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 2026-08-05 03:29 UTC
Screener / 395485
D

GRADUATE POST ACUTE

snfPA
1526 LOMBARD STREET, PHILADELPHIA, PA 19146 · CCN 395485 · chain NFR 2020 IRRV TR
Composite
92.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
150
Model
v1.2
Reads as: riskier than 92.9% 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.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
financial risk93.782.40.300.230821.62in index
regulatory risk88.986.30.300.230820.52in index
billing conduct52.440.40.300.230812.09in index
staffing risk41.741.80.250.19238.02in index
chow risk59.758.20.150.11546.89in 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.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct40.4Bv0.1-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 risk91.4Fv0.6default · in composite
financial risk82.4Fv0.5default · in compositeR18.
p adverse action 12m0.0v0.1default · 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 12m0.0v0.1default · 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 risk86.3Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk41.8Bv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk80.0Fv0.1supersededPre-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 risk60.0Cv0.2supersededPre-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 risk76.1Dv0.3supersededPre-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 risk80.8Fv0.4supersededPre-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 risk86.3Fv0.1supersededPre-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 risk86.3Fv0.2supersededPre-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 risk41.8Bv0.1supersededPre-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 risk41.8Bv0.2supersededPre-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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
7.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Current owner tenure (years)1.57-1.69
Never sold on record0.00-1.62
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
Occupancy0.90-0.59
Chain size (log)4.38+0.53
No PBJ staffing report0.00+0.42
Deficiencies, last 12 months17.00+0.24
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 months17.00-1.72
Chain size (log)4.38-1.35
For-profit ownership1.00-0.69
Occupancy0.90-0.64
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)1.57-0.28
Ownership changes, last 5 years1.00+0.23
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 nurse3.423.383.282.90–3.77
RN0.410.450.390.25–0.58
Weekend total3.243.273.11
Weekday total3.503.433.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492135.13.420.410.772.243.244.6%
2025Q392122.63.320.480.672.173.241.2%
2025Q291119.13.540.570.792.173.482.3%
2025Q190116.63.430.640.742.063.292.8%
2024Q492103.53.710.790.912.023.772.9%
2024Q392107.13.550.571.081.903.558.5%
2024Q291119.53.470.601.111.763.4019.2%
2024Q191111.93.770.671.311.793.6227.2%
2023Q49296.94.070.631.432.013.9823.9%
2023Q392100.53.880.681.381.833.7525.8%
2023Q291108.93.800.761.251.783.6538.6%
2023Q190108.63.780.831.031.923.6643.3%
2022Q492125.63.530.561.051.923.4657.5%
2022Q392117.33.440.491.071.883.3747.2%
2022Q291114.03.470.521.091.863.4043.7%
2022Q190124.53.730.591.122.023.4850.1%
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
fines by year
$9.1k$4.6k2425
DateTypeFineSource
2025-02-26Fine$9,113CMS provider data
2024-11-22Fine$8,827CMS provider data
Total fines on record: $17,940

Deficiencies

85
B × 1D × 65E × 15F × 2J × 2
deficiencies by survey year
432223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-13Health · 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.D2026-05-19
2026-04-13Health · complaintF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2026-05-19
2026-04-13Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2026-05-19
2026-03-25Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-04-27
2025-12-03HealthF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D2025-12-12
2025-12-03HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2025-12-12
2025-12-03Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-12-12
2025-12-03Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-12-12
2025-12-03HealthF0692Provide enough food/fluids to maintain a resident's health.D2025-12-12
2025-12-03HealthF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D2025-12-12
2025-12-03HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-12-12
2025-12-03Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.D2025-12-12
2025-12-03HealthF0699Provide care or services that was trauma informed and/or culturally competent.D2025-12-12
2025-12-03Health · complaintF0730Observe each nurse aide's job performance and give regular training.E2025-12-12
2025-12-03HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2025-12-12
2025-12-03HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-12-12
2025-12-03HealthF0814Dispose of garbage and refuse properly.D2025-12-12
2025-04-25Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2025-04-16
2025-04-25Health · complaintF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.D2025-05-20
2025-04-07Health · complaintF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D2025-04-29
2025-04-01Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-04-29
2025-04-01Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-04-29
2025-03-24Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-04-29
2025-02-26Health · complaintF0572Give residents a notice of rights, rules, services and charges.D2025-03-13
2025-02-26Health · complaintF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D2025-03-13
2025-01-31Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2025-01-25
2025-01-31Health · complaintF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.D2025-02-13
2025-01-23Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-02-14
2024-11-22HealthF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2025-01-20
2024-11-22HealthF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-01-20
2024-11-22HealthF0610Respond appropriately to all alleged violations.D2025-01-20
2024-11-22HealthF0637Assess the resident when there is a significant change in conditionD2025-01-20
2024-11-22HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2025-01-20
2024-11-22HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-01-20
2024-11-22HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-01-20
2024-11-22HealthF0680Ensure the activities program is directed by a qualified professional.E2025-01-20
2024-11-22HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-01-20
2024-11-22HealthF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E2025-01-20
2024-11-22HealthF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F2025-01-20
2024-11-22HealthF0880Provide and implement an infection prevention and control program.D2025-01-20
2024-11-22HealthF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E2025-01-20
2024-09-18Health · complaintF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2024-10-15
2024-09-18Health · complaintF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.B2024-10-15
2024-09-18Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-10-15
2024-09-18Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2024-10-15
2024-09-18Health · complaintF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E2024-10-15
2024-08-23Health · 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.E2024-10-09
2024-08-23Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E2024-10-09
2024-08-23Health · complaintF0610Respond appropriately to all alleged violations.E2024-10-09
2024-08-23Health · complaintF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2024-10-09
2024-07-08Health · complaintF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E2024-07-21
2024-06-20Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-07-08
2024-05-29Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D2024-06-21
2024-02-28Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-04-22
2024-02-28Health · 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.D2024-04-22
2024-02-28HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2024-04-22
2024-02-28Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-04-22
2024-02-28Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-04-22
2024-02-28HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2024-04-22
2024-02-28Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-04-22
2024-02-28Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2024-04-22
2024-02-28Health · complaintF0730Observe each nurse aide's job performance and give regular training.D2024-04-22
2024-02-28Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2024-04-22
2024-02-28HealthF0761Ensure 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.D2024-04-22
2024-02-28Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D2024-04-22
2024-02-28Health · complaintF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.E2024-04-22
2024-02-28Health · complaintF0880Provide and implement an infection prevention and control program.F2024-04-22
2024-02-28Health · complaintF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D2024-04-22
2024-02-28Health · complaintF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D2024-04-22
2024-01-30Health · complaintF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.D2024-02-18
2024-01-23Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-02-20
2023-12-19Health · complaintF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D2024-02-08
2023-12-19Health · complaintF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2024-02-08
2023-12-19Health · complaintF0770Provide timely, quality laboratory services/tests to meet the needs of residents.D2024-02-08
2023-11-28Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-12-31
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.D2023-10-09
2023-09-08Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-10-09
2023-09-08Health · complaintF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.D2023-10-09
2023-09-08Health · complaintF0908Keep all essential equipment working safely.D2023-10-09
2023-08-28Health · complaintF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.D2023-09-27
2023-07-24Health · complaintF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.D2023-09-14
2023-07-24Health · complaintF0583Keep residents' personal and medical records private and confidential.E2023-09-14
2023-07-24Health · complaintF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.E2023-09-14
2023-07-24Health · complaintF0660Plan the resident's discharge to meet the resident's goals and needs.E2023-09-14
2023-06-21Health · complaintF0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.D2023-07-05
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

38
OwnerRolePctFromStatusSource
GRADUATE HOLDCO LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2025-01-01currentpecos_ownership
FELDMAN, ZACHARIAADP OF THE SNF2025-01-01currentpecos_ownership
FLAGLER, OSHERINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF2025-03-26currentpecos_ownership
HARMAN, DINAADP OF THE SNF2025-01-16currentpecos_ownership
HARMAN, DINAMANAGING CONTROL - GOVERNING BODY2025-01-01currentpecos_ownership
KIRCHDOERFFER, SUSANOPERATIONAL/MANAGERIAL CONTROL2025-01-01currentpecos_ownership
LEVOVITZ, TZVIINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF2025-03-26currentpecos_ownership
MANUFACTURERS & TRADERS TRUST COMPANY5% OR GREATER MORTGAGE INTEREST2025-01-01currentpecos_ownership
MARQUIS LIMITED LLCADP OF THE SNF2025-03-28currentpecos_ownership
MARQUIS LIMITED LLCOPERATIONAL/MANAGERIAL CONTROL2025-01-01currentpecos_ownership
PAPADA, JONATHANMANAGING CONTROL - GOVERNING BODY2025-01-01currentpecos_ownership
PAPADA, JONATHANADP OF THE SNF2025-01-21currentpecos_ownership
POSEN, MINDEECORPORATE OFFICER2025-01-01currentpecos_ownership
RELIANT PRO REHAB LLCOPERATIONAL/MANAGERIAL CONTROL2025-01-21currentpecos_ownership
ROKEACH, FRAIDEINDIRECT OWNERSHIP INTEREST2025-01-01currentpecos_ownership
ROKOWSKY, YITZCHOKINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF2025-03-26currentpecos_ownership
VIROJA, YOGESHMANAGING CONTROL - GOVERNING BODY2025-01-01currentpecos_ownership
VIROJA, YOGESHADP OF THE SNF2025-01-22currentpecos_ownership
QUINTO NEXGEN LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST79%2025-01-01ended 2026-05-18pecos_ownership
TRYKO NEXGEN HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST57%2025-01-01ended 2026-05-18pecos_ownership
YR NEXGEN TR5% OR GREATER INDIRECT OWNERSHIP INTEREST28%2025-01-01ended 2026-05-18pecos_ownership
NFR 2020 IRRV TR5% OR GREATER INDIRECT OWNERSHIP INTEREST22%2025-01-01ended 2026-05-18pecos_ownership
RSBRMK HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST22%2025-01-01ended 2026-05-18pecos_ownership
UAK 2020 IRRV TR5% OR GREATER INDIRECT OWNERSHIP INTEREST20%2025-01-01ended 2026-05-18pecos_ownership
UKR NEXGEN LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST20%2025-01-01ended 2026-05-18pecos_ownership
SK NEXGEN TR5% OR GREATER INDIRECT OWNERSHIP INTEREST14%2025-01-01ended 2026-05-18pecos_ownership
YK NEXGEN TR5% OR GREATER INDIRECT OWNERSHIP INTEREST14%2025-01-01ended 2026-05-18pecos_ownership
FRAIDE ROKEACHINDIRECT OWNERSHIP INTEREST0%2025-01-01ended 2026-05-18pecos_ownership
AVIVA KAHANOW5% OR GREATER INDIRECT OWNERSHIP INTEREST0%2025-01-01ended 2026-05-18pecos_ownership
DINA HARMANMANAGING CONTROL - GOVERNING BODY2025-01-01ended 2026-05-18pecos_ownership
DINA HARMANADP OF THE SNF2025-01-16ended 2026-05-18pecos_ownership
JONATHAN PAPADAMANAGING CONTROL - GOVERNING BODY2025-01-01ended 2026-05-18pecos_ownership
JONATHAN PAPADAADP OF THE SNF2025-01-21ended 2026-05-18pecos_ownership
MINDEE POSENADP OF THE SNF2025-01-01ended 2026-05-18pecos_ownership
SUSAN KIRCHDOERFFERADP OF THE SNF2025-01-01ended 2026-05-18pecos_ownership
YOGESH VIROJAADP OF THE SNF2025-01-22ended 2026-05-18pecos_ownership
YOGESH VIROJAMANAGING CONTROL - GOVERNING BODY2025-01-01ended 2026-05-18pecos_ownership
ZACHARIA FELDMANADP OF THE SNF2025-01-01ended 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
2025-01-01GRADUATE OPERATOR LLC1526 LOMBARD STREET SNF OPERATIONS II LLCchow

Comparable trades — PA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-06-01MANOR AT ST LUKE VILLAGE,THE1041711 EAST BROAD STREET OPCO LLC
2025-06-01PENNKNOLL VILLAGE133208 PENNKNOLL ROAD OPCO LLC
2025-06-01MAPLEWOOD NURSING AND REHAB CENTER180MA OPERATING, LLC
2025-06-01PAVILION AT ST LUKE VILLAGE, THE1201000 STACIE DRIVE OPCO LLC
2025-06-01MANOR AT PENN VILLAGE, THE15951 ROUTE 204 OPCO LLC
2025-05-01WYNCOTE CARE CENTER58WYNCOTE CARE LLC
2025-05-01ONYX WELLNESS CENTER119ONYX WELLNESS CENTER LLC
2025-04-24HAVENCREST REHABILITATION AND HEALTHCARE CENTER48HAVENCREST REHABILITATION AND HEALTHCARE CENTER LLC
2025-04-24BEAVER VALLEY REHABILITATION AND HEALTHCARE CENTER120BEAVER VALLEY REHABILITATION AND HEALTHCARE CENTER LLC
2025-04-01STROUDSBURG POST ACUTE NURSING & REHABILITATIONLLC174STROUDSBURG POST ACUTE NURSING & REHABILITATION LLC
2025-02-01EDENBROOK OF YEADON190YEADON SNF OPERATIONS, LLC
2025-02-01EDENBROOK OF GREENWOOD HILL160POTTSVILLE 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 42101acs median gross0$1,1862024-12-31CENSUS_ACS5
county 42101fmr0$1,3972025-10-01HUD_USER_FMR
county 42101acs median gross1$1,2422024-12-31CENSUS_ACS5
county 42101fmr1$1,5202025-10-01HUD_USER_FMR
county 42101acs median gross2$1,4712024-12-31CENSUS_ACS5
county 42101fmr2$1,8102025-10-01HUD_USER_FMR
county 42101acs median gross3$1,4922024-12-31CENSUS_ACS5
county 42101fmr3$2,1702025-10-01HUD_USER_FMR
county 42101acs median gross4$1,6872024-12-31CENSUS_ACS5
county 42101fmr4$2,4232025-10-01HUD_USER_FMR
county 42101acs median gross5$1,5342024-12-31CENSUS_ACS5
county 42101acs median gross$1,3972024-12-31CENSUS_ACS5
county 42101acs recent mover gross$1,6442024-12-31CENSUS_ACS5
zcta 19146acs median gross0$1,3762024-12-31CENSUS_ACS5
zcta 19146acs median gross1$1,6692024-12-31CENSUS_ACS5
zcta 19146acs median gross2$1,9912024-12-31CENSUS_ACS5
zcta 19146acs median gross3$2,0042024-12-31CENSUS_ACS5
zcta 19146acs median gross4$2,4292024-12-31CENSUS_ACS5
zcta 19146acs median gross$1,8182024-12-31CENSUS_ACS5
zcta 19146acs recent mover gross$2,1352024-12-31CENSUS_ACS5
zip 19146payment standard 1100$1,9802025-10-01HUD_USER_SAFMR
zip 19146payment standard 900$1,6202025-10-01HUD_USER_SAFMR
zip 19146safmr0$1,8002025-10-01HUD_USER_SAFMR
zip 19146payment standard 1101$2,1562025-10-01HUD_USER_SAFMR
zip 19146payment standard 901$1,7642025-10-01HUD_USER_SAFMR
zip 19146safmr1$1,9602025-10-01HUD_USER_SAFMR
zip 19146payment standard 1102$2,5632025-10-01HUD_USER_SAFMR
zip 19146payment standard 902$2,0972025-10-01HUD_USER_SAFMR
zip 19146safmr2$2,3302025-10-01HUD_USER_SAFMR
zip 19146payment standard 1103$3,0692025-10-01HUD_USER_SAFMR
zip 19146payment standard 903$2,5112025-10-01HUD_USER_SAFMR
zip 19146safmr3$2,7902025-10-01HUD_USER_SAFMR
zip 19146payment standard 1104$3,4322025-10-01HUD_USER_SAFMR
zip 19146payment standard 904$2,8082025-10-01HUD_USER_SAFMR
zip 19146safmr4$3,1202025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.