Composite
93.5 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 94.8 | 84.2 | 0.30 | 0.2308 | 21.88 | in index |
| regulatory risk | 70.1 | 65.0 | 0.30 | 0.2308 | 16.18 | in index |
| billing conduct | 66.5 | 46.1 | 0.30 | 0.2308 | 15.35 | in index |
| chow risk | 73.4 | 51.7 | 0.15 | 0.1154 | 8.47 | in index |
| staffing risk | 40.6 | 40.7 | 0.25 | 0.1923 | 7.81 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 46.1 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 44.3 | 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 | 59.2 | C | v0.6 | default · in composite | |
| financial risk | 84.2 | F | 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 | 2.7 | — | 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 | 65.0 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 40.7 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 53.9 | 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 | 33.9 | 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 | 70.8 | 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 | 83.1 | 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 | 64.8 | C | 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 | 64.8 | C | 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 | 40.7 | 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 | 40.7 | 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 | |
| Facility size (log beds) | 4.88 | -0.08 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 9.75 | -0.54 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Staffing trend, last 4 quarters | 0.40 | +0.16 | |
| Deficiencies, last 12 months | 7.00 | +0.13 | |
| Never sold on record | 1.00 | +0.12 | |
| Occupancy | 0.78 | -0.12 |
| 2025Q4 HPRD | This facility | CO median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.44 | 3.19 | 3.28 | 2.90–3.77 |
| RN | 0.57 | 0.57 | 0.39 | 0.25–0.58 |
| Weekend total | 3.20 | 3.02 | 3.11 | — |
| Weekday total | 3.54 | 3.27 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 101.0 | 3.44 | 0.57 | 0.38 | 2.49 | 3.20 | 2.7% |
| 2025Q3 | 92 | 101.3 | 3.62 | 0.54 | 0.42 | 2.66 | 3.25 | 6.8% |
| 2025Q2 | 91 | 95.6 | 3.52 | 0.53 | 0.52 | 2.47 | 3.10 | 0.3% |
| 2025Q1 | 90 | 96.8 | 3.58 | 0.46 | 0.49 | 2.64 | 3.15 | 4.7% |
| 2024Q4 | 92 | 99.7 | 3.04 | 0.52 | 0.36 | 2.17 | 2.49 | 7.3% |
| 2024Q3 | 92 | 94.7 | 3.37 | 0.62 | 0.35 | 2.40 | 2.69 | 9.1% |
| 2024Q2 | 91 | 87.3 | 3.73 | 0.61 | 0.55 | 2.57 | 2.92 | 14.8% |
| 2024Q1 | 91 | 84.2 | 3.65 | 0.54 | 0.76 | 2.35 | 2.77 | 11.6% |
| 2023Q4 | 92 | 84.1 | 3.44 | 0.39 | 0.77 | 2.27 | 2.83 | 23.9% |
| 2023Q3 | 92 | 74.8 | 3.72 | 0.34 | 0.76 | 2.62 | 3.15 | 30.1% |
| 2023Q2 | 91 | 74.9 | 3.55 | 0.41 | 0.70 | 2.44 | 3.02 | 28.0% |
| 2023Q1 | 90 | 65.4 | 4.08 | 0.46 | 0.83 | 2.80 | 3.46 | 26.1% |
| 2022Q4 | 92 | 65.0 | 3.62 | 0.35 | 0.96 | 2.30 | 3.12 | 13.6% |
| 2022Q3 | 92 | 60.5 | 3.88 | 0.31 | 0.96 | 2.60 | 3.32 | 12.5% |
| 2022Q2 | 91 | 65.5 | 3.70 | 0.32 | 0.86 | 2.52 | 3.15 | 9.1% |
| 2022Q1 | 90 | 66.7 | 4.23 | 0.32 | 0.94 | 2.97 | 3.86 | 12.1% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-08-21 | Fine | $17,225 | CMS provider data |
| 2024-01-03 | Fine | $11,180 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-09 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-12-19 |
| 2025-12-09 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-12-19 |
| 2025-12-05 | 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 | 2025-12-15 |
| 2025-12-05 | Health · complaint | 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 | 2025-12-15 |
| 2025-12-05 | Health · complaint | F0791 | Provide or obtain dental services for each resident. | D | 2025-12-15 |
| 2025-08-21 | Health · complaint | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | 2025-09-14 |
| 2025-08-21 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-09-14 |
| 2025-04-24 | Health · complaint | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | 2025-05-09 |
| 2025-03-11 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2025-04-04 |
| 2024-04-11 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-05-05 |
| 2024-04-11 | Health | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2024-05-05 |
| 2024-04-11 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | E | 2024-05-05 |
| 2024-04-11 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | 2024-05-05 |
| 2024-04-11 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-05-05 |
| 2024-04-11 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2024-05-05 |
| 2024-04-11 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-05-05 |
| 2024-04-11 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-05-05 |
| 2024-04-11 | 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. | E | 2024-05-05 |
| 2024-04-11 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2024-05-05 |
| 2024-04-11 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | 2024-05-05 |
| 2024-04-11 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-05-05 |
| 2024-01-03 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-02-01 |
| 2024-01-03 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-02-01 |
| 2022-12-22 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2023-01-16 |
| 2022-12-22 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2023-01-13 |
| 2022-12-22 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-01-12 |
| 2022-12-22 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2023-01-24 |
| 2021-08-26 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2021-09-20 |
| 2021-08-26 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2021-09-20 |
| 2021-08-26 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2021-09-20 |
| 2021-08-26 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2021-09-20 |
| 2021-08-26 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2021-09-20 |
| 2021-08-26 | Health | F0610 | Respond appropriately to all alleged violations. | E | 2021-09-20 |
| 2021-08-26 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2021-09-20 |
| 2021-08-26 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2021-09-20 |
| 2021-08-26 | 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. | E | 2021-09-20 |
| 2021-08-26 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2021-09-20 |
| 2021-08-26 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2021-09-20 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| JILES, JEANANE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2014-12-01 | current | pecos_ownership |
| JILES, JON | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2014-12-01 | current | pecos_ownership |
| WOOD, MELISSA K. | CORPORATE DIRECTOR | — | 2012-01-31 | current | pecos_ownership |
| MELISSA K. WOOD | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2012-01-31 | ended 2026-05-18 | pecos_ownership |
| JEANANE JILES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2014-12-01 | ended 2026-05-18 | pecos_ownership |
| JON JILES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2014-12-01 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-01 | FALCON HEIGHTS REHABILITATION AND NURSING LLC | — | — | — | 107 | FALCON HEIGHTS REHABILITATION AND NURSING LLC |
| 2025-07-11 | Pueblo Heights Nursing and Rehabilitation | — | — | — | 120 | CONSTITUTION OPERATIONS LLC |
| 2025-05-16 | CITY SCAPE REHABILITATION & CARE CENTER LLC | — | — | — | 60 | CITY SCAPE REHABILITATION & CARE CENTER LLC |
| 2024-10-16 | STORYBROOK CARE & REHABILITATION | — | — | — | 60 | STORYBROOK CARE & REHABILITATION LLC |
| 2024-10-01 | CASEY'S POND SENIOR LIVING | — | — | — | 66 | NORTHWEST COLORADO VISITING NURSE ASSOCIATION |
| 2024-09-01 | POUDRE CANYON REHABILITATION AND NURSING, LLC | — | — | — | 83 | POUDRE CANYON REHABILITATION AND NURSING LLC |
| 2024-09-01 | WELLSPRINGS CARE CENTER | — | — | — | 81 | WELLSPRINGS CARE CENTER LLC |
| 2024-09-01 | SOUTH PLATTE REHABILITATION AND NURSING LLC | — | — | — | 78 | SOUTH PLATTE REHABILITATION AND NURSING LLC |
| 2024-09-01 | WESTLAKE HEALTH AND REHABILITATION CENTER | — | — | — | 107 | LATHAM RIVER HEALTHCARE, INC. |
| 2024-09-01 | THORNTON CARE CENTER | — | — | — | 101 | THORNTON CARE CENTER LLC |
| 2024-09-01 | DURANGO HEALTH AND REHABILITATION | — | — | — | 133 | CHIMNEY ROCK HEALTHCARE INC |
| 2024-09-01 | STERLING REHABILITATION AND NURSING, LLC | — | — | — | 63 | STERLING REHABILITATION AND NURSING LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 08077 | acs median gross | 0 | $766 | 2024-12-31 | CENSUS_ACS5 |
| county 08077 | fmr | 0 | $881 | 2025-10-01 | HUD_USER_FMR |
| county 08077 | acs median gross | 1 | $844 | 2024-12-31 | CENSUS_ACS5 |
| county 08077 | fmr | 1 | $986 | 2025-10-01 | HUD_USER_FMR |
| county 08077 | acs median gross | 2 | $1,115 | 2024-12-31 | CENSUS_ACS5 |
| county 08077 | fmr | 2 | $1,249 | 2025-10-01 | HUD_USER_FMR |
| county 08077 | acs median gross | 3 | $1,615 | 2024-12-31 | CENSUS_ACS5 |
| county 08077 | fmr | 3 | $1,737 | 2025-10-01 | HUD_USER_FMR |
| county 08077 | acs median gross | 4 | $1,817 | 2024-12-31 | CENSUS_ACS5 |
| county 08077 | fmr | 4 | $2,095 | 2025-10-01 | HUD_USER_FMR |
| county 08077 | acs median gross | 5 | $2,286 | 2024-12-31 | CENSUS_ACS5 |
| county 08077 | acs median gross | $1,182 | 2024-12-31 | CENSUS_ACS5 | |
| county 08077 | acs recent mover gross | $1,387 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 81506 | acs median gross | 0 | $712 | 2024-12-31 | CENSUS_ACS5 |
| zcta 81506 | acs median gross | 1 | $791 | 2024-12-31 | CENSUS_ACS5 |
| zcta 81506 | acs median gross | 2 | $1,198 | 2024-12-31 | CENSUS_ACS5 |
| zcta 81506 | acs median gross | 3 | $1,746 | 2024-12-31 | CENSUS_ACS5 |
| zcta 81506 | acs median gross | $1,178 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 81506 | acs recent mover gross | $1,349 | 2024-12-31 | CENSUS_ACS5 | |
| zip 81506 | payment standard 110 | 0 | $1,012 | 2025-10-01 | HUD_USER_SAFMR |
| zip 81506 | payment standard 90 | 0 | $828 | 2025-10-01 | HUD_USER_SAFMR |
| zip 81506 | safmr | 0 | $920 | 2025-10-01 | HUD_USER_SAFMR |
| zip 81506 | payment standard 110 | 1 | $1,133 | 2025-10-01 | HUD_USER_SAFMR |
| zip 81506 | payment standard 90 | 1 | $927 | 2025-10-01 | HUD_USER_SAFMR |
| zip 81506 | safmr | 1 | $1,030 | 2025-10-01 | HUD_USER_SAFMR |
| zip 81506 | payment standard 110 | 2 | $1,441 | 2025-10-01 | HUD_USER_SAFMR |
| zip 81506 | payment standard 90 | 2 | $1,179 | 2025-10-01 | HUD_USER_SAFMR |
| zip 81506 | safmr | 2 | $1,310 | 2025-10-01 | HUD_USER_SAFMR |
| zip 81506 | payment standard 110 | 3 | $2,002 | 2025-10-01 | HUD_USER_SAFMR |
| zip 81506 | payment standard 90 | 3 | $1,638 | 2025-10-01 | HUD_USER_SAFMR |
| zip 81506 | safmr | 3 | $1,820 | 2025-10-01 | HUD_USER_SAFMR |
| zip 81506 | payment standard 110 | 4 | $2,420 | 2025-10-01 | HUD_USER_SAFMR |
| zip 81506 | payment standard 90 | 4 | $1,980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 81506 | safmr | 4 | $2,200 | 2025-10-01 | HUD_USER_SAFMR |