Composite
69.5 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 83.0 | 69.8 | 0.30 | 0.2308 | 19.15 | in index |
| regulatory risk | 82.5 | 79.4 | 0.30 | 0.2308 | 19.04 | in index |
| billing conduct | 33.5 | 33.1 | 0.30 | 0.2308 | 7.73 | in index |
| chow risk | 57.7 | 56.1 | 0.15 | 0.1154 | 6.66 | in index |
| staffing risk | 16.5 | 16.6 | 0.25 | 0.1923 | 3.17 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 33.1 | B | 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 | 87.2 | F | v0.6 | default · in composite | |
| financial risk | 69.8 | 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 | 4.2 | — | 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 | 79.4 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 16.6 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 66.1 | 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 | 46.1 | 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 | 66.1 | 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 | 69.9 | 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 | 79.3 | D | 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 | 79.3 | D | 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 | 16.6 | 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 | 16.6 | 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 | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Occupancy | 0.86 | -0.48 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Deficiencies, last 12 months | 17.00 | +0.24 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 4.04 | -0.20 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 17.00 | -1.72 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.86 | -0.49 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 4.04 | -0.35 | |
| Facility size (log beds) | 3.47 | +0.18 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Staffing trend, last 4 quarters | -0.25 | -0.14 |
| 2025Q4 HPRD | This facility | MA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 4.04 | 3.39 | 3.28 | 2.90–3.77 |
| RN | 0.32 | 0.39 | 0.39 | 0.25–0.58 |
| Weekend total | 3.97 | 3.26 | 3.11 | — |
| Weekday total | 4.06 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 26.8 | 4.04 | 0.32 | 0.89 | 2.83 | 3.97 | 7.5% |
| 2025Q3 | 92 | 26.7 | 4.09 | 0.28 | 0.99 | 2.83 | 4.07 | 8.5% |
| 2025Q2 | 91 | 26.0 | 4.22 | 0.25 | 1.01 | 2.96 | 4.24 | 7.9% |
| 2025Q1 | 90 | 25.5 | 4.26 | 0.35 | 0.92 | 2.99 | 4.24 | 7.5% |
| 2024Q4 | 92 | 25.7 | 4.29 | 0.33 | 1.00 | 2.96 | 4.24 | 10.5% |
| 2024Q3 | 92 | 25.4 | 4.31 | 0.34 | 0.99 | 2.99 | 4.30 | 10.0% |
| 2024Q2 | 91 | 23.9 | 4.57 | 0.46 | 0.92 | 3.19 | 4.47 | 5.4% |
| 2024Q1 | 91 | 21.5 | 5.06 | 0.53 | 1.05 | 3.49 | 4.98 | 5.1% |
| 2023Q4 | 92 | 19.9 | 5.46 | 0.76 | 0.92 | 3.77 | 5.45 | 9.8% |
| 2023Q3 | 92 | 23.6 | 4.70 | 0.77 | 0.73 | 3.20 | 4.69 | 13.5% |
| 2023Q2 | 91 | 21.1 | 5.14 | 0.73 | 0.81 | 3.60 | 5.07 | 11.9% |
| 2023Q1 | 90 | 20.3 | 5.26 | 0.64 | 0.96 | 3.67 | 5.24 | 15.3% |
| 2022Q4 | 92 | 22.1 | 4.73 | 0.51 | 0.96 | 3.26 | 4.73 | 14.0% |
| 2022Q3 | 92 | 23.8 | 4.64 | 0.63 | 0.76 | 3.25 | 4.40 | 17.5% |
| 2022Q2 | 91 | 23.4 | 4.41 | 0.70 | 0.57 | 3.14 | 4.15 | 11.3% |
| 2022Q1 | 90 | 19.9 | 4.93 | 0.54 | 0.84 | 3.56 | 4.86 | 12.3% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-02-29 | Fine | $40,641 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-01-21 | 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 | 2026-02-02 |
| 2026-01-21 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2026-02-02 |
| 2026-01-21 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2026-02-02 |
| 2026-01-21 | 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. | F | 2026-03-02 |
| 2026-01-21 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2026-03-02 |
| 2026-01-21 | 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. | E | 2026-02-03 |
| 2026-01-21 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2026-02-06 |
| 2026-01-21 | 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 | 2026-02-20 |
| 2026-01-21 | Health | F0772 | Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | D | 2026-02-04 |
| 2026-01-21 | Health | F0777 | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | D | 2026-02-14 |
| 2026-01-21 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | 2026-02-14 |
| 2026-01-21 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2026-02-14 |
| 2026-01-21 | Health | F0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D | 2026-02-19 |
| 2026-01-21 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2026-02-27 |
| 2026-01-21 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2026-02-27 |
| 2026-01-21 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2026-02-13 |
| 2026-01-21 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | 2026-03-02 |
| 2025-02-18 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | 2025-03-26 |
| 2025-02-18 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-03-26 |
| 2025-02-18 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-03-26 |
| 2025-02-18 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-03-26 |
| 2025-02-18 | 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 | 2025-03-26 |
| 2025-02-18 | 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 | 2025-03-26 |
| 2025-02-18 | 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 | 2025-03-26 |
| 2025-02-18 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-03-26 |
| 2025-02-18 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2025-03-26 |
| 2025-02-18 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | 2025-03-26 |
| 2024-02-29 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | 2024-04-02 |
| 2024-02-29 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | 2024-04-02 |
| 2024-02-29 | 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. | B | 2024-04-02 |
| 2024-02-29 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-04-02 |
| 2024-02-29 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-04-02 |
| 2024-02-29 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-04-02 |
| 2024-02-29 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-04-02 |
| 2024-02-29 | 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 | 2024-04-08 |
| 2024-02-29 | Health | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | 2024-04-02 |
| 2024-02-29 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-04-02 |
| 2024-02-29 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-04-02 |
| 2024-02-29 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | 2024-04-02 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| 137 NICHOLS LLC | Individual has financial interest in both related organization and provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| 137 NICHOLS LLC | Individual has financial interest in both related organization and provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| THISSE, MARION | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-03-14 | current | pecos_ownership |
| REHABILITATION ASSOCIATES INC | OPERATIONAL/MANAGERIAL CONTROL | — | — | current | pecos_ownership |
| THISSE, GILBERT | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-06 | current | pecos_ownership |
| THISSE, PETER | CORPORATE OFFICER | — | 1990-01-03 | current | pecos_ownership |
| 137 NICHOLS LLC | Individual has financial interest in both related organization and provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| 137 NICHOLS LLC | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| 137 NICHOLS LLC | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| MARION THISSE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-03-14 | ended 2026-05-18 | pecos_ownership |
| GILBERT THISSE | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-06 | ended 2026-05-18 | pecos_ownership |
| PETER THISSE | CORPORATE OFFICER | — | 1990-01-03 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-29 | Hadley Pointe Nursing Rehab & Care | — | — | — | 154 | HADLEY CENTER LLC |
| 2025-08-01 | Alliance Health at Coleman | — | — | — | 45 | ALLIANCE HEALTH OF NORTHBOROUGH INC |
| 2025-05-28 | PALM SPRINGS POST ACUTE | — | — | — | 124 | PALM SPRINGS OPERATOR LLC |
| 2025-05-28 | HAMPDEN POST ACUTE | — | — | — | 135 | HAMPDEN OPERATOR LLC |
| 2025-04-01 | BROCKTON POST ACUTE CARE | — | — | — | 169 | BROCKTON OPERATOR LLC |
| 2025-04-01 | HIGHLAND PARK REHABILITATION AND HEALTHCARE CENTER | — | — | — | 195 | HIGHLAND PARK OPERATOR LLC |
| 2025-03-01 | THE CENTER AT ADVOCATE | — | — | — | 190 | THE CENTER AT ADVOCATE LLC |
| 2025-03-01 | Premier Healthcare at Harrington House | — | — | — | 90 | 160 MAIN STREET WALPOLE OPERATOR LLC |
| 2025-02-28 | PORT REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | NEWBURYPORT SNF OPERATIONS LLC |
| 2025-02-28 | MASCONOMET REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | TOPSFIELD SNF OPERATIONS LLC |
| 2025-02-28 | SIPPICAN REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | MARION SNF OPERATIONS LLC |
| 2025-02-28 | NEMASKET REHABILITATION AND HEALTHCARE CENTER | — | — | — | 102 | MIDDLEBOROUGH SNF OPERATIONS LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 25021 | acs median gross | 0 | $1,664 | 2024-12-31 | CENSUS_ACS5 |
| county 25021 | acs median gross | 1 | $1,877 | 2024-12-31 | CENSUS_ACS5 |
| county 25021 | acs median gross | 2 | $2,314 | 2024-12-31 | CENSUS_ACS5 |
| county 25021 | acs median gross | 3 | $2,488 | 2024-12-31 | CENSUS_ACS5 |
| county 25021 | acs median gross | 4 | $2,959 | 2024-12-31 | CENSUS_ACS5 |
| county 25021 | acs median gross | 5 | $2,191 | 2024-12-31 | CENSUS_ACS5 |
| county 25021 | acs median gross | $2,149 | 2024-12-31 | CENSUS_ACS5 | |
| county 25021 | acs recent mover gross | $2,459 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 02062 | acs median gross | 0 | $1,929 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02062 | acs median gross | 1 | $1,977 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02062 | acs median gross | 2 | $2,177 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02062 | acs median gross | 3 | $2,273 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02062 | acs median gross | 5 | $1,781 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02062 | acs median gross | $2,116 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 02062 | acs recent mover gross | $2,219 | 2024-12-31 | CENSUS_ACS5 | |
| zip 02062 | payment standard 110 | 0 | $2,486 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | payment standard 90 | 0 | $2,034 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | safmr | 0 | $2,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | payment standard 110 | 1 | $2,607 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | payment standard 90 | 1 | $2,133 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | safmr | 1 | $2,370 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | payment standard 110 | 2 | $3,102 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | payment standard 90 | 2 | $2,538 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | safmr | 2 | $2,820 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | payment standard 110 | 3 | $3,718 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | payment standard 90 | 3 | $3,042 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | safmr | 3 | $3,380 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | payment standard 110 | 4 | $4,103 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | payment standard 90 | 4 | $3,357 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | safmr | 4 | $3,730 | 2025-10-01 | HUD_USER_SAFMR |