Composite
39.1 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 65.2 | 45.5 | 0.30 | 0.2308 | 15.05 | in index |
| financial risk | 45.9 | 43.0 | 0.30 | 0.2308 | 10.59 | in index |
| regulatory risk | 36.2 | 25.7 | 0.30 | 0.2308 | 8.35 | in index |
| staffing risk | 29.3 | 29.4 | 0.25 | 0.1923 | 5.63 | in index |
| chow risk | 41.9 | 40.1 | 0.15 | 0.1154 | 4.83 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 45.5 | C | 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 | 55.2 | C | v0.6 | default · in composite | |
| financial risk | 43.0 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 2.2 | — | 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 | 0.2 | — | 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 | 25.7 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 29.4 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 93.4 | 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 | 73.4 | D | 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 | 49.3 | 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 | 43.9 | 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 | 25.6 | B | 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 | 25.6 | B | 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 | 29.4 | 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 | 29.4 | 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 | 0.00 | -1.24 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Occupancy | 0.85 | -0.45 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Facility size (log beds) | 5.25 | -0.14 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | +1.62 | |
| Chain size (log) | 0.00 | +1.20 | |
| Deficiencies, last 12 months | 2.00 | +1.06 | |
| Occupancy | 0.85 | -0.44 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 3.67 | -0.19 | |
| Facility size (log beds) | 5.25 | -0.19 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
| 2025Q4 HPRD | This facility | MD median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.67 | 3.32 | 3.28 | 2.90–3.77 |
| RN | 0.49 | 0.47 | 0.39 | 0.25–0.58 |
| Weekend total | 3.65 | 3.17 | 3.11 | — |
| Weekday total | 3.68 | 3.36 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 162.3 | 3.67 | 0.49 | 0.93 | 2.26 | 3.65 | 5.9% |
| 2025Q3 | 92 | 167.8 | 3.56 | 0.54 | 0.81 | 2.22 | 3.55 | 7.4% |
| 2025Q2 | 91 | 169.4 | 3.74 | 0.50 | 0.91 | 2.33 | 3.69 | 8.5% |
| 2025Q1 | 90 | 173.5 | 3.68 | 0.50 | 0.86 | 2.32 | 3.65 | 6.0% |
| 2024Q4 | 92 | 172.7 | 3.69 | 0.55 | 0.79 | 2.35 | 3.67 | 8.2% |
| 2024Q3 | 92 | 176.3 | 3.59 | 0.52 | 0.82 | 2.26 | 3.51 | 7.5% |
| 2024Q2 | 91 | 172.9 | 3.62 | 0.57 | 0.76 | 2.29 | 3.62 | 7.7% |
| 2024Q1 | 91 | 161.9 | 3.80 | 0.58 | 0.85 | 2.37 | 3.80 | 6.7% |
| 2023Q3 | 92 | 163.0 | 3.74 | 0.48 | 0.93 | 2.33 | 3.71 | 22.4% |
| 2023Q2 | 91 | 159.5 | 3.79 | 0.43 | 1.03 | 2.33 | 3.77 | 23.6% |
| 2023Q1 | 90 | 163.7 | 3.66 | 0.53 | 0.86 | 2.27 | 3.68 | 23.3% |
| 2022Q4 | 92 | 169.6 | 3.53 | 0.57 | 0.76 | 2.21 | 3.46 | 18.9% |
| 2022Q3 | 92 | 159.2 | 3.60 | 0.57 | 0.85 | 2.19 | 3.48 | 15.1% |
| 2022Q2 | 91 | 159.8 | 3.72 | 0.62 | 0.83 | 2.27 | 3.65 | 16.3% |
| 2022Q1 | 90 | 154.1 | 3.66 | 0.57 | 0.76 | 2.33 | 3.55 | 14.6% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-30 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2026-04-16 |
| 2026-03-30 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-04-16 |
| 2025-04-01 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-05-16 |
| 2025-04-01 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-05-16 |
| 2025-04-01 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | F | 2025-05-16 |
| 2025-04-01 | Health | F0610 | Respond appropriately to all alleged violations. | E | 2025-05-16 |
| 2025-04-01 | 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 | 2025-06-18 |
| 2025-04-01 | 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 | 2025-05-16 |
| 2025-04-01 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-05-16 |
| 2025-04-01 | Health | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | 2025-05-16 |
| 2025-04-01 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2025-05-16 |
| 2025-04-01 | 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. | D | 2025-05-16 |
| 2025-04-01 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2025-05-16 |
| 2025-04-01 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-05-16 |
| 2025-04-01 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-05-16 |
| 2025-04-01 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | 2025-05-16 |
| 2025-04-01 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2025-05-16 |
| 2025-04-01 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | 2025-05-16 |
| 2020-02-28 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | B | 2020-03-27 |
| 2020-02-28 | 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 | 2020-03-27 |
| 2020-02-28 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2020-03-27 |
| 2020-02-28 | 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 | 2020-03-27 |
| 2020-02-28 | 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 | 2020-03-27 |
| 2020-02-28 | 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 | 2020-03-27 |
| 2020-02-28 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2020-03-27 |
| 2020-02-28 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2020-03-27 |
| 2019-02-15 | Health | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | B | 2019-03-20 |
| 2019-02-15 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | B | 2019-03-20 |
| 2019-02-15 | 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 | 2019-03-20 |
| 2019-02-15 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | 2019-03-20 |
| 2019-02-15 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2019-03-20 |
| 2019-02-15 | 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 | 2019-03-20 |
| 2019-02-15 | 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 | 2019-03-20 |
| 2019-02-15 | 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 | 2019-03-20 |
| 2019-02-15 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2019-03-20 |
| 2019-02-15 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2019-03-20 |
| 2019-02-15 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2019-03-20 |
| 2019-02-15 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | B | 2019-03-20 |
| 2019-02-15 | 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. | D | 2019-03-20 |
| 2019-02-15 | 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. | B | 2019-03-20 |
| 2019-02-15 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2019-03-20 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BROOKS, CAROLYN | CORPORATE DIRECTOR | — | 2012-09-01 | current | pecos_ownership |
| DAVIDSON, KEVIN | CORPORATE DIRECTOR | — | 2009-05-08 | current | pecos_ownership |
| MALIN, WESLEY | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-08-01 | current | pecos_ownership |
| MALIN, WESLEY | CORPORATE OFFICER | — | 2020-06-01 | current | pecos_ownership |
| MAZZEO, KELLY | CORPORATE DIRECTOR | — | 2017-05-01 | current | pecos_ownership |
| NDAHAYO, JOVIAH | CORPORATE DIRECTOR | — | 2010-09-01 | current | pecos_ownership |
| SPILLANE, KEITH | CORPORATE OFFICER | — | 2020-09-01 | current | pecos_ownership |
| WETMORE, THOMAS | CORPORATE DIRECTOR | — | 2009-05-08 | current | pecos_ownership |
| CAROLYN BROOKS | CORPORATE DIRECTOR | 0% | 2012-09-01 | ended 2026-05-18 | pecos_ownership |
| JOVIAH NDAHAYO | CORPORATE DIRECTOR | 0% | 2010-09-01 | ended 2026-05-18 | pecos_ownership |
| KEITH SPILLANE | CORPORATE OFFICER | — | 2020-09-01 | ended 2026-05-18 | pecos_ownership |
| KELLY MAZZEO | CORPORATE DIRECTOR | — | 2017-05-01 | ended 2026-05-18 | pecos_ownership |
| KEVIN DAVIDSON | CORPORATE DIRECTOR | — | 2009-05-08 | ended 2026-05-18 | pecos_ownership |
| THOMAS WETMORE | CORPORATE DIRECTOR | — | 2009-05-08 | ended 2026-05-18 | pecos_ownership |
| WESLEY MALIN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-08-01 | ended 2026-05-18 | pecos_ownership |
| WESLEY MALIN | CORPORATE DIRECTOR | — | 2020-06-01 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-03-01 | FROSTBURG REHAB CENTER | — | — | — | 122 | KAYLOR FROSTBURG LLC |
| 2025-03-01 | SOUTH MOUNTAIN REHAB CENTER | — | — | — | 157 | SM REHAB |
| 2024-12-01 | ST. ELIZABETH REHABILITATION & NURSING CENTER | — | — | — | 162 | ST. ELIZABETH OPCO LLC |
| 2024-10-01 | SNOW HILL REHABILITATION & HEALTHCARE CENTER | — | — | — | 69 | SNOW HILL SNF OPERATIONS LLC |
| 2024-10-01 | DENNETT REHAB CENTER | — | — | — | 99 | DENNETT SNF |
| 2024-09-01 | FREDERICK CROSSING OF JOURNEY | — | — | — | 120 | FREDERICK CROSSING OF JOURNEY LLC |
| 2024-07-01 | BAY HARBOR POST ACUTE HEALTHCARE CENTER | — | — | — | 305 | BAY HARBOR OPERATOR LLC |
| 2024-04-01 | GREEN ACRES NURSING AND REHAB | — | — | — | 170 | 10200 LA PLATA OPCO LLC |
| 2024-03-01 | COPPER RIDGE NURSING AND ASSISTED LIVING CENTER | — | — | — | 66 | CARROLL MD OPCO LLC |
| 2024-01-01 | RESORTS OF AUGSBURG | — | — | — | 131 | RESORTS OF AUGSBURG CORP |
| 2023-12-01 | ROSSVILLE REHABILITATION AND HEALTHCARE CENTER | — | — | — | 172 | ROSSVILLE SNF OPERATIONS LLC |
| 2023-12-01 | TOWSON REHABILITATION AND HEALTHCARE CENTER | — | — | — | 132 | TOWSON SNF OPERATIONS LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 24031 | acs median gross | 0 | $1,685 | 2024-12-31 | CENSUS_ACS5 |
| county 24031 | fmr | 0 | $1,953 | 2025-10-01 | HUD_USER_FMR |
| county 24031 | acs median gross | 1 | $1,819 | 2024-12-31 | CENSUS_ACS5 |
| county 24031 | fmr | 1 | $2,015 | 2025-10-01 | HUD_USER_FMR |
| county 24031 | acs median gross | 2 | $2,113 | 2024-12-31 | CENSUS_ACS5 |
| county 24031 | fmr | 2 | $2,246 | 2025-10-01 | HUD_USER_FMR |
| county 24031 | acs median gross | 3 | $2,515 | 2024-12-31 | CENSUS_ACS5 |
| county 24031 | fmr | 3 | $2,835 | 2025-10-01 | HUD_USER_FMR |
| county 24031 | acs median gross | 4 | $3,095 | 2024-12-31 | CENSUS_ACS5 |
| county 24031 | fmr | 4 | $3,332 | 2025-10-01 | HUD_USER_FMR |
| county 24031 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 24031 | acs median gross | $2,068 | 2024-12-31 | CENSUS_ACS5 | |
| county 24031 | acs recent mover gross | $2,226 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 20860 | acs median gross | $1,405 | 2024-12-31 | CENSUS_ACS5 | |
| zip 20860 | payment standard 110 | 0 | $2,145 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20860 | payment standard 90 | 0 | $1,755 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20860 | safmr | 0 | $1,950 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20860 | payment standard 110 | 1 | $2,189 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20860 | payment standard 90 | 1 | $1,791 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20860 | safmr | 1 | $1,990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20860 | payment standard 110 | 2 | $2,464 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20860 | payment standard 90 | 2 | $2,016 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20860 | safmr | 2 | $2,240 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20860 | payment standard 110 | 3 | $3,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20860 | payment standard 90 | 3 | $2,520 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20860 | safmr | 3 | $2,800 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20860 | payment standard 110 | 4 | $3,630 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20860 | payment standard 90 | 4 | $2,970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20860 | safmr | 4 | $3,300 | 2025-10-01 | HUD_USER_SAFMR |