOTHY LOCKSO
ADP OF THE SNF
—
2024-09-07
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
2024-12-31
$886,497
—
—
$20,574
—
4
propco
2023-12-31
$731,903
—
—
—
—
2
propco
2022-12-31
$687,467
—
—
—
—
2
propco
2021-12-31
$684,257
—
—
—
—
2
propco
2020-12-31
$685,800
—
—
—
—
2
propco
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
32
Geo
Kind
BR
Amount
As of
Source
county 39029
acs median gross
0
$614
2024-12-31
CENSUS_ACS5
county 39029
fmr
0
$693
2025-10-01
HUD_USER_FMR
county 39029
acs median gross
1
$614
2024-12-31
CENSUS_ACS5
county 39029
fmr
1
$779
2025-10-01
HUD_USER_FMR
county 39029
acs median gross
2
$791
2024-12-31
CENSUS_ACS5
county 39029
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 39029
acs median gross
3
$1,023
2024-12-31
CENSUS_ACS5
county 39029
fmr
3
$1,218
2025-10-01
HUD_USER_FMR
county 39029
acs median gross
4
$954
2024-12-31
CENSUS_ACS5
county 39029
fmr
4
$1,288
2025-10-01
HUD_USER_FMR
county 39029
acs median gross
5
$583
2024-12-31
CENSUS_ACS5
county 39029
acs median gross
$756
2024-12-31
CENSUS_ACS5
county 39029
acs recent mover gross
$953
2024-12-31
CENSUS_ACS5
zcta 44413
acs median gross
2
$830
2024-12-31
CENSUS_ACS5
zcta 44413
acs median gross
3
$874
2024-12-31
CENSUS_ACS5
zcta 44413
acs median gross
4
$884
2024-12-31
CENSUS_ACS5
zcta 44413
acs median gross
$834
2024-12-31
CENSUS_ACS5
zip 44413
payment standard 110
0
$803
2025-10-01
HUD_USER_SAFMR
zip 44413
payment standard 90
0
$657
2025-10-01
HUD_USER_SAFMR
zip 44413
safmr
0
$730
2025-10-01
HUD_USER_SAFMR
zip 44413
payment standard 110
1
$902
2025-10-01
HUD_USER_SAFMR
zip 44413
payment standard 90
1
$738
2025-10-01
HUD_USER_SAFMR
zip 44413
safmr
1
$820
2025-10-01
HUD_USER_SAFMR
zip 44413
payment standard 110
2
$1,133
2025-10-01
HUD_USER_SAFMR
zip 44413
payment standard 90
2
$927
2025-10-01
HUD_USER_SAFMR
zip 44413
safmr
2
$1,030
2025-10-01
HUD_USER_SAFMR
zip 44413
payment standard 110
3
$1,419
2025-10-01
HUD_USER_SAFMR
zip 44413
payment standard 90
3
$1,161
2025-10-01
HUD_USER_SAFMR
zip 44413
safmr
3
$1,290
2025-10-01
HUD_USER_SAFMR
zip 44413
payment standard 110
4
$1,496
2025-10-01
HUD_USER_SAFMR
zip 44413
payment standard 90
4
$1,224
2025-10-01
HUD_USER_SAFMR
zip 44413
safmr
4
$1,360
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.