Composite
86.0 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 87.5 | 74.5 | 0.30 | 0.2308 | 20.19 | in index |
| staffing risk | 76.8 | 76.8 | 0.25 | 0.1923 | 14.77 | in index |
| regulatory risk | 50.1 | 39.3 | 0.30 | 0.2308 | 11.56 | in index |
| billing conduct | 45.3 | 37.5 | 0.30 | 0.2308 | 10.45 | in index |
| chow risk | 59.4 | 60.0 | 0.15 | 0.1154 | 6.85 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 37.5 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.8 | A | 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 | 95.2 | F | v0.6 | default · in composite | |
| financial risk | 74.5 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | 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 | 15.5 | — | 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 | 39.3 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 76.8 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 64.8 | 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 | 44.8 | 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 | 60.2 | 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 | 76.5 | 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 | 39.1 | 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 | 39.1 | 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 | 76.8 | D | 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 | 76.8 | D | 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 | |
| Occupancy | 0.50 | +0.58 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.58 | +0.36 | |
| Deficiencies, last 12 months | 21.00 | +0.34 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 21.00 | -2.47 | |
| Occupancy | 0.50 | +1.06 | |
| Chain size (log) | 3.58 | -0.88 | |
| 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) | 2.86 | +0.15 | |
| Never sold on record | 1.00 | +0.12 |
| 2025Q4 HPRD | This facility | IN median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.86 | 2.85 | 3.28 | 2.90–3.77 |
| RN | 0.19 | 0.40 | 0.39 | 0.25–0.58 |
| Weekend total | 2.86 | 2.71 | 3.11 | — |
| Weekday total | 2.86 | 2.90 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 46.2 | 2.86 | 0.19 | 0.78 | 1.89 | 2.86 | 0.0% |
| 2025Q3 | 92 | 47.5 | 2.82 | 0.10 | 0.89 | 1.82 | 2.80 | 0.0% |
| 2025Q2 | 91 | 47.6 | 2.79 | 0.22 | 0.84 | 1.73 | 2.72 | 0.1% |
| 2025Q1 | 90 | 54.5 | 2.60 | 0.15 | 0.72 | 1.74 | 2.59 | 0.0% |
| 2024Q4 | 92 | 52.7 | 2.56 | 0.17 | 0.72 | 1.66 | 2.46 | 0.0% |
| 2024Q3 | 92 | 54.0 | 2.58 | 0.25 | 0.70 | 1.63 | 2.56 | 0.0% |
| 2024Q2 | 91 | 47.1 | 2.59 | 0.28 | 0.78 | 1.53 | 2.53 | 0.0% |
| 2024Q1 | 91 | 44.3 | 2.80 | 0.38 | 0.90 | 1.52 | 2.64 | 0.0% |
| 2023Q4 | 92 | 46.6 | 2.93 | 0.43 | 0.78 | 1.72 | 2.84 | 2.1% |
| 2023Q3 | 92 | 50.1 | 2.63 | 0.27 | 0.82 | 1.55 | 2.51 | 0.7% |
| 2023Q2 | 91 | 44.8 | 3.05 | 0.32 | 0.79 | 1.94 | 2.87 | 0.0% |
| 2023Q1 | 90 | 46.9 | 2.85 | 0.29 | 0.82 | 1.74 | 2.77 | 17.7% |
| 2022Q4 | 92 | 43.8 | 2.85 | 0.33 | 0.81 | 1.71 | 2.77 | 22.7% |
| 2022Q3 | 92 | 49.1 | 2.68 | 0.28 | 0.81 | 1.59 | 2.69 | 7.4% |
| 2022Q2 | 91 | 49.6 | 2.90 | 0.39 | 0.79 | 1.72 | 2.73 | 12.4% |
| 2022Q1 | 90 | 52.9 | 3.01 | 0.37 | 0.77 | 1.87 | 2.96 | 16.4% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-24 | Health · complaint | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2026-05-22 |
| 2026-04-24 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-05-22 |
| 2026-02-13 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-03-04 |
| 2025-12-05 | 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 | 2026-01-06 |
| 2025-12-05 | 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. | F | 2026-01-06 |
| 2025-12-05 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2026-01-06 |
| 2025-08-01 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-09-03 |
| 2025-08-01 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | 2025-09-03 |
| 2025-08-01 | 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 | 2025-09-03 |
| 2025-08-01 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2025-09-03 |
| 2025-08-01 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-09-03 |
| 2025-08-01 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-09-03 |
| 2025-08-01 | 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 | 2025-09-03 |
| 2025-08-01 | 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 | 2025-09-03 |
| 2025-08-01 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-09-03 |
| 2025-08-01 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-09-03 |
| 2025-08-01 | Health | F0732 | Post nurse staffing information every day. | C | 2025-09-03 |
| 2025-08-01 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2025-09-03 |
| 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 | 2025-09-03 |
| 2025-08-01 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2025-09-03 |
| 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 | 2025-09-03 |
| 2025-02-28 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-03-21 |
| 2025-02-28 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2025-03-21 |
| 2024-06-21 | 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 | 2024-07-26 |
| 2024-06-21 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-07-26 |
| 2024-06-21 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-07-26 |
| 2024-06-21 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-07-26 |
| 2024-06-21 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-07-26 |
| 2024-06-21 | Health | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2024-07-26 |
| 2024-06-21 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-07-26 |
| 2024-06-21 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-07-26 |
| 2023-05-12 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2023-06-04 |
| 2023-05-12 | 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 | 2023-06-04 |
| 2023-05-12 | 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 | 2023-06-04 |
| 2023-05-12 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-06-04 |
| 2023-05-12 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2023-06-04 |
| 2023-05-12 | 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 | 2023-06-04 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| JOHNSON MEMORIAL HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2013-03-01 | current | pecos_ownership |
| 505 WOLFE | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| 505 WOLFE | Individual has financial interest in both related organization and provider | — | 2023-01-01 | current | hcris_a_8_1 |
| ABBOTT, ALEXA | CONTRACTED MANAGING EMPLOYEE | — | 2021-06-01 | current | pecos_ownership |
| BERKHOUSE, STEVEN | CORPORATE OFFICER | — | 2021-10-18 | current | pecos_ownership |
| DECOLA, ROBERT | W-2 MANAGING EMPLOYEE | — | 2019-02-16 | current | pecos_ownership |
| DUNKLE, DAVID | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-03-01 | current | pecos_ownership |
| MILLER'S HEALTH SYSTEMS INC | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-03-01 | current | pecos_ownership |
| THE WATERS OF SULLIVAN NURSING FACILITY LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-11-01 | current | pecos_ownership |
| ALEXA ABBOTT | CONTRACTED MANAGING EMPLOYEE | 100% | 2021-06-01 | ended 2026-05-18 | pecos_ownership |
| DAVID DUNKLE | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-03-01 | ended 2026-05-18 | pecos_ownership |
| PATRICK BOYLE | OTHER | — | 2017-05-30 | ended 2026-05-18 | pecos_ownership |
| ROBERT DECOLA | W-2 MANAGING EMPLOYEE | — | 2019-02-16 | ended 2026-05-18 | pecos_ownership |
| STEVEN BERKHOUSE | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-10-18 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-01-08 | HEALTHWIN HEALTH & REHABILITATION | — | — | — | 145 | PULASKI MEMORIAL HOSPITAL |
| 2025-01-01 | ENVIVE OF LIBERTY | — | — | — | 60 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2025-01-01 | ENVIVE OF MUNCIE | — | — | — | 60 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2024-08-01 | FAIRWAY VILLAGE | — | — | — | 53 | HENRY COUNTY MEMORIAL HOSPITAL |
| 2024-07-01 | ASBURY TOWERS HEALTH CARE CENTER | — | — | — | 48 | PULASKI MEMORIAL HOSPITAL |
| 2024-07-01 | PILGRIM MANOR | — | — | — | 78 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2024-07-01 | CHASE CENTER | — | — | — | 101 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2024-06-01 | IGNITE MEDICAL RESORT CHESTERTON | — | — | — | 70 | IGNITE MEDICAL RESORT CHESTERTON LLC |
| 2024-01-01 | BRIARCLIFF HEALTH & REHABILITATION CENTER | — | — | — | 131 | PULASKI MEMORIAL HOSPITAL |
| 2024-01-01 | SOUTH SHORE HEALTH & REHABILITATION CENTER | — | — | — | 100 | PULASKI MEMORIAL HOSPITAL |
| 2024-01-01 | EVANSVILLE PROTESTANT HOME | — | — | — | 49 | HENRY COUNTY MEMORIAL HOSPITAL |
| 2023-12-01 | ROLLING HILLS HEALTHCARE CENTER | — | — | — | 115 | ADAMS COUNTY MEMORIAL HOSPITAL |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 18153 | acs median gross | 0 | $844 | 2024-12-31 | CENSUS_ACS5 |
| county 18153 | fmr | 0 | $758 | 2025-10-01 | HUD_USER_FMR |
| county 18153 | acs median gross | 1 | $587 | 2024-12-31 | CENSUS_ACS5 |
| county 18153 | fmr | 1 | $783 | 2025-10-01 | HUD_USER_FMR |
| county 18153 | acs median gross | 2 | $798 | 2024-12-31 | CENSUS_ACS5 |
| county 18153 | fmr | 2 | $1,028 | 2025-10-01 | HUD_USER_FMR |
| county 18153 | acs median gross | 3 | $1,002 | 2024-12-31 | CENSUS_ACS5 |
| county 18153 | fmr | 3 | $1,251 | 2025-10-01 | HUD_USER_FMR |
| county 18153 | acs median gross | 4 | $1,359 | 2024-12-31 | CENSUS_ACS5 |
| county 18153 | fmr | 4 | $1,720 | 2025-10-01 | HUD_USER_FMR |
| county 18153 | acs median gross | $829 | 2024-12-31 | CENSUS_ACS5 | |
| county 18153 | acs recent mover gross | $809 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 47882 | acs median gross | 0 | $880 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47882 | acs median gross | 1 | $611 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47882 | acs median gross | 2 | $825 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47882 | acs median gross | 3 | $1,014 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47882 | acs median gross | $857 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 47882 | acs recent mover gross | $514 | 2024-12-31 | CENSUS_ACS5 | |
| zip 47882 | payment standard 110 | 0 | $847 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47882 | payment standard 90 | 0 | $693 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47882 | safmr | 0 | $770 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47882 | payment standard 110 | 1 | $880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47882 | payment standard 90 | 1 | $720 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47882 | safmr | 1 | $800 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47882 | payment standard 110 | 2 | $1,155 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47882 | payment standard 90 | 2 | $945 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47882 | safmr | 2 | $1,050 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47882 | payment standard 110 | 3 | $1,408 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47882 | payment standard 90 | 3 | $1,152 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47882 | safmr | 3 | $1,280 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47882 | payment standard 110 | 4 | $1,936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47882 | payment standard 90 | 4 | $1,584 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47882 | safmr | 4 | $1,760 | 2025-10-01 | HUD_USER_SAFMR |