Composite
88.7 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 94.7 | 92.8 | 0.30 | 0.2308 | 21.85 | in index |
| staffing risk | 95.9 | 95.9 | 0.25 | 0.1923 | 18.44 | in index |
| financial risk | 64.2 | 55.1 | 0.30 | 0.2308 | 14.82 | in index |
| billing conduct | 31.7 | 32.3 | 0.30 | 0.2308 | 7.32 | in index |
| chow risk | 29.0 | 27.9 | 0.15 | 0.1154 | 3.35 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 32.3 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 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 | 30.8 | B | v0.6 | default · in composite | |
| financial risk | 55.1 | C | 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 | 3.9 | — | 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 | 92.8 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 95.9 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 50.3 | 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 | 30.3 | 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 | 57.4 | 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 | 57.8 | C | 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 | 92.7 | 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 | 92.7 | 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 | 95.9 | F | 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 | 95.9 | F | 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 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Chain size (log) | 1.10 | -0.17 | |
| Total nurse staffing (HPRD) | 2.23 | +0.16 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | -0.69 | |
| Staffing trend, last 4 quarters | -1.32 | -0.64 | |
| Chain size (log) | 1.10 | +0.56 | |
| Occupancy | 0.86 | -0.49 | |
| Total nurse staffing (HPRD) | 2.23 | +0.41 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Deficiencies, last 12 months | 9.00 | -0.24 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
| 2025Q4 HPRD | This facility | IA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.23 | 3.15 | 3.28 | 2.90–3.77 |
| RN | 0.26 | 0.46 | 0.39 | 0.25–0.58 |
| Weekend total | 2.20 | 2.96 | 3.11 | — |
| Weekday total | 2.24 | 3.20 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 53.6 | 2.23 | 0.26 | 0.30 | 1.67 | 2.20 | 0.0% |
| 2025Q3 | 92 | 50.0 | 2.80 | 0.31 | 0.35 | 2.13 | 2.47 | 8.5% |
| 2025Q2 | 91 | 49.0 | 2.88 | 0.32 | 0.36 | 2.20 | 2.53 | 7.9% |
| 2025Q1 | 90 | 49.1 | 2.65 | 0.19 | 0.48 | 1.98 | 2.44 | 21.7% |
| 2024Q4 | 92 | 48.6 | 3.54 | 0.18 | 0.57 | 2.79 | 3.32 | 14.3% |
| 2024Q3 | 92 | 51.3 | 3.17 | 0.19 | 0.30 | 2.67 | 3.04 | 43.7% |
| 2024Q2 | 91 | 49.1 | 3.22 | 0.44 | 0.17 | 2.62 | 3.02 | 53.8% |
| 2024Q1 | 91 | 47.5 | 3.25 | 0.43 | 0.19 | 2.63 | 3.02 | 41.0% |
| 2023Q4 | 92 | 51.4 | 2.87 | 0.38 | 0.15 | 2.34 | 2.58 | 37.2% |
| 2023Q3 | 92 | 55.3 | 2.80 | 0.30 | 0.17 | 2.33 | 2.54 | 27.3% |
| 2023Q2 | 91 | 49.9 | 2.97 | 0.31 | 0.21 | 2.44 | 2.53 | 23.4% |
| 2023Q1 | 90 | 49.4 | 2.51 | 0.17 | 0.33 | 2.00 | 2.44 | 44.6% |
| 2022Q4 | 92 | 42.5 | 3.26 | 0.17 | 0.42 | 2.66 | 3.09 | 33.0% |
| 2022Q3 | 92 | 46.9 | 3.23 | 0.41 | 0.25 | 2.56 | 3.01 | 42.6% |
| 2022Q2 | 91 | 43.9 | 3.28 | 0.46 | 0.19 | 2.63 | 3.20 | 32.7% |
| 2022Q1 | 90 | 44.5 | 3.04 | 0.48 | 0.24 | 2.31 | 2.73 | 15.2% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-10-30 | Payment Denial | — | CMS provider data |
| 2024-01-03 | Fine | $93,473 | CMS provider data |
| 2024-01-03 | Payment Denial | — | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-16 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-05-08 |
| 2025-12-17 | 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 | 2025-12-31 |
| 2025-10-30 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-11-17 |
| 2025-08-14 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-09-05 |
| 2025-08-14 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-09-05 |
| 2025-08-14 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2025-09-05 |
| 2025-08-14 | 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. | D | 2025-09-05 |
| 2025-08-14 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-09-05 |
| 2025-08-14 | 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 | 2025-09-05 |
| 2025-03-27 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-04-22 |
| 2025-03-27 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-04-22 |
| 2025-03-27 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-04-22 |
| 2025-03-27 | 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 | 2025-04-22 |
| 2025-03-27 | Health · complaint | 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 | 2025-04-22 |
| 2025-03-27 | Health · complaint | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | 2025-04-22 |
| 2025-03-27 | Health · complaint | F0713 | Provide or arrange emergency care by a doctor 24 hours a day. | D | 2025-04-22 |
| 2024-10-15 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2024-11-01 |
| 2024-08-08 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-08-30 |
| 2024-08-08 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2024-08-30 |
| 2024-08-08 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-08-30 |
| 2024-08-08 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-08-30 |
| 2024-06-26 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-07-24 |
| 2024-05-14 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-05-30 |
| 2024-05-14 | 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. | D | 2024-05-30 |
| 2024-05-14 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-05-30 |
| 2024-05-14 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-05-30 |
| 2024-01-03 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-02-02 |
| 2024-01-03 | 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 | 2024-02-02 |
| 2024-01-03 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | 2024-02-02 |
| 2024-01-03 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-02-02 |
| 2024-01-03 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2024-02-02 |
| 2024-01-03 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-02-02 |
| 2024-01-03 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-03-12 |
| 2024-01-03 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | 2024-02-02 |
| 2024-01-03 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-02-02 |
| 2024-01-03 | Health · complaint | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2024-02-02 |
| 2024-01-03 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | J | 2024-03-12 |
| 2024-01-03 | 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. | E | 2024-02-02 |
| 2024-01-03 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-02-02 |
| 2024-01-03 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | 2024-02-02 |
| 2024-01-03 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | K | 2024-03-12 |
| 2023-05-11 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2023-05-12 |
| 2023-05-11 | 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 | 2023-05-12 |
| 2023-05-11 | Health | 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. | D | 2023-05-12 |
| 2023-05-11 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-05-12 |
| 2023-05-11 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2023-05-12 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| JUDAH BIENSTOCK | CORPORATE DIRECTOR | 100% | 2011-09-01 | ended 2026-05-18 | pecos_ownership |
| RYAN LARMORE | W-2 MANAGING EMPLOYEE | 100% | 2014-12-16 | ended 2026-05-18 | pecos_ownership |
| SETH BIENSTOCK | CORPORATE DIRECTOR | 38% | 2011-09-01 | ended 2026-05-18 | pecos_ownership |
| PARKVIEW PRS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 18% | 2011-09-01 | ended 2026-05-18 | pecos_ownership |
| OSCAR ROSENBERG | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | 2011-09-01 | ended 2026-05-18 | pecos_ownership |
| GST SNF, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | 2011-09-01 | ended 2026-05-18 | pecos_ownership |
| SHER SNF LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | 2011-09-01 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-01 | St Luke's Regional Medical Center SNF | — | — | — | 20 | NORTHWEST IOWA HOSPITAL CORPORATION |
| 2025-08-01 | Crystal Heights Care Center | — | — | — | 72 | CANFIELD RIVER HEALTHCARE LLC |
| 2025-06-01 | AMS Memorial-Greene | — | — | — | 31 | AMS MEMORIAL-GREENE LLC |
| 2025-02-05 | Chapters Living of Council Bluffs | — | — | — | 102 | CHAPTERS COUNCIL BLUFFS OPCO LLC |
| 2025-02-01 | Osage Rehab and Health Care Center | — | — | — | 46 | OPCO OSAGE IA LLC |
| 2025-02-01 | Iowa City Rehab & Health Care | — | — | — | 89 | OPCO IOWA CITY IA LLC |
| 2025-02-01 | Accura Healthcare of Creston | — | — | — | 31 | ACCURA HEALTHCARE OF CRESTON LLC |
| 2025-02-01 | Casa De Paz Health Care Center | — | — | — | 71 | OPCO 19TH ST SIOUX CITY IA LLC |
| 2025-02-01 | Pleasant Acres Care Center | — | — | — | 46 | OPCO HULL IA LLC |
| 2025-02-01 | Cedar Falls Health Care Center | — | — | — | 70 | OPCO CEDAR FALLS IA LLC |
| 2025-02-01 | Accura Healthcare of Onawa | — | — | — | 46 | ACCURA HEALTHCARE OF ONAWA LLC |
| 2025-02-01 | Grundy Care Center | — | — | — | 40 | OPCO GRUNDY CENTER IA LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 19183 | acs median gross | 0 | $700 | 2024-12-31 | CENSUS_ACS5 |
| county 19183 | fmr | 0 | $728 | 2025-10-01 | HUD_USER_FMR |
| county 19183 | acs median gross | 1 | $624 | 2024-12-31 | CENSUS_ACS5 |
| county 19183 | fmr | 1 | $733 | 2025-10-01 | HUD_USER_FMR |
| county 19183 | acs median gross | 2 | $847 | 2024-12-31 | CENSUS_ACS5 |
| county 19183 | fmr | 2 | $962 | 2025-10-01 | HUD_USER_FMR |
| county 19183 | acs median gross | 3 | $1,051 | 2024-12-31 | CENSUS_ACS5 |
| county 19183 | fmr | 3 | $1,191 | 2025-10-01 | HUD_USER_FMR |
| county 19183 | acs median gross | 4 | $933 | 2024-12-31 | CENSUS_ACS5 |
| county 19183 | fmr | 4 | $1,274 | 2025-10-01 | HUD_USER_FMR |
| county 19183 | acs median gross | $879 | 2024-12-31 | CENSUS_ACS5 | |
| county 19183 | acs recent mover gross | $857 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 52356 | acs median gross | 2 | $837 | 2024-12-31 | CENSUS_ACS5 |
| zcta 52356 | acs median gross | 3 | $918 | 2024-12-31 | CENSUS_ACS5 |
| zcta 52356 | acs median gross | $837 | 2024-12-31 | CENSUS_ACS5 | |
| zip 52356 | payment standard 110 | 0 | $814 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52356 | payment standard 90 | 0 | $666 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52356 | safmr | 0 | $740 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52356 | payment standard 110 | 1 | $913 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52356 | payment standard 90 | 1 | $747 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52356 | safmr | 1 | $830 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52356 | payment standard 110 | 2 | $1,100 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52356 | payment standard 90 | 2 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52356 | safmr | 2 | $1,000 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52356 | payment standard 110 | 3 | $1,540 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52356 | payment standard 90 | 3 | $1,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52356 | safmr | 3 | $1,400 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52356 | payment standard 110 | 4 | $1,848 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52356 | payment standard 90 | 4 | $1,512 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52356 | safmr | 4 | $1,680 | 2025-10-01 | HUD_USER_SAFMR |