Reads as: riskier than 2.9% 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.
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 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
4.17
3.38
3.28
2.90–3.77
RN
0.97
0.45
0.39
0.25–0.58
Weekend total
3.95
3.27
3.11
—
Weekday total
4.25
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
96.8
4.17
0.97
0.64
2.56
3.95
0.6%
2025Q3
92
96.2
4.23
0.96
0.72
2.55
3.85
0.0%
2025Q2
91
95.3
4.20
1.06
0.66
2.49
3.85
1.6%
2025Q1
90
96.4
4.42
1.05
0.68
2.70
4.09
2.5%
2024Q4
92
97.8
4.16
0.91
0.72
2.54
3.90
3.7%
2024Q3
92
97.1
3.92
0.83
0.75
2.33
3.65
4.0%
2024Q2
91
95.7
4.08
0.85
0.71
2.51
3.82
5.3%
2024Q1
91
96.5
3.96
0.82
0.66
2.48
3.69
5.8%
2023Q4
92
95.0
3.98
0.81
0.68
2.49
3.63
6.7%
2023Q3
92
94.9
3.64
0.82
0.65
2.17
3.38
11.1%
2023Q2
91
93.0
3.25
0.67
0.45
2.14
2.77
0.0%
2023Q1
90
92.7
3.39
0.82
0.57
2.00
2.96
7.3%
2022Q4
92
92.5
3.63
0.93
0.53
2.17
3.20
7.5%
2022Q3
92
95.7
3.17
1.00
0.27
1.90
2.75
1.9%
2022Q2
91
97.1
3.25
1.20
0.12
1.94
2.90
0.1%
2022Q1
90
98.1
3.51
1.21
0.17
2.13
3.24
0.0%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
11
C × 1D × 7E × 1F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-09-23
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2025-10-03
2025-09-23
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-10-03
2025-09-23
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
2025-10-03
2024-08-22
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-10-21
2024-08-22
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2024-10-21
2024-08-22
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-10-21
2024-08-22
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-10-21
2023-10-13
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
E
2023-11-03
2023-10-13
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
2023-11-03
2023-10-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-11-03
2023-10-13
Health
F0814
Dispose of garbage and refuse properly.
C
2023-11-03
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
47
Owner
Role
Pct
From
Status
Source
BESTE, ANNE
TRUSTEE OF THE SNF
—
2017-09-27
current
pecos_ownership
DECAMPLI, DAVID
TRUSTEE OF THE SNF
—
2024-02-28
current
pecos_ownership
DECAMPLI, PAMELA
TRUSTEE OF THE SNF
—
2017-09-27
current
pecos_ownership
DOSTAL, PATRICK
ADP OF THE SNF
—
2020-01-01
current
pecos_ownership
EMRICK, PAUL
TRUSTEE OF THE SNF
—
2025-09-17
current
pecos_ownership
FESSLER, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2017-09-27
current
pecos_ownership
GOOD SHEPHERD REHABILITATION NETWORK
INDIRECT OWNERSHIP INTEREST
—
—
current
pecos_ownership
GREEN, MATTHEW
MANAGING CONTROL - GOVERNING BODY
—
2024-02-28
current
pecos_ownership
GUSTAVE, LORI
TRUSTEE OF THE SNF
—
2021-09-29
current
pecos_ownership
HAYMON, ELSBETH
TRUSTEE OF THE SNF
—
2021-09-29
current
pecos_ownership
KANE, CARRIE
ADP OF THE SNF
—
2025-02-06
current
pecos_ownership
KANE, CARRIE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-11-07
current
pecos_ownership
LYNCH, THOMAS
CORPORATE OFFICER
—
2024-09-26
current
pecos_ownership
LYNCH, THOMAS
MANAGING CONTROL - GOVERNING BODY
—
2017-09-27
current
pecos_ownership
MARLES, BLAKE
TRUSTEE OF THE SNF
—
2024-02-28
current
pecos_ownership
MENDLES, JO-ANN
CORPORATE DIRECTOR
—
2024-02-28
current
pecos_ownership
PESSINA, MICHAEL
CORPORATE OFFICER
—
2024-09-26
current
pecos_ownership
PESSINA, MICHAEL
TRUSTEE OF THE SNF
—
2022-09-28
current
pecos_ownership
POSSINGER, MITCHELL
CORPORATE DIRECTOR
—
2025-09-17
current
pecos_ownership
SALICETTI, VICTOR
TRUSTEE OF THE SNF
—
2019-10-03
current
pecos_ownership
SPIGEL, MICHAEL
MANAGING CONTROL - GOVERNING BODY
—
2020-08-03
current
pecos_ownership
TOPPER, MAURA
CORPORATE DIRECTOR
—
2016-09-28
current
pecos_ownership
TOPPER, MAURA
CORPORATE OFFICER
—
2023-09-27
current
pecos_ownership
YOUNG, ERIC
CORPORATE DIRECTOR
—
2025-07-01
current
pecos_ownership
ANNE BESTE
CORPORATE DIRECTOR
—
2017-09-27
ended 2026-05-18
pecos_ownership
BLAKE MARLES
CORPORATE DIRECTOR
—
2024-02-28
ended 2026-05-18
pecos_ownership
CARRIE KANE
ADP OF THE SNF
—
2025-02-06
ended 2026-05-18
pecos_ownership
CARRIE KANE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-11-07
ended 2026-05-18
pecos_ownership
DAVID DECAMPLI
MANAGING CONTROL - GOVERNING BODY
—
2024-02-28
ended 2026-05-18
pecos_ownership
DAVID FESSLER
MANAGING CONTROL - GOVERNING BODY
—
2017-09-27
ended 2026-05-18
pecos_ownership
ELSBETH HAYMON
TRUSTEE OF THE SNF
—
2021-09-29
ended 2026-05-18
pecos_ownership
ERIC YOUNG
MANAGING CONTROL - GOVERNING BODY
—
2025-07-01
ended 2026-05-18
pecos_ownership
JO-ANN MENDLES
CORPORATE DIRECTOR
—
2024-02-28
ended 2026-05-18
pecos_ownership
LORI GUSTAVE
CORPORATE DIRECTOR
—
2021-09-29
ended 2026-05-18
pecos_ownership
MATTHEW GREEN
TRUSTEE OF THE SNF
—
2024-02-28
ended 2026-05-18
pecos_ownership
MAURA TOPPER
MANAGING CONTROL - GOVERNING BODY
—
2023-09-27
ended 2026-05-18
pecos_ownership
MAURA TOPPER
CORPORATE DIRECTOR
—
2016-09-28
ended 2026-05-18
pecos_ownership
MICHAEL PESSINA
CORPORATE OFFICER
—
2024-09-26
ended 2026-05-18
pecos_ownership
MICHAEL PESSINA
TRUSTEE OF THE SNF
—
2022-09-28
ended 2026-05-18
pecos_ownership
MICHAEL SPIGEL
CORPORATE DIRECTOR
—
2020-08-03
ended 2026-05-18
pecos_ownership
MITCHELL POSSINGER
CORPORATE DIRECTOR
—
2025-09-17
ended 2026-05-18
pecos_ownership
PAMELA DECAMPLI
TRUSTEE OF THE SNF
—
2017-09-27
ended 2026-05-18
pecos_ownership
PATRICK DOSTAL
ADP OF THE SNF
—
2020-01-01
ended 2026-05-18
pecos_ownership
PAUL EMRICK
CORPORATE DIRECTOR
—
2025-09-17
ended 2026-05-18
pecos_ownership
THOMAS LYNCH
TRUSTEE OF THE SNF
—
2017-09-27
ended 2026-05-18
pecos_ownership
THOMAS LYNCH
CORPORATE OFFICER
—
2024-09-26
ended 2026-05-18
pecos_ownership
VICTOR SALICETTI
TRUSTEE OF THE SNF
—
2019-10-03
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
36
Geo
Kind
BR
Amount
As of
Source
county 42077
acs median gross
0
$1,087
2024-12-31
CENSUS_ACS5
county 42077
fmr
0
$1,130
2025-10-01
HUD_USER_FMR
county 42077
acs median gross
1
$1,137
2024-12-31
CENSUS_ACS5
county 42077
fmr
1
$1,341
2025-10-01
HUD_USER_FMR
county 42077
acs median gross
2
$1,468
2024-12-31
CENSUS_ACS5
county 42077
fmr
2
$1,634
2025-10-01
HUD_USER_FMR
county 42077
acs median gross
3
$1,602
2024-12-31
CENSUS_ACS5
county 42077
fmr
3
$2,087
2025-10-01
HUD_USER_FMR
county 42077
acs median gross
4
$1,790
2024-12-31
CENSUS_ACS5
county 42077
fmr
4
$2,195
2025-10-01
HUD_USER_FMR
county 42077
acs median gross
5
$1,769
2024-12-31
CENSUS_ACS5
county 42077
acs median gross
$1,383
2024-12-31
CENSUS_ACS5
county 42077
acs recent mover gross
$1,595
2024-12-31
CENSUS_ACS5
zcta 18103
acs median gross
0
$1,321
2024-12-31
CENSUS_ACS5
zcta 18103
acs median gross
1
$1,225
2024-12-31
CENSUS_ACS5
zcta 18103
acs median gross
2
$1,403
2024-12-31
CENSUS_ACS5
zcta 18103
acs median gross
3
$1,635
2024-12-31
CENSUS_ACS5
zcta 18103
acs median gross
4
$1,649
2024-12-31
CENSUS_ACS5
zcta 18103
acs median gross
5
$1,199
2024-12-31
CENSUS_ACS5
zcta 18103
acs median gross
$1,368
2024-12-31
CENSUS_ACS5
zcta 18103
acs recent mover gross
$1,487
2024-12-31
CENSUS_ACS5
zip 18103
payment standard 110
0
$1,254
2025-10-01
HUD_USER_SAFMR
zip 18103
payment standard 90
0
$1,026
2025-10-01
HUD_USER_SAFMR
zip 18103
safmr
0
$1,140
2025-10-01
HUD_USER_SAFMR
zip 18103
payment standard 110
1
$1,485
2025-10-01
HUD_USER_SAFMR
zip 18103
payment standard 90
1
$1,215
2025-10-01
HUD_USER_SAFMR
zip 18103
safmr
1
$1,350
2025-10-01
HUD_USER_SAFMR
zip 18103
payment standard 110
2
$1,815
2025-10-01
HUD_USER_SAFMR
zip 18103
payment standard 90
2
$1,485
2025-10-01
HUD_USER_SAFMR
zip 18103
safmr
2
$1,650
2025-10-01
HUD_USER_SAFMR
zip 18103
payment standard 110
3
$2,321
2025-10-01
HUD_USER_SAFMR
zip 18103
payment standard 90
3
$1,899
2025-10-01
HUD_USER_SAFMR
zip 18103
safmr
3
$2,110
2025-10-01
HUD_USER_SAFMR
zip 18103
payment standard 110
4
$2,442
2025-10-01
HUD_USER_SAFMR
zip 18103
payment standard 90
4
$1,998
2025-10-01
HUD_USER_SAFMR
zip 18103
safmr
4
$2,220
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.