Composite
84.4 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 92.7 | 62.6 | 0.30 | 0.2308 | 21.39 | in index |
| regulatory risk | 81.5 | 78.4 | 0.30 | 0.2308 | 18.81 | in index |
| financial risk | 64.5 | 55.3 | 0.30 | 0.2308 | 14.88 | in index |
| chow risk | 47.5 | 45.7 | 0.15 | 0.1154 | 5.48 | in index |
| staffing risk | 12.0 | 12.1 | 0.25 | 0.1923 | 2.31 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 62.6 | 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 | 66.3 | D | v0.6 | default · in composite | |
| financial risk | 55.3 | C | 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 | 3.5 | — | 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 | 78.4 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 12.1 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 71.5 | D | 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 | 51.5 | 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 | 54.7 | 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 | 58.7 | C | 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 | 78.3 | D | 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 | 78.3 | D | 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 | 12.1 | A | 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 | 12.1 | A | 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 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Contract staffing share | 0.26 | +0.30 | |
| Total nurse staffing (HPRD) | 4.23 | -0.24 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 10.00 | -0.43 | |
| Total nurse staffing (HPRD) | 4.23 | -0.43 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Contract staffing share | 0.26 | +0.20 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Facility size (log beds) | 4.96 | -0.13 |
| 2025Q4 HPRD | This facility | HI median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 4.23 | 4.00 | 3.28 | 2.90–3.77 |
| RN | 1.48 | 1.24 | 0.39 | 0.25–0.58 |
| Weekend total | 4.00 | 3.78 | 3.11 | — |
| Weekday total | 4.32 | 4.04 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 102.3 | 4.23 | 1.48 | 0.10 | 2.65 | 4.00 | 25.6% |
| 2025Q3 | 92 | 99.3 | 4.42 | 1.42 | 0.14 | 2.87 | 4.36 | 26.9% |
| 2025Q2 | 91 | 103.3 | 4.13 | 1.53 | 0.05 | 2.55 | 3.97 | 23.6% |
| 2025Q1 | 90 | 99.8 | 4.16 | 1.60 | 0.08 | 2.47 | 4.05 | 19.8% |
| 2024Q4 | 92 | 101.6 | 4.20 | 1.45 | 0.18 | 2.57 | 4.22 | 28.0% |
| 2024Q3 | 92 | 94.0 | 4.60 | 1.57 | 0.25 | 2.78 | 4.45 | 32.2% |
| 2024Q2 | 91 | 97.1 | 4.62 | 1.51 | 0.29 | 2.81 | 4.52 | 30.6% |
| 2024Q1 | 91 | 103.2 | 4.17 | 1.15 | 0.36 | 2.66 | 4.19 | 34.6% |
| 2023Q4 | 92 | 93.7 | 4.25 | 1.24 | 0.33 | 2.67 | 4.03 | 25.1% |
| 2023Q3 | 92 | 87.3 | 4.44 | 1.16 | 0.39 | 2.89 | 4.29 | 17.7% |
| 2023Q2 | 91 | 85.9 | 4.44 | 1.20 | 0.40 | 2.85 | 4.27 | 14.1% |
| 2023Q1 | 90 | 87.6 | 4.59 | 1.24 | 0.39 | 2.96 | 4.28 | 18.5% |
| 2022Q4 | 92 | 87.8 | 4.30 | 1.15 | 0.20 | 2.95 | 4.09 | 14.2% |
| 2022Q3 | 92 | 85.9 | 4.15 | 1.30 | 0.15 | 2.70 | 3.87 | 9.8% |
| 2022Q2 | 91 | 85.8 | 4.74 | 1.49 | 0.19 | 3.06 | 4.42 | 15.1% |
| 2022Q1 | 90 | 92.0 | 3.48 | 1.25 | 0.23 | 2.00 | 3.30 | 7.8% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2023-08-24 | Fine | $36,296 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-08-01 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-09-15 |
| 2025-08-01 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-09-15 |
| 2025-08-01 | 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 | 2025-09-15 |
| 2025-08-01 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-09-23 |
| 2025-08-01 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-09-15 |
| 2025-08-01 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2025-09-15 |
| 2025-08-01 | 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 | 2025-09-15 |
| 2025-08-01 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-09-15 |
| 2025-08-01 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-09-15 |
| 2025-08-01 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-09-15 |
| 2025-05-30 | Health · complaint | 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 | 2025-06-30 |
| 2025-05-30 | 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. | E | 2025-06-30 |
| 2025-01-03 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-04-02 |
| 2024-08-09 | 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 | 2024-09-17 |
| 2024-08-09 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2024-09-17 |
| 2024-08-09 | 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 | 2024-09-17 |
| 2024-08-09 | 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 | 2024-09-17 |
| 2024-08-09 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-09-17 |
| 2024-08-09 | 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 | 2024-09-17 |
| 2024-08-09 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2024-09-17 |
| 2024-08-09 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-09-17 |
| 2024-08-09 | 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 | 2024-09-17 |
| 2024-08-09 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2024-09-17 |
| 2024-08-09 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-09-17 |
| 2024-08-09 | Health | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | 2024-09-17 |
| 2024-08-09 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-09-17 |
| 2023-10-06 | 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 | 2023-10-20 |
| 2023-10-06 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-11-06 |
| 2023-10-06 | Health · complaint | F0713 | Provide or arrange emergency care by a doctor 24 hours a day. | D | 2023-10-20 |
| 2023-10-06 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | G | 2023-11-03 |
| 2023-08-24 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-10-13 |
| 2023-08-24 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2023-10-13 |
| 2023-08-24 | 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 | 2023-10-13 |
| 2023-08-24 | 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 | 2023-10-13 |
| 2023-08-24 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-10-13 |
| 2023-08-24 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-10-13 |
| 2023-08-24 | 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 | 2023-10-13 |
| 2023-08-24 | 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 | 2023-10-13 |
| 2023-08-24 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-10-13 |
| 2023-08-24 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-10-13 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ALOHA MANAGEMENT COMPANY INC | GENERAL PARTNERSHIP INTEREST | — | 1990-06-01 | current | pecos_ownership |
| HEALTH CARE JAPAN CO LTD | LIMITED PARTNERSHIP INTEREST | — | 1990-06-01 | current | pecos_ownership |
| KANAZAWA, ARITOMO | CORPORATE OFFICER | — | 2016-03-01 | current | pecos_ownership |
| LEE, AMY | W-2 MANAGING EMPLOYEE | — | 2016-03-01 | current | pecos_ownership |
| LEE, AMY | CORPORATE OFFICER | — | 2021-01-23 | current | pecos_ownership |
| TONOKAWA, DOUGLAS | CORPORATE OFFICER | — | 2021-01-23 | current | pecos_ownership |
| AMY LEE | CORPORATE DIRECTOR | 0% | 2021-01-23 | ended 2026-05-18 | pecos_ownership |
| AMY LEE | W-2 MANAGING EMPLOYEE | 0% | 2016-03-01 | ended 2026-05-18 | pecos_ownership |
| ARITOMO KANAZAWA | CORPORATE OFFICER | 0% | 2016-03-01 | ended 2026-05-18 | pecos_ownership |
| DOUGLAS TONOKAWA | W-2 MANAGING EMPLOYEE | 0% | 2021-01-23 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2023-03-01 | HALE NANI REHABILITATION AND NURSING CENTER | — | — | — | 288 | HALE NANI REHAB & NURSING CENTER LLC |
| 2023-02-01 | PEARL CITY POST ACUTE | — | — | — | 122 | PSH PEARL CITY LLC |
| 2023-02-01 | Kulana Malama | — | — | — | 33 | PSH KM LLC |
| 2023-02-01 | OAHU CARE FACILITY | — | — | — | 82 | PSH OAHU LLC |
| 2020-12-18 | NUUANU HALE | — | — | — | 75 | NUUANU HALE, INC |
| 2019-12-31 | LEGACY HILO REHABILITATION & NURSING CENTER | — | — | — | 100 | HILO SNF LLC |
| 2017-07-01 | LANAI COMMUNITY HOSPITAL | — | — | — | 10 | MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC |
| 2017-07-01 | KULA HOSPITAL | — | — | — | 105 | MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 15003 | acs median gross | 0 | $1,458 | 2024-12-31 | CENSUS_ACS5 |
| county 15003 | fmr | 0 | $1,877 | 2025-10-01 | HUD_USER_FMR |
| county 15003 | acs median gross | 1 | $1,605 | 2024-12-31 | CENSUS_ACS5 |
| county 15003 | fmr | 1 | $2,016 | 2025-10-01 | HUD_USER_FMR |
| county 15003 | acs median gross | 2 | $2,086 | 2024-12-31 | CENSUS_ACS5 |
| county 15003 | fmr | 2 | $2,642 | 2025-10-01 | HUD_USER_FMR |
| county 15003 | acs median gross | 3 | $2,948 | 2024-12-31 | CENSUS_ACS5 |
| county 15003 | fmr | 3 | $3,674 | 2025-10-01 | HUD_USER_FMR |
| county 15003 | acs median gross | 4 | $3,443 | 2024-12-31 | CENSUS_ACS5 |
| county 15003 | fmr | 4 | $4,432 | 2025-10-01 | HUD_USER_FMR |
| county 15003 | acs median gross | 5 | $3,057 | 2024-12-31 | CENSUS_ACS5 |
| county 15003 | acs median gross | $2,083 | 2024-12-31 | CENSUS_ACS5 | |
| county 15003 | acs recent mover gross | $2,457 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 96744 | acs median gross | 1 | $1,812 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96744 | acs median gross | 2 | $2,075 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96744 | acs median gross | 3 | $2,668 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96744 | acs median gross | 4 | $2,368 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96744 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96744 | acs median gross | $2,370 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 96744 | acs recent mover gross | $2,776 | 2024-12-31 | CENSUS_ACS5 | |
| zip 96744 | payment standard 110 | 0 | $2,222 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96744 | payment standard 90 | 0 | $1,818 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96744 | safmr | 0 | $2,020 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96744 | payment standard 110 | 1 | $2,398 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96744 | payment standard 90 | 1 | $1,962 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96744 | safmr | 1 | $2,180 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96744 | payment standard 110 | 2 | $3,135 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96744 | payment standard 90 | 2 | $2,565 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96744 | safmr | 2 | $2,850 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96744 | payment standard 110 | 3 | $4,356 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96744 | payment standard 90 | 3 | $3,564 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96744 | safmr | 3 | $3,960 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96744 | payment standard 110 | 4 | $5,258 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96744 | payment standard 90 | 4 | $4,302 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96744 | safmr | 4 | $4,780 | 2025-10-01 | HUD_USER_SAFMR |