Composite
48.5 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 66.1 | 59.1 | 0.30 | 0.2308 | 15.25 | in index |
| chow risk | 89.5 | 69.7 | 0.15 | 0.1154 | 10.33 | in index |
| billing conduct | 43.8 | 36.9 | 0.30 | 0.2308 | 10.11 | in index |
| financial risk | 37.8 | 38.3 | 0.30 | 0.2308 | 8.72 | in index |
| staffing risk | 18.1 | 18.2 | 0.25 | 0.1923 | 3.48 | 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 | 51.2 | 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 | 88.2 | F | v0.6 | default · in composite | |
| financial risk | 38.3 | B | 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 | 0.0 | — | 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 | 59.1 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 18.2 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 72.3 | 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 | 52.3 | 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 | 52.1 | 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 | 42.2 | 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 | 58.9 | C | 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 | 58.9 | C | 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 | 18.2 | 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 | 18.2 | 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 | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 4.57 | -1.40 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.88 | -0.53 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Total nurse staffing (HPRD) | 3.97 | -0.18 | |
| Chain size (log) | 2.56 | +0.14 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.88 | -0.55 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 3.97 | -0.32 | |
| Chain size (log) | 2.56 | -0.29 | |
| Never sold on record | 0.00 | -0.28 | |
| Deficiencies, last 12 months | 9.00 | -0.24 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
| 2025Q4 HPRD | This facility | OH median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.97 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.57 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.74 | 3.11 | 3.11 | — |
| Weekday total | 4.06 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 87.0 | 3.97 | 0.57 | 1.00 | 2.40 | 3.74 | 8.8% |
| 2025Q3 | 92 | 87.6 | 3.82 | 0.38 | 1.13 | 2.31 | 3.57 | 9.2% |
| 2025Q2 | 91 | 88.3 | 3.84 | 0.48 | 1.02 | 2.34 | 3.50 | 26.5% |
| 2025Q1 | 90 | 83.9 | 3.72 | 0.48 | 0.95 | 2.30 | 3.48 | 30.8% |
| 2024Q4 | 92 | 85.8 | 3.72 | 0.64 | 0.88 | 2.20 | 3.65 | 24.2% |
| 2024Q3 | 92 | 85.9 | 3.95 | 0.61 | 0.83 | 2.51 | 3.72 | 16.0% |
| 2024Q2 | 91 | 89.9 | 3.88 | 0.46 | 1.01 | 2.42 | 3.68 | 21.6% |
| 2024Q1 | 91 | 90.3 | 3.39 | 0.34 | 0.97 | 2.08 | 3.21 | 10.0% |
| 2023Q4 | 92 | 93.9 | 3.02 | 0.25 | 0.97 | 1.80 | 2.89 | 5.1% |
| 2023Q3 | 92 | 94.5 | 3.62 | 0.27 | 1.06 | 2.29 | 3.49 | 21.2% |
| 2023Q2 | 91 | 89.4 | 3.62 | 0.29 | 1.16 | 2.16 | 3.52 | 36.5% |
| 2023Q1 | 90 | 81.0 | 3.59 | 0.36 | 1.15 | 2.09 | 3.43 | 31.6% |
| 2022Q4 | 92 | 78.7 | 3.42 | 0.30 | 1.08 | 2.04 | 3.30 | 27.5% |
| 2022Q3 | 92 | 72.7 | 3.21 | 0.25 | 1.02 | 1.95 | 3.15 | 20.7% |
| 2022Q2 | 91 | 64.0 | 3.66 | 0.20 | 1.29 | 2.17 | 3.39 | 19.8% |
| 2022Q1 | 90 | 61.7 | 3.64 | 0.24 | 1.28 | 2.11 | 3.43 | 25.4% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-05-16 | Fine | $10,845 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-01-08 | 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 | 2026-02-28 |
| 2026-01-08 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2026-02-28 |
| 2026-01-08 | 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 | 2026-02-28 |
| 2026-01-08 | 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 | 2026-02-28 |
| 2026-01-08 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-02-28 |
| 2026-01-08 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-02-28 |
| 2026-01-08 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2026-02-28 |
| 2026-01-08 | 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 | 2026-02-28 |
| 2026-01-08 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2026-02-28 |
| 2024-05-22 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-06-15 |
| 2024-05-22 | Health · complaint | 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 | 2024-06-15 |
| 2024-05-22 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-06-15 |
| 2024-05-22 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-06-15 |
| 2024-05-22 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-06-15 |
| 2024-05-22 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-06-15 |
| 2024-05-22 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2024-06-15 |
| 2023-01-12 | 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 | 2023-02-13 |
| 2023-01-12 | 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 | 2023-02-13 |
| 2023-01-12 | 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 | 2023-02-13 |
| 2023-01-12 | Health | F0814 | Dispose of garbage and refuse properly. | C | 2023-02-13 |
| 2023-01-12 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2023-02-13 |
| 2019-09-19 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | E | 2019-11-01 |
| 2019-09-19 | 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. | E | 2019-11-01 |
| 2019-09-19 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2019-11-01 |
| 2019-09-19 | 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. | D | 2019-11-01 |
| 2019-09-19 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2019-11-01 |
| 2019-09-19 | 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 | 2019-11-01 |
| 2019-09-19 | Health | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2019-11-01 |
| 2019-09-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2019-11-01 |
| 2019-09-19 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2019-11-01 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| SOLON PROPCO | Corporation, partnership or other organization has financial interest in provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| SOLON PROPCO | Corporation, partnership or other organization has financial interest in provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| CAPITAL HOLDINGS TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 63% | 2022-01-01 | current | pecos_ownership |
| SOLON HOLDING LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 34% | 2022-01-01 | current | pecos_ownership |
| BASCH, JOSHUA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2022-01-01 | current | pecos_ownership |
| JB EAST END INVESTMENTS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2022-01-01 | current | pecos_ownership |
| WEINSTOCK, DAVID | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2022-01-01 | current | pecos_ownership |
| KOSTOS, ERIN | W-2 MANAGING EMPLOYEE | — | 2022-01-01 | current | pecos_ownership |
| STERN, JACOB | CORPORATE OFFICER | — | 2022-01-01 | current | pecos_ownership |
| EMERALD RIDGE | Corporation, partnership or other organization has financial interest in provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| EMERALD RIDGE | Corporation, partnership or other organization has financial interest in provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| ERIN KOSTOS | W-2 MANAGING EMPLOYEE | 100% | 2022-01-01 | ended 2026-05-18 | pecos_ownership |
| JACOB STERN | CORPORATE OFFICER | 100% | 2022-01-01 | ended 2026-05-18 | pecos_ownership |
| STARLIGHT HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 66% | 2022-01-01 | ended 2026-05-18 | pecos_ownership |
| DAVID WEINSTOCK | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2022-01-01 | ended 2026-05-18 | pecos_ownership |
| JOSHUA BASCH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2022-01-01 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2022-01-01 | — | SOLON POINTE HEALTHCARE LLC | SOLON POINTE AT EMERALD RIDGE LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-12-31 | SAPPHIRE REHABILITATION AND CARE CENTER | — | — | — | 113 | SAPPHIRE OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF POINT PLACE | — | — | — | 82 | POINT PLACE OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF NEW LEXINGTON | — | — | — | 82 | NEW LEXINGTON OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | Atrium Nursing and Rehabilitation | — | — | — | 99 | ATRIUM OPCO LLC |
| 2024-12-31 | Inniswood Health and Rehabilitation | — | — | — | 99 | FHS INNISWOOD, INC. |
| 2024-12-31 | COMMUNITY SKILLED HEALTHCARE | — | — | — | 110 | CS OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF PERRYSBURG | — | — | — | 75 | PERRYSBURG OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | GRAFTON OAKS NURSING CENTER | — | — | — | 99 | GO OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF KENT | — | — | — | 74 | KENT OH HEALTH & REHAB OPCO LLC |
| 2024-12-30 | Chardon Woods | — | — | — | 161 | CHARDON WOODS OF JOURNEY LLC |
| 2024-12-16 | The Pavilion at Canal Fulton for Nursing and Rehab | — | — | — | 60 | PAVILION AT CANAL FULTON LLC |
| 2024-12-02 | BENNINGTON GLEN NURSING & REHABILITATION CENTER | — | — | — | 79 | FHS BENNINGTON INC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 39035 | acs median gross | 0 | $792 | 2024-12-31 | CENSUS_ACS5 |
| county 39035 | fmr | 0 | $933 | 2025-10-01 | HUD_USER_FMR |
| county 39035 | acs median gross | 1 | $859 | 2024-12-31 | CENSUS_ACS5 |
| county 39035 | fmr | 1 | $1,058 | 2025-10-01 | HUD_USER_FMR |
| county 39035 | acs median gross | 2 | $1,106 | 2024-12-31 | CENSUS_ACS5 |
| county 39035 | fmr | 2 | $1,279 | 2025-10-01 | HUD_USER_FMR |
| county 39035 | acs median gross | 3 | $1,290 | 2024-12-31 | CENSUS_ACS5 |
| county 39035 | fmr | 3 | $1,646 | 2025-10-01 | HUD_USER_FMR |
| county 39035 | acs median gross | 4 | $1,442 | 2024-12-31 | CENSUS_ACS5 |
| county 39035 | fmr | 4 | $1,760 | 2025-10-01 | HUD_USER_FMR |
| county 39035 | acs median gross | 5 | $1,548 | 2024-12-31 | CENSUS_ACS5 |
| county 39035 | acs median gross | $1,060 | 2024-12-31 | CENSUS_ACS5 | |
| county 39035 | acs recent mover gross | $1,218 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 44139 | acs median gross | 0 | $1,096 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44139 | acs median gross | 1 | $1,356 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44139 | acs median gross | 2 | $1,693 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44139 | acs median gross | 3 | $2,276 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44139 | acs median gross | 4 | $1,932 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44139 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44139 | acs median gross | $1,632 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 44139 | acs recent mover gross | $1,545 | 2024-12-31 | CENSUS_ACS5 | |
| zip 44139 | payment standard 110 | 0 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44139 | payment standard 90 | 0 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44139 | safmr | 0 | $1,300 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44139 | payment standard 110 | 1 | $1,617 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44139 | payment standard 90 | 1 | $1,323 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44139 | safmr | 1 | $1,470 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44139 | payment standard 110 | 2 | $1,958 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44139 | payment standard 90 | 2 | $1,602 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44139 | safmr | 2 | $1,780 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44139 | payment standard 110 | 3 | $2,519 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44139 | payment standard 90 | 3 | $2,061 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44139 | safmr | 3 | $2,290 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44139 | payment standard 110 | 4 | $2,695 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44139 | payment standard 90 | 4 | $2,205 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44139 | safmr | 4 | $2,450 | 2025-10-01 | HUD_USER_SAFMR |