37 CENTRAL AVENUE, WELLSBORO, PA 16901 · CCN 395318 · chain UPMC
Composite
83.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 83.1% 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
4.23
3.38
3.28
2.90–3.77
RN
0.84
0.45
0.39
0.25–0.58
Weekend total
3.60
3.27
3.11
—
Weekday total
4.48
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
76.6
4.23
0.84
1.10
2.29
3.60
19.5%
2025Q3
92
78.5
3.76
0.51
1.12
2.14
3.42
18.7%
2025Q2
91
78.2
3.84
0.58
1.17
2.08
3.38
18.8%
2025Q1
90
78.9
4.00
0.58
1.11
2.31
3.52
20.1%
2024Q4
92
76.4
3.98
0.62
1.20
2.16
3.48
10.9%
2024Q3
92
75.7
3.77
0.50
1.17
2.10
3.40
14.3%
2024Q2
91
80.6
3.75
0.58
1.22
1.95
3.27
11.6%
2024Q1
91
75.3
4.33
0.61
1.32
2.40
3.79
16.6%
2023Q4
92
71.4
4.09
0.65
1.27
2.17
3.62
15.5%
2023Q3
92
71.9
3.90
0.53
1.23
2.15
3.56
21.4%
2023Q2
91
69.8
4.29
0.56
1.48
2.25
3.71
18.9%
2023Q1
90
72.5
4.08
0.52
1.29
2.27
3.66
17.7%
2022Q4
92
69.0
3.70
0.50
1.33
1.88
3.25
14.5%
2022Q3
92
67.8
3.97
0.59
1.30
2.08
3.53
14.3%
2022Q2
91
72.5
3.92
0.53
1.28
2.11
3.48
17.1%
2022Q1
90
71.0
4.31
0.76
1.31
2.24
3.78
10.7%
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
26
D × 15E × 10F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-12-13
Health
F0568
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
E
2025-01-28
2024-12-13
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2025-01-28
2024-12-13
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-01-28
2024-12-13
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2025-01-28
2024-12-13
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.
E
2025-01-28
2024-12-13
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-01-28
2024-12-13
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
2025-01-28
2024-12-13
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
2025-01-28
2024-12-13
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.
D
2025-01-28
2024-12-13
Health
F0791
Provide or obtain dental services for each resident.
D
2025-01-28
2024-12-13
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2025-01-28
2024-12-13
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2025-01-28
2024-12-13
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
2025-01-28
2024-01-12
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2024-02-20
2024-01-12
Health
F0610
Respond appropriately to all alleged violations.
D
2024-02-20
2024-01-12
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-02-20
2024-01-12
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2024-02-20
2024-01-12
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2024-02-20
2024-01-12
Health
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
2024-02-20
2024-01-12
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2024-02-20
2024-01-12
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-02-20
2024-01-12
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-02-21
2023-01-20
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2023-02-28
2023-01-20
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
2023-02-28
2023-01-20
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
E
2023-02-28
2023-01-20
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
2023-02-28
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
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
19
Owner
Role
Pct
From
Status
Source
UPMC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2016-10-01
current
pecos_ownership
UPMC SUSQUEHANNA
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2016-10-01
current
pecos_ownership
BURNS, AMANDA
ADP OF THE SNF
—
2025-08-08
current
pecos_ownership
EVENS, JAMIE
CORPORATE DIRECTOR
—
2024-08-01
current
pecos_ownership
JAUSSI, LARA
ADP OF THE SNF
—
2020-04-03
current
pecos_ownership
PARSELL, MARLENE
CORPORATE OFFICER
—
2025-01-01
current
pecos_ownership
POIRIER, GLENN
CORPORATE DIRECTOR
—
2024-08-01
current
pecos_ownership
REYNOLDS, RON
CORPORATE OFFICER
—
2021-12-20
current
pecos_ownership
WOOLCOCK, BOBBIE
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-12-02
current
pecos_ownership
WOOLCOCK, BOBBIE
CORPORATE OFFICER
—
2021-12-20
current
pecos_ownership
YOST, ROGER
CORPORATE OFFICER
—
2024-08-01
current
pecos_ownership
GLENN POIRIER
CORPORATE DIRECTOR
0%
2024-08-01
ended 2026-05-18
pecos_ownership
JAMIE EVENS
CORPORATE DIRECTOR
0%
2024-08-01
ended 2026-05-18
pecos_ownership
MARLENE PARSELL
CORPORATE OFFICER
0%
2025-01-01
ended 2026-05-18
pecos_ownership
ROGER YOST
CORPORATE OFFICER
0%
2024-08-01
ended 2026-05-18
pecos_ownership
AMANDA BURNS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-08
ended 2026-05-18
pecos_ownership
BOBBIE WOOLCOCK
CORPORATE OFFICER
—
2021-12-20
ended 2026-05-18
pecos_ownership
LARA JAUSSI
ADP OF THE SNF
—
2020-04-03
ended 2026-05-18
pecos_ownership
RON REYNOLDS
CORPORATE OFFICER
—
2021-12-20
ended 2026-05-18
pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2025-06-30
$1,530,475
—
—
—
—
4
—
2024-06-30
$1,639,211
—
—
—
—
5
—
2023-06-30
$1,663,992
—
—
—
—
5
—
2022-06-30
$1,869,931
—
—
—
—
5
—
2021-06-30
$1,318,290
—
—
—
—
4
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 42117
acs median gross
0
$430
2024-12-31
CENSUS_ACS5
county 42117
fmr
0
$725
2025-10-01
HUD_USER_FMR
county 42117
acs median gross
1
$612
2024-12-31
CENSUS_ACS5
county 42117
fmr
1
$826
2025-10-01
HUD_USER_FMR
county 42117
acs median gross
2
$872
2024-12-31
CENSUS_ACS5
county 42117
fmr
2
$1,051
2025-10-01
HUD_USER_FMR
county 42117
acs median gross
3
$1,033
2024-12-31
CENSUS_ACS5
county 42117
fmr
3
$1,362
2025-10-01
HUD_USER_FMR
county 42117
acs median gross
4
$1,093
2024-12-31
CENSUS_ACS5
county 42117
fmr
4
$1,405
2025-10-01
HUD_USER_FMR
county 42117
acs median gross
5
$733
2024-12-31
CENSUS_ACS5
county 42117
acs median gross
$863
2024-12-31
CENSUS_ACS5
county 42117
acs recent mover gross
$997
2024-12-31
CENSUS_ACS5
zcta 16901
acs median gross
0
$675
2024-12-31
CENSUS_ACS5
zcta 16901
acs median gross
1
$654
2024-12-31
CENSUS_ACS5
zcta 16901
acs median gross
2
$958
2024-12-31
CENSUS_ACS5
zcta 16901
acs median gross
3
$940
2024-12-31
CENSUS_ACS5
zcta 16901
acs median gross
4
$925
2024-12-31
CENSUS_ACS5
zcta 16901
acs median gross
$900
2024-12-31
CENSUS_ACS5
zcta 16901
acs recent mover gross
$1,123
2024-12-31
CENSUS_ACS5
zip 16901
payment standard 110
0
$814
2025-10-01
HUD_USER_SAFMR
zip 16901
payment standard 90
0
$666
2025-10-01
HUD_USER_SAFMR
zip 16901
safmr
0
$740
2025-10-01
HUD_USER_SAFMR
zip 16901
payment standard 110
1
$924
2025-10-01
HUD_USER_SAFMR
zip 16901
payment standard 90
1
$756
2025-10-01
HUD_USER_SAFMR
zip 16901
safmr
1
$840
2025-10-01
HUD_USER_SAFMR
zip 16901
payment standard 110
2
$1,177
2025-10-01
HUD_USER_SAFMR
zip 16901
payment standard 90
2
$963
2025-10-01
HUD_USER_SAFMR
zip 16901
safmr
2
$1,070
2025-10-01
HUD_USER_SAFMR
zip 16901
payment standard 110
3
$1,529
2025-10-01
HUD_USER_SAFMR
zip 16901
payment standard 90
3
$1,251
2025-10-01
HUD_USER_SAFMR
zip 16901
safmr
3
$1,390
2025-10-01
HUD_USER_SAFMR
zip 16901
payment standard 110
4
$1,573
2025-10-01
HUD_USER_SAFMR
zip 16901
payment standard 90
4
$1,287
2025-10-01
HUD_USER_SAFMR
zip 16901
safmr
4
$1,430
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.