156 SNYDER MEMORIAL RD, MARIENVILLE, PA 16239 · CCN 395728
Composite
44.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
100
Model
v1.2
Reads as: riskier than 44.0% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
9 chains
ROSCOE BRANDON
14 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
3.50
3.38
3.28
2.90–3.77
RN
0.36
0.45
0.39
0.25–0.58
Weekend total
3.13
3.27
3.11
—
Weekday total
3.65
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
93.8
3.50
0.36
1.02
2.13
3.13
25.7%
2025Q3
92
94.1
3.37
0.33
0.94
2.11
3.07
32.3%
2025Q2
91
95.4
3.80
0.45
0.83
2.52
3.68
15.8%
2025Q1
90
94.1
3.11
0.27
0.88
1.96
2.89
24.9%
2024Q4
92
90.6
3.13
0.28
0.89
1.96
2.95
22.7%
2024Q3
92
89.8
3.01
0.25
0.83
1.93
2.82
17.9%
2024Q2
91
90.7
3.34
0.27
0.94
2.13
3.04
25.8%
2024Q1
91
94.2
3.26
0.27
0.95
2.05
2.94
31.3%
2023Q4
92
94.7
2.88
0.22
0.93
1.73
2.65
36.3%
2023Q3
92
97.0
2.78
0.29
0.80
1.69
2.45
37.5%
2023Q2
91
93.8
3.04
0.25
0.81
1.98
2.71
35.6%
2023Q1
90
92.9
2.94
0.16
0.90
1.88
2.69
37.6%
2022Q4
92
91.0
2.93
0.20
0.91
1.82
2.63
47.9%
2022Q3
92
86.7
2.96
0.22
0.87
1.87
2.73
48.0%
2022Q2
91
87.7
2.75
0.24
0.90
1.61
2.61
28.2%
2022Q1
90
79.3
3.12
0.26
0.97
1.88
2.90
27.7%
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.
Ensure each resident receives an accurate assessment.
E
2025-06-07
2025-05-08
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2025-06-07
2025-05-08
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2025-06-07
2025-05-08
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
D
2025-06-07
2025-05-08
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-06-07
2024-10-02
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
2024-11-12
2024-06-18
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
D
2024-08-15
2024-06-18
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-08-15
2024-06-18
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-08-15
2024-06-18
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.
D
2024-08-15
2024-06-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-08-15
2024-03-06
Health · complaint
F0678
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
K
2024-03-26
2024-03-06
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-03-26
2024-03-06
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
E
2024-03-26
2023-11-22
Health · complaint
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
E
2024-01-10
2023-11-22
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-01-10
2023-09-22
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-10-11
2023-09-05
Health · complaint
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2023-10-11
2023-09-05
Health · complaint
F0732
Post nurse staffing information every day.
D
2023-10-11
2023-09-05
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2023-10-11
2023-07-25
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
2023-09-13
2023-07-25
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
2023-09-13
2023-07-25
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2023-09-13
2023-07-25
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
2023-09-13
2023-07-25
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F
2023-09-13
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
18
Owner
Role
Pct
From
Status
Source
D & M REALTY
Individual has financial interest in both related organization and provider
87%
2023-01-01
current
hcris_a_8_1
D & M REALTY
Individual has financial interest in both related organization and provider
87%
2024-01-01
current
hcris_a_8_1
BABIAK, JAIME
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-01
current
pecos_ownership
BEERBOWER, JOSHUA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-01
current
pecos_ownership
EBERLIN, RICHARD
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-01
current
pecos_ownership
LIN, JAMES
ADP OF THE SNF
—
2025-06-01
current
pecos_ownership
MILLCREEK MANOR
ADP OF THE SNF
—
2025-06-01
current
pecos_ownership
ROSCOE, BRANDON
ADP OF THE SNF
—
2025-06-01
current
pecos_ownership
SHUTTLEWORTH, JONATHAN
ADP OF THE SNF
—
2025-06-01
current
pecos_ownership
D & M REALTY
Individual has financial interest in both related organization and provider
87%
2022-01-01
ended 2022-12-31
hcris_a_8_1
D & M REALTY
Individual has financial interest in both related organization and provider
87%
2020-01-01
ended 2020-12-31
hcris_a_8_1
D & M REALTY
Individual has financial interest in both related organization and provider
87%
2021-01-01
ended 2021-12-31
hcris_a_8_1
BRANDON ROSCOE
ADP OF THE SNF
—
2025-06-01
ended 2026-05-18
pecos_ownership
JAIME BABIAK
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-01
ended 2026-05-18
pecos_ownership
JAMES LIN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-01
ended 2026-05-18
pecos_ownership
JONATHAN SHUTTLEWORTH
ADP OF THE SNF
—
2025-06-01
ended 2026-05-18
pecos_ownership
JOSHUA BEERBOWER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-01
ended 2026-05-18
pecos_ownership
RICHARD EBERLIN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,607,222
—
$829,300
$436,322
—
6
propco
2023-12-31
$1,585,790
—
$779,434
$410,242
—
6
propco
2022-12-31
$1,205,861
—
$568,606
$380,714
—
6
propco
2021-12-31
$1,064,145
—
$569,989
$245,089
—
6
propco
2020-12-31
$1,362,192
—
$748,586
$207,599
—
6
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
30
Geo
Kind
BR
Amount
As of
Source
county 42053
fmr
0
$708
2025-10-01
HUD_USER_FMR
county 42053
acs median gross
1
$425
2024-12-31
CENSUS_ACS5
county 42053
fmr
1
$888
2025-10-01
HUD_USER_FMR
county 42053
acs median gross
2
$803
2024-12-31
CENSUS_ACS5
county 42053
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 42053
acs median gross
3
$856
2024-12-31
CENSUS_ACS5
county 42053
fmr
3
$1,236
2025-10-01
HUD_USER_FMR
county 42053
acs median gross
4
$1,550
2024-12-31
CENSUS_ACS5
county 42053
fmr
4
$1,632
2025-10-01
HUD_USER_FMR
county 42053
acs median gross
5
$1,354
2024-12-31
CENSUS_ACS5
county 42053
acs median gross
$817
2024-12-31
CENSUS_ACS5
zcta 16239
acs median gross
1
$431
2024-12-31
CENSUS_ACS5
zcta 16239
acs median gross
2
$817
2024-12-31
CENSUS_ACS5
zcta 16239
acs median gross
3
$837
2024-12-31
CENSUS_ACS5
zcta 16239
acs median gross
$824
2024-12-31
CENSUS_ACS5
zip 16239
payment standard 110
0
$792
2025-10-01
HUD_USER_SAFMR
zip 16239
payment standard 90
0
$648
2025-10-01
HUD_USER_SAFMR
zip 16239
safmr
0
$720
2025-10-01
HUD_USER_SAFMR
zip 16239
payment standard 110
1
$990
2025-10-01
HUD_USER_SAFMR
zip 16239
payment standard 90
1
$810
2025-10-01
HUD_USER_SAFMR
zip 16239
safmr
1
$900
2025-10-01
HUD_USER_SAFMR
zip 16239
payment standard 110
2
$1,089
2025-10-01
HUD_USER_SAFMR
zip 16239
payment standard 90
2
$891
2025-10-01
HUD_USER_SAFMR
zip 16239
safmr
2
$990
2025-10-01
HUD_USER_SAFMR
zip 16239
payment standard 110
3
$1,386
2025-10-01
HUD_USER_SAFMR
zip 16239
payment standard 90
3
$1,134
2025-10-01
HUD_USER_SAFMR
zip 16239
safmr
3
$1,260
2025-10-01
HUD_USER_SAFMR
zip 16239
payment standard 110
4
$1,826
2025-10-01
HUD_USER_SAFMR
zip 16239
payment standard 90
4
$1,494
2025-10-01
HUD_USER_SAFMR
zip 16239
safmr
4
$1,660
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.