Composite
17.6 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 52.9 | 47.3 | 0.30 | 0.2857 | 15.11 | in index |
| regulatory risk | 47.1 | 36.1 | 0.30 | 0.2857 | 13.46 | in index |
| chow risk | 42.7 | 40.9 | 0.15 | 0.1429 | 6.10 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.2857 | 0.00 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 0.0 | A | 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 | 56.8 | C | v0.6 | default · in composite | |
| financial risk | 47.3 | C | 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 | 2.1 | — | 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 | 36.1 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| financial risk | 88.8 | 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 | 68.8 | 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 | 55.7 | 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 | 50.5 | 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 | 36.0 | 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 | 36.0 | 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. |
| 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 | |
| Chain size (log) | 0.00 | -0.40 | |
| Occupancy | 0.79 | -0.26 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 0.00 | -0.17 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| Chain size (log) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 3.90 | -0.29 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Occupancy | 0.79 | -0.16 | |
| Never sold on record | 1.00 | +0.12 |
| 2025Q3 HPRD | This facility | MA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.90 | 3.39 | 3.28 | 2.90–3.77 |
| RN | 0.25 | 0.39 | 0.39 | 0.25–0.58 |
| Weekend total | 3.54 | 3.26 | 3.11 | — |
| Weekday total | 4.04 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q3 | 92 | 34.6 | 3.90 | 0.25 | 0.98 | 2.67 | 3.54 | 3.1% |
| 2025Q2 | 91 | 35.7 | 4.01 | 0.42 | 0.88 | 2.71 | 3.53 | 16.7% |
| 2025Q1 | 90 | 35.1 | 3.76 | 0.40 | 0.89 | 2.47 | 3.60 | 8.0% |
| 2024Q4 | 92 | 36.1 | 3.77 | 0.54 | 0.71 | 2.52 | 3.54 | 5.7% |
| 2024Q3 | 92 | 37.1 | 3.74 | 0.50 | 0.79 | 2.45 | 3.61 | 13.5% |
| 2024Q2 | 91 | 36.8 | 3.58 | 0.40 | 0.78 | 2.41 | 3.50 | 12.1% |
| 2024Q1 | 91 | 35.2 | 3.48 | 0.58 | 0.68 | 2.21 | 3.43 | 14.6% |
| 2023Q4 | 92 | 34.2 | 3.32 | 0.56 | 0.70 | 2.06 | 3.22 | 11.4% |
| 2023Q3 | 92 | 34.5 | 3.26 | 0.53 | 0.69 | 2.04 | 3.12 | 2.4% |
| 2023Q2 | 91 | 34.3 | 3.44 | 0.61 | 0.68 | 2.15 | 3.28 | 2.9% |
| 2023Q1 | 90 | 33.9 | 3.30 | 0.56 | 0.74 | 2.00 | 3.15 | 6.8% |
| 2022Q4 | 92 | 34.4 | 3.25 | 0.53 | 0.78 | 1.94 | 3.00 | 19.1% |
| 2022Q3 | 92 | 35.7 | 2.84 | 0.55 | 0.73 | 1.56 | 2.54 | 17.7% |
| 2022Q2 | 91 | 34.0 | 3.21 | 0.63 | 0.76 | 1.82 | 2.76 | 5.5% |
| 2022Q1 | 90 | 32.2 | 3.14 | 0.65 | 0.69 | 1.79 | 2.68 | 1.8% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-04-29 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-05-31 |
| 2025-04-29 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2025-05-31 |
| 2025-04-29 | 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 | 2025-06-03 |
| 2025-04-29 | 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 | 2025-06-03 |
| 2025-04-29 | 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 | 2025-06-03 |
| 2025-04-29 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-05-31 |
| 2025-04-29 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | E | 2025-05-31 |
| 2025-04-29 | Health | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | E | 2025-05-31 |
| 2025-04-29 | 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 | 2025-06-03 |
| 2025-04-29 | 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 | 2025-06-03 |
| 2025-04-29 | 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 | 2025-06-03 |
| 2025-04-29 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2025-06-03 |
| 2025-04-29 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-06-03 |
| 2025-04-29 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2025-06-03 |
| 2025-04-29 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-06-03 |
| 2025-04-29 | 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. | E | 2025-06-03 |
| 2025-04-29 | Health | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | F | 2025-06-03 |
| 2024-05-14 | Health | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2024-05-31 |
| 2024-05-14 | 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 | 2024-05-31 |
| 2024-05-14 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-05-31 |
| 2024-05-14 | 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. | F | 2024-05-31 |
| 2024-05-14 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-05-31 |
| 2024-05-14 | 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 | 2024-05-31 |
| 2024-05-14 | 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 | 2024-05-31 |
| 2024-05-14 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-05-31 |
| 2024-05-14 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-05-31 |
| 2024-05-14 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-05-31 |
| 2023-03-09 | 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 | 2023-04-21 |
| 2023-03-09 | 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 | 2023-04-21 |
| 2023-03-09 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-04-21 |
| 2023-03-09 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-04-21 |
| 2023-03-09 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2023-04-21 |
| 2023-03-09 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-04-21 |
| 2023-03-09 | Health | F0885 | Report COVID19 data to residents and families. | F | 2023-04-21 |
| 2023-03-09 | Health | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | 2023-04-21 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| WOODS, THOMAS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 67% | 2005-01-01 | current | pecos_ownership |
| WOODS, CHARLES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 13% | 2005-01-01 | current | pecos_ownership |
| HARRINGTON, JOHN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | 2005-01-01 | current | pecos_ownership |
| SWEENEY, MATTHEW | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | 2005-01-01 | current | pecos_ownership |
| WOODS, THOMAS | CORPORATE OFFICER | — | 1999-03-30 | current | pecos_ownership |
| THOMAS WOODS | CORPORATE OFFICER | 67% | 1999-03-30 | ended 2026-05-18 | pecos_ownership |
| THOMAS WOODS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 67% | 2005-01-01 | ended 2026-05-18 | pecos_ownership |
| CHARLES WOODS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 13% | 2005-01-01 | ended 2026-05-18 | pecos_ownership |
| JOHN HARRINGTON | CORPORATE OFFICER | 10% | 2005-01-01 | ended 2026-05-18 | pecos_ownership |
| MATTHEW SWEENEY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | 2005-01-01 | ended 2026-05-18 | pecos_ownership |
| 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 25021 | acs median gross | 0 | $1,664 | 2024-12-31 | CENSUS_ACS5 |
| county 25021 | acs median gross | 1 | $1,877 | 2024-12-31 | CENSUS_ACS5 |
| county 25021 | acs median gross | 2 | $2,314 | 2024-12-31 | CENSUS_ACS5 |
| county 25021 | acs median gross | 3 | $2,488 | 2024-12-31 | CENSUS_ACS5 |
| county 25021 | acs median gross | 4 | $2,959 | 2024-12-31 | CENSUS_ACS5 |
| county 25021 | acs median gross | 5 | $2,191 | 2024-12-31 | CENSUS_ACS5 |
| county 25021 | acs median gross | $2,149 | 2024-12-31 | CENSUS_ACS5 | |
| county 25021 | acs recent mover gross | $2,459 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 02093 | acs median gross | 0 | $374 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02093 | acs median gross | 1 | $848 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02093 | acs median gross | 2 | $1,969 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02093 | acs median gross | 3 | $1,176 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02093 | acs median gross | $1,184 | 2024-12-31 | CENSUS_ACS5 | |
| zip 02093 | payment standard 110 | 0 | $2,244 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02093 | payment standard 90 | 0 | $1,836 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02093 | safmr | 0 | $2,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02093 | payment standard 110 | 1 | $2,376 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02093 | payment standard 90 | 1 | $1,944 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02093 | safmr | 1 | $2,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02093 | payment standard 110 | 2 | $2,816 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02093 | payment standard 90 | 2 | $2,304 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02093 | safmr | 2 | $2,560 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02093 | payment standard 110 | 3 | $3,388 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02093 | payment standard 90 | 3 | $2,772 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02093 | safmr | 3 | $3,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02093 | payment standard 110 | 4 | $3,729 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02093 | payment standard 90 | 4 | $3,051 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02093 | safmr | 4 | $3,390 | 2025-10-01 | HUD_USER_SAFMR |