Composite
93.0 / 100 percentile
Screener / 275133
D
BLACKFEET CARE CENTER
snfMT
728 S GOVERNMENT SQ, BROWNING, MT 59417 · CCN 275133
Peer group
snf n = 14,684
Evidence depth
moderate
Certified beds
47
Model
v1.2
Reads as: riskier than 93.0% 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 model3ML signals1Components9CHOW radar1Distress radar1Staffing15Penalties2Deficiencies32Licensure0Ownership0Related party0Transactions0Comps12Market rent36
Composite explanation
3| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 86.0 | 83.1 | 0.30 | 0.4286 | 36.86 | in index |
| chow risk | 90.0 | 55.0 | 0.15 | 0.2143 | 19.29 | in index |
| staffing risk | 36.7 | 36.8 | 0.25 | 0.3571 | 13.11 | 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 |
|---|---|---|---|---|
| anomaly | Federal penalty spike | 6.1x prior | this facility | 2026-07-29 |
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
9| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 55.0 | 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. |
| 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 | 4.8 | — | 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 | 83.1 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 36.8 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| regulatory risk | 83.0 | 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 | 83.0 | 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 | 36.8 | 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 | 36.8 | 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. |
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)
4.8%
model v0.1 · computed 2026-07-29
Percentile among SNFs
88.4
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| 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 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 12.00 | +0.12 | |
| Contract staffing share | 0.00 | -0.10 |
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
20.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| Deficiencies, last 12 months | 12.00 | -0.80 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 10.98 | -0.63 | |
| Staffing trend, last 4 quarters | -0.90 | -0.44 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.69 | +0.26 | |
| Never sold on record | 1.00 | +0.12 |
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
15| 2025Q4 HPRD | This facility | MT median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.50 | 3.25 | 3.28 | 2.90–3.77 |
| RN | 0.55 | 0.62 | 0.39 | 0.25–0.58 |
| Weekend total | 3.54 | 3.12 | 3.11 | — |
| Weekday total | 3.49 | 3.34 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 32.3 | 3.50 | 0.55 | 0.12 | 2.83 | 3.54 | 0.0% |
| 2025Q3 | 92 | 33.1 | 3.65 | 0.47 | 0.38 | 2.80 | 3.53 | 0.1% |
| 2025Q1 | 90 | 31.0 | 3.85 | 0.58 | 0.22 | 3.05 | 3.64 | 0.0% |
| 2024Q4 | 92 | 27.0 | 4.40 | 0.57 | 0.34 | 3.50 | 4.19 | 0.0% |
| 2024Q3 | 92 | 26.1 | 4.19 | 0.65 | 0.17 | 3.37 | 4.07 | 100.0% |
| 2024Q2 | 91 | 26.8 | 4.05 | 0.54 | 0.19 | 3.32 | 4.02 | 99.9% |
| 2024Q1 | 91 | 25.4 | 4.08 | 0.57 | 0.20 | 3.31 | 3.83 | 0.0% |
| 2023Q4 | 92 | 26.8 | 3.62 | 0.63 | 0.17 | 2.82 | 3.45 | 0.0% |
| 2023Q3 | 92 | 29.2 | 3.71 | 0.61 | 0.25 | 2.85 | 3.43 | 0.0% |
| 2023Q2 | 91 | 28.0 | 4.79 | 0.72 | 0.35 | 3.72 | 4.26 | 4.8% |
| 2023Q1 | 90 | 26.9 | 1.72 | 0.19 | 0.21 | 1.32 | 1.75 | 51.8% |
| 2022Q4 | 92 | 24.6 | 3.22 | 0.29 | 0.26 | 2.68 | 2.83 | 56.2% |
| 2022Q3 | 92 | 23.8 | 3.75 | 0.54 | 0.49 | 2.72 | 3.70 | 41.9% |
| 2022Q2 | 91 | 22.6 | 3.76 | 0.31 | 0.72 | 2.73 | 3.57 | 47.9% |
| 2022Q1 | 90 | 21.9 | 4.00 | 0.41 | 0.52 | 3.08 | 3.53 | 23.9% |
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
2fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2026-03-26 | Fine | $58,775 | CMS provider data |
| 2025-01-30 | Fine | $28,915 | CMS provider data |
Total fines on record: $87,690
Deficiencies
32D × 19E × 8F × 3G × 1J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-26 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2026-04-17 |
| 2026-03-26 | Health | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D | 2026-04-29 |
| 2026-03-26 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2026-04-17 |
| 2026-03-26 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2026-04-17 |
| 2026-03-26 | 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. | E | 2026-04-17 |
| 2026-03-26 | Health | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | 2026-04-17 |
| 2026-03-26 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | 2026-05-01 |
| 2026-03-26 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | J | 2026-04-17 |
| 2026-03-26 | 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 | 2026-04-17 |
| 2026-03-26 | Health | F0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | D | 2026-05-01 |
| 2026-03-26 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2026-04-17 |
| 2026-03-26 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2026-04-17 |
| 2025-06-18 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2025-07-09 |
| 2025-06-18 | 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 | 2025-07-09 |
| 2025-06-18 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2025-07-09 |
| 2025-01-30 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-02-20 |
| 2025-01-30 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-02-20 |
| 2025-01-30 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-02-20 |
| 2025-01-30 | Health | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | 2025-02-20 |
| 2025-01-30 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2025-02-20 |
| 2024-01-04 | 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. | E | 2024-02-22 |
| 2024-01-04 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2024-02-22 |
| 2024-01-04 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-02-22 |
| 2024-01-04 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-02-22 |
| 2024-01-04 | 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 | 2024-02-22 |
| 2024-01-04 | 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 | 2024-02-22 |
| 2024-01-04 | 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. | E | 2024-02-22 |
| 2024-01-04 | 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 | 2024-02-22 |
| 2024-01-04 | Health | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2024-02-22 |
| 2024-01-04 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-02-22 |
| 2024-01-04 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-02-22 |
| 2024-01-04 | Health · complaint | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | F | 2024-02-22 |
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
0No ownership edges on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 — MT snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-03-01 | NORTHERN MONTANA CARE CENTER | — | — | — | 135 | NORTHERN MONTANA CARE CENTER INC |
| 2023-10-01 | RIVER RIDGE REHABILITATION AND NURSING LLC | — | — | — | 129 | RIVER RIDGE REHABILITATION AND NURSING LLC |
| 2023-08-31 | ASPEN MEADOWS HEALTH AND REHABILITATION CENTER | — | — | — | 90 | ASPEN MEADOWS SNF OPERATIONS, LLC |
| 2023-08-31 | LIVINGSTON HEALTH & REHABILITATION CENTER | — | — | — | 115 | LIVINGSTON SNF OPERATIONS LLC |
| 2023-08-31 | POLSON HEALTH & REHABILITATION CENTER | — | — | — | 70 | POLSON SNF OPERATIONS LLC |
| 2023-08-31 | MISSOULA HEALTH & REHABILITATION CENTER | — | — | — | 53 | MISSOULA SNF OPERATIONS LLC |
| 2023-08-31 | LAUREL HEALTH & REHABILITATION CENTER | — | — | — | 79 | LAUREL SNF OPERATIONS LLC |
| 2023-08-31 | HOT SPRINGS HEALTH & REHABILITATION CENTER | — | — | — | 40 | HOT SPRINGS SNF OPERATIONS LLC |
| 2023-07-01 | KALISPELL REHABILITATION AND NURSING LLC | — | — | — | 140 | KALISPELL REHABILITATION AND NURSING LLC |
| 2023-07-01 | NORTHERN PINES REHABILITATION AND NURSING | — | — | — | 41 | NORTHERN PINES REHABILITATION AND NURSING |
| 2023-07-01 | BILLINGS REHABILITATION AND NURSING LLC | — | — | — | 100 | BILLINGS REHABILITATION AND NURSING LLC |
| 2023-07-01 | VALLE VISTA REHABILITATION AND NURSING LLC | — | — | — | 101 | VALLE VISTA REHABILITATION AND NURSING 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 30035 | acs median gross | 0 | $633 | 2024-12-31 | CENSUS_ACS5 |
| county 30035 | fmr | 0 | $956 | 2025-10-01 | HUD_USER_FMR |
| county 30035 | acs median gross | 1 | $224 | 2024-12-31 | CENSUS_ACS5 |
| county 30035 | fmr | 1 | $1,033 | 2025-10-01 | HUD_USER_FMR |
| county 30035 | acs median gross | 2 | $568 | 2024-12-31 | CENSUS_ACS5 |
| county 30035 | fmr | 2 | $1,275 | 2025-10-01 | HUD_USER_FMR |
| county 30035 | acs median gross | 3 | $645 | 2024-12-31 | CENSUS_ACS5 |
| county 30035 | fmr | 3 | $1,529 | 2025-10-01 | HUD_USER_FMR |
| county 30035 | acs median gross | 4 | $1,051 | 2024-12-31 | CENSUS_ACS5 |
| county 30035 | fmr | 4 | $1,836 | 2025-10-01 | HUD_USER_FMR |
| county 30035 | acs median gross | 5 | $413 | 2024-12-31 | CENSUS_ACS5 |
| county 30035 | acs median gross | $548 | 2024-12-31 | CENSUS_ACS5 | |
| county 30035 | acs recent mover gross | $493 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 59417 | acs median gross | 0 | $633 | 2024-12-31 | CENSUS_ACS5 |
| zcta 59417 | acs median gross | 1 | $231 | 2024-12-31 | CENSUS_ACS5 |
| zcta 59417 | acs median gross | 2 | $487 | 2024-12-31 | CENSUS_ACS5 |
| zcta 59417 | acs median gross | 3 | $513 | 2024-12-31 | CENSUS_ACS5 |
| zcta 59417 | acs median gross | 4 | $396 | 2024-12-31 | CENSUS_ACS5 |
| zcta 59417 | acs median gross | 5 | $408 | 2024-12-31 | CENSUS_ACS5 |
| zcta 59417 | acs median gross | $474 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 59417 | acs recent mover gross | $465 | 2024-12-31 | CENSUS_ACS5 | |
| zip 59417 | payment standard 110 | 0 | $968 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59417 | payment standard 90 | 0 | $792 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59417 | safmr | 0 | $880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59417 | payment standard 110 | 1 | $1,056 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59417 | payment standard 90 | 1 | $864 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59417 | safmr | 1 | $960 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59417 | payment standard 110 | 2 | $1,298 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59417 | payment standard 90 | 2 | $1,062 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59417 | safmr | 2 | $1,180 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59417 | payment standard 110 | 3 | $1,551 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59417 | payment standard 90 | 3 | $1,269 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59417 | safmr | 3 | $1,410 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59417 | payment standard 110 | 4 | $1,903 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59417 | payment standard 90 | 4 | $1,557 | 2025-10-01 | HUD_USER_SAFMR |
| zip 59417 | safmr | 4 | $1,730 | 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.