Composite
94.0 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 77.8 | 74.3 | 0.30 | 0.2857 | 22.23 | in index |
| billing conduct | 63.7 | 44.9 | 0.30 | 0.2857 | 18.20 | in index |
| financial risk | 60.6 | 52.7 | 0.30 | 0.2857 | 17.31 | in index |
| chow risk | 86.9 | 67.7 | 0.15 | 0.1429 | 12.41 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 44.9 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 55.0 | C | 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 | 80.5 | F | v0.6 | default · in composite | |
| financial risk | 52.7 | 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 | 1.1 | — | 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 | 74.3 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| financial risk | 94.8 | 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 | 74.8 | 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 | 69.6 | 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 | 51.9 | 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 | 74.2 | 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 | 74.2 | 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. |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.98 | -0.83 | |
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Total nurse staffing (HPRD) | 5.86 | -0.56 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Deficiencies, last 12 months | 16.00 | +0.22 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 16.00 | -1.54 | |
| Chain size (log) | 0.00 | +1.20 | |
| Total nurse staffing (HPRD) | 5.86 | -1.11 | |
| Occupancy | 0.98 | -0.99 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 |
| 2024Q4 HPRD | This facility | CA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 5.86 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.11 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 5.14 | 3.79 | 3.11 | — |
| Weekday total | 6.14 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2024Q4 | 92 | 47.2 | 5.86 | 0.11 | 1.45 | 4.30 | 5.14 | 0.0% |
| 2024Q3 | 92 | 46.6 | 5.14 | 0.10 | 1.30 | 3.75 | 4.75 | 0.0% |
| 2024Q2 | 91 | 46.7 | 5.22 | 0.09 | 1.31 | 3.82 | 4.96 | 0.0% |
| 2024Q1 | 91 | 45.8 | 4.62 | 0.05 | 1.16 | 3.41 | 4.86 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-12-29 | Fine | $8,424 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-25 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-03-23 |
| 2026-02-25 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | 2026-03-23 |
| 2026-02-25 | 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. | E | 2026-03-23 |
| 2026-02-25 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2026-03-23 |
| 2026-02-25 | 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. | E | 2026-03-23 |
| 2026-02-25 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2026-03-23 |
| 2026-02-25 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2026-03-23 |
| 2026-02-25 | Health | 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. | E | 2026-03-23 |
| 2026-02-25 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2026-03-23 |
| 2026-02-25 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2026-03-23 |
| 2026-02-25 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | 2026-03-23 |
| 2026-02-25 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2026-03-23 |
| 2026-02-25 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2026-03-23 |
| 2026-02-25 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2026-03-23 |
| 2026-02-25 | 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 | 2026-03-23 |
| 2026-02-25 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | — |
| 2024-12-29 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-01-27 |
| 2024-12-29 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-01-27 |
| 2024-12-29 | Health | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2025-01-27 |
| 2024-12-29 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | 2025-01-27 |
| 2024-12-29 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2025-01-27 |
| 2024-12-29 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-01-27 |
| 2024-12-29 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-01-27 |
| 2024-12-29 | Health | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2025-01-27 |
| 2024-12-29 | 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 | 2025-01-27 |
| 2024-12-29 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-01-27 |
| 2024-12-29 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | 2025-01-27 |
| 2024-12-29 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | 2025-01-27 |
| 2024-12-29 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | 2025-01-27 |
| 2024-12-29 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | 2025-01-27 |
| 2024-12-29 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2025-01-27 |
| 2024-12-29 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | 2025-01-27 |
| 2024-12-29 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-01-27 |
| 2024-12-29 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2025-01-27 |
| 2024-12-29 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2025-01-27 |
| 2024-12-29 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E | 2025-01-27 |
| 2024-12-29 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2025-01-27 |
| 2023-12-07 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-01-09 |
| 2023-12-07 | 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 | 2024-01-09 |
| 2023-12-07 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2024-01-09 |
| 2023-12-07 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-01-09 |
| 2023-12-07 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-01-09 |
| 2023-12-07 | 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. | E | 2024-01-09 |
| 2023-12-07 | 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 | 2024-01-09 |
| 2023-12-07 | Health | F0811 | Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | D | 2024-01-09 |
| 2023-12-07 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-01-09 |
| 2023-12-07 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2024-01-09 |
| 2023-12-07 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E | 2024-01-09 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA | OPERATIONAL/MANAGERIAL CONTROL | — | 1992-01-01 | current | pecos_ownership |
| GOOD SHEPHERD HEALTH CARE CENTER OF SANTA MONICA | ADP OF THE SNF | — | 2025-02-10 | current | pecos_ownership |
| HOSSAIN, SYED | ADP OF THE SNF | — | 2018-01-01 | current | pecos_ownership |
| JPH CONSULTING INC | OPERATIONAL/MANAGERIAL CONTROL | — | 1992-02-10 | current | pecos_ownership |
| JPH CONSULTING INC | ADP OF THE SNF | — | 2024-12-31 | current | pecos_ownership |
| LEE, JOAN | DIRECT OWNERSHIP INTEREST | — | 1992-02-07 | current | pecos_ownership |
| MORRIS, MONICA | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-01-01 | current | pecos_ownership |
| JOAN LEE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 1992-02-07 | ended 2026-05-18 | pecos_ownership |
| MONICA MORRIS | ADP OF THE SNF | — | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| SYED HOSSAIN | ADP OF THE SNF | — | 2018-01-01 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-08-01 | Turlock Nursing & Rehabilitation Center | — | — | — | 144 | TRACY RIDGE HEALTHCARE, INC. |
| 2025-04-01 | ALAMITOS WEST HEALTH & REHABILITATION | — | — | — | 150 | MALCOLM HEALTHCARE, INC. |
| 2025-04-01 | PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER | — | — | — | 99 | STRAWBERRY POND HEALTHCARE LLC |
| 2025-01-16 | GOLDEN HARBOR HEALTHCARE CENTER | — | — | — | 99 | CEYLON HOLDINGS LLC |
| 2024-12-30 | GRASS VALLEY HEALTHCARE CENTER | — | — | — | 86 | HEISMAN LLC |
| 2024-10-01 | REDWOOD GROVE POST ACUTE | — | — | — | 144 | SOQUEL CARE LLC |
| 2024-09-01 | OAK GROVE POST ACUTE | — | — | — | 119 | 4545 SHELLEY COURT OPCO, LLC |
| 2024-08-01 | WE CARE SKILLED NURSING - FREMONT | — | — | — | 99 | WE CARE SKILLED NURSING-FREMONT, LLC |
| 2024-05-01 | MAJESTIC MOUNTAIN CARE CENTER | — | — | — | 66 | OAKHURST SKILLED CARE LLC |
| 2024-04-01 | THE BRADLEY GARDENS | — | — | — | 44 | GHC OF SAN JACINTO LLC |
| 2024-04-01 | SANTA FE POST-ACUTE | — | — | — | 187 | SKILLED BOBIER LLC |
| 2024-04-01 | BAYSHIRE SAN DIMAS POST-ACUTE | — | — | — | 45 | SKILLED SAN DIMAS LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06037 | acs median gross | 0 | $1,523 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 0 | $1,863 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 1 | $1,724 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 1 | $2,085 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 2 | $2,127 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 2 | $2,601 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 3 | $2,484 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 3 | $3,298 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 4 | $2,866 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 4 | $3,672 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 5 | $2,767 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | acs median gross | $1,954 | 2024-12-31 | CENSUS_ACS5 | |
| county 06037 | acs recent mover gross | $2,358 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 90401 | acs median gross | 0 | $1,453 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90401 | acs median gross | 1 | $2,794 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90401 | acs median gross | 2 | $2,426 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90401 | acs median gross | 3 | $1,820 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90401 | acs median gross | $2,477 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 90401 | acs recent mover gross | $3,231 | 2024-12-31 | CENSUS_ACS5 | |
| zip 90401 | payment standard 110 | 0 | $3,267 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90401 | payment standard 90 | 0 | $2,673 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90401 | safmr | 0 | $2,970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90401 | payment standard 110 | 1 | $3,663 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90401 | payment standard 90 | 1 | $2,997 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90401 | safmr | 1 | $3,330 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90401 | payment standard 110 | 2 | $4,565 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90401 | payment standard 90 | 2 | $3,735 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90401 | safmr | 2 | $4,150 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90401 | payment standard 110 | 3 | $5,786 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90401 | payment standard 90 | 3 | $4,734 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90401 | safmr | 3 | $5,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90401 | payment standard 110 | 4 | $6,446 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90401 | payment standard 90 | 4 | $5,274 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90401 | safmr | 4 | $5,860 | 2025-10-01 | HUD_USER_SAFMR |