Composite
49.6 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 83.5 | 80.4 | 0.30 | 0.2308 | 19.27 | in index |
| staffing risk | 60.5 | 60.5 | 0.25 | 0.1923 | 11.63 | in index |
| billing conduct | 49.6 | 39.2 | 0.30 | 0.2308 | 11.45 | in index |
| financial risk | 16.2 | 24.4 | 0.30 | 0.2308 | 3.74 | in index |
| chow risk | 19.2 | 26.8 | 0.15 | 0.1154 | 2.22 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 39.2 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 20.1 | 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 | 33.5 | B | v0.6 | default · in composite | |
| financial risk | 24.4 | A | 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 | 0.1 | — | 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 | 80.4 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 60.5 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 70.0 | D | 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 | 50.0 | C | 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 | 35.2 | B | 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 | 30.5 | 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 | 80.3 | 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 | 80.3 | 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 | 60.5 | 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 | 60.5 | 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 | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 9.99 | -0.88 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.47 | +0.33 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 0.00 | -0.17 | |
| Contract staffing share | 0.00 | -0.10 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| Chain size (log) | 3.47 | -0.81 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Occupancy | 0.69 | +0.23 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Current owner tenure (years) | 9.99 | -0.14 |
| 2025Q4 HPRD | This facility | TN median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.13 | 3.28 | 3.28 | 2.90–3.77 |
| RN | 0.28 | 0.34 | 0.39 | 0.25–0.58 |
| Weekend total | 3.19 | 3.10 | 3.11 | — |
| Weekday total | 3.10 | 3.36 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 63.1 | 3.13 | 0.28 | 0.92 | 1.93 | 3.19 | 0.0% |
| 2025Q3 | 92 | 63.3 | 3.33 | 0.28 | 1.02 | 2.03 | 3.23 | 0.1% |
| 2025Q2 | 91 | 62.4 | 3.60 | 0.31 | 1.09 | 2.20 | 3.57 | 10.1% |
| 2025Q1 | 90 | 71.5 | 3.33 | 0.29 | 0.86 | 2.17 | 3.29 | 2.6% |
| 2024Q4 | 92 | 68.8 | 3.28 | 0.26 | 0.94 | 2.07 | 3.36 | 5.9% |
| 2024Q3 | 92 | 66.1 | 3.37 | 0.17 | 1.18 | 2.01 | 3.09 | 27.0% |
| 2024Q2 | 91 | 74.7 | 2.93 | 0.26 | 1.05 | 1.62 | 2.55 | 28.2% |
| 2024Q1 | 91 | 77.7 | 2.37 | 0.18 | 0.93 | 1.25 | 2.13 | 35.7% |
| 2023Q4 | 92 | 76.2 | 2.53 | 0.20 | 0.94 | 1.39 | 2.28 | 33.1% |
| 2023Q3 | 92 | 75.0 | 2.25 | 0.18 | 0.78 | 1.29 | 1.91 | 38.8% |
| 2023Q2 | 91 | 81.3 | 2.27 | 0.18 | 0.70 | 1.40 | 1.91 | 25.1% |
| 2023Q1 | 90 | 79.8 | 2.68 | 0.22 | 0.78 | 1.68 | 2.57 | 32.2% |
| 2022Q4 | 92 | 70.5 | 2.38 | 0.21 | 0.68 | 1.49 | 2.24 | 21.5% |
| 2022Q3 | 92 | 66.2 | 2.63 | 0.26 | 0.81 | 1.57 | 2.46 | 37.1% |
| 2022Q2 | 91 | 60.6 | 2.51 | 0.34 | 0.78 | 1.39 | 2.29 | 56.5% |
| 2022Q1 | 90 | 71.2 | 2.68 | 0.35 | 0.86 | 1.47 | 2.44 | 58.1% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-06-21 | Fine | $97,773 | CMS provider data |
| 2024-06-21 | Payment Denial | — | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2024-06-21 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | 2024-06-24 |
| 2024-06-21 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | J | 2024-06-24 |
| 2024-06-21 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2024-07-09 |
| 2024-06-21 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | K | 2024-06-24 |
| 2024-06-21 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-07-09 |
| 2024-06-21 | 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 | 2024-07-09 |
| 2024-06-21 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-07-09 |
| 2024-06-21 | 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 | 2024-07-09 |
| 2024-06-21 | Health · complaint | 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. | F | 2024-07-09 |
| 2024-06-21 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-07-08 |
| 2023-08-15 | 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. | F | 2023-09-07 |
| 2022-08-10 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2022-08-22 |
| 2022-08-10 | 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 | 2022-08-22 |
| 2022-08-10 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2022-08-22 |
| 2022-08-10 | 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 | 2022-08-22 |
| 2022-08-10 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2022-08-22 |
| 2022-08-10 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2022-08-22 |
| 2022-08-10 | 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 | 2022-08-22 |
| 2022-08-10 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2022-08-22 |
| 2022-08-10 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-08-22 |
| 2022-08-10 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2022-08-22 |
| 2022-08-10 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-08-22 |
| 2022-08-10 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2022-08-22 |
| 2022-08-10 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | 2022-08-22 |
| 2022-08-10 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2022-08-22 |
| 2022-08-10 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2022-08-22 |
| 2022-08-10 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2022-08-22 |
| 2022-08-10 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2022-08-22 |
| 2019-08-07 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2019-09-02 |
| 2019-08-07 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2019-09-02 |
| 2019-08-07 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2019-09-02 |
| 2018-06-13 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2018-07-28 |
| 2018-06-13 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2018-07-28 |
| 2018-06-13 | 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 | 2018-07-28 |
| 2018-06-13 | Health | F0814 | Dispose of garbage and refuse properly. | D | 2018-07-28 |
| 2018-06-13 | Health | F0908 | Keep all essential equipment working safely. | F | 2018-07-28 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| GUBIN ENTERPRISES LIMITED PARTNERSHIP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2016-08-01 | current | pecos_ownership |
| 202 ENON SPRINGS ROAD EAST LLC | Corporation, partnership or other organization has financial interest in provider | — | 2023-01-01 | current | hcris_a_8_1 |
| 202 ENON SPRINGS ROAD EAST LLC | Corporation, partnership or other organization has financial interest in provider | — | 2024-01-01 | current | hcris_a_8_1 |
| HALL, ALAN | W-2 MANAGING EMPLOYEE | — | 2023-02-21 | current | pecos_ownership |
| MICHAEL BLISKO | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2016-08-01 | ended 2026-05-18 | pecos_ownership |
| ALAN HALL | W-2 MANAGING EMPLOYEE | 0% | 2023-02-21 | ended 2026-05-18 | pecos_ownership |
| 202 ENON SPRINGS ROAD EAST LLC | Corporation, partnership or other organization has financial interest in provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| 202 ENON SPRINGS ROAD EAST LLC | Corporation, partnership or other organization has financial interest in provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| 202 ENON SPRINGS ROAD EAST LLC | Corporation, partnership or other organization has financial interest in provider | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2016-08-01 | — | THE WATERS OF SMYRNA, LLC | CHRISTIAN CARE CENTER OF RUTHERFORD COUNTY LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-05-01 | WEXFORD HOUSE | — | — | — | 174 | WEXFORD OPERATING GROUP LLC |
| 2025-05-01 | LAUGHLIN HEALTH CARE CENTER | — | — | — | 90 | LAUGHLIN OPERATING GROUP LLC |
| 2025-02-01 | EATON CREEK POST ACUTE | — | — | — | 124 | NASHVILLE SNF HEALTHCARE LLC |
| 2025-01-01 | APPLINGWOOD POST ACUTE | — | — | — | 78 | DOHENY BEACH HOLDINGS LLC |
| 2025-01-01 | Meadowbrook Healthcare and Rehabilitation Center | — | — | — | 83 | BIG CREEK HEALTHCARE, INC. |
| 2025-01-01 | Westwood Nursing and Rehabilitation | — | — | — | 90 | BLACK WOLF HEALTHCARE LLC |
| 2025-01-01 | SHELBY OAKS POST ACUTE | — | — | — | 77 | EAGLE LAKE HOLDINGS LLC |
| 2025-01-01 | Stone River Post Acute | — | — | — | 68 | MURFREESBORO SNF HEALTHCARE LLC |
| 2025-01-01 | UNION CITY HEALTH AND REHABILITATION | — | — | — | 115 | TURNER HEALTHCARE INC |
| 2025-01-01 | Decatur County Healthcare | — | — | — | 125 | BEAR CREEK HEALTHCARE LLC |
| 2025-01-01 | COVINGTON POST ACUTE | — | — | — | 98 | FLORIDA BAY HOLDINGS LLC |
| 2025-01-01 | CYPRESS GROVE POST ACUTE | — | — | — | 170 | GOODHOPE BAY HOLDINGS LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 47149 | acs median gross | 0 | $1,081 | 2024-12-31 | CENSUS_ACS5 |
| county 47149 | fmr | 0 | $1,507 | 2025-10-01 | HUD_USER_FMR |
| county 47149 | acs median gross | 1 | $1,253 | 2024-12-31 | CENSUS_ACS5 |
| county 47149 | fmr | 1 | $1,578 | 2025-10-01 | HUD_USER_FMR |
| county 47149 | acs median gross | 2 | $1,452 | 2024-12-31 | CENSUS_ACS5 |
| county 47149 | fmr | 2 | $1,730 | 2025-10-01 | HUD_USER_FMR |
| county 47149 | acs median gross | 3 | $1,771 | 2024-12-31 | CENSUS_ACS5 |
| county 47149 | fmr | 3 | $2,211 | 2025-10-01 | HUD_USER_FMR |
| county 47149 | acs median gross | 4 | $2,111 | 2024-12-31 | CENSUS_ACS5 |
| county 47149 | fmr | 4 | $2,696 | 2025-10-01 | HUD_USER_FMR |
| county 47149 | acs median gross | 5 | $1,970 | 2024-12-31 | CENSUS_ACS5 |
| county 47149 | acs median gross | $1,502 | 2024-12-31 | CENSUS_ACS5 | |
| county 47149 | acs recent mover gross | $1,770 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 37167 | acs median gross | 0 | $1,153 | 2024-12-31 | CENSUS_ACS5 |
| zcta 37167 | acs median gross | 1 | $1,142 | 2024-12-31 | CENSUS_ACS5 |
| zcta 37167 | acs median gross | 2 | $1,360 | 2024-12-31 | CENSUS_ACS5 |
| zcta 37167 | acs median gross | 3 | $1,701 | 2024-12-31 | CENSUS_ACS5 |
| zcta 37167 | acs median gross | 4 | $2,363 | 2024-12-31 | CENSUS_ACS5 |
| zcta 37167 | acs median gross | 5 | $2,137 | 2024-12-31 | CENSUS_ACS5 |
| zcta 37167 | acs median gross | $1,449 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 37167 | acs recent mover gross | $1,645 | 2024-12-31 | CENSUS_ACS5 | |
| zip 37167 | payment standard 110 | 0 | $1,573 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37167 | payment standard 90 | 0 | $1,287 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37167 | safmr | 0 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37167 | payment standard 110 | 1 | $1,650 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37167 | payment standard 90 | 1 | $1,350 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37167 | safmr | 1 | $1,500 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37167 | payment standard 110 | 2 | $1,804 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37167 | payment standard 90 | 2 | $1,476 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37167 | safmr | 2 | $1,640 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37167 | payment standard 110 | 3 | $2,310 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37167 | payment standard 90 | 3 | $1,890 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37167 | safmr | 3 | $2,100 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37167 | payment standard 110 | 4 | $2,816 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37167 | payment standard 90 | 4 | $2,304 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37167 | safmr | 4 | $2,560 | 2025-10-01 | HUD_USER_SAFMR |