Composite
81.9 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 83.1 | 54.9 | 0.30 | 0.2308 | 19.18 | in index |
| financial risk | 79.7 | 66.7 | 0.30 | 0.2308 | 18.39 | in index |
| regulatory risk | 47.8 | 36.8 | 0.30 | 0.2308 | 11.03 | in index |
| staffing risk | 34.8 | 34.9 | 0.25 | 0.1923 | 6.69 | in index |
| chow risk | 53.4 | 51.5 | 0.15 | 0.1154 | 6.16 | in index |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +23.4 vs natl | PLATSCHEK RICHARD | 15 facilities |
| connection | Owner fleet risk far above national | +22.0 vs natl | LANDA JUDY | 9 facilities |
| connection | Owner spans multiple chains | 5 chains | STEINBERG MOSHE | 15 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 54.9 | 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 | 78.0 | D | v0.6 | default · in composite | |
| financial risk | 66.7 | D | 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 | 1.4 | — | 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 | 36.8 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 34.9 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 51.8 | 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 | 31.8 | 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 | 73.4 | 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 | 65.1 | D | 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 | 36.7 | 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 | 36.7 | 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 | 34.9 | 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 | 34.9 | 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 | |
| Occupancy | 0.93 | -0.66 | |
| 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 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 2.00 | -0.12 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| Deficiencies, last 12 months | 2.00 | +1.06 | |
| Occupancy | 0.93 | -0.75 | |
| 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) | 3.55 | -0.14 | |
| Never sold on record | 1.00 | +0.12 |
| 2025Q4 HPRD | This facility | NY median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.55 | 3.33 | 3.28 | 2.90–3.77 |
| RN | 0.53 | 0.43 | 0.39 | 0.25–0.58 |
| Weekend total | 3.00 | 3.03 | 3.11 | — |
| Weekday total | 3.77 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 92.6 | 3.55 | 0.53 | 0.91 | 2.11 | 3.00 | 0.0% |
| 2025Q3 | 92 | 94.1 | 3.55 | 0.51 | 0.91 | 2.13 | 3.07 | 0.0% |
| 2025Q2 | 91 | 89.8 | 3.83 | 0.60 | 0.89 | 2.34 | 3.31 | 0.0% |
| 2025Q1 | 90 | 92.8 | 3.51 | 0.64 | 0.83 | 2.04 | 2.96 | 0.0% |
| 2024Q4 | 92 | 87.4 | 3.60 | 0.69 | 0.79 | 2.12 | 3.10 | 0.0% |
| 2024Q3 | 92 | 87.2 | 3.79 | 0.67 | 0.78 | 2.34 | 3.21 | 0.6% |
| 2024Q2 | 91 | 86.1 | 3.87 | 0.60 | 0.84 | 2.43 | 3.50 | 0.0% |
| 2024Q1 | 91 | 86.2 | 3.74 | 0.58 | 0.87 | 2.29 | 3.19 | 0.0% |
| 2023Q4 | 92 | 85.5 | 4.12 | 0.59 | 0.95 | 2.58 | 3.69 | 0.0% |
| 2023Q3 | 92 | 86.8 | 3.93 | 0.56 | 0.89 | 2.47 | 3.46 | 0.0% |
| 2023Q2 | 91 | 89.1 | 3.94 | 0.48 | 1.04 | 2.42 | 3.44 | 0.0% |
| 2023Q1 | 90 | 86.2 | 3.74 | 0.51 | 0.90 | 2.33 | 3.28 | 4.6% |
| 2022Q4 | 92 | 88.3 | 3.47 | 0.44 | 0.74 | 2.29 | 2.94 | 26.6% |
| 2022Q3 | 92 | 86.1 | 3.04 | 0.42 | 0.59 | 2.02 | 2.54 | 24.9% |
| 2022Q2 | 91 | 86.4 | 2.75 | 0.42 | 0.51 | 1.83 | 2.28 | 32.4% |
| 2022Q1 | 90 | 86.8 | 2.48 | 0.37 | 0.54 | 1.57 | 2.27 | 35.8% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-26 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-04-07 |
| 2026-02-26 | Health · complaint | 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 | 2026-04-07 |
| 2025-03-28 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-05-20 |
| 2025-03-28 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2025-05-20 |
| 2025-03-28 | 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. | E | 2025-07-18 |
| 2025-03-28 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2025-05-20 |
| 2025-03-28 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | B | 2025-05-20 |
| 2025-03-28 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-05-20 |
| 2025-03-28 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-05-20 |
| 2025-03-28 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-05-20 |
| 2025-03-28 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-05-20 |
| 2025-03-28 | 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 | 2025-05-20 |
| 2025-03-28 | 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 | 2025-05-20 |
| 2025-03-28 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2025-05-20 |
| 2025-03-28 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-05-20 |
| 2025-03-28 | Health · complaint | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | F | 2025-05-20 |
| 2025-03-28 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2025-05-20 |
| 2025-03-28 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2025-05-20 |
| 2024-11-12 | Health · complaint | 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. | E | 2025-01-29 |
| 2024-02-15 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-03-15 |
| 2023-09-18 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2023-10-30 |
| 2023-09-18 | 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 | 2023-10-30 |
| 2023-09-18 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2023-10-30 |
| 2023-09-18 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | 2023-10-30 |
| 2023-09-18 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-10-30 |
| 2023-09-18 | Health | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | D | 2023-10-30 |
| 2023-09-18 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-10-30 |
| 2023-09-18 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-10-30 |
| 2021-11-19 | 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 | 2022-01-06 |
| 2021-11-19 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2022-01-06 |
| 2021-11-19 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2022-01-06 |
| 2021-11-19 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2022-01-06 |
| 2021-11-19 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2022-01-06 |
| 2021-11-19 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2022-01-06 |
| 2021-11-19 | Health | F0908 | Keep all essential equipment working safely. | E | 2022-01-06 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| LANDA, JUDY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 32% | 2015-11-09 | current | pecos_ownership |
| PLATSCHEK, RICHARD | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 32% | 2015-11-09 | current | pecos_ownership |
| ABRAMCZYK, SOLOMON | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 16% | 2015-11-09 | current | pecos_ownership |
| SCHUCK, ROBERT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 16% | 2015-11-09 | current | pecos_ownership |
| 165 BH REALTY | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| SOUTH UNION ROAD HC | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| STEINBERG, MOSHE | LIMITED PARTNERSHIP INTEREST | — | 2015-11-09 | current | pecos_ownership |
| RICHARD PLATSCHEK | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2015-11-09 | ended 2026-05-18 | pecos_ownership |
| JUDY LANDA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 32% | 2015-11-09 | ended 2026-05-18 | pecos_ownership |
| ROBERT SCHUCK | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 16% | 2015-11-09 | ended 2026-05-18 | pecos_ownership |
| SOLOMON ABRAMCZYK | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 16% | 2015-11-09 | ended 2026-05-18 | pecos_ownership |
| MOSHE STEINBERG | LIMITED PARTNERSHIP INTEREST | 4% | 2015-11-09 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-06-01 | PINE FOREST CARE CENTER FOR REHAB & HEALTHCARE | — | — | — | 76 | HILAIRE CARE NETWORK LLC |
| 2024-05-17 | Fairport Rehabilitation and Nursing Center | — | — | — | 196 | FAIRPORT SNF LLC |
| 2024-05-09 | MARIA REGINA REHABILITATION AND NURSING | — | — | — | 188 | OPTIMA CARE BRENTWOOD LLC |
| 2024-02-01 | TUPPER LAKE CENTER FOR NURSING AND REHABILITATION | — | — | — | 60 | TUPPER LAKE CENTER LLC |
| 2023-08-31 | WEST VILLAGE REHABILITATION AND NURSING CENTER | — | — | — | 105 | VILLAGE ACQUISITION I LLC |
| 2023-06-23 | Crest Manor Living and Rehabilitation Center | — | — | — | 80 | CREST OPCO LLC |
| 2023-06-23 | East Side Nursing Home | — | — | — | 80 | EASTSIDE OPCO LLC |
| 2023-05-05 | SPRINGVALE NURSING & REHABILITATION CENTER | — | — | — | 200 | THE PREMIER CENTER FOR REHABILITATION OF WESTCHESTER LLC |
| 2023-04-21 | LIVINGSTON HILLS NURSING AND REHABILITATION CENTER | — | — | — | 120 | LIVINGSTON TWO OPERATIONS LLC |
| 2023-01-12 | EDEN REHABILITATION NURSING CENTER | — | — | — | 40 | EDRNC OPERATING LLC |
| 2023-01-01 | DUNKIRK REHABILITATION & NURSING CENTER | — | — | — | 40 | DURNC OPERATING LLC |
| 2022-09-12 | ROSS CENTER FOR NURSING AND REHABILITATION | — | — | — | 135 | ROSS OPCO LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 36029 | acs median gross | 0 | $942 | 2024-12-31 | CENSUS_ACS5 |
| county 36029 | fmr | 0 | $1,105 | 2025-10-01 | HUD_USER_FMR |
| county 36029 | acs median gross | 1 | $916 | 2024-12-31 | CENSUS_ACS5 |
| county 36029 | fmr | 1 | $1,139 | 2025-10-01 | HUD_USER_FMR |
| county 36029 | acs median gross | 2 | $1,110 | 2024-12-31 | CENSUS_ACS5 |
| county 36029 | fmr | 2 | $1,343 | 2025-10-01 | HUD_USER_FMR |
| county 36029 | acs median gross | 3 | $1,174 | 2024-12-31 | CENSUS_ACS5 |
| county 36029 | fmr | 3 | $1,640 | 2025-10-01 | HUD_USER_FMR |
| county 36029 | acs median gross | 4 | $1,363 | 2024-12-31 | CENSUS_ACS5 |
| county 36029 | fmr | 4 | $1,869 | 2025-10-01 | HUD_USER_FMR |
| county 36029 | acs median gross | 5 | $1,387 | 2024-12-31 | CENSUS_ACS5 |
| county 36029 | acs median gross | $1,090 | 2024-12-31 | CENSUS_ACS5 | |
| county 36029 | acs recent mover gross | $1,282 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 14150 | acs median gross | 0 | $888 | 2024-12-31 | CENSUS_ACS5 |
| zcta 14150 | acs median gross | 1 | $1,066 | 2024-12-31 | CENSUS_ACS5 |
| zcta 14150 | acs median gross | 2 | $1,150 | 2024-12-31 | CENSUS_ACS5 |
| zcta 14150 | acs median gross | 3 | $1,149 | 2024-12-31 | CENSUS_ACS5 |
| zcta 14150 | acs median gross | 4 | $1,634 | 2024-12-31 | CENSUS_ACS5 |
| zcta 14150 | acs median gross | 5 | $1,856 | 2024-12-31 | CENSUS_ACS5 |
| zcta 14150 | acs median gross | $1,132 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 14150 | acs recent mover gross | $1,341 | 2024-12-31 | CENSUS_ACS5 | |
| zip 14150 | payment standard 110 | 0 | $1,287 | 2025-10-01 | HUD_USER_SAFMR |
| zip 14150 | payment standard 90 | 0 | $1,053 | 2025-10-01 | HUD_USER_SAFMR |
| zip 14150 | safmr | 0 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 14150 | payment standard 110 | 1 | $1,320 | 2025-10-01 | HUD_USER_SAFMR |
| zip 14150 | payment standard 90 | 1 | $1,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 14150 | safmr | 1 | $1,200 | 2025-10-01 | HUD_USER_SAFMR |
| zip 14150 | payment standard 110 | 2 | $1,562 | 2025-10-01 | HUD_USER_SAFMR |
| zip 14150 | payment standard 90 | 2 | $1,278 | 2025-10-01 | HUD_USER_SAFMR |
| zip 14150 | safmr | 2 | $1,420 | 2025-10-01 | HUD_USER_SAFMR |
| zip 14150 | payment standard 110 | 3 | $1,903 | 2025-10-01 | HUD_USER_SAFMR |
| zip 14150 | payment standard 90 | 3 | $1,557 | 2025-10-01 | HUD_USER_SAFMR |
| zip 14150 | safmr | 3 | $1,730 | 2025-10-01 | HUD_USER_SAFMR |
| zip 14150 | payment standard 110 | 4 | $2,178 | 2025-10-01 | HUD_USER_SAFMR |
| zip 14150 | payment standard 90 | 4 | $1,782 | 2025-10-01 | HUD_USER_SAFMR |
| zip 14150 | safmr | 4 | $1,980 | 2025-10-01 | HUD_USER_SAFMR |