4 EAST CENTER STREET, DALLAS, PA 18612 · CCN 395587
Composite
54.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
130
Model
v1.2
Reads as: riskier than 54.8% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16
2025Q4 HPRD
This facility
PA median
National median
National p25–p75
Total nurse
3.51
3.38
3.28
2.90–3.77
RN
0.45
0.45
0.39
0.25–0.58
Weekend total
3.44
3.27
3.11
—
Weekday total
3.54
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
116.8
3.51
0.45
0.82
2.25
3.44
5.1%
2025Q3
92
114.4
3.40
0.48
0.74
2.17
3.34
7.2%
2025Q2
91
111.5
3.24
0.45
0.75
2.04
3.23
2.9%
2025Q1
90
108.5
3.29
0.50
0.76
2.03
3.23
1.7%
2024Q4
92
99.9
3.42
0.52
0.84
2.06
3.38
1.1%
2024Q3
92
104.2
3.51
0.57
0.80
2.13
3.39
3.0%
2024Q2
91
103.9
3.25
0.61
0.77
1.88
3.09
0.1%
2024Q1
91
98.7
3.38
0.59
0.87
1.92
3.24
3.5%
2023Q4
92
98.2
3.44
0.61
0.86
1.97
3.31
9.3%
2023Q3
92
92.9
3.45
0.63
0.86
1.97
3.34
5.4%
2023Q2
91
92.0
3.55
0.66
0.89
2.00
3.40
6.1%
2023Q1
90
96.8
3.30
0.67
0.87
1.76
3.17
3.7%
2022Q4
92
93.0
3.34
0.68
0.88
1.78
3.22
5.4%
2022Q3
92
93.5
3.23
0.64
0.87
1.73
3.10
10.1%
2022Q2
91
88.8
3.31
0.74
0.78
1.79
3.07
14.2%
2022Q1
90
81.7
3.44
0.79
0.85
1.79
3.15
7.2%
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.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2026-03-25
2025-07-31
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-09-29
2025-07-31
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D
2025-09-29
2025-07-31
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
B
2025-09-29
2025-07-31
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-09-29
2025-07-31
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2025-09-29
2025-07-31
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2025-09-29
2025-07-31
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-09-29
2025-05-30
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2025-06-12
2024-09-20
Health
F0622
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
B
2024-11-13
2024-09-20
Health
F0625
Notify 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.
B
2024-11-13
2024-09-20
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-11-13
2024-09-20
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
E
2024-11-13
2024-09-20
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-11-13
2024-09-20
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2024-11-13
2024-05-21
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
E
2024-06-26
2024-05-21
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
G
2024-06-26
2023-08-11
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D
2023-10-10
2023-08-11
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
B
2023-10-10
2023-08-11
Health
F0641
Ensure each resident receives an accurate assessment.
E
2023-10-10
2023-08-11
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-10-10
2023-08-11
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2023-10-10
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
45
Owner
Role
Pct
From
Status
Source
ECUMENICAL ENTERPRISES INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
—
current
pecos_ownership
ALMEKY, ESSAM
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
BRENSHA, LYNNE
MANAGING CONTROL - GOVERNING BODY
—
2023-01-01
current
pecos_ownership
BROBST, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
current
pecos_ownership
BROWN, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
current
pecos_ownership
BUCHMAN, DANA
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
CADORA-COX, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-30
current
pecos_ownership
DOYLE, JOSEPH
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
current
pecos_ownership
FETTERMAN, KURT
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
current
pecos_ownership
HOFFMAN-MIRILOVICH, ALISHA
MANAGING CONTROL - GOVERNING BODY
—
2023-01-01
current
pecos_ownership
IM, MICHELLE
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
KORNFELD, TALY
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
current
pecos_ownership
MESSINGER, JANE
MANAGING CONTROL - GOVERNING BODY
—
2020-01-01
current
pecos_ownership
PAYNE, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
current
pecos_ownership
RUDIS, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2018-01-01
current
pecos_ownership
SANDS, ALLEN
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
current
pecos_ownership
SCHWAGER, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2023-01-01
current
pecos_ownership
SOLANO, JAMES
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
current
pecos_ownership
TARBOX, CRISTINA
CORPORATE DIRECTOR
—
2006-07-01
current
pecos_ownership
TARBOX, CRISTINA
ADP OF THE SNF
—
2025-03-20
current
pecos_ownership
THALENFELD, REBECCA
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
current
pecos_ownership
ZAMBER, LISA
CORPORATE DIRECTOR
—
2018-08-01
current
pecos_ownership
ZANICKY, ROBERT
MANAGING CONTROL - GOVERNING BODY
—
2018-01-01
current
pecos_ownership
CRISTINA TARBOX
CORPORATE DIRECTOR
0%
2006-07-01
ended 2026-05-18
pecos_ownership
LISA ZAMBER
CORPORATE DIRECTOR
0%
2018-08-01
ended 2026-05-18
pecos_ownership
ALISHA HOFFMAN-MIRILOVICH
MANAGING CONTROL - GOVERNING BODY
—
2023-01-01
ended 2026-05-18
pecos_ownership
ALLEN SANDS
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
ended 2026-05-18
pecos_ownership
CRISTINA TARBOX
ADP OF THE SNF
—
2025-03-20
ended 2026-05-18
pecos_ownership
DANA BUCHMAN
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
DAVID BROBST
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
ended 2026-05-18
pecos_ownership
DAVID BROWN
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
ended 2026-05-18
pecos_ownership
DAVID PAYNE
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
ended 2026-05-18
pecos_ownership
DAVID RUDIS
MANAGING CONTROL - GOVERNING BODY
—
2018-01-01
ended 2026-05-18
pecos_ownership
DAVID SCHWAGER
MANAGING CONTROL - GOVERNING BODY
—
2023-01-01
ended 2026-05-18
pecos_ownership
ESSAM ALMEKY
ADP OF THE SNF
—
2023-01-01
ended 2026-05-18
pecos_ownership
JAMES SOLANO
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
ended 2026-05-18
pecos_ownership
JANE MESSINGER
MANAGING CONTROL - GOVERNING BODY
—
2020-01-01
ended 2026-05-18
pecos_ownership
JENNIFER CADORA-COX
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-30
ended 2026-05-18
pecos_ownership
JOSEPH DOYLE
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
ended 2026-05-18
pecos_ownership
KURT FETTERMAN
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
ended 2026-05-18
pecos_ownership
LYNNE BRENSHA
MANAGING CONTROL - GOVERNING BODY
—
2023-01-01
ended 2026-05-18
pecos_ownership
MICHELLE IM
ADP OF THE SNF
—
2023-01-01
ended 2026-05-18
pecos_ownership
REBECCA THALENFELD
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
ended 2026-05-18
pecos_ownership
ROBERT ZANICKY
MANAGING CONTROL - GOVERNING BODY
—
2018-01-01
ended 2026-05-18
pecos_ownership
TALY KORNFELD
MANAGING CONTROL - GOVERNING BODY
—
2024-01-01
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
2025-06-30
$384,443
—
—
—
—
1
—
2024-06-30
$142,575
—
—
—
—
1
—
2023-06-30
$281,219
—
—
—
—
1
—
2022-06-30
$526,665
—
—
—
—
1
—
2021-06-30
$205,787
—
—
—
—
1
—
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
33
Geo
Kind
BR
Amount
As of
Source
county 42079
acs median gross
0
$600
2024-12-31
CENSUS_ACS5
county 42079
fmr
0
$863
2025-10-01
HUD_USER_FMR
county 42079
acs median gross
1
$752
2024-12-31
CENSUS_ACS5
county 42079
fmr
1
$1,028
2025-10-01
HUD_USER_FMR
county 42079
acs median gross
2
$1,016
2024-12-31
CENSUS_ACS5
county 42079
fmr
2
$1,252
2025-10-01
HUD_USER_FMR
county 42079
acs median gross
3
$1,194
2024-12-31
CENSUS_ACS5
county 42079
fmr
3
$1,631
2025-10-01
HUD_USER_FMR
county 42079
acs median gross
4
$1,306
2024-12-31
CENSUS_ACS5
county 42079
fmr
4
$1,766
2025-10-01
HUD_USER_FMR
county 42079
acs median gross
5
$1,428
2024-12-31
CENSUS_ACS5
county 42079
acs median gross
$1,004
2024-12-31
CENSUS_ACS5
county 42079
acs recent mover gross
$1,218
2024-12-31
CENSUS_ACS5
zcta 18612
acs median gross
0
$3,501
2024-12-31
CENSUS_ACS5
zcta 18612
acs median gross
1
$606
2024-12-31
CENSUS_ACS5
zcta 18612
acs median gross
2
$1,190
2024-12-31
CENSUS_ACS5
zcta 18612
acs median gross
3
$1,398
2024-12-31
CENSUS_ACS5
zcta 18612
acs median gross
$1,128
2024-12-31
CENSUS_ACS5
zip 18612
payment standard 110
0
$1,100
2025-10-01
HUD_USER_SAFMR
zip 18612
payment standard 90
0
$900
2025-10-01
HUD_USER_SAFMR
zip 18612
safmr
0
$1,000
2025-10-01
HUD_USER_SAFMR
zip 18612
payment standard 110
1
$1,309
2025-10-01
HUD_USER_SAFMR
zip 18612
payment standard 90
1
$1,071
2025-10-01
HUD_USER_SAFMR
zip 18612
safmr
1
$1,190
2025-10-01
HUD_USER_SAFMR
zip 18612
payment standard 110
2
$1,595
2025-10-01
HUD_USER_SAFMR
zip 18612
payment standard 90
2
$1,305
2025-10-01
HUD_USER_SAFMR
zip 18612
safmr
2
$1,450
2025-10-01
HUD_USER_SAFMR
zip 18612
payment standard 110
3
$2,079
2025-10-01
HUD_USER_SAFMR
zip 18612
payment standard 90
3
$1,701
2025-10-01
HUD_USER_SAFMR
zip 18612
safmr
3
$1,890
2025-10-01
HUD_USER_SAFMR
zip 18612
payment standard 110
4
$2,255
2025-10-01
HUD_USER_SAFMR
zip 18612
payment standard 90
4
$1,845
2025-10-01
HUD_USER_SAFMR
zip 18612
safmr
4
$2,050
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.