Composite
16.7 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| staffing risk | 55.9 | 55.9 | 0.25 | 0.1923 | 10.75 | in index |
| regulatory risk | 32.9 | 22.9 | 0.30 | 0.2308 | 7.59 | in index |
| chow risk | 51.2 | 49.4 | 0.15 | 0.1154 | 5.91 | in index |
| financial risk | 24.6 | 30.3 | 0.30 | 0.2308 | 5.68 | in index |
| billing conduct | 18.4 | 23.0 | 0.30 | 0.2308 | 4.25 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 23.0 | 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 | 73.8 | D | v0.6 | default · in composite | |
| financial risk | 30.3 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.2 | — | 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 | 2.2 | — | 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 | 22.9 | A | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 55.9 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 90.4 | 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 | 70.4 | 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 | 46.6 | 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 | 35.0 | 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 | 22.8 | A | 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 | 22.8 | A | 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 | 55.9 | C | 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 | 55.9 | C | 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 | 0.89 | -0.56 | |
| 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 | 0.17 | +0.16 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.89 | -0.60 | |
| Deficiencies, last 12 months | 5.00 | +0.50 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 | |
| Staffing trend, last 4 quarters | 0.32 | +0.12 |
| 2025Q4 HPRD | This facility | MA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.19 | 3.39 | 3.28 | 2.90–3.77 |
| RN | 0.36 | 0.39 | 0.39 | 0.25–0.58 |
| Weekend total | 3.04 | 3.26 | 3.11 | — |
| Weekday total | 3.25 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 85.5 | 3.19 | 0.36 | 0.85 | 1.98 | 3.04 | 16.5% |
| 2025Q3 | 92 | 87.1 | 3.26 | 0.31 | 0.90 | 2.05 | 3.04 | 20.2% |
| 2025Q2 | 91 | 89.3 | 3.25 | 0.26 | 0.98 | 2.00 | 3.01 | 20.0% |
| 2025Q1 | 90 | 93.2 | 2.93 | 0.24 | 0.78 | 1.91 | 2.80 | 18.3% |
| 2024Q4 | 92 | 91.8 | 2.88 | 0.24 | 0.76 | 1.88 | 2.79 | 23.5% |
| 2024Q3 | 92 | 90.8 | 2.88 | 0.30 | 0.68 | 1.91 | 2.85 | 25.2% |
| 2024Q2 | 91 | 87.6 | 2.88 | 0.37 | 0.65 | 1.87 | 2.78 | 28.2% |
| 2024Q1 | 91 | 89.7 | 2.88 | 0.26 | 0.74 | 1.88 | 2.79 | 26.8% |
| 2023Q4 | 92 | 88.4 | 2.97 | 0.30 | 0.72 | 1.95 | 2.91 | 32.5% |
| 2023Q3 | 92 | 94.6 | 2.75 | 0.43 | 0.54 | 1.79 | 2.66 | 30.3% |
| 2023Q2 | 91 | 91.5 | 2.71 | 0.35 | 0.67 | 1.70 | 2.64 | 23.4% |
| 2023Q1 | 90 | 95.2 | 2.85 | 0.32 | 0.70 | 1.84 | 2.72 | 39.1% |
| 2022Q4 | 92 | 100.4 | 2.62 | 0.30 | 0.71 | 1.62 | 2.38 | 47.7% |
| 2022Q3 | 92 | 97.9 | 2.29 | 0.20 | 0.64 | 1.44 | 2.16 | 36.1% |
| 2022Q2 | 91 | 88.5 | 2.91 | 0.30 | 0.76 | 1.85 | 2.77 | 29.7% |
| 2022Q1 | 90 | 89.4 | 2.88 | 0.29 | 0.82 | 1.77 | 2.70 | 19.8% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-09-26 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-10-07 |
| 2025-09-26 | Health | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2025-10-07 |
| 2025-09-26 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | 2025-10-07 |
| 2025-09-26 | 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 | 2025-10-07 |
| 2025-09-26 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-10-07 |
| 2025-06-24 | 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 | 2025-06-19 |
| 2025-06-24 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-06-19 |
| 2024-08-13 | Health | 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 | 2024-09-04 |
| 2024-08-13 | Health | F0641 | Ensure each resident receives an accurate assessment. | C | 2024-08-27 |
| 2024-08-13 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-09-06 |
| 2024-08-13 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-09-06 |
| 2024-08-13 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2024-08-21 |
| 2024-08-13 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2024-09-06 |
| 2024-08-13 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-09-06 |
| 2024-08-13 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2024-08-13 |
| 2024-08-13 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2024-09-15 |
| 2023-05-16 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-05-23 |
| 2023-05-16 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-05-23 |
| 2023-05-16 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2023-05-23 |
| 2023-05-16 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2023-05-23 |
| 2023-05-16 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-05-23 |
| 2023-05-16 | 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 | 2023-05-23 |
| 2023-05-16 | 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 | 2023-05-23 |
| 2023-05-16 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | J | 2023-05-23 |
| 2023-05-16 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2023-05-23 |
| 2023-05-16 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2023-05-23 |
| 2023-05-16 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-05-23 |
| 2023-05-16 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-05-23 |
| 2023-05-16 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2023-05-23 |
| 2023-05-16 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | J | 2023-05-23 |
| 2023-05-16 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2023-05-23 |
| 2023-05-16 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2023-05-23 |
| 2023-05-16 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | 2023-05-23 |
| 2023-05-16 | 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. | J | 2023-05-23 |
| 2023-05-16 | 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 | 2023-05-23 |
| 2023-05-16 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-05-23 |
| 2023-05-16 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | 2023-05-23 |
| 2023-05-16 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2023-05-23 |
| 2023-05-16 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2023-05-23 |
| 2023-05-16 | Health | 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. | E | 2023-05-23 |
| 2023-05-16 | Health | F0888 | Ensure staff are vaccinated for COVID-19 | F | 2023-05-23 |
| 2023-05-16 | Health | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | 2023-05-23 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| MAJEKODUNMI, AKINDELE | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 | current | pecos_ownership |
| MAJEKODUNMI, AKINDELE | ADP OF THE SNF | — | 2025-07-10 | current | pecos_ownership |
| PRESUTTI, MARK | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-14 | current | pecos_ownership |
| PRESUTTI, MARK | ADP OF THE SNF | — | 2025-04-08 | current | pecos_ownership |
| 32 HOSPITAL HILL ROAD LLC | Corporation, partnership or other organization has financial interest in provider | 100% | 2020-12-01 | ended 2021-12-31 | hcris_a_8_1 |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-29 | Hadley Pointe Nursing Rehab & Care | — | — | — | 154 | HADLEY CENTER LLC |
| 2025-08-01 | Alliance Health at Coleman | — | — | — | 45 | ALLIANCE HEALTH OF NORTHBOROUGH INC |
| 2025-05-28 | PALM SPRINGS POST ACUTE | — | — | — | 124 | PALM SPRINGS OPERATOR LLC |
| 2025-05-28 | HAMPDEN POST ACUTE | — | — | — | 135 | HAMPDEN OPERATOR LLC |
| 2025-04-01 | BROCKTON POST ACUTE CARE | — | — | — | 169 | BROCKTON OPERATOR LLC |
| 2025-04-01 | HIGHLAND PARK REHABILITATION AND HEALTHCARE CENTER | — | — | — | 195 | HIGHLAND PARK OPERATOR LLC |
| 2025-03-01 | THE CENTER AT ADVOCATE | — | — | — | 190 | THE CENTER AT ADVOCATE LLC |
| 2025-03-01 | Premier Healthcare at Harrington House | — | — | — | 90 | 160 MAIN STREET WALPOLE OPERATOR LLC |
| 2025-02-28 | PORT REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | NEWBURYPORT SNF OPERATIONS LLC |
| 2025-02-28 | MASCONOMET REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | TOPSFIELD SNF OPERATIONS LLC |
| 2025-02-28 | SIPPICAN REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | MARION SNF OPERATIONS LLC |
| 2025-02-28 | NEMASKET REHABILITATION AND HEALTHCARE CENTER | — | — | — | 102 | MIDDLEBOROUGH SNF OPERATIONS LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 25027 | acs median gross | 0 | $1,120 | 2024-12-31 | CENSUS_ACS5 |
| county 25027 | acs median gross | 1 | $1,068 | 2024-12-31 | CENSUS_ACS5 |
| county 25027 | acs median gross | 2 | $1,483 | 2024-12-31 | CENSUS_ACS5 |
| county 25027 | acs median gross | 3 | $1,745 | 2024-12-31 | CENSUS_ACS5 |
| county 25027 | acs median gross | 4 | $1,929 | 2024-12-31 | CENSUS_ACS5 |
| county 25027 | acs median gross | 5 | $1,739 | 2024-12-31 | CENSUS_ACS5 |
| county 25027 | acs median gross | $1,426 | 2024-12-31 | CENSUS_ACS5 | |
| county 25027 | acs recent mover gross | $1,868 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 01440 | acs median gross | 0 | $568 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01440 | acs median gross | 1 | $982 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01440 | acs median gross | 2 | $1,233 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01440 | acs median gross | 3 | $1,236 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01440 | acs median gross | $1,109 | 2024-12-31 | CENSUS_ACS5 | |
| zip 01440 | payment standard 110 | 0 | $1,188 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01440 | payment standard 90 | 0 | $972 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01440 | safmr | 0 | $1,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01440 | payment standard 110 | 1 | $1,386 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01440 | payment standard 90 | 1 | $1,134 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01440 | safmr | 1 | $1,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01440 | payment standard 110 | 2 | $1,716 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01440 | payment standard 90 | 2 | $1,404 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01440 | safmr | 2 | $1,560 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01440 | payment standard 110 | 3 | $2,200 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01440 | payment standard 90 | 3 | $1,800 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01440 | safmr | 3 | $2,000 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01440 | payment standard 110 | 4 | $2,585 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01440 | payment standard 90 | 4 | $2,115 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01440 | safmr | 4 | $2,350 | 2025-10-01 | HUD_USER_SAFMR |