Composite
66.1 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 95.7 | 85.7 | 0.30 | 0.2308 | 22.08 | in index |
| regulatory risk | 81.2 | 78.0 | 0.30 | 0.2308 | 18.74 | in index |
| staffing risk | 35.9 | 36.0 | 0.25 | 0.1923 | 6.90 | in index |
| chow risk | 35.7 | 34.3 | 0.15 | 0.1154 | 4.12 | in index |
| billing conduct | 11.3 | 10.0 | 0.30 | 0.2308 | 2.61 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 10.0 | 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 | 43.6 | B | v0.6 | default · in composite | |
| financial risk | 85.7 | F | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.6 | — | 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 | 2.0 | — | 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 | 78.0 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 36.0 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 56.7 | 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 | 36.7 | 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 | 73.6 | 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 | 84.1 | F | 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 | 77.9 | 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 | 77.9 | 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 | 36.0 | 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 | 36.0 | 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 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Occupancy | 0.78 | -0.23 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 0.00 | -0.17 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| Chain size (log) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Total nurse staffing (HPRD) | 3.52 | -0.13 | |
| Never sold on record | 1.00 | +0.12 | |
| Occupancy | 0.78 | -0.12 |
| 2025Q4 HPRD | This facility | OH median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.52 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.20 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.46 | 3.11 | 3.11 | — |
| Weekday total | 3.55 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 76.1 | 3.52 | 0.20 | 0.84 | 2.49 | 3.46 | 1.5% |
| 2025Q3 | 92 | 75.2 | 2.25 | 0.05 | 0.63 | 1.57 | 2.25 | 0.0% |
| 2025Q2 | 91 | 75.2 | 3.62 | 0.10 | 1.03 | 2.49 | 3.47 | 3.9% |
| 2025Q1 | 90 | 77.8 | 3.49 | 0.29 | 0.68 | 2.52 | 3.39 | 3.9% |
| 2024Q4 | 92 | 80.3 | 3.22 | 0.35 | 0.59 | 2.27 | 3.08 | 2.3% |
| 2024Q3 | 92 | 74.8 | 3.28 | 0.45 | 0.63 | 2.21 | 3.13 | 0.3% |
| 2024Q2 | 91 | 67.5 | 3.32 | 0.39 | 0.70 | 2.23 | 3.13 | 0.0% |
| 2024Q1 | 91 | 65.0 | 3.21 | 0.21 | 0.81 | 2.19 | 3.18 | 0.0% |
| 2023Q4 | 92 | 58.3 | 3.79 | 0.17 | 1.32 | 2.30 | 3.66 | 0.0% |
| 2023Q3 | 92 | 59.9 | 3.61 | 0.29 | 1.16 | 2.17 | 3.57 | 0.0% |
| 2023Q2 | 91 | 61.3 | 3.96 | 0.41 | 1.12 | 2.43 | 3.78 | 0.0% |
| 2023Q1 | 90 | 61.3 | 3.88 | 0.43 | 1.17 | 2.29 | 3.78 | 0.0% |
| 2022Q4 | 92 | 64.0 | 3.63 | 0.23 | 1.33 | 2.07 | 3.35 | 0.0% |
| 2022Q3 | 92 | 63.8 | 3.00 | 0.23 | 0.93 | 1.84 | 2.87 | 0.0% |
| 2022Q1 | 90 | 53.2 | 3.10 | 0.29 | 1.17 | 1.64 | 3.29 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-05-12 | Fine | $40,950 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-05-12 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2025-06-06 |
| 2025-05-12 | 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 | 2025-06-06 |
| 2025-05-12 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2025-06-06 |
| 2025-05-12 | Health · complaint | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-06-06 |
| 2025-05-12 | 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 | 2025-06-06 |
| 2025-05-12 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-06-06 |
| 2025-05-12 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2025-06-06 |
| 2025-05-12 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-06-06 |
| 2025-05-12 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-06-06 |
| 2025-05-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-06-06 |
| 2025-05-12 | Health · complaint | 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 | 2025-06-06 |
| 2025-05-12 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-06-06 |
| 2025-05-12 | 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. | D | 2025-06-06 |
| 2025-05-12 | Health · complaint | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2025-06-06 |
| 2025-05-12 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-06-06 |
| 2025-05-12 | 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 | 2025-06-06 |
| 2025-05-12 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-06-06 |
| 2025-05-12 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-06-06 |
| 2025-05-12 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2025-06-06 |
| 2025-05-12 | Health · complaint | F0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D | 2025-06-06 |
| 2025-05-12 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2025-06-06 |
| 2025-05-12 | Health · complaint | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-06-06 |
| 2025-05-12 | Health · complaint | 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 | 2025-06-06 |
| 2025-05-12 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2025-06-06 |
| 2024-05-28 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-06-07 |
| 2024-05-28 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-06-07 |
| 2022-08-04 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2022-09-23 |
| 2022-08-04 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2022-09-23 |
| 2022-08-04 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2022-09-23 |
| 2022-08-04 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2022-09-23 |
| 2019-08-15 | Health | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2019-10-10 |
| 2019-08-15 | Health | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | F | 2019-10-10 |
| 2019-08-15 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | F | 2019-10-10 |
| 2019-08-15 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2019-10-10 |
| 2019-08-15 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2019-10-10 |
| 2019-08-15 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2019-10-10 |
| 2019-08-15 | 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 | 2019-10-10 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| PAC LAND HOLDINGS | Corporation, partnership or other organization has financial interest in provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| PAC LAND HOLDINGS | Corporation, partnership or other organization has financial interest in provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| PAC LAND HOLDINGS | Corporation, partnership or other organization has financial interest in provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| PAC LAND HOLDINGS | Corporation, partnership or other organization has financial interest in provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| ROBERT ANESHANSEL | OPERATIONAL/MANAGERIAL CONTROL | 80% | 2003-05-19 | ended 2026-05-18 | pecos_ownership |
| ROBERT ANESHANSEL | W-2 MANAGING EMPLOYEE | 80% | 2012-03-06 | ended 2026-05-18 | pecos_ownership |
| REUVEN DESSLER | CORPORATE DIRECTOR | 40% | — | ended 2026-05-18 | pecos_ownership |
| DAVID LIPINS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% | — | ended 2026-05-18 | pecos_ownership |
| NATHAN LEVITANSKY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% | — | ended 2026-05-18 | pecos_ownership |
| ROBERT ANESHANSEL | CORPORATE DIRECTOR | 25% | 2012-03-16 | ended 2026-05-18 | pecos_ownership |
| ERIC SIMON | CORPORATE OFFICER | 10% | 2017-07-01 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-12-31 | SAPPHIRE REHABILITATION AND CARE CENTER | — | — | — | 113 | SAPPHIRE OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF POINT PLACE | — | — | — | 82 | POINT PLACE OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF NEW LEXINGTON | — | — | — | 82 | NEW LEXINGTON OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | Atrium Nursing and Rehabilitation | — | — | — | 99 | ATRIUM OPCO LLC |
| 2024-12-31 | Inniswood Health and Rehabilitation | — | — | — | 99 | FHS INNISWOOD, INC. |
| 2024-12-31 | COMMUNITY SKILLED HEALTHCARE | — | — | — | 110 | CS OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF PERRYSBURG | — | — | — | 75 | PERRYSBURG OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | GRAFTON OAKS NURSING CENTER | — | — | — | 99 | GO OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF KENT | — | — | — | 74 | KENT OH HEALTH & REHAB OPCO LLC |
| 2024-12-30 | Chardon Woods | — | — | — | 161 | CHARDON WOODS OF JOURNEY LLC |
| 2024-12-16 | The Pavilion at Canal Fulton for Nursing and Rehab | — | — | — | 60 | PAVILION AT CANAL FULTON LLC |
| 2024-12-02 | BENNINGTON GLEN NURSING & REHABILITATION CENTER | — | — | — | 79 | FHS BENNINGTON INC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 39169 | acs median gross | 0 | $513 | 2024-12-31 | CENSUS_ACS5 |
| county 39169 | fmr | 0 | $718 | 2025-10-01 | HUD_USER_FMR |
| county 39169 | acs median gross | 1 | $675 | 2024-12-31 | CENSUS_ACS5 |
| county 39169 | fmr | 1 | $816 | 2025-10-01 | HUD_USER_FMR |
| county 39169 | acs median gross | 2 | $912 | 2024-12-31 | CENSUS_ACS5 |
| county 39169 | fmr | 2 | $1,041 | 2025-10-01 | HUD_USER_FMR |
| county 39169 | acs median gross | 3 | $969 | 2024-12-31 | CENSUS_ACS5 |
| county 39169 | fmr | 3 | $1,269 | 2025-10-01 | HUD_USER_FMR |
| county 39169 | acs median gross | 4 | $1,020 | 2024-12-31 | CENSUS_ACS5 |
| county 39169 | fmr | 4 | $1,491 | 2025-10-01 | HUD_USER_FMR |
| county 39169 | acs median gross | 5 | $1,273 | 2024-12-31 | CENSUS_ACS5 |
| county 39169 | acs median gross | $881 | 2024-12-31 | CENSUS_ACS5 | |
| county 39169 | acs recent mover gross | $1,044 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 44618 | acs median gross | 1 | $853 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44618 | acs median gross | 2 | $871 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44618 | acs median gross | 3 | $961 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44618 | acs median gross | 4 | $826 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44618 | acs median gross | $860 | 2024-12-31 | CENSUS_ACS5 | |
| zip 44618 | payment standard 110 | 0 | $748 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44618 | payment standard 90 | 0 | $612 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44618 | safmr | 0 | $680 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44618 | payment standard 110 | 1 | $847 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44618 | payment standard 90 | 1 | $693 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44618 | safmr | 1 | $770 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44618 | payment standard 110 | 2 | $1,078 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44618 | payment standard 90 | 2 | $882 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44618 | safmr | 2 | $980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44618 | payment standard 110 | 3 | $1,320 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44618 | payment standard 90 | 3 | $1,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44618 | safmr | 3 | $1,200 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44618 | payment standard 110 | 4 | $1,540 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44618 | payment standard 90 | 4 | $1,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44618 | safmr | 4 | $1,400 | 2025-10-01 | HUD_USER_SAFMR |