Composite
79.5 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 95.3 | 93.5 | 0.30 | 0.2308 | 21.99 | in index |
| financial risk | 94.9 | 84.4 | 0.30 | 0.2308 | 21.90 | in index |
| billing conduct | 36.1 | 34.3 | 0.30 | 0.2308 | 8.33 | in index |
| chow risk | 48.8 | 47.8 | 0.15 | 0.1154 | 5.63 | in index |
| staffing risk | 12.3 | 12.4 | 0.25 | 0.1923 | 2.37 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 34.3 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.9 | 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 | 70.8 | D | v0.6 | default · in composite | |
| financial risk | 84.4 | F | v0.5 | default · in composite | R18. |
| p adverse action 12m | 6.1 | — | 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 | 0.3 | — | 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 | 93.5 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 12.4 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 90.9 | 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 | 70.9 | 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 | 76.2 | 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 | 82.9 | 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 | 93.4 | F | 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 | 93.4 | F | 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 | 12.4 | A | 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 | 12.4 | A | 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 | 0.00 | -1.24 | |
| 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 | |
| Total nurse staffing (HPRD) | 4.22 | -0.23 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Facility size (log beds) | 5.56 | -0.19 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | +1.62 | |
| Chain size (log) | 0.00 | +1.20 | |
| Deficiencies, last 12 months | 2.00 | +1.06 | |
| Staffing trend, last 4 quarters | 1.80 | +0.81 | |
| Total nurse staffing (HPRD) | 4.22 | -0.42 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Facility size (log beds) | 5.56 | -0.25 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
| 2025Q4 HPRD | This facility | DC median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 4.22 | 4.45 | 3.28 | 2.90–3.77 |
| RN | 0.71 | 1.02 | 0.39 | 0.25–0.58 |
| Weekend total | 3.95 | 4.24 | 3.11 | — |
| Weekday total | 4.33 | 4.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 186.8 | 4.22 | 0.71 | 0.76 | 2.75 | 3.95 | 0.0% |
| 2025Q3 | 92 | 203.4 | 3.91 | 0.64 | 0.70 | 2.57 | 3.59 | 0.0% |
| 2025Q2 | 91 | 207.5 | 3.73 | 0.65 | 0.67 | 2.41 | 3.45 | 0.0% |
| 2025Q1 | 90 | 214.8 | 1.23 | 0.21 | 0.22 | 0.80 | 1.02 | 0.0% |
| 2024Q4 | 92 | 205.1 | 2.43 | 0.39 | 0.47 | 1.57 | 2.37 | 0.0% |
| 2024Q3 | 92 | 193.6 | 3.79 | 0.62 | 0.76 | 2.41 | 3.50 | 0.0% |
| 2024Q2 | 91 | 193.0 | 3.77 | 0.67 | 0.73 | 2.37 | 3.50 | 0.0% |
| 2024Q1 | 91 | 195.8 | 3.77 | 0.61 | 0.74 | 2.43 | 3.45 | 0.0% |
| 2023Q4 | 92 | 182.9 | 3.90 | 0.64 | 0.76 | 2.50 | 3.72 | 0.0% |
| 2023Q3 | 92 | 173.8 | 4.11 | 0.72 | 0.82 | 2.57 | 3.85 | 0.0% |
| 2023Q2 | 91 | 174.8 | 4.19 | 0.79 | 0.83 | 2.57 | 3.83 | 0.0% |
| 2023Q1 | 90 | 175.1 | 4.17 | 0.82 | 0.82 | 2.53 | 3.84 | 0.0% |
| 2022Q4 | 92 | 183.4 | 4.31 | 0.76 | 0.86 | 2.69 | 3.96 | 0.0% |
| 2022Q3 | 92 | 178.3 | 2.90 | 0.51 | 0.59 | 1.80 | 2.72 | 0.0% |
| 2022Q2 | 91 | 179.0 | 4.36 | 0.73 | 0.91 | 2.72 | 4.07 | 0.0% |
| 2022Q1 | 90 | 170.1 | 1.81 | 0.30 | 0.37 | 1.14 | 1.58 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-07-11 | Fine | $164,975 | CMS provider data |
| 2024-07-16 | Fine | $16,801 | CMS provider data |
| 2023-09-14 | Fine | $90,750 | CMS provider data |
| 2023-09-14 | Payment Denial | — | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-08-29 | Health · complaint | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | 2025-09-28 |
| 2025-08-29 | 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 | 2025-09-28 |
| 2025-07-11 | 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 | 2025-09-17 |
| 2025-07-11 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-09-17 |
| 2025-07-11 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-09-17 |
| 2025-07-11 | Health · complaint | 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 | 2025-09-17 |
| 2025-07-11 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2025-09-17 |
| 2025-07-11 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-09-17 |
| 2024-07-16 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-08-31 |
| 2024-07-16 | Health · complaint | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | 2024-08-31 |
| 2024-07-16 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2024-08-31 |
| 2024-07-16 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-08-31 |
| 2024-07-16 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-08-31 |
| 2024-07-16 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-08-31 |
| 2024-07-16 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-08-31 |
| 2024-07-16 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | E | 2024-08-31 |
| 2024-07-16 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-10-25 |
| 2024-07-16 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2024-10-25 |
| 2024-07-16 | Health · complaint | 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 | 2024-08-31 |
| 2024-07-16 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-08-31 |
| 2024-07-16 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-08-31 |
| 2024-07-16 | Health · complaint | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2024-08-31 |
| 2024-07-16 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-08-31 |
| 2024-07-16 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-08-31 |
| 2024-07-16 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2024-08-31 |
| 2024-07-16 | Health · complaint | 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. | C | 2024-08-31 |
| 2024-07-16 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2024-10-25 |
| 2024-07-16 | Health · complaint | F0908 | Keep all essential equipment working safely. | D | 2024-08-31 |
| 2024-07-16 | 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 | 2024-08-31 |
| 2023-09-14 | 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. | E | 2023-11-15 |
| 2023-09-14 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2023-11-15 |
| 2023-09-14 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-11-15 |
| 2023-09-14 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-11-15 |
| 2023-09-14 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-04-20 |
| 2023-09-14 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-01-20 |
| 2023-09-14 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-11-15 |
| 2023-09-14 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-11-15 |
| 2023-09-14 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2023-11-15 |
| 2021-06-22 | 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 | 2021-07-31 |
| 2021-06-22 | Health | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2021-07-31 |
| 2021-06-22 | 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 | 2021-07-31 |
| 2021-06-22 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2021-06-22 |
| 2021-06-22 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2021-07-31 |
| 2021-06-22 | 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 | 2021-07-31 |
| 2021-06-22 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2021-07-31 |
| 2021-06-22 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2021-07-31 |
| 2021-06-22 | 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 | 2021-07-31 |
| 2021-06-22 | Health | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2021-07-31 |
| 2021-06-22 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2021-07-31 |
| 2021-06-22 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2021-07-31 |
| 2021-06-22 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2021-07-31 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| NASH, STEVE | CORPORATE DIRECTOR | — | 2010-07-21 | current | pecos_ownership |
| TYAGI, MAHESH | CORPORATE DIRECTOR | — | 2010-07-21 | current | pecos_ownership |
| MAHESH TYAGI | W-2 MANAGING EMPLOYEE | — | 2010-07-21 | ended 2026-05-18 | pecos_ownership |
| STEVE NASH | CORPORATE DIRECTOR | — | 2010-07-21 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2020-09-01 | CAPITOL CITY REHAB AND HEALTHCARE CENTER | — | — | — | 360 | CAPITOL CITY SNF LLC |
| 2019-07-01 | ASCENSION LIVING CARROLL MANOR | — | — | — | 252 | CARROLL MANOR |
| 2018-05-01 | INSPIRE REHABILITATION AND HEALTH CENTER LLC | — | — | — | 180 | INSPIRE REHABILITATION AND HEALTH CENTER LLC |
| 2018-02-01 | SERENITY REHABILITATION AND HEALTH CENTER LLC | — | — | — | 183 | SERENITY REHABILITATION AND HEALTH CENTER LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 11001 | acs median gross | 0 | $1,750 | 2024-12-31 | CENSUS_ACS5 |
| county 11001 | fmr | 0 | $1,953 | 2025-10-01 | HUD_USER_FMR |
| county 11001 | acs median gross | 1 | $1,944 | 2024-12-31 | CENSUS_ACS5 |
| county 11001 | fmr | 1 | $2,015 | 2025-10-01 | HUD_USER_FMR |
| county 11001 | acs median gross | 2 | $2,083 | 2024-12-31 | CENSUS_ACS5 |
| county 11001 | fmr | 2 | $2,246 | 2025-10-01 | HUD_USER_FMR |
| county 11001 | acs median gross | 3 | $2,503 | 2024-12-31 | CENSUS_ACS5 |
| county 11001 | fmr | 3 | $2,835 | 2025-10-01 | HUD_USER_FMR |
| county 11001 | acs median gross | 4 | $3,369 | 2024-12-31 | CENSUS_ACS5 |
| county 11001 | fmr | 4 | $3,332 | 2025-10-01 | HUD_USER_FMR |
| county 11001 | acs median gross | 5 | $3,075 | 2024-12-31 | CENSUS_ACS5 |
| county 11001 | acs median gross | $1,954 | 2024-12-31 | CENSUS_ACS5 | |
| county 11001 | acs recent mover gross | $2,252 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 20018 | acs median gross | 0 | $536 | 2024-12-31 | CENSUS_ACS5 |
| zcta 20018 | acs median gross | 1 | $1,142 | 2024-12-31 | CENSUS_ACS5 |
| zcta 20018 | acs median gross | 2 | $1,621 | 2024-12-31 | CENSUS_ACS5 |
| zcta 20018 | acs median gross | 3 | $2,118 | 2024-12-31 | CENSUS_ACS5 |
| zcta 20018 | acs median gross | 4 | $1,583 | 2024-12-31 | CENSUS_ACS5 |
| zcta 20018 | acs median gross | $1,295 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 20018 | acs recent mover gross | $2,225 | 2024-12-31 | CENSUS_ACS5 | |
| zip 20018 | payment standard 110 | 0 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20018 | payment standard 90 | 0 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20018 | safmr | 0 | $1,300 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20018 | payment standard 110 | 1 | $1,474 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20018 | payment standard 90 | 1 | $1,206 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20018 | safmr | 1 | $1,340 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20018 | payment standard 110 | 2 | $1,639 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20018 | payment standard 90 | 2 | $1,341 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20018 | safmr | 2 | $1,490 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20018 | payment standard 110 | 3 | $2,068 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20018 | payment standard 90 | 3 | $1,692 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20018 | safmr | 3 | $1,880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20018 | payment standard 110 | 4 | $2,431 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20018 | payment standard 90 | 4 | $1,989 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20018 | safmr | 4 | $2,210 | 2025-10-01 | HUD_USER_SAFMR |