Composite
21.7 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 80.1 | 76.8 | 0.30 | 0.2308 | 18.48 | in index |
| billing conduct | 43.8 | 36.9 | 0.30 | 0.2308 | 10.11 | in index |
| staffing risk | 17.5 | 17.6 | 0.25 | 0.1923 | 3.37 | in index |
| financial risk | 12.3 | 21.2 | 0.30 | 0.2308 | 2.84 | in index |
| chow risk | 18.1 | 17.7 | 0.15 | 0.1154 | 2.09 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 36.9 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 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 | 10.3 | A | v0.6 | default · in composite | |
| financial risk | 21.2 | A | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.6 | — | 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 | 0.4 | — | 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 | 76.8 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 17.6 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 66.9 | 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 | 46.9 | 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 | 36.4 | B | 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 | 27.2 | B | 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 | 76.7 | 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 | 76.7 | 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 | 17.6 | 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 | 17.6 | 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 | 0.00 | -1.24 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 3.99 | -0.19 | |
| Occupancy | 0.75 | -0.15 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | +1.62 | |
| Chain size (log) | 0.00 | +1.20 | |
| Deficiencies, last 12 months | 11.00 | -0.61 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 3.99 | -0.33 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Staffing trend, last 4 quarters | -0.30 | -0.17 | |
| Never sold on record | 1.00 | +0.12 |
| 2025Q4 HPRD | This facility | MN median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.99 | 3.49 | 3.28 | 2.90–3.77 |
| RN | 1.60 | 0.65 | 0.39 | 0.25–0.58 |
| Weekend total | 3.65 | 3.32 | 3.11 | — |
| Weekday total | 4.12 | 3.59 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 78.5 | 3.99 | 1.60 | 0.45 | 1.94 | 3.65 | 0.0% |
| 2025Q3 | 92 | 75.3 | 4.17 | 1.51 | 0.49 | 2.17 | 3.82 | 0.0% |
| 2025Q2 | 91 | 87.8 | 4.42 | 1.49 | 0.55 | 2.38 | 4.03 | 0.0% |
| 2025Q1 | 90 | 91.9 | 4.32 | 1.37 | 0.57 | 2.38 | 4.03 | 0.0% |
| 2024Q4 | 92 | 94.5 | 4.29 | 1.35 | 0.56 | 2.38 | 4.02 | 0.0% |
| 2024Q3 | 92 | 93.8 | 4.23 | 1.32 | 0.52 | 2.39 | 3.92 | 0.0% |
| 2024Q2 | 91 | 95.0 | 4.28 | 1.39 | 0.47 | 2.42 | 3.94 | 0.0% |
| 2024Q1 | 91 | 94.5 | 4.22 | 1.31 | 0.50 | 2.41 | 3.98 | 0.0% |
| 2023Q4 | 92 | 94.0 | 4.18 | 1.36 | 0.47 | 2.35 | 3.88 | 0.0% |
| 2023Q3 | 92 | 94.1 | 4.24 | 1.28 | 0.58 | 2.38 | 3.90 | 0.7% |
| 2023Q2 | 91 | 99.8 | 4.07 | 1.19 | 0.57 | 2.31 | 3.66 | 5.1% |
| 2023Q1 | 90 | 99.0 | 4.10 | 1.26 | 0.51 | 2.33 | 3.79 | 2.9% |
| 2022Q4 | 92 | 95.7 | 4.14 | 1.21 | 0.56 | 2.36 | 3.83 | 1.0% |
| 2022Q3 | 92 | 95.0 | 4.18 | 1.17 | 0.62 | 2.39 | 3.78 | 1.8% |
| 2022Q2 | 91 | 97.9 | 4.16 | 1.12 | 0.64 | 2.40 | 3.81 | 1.1% |
| 2022Q1 | 90 | 99.3 | 4.00 | 0.97 | 0.68 | 2.36 | 3.69 | 0.8% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-11-08 | Fine | $15,646 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-16 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-05-20 |
| 2026-04-16 | 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 | 2026-05-20 |
| 2026-04-16 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2026-05-20 |
| 2026-04-16 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-05-20 |
| 2026-04-16 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-05-20 |
| 2026-04-16 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2026-05-20 |
| 2026-04-16 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-05-20 |
| 2026-04-16 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-05-20 |
| 2026-04-16 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2026-05-20 |
| 2026-04-16 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2026-05-20 |
| 2026-02-04 | 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 | 2026-02-27 |
| 2025-05-15 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-06-30 |
| 2025-05-15 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | D | 2025-06-30 |
| 2025-05-15 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-06-30 |
| 2025-05-15 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-06-30 |
| 2025-05-15 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-06-30 |
| 2025-05-15 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-06-30 |
| 2025-05-15 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2025-06-30 |
| 2025-05-15 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2025-06-30 |
| 2025-05-15 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2025-06-30 |
| 2024-11-08 | Health · complaint | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | J | 2024-11-05 |
| 2024-08-15 | 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 | 2024-10-03 |
| 2024-08-15 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-10-03 |
| 2024-08-15 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2024-10-03 |
| 2024-08-15 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-10-03 |
| 2024-08-15 | 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 | 2024-10-03 |
| 2024-08-15 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-10-03 |
| 2024-08-15 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2024-10-03 |
| 2024-08-15 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2024-10-03 |
| 2024-08-15 | 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 | 2024-10-03 |
| 2024-08-15 | 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. | D | 2024-10-03 |
| 2024-08-15 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-10-03 |
| 2024-08-15 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-10-03 |
| 2024-05-30 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-07-03 |
| 2024-05-30 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-07-03 |
| 2024-03-11 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-04-17 |
| 2024-03-11 | 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 | 2024-04-17 |
| 2024-03-11 | 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 | 2024-04-17 |
| 2024-03-11 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-04-17 |
| 2024-03-11 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-04-17 |
| 2023-07-17 | 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. | D | 2023-08-11 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BENEDICTINE HEALTH SYSTEM | OPERATIONAL/MANAGERIAL CONTROL | — | 1999-03-18 | current | pecos_ownership |
| BENSON, JEFFREY | CORPORATE DIRECTOR | — | 2014-08-06 | current | pecos_ownership |
| BERGIEN, TRICIA | CORPORATE OFFICER | — | 2016-11-16 | current | pecos_ownership |
| HACK, TAYLAR | CORPORATE DIRECTOR | — | 2022-07-01 | current | pecos_ownership |
| HEWITT, REID | CONTRACTED MANAGING EMPLOYEE | — | 2017-10-30 | current | pecos_ownership |
| HOEL, DAVID | CORPORATE OFFICER | — | 2005-02-01 | current | pecos_ownership |
| PEARSON, LYNETTE | CORPORATE DIRECTOR | — | 2021-07-01 | current | pecos_ownership |
| RYMANOWSKI, KEVIN | CORPORATE OFFICER | — | 2008-01-01 | current | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-07-22 | CURA OF ONAMIA | — | — | — | 57 | CURA OF ONAMIA LLC |
| 2024-12-01 | SHAKOPEE FRIENDSHIP MANOR | — | — | — | 60 | SHAKOPEE CARE LLC |
| 2024-12-01 | EDENBROOK ROCHESTER WEST | — | — | — | 48 | EDENBROOK ROCHESTER WEST LLC |
| 2024-10-29 | Cura of Sauk Centre | — | — | — | 60 | CURA OF SAUK CENTRE LLC |
| 2024-10-15 | Heartwood | — | — | — | 54 | CROSBY SENIOR SERVICES CARE CENTER |
| 2024-02-13 | Cura of Monticello | — | — | — | 67 | CURA OF MONTICELLO LLC |
| 2023-12-31 | MAPLEWOOD REHABILITATION CENTER | — | — | — | 115 | MAPLEWOOD REHABILITATION CENTER LLC |
| 2023-12-31 | SLEEPY EYE REHABILITATI CENTER | — | — | — | 61 | SLEEPY EYE REHABILITATION CENTER LLC |
| 2023-12-15 | ST BENEDICTS CARE CENTER | — | — | — | 75 | ECUMEN SBC ST CLOUD PROPERTIES LLC |
| 2023-12-01 | Frazee Care Center | — | — | — | 42 | LEGACY SENIOR SERVICES |
| 2023-06-05 | CURA OF LE SUEUR | — | — | — | 50 | CURA OF LE SUEUR LLC |
| 2023-05-01 | LAKEHOUSE HEALTHCARE & REHABILITATION CENTER | — | — | — | 260 | LAKE HARRIET OPERATOR LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 27123 | acs median gross | 0 | $1,074 | 2024-12-31 | CENSUS_ACS5 |
| county 27123 | fmr | 0 | $1,242 | 2025-10-01 | HUD_USER_FMR |
| county 27123 | acs median gross | 1 | $1,173 | 2024-12-31 | CENSUS_ACS5 |
| county 27123 | fmr | 1 | $1,405 | 2025-10-01 | HUD_USER_FMR |
| county 27123 | acs median gross | 2 | $1,438 | 2024-12-31 | CENSUS_ACS5 |
| county 27123 | fmr | 2 | $1,709 | 2025-10-01 | HUD_USER_FMR |
| county 27123 | acs median gross | 3 | $1,776 | 2024-12-31 | CENSUS_ACS5 |
| county 27123 | fmr | 3 | $2,262 | 2025-10-01 | HUD_USER_FMR |
| county 27123 | acs median gross | 4 | $1,911 | 2024-12-31 | CENSUS_ACS5 |
| county 27123 | fmr | 4 | $2,531 | 2025-10-01 | HUD_USER_FMR |
| county 27123 | acs median gross | 5 | $1,813 | 2024-12-31 | CENSUS_ACS5 |
| county 27123 | acs median gross | $1,329 | 2024-12-31 | CENSUS_ACS5 | |
| county 27123 | acs recent mover gross | $1,347 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 55112 | acs median gross | 0 | $1,118 | 2024-12-31 | CENSUS_ACS5 |
| zcta 55112 | acs median gross | 1 | $1,175 | 2024-12-31 | CENSUS_ACS5 |
| zcta 55112 | acs median gross | 2 | $1,412 | 2024-12-31 | CENSUS_ACS5 |
| zcta 55112 | acs median gross | 3 | $1,971 | 2024-12-31 | CENSUS_ACS5 |
| zcta 55112 | acs median gross | 4 | $1,717 | 2024-12-31 | CENSUS_ACS5 |
| zcta 55112 | acs median gross | $1,372 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 55112 | acs recent mover gross | $1,469 | 2024-12-31 | CENSUS_ACS5 | |
| zip 55112 | payment standard 110 | 0 | $1,254 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55112 | payment standard 90 | 0 | $1,026 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55112 | safmr | 0 | $1,140 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55112 | payment standard 110 | 1 | $1,419 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55112 | payment standard 90 | 1 | $1,161 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55112 | safmr | 1 | $1,290 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55112 | payment standard 110 | 2 | $1,727 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55112 | payment standard 90 | 2 | $1,413 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55112 | safmr | 2 | $1,570 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55112 | payment standard 110 | 3 | $2,288 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55112 | payment standard 90 | 3 | $1,872 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55112 | safmr | 3 | $2,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55112 | payment standard 110 | 4 | $2,563 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55112 | payment standard 90 | 4 | $2,097 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55112 | safmr | 4 | $2,330 | 2025-10-01 | HUD_USER_SAFMR |