Composite
96.0 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 99.6 | 99.3 | 0.30 | 0.2308 | 22.98 | in index |
| billing conduct | 92.2 | 62.0 | 0.30 | 0.2308 | 21.28 | in index |
| financial risk | 61.1 | 53.1 | 0.30 | 0.2308 | 14.10 | in index |
| staffing risk | 53.0 | 53.0 | 0.25 | 0.1923 | 10.19 | in index |
| chow risk | 37.0 | 43.1 | 0.15 | 0.1154 | 4.27 | in index |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 15 chains | CIBC BANK USA | 155 facilities |
| connection | Owner spans multiple chains | 7 chains | RUBENSTEIN DAVID | 31 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 62.0 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 16.8 | 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 | 69.5 | D | v0.6 | default · in composite | |
| financial risk | 53.1 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.2 | — | 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 | 99.3 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 53.0 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 76.6 | 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 | 56.6 | 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 | 50.5 | 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 | 57.2 | 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 | 99.3 | 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 | 99.3 | 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 | 53.0 | 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 | 53.0 | 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) | 7.91 | -1.08 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Contract staffing share | 0.21 | +0.22 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Occupancy | 0.74 | -0.13 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Staffing trend, last 4 quarters | 0.83 | +0.36 | |
| Deficiencies, last 12 months | 6.00 | +0.32 | |
| Never sold on record | 0.00 | -0.28 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Current owner tenure (years) | 7.91 | -0.17 |
| 2025Q4 HPRD | This facility | KY median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.24 | 3.11 | 3.28 | 2.90–3.77 |
| RN | 0.37 | 0.41 | 0.39 | 0.25–0.58 |
| Weekend total | 3.00 | 3.01 | 3.11 | — |
| Weekday total | 3.33 | 3.16 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 105.3 | 3.24 | 0.37 | 0.46 | 2.40 | 3.00 | 20.5% |
| 2025Q3 | 92 | 112.7 | 2.68 | 0.46 | 0.42 | 1.80 | 2.44 | 16.6% |
| 2025Q2 | 91 | 114.2 | 2.33 | 0.41 | 0.44 | 1.49 | 2.27 | 0.0% |
| 2025Q1 | 90 | 114.0 | 2.44 | 0.38 | 0.49 | 1.57 | 2.65 | 1.0% |
| 2024Q4 | 92 | 115.4 | 2.40 | 0.35 | 0.51 | 1.54 | 2.54 | 1.5% |
| 2024Q3 | 92 | 111.0 | 2.44 | 0.31 | 0.51 | 1.62 | 2.47 | 1.8% |
| 2024Q2 | 91 | 105.8 | 2.22 | 0.32 | 0.43 | 1.47 | 2.13 | 0.0% |
| 2024Q1 | 91 | 104.1 | 2.20 | 0.26 | 0.47 | 1.47 | 2.17 | 0.0% |
| 2023Q4 | 92 | 107.3 | 2.30 | 0.20 | 0.49 | 1.61 | 2.24 | 0.0% |
| 2023Q3 | 92 | 101.3 | 2.62 | 0.19 | 0.57 | 1.86 | 2.46 | 0.0% |
| 2023Q2 | 91 | 98.8 | 2.70 | 0.17 | 0.66 | 1.87 | 2.44 | 0.0% |
| 2023Q1 | 90 | 97.3 | 2.69 | 0.18 | 0.66 | 1.85 | 2.57 | 0.0% |
| 2022Q4 | 92 | 96.0 | 2.91 | 0.25 | 0.67 | 1.99 | 2.72 | 0.0% |
| 2022Q3 | 92 | 94.2 | 3.11 | 0.29 | 0.71 | 2.10 | 2.90 | 0.0% |
| 2022Q2 | 91 | 99.7 | 2.91 | 0.25 | 0.67 | 1.99 | 2.78 | 0.0% |
| 2022Q1 | 90 | 104.0 | 2.86 | 0.31 | 0.65 | 1.91 | 2.73 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-05-17 | Fine | $12,740 | CMS provider data |
| 2025-05-17 | Fine | $434,745 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-13 | 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 | 2026-03-10 |
| 2026-02-13 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2026-03-10 |
| 2025-08-01 | 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 | 2025-08-22 |
| 2025-08-01 | 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 | 2025-08-22 |
| 2025-08-01 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-08-22 |
| 2025-08-01 | Health · complaint | 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 | 2025-08-22 |
| 2025-07-19 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-08-22 |
| 2025-07-19 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-08-22 |
| 2025-07-19 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-08-22 |
| 2025-07-19 | 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 | 2025-08-22 |
| 2025-05-29 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | 2025-06-25 |
| 2025-05-17 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2025-08-22 |
| 2025-05-17 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | G | 2025-08-22 |
| 2025-05-17 | Health | F0610 | Respond appropriately to all alleged violations. | J | 2025-08-22 |
| 2025-05-17 | 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. | J | 2025-08-22 |
| 2025-05-17 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2025-06-25 |
| 2025-05-17 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2025-06-25 |
| 2025-05-17 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | 2025-06-25 |
| 2025-05-17 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-08-22 |
| 2025-05-17 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | K | 2025-08-22 |
| 2025-05-17 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | J | 2025-06-25 |
| 2025-05-17 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2025-08-22 |
| 2025-05-17 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | K | 2025-08-22 |
| 2025-05-17 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | J | 2025-08-22 |
| 2025-05-17 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | K | 2025-08-22 |
| 2021-04-08 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2021-04-15 |
| 2021-04-08 | Health | F0908 | Keep all essential equipment working safely. | B | 2021-04-15 |
| 2019-02-06 | 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 | 2019-05-06 |
| 2019-02-06 | Health | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | J | 2019-04-20 |
| 2019-02-06 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | 2019-05-06 |
| 2019-02-06 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2019-04-20 |
| 2019-02-06 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2019-05-06 |
| 2019-02-06 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | J | 2019-04-20 |
| 2019-02-06 | Health | F0732 | Post nurse staffing information every day. | D | 2019-04-20 |
| 2019-02-06 | Health | F0760 | Ensure that residents are free from significant medication errors. | J | 2019-04-20 |
| 2019-02-06 | 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 | 2019-04-20 |
| 2019-02-06 | Health | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | E | 2019-04-20 |
| 2019-02-06 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J | 2019-05-06 |
| 2019-02-06 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2019-05-06 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| PLATSCHEK, GOLDIE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | 2018-09-01 | current | pecos_ownership |
| PLATSCHEK, ALEXANDER | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | 2018-09-01 | current | pecos_ownership |
| RUBENSTEIN, DAVID | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2018-09-01 | current | pecos_ownership |
| CIBC BANK USA | 5% OR GREATER SECURITY INTEREST | — | 2018-09-01 | current | pecos_ownership |
| KELMAN, MOSHE | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-09-01 | current | pecos_ownership |
| METROPOLITAN COMMERCIAL BANK | 5% OR GREATER SECURITY INTEREST | — | 2018-09-01 | current | pecos_ownership |
| TACKETT, THOMAS | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-08-01 | current | pecos_ownership |
| BENJAMIN LANDA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 44% | 2018-09-01 | ended 2026-05-18 | pecos_ownership |
| MOSHE KELMAN | OPERATIONAL/MANAGERIAL CONTROL | 33% | 2018-09-01 | ended 2026-05-18 | pecos_ownership |
| THOMAS TACKETT | OPERATIONAL/MANAGERIAL CONTROL | 33% | 2022-08-01 | ended 2026-05-18 | pecos_ownership |
| GOLDIE PLATSCHEK | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | 2018-09-01 | ended 2026-05-18 | pecos_ownership |
| ALEXANDER PLATSCHEK | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | 2018-09-01 | ended 2026-05-18 | pecos_ownership |
| DAVID RUBENSTEIN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2018-09-01 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2018-09-01 | — | SALYERSVILLE HEALTH OPERATING COMPANY LLC | EXTENDICARE HOMES, INC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-08-07 | Auburn Nursing and Rehabilitation Center | — | — | — | 66 | AUBURN OPCO LLC |
| 2025-01-01 | Henson Park Health & Rehabilitation | — | — | — | 90 | HENSON SNF OPERATIONS LLC |
| 2025-01-01 | Chestnut Ridge Health & Rehabilitation | — | — | — | 92 | CHESTNUT SNF OPERATIONS LLC |
| 2024-11-01 | Green Meadows Health & Rehabilitation | — | — | — | 122 | GREEN MEADOWS SNF OPERATIONS LLC |
| 2024-09-01 | Maple Grove Senior Living LLC | — | — | — | 90 | MAPLE GROVE SENIOR LIVING LLC |
| 2024-08-30 | Sam Swope Care Center | — | — | — | 136 | MASONIC HOMES OF LOUISVILLE LLC |
| 2024-08-01 | Lyndon Crossing | — | — | — | 145 | LYNDON CROSSING, LLC |
| 2024-08-01 | Clifton Heights | — | — | — | 110 | CLIFTON HEIGHTS, LLC |
| 2024-08-01 | Green River Trails | — | — | — | 118 | GREEN RIVER TRAILS, LLC |
| 2024-08-01 | Mountain Ridge Health and Rehabilitation | — | — | — | 59 | MONTICELLO KY OPCO LLC |
| 2024-08-01 | Frankfort Trails | — | — | — | 100 | FRANKFORT TRAILS, LLC |
| 2024-08-01 | Vanceburg Hills | — | — | — | 94 | VANCEBURG HILLS, LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 21153 | fmr | 0 | $619 | 2025-10-01 | HUD_USER_FMR |
| county 21153 | fmr | 1 | $790 | 2025-10-01 | HUD_USER_FMR |
| county 21153 | acs median gross | 2 | $789 | 2024-12-31 | CENSUS_ACS5 |
| county 21153 | fmr | 2 | $866 | 2025-10-01 | HUD_USER_FMR |
| county 21153 | acs median gross | 3 | $664 | 2024-12-31 | CENSUS_ACS5 |
| county 21153 | fmr | 3 | $1,038 | 2025-10-01 | HUD_USER_FMR |
| county 21153 | fmr | 4 | $1,209 | 2025-10-01 | HUD_USER_FMR |
| county 21153 | acs median gross | $730 | 2024-12-31 | CENSUS_ACS5 | |
| county 21153 | acs recent mover gross | $1,044 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 41465 | acs median gross | 2 | $795 | 2024-12-31 | CENSUS_ACS5 |
| zcta 41465 | acs median gross | 3 | $669 | 2024-12-31 | CENSUS_ACS5 |
| zcta 41465 | acs median gross | $732 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 41465 | acs recent mover gross | $1,044 | 2024-12-31 | CENSUS_ACS5 | |
| zip 41465 | payment standard 110 | 0 | $682 | 2025-10-01 | HUD_USER_SAFMR |
| zip 41465 | payment standard 90 | 0 | $558 | 2025-10-01 | HUD_USER_SAFMR |
| zip 41465 | safmr | 0 | $620 | 2025-10-01 | HUD_USER_SAFMR |
| zip 41465 | payment standard 110 | 1 | $869 | 2025-10-01 | HUD_USER_SAFMR |
| zip 41465 | payment standard 90 | 1 | $711 | 2025-10-01 | HUD_USER_SAFMR |
| zip 41465 | safmr | 1 | $790 | 2025-10-01 | HUD_USER_SAFMR |
| zip 41465 | payment standard 110 | 2 | $957 | 2025-10-01 | HUD_USER_SAFMR |
| zip 41465 | payment standard 90 | 2 | $783 | 2025-10-01 | HUD_USER_SAFMR |
| zip 41465 | safmr | 2 | $870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 41465 | payment standard 110 | 3 | $1,199 | 2025-10-01 | HUD_USER_SAFMR |
| zip 41465 | payment standard 90 | 3 | $981 | 2025-10-01 | HUD_USER_SAFMR |
| zip 41465 | safmr | 3 | $1,090 | 2025-10-01 | HUD_USER_SAFMR |
| zip 41465 | payment standard 110 | 4 | $1,331 | 2025-10-01 | HUD_USER_SAFMR |
| zip 41465 | payment standard 90 | 4 | $1,089 | 2025-10-01 | HUD_USER_SAFMR |
| zip 41465 | safmr | 4 | $1,210 | 2025-10-01 | HUD_USER_SAFMR |