CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-04 16:07 UTC
Screener / 395985
C

MIDTOWN OAKS HEALTH & REHAB CENTER

snfPA
1020 GREEN AVENUE, ALTOONA, PA 16601 · CCN 395985 · chain BNV DYNASTY LLC
Composite
81.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 81.7% 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.
Score model5ML signals4Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies108Licensure0Ownership28Related party6Transactions1Comps12Market rent35

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk96.895.40.300.230822.34in index
financial risk90.277.70.300.230820.82in index
staffing risk52.252.20.250.192310.04in index
chow risk48.246.30.150.11545.56in index
billing conduct11.310.00.300.23082.61in 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

4
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+39.0 vs natlBOBITSKI NICOLE7 facilities
connectionOwner fleet risk far above national+32.6 vs natlWESTERN PA MT LLC11 facilities
connectionOwner spans multiple chains10 chainsRKL LLP52 facilities
connectionOwner fleet enforcement cluster57% finedBOBITSKI NICOLE7 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

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct10.0Av0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-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 risk67.6Dv0.6default · in composite
financial risk77.7Dv0.5default · in compositeR18.
p adverse action 12m0.0—v0.1default · in compositeR23/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 12m0.1—v0.1default · in compositeR22/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 risk95.4Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk52.2Cv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk87.7Fv0.1supersededPre-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 risk67.7Dv0.2supersededPre-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 risk70.0Dv0.3supersededPre-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 risk76.8Dv0.4supersededPre-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 risk95.4Fv0.1supersededPre-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 risk95.4Fv0.2supersededPre-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.
staffing risk52.2Cv0.1supersededPre-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.
staffing risk52.2Cv0.2supersededPre-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.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
17.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)3.08-1.55
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
Chain size (log)4.80+0.62
Deficiencies, last 12 months25.00+0.44
No PBJ staffing report0.00+0.42
Occupancy0.76-0.18
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
DriverValuePull on odds
Deficiencies, last 12 months25.00-3.21
Chain size (log)4.80-1.59
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)3.08-0.25
Ownership changes, last 5 years1.00+0.23
Fine amount, 12m (log)0.00+0.18
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 HPRDThis facilityPA medianNational medianNational p25–p75
Total nurse3.253.383.282.90–3.77
RN0.550.450.390.25–0.58
Weekend total3.193.273.11—
Weekday total3.273.433.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49291.03.250.550.771.933.190.9%
2025Q39294.93.250.510.742.003.085.6%
2025Q29195.03.180.510.761.913.219.1%
2025Q19096.23.200.410.811.973.189.3%
2024Q49294.83.240.380.852.013.235.0%
2024Q39298.83.170.350.901.923.101.6%
2024Q29195.53.080.380.951.763.013.1%
2024Q19194.33.060.360.991.712.960.0%
2023Q49279.53.150.371.021.763.000.0%
2023Q39269.63.180.421.241.532.971.8%
2023Q29173.33.050.381.111.562.840.8%
2023Q19071.43.010.411.141.462.860.2%
2022Q49269.93.130.391.261.493.020.0%
2022Q39271.73.150.321.191.652.941.2%
2022Q29176.73.150.341.041.772.922.8%
2022Q19079.03.320.351.081.893.033.4%
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

2
DateTypeFineSource
2024-08-22Fine$76,811CMS provider data
2024-06-18Fine$22,231CMS provider data
Total fines on record: $99,042

Deficiencies

108
D × 67E × 32F × 6G × 2K × 1
deficiencies by survey year
633223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-02-27HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2026-03-31
2026-02-27HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2026-03-31
2026-02-27HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2026-03-31
2026-02-27HealthF0693Ensure 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.E2026-03-31
2026-02-27HealthF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D2026-03-31
2026-02-27HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2026-03-31
2026-02-27HealthF0760Ensure that residents are free from significant medication errors.D2026-03-31
2026-02-27HealthF0880Provide and implement an infection prevention and control program.E2026-03-31
2026-02-27HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.E2026-03-31
2026-02-12Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2026-03-31
2026-02-12Health · complaintF0692Provide enough food/fluids to maintain a resident's health.E2026-03-31
2025-12-30Health · complaintF0583Keep residents' personal and medical records private and confidential.D2026-01-15
2025-09-11HealthF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D2025-10-14
2025-09-11HealthF0641Ensure each resident receives an accurate assessment.E2025-10-14
2025-09-11HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-10-14
2025-09-11HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-10-14
2025-09-11HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2025-10-14
2025-09-11HealthF0761Ensure 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.D2025-10-14
2025-09-11Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-10-14
2025-09-11HealthF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.E2025-10-14
2025-08-06Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.E2025-08-26
2025-08-06Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2025-08-26
2025-08-06Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-08-26
2025-08-06Health · complaintF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.E2025-08-26
2025-08-06Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2025-08-26
2025-06-25Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-07-10
2025-06-16Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2025-07-01
2025-04-22Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-05-13
2025-04-22Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-05-13
2025-04-22Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-05-13
2025-03-04Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2025-03-25
2025-01-28Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-02-14
2025-01-28Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-02-14
2025-01-28Health · complaintF0760Ensure that residents are free from significant medication errors.D2025-02-14
2024-12-23Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-01-23
2024-12-23Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-01-23
2024-08-22Health · complaintF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.E2024-10-01
2024-08-22HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.D2024-10-01
2024-08-22Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2024-11-05
2024-08-22HealthF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.F2024-10-01
2024-08-22HealthF0583Keep residents' personal and medical records private and confidential.D2024-10-01
2024-08-22Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-10-01
2024-08-22HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-10-01
2024-08-22HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2024-10-01
2024-08-22HealthF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D2024-10-01
2024-08-22HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2024-11-05
2024-08-22Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-10-01
2024-08-22Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2024-11-05
2024-08-22Health · complaintF0685Assist a resident in gaining access to vision and hearing services.E2024-10-01
2024-08-22HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2024-10-01
2024-08-22Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-10-01
2024-08-22Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2024-11-05
2024-08-22Health · complaintF0692Provide enough food/fluids to maintain a resident's health.D2024-10-01
2024-08-22Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D2024-10-01
2024-08-22HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2024-11-05
2024-08-22Health · complaintF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E2024-10-01
2024-08-22HealthF0758Implement 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.E2024-11-05
2024-08-22HealthF0759Ensure medication error rates are not 5 percent or greater.D2024-10-01
2024-08-22Health · complaintF0761Ensure 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.D2024-11-05
2024-08-22Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F2024-10-01
2024-08-22Health · complaintF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.D2024-11-05
2024-08-22HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-10-01
2024-08-22HealthF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.D2024-10-01
2024-08-22HealthF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyD2024-10-01
2024-08-22HealthF0880Provide and implement an infection prevention and control program.E2024-10-01
2024-08-22HealthF0881Implement a program that monitors antibiotic use.D2024-10-01
2024-08-22Health · complaintF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2024-10-01
2024-08-22HealthF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F2024-10-01
2024-07-03Health · complaintF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.D2024-08-01
2024-07-03Health · complaintF0584Honor 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.D2024-08-01
2024-07-03Health · complaintF0585Honor 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.E2024-08-01
2024-07-03Health · complaintF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2024-08-01
2024-07-03Health · complaintF0625Notify 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.D2024-08-01
2024-07-03Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-08-01
2024-07-03Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2024-08-01
2024-07-03Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-08-01
2024-07-03Health · complaintF0692Provide enough food/fluids to maintain a resident's health.E2024-08-01
2024-07-03Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-08-01
2024-07-03Health · complaintF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.E2024-08-01
2024-07-03Health · complaintF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.E2024-08-01
2024-07-03Health · complaintF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.D2024-08-01
2024-07-03Health · complaintF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.D2024-08-01
2024-07-03Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2024-08-01
2024-07-03Health · complaintF0919Make sure that a working call system is available in each resident's bathroom and bathing area.K2024-08-01
2024-06-18Health · complaintF0610Respond appropriately to all alleged violations.D2024-08-01
2024-04-18Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2024-05-16
2024-04-18Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-05-16
2024-04-18Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-05-16
2024-04-18Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2024-05-16
2024-04-18Health · complaintF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.D2024-05-16
2024-04-18Health · complaintF0743Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.D2024-05-16
2024-03-20Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2024-04-11
2024-01-05Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-02-02
2024-01-05Health · complaintF0610Respond appropriately to all alleged violations.D2024-02-02
2024-01-05Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-02-02
2024-01-05Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-02-02
2024-01-05Health · complaintF0772Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.D2024-02-02
2023-11-15Health · complaintF0584Honor 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.E2023-12-13
2023-11-15Health · complaintF0675Honor each resident's preferences, choices, values and beliefs.D2023-12-13
2023-11-15Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2023-12-13
2023-11-15Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E2023-12-13
2023-11-15Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-12-13
2023-11-15Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2023-12-13
2023-11-15Health · complaintF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2023-12-13
2023-11-15Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2023-12-13
2023-09-08Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2023-10-06
2023-09-08Health · complaintF0585Honor 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.D2023-10-06
2023-09-08Health · complaintF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2023-10-06
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

28
OwnerRolePctFromStatusSource
BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020)ADP OF THE SNF—2023-07-01currentpecos_ownership
BNV DYNASTY LLCADP OF THE SNF—2023-07-01currentpecos_ownership
BOBITSKI, NICOLEADP OF THE SNF—2024-07-08currentpecos_ownership
CITRIN COOPERMAN ADVISORS LLCADP OF THE SNF—2023-07-01currentpecos_ownership
DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020ADP OF THE SNF—2023-07-01currentpecos_ownership
FOLCKEMER, JESSICAADP OF THE SNF—2025-04-29currentpecos_ownership
MIDTOWN OAKS RECorporation, partnership or other organization has financial interest in provider—2024-01-01currenthcris_a_8_1
MIDTOWN OAKS RECorporation, partnership or other organization has financial interest in provider—2023-07-01currenthcris_a_8_1
MIDTOWN OAKS RE GROUP, LLCADP OF THE SNF—2023-06-30currentpecos_ownership
NICOLUZAKIS, GREGORYCORPORATE OFFICER—2023-07-01currentpecos_ownership
RKL LLPADP OF THE SNF—2023-07-01currentpecos_ownership
SABER GOVERNANCE LLCADP OF THE SNF—2023-07-01currentpecos_ownership
SABER HEALTHCARE GROUP LLCADP OF THE SNF—2023-07-01currentpecos_ownership
SCHARF, BRETTADP OF THE SNF—2024-08-01currentpecos_ownership
SHG MANAGEMENT LLCADP OF THE SNF—2023-07-01currentpecos_ownership
VOLPE, BENJAMINCORPORATE OFFICER—2023-07-01currentpecos_ownership
WEISBERG, WILLIAMINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2025-10-03currentpecos_ownership
WEISBERG, WILLIAMCORPORATE DIRECTOR—2023-07-01currentpecos_ownership
WESTERN PA MT LLCADP OF THE SNF—2025-10-06currentpecos_ownership
SABER HEALTHCARE HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2023-07-01ended 2026-05-18pecos_ownership
SABER PA HOLDINGS, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-07-01ended 2026-05-18pecos_ownership
WIW DYNASTY LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST67%2023-07-01ended 2026-05-18pecos_ownership
BENJAMIN VOLPECORPORATE DIRECTOR50%2023-07-01ended 2026-05-18pecos_ownership
WILLIAM WEISBERGCORPORATE DIRECTOR50%2023-07-01ended 2026-05-18pecos_ownership
BRETT SCHARFADP OF THE SNF—2024-08-01ended 2026-05-18pecos_ownership
GREGORY NICOLUZAKISCORPORATE OFFICER—2023-07-01ended 2026-05-18pecos_ownership
JESSICA FOLCKEMERADP OF THE SNF—2025-04-29ended 2026-05-18pecos_ownership
NICOLE BOBITSKIADP OF THE SNF—2024-07-08ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2023-07-01—MIDTOWN OAKS HEALTH & REHAB CENTER, LLCALTOONA CENTER FOR NURSING CARE, LLCchow

Comparable trades — PA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-06-01MANOR AT ST LUKE VILLAGE,THE———1041711 EAST BROAD STREET OPCO LLC
2025-06-01PENNKNOLL VILLAGE———133208 PENNKNOLL ROAD OPCO LLC
2025-06-01MAPLEWOOD NURSING AND REHAB CENTER———180MA OPERATING, LLC
2025-06-01PAVILION AT ST LUKE VILLAGE, THE———1201000 STACIE DRIVE OPCO LLC
2025-06-01MANOR AT PENN VILLAGE, THE———15951 ROUTE 204 OPCO LLC
2025-05-01WYNCOTE CARE CENTER———58WYNCOTE CARE LLC
2025-05-01ONYX WELLNESS CENTER———119ONYX WELLNESS CENTER LLC
2025-04-24HAVENCREST REHABILITATION AND HEALTHCARE CENTER———48HAVENCREST REHABILITATION AND HEALTHCARE CENTER LLC
2025-04-24BEAVER VALLEY REHABILITATION AND HEALTHCARE CENTER———120BEAVER VALLEY REHABILITATION AND HEALTHCARE CENTER LLC
2025-04-01STROUDSBURG POST ACUTE NURSING & REHABILITATIONLLC———174STROUDSBURG POST ACUTE NURSING & REHABILITATION LLC
2025-02-01EDENBROOK OF YEADON———190YEADON SNF OPERATIONS, LLC
2025-02-01EDENBROOK OF GREENWOOD HILL———160POTTSVILLE 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
GeoKindBRAmountAs ofSource
county 42013acs median gross0$5982024-12-31CENSUS_ACS5
county 42013fmr0$8022025-10-01HUD_USER_FMR
county 42013acs median gross1$7012024-12-31CENSUS_ACS5
county 42013fmr1$9482025-10-01HUD_USER_FMR
county 42013acs median gross2$8962024-12-31CENSUS_ACS5
county 42013fmr2$1,1382025-10-01HUD_USER_FMR
county 42013acs median gross3$1,0412024-12-31CENSUS_ACS5
county 42013fmr3$1,4582025-10-01HUD_USER_FMR
county 42013acs median gross4$1,1782024-12-31CENSUS_ACS5
county 42013fmr4$1,7052025-10-01HUD_USER_FMR
county 42013acs median gross5$1,0952024-12-31CENSUS_ACS5
county 42013acs median gross$8852024-12-31CENSUS_ACS5
county 42013acs recent mover gross$1,0622024-12-31CENSUS_ACS5
zcta 16601acs median gross0$3612024-12-31CENSUS_ACS5
zcta 16601acs median gross1$5732024-12-31CENSUS_ACS5
zcta 16601acs median gross2$8542024-12-31CENSUS_ACS5
zcta 16601acs median gross3$1,0972024-12-31CENSUS_ACS5
zcta 16601acs median gross4$1,5052024-12-31CENSUS_ACS5
zcta 16601acs median gross$8032024-12-31CENSUS_ACS5
zcta 16601acs recent mover gross$8742024-12-31CENSUS_ACS5
zip 16601payment standard 1100$8582025-10-01HUD_USER_SAFMR
zip 16601payment standard 900$7022025-10-01HUD_USER_SAFMR
zip 16601safmr0$7802025-10-01HUD_USER_SAFMR
zip 16601payment standard 1101$1,0232025-10-01HUD_USER_SAFMR
zip 16601payment standard 901$8372025-10-01HUD_USER_SAFMR
zip 16601safmr1$9302025-10-01HUD_USER_SAFMR
zip 16601payment standard 1102$1,2212025-10-01HUD_USER_SAFMR
zip 16601payment standard 902$9992025-10-01HUD_USER_SAFMR
zip 16601safmr2$1,1102025-10-01HUD_USER_SAFMR
zip 16601payment standard 1103$1,5622025-10-01HUD_USER_SAFMR
zip 16601payment standard 903$1,2782025-10-01HUD_USER_SAFMR
zip 16601safmr3$1,4202025-10-01HUD_USER_SAFMR
zip 16601payment standard 1104$1,8262025-10-01HUD_USER_SAFMR
zip 16601payment standard 904$1,4942025-10-01HUD_USER_SAFMR
zip 16601safmr4$1,6602025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · MIDTOWN OAKS HEALTH & REHAB CENTER (395985) · generated 2026-08-04 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency