Composite
61.5 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 94.1 | 92.0 | 0.30 | 0.2308 | 21.72 | in index |
| billing conduct | 46.1 | 37.8 | 0.30 | 0.2308 | 10.64 | in index |
| financial risk | 37.7 | 38.2 | 0.30 | 0.2308 | 8.70 | in index |
| staffing risk | 31.1 | 31.2 | 0.25 | 0.1923 | 5.98 | in index |
| chow risk | 49.0 | 28.6 | 0.15 | 0.1154 | 5.65 | in index |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| anomaly | Federal penalty spike | 9.3x prior | this facility | 2026-07-29 |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 37.8 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 45.0 | C | 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 | 12.3 | A | v0.6 | default · in composite | |
| financial risk | 38.2 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.1 | — | 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 | 10.6 | — | 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 | 92.0 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 31.2 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 58.1 | C | 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 | 38.1 | B | 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 | 48.5 | C | 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 | 42.6 | B | 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 | 92.0 | 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 | 92.0 | 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 | 31.2 | B | 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 | 31.2 | B | 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. |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Occupancy | 0.51 | +0.53 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Contract staffing share | 0.16 | +0.15 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| Occupancy | 0.51 | +0.98 | |
| Deficiencies, last 12 months | 12.00 | -0.80 | |
| Fine amount, 12m (log) | 11.89 | -0.69 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| High-severity deficiencies, 12m | 3.00 | -0.20 | |
| Penalties, last 12 months | 2.00 | -0.17 |
| 2025Q4 HPRD | This facility | NE median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.60 | 2.88 | 3.28 | 2.90–3.77 |
| RN | 0.53 | 0.42 | 0.39 | 0.25–0.58 |
| Weekend total | 3.48 | 2.75 | 3.11 | — |
| Weekday total | 3.65 | 2.96 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 24.7 | 3.60 | 0.53 | 0.58 | 2.50 | 3.48 | 16.0% |
| 2025Q3 | 92 | 25.6 | 4.00 | 0.43 | 0.50 | 3.07 | 3.60 | 32.7% |
| 2025Q2 | 91 | 34.7 | 3.23 | 0.58 | 0.20 | 2.45 | 3.12 | 9.3% |
| 2025Q1 | 90 | 36.7 | 3.56 | 0.70 | 0.35 | 2.51 | 3.14 | 7.1% |
| 2024Q4 | 92 | 38.9 | 3.30 | 0.62 | 0.22 | 2.46 | 2.86 | 8.0% |
| 2024Q3 | 92 | 42.4 | 2.72 | 0.53 | 0.22 | 1.97 | 2.51 | 10.6% |
| 2024Q2 | 91 | 42.7 | 3.30 | 0.49 | 0.28 | 2.54 | 2.84 | 15.3% |
| 2024Q1 | 91 | 41.0 | 3.19 | 0.34 | 0.25 | 2.60 | 2.94 | 10.6% |
| 2023Q4 | 92 | 41.2 | 3.46 | 0.23 | 0.46 | 2.77 | 3.21 | 8.5% |
| 2023Q3 | 92 | 41.8 | 3.10 | 0.25 | 0.33 | 2.52 | 2.82 | 4.6% |
| 2023Q2 | 91 | 42.8 | 2.90 | 0.34 | 0.26 | 2.30 | 2.59 | 11.7% |
| 2023Q1 | 90 | 42.3 | 2.87 | 0.38 | 0.29 | 2.20 | 2.65 | 14.3% |
| 2022Q4 | 92 | 41.6 | 2.64 | 0.35 | 0.30 | 2.00 | 2.35 | 14.9% |
| 2022Q3 | 92 | 44.4 | 2.55 | 0.28 | 0.30 | 1.97 | 2.28 | 17.6% |
| 2022Q2 | 91 | 44.7 | 2.25 | 0.19 | 0.39 | 1.68 | 2.08 | 0.0% |
| 2022Q1 | 90 | 38.4 | 2.40 | 0.30 | 0.45 | 1.64 | 2.27 | 1.6% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-11-17 | Fine | $145,440 | CMS provider data |
| 2025-11-17 | Payment Denial | — | CMS provider data |
| 2025-06-11 | Fine | $46,888 | CMS provider data |
| 2025-06-11 | Payment Denial | — | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-18 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2026-04-04 |
| 2026-02-18 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2026-04-04 |
| 2025-11-17 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | 2026-01-23 |
| 2025-11-17 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2026-01-23 |
| 2025-11-17 | Health · complaint | F0675 | Honor each resident's preferences, choices, values and beliefs. | G | 2026-01-23 |
| 2025-11-17 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2026-01-23 |
| 2025-11-17 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2026-01-23 |
| 2025-11-17 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | H | 2026-01-23 |
| 2025-11-17 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2026-01-23 |
| 2025-11-17 | Health · complaint | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | E | 2026-01-23 |
| 2025-11-17 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2026-01-23 |
| 2025-08-18 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2025-08-19 |
| 2025-06-11 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-08-19 |
| 2025-06-11 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-08-19 |
| 2025-06-11 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | H | 2025-08-19 |
| 2025-06-11 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-06-12 |
| 2025-06-11 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | K | 2025-08-19 |
| 2025-06-11 | Health · complaint | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | 2025-08-19 |
| 2025-06-11 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-06-13 |
| 2025-06-11 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-08-19 |
| 2025-03-17 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-03-18 |
| 2025-03-17 | 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 | 2025-03-18 |
| 2025-03-17 | 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 | 2025-03-18 |
| 2025-03-17 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-03-18 |
| 2025-03-17 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-03-18 |
| 2025-03-17 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-03-18 |
| 2025-03-17 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-03-18 |
| 2025-03-17 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-03-18 |
| 2025-03-17 | Health | F0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | F | 2025-03-18 |
| 2025-03-17 | Health · complaint | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2025-03-18 |
| 2025-03-17 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-03-18 |
| 2025-01-06 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-02-07 |
| 2025-01-06 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-02-07 |
| 2024-04-24 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-05-31 |
| 2024-04-24 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-05-31 |
| 2024-04-24 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-05-31 |
| 2024-04-24 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-05-31 |
| 2024-04-24 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2024-05-31 |
| 2024-04-24 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2024-05-31 |
| 2024-04-24 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-05-31 |
| 2024-04-24 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-05-31 |
| 2023-02-21 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2023-03-21 |
| 2023-02-21 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2023-03-21 |
| 2023-02-21 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-03-21 |
| 2023-02-21 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2023-03-21 |
| 2023-02-21 | Health | F0923 | Have enough outside ventilation via a window or mechanical ventilation, or both. | F | 2023-03-21 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| SENEX FOUNDATION OF NEBRASKA INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2018-08-31 | current | pecos_ownership |
| FRIEDMAN, MITCHELL | CORPORATE OFFICER | — | 2018-05-25 | current | pecos_ownership |
| MITCHELL FRIEDMAN | CORPORATE OFFICER | 100% | 2018-05-25 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-04-01 | Accura HealthCare of North Platte | — | — | — | 71 | ACCURA HEALTHCARE OF NORTH PLATTE LLC |
| 2024-10-01 | St. Joseph's Rehabilitation and Care Center | — | — | — | 83 | RAVENSCROFT HEALTHCARE LLC |
| 2024-08-15 | Holmes Lake Rehabilitation & Care Center | — | — | — | 97 | HOLMES LAKE OPERATIONS LLC |
| 2024-04-01 | Heritage of Webster County | — | — | — | 43 | WEBSTER COUNTY COMMUNITY HOSPITAL FOUNDATION, INC. |
| 2024-03-01 | The Cypress at Midtown | — | — | — | 61 | CYPRESS AT MIDTOWN LLC |
| 2024-03-01 | The Banyan at Montclair | — | — | — | 175 | BANYAN AT MONTCLAIR LLC |
| 2023-08-02 | Adept Nursing & Rehab of Central City | — | — | — | 63 | OAKS AT CENTRAL CITY LLC |
| 2023-08-02 | Adept Nursing & Rehab of Blue Hill | — | — | — | 62 | PINES AT BLUE HILL LLC |
| 2023-08-02 | Adept Nursing & Rehab of North Platte | — | — | — | 94 | MAPLES AT CENTENNIAL LLC |
| 2023-08-02 | Adept Nursing & Rehab of Ashland | — | — | — | 97 | MEADOWS AT ASHLAND LLC |
| 2023-08-02 | Adept Nursing & Rehab of Sutherland | — | — | — | 60 | BIRCH AT SUTHERLAND LLC |
| 2023-08-02 | Adept Nursing & Rehab of Grand Island | — | — | — | 76 | CEDARS AT BROADWELL LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 31123 | fmr | 0 | $666 | 2025-10-01 | HUD_USER_FMR |
| county 31123 | acs median gross | 1 | $650 | 2024-12-31 | CENSUS_ACS5 |
| county 31123 | fmr | 1 | $789 | 2025-10-01 | HUD_USER_FMR |
| county 31123 | acs median gross | 2 | $728 | 2024-12-31 | CENSUS_ACS5 |
| county 31123 | fmr | 2 | $961 | 2025-10-01 | HUD_USER_FMR |
| county 31123 | acs median gross | 3 | $777 | 2024-12-31 | CENSUS_ACS5 |
| county 31123 | fmr | 3 | $1,152 | 2025-10-01 | HUD_USER_FMR |
| county 31123 | fmr | 4 | $1,284 | 2025-10-01 | HUD_USER_FMR |
| county 31123 | acs median gross | $768 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 69336 | acs median gross | 1 | $668 | 2024-12-31 | CENSUS_ACS5 |
| zcta 69336 | acs median gross | 2 | $812 | 2024-12-31 | CENSUS_ACS5 |
| zcta 69336 | acs median gross | 3 | $780 | 2024-12-31 | CENSUS_ACS5 |
| zcta 69336 | acs median gross | $778 | 2024-12-31 | CENSUS_ACS5 | |
| zip 69336 | payment standard 110 | 0 | $748 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69336 | payment standard 90 | 0 | $612 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69336 | safmr | 0 | $680 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69336 | payment standard 110 | 1 | $880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69336 | payment standard 90 | 1 | $720 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69336 | safmr | 1 | $800 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69336 | payment standard 110 | 2 | $1,078 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69336 | payment standard 90 | 2 | $882 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69336 | safmr | 2 | $980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69336 | payment standard 110 | 3 | $1,287 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69336 | payment standard 90 | 3 | $1,053 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69336 | safmr | 3 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69336 | payment standard 110 | 4 | $1,441 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69336 | payment standard 90 | 4 | $1,179 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69336 | safmr | 4 | $1,310 | 2025-10-01 | HUD_USER_SAFMR |