60 HIGHLAND ROAD, BETHEL PARK, PA 15102 · CCN 395731 · chain PACS HOLDINGS LLC
Composite
71.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
160
Model
v1.2
Reads as: riskier than 71.7% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
6
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
11 chains
CARETRUST GP LLC
89 facilities
connection
Owner spans multiple chains
7 chains
JERGENSEN JOSHUA
249 facilities
connection
Owner spans multiple chains
7 chains
MITCHELL JOHN
264 facilities
connection
Owner spans multiple chains
6 chains
MURRAY JASON
40 facilities
connection
Owner spans multiple chains
6 chains
APT FREDERICK
254 facilities
connection
Owner spans multiple chains
5 chains
HANCOCK MARK
158 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16
2025Q4 HPRD
This facility
PA median
National median
National p25–p75
Total nurse
2.99
3.38
3.28
2.90–3.77
RN
0.72
0.45
0.39
0.25–0.58
Weekend total
2.78
3.27
3.11
—
Weekday total
3.08
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
130.4
2.99
0.72
0.61
1.66
2.78
24.8%
2025Q3
92
132.0
2.98
0.77
0.55
1.65
2.82
24.6%
2025Q2
91
130.4
3.34
0.81
0.74
1.78
3.27
33.5%
2025Q1
90
139.1
3.13
0.99
0.61
1.53
3.02
14.7%
2024Q4
92
134.1
3.16
1.04
0.64
1.47
2.94
9.3%
2024Q3
92
144.4
2.80
0.90
0.57
1.33
2.71
13.2%
2024Q2
91
141.6
2.63
0.83
0.61
1.18
2.66
11.8%
2024Q1
91
145.1
2.63
0.71
0.64
1.28
2.67
10.8%
2023Q4
92
142.0
2.82
0.20
1.13
1.49
2.78
17.0%
2023Q3
92
143.5
2.92
0.35
0.98
1.58
2.84
19.1%
2023Q2
91
141.7
3.04
0.88
0.69
1.47
2.84
10.5%
2023Q1
90
142.1
3.15
0.75
0.72
1.68
2.97
26.3%
2022Q4
92
141.9
2.87
0.50
0.73
1.64
2.85
24.4%
2022Q3
92
131.6
2.97
0.60
0.69
1.68
2.98
28.6%
2022Q2
91
123.2
2.78
0.55
0.68
1.55
2.80
22.0%
2022Q1
90
133.9
2.89
0.64
0.63
1.61
2.79
40.3%
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
20
C × 3D × 5E × 11F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-05-23
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.
C
2025-06-18
2025-05-23
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
C
2025-06-18
2025-05-23
Health
F0579
Provide information about how to apply for and use Medicare and Medicaid benefits.
C
2025-06-18
2025-05-23
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.
E
2025-06-18
2025-05-23
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
E
2025-06-18
2025-05-23
Health
F0692
Provide enough food/fluids to maintain a resident's health.
E
2025-06-18
2025-05-23
Health
F0760
Ensure that residents are free from significant medication errors.
D
2025-06-18
2025-05-23
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-06-18
2025-04-03
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2025-04-24
2025-04-03
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
2025-04-24
2024-05-15
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-06-14
2024-04-26
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
E
2024-05-31
2024-04-26
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2024-05-31
2024-04-26
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
2024-05-31
2024-04-26
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2024-05-31
2024-03-21
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-04-26
2024-02-06
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2024-03-01
2023-06-02
Health
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
E
2023-07-05
2023-06-02
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2023-07-05
2023-06-02
Health
F0760
Ensure that residents are free from significant medication errors.
E
2023-07-05
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
PROVIDENCE GROUP NH, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2024-11-01
current
pecos_ownership
60 HIGHLAND ROAD PA OWNER LLC
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
APT, FREDERICK
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
CARETRUST GP LLC
ADP OF THE SNF
—
2025-04-29
current
pecos_ownership
DITULLIO, NICHOLAS
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
GRIMM, MARCIE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
HANCOCK, MARK
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
JERGENSEN, JOSHUA
MANAGING CONTROL - GOVERNING BODY
—
2024-11-01
current
pecos_ownership
MITCHELL, JOHN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
MURRAY, JASON
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
PA HOLDCO 1 BETHEL PARK LLC
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
PA HOLDCO 2 BETHEL PARK LLC
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
PACS GROUP, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
PACS HOLDINGS, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
JASON MURRAY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
35%
2024-11-01
ended 2026-05-18
pecos_ownership
MARK HANCOCK
5% OR GREATER INDIRECT OWNERSHIP INTEREST
35%
2024-11-01
ended 2026-05-18
pecos_ownership
FREDERICK APT
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
JOHN MITCHELL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
JOSHUA JERGENSEN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
MARCIE GRIMM
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
NICHOLAS DITULLIO
ADP OF THE SNF
—
2024-11-01
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
2024-10-31
$1,808,388
$650,221
$297,820
$487,169
$348,806
10
—
2024-06-30
$4,763,604
$1,614,333
$893,459
$1,279,916
$926,819
4
—
2023-06-30
$957,646
—
$241,602
—
$695,899
5
—
2023-01-31
$371,289
—
$371,289
—
—
2
—
2022-05-31
$477,163
—
$477,163
—
—
2
—
2021-05-31
$483,387
—
$483,387
—
—
2
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 42003
acs median gross
0
$1,022
2024-12-31
CENSUS_ACS5
county 42003
fmr
0
$1,001
2025-10-01
HUD_USER_FMR
county 42003
acs median gross
1
$965
2024-12-31
CENSUS_ACS5
county 42003
fmr
1
$1,077
2025-10-01
HUD_USER_FMR
county 42003
acs median gross
2
$1,201
2024-12-31
CENSUS_ACS5
county 42003
fmr
2
$1,299
2025-10-01
HUD_USER_FMR
county 42003
acs median gross
3
$1,426
2024-12-31
CENSUS_ACS5
county 42003
fmr
3
$1,661
2025-10-01
HUD_USER_FMR
county 42003
acs median gross
4
$1,624
2024-12-31
CENSUS_ACS5
county 42003
fmr
4
$1,789
2025-10-01
HUD_USER_FMR
county 42003
acs median gross
5
$1,697
2024-12-31
CENSUS_ACS5
county 42003
acs median gross
$1,153
2024-12-31
CENSUS_ACS5
county 42003
acs recent mover gross
$1,351
2024-12-31
CENSUS_ACS5
zcta 15102
acs median gross
0
$1,395
2024-12-31
CENSUS_ACS5
zcta 15102
acs median gross
1
$1,128
2024-12-31
CENSUS_ACS5
zcta 15102
acs median gross
2
$1,237
2024-12-31
CENSUS_ACS5
zcta 15102
acs median gross
3
$1,495
2024-12-31
CENSUS_ACS5
zcta 15102
acs median gross
4
$2,077
2024-12-31
CENSUS_ACS5
zcta 15102
acs median gross
$1,259
2024-12-31
CENSUS_ACS5
zcta 15102
acs recent mover gross
$1,771
2024-12-31
CENSUS_ACS5
zip 15102
payment standard 110
0
$1,232
2025-10-01
HUD_USER_SAFMR
zip 15102
payment standard 90
0
$1,008
2025-10-01
HUD_USER_SAFMR
zip 15102
safmr
0
$1,120
2025-10-01
HUD_USER_SAFMR
zip 15102
payment standard 110
1
$1,320
2025-10-01
HUD_USER_SAFMR
zip 15102
payment standard 90
1
$1,080
2025-10-01
HUD_USER_SAFMR
zip 15102
safmr
1
$1,200
2025-10-01
HUD_USER_SAFMR
zip 15102
payment standard 110
2
$1,595
2025-10-01
HUD_USER_SAFMR
zip 15102
payment standard 90
2
$1,305
2025-10-01
HUD_USER_SAFMR
zip 15102
safmr
2
$1,450
2025-10-01
HUD_USER_SAFMR
zip 15102
payment standard 110
3
$2,035
2025-10-01
HUD_USER_SAFMR
zip 15102
payment standard 90
3
$1,665
2025-10-01
HUD_USER_SAFMR
zip 15102
safmr
3
$1,850
2025-10-01
HUD_USER_SAFMR
zip 15102
payment standard 110
4
$2,200
2025-10-01
HUD_USER_SAFMR
zip 15102
payment standard 90
4
$1,800
2025-10-01
HUD_USER_SAFMR
zip 15102
safmr
4
$2,000
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.