501 THOMAS JONES WAY, EXTON, PA 19341 · CCN 396144 · chain NFR 2020 IRRV TR
Composite
92.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 92.4% 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
3.65
3.38
3.28
2.90–3.77
RN
0.69
0.45
0.39
0.25–0.58
Weekend total
3.42
3.27
3.11
—
Weekday total
3.73
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
81.4
3.65
0.69
1.19
1.77
3.42
5.1%
2025Q3
92
67.6
3.72
0.57
1.21
1.94
3.70
2.8%
2025Q2
91
70.7
3.94
0.67
1.15
2.12
3.76
2.4%
2025Q1
90
75.4
4.32
0.69
1.66
1.96
4.08
3.1%
2024Q4
92
67.2
3.91
0.56
1.40
1.96
3.76
10.4%
2024Q3
92
68.7
3.81
0.57
1.44
1.79
3.61
5.9%
2024Q2
91
82.0
4.08
0.76
1.71
1.61
3.67
15.6%
2024Q1
91
106.0
4.00
0.65
1.65
1.70
3.83
39.4%
2023Q4
92
102.3
4.04
0.60
1.67
1.77
3.93
34.1%
2023Q3
92
99.8
4.08
0.64
1.52
1.92
4.01
31.7%
2023Q2
91
103.6
4.31
0.80
1.67
1.84
4.07
28.1%
2023Q1
90
118.3
3.95
0.78
1.30
1.87
3.81
44.3%
2022Q4
92
114.5
3.79
0.56
1.37
1.86
3.69
54.6%
2022Q3
92
111.7
3.70
0.55
1.33
1.82
3.69
40.5%
2022Q2
91
98.1
4.10
0.73
1.47
1.89
4.24
43.5%
2022Q1
90
105.2
4.28
0.96
1.45
1.86
4.41
50.1%
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2026-05-14
2026-04-09
Health · complaint
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2026-05-14
2026-04-09
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-05-14
2026-04-09
Health · complaint
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2026-05-14
2026-04-09
Health · complaint
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2026-05-14
2026-04-09
Health · complaint
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2026-05-14
2026-04-09
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-05-14
2026-04-09
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2026-05-14
2026-02-18
Health · complaint
F0678
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
J
2026-03-11
2026-02-18
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-03-11
2026-02-18
Health · complaint
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2026-03-11
2026-02-18
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
D
2026-03-11
2025-12-15
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-01-06
2025-06-25
Health
F0606
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
D
2025-07-15
2025-04-15
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
G
2025-04-14
2025-01-16
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-02-18
2025-01-16
Health
F0610
Respond appropriately to all alleged violations.
D
2025-02-18
2025-01-16
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2025-02-18
2025-01-16
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-02-18
2025-01-16
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-02-18
2025-01-16
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-02-18
2025-01-16
Health
F0730
Observe each nurse aide's job performance and give regular training.
D
2025-02-18
2025-01-16
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2025-02-18
2025-01-16
Health
F0761
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
2025-02-18
2025-01-16
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-02-18
2024-08-22
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2024-10-07
2024-08-22
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-10-07
2024-06-10
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-06-28
2024-06-10
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2024-06-28
2024-04-25
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-05-04
2024-04-25
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-05-04
2024-03-15
Health · complaint
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2024-04-16
2024-01-27
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-02-27
2023-12-19
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-01-23
2023-11-01
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-12-19
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
36
Owner
Role
Pct
From
Status
Source
EXTON OPERATOR LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2025-01-01
current
pecos_ownership
QUINTO NEXGEN LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
79%
2025-01-01
current
pecos_ownership
COX-MALESCIO, GIGI
MANAGING CONTROL - GOVERNING BODY
—
2025-02-24
current
pecos_ownership
FLAGLER, OSHER
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-03-27
current
pecos_ownership
FRY, BEVERLY
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
FRY, BEVERLY
ADP OF THE SNF
—
2025-01-15
current
pecos_ownership
HARMAN, DINA
ADP OF THE SNF
—
2025-01-14
current
pecos_ownership
HARMAN, DINA
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
KAHANOW, AVIVA
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-03-27
current
pecos_ownership
LEVOVITZ, TZVI
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-03-27
current
pecos_ownership
MANUFACTURERS & TRADERS TRUST COMPANY
5% OR GREATER SECURITY INTEREST
—
2025-01-01
current
pecos_ownership
MARQUIS LIMITED LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
MARQUIS LIMITED LLC
ADP OF THE SNF
—
2025-03-28
current
pecos_ownership
MOORE, CAMERON
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
POSEN, MINDEE
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
RELIANT PRO REHAB LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-15
current
pecos_ownership
ROKEACH, FRAIDE
INDIRECT OWNERSHIP INTEREST
—
2025-01-01
current
pecos_ownership
ROKOWSKY, YITZCHOK
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-03-27
current
pecos_ownership
VIROJA, YOGESH
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
TRYKO NEXGEN HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
57%
2025-01-01
ended 2026-05-18
pecos_ownership
YR NEXGEN TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
28%
2025-01-01
ended 2026-05-18
pecos_ownership
NFR 2020 IRRV TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
22%
2025-01-01
ended 2026-05-18
pecos_ownership
RSBRMK HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
22%
2025-01-01
ended 2026-05-18
pecos_ownership
UAK 2020 IRRV TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2025-01-01
ended 2026-05-18
pecos_ownership
UKR NEXGEN LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2025-01-01
ended 2026-05-18
pecos_ownership
SK NEXGEN TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
14%
2025-01-01
ended 2026-05-18
pecos_ownership
YK NEXGEN TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
14%
2025-01-01
ended 2026-05-18
pecos_ownership
FRAIDE ROKEACH
INDIRECT OWNERSHIP INTEREST
0%
2025-01-01
ended 2026-05-18
pecos_ownership
BEVERLY FRY
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
BEVERLY FRY
ADP OF THE SNF
—
2025-01-15
ended 2026-05-18
pecos_ownership
CAMERON MOORE
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
DINA HARMAN
ADP OF THE SNF
—
2025-01-14
ended 2026-05-18
pecos_ownership
DINA HARMAN
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
ended 2026-05-18
pecos_ownership
GIGI COX-MALESCIO
CORPORATE DIRECTOR
—
2025-02-24
ended 2026-05-18
pecos_ownership
MINDEE POSEN
CORPORATE OFFICER
—
2025-01-01
ended 2026-05-18
pecos_ownership
YOGESH VIROJA
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
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
7
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$5,105,197
$4,021,335
$909,645
—
$11,100
10
—
2023-12-31
$5,657,080
—
$709,898
$2,272,071
$2,592,374
8
—
2023-01-31
$62,745
—
$62,745
—
—
2
—
2022-12-31
$738,775
—
$738,775
—
—
2
—
2021-12-31
$386,593
—
$386,593
—
—
2
—
2021-04-30
$1,889,585
—
$360,938
$808,421
$703,067
9
—
2020-12-31
$5,821,816
—
$1,082,815
$1,936,019
$2,744,762
9
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 42029
acs median gross
0
$1,440
2024-12-31
CENSUS_ACS5
county 42029
fmr
0
$1,397
2025-10-01
HUD_USER_FMR
county 42029
acs median gross
1
$1,604
2024-12-31
CENSUS_ACS5
county 42029
fmr
1
$1,520
2025-10-01
HUD_USER_FMR
county 42029
acs median gross
2
$1,870
2024-12-31
CENSUS_ACS5
county 42029
fmr
2
$1,810
2025-10-01
HUD_USER_FMR
county 42029
acs median gross
3
$1,942
2024-12-31
CENSUS_ACS5
county 42029
fmr
3
$2,170
2025-10-01
HUD_USER_FMR
county 42029
acs median gross
4
$1,944
2024-12-31
CENSUS_ACS5
county 42029
fmr
4
$2,423
2025-10-01
HUD_USER_FMR
county 42029
acs median gross
5
$2,291
2024-12-31
CENSUS_ACS5
county 42029
acs median gross
$1,763
2024-12-31
CENSUS_ACS5
county 42029
acs recent mover gross
$2,005
2024-12-31
CENSUS_ACS5
zcta 19341
acs median gross
0
$1,565
2024-12-31
CENSUS_ACS5
zcta 19341
acs median gross
1
$1,887
2024-12-31
CENSUS_ACS5
zcta 19341
acs median gross
2
$2,343
2024-12-31
CENSUS_ACS5
zcta 19341
acs median gross
3
$2,376
2024-12-31
CENSUS_ACS5
zcta 19341
acs median gross
4
$1,804
2024-12-31
CENSUS_ACS5
zcta 19341
acs median gross
$2,165
2024-12-31
CENSUS_ACS5
zcta 19341
acs recent mover gross
$2,191
2024-12-31
CENSUS_ACS5
zip 19341
payment standard 110
0
$2,167
2025-10-01
HUD_USER_SAFMR
zip 19341
payment standard 90
0
$1,773
2025-10-01
HUD_USER_SAFMR
zip 19341
safmr
0
$1,970
2025-10-01
HUD_USER_SAFMR
zip 19341
payment standard 110
1
$2,354
2025-10-01
HUD_USER_SAFMR
zip 19341
payment standard 90
1
$1,926
2025-10-01
HUD_USER_SAFMR
zip 19341
safmr
1
$2,140
2025-10-01
HUD_USER_SAFMR
zip 19341
payment standard 110
2
$2,805
2025-10-01
HUD_USER_SAFMR
zip 19341
payment standard 90
2
$2,295
2025-10-01
HUD_USER_SAFMR
zip 19341
safmr
2
$2,550
2025-10-01
HUD_USER_SAFMR
zip 19341
payment standard 110
3
$3,366
2025-10-01
HUD_USER_SAFMR
zip 19341
payment standard 90
3
$2,754
2025-10-01
HUD_USER_SAFMR
zip 19341
safmr
3
$3,060
2025-10-01
HUD_USER_SAFMR
zip 19341
payment standard 110
4
$3,751
2025-10-01
HUD_USER_SAFMR
zip 19341
payment standard 90
4
$3,069
2025-10-01
HUD_USER_SAFMR
zip 19341
safmr
4
$3,410
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.