Composite
43.8 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 81.4 | 68.2 | 0.30 | 0.2308 | 18.78 | in index |
| regulatory risk | 41.6 | 30.5 | 0.30 | 0.2308 | 9.60 | in index |
| chow risk | 55.3 | 53.5 | 0.15 | 0.1154 | 6.38 | in index |
| billing conduct | 26.7 | 30.0 | 0.30 | 0.2308 | 6.16 | in index |
| staffing risk | 27.2 | 27.3 | 0.25 | 0.1923 | 5.23 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 30.0 | 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 | 82.1 | F | v0.6 | default · in composite | |
| financial risk | 68.2 | D | 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 | 1.9 | — | 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 | 30.5 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 27.3 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 91.4 | 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 | 71.4 | 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 | 73.8 | 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 | 66.6 | 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 | 30.4 | B | 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 | 30.4 | B | 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 | 27.3 | B | 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 | 27.3 | B | 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 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.84 | -0.41 | |
| Chain size (log) | 0.00 | -0.40 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 3.72 | -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 | |
| Occupancy | 0.84 | -0.38 | |
| Deficiencies, last 12 months | 6.00 | +0.32 | |
| Total nurse staffing (HPRD) | 3.72 | -0.21 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 |
| 2025Q4 HPRD | This facility | MA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.72 | 3.39 | 3.28 | 2.90–3.77 |
| RN | 0.09 | 0.39 | 0.39 | 0.25–0.58 |
| Weekend total | 3.74 | 3.26 | 3.11 | — |
| Weekday total | 3.71 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 60.4 | 3.72 | 0.09 | 1.25 | 2.38 | 3.74 | 0.0% |
| 2025Q3 | 92 | 67.1 | 3.48 | 0.07 | 1.14 | 2.27 | 3.52 | 0.0% |
| 2025Q2 | 91 | 65.1 | 3.34 | 0.07 | 1.10 | 2.17 | 3.33 | 0.0% |
| 2025Q1 | 90 | 63.8 | 3.61 | 0.11 | 1.17 | 2.33 | 3.57 | 0.0% |
| 2024Q4 | 92 | 63.8 | 3.64 | 0.11 | 1.21 | 2.32 | 3.72 | 0.0% |
| 2024Q3 | 92 | 63.4 | 3.54 | 0.11 | 1.22 | 2.21 | 3.51 | 0.0% |
| 2024Q2 | 91 | 65.6 | 3.46 | 0.16 | 1.09 | 2.22 | 3.41 | 0.0% |
| 2024Q1 | 91 | 66.1 | 3.61 | 0.23 | 1.01 | 2.37 | 3.61 | 0.6% |
| 2023Q4 | 92 | 62.9 | 3.47 | 0.29 | 1.06 | 2.12 | 3.39 | 7.9% |
| 2023Q3 | 92 | 63.0 | 3.84 | 0.25 | 1.07 | 2.51 | 3.69 | 23.5% |
| 2023Q2 | 91 | 62.7 | 3.76 | 0.32 | 1.00 | 2.44 | 3.59 | 17.1% |
| 2023Q1 | 90 | 58.2 | 4.11 | 0.46 | 1.01 | 2.63 | 3.94 | 14.6% |
| 2022Q4 | 92 | 52.0 | 4.23 | 0.47 | 1.11 | 2.65 | 4.00 | 12.8% |
| 2022Q3 | 92 | 55.7 | 4.06 | 0.57 | 0.88 | 2.61 | 3.77 | 22.3% |
| 2022Q2 | 91 | 59.3 | 3.75 | 0.50 | 0.79 | 2.46 | 3.45 | 13.2% |
| 2022Q1 | 90 | 59.6 | 3.86 | 0.48 | 0.87 | 2.51 | 3.55 | 11.8% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-11-14 | 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. | D | 2025-12-06 |
| 2025-11-14 | Health | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | 2025-12-06 |
| 2025-11-14 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-12-06 |
| 2025-11-14 | Health | F0732 | Post nurse staffing information every day. | C | 2025-12-06 |
| 2025-11-14 | 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 | 2025-12-06 |
| 2025-11-14 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-12-06 |
| 2024-08-12 | 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 | 2024-09-13 |
| 2024-08-12 | 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. | D | 2024-09-06 |
| 2024-08-12 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-09-06 |
| 2024-08-12 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-09-06 |
| 2024-08-12 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2024-09-06 |
| 2024-08-12 | Health | F0641 | Ensure each resident receives an accurate assessment. | B | 2024-09-13 |
| 2024-08-12 | 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 | 2024-09-06 |
| 2024-08-12 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-09-13 |
| 2024-08-12 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-09-13 |
| 2024-08-12 | 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 | 2024-09-13 |
| 2024-08-12 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-09-13 |
| 2024-08-12 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2024-09-13 |
| 2024-08-12 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-09-13 |
| 2024-08-12 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2024-09-06 |
| 2024-06-12 | 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 | 2024-07-12 |
| 2023-11-14 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2023-12-25 |
| 2023-11-14 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-12-25 |
| 2023-06-15 | 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. | E | 2023-08-11 |
| 2023-06-15 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2023-08-11 |
| 2023-06-15 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2023-08-11 |
| 2023-06-15 | Health | F0610 | Respond appropriately to all alleged violations. | E | 2023-08-11 |
| 2023-06-15 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | 2023-08-11 |
| 2023-06-15 | 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. | C | 2023-08-11 |
| 2023-06-15 | 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 | 2023-08-11 |
| 2023-06-15 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-08-11 |
| 2023-06-15 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-08-11 |
| 2023-06-15 | 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. | E | 2023-08-11 |
| 2023-06-15 | 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. | F | 2023-08-11 |
| 2023-06-15 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-08-11 |
| 2023-06-15 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-08-11 |
| 2023-06-15 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2023-08-11 |
| 2023-06-15 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2023-08-11 |
| 2023-06-15 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-08-11 |
| 2023-06-15 | Health | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | 2023-08-11 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| LEFKOWITZ, MATHEW | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | 2012-04-02 | current | pecos_ownership |
| GASTON, THOMAS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 8% | 2012-04-02 | current | pecos_ownership |
| HERLET, SHANE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2017-01-01 | current | pecos_ownership |
| LEIGHTON, CATHY | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-02-07 | current | pecos_ownership |
| MILLER, ARTHUR | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2017-01-01 | current | pecos_ownership |
| CATHY LEIGHTON | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2018-02-07 | ended 2026-05-18 | pecos_ownership |
| MAPLEWOOD REAL ESTATE HOLDINGS | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| MATHEW LEFKOWITZ | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | 2012-04-02 | ended 2026-05-18 | pecos_ownership |
| THOMAS GASTON | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 8% | 2012-04-02 | ended 2026-05-18 | pecos_ownership |
| SHANE HERLET | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 3% | 2017-01-01 | ended 2026-05-18 | pecos_ownership |
| ARTHUR MILLER | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 2% | 2017-01-01 | ended 2026-05-18 | pecos_ownership |
| MAPLEWOOD REAL ESTATE HOLDINGS | Individual has financial interest in both related organization and provider | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| 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 25001 | acs median gross | 0 | $1,468 | 2024-12-31 | CENSUS_ACS5 |
| county 25001 | acs median gross | 1 | $1,095 | 2024-12-31 | CENSUS_ACS5 |
| county 25001 | acs median gross | 2 | $1,785 | 2024-12-31 | CENSUS_ACS5 |
| county 25001 | acs median gross | 3 | $2,136 | 2024-12-31 | CENSUS_ACS5 |
| county 25001 | acs median gross | 4 | $2,606 | 2024-12-31 | CENSUS_ACS5 |
| county 25001 | acs median gross | 5 | $1,615 | 2024-12-31 | CENSUS_ACS5 |
| county 25001 | acs median gross | $1,678 | 2024-12-31 | CENSUS_ACS5 | |
| county 25001 | acs recent mover gross | $1,874 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 02673 | acs median gross | 1 | $1,134 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02673 | acs median gross | 2 | $1,474 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02673 | acs median gross | 3 | $2,008 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02673 | acs median gross | $1,463 | 2024-12-31 | CENSUS_ACS5 | |
| zip 02673 | payment standard 110 | 0 | $2,024 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02673 | payment standard 90 | 0 | $1,656 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02673 | safmr | 0 | $1,840 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02673 | payment standard 110 | 1 | $2,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02673 | payment standard 90 | 1 | $1,665 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02673 | safmr | 1 | $1,850 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02673 | payment standard 110 | 2 | $2,673 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02673 | payment standard 90 | 2 | $2,187 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02673 | safmr | 2 | $2,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02673 | payment standard 110 | 3 | $3,289 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02673 | payment standard 90 | 3 | $2,691 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02673 | safmr | 3 | $2,990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02673 | payment standard 110 | 4 | $3,784 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02673 | payment standard 90 | 4 | $3,096 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02673 | safmr | 4 | $3,440 | 2025-10-01 | HUD_USER_SAFMR |