Composite
80.4 / 100 percentile
Screener / 395446
C
IVORY WELLNESS CENTER
snfPA
2004 OLD ARCH ROAD, NORRISTOWN, PA 19401 · CCN 395446 · chain PARAMOUNT CARE CENTERS LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 80.4% 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.
Score model5ML signals1Components16CHOW radar1Distress radar1Staffing16Penalties1Deficiencies69Licensure0Ownership13Related party0Transactions0Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 90.0 | 87.6 | 0.30 | 0.2308 | 20.77 | in index |
| financial risk | 89.1 | 76.2 | 0.30 | 0.2308 | 20.56 | in index |
| staffing risk | 77.1 | 77.1 | 0.25 | 0.1923 | 14.83 | in index |
| chow risk | 39.3 | 37.7 | 0.15 | 0.1154 | 4.53 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.2308 | 0.00 | in 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
1| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 5 chains | GRAF ANDREW | 7 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 type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 0.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | 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. |
| chow risk | 50.4 | C | v0.6 | default · in composite | |
| financial risk | 76.2 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | 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. |
| p chow 12m | 3.1 | — | v0.1 | default · in 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. |
| regulatory risk | 87.6 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 77.1 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 83.5 | F | v0.1 | superseded | 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. |
| financial risk | 63.5 | C | v0.2 | superseded | 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. |
| financial risk | 75.6 | D | v0.3 | superseded | 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. |
| financial risk | 74.6 | D | v0.4 | superseded | 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. |
| regulatory risk | 87.5 | F | v0.1 | superseded | 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. |
| regulatory risk | 87.5 | F | v0.2 | superseded | 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. |
| staffing risk | 77.1 | D | v0.1 | superseded | 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. |
| staffing risk | 77.1 | D | v0.2 | superseded | 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.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
3.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
78.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.94 | -0.70 | |
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 13.00 | +0.14 | |
| Facility size (log beds) | 4.80 | -0.07 |
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
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 13.00 | -0.98 | |
| Occupancy | 0.94 | -0.80 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Staffing trend, last 4 quarters | -0.40 | -0.21 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Chain size (log) | 1.79 | +0.16 | |
| Total nurse staffing (HPRD) | 2.86 | +0.15 |
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 | 2.86 | 3.38 | 3.28 | 2.90–3.77 |
| RN | 0.08 | 0.45 | 0.39 | 0.25–0.58 |
| Weekend total | 2.70 | 3.27 | 3.11 | — |
| Weekday total | 2.92 | 3.43 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 112.7 | 2.86 | 0.08 | 0.67 | 2.11 | 2.70 | 8.5% |
| 2025Q3 | 92 | 110.7 | 3.04 | 0.10 | 0.75 | 2.18 | 2.94 | 15.6% |
| 2025Q2 | 91 | 109.8 | 3.24 | 0.18 | 0.73 | 2.33 | 3.15 | 12.2% |
| 2025Q1 | 90 | 106.7 | 3.16 | 0.21 | 0.69 | 2.26 | 3.23 | 9.0% |
| 2024Q4 | 92 | 103.0 | 3.26 | 0.28 | 0.61 | 2.37 | 3.22 | 19.1% |
| 2024Q3 | 92 | 96.3 | 3.30 | 0.21 | 0.69 | 2.40 | 3.31 | 12.0% |
| 2024Q2 | 91 | 96.8 | 2.93 | 0.21 | 0.65 | 2.07 | 2.91 | 0.0% |
| 2024Q1 | 91 | 93.9 | 2.83 | 0.15 | 0.65 | 2.04 | 2.92 | 0.0% |
| 2023Q4 | 92 | 91.9 | 2.70 | 0.15 | 0.62 | 1.93 | 2.84 | 0.0% |
| 2023Q3 | 92 | 90.3 | 2.70 | 0.15 | 0.65 | 1.89 | 2.87 | 0.0% |
| 2023Q2 | 91 | 94.4 | 2.63 | 0.12 | 0.65 | 1.86 | 2.62 | 3.0% |
| 2023Q1 | 90 | 101.2 | 2.60 | 0.18 | 0.62 | 1.80 | 2.67 | 11.4% |
| 2022Q4 | 92 | 102.2 | 2.50 | 0.31 | 0.45 | 1.74 | 2.54 | 20.8% |
| 2022Q3 | 92 | 100.9 | 2.60 | 0.31 | 0.52 | 1.77 | 2.59 | 25.4% |
| 2022Q2 | 91 | 105.2 | 2.42 | 0.30 | 0.46 | 1.67 | 2.48 | 20.4% |
| 2022Q1 | 90 | 106.6 | 2.54 | 0.30 | 0.48 | 1.75 | 2.71 | 13.1% |
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
1| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-01-22 | Fine | $25,324 | CMS provider data |
Total fines on record: $25,324
Deficiencies
69B × 2D × 46E × 11F × 5G × 3J × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-18 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2026-03-11 |
| 2025-12-11 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2026-01-20 |
| 2025-12-03 | 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 | 2025-12-23 |
| 2025-12-03 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-12-23 |
| 2025-12-03 | 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 | 2025-12-23 |
| 2025-12-03 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2025-12-23 |
| 2025-12-03 | 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 | 2025-12-23 |
| 2025-12-03 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-12-23 |
| 2025-12-03 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-12-23 |
| 2025-12-03 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-12-23 |
| 2025-12-03 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-12-23 |
| 2025-12-03 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2025-12-23 |
| 2025-12-03 | Health | F0908 | Keep all essential equipment working safely. | D | 2025-12-23 |
| 2024-10-31 | 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. | E | 2024-12-02 |
| 2024-10-31 | 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. | D | 2024-12-02 |
| 2024-10-31 | 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 | 2024-12-02 |
| 2024-10-31 | 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. | D | 2024-12-02 |
| 2024-10-31 | 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 | 2024-12-02 |
| 2024-10-31 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-12-02 |
| 2024-10-31 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-12-02 |
| 2024-10-31 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-12-02 |
| 2024-10-31 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2024-12-02 |
| 2024-10-31 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2024-12-02 |
| 2024-10-31 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2024-12-02 |
| 2024-10-31 | Health | F0803 | Ensure 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. | E | 2024-12-02 |
| 2024-10-31 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-12-02 |
| 2024-10-31 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2024-12-02 |
| 2024-10-31 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-12-02 |
| 2024-10-31 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | 2024-12-02 |
| 2024-10-31 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-12-02 |
| 2024-10-31 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | 2024-12-02 |
| 2024-09-10 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | 2024-10-01 |
| 2024-09-10 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2024-10-02 |
| 2024-09-10 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-10-02 |
| 2024-09-10 | Health · complaint | F0908 | Keep all essential equipment working safely. | F | 2024-10-02 |
| 2024-07-30 | Health · complaint | F0585 | Honor 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. | D | 2024-08-30 |
| 2024-07-30 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-08-30 |
| 2024-07-30 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-08-30 |
| 2024-07-30 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-08-30 |
| 2024-07-30 | Health · complaint | 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 | 2024-08-30 |
| 2024-07-30 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-08-30 |
| 2024-05-16 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2024-06-17 |
| 2024-05-16 | Health · complaint | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | D | 2024-06-17 |
| 2024-01-22 | Health | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2024-02-21 |
| 2024-01-22 | Health | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | 2024-02-21 |
| 2024-01-22 | Health | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | 2024-02-21 |
| 2024-01-22 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-02-21 |
| 2024-01-22 | 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. | D | 2024-02-21 |
| 2024-01-22 | Health | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | 2024-02-21 |
| 2024-01-22 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | 2024-02-21 |
| 2024-01-22 | Health | 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 | 2024-02-21 |
| 2024-01-22 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-02-21 |
| 2024-01-22 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-02-21 |
| 2024-01-22 | Health | F0693 | Ensure 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. | D | 2024-02-21 |
| 2024-01-22 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-02-21 |
| 2024-01-22 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2024-02-21 |
| 2024-01-22 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-02-21 |
| 2024-01-22 | 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 | 2024-02-21 |
| 2024-01-22 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-02-21 |
| 2024-01-22 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | 2024-02-21 |
| 2024-01-22 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-02-21 |
| 2024-01-22 | Health | F0908 | Keep all essential equipment working safely. | G | 2024-02-21 |
| 2024-01-22 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-02-21 |
| 2024-01-22 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2024-02-21 |
| 2023-11-08 | Health · complaint | 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 | 2023-11-30 |
| 2023-10-30 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2023-11-30 |
| 2023-10-30 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2023-11-30 |
| 2023-07-19 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2023-08-14 |
| 2023-06-21 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-07-28 |
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
0No 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
13| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| KRAUS, ABRAHAM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 67% | 2025-05-01 | current | pecos_ownership |
| CZERMEK, MICHAEL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | 2025-05-01 | current | pecos_ownership |
| BANKWELL | ADP OF THE SNF | — | 2025-05-01 | current | pecos_ownership |
| GRAF, ANDREW | ADP OF THE SNF | — | 2025-05-01 | current | pecos_ownership |
| ONYX IVORY PROPCO LLC | ADP OF THE SNF | — | 2025-05-01 | current | pecos_ownership |
| PARAMOUNT CARE CENTERS LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | current | pecos_ownership |
| PEAKE, LORENA | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | current | pecos_ownership |
| REICH, SAM | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | current | pecos_ownership |
| ABRAHAM KRAUS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 67% | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| MICHAEL CZERMEK | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| ANDREW GRAF | ADP OF THE SNF | — | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| LORENA PEAKE | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| SAM REICH | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | 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.
Transactions
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Comparable trades — PA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-06-01 | MANOR AT ST LUKE VILLAGE,THE | — | — | — | 104 | 1711 EAST BROAD STREET OPCO LLC |
| 2025-06-01 | PENNKNOLL VILLAGE | — | — | — | 133 | 208 PENNKNOLL ROAD OPCO LLC |
| 2025-06-01 | MAPLEWOOD NURSING AND REHAB CENTER | — | — | — | 180 | MA OPERATING, LLC |
| 2025-06-01 | PAVILION AT ST LUKE VILLAGE, THE | — | — | — | 120 | 1000 STACIE DRIVE OPCO LLC |
| 2025-06-01 | MANOR AT PENN VILLAGE, THE | — | — | — | 159 | 51 ROUTE 204 OPCO LLC |
| 2025-05-01 | WYNCOTE CARE CENTER | — | — | — | 58 | WYNCOTE CARE LLC |
| 2025-05-01 | ONYX WELLNESS CENTER | — | — | — | 119 | ONYX WELLNESS CENTER LLC |
| 2025-04-24 | HAVENCREST REHABILITATION AND HEALTHCARE CENTER | — | — | — | 48 | HAVENCREST REHABILITATION AND HEALTHCARE CENTER LLC |
| 2025-04-24 | BEAVER VALLEY REHABILITATION AND HEALTHCARE CENTER | — | — | — | 120 | BEAVER VALLEY REHABILITATION AND HEALTHCARE CENTER LLC |
| 2025-04-01 | STROUDSBURG POST ACUTE NURSING & REHABILITATIONLLC | — | — | — | 174 | STROUDSBURG POST ACUTE NURSING & REHABILITATION LLC |
| 2025-02-01 | EDENBROOK OF YEADON | — | — | — | 190 | YEADON SNF OPERATIONS, LLC |
| 2025-02-01 | EDENBROOK OF GREENWOOD HILL | — | — | — | 160 | POTTSVILLE 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
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 42091 | acs median gross | 0 | $1,347 | 2024-12-31 | CENSUS_ACS5 |
| county 42091 | fmr | 0 | $1,397 | 2025-10-01 | HUD_USER_FMR |
| county 42091 | acs median gross | 1 | $1,467 | 2024-12-31 | CENSUS_ACS5 |
| county 42091 | fmr | 1 | $1,520 | 2025-10-01 | HUD_USER_FMR |
| county 42091 | acs median gross | 2 | $1,781 | 2024-12-31 | CENSUS_ACS5 |
| county 42091 | fmr | 2 | $1,810 | 2025-10-01 | HUD_USER_FMR |
| county 42091 | acs median gross | 3 | $2,029 | 2024-12-31 | CENSUS_ACS5 |
| county 42091 | fmr | 3 | $2,170 | 2025-10-01 | HUD_USER_FMR |
| county 42091 | acs median gross | 4 | $2,103 | 2024-12-31 | CENSUS_ACS5 |
| county 42091 | fmr | 4 | $2,423 | 2025-10-01 | HUD_USER_FMR |
| county 42091 | acs median gross | 5 | $2,343 | 2024-12-31 | CENSUS_ACS5 |
| county 42091 | acs median gross | $1,683 | 2024-12-31 | CENSUS_ACS5 | |
| county 42091 | acs recent mover gross | $1,838 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 19401 | acs median gross | 0 | $1,095 | 2024-12-31 | CENSUS_ACS5 |
| zcta 19401 | acs median gross | 1 | $1,310 | 2024-12-31 | CENSUS_ACS5 |
| zcta 19401 | acs median gross | 2 | $1,647 | 2024-12-31 | CENSUS_ACS5 |
| zcta 19401 | acs median gross | 3 | $1,695 | 2024-12-31 | CENSUS_ACS5 |
| zcta 19401 | acs median gross | 4 | $2,034 | 2024-12-31 | CENSUS_ACS5 |
| zcta 19401 | acs median gross | 5 | $1,939 | 2024-12-31 | CENSUS_ACS5 |
| zcta 19401 | acs median gross | $1,473 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 19401 | acs recent mover gross | $1,821 | 2024-12-31 | CENSUS_ACS5 | |
| zip 19401 | payment standard 110 | 0 | $1,606 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19401 | payment standard 90 | 0 | $1,314 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19401 | safmr | 0 | $1,460 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19401 | payment standard 110 | 1 | $1,749 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19401 | payment standard 90 | 1 | $1,431 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19401 | safmr | 1 | $1,590 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19401 | payment standard 110 | 2 | $2,079 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19401 | payment standard 90 | 2 | $1,701 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19401 | safmr | 2 | $1,890 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19401 | payment standard 110 | 3 | $2,497 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19401 | payment standard 90 | 3 | $2,043 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19401 | safmr | 3 | $2,270 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19401 | payment standard 110 | 4 | $2,783 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19401 | payment standard 90 | 4 | $2,277 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19401 | safmr | 4 | $2,530 | 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.