Composite
44.8 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 87.3 | 74.3 | 0.30 | 0.2308 | 20.15 | in index |
| regulatory risk | 59.1 | 50.0 | 0.30 | 0.2308 | 13.64 | in index |
| chow risk | 83.3 | 37.0 | 0.15 | 0.1154 | 9.61 | in index |
| staffing risk | 16.3 | 16.4 | 0.25 | 0.1923 | 3.13 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.2308 | 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 | 37.0 | 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. |
| financial risk | 74.3 | D | 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 | 3.8 | — | 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 | 50.0 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 16.4 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 60.4 | 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 | 76.2 | 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 | 50.0 | 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 | 50.0 | 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 | 16.4 | 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 | 16.4 | 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 | 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 | |
| Deficiencies, last 12 months | 19.00 | +0.29 | |
| Occupancy | 0.79 | -0.27 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 19.00 | -2.09 | |
| 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) | 4.02 | -0.34 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Occupancy | 0.79 | -0.17 | |
| Facility size (log beds) | 3.69 | +0.14 |
| 2025Q4 HPRD | This facility | NE median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 4.02 | 2.88 | 3.28 | 2.90–3.77 |
| RN | 0.35 | 0.42 | 0.39 | 0.25–0.58 |
| Weekend total | 4.00 | 2.75 | 3.11 | — |
| Weekday total | 4.03 | 2.96 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 30.8 | 4.02 | 0.35 | 0.73 | 2.94 | 4.00 | 14.0% |
| 2025Q3 | 92 | 28.5 | 4.27 | 0.44 | 0.52 | 3.31 | 4.31 | 4.5% |
| 2025Q2 | 91 | 25.6 | 4.08 | 0.50 | 0.53 | 3.06 | 4.07 | 6.8% |
| 2025Q1 | 90 | 25.9 | 3.79 | 0.07 | 0.77 | 2.95 | 3.73 | 10.3% |
| 2024Q4 | 92 | 26.5 | 3.68 | 0.22 | 0.73 | 2.73 | 3.72 | 10.9% |
| 2024Q3 | 92 | 25.4 | 3.36 | 0.38 | 0.60 | 2.37 | 3.31 | 2.8% |
| 2024Q2 | 91 | 22.5 | 4.36 | 0.37 | 0.73 | 3.26 | 4.09 | 8.7% |
| 2024Q1 | 91 | 25.8 | 3.48 | 0.21 | 0.79 | 2.48 | 3.41 | 8.5% |
| 2023Q4 | 92 | 23.4 | 3.37 | 0.19 | 0.98 | 2.20 | 3.31 | 0.0% |
| 2023Q3 | 92 | 22.1 | 3.38 | 0.22 | 0.94 | 2.22 | 3.54 | 0.3% |
| 2023Q2 | 91 | 19.4 | 3.81 | 0.32 | 1.06 | 2.44 | 3.75 | 2.2% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-27 | Health · complaint | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | F | 2026-05-22 |
| 2026-04-27 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-05-22 |
| 2026-04-27 | 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 | 2026-05-22 |
| 2026-04-27 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2026-05-22 |
| 2026-02-02 | Health · complaint | 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 | 2026-02-20 |
| 2026-02-02 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2026-02-27 |
| 2026-02-02 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-02-27 |
| 2026-02-02 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-02-27 |
| 2026-02-02 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2026-02-27 |
| 2026-02-02 | 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 | 2026-02-27 |
| 2026-02-02 | 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 | 2026-02-27 |
| 2026-02-02 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-02-27 |
| 2026-02-02 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2026-03-06 |
| 2026-02-02 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2026-02-06 |
| 2026-02-02 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | 2026-03-06 |
| 2026-02-02 | Health · complaint | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2026-03-06 |
| 2026-02-02 | 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 | 2026-02-27 |
| 2026-02-02 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2026-03-06 |
| 2026-02-02 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-04-10 |
| 2024-12-10 | Health | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | C | 2025-01-24 |
| 2024-12-10 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-01-24 |
| 2024-12-10 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-01-24 |
| 2024-12-10 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2025-01-24 |
| 2024-12-10 | Health | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2025-01-24 |
| 2024-12-10 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-01-24 |
| 2024-12-10 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-01-24 |
| 2024-12-10 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2025-01-24 |
| 2024-12-10 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2025-01-24 |
| 2024-12-10 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2025-01-24 |
| 2024-12-10 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-01-24 |
| 2024-12-10 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2025-01-24 |
| 2024-12-10 | Health | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | F | 2025-01-24 |
| 2024-07-16 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-07-31 |
| 2024-07-16 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-07-31 |
| 2024-03-27 | 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 | 2024-05-03 |
| 2024-03-27 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-05-03 |
| 2024-03-27 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-05-03 |
| 2024-03-27 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-05-03 |
| 2024-01-30 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-03-15 |
| 2023-12-13 | 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 | 2024-01-21 |
| 2023-12-13 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2024-01-21 |
| 2023-12-13 | 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 | 2024-01-21 |
| 2023-12-13 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2024-01-21 |
| 2023-12-13 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-01-21 |
| 2023-12-13 | 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 | 2024-01-21 |
| 2023-12-13 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-01-21 |
| 2023-12-13 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-01-21 |
| 2023-12-13 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-01-21 |
| 2023-12-13 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2024-01-21 |
| 2023-12-13 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-01-21 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| FRIEDMAN, MITCHELL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-04-18 | current | pecos_ownership |
| FRIEDMAN, MITCHELL | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-05-08 | current | pecos_ownership |
| MITCHELL FRIEDMAN | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2022-05-08 | ended 2026-05-18 | pecos_ownership |
| MITCHELL FRIEDMAN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-04-18 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-04-01 | Accura HealthCare of North Platte | — | — | — | 71 | ACCURA HEALTHCARE OF NORTH PLATTE LLC |
| 2024-10-01 | St. Joseph's Rehabilitation and Care Center | — | — | — | 83 | RAVENSCROFT HEALTHCARE LLC |
| 2024-08-15 | Holmes Lake Rehabilitation & Care Center | — | — | — | 97 | HOLMES LAKE OPERATIONS LLC |
| 2024-04-01 | Heritage of Webster County | — | — | — | 43 | WEBSTER COUNTY COMMUNITY HOSPITAL FOUNDATION, INC. |
| 2024-03-01 | The Cypress at Midtown | — | — | — | 61 | CYPRESS AT MIDTOWN LLC |
| 2024-03-01 | The Banyan at Montclair | — | — | — | 175 | BANYAN AT MONTCLAIR LLC |
| 2023-08-02 | Adept Nursing & Rehab of Central City | — | — | — | 63 | OAKS AT CENTRAL CITY LLC |
| 2023-08-02 | Adept Nursing & Rehab of Blue Hill | — | — | — | 62 | PINES AT BLUE HILL LLC |
| 2023-08-02 | Adept Nursing & Rehab of North Platte | — | — | — | 94 | MAPLES AT CENTENNIAL LLC |
| 2023-08-02 | Adept Nursing & Rehab of Ashland | — | — | — | 97 | MEADOWS AT ASHLAND LLC |
| 2023-08-02 | Adept Nursing & Rehab of Sutherland | — | — | — | 60 | BIRCH AT SUTHERLAND LLC |
| 2023-08-02 | Adept Nursing & Rehab of Grand Island | — | — | — | 76 | CEDARS AT BROADWELL LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 31013 | acs median gross | 0 | $945 | 2024-12-31 | CENSUS_ACS5 |
| county 31013 | fmr | 0 | $666 | 2025-10-01 | HUD_USER_FMR |
| county 31013 | acs median gross | 1 | $615 | 2024-12-31 | CENSUS_ACS5 |
| county 31013 | fmr | 1 | $732 | 2025-10-01 | HUD_USER_FMR |
| county 31013 | acs median gross | 2 | $674 | 2024-12-31 | CENSUS_ACS5 |
| county 31013 | fmr | 2 | $961 | 2025-10-01 | HUD_USER_FMR |
| county 31013 | acs median gross | 3 | $1,295 | 2024-12-31 | CENSUS_ACS5 |
| county 31013 | fmr | 3 | $1,182 | 2025-10-01 | HUD_USER_FMR |
| county 31013 | acs median gross | 4 | $1,018 | 2024-12-31 | CENSUS_ACS5 |
| county 31013 | fmr | 4 | $1,284 | 2025-10-01 | HUD_USER_FMR |
| county 31013 | acs median gross | $752 | 2024-12-31 | CENSUS_ACS5 | |
| county 31013 | acs recent mover gross | $1,038 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 69348 | acs median gross | 1 | $596 | 2024-12-31 | CENSUS_ACS5 |
| zcta 69348 | acs median gross | 2 | $792 | 2024-12-31 | CENSUS_ACS5 |
| zcta 69348 | acs median gross | 3 | $913 | 2024-12-31 | CENSUS_ACS5 |
| zcta 69348 | acs median gross | $863 | 2024-12-31 | CENSUS_ACS5 | |
| zip 69348 | payment standard 110 | 0 | $792 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69348 | payment standard 90 | 0 | $648 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69348 | safmr | 0 | $720 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69348 | payment standard 110 | 1 | $869 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69348 | payment standard 90 | 1 | $711 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69348 | safmr | 1 | $790 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69348 | payment standard 110 | 2 | $1,144 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69348 | payment standard 90 | 2 | $936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69348 | safmr | 2 | $1,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69348 | payment standard 110 | 3 | $1,408 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69348 | payment standard 90 | 3 | $1,152 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69348 | safmr | 3 | $1,280 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69348 | payment standard 110 | 4 | $1,529 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69348 | payment standard 90 | 4 | $1,251 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69348 | safmr | 4 | $1,390 | 2025-10-01 | HUD_USER_SAFMR |