Composite
93.8 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 64.3 | 56.5 | 0.30 | 0.4286 | 27.56 | in index |
| staffing risk | 64.9 | 64.9 | 0.25 | 0.3571 | 23.18 | in index |
| chow risk | 90.0 | 55.0 | 0.15 | 0.2143 | 19.29 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 55.0 | 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. |
| 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 | 2.2 | — | 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 | 56.5 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 64.9 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| regulatory risk | 56.4 | 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 | 56.4 | 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 | 64.9 | C | 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 | 64.9 | C | 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 | |
| Occupancy | 0.93 | -0.67 | |
| 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 | |
| Deficiencies, last 12 months | 15.00 | +0.19 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 15.00 | -1.35 | |
| Chain size (log) | 0.00 | +1.20 | |
| Occupancy | 0.93 | -0.76 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Facility size (log beds) | 3.76 | +0.12 | |
| Never sold on record | 1.00 | +0.12 |
| 2025Q4 HPRD | This facility | IN median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.09 | 2.85 | 3.28 | 2.90–3.77 |
| RN | 0.27 | 0.40 | 0.39 | 0.25–0.58 |
| Weekend total | 3.23 | 2.71 | 3.11 | — |
| Weekday total | 3.03 | 2.90 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 39.0 | 3.09 | 0.27 | 0.85 | 1.97 | 3.23 | 0.0% |
| 2025Q3 | 92 | 39.9 | 3.38 | 0.34 | 0.58 | 2.46 | 3.28 | 0.0% |
| 2025Q2 | 91 | 39.6 | 2.89 | 0.36 | 0.43 | 2.10 | 2.77 | 1.9% |
| 2025Q1 | 90 | 35.3 | 2.67 | 0.24 | 0.51 | 1.92 | 2.63 | 1.2% |
| 2024Q4 | 92 | 33.0 | 2.83 | 0.36 | 0.58 | 1.89 | 2.52 | 0.0% |
| 2024Q3 | 92 | 31.9 | 3.00 | 0.42 | 0.59 | 1.98 | 2.89 | 0.0% |
| 2024Q2 | 91 | 30.7 | 2.96 | 0.38 | 0.77 | 1.81 | 2.74 | 0.0% |
| 2024Q1 | 91 | 25.0 | 3.56 | 0.47 | 1.04 | 2.05 | 3.29 | 0.1% |
| 2023Q4 | 92 | 22.4 | 4.25 | 0.47 | 1.26 | 2.51 | 3.97 | 0.1% |
| 2023Q3 | 92 | 35.4 | 0.39 | 0.13 | 0.03 | 0.24 | 0.45 | 0.7% |
| 2023Q2 | 91 | 37.0 | 2.85 | 0.41 | 0.63 | 1.81 | 2.38 | 0.0% |
| 2023Q1 | 90 | 35.2 | 2.85 | 0.47 | 0.65 | 1.73 | 2.26 | 0.0% |
| 2022Q1 | 90 | 34.2 | 1.91 | 0.17 | 0.70 | 1.04 | 1.85 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2023-08-09 | Payment Denial | — | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-31 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | — |
| 2026-02-20 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-03-18 |
| 2025-12-19 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2026-01-15 |
| 2025-09-26 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-10-07 |
| 2025-08-22 | Health · complaint | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2025-08-25 |
| 2025-08-22 | Health · complaint | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | 2025-08-25 |
| 2025-08-22 | 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 | 2025-08-25 |
| 2025-08-22 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-08-25 |
| 2025-08-22 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2025-08-25 |
| 2025-08-22 | 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 | 2025-08-25 |
| 2025-08-22 | Health | F0732 | Post nurse staffing information every day. | D | 2025-08-25 |
| 2025-08-22 | Health · complaint | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2025-08-25 |
| 2025-08-22 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2025-08-25 |
| 2025-08-22 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-09-01 |
| 2025-08-22 | 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. | D | 2025-09-01 |
| 2025-02-20 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-03-07 |
| 2025-02-20 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-03-07 |
| 2025-01-08 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2025-01-22 |
| 2024-09-26 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | 2024-10-29 |
| 2024-09-26 | 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 | 2024-10-29 |
| 2024-09-26 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-10-29 |
| 2024-09-26 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-10-29 |
| 2024-09-26 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-10-29 |
| 2024-09-26 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-10-29 |
| 2024-09-26 | Health | F0732 | Post nurse staffing information every day. | C | 2024-10-29 |
| 2024-09-26 | 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. | D | 2024-10-29 |
| 2024-09-26 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-10-29 |
| 2024-09-26 | 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 | 2024-10-29 |
| 2024-09-26 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-10-29 |
| 2024-09-26 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2024-10-29 |
| 2024-09-26 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-10-29 |
| 2024-09-26 | Health | F0917 | Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | E | 2024-10-29 |
| 2024-09-26 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | F | 2024-10-29 |
| 2024-08-23 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-10-29 |
| 2024-08-23 | Health · complaint | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | J | 2024-10-29 |
| 2024-08-23 | Health · complaint | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | J | 2024-10-29 |
| 2024-07-24 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-07-31 |
| 2024-02-23 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-03-15 |
| 2024-02-23 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-03-15 |
| 2024-02-23 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2024-03-15 |
| 2023-11-17 | 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 | 2023-12-28 |
| 2023-11-17 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | 2023-12-28 |
| 2023-11-17 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2023-12-28 |
| 2023-11-17 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-12-28 |
| 2023-11-17 | 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 | 2023-12-28 |
| 2023-11-17 | Health · complaint | F0908 | Keep all essential equipment working safely. | D | 2023-12-28 |
| 2023-11-17 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | 2023-12-28 |
| 2023-08-30 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-10-27 |
| 2023-08-30 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | 2023-10-27 |
| 2023-08-30 | Health · complaint | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | 2023-10-27 |
| 2023-08-09 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2023-10-27 |
| 2023-08-09 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-09-03 |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-01-08 | HEALTHWIN HEALTH & REHABILITATION | — | — | — | 145 | PULASKI MEMORIAL HOSPITAL |
| 2025-01-01 | ENVIVE OF LIBERTY | — | — | — | 60 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2025-01-01 | ENVIVE OF MUNCIE | — | — | — | 60 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2024-08-01 | FAIRWAY VILLAGE | — | — | — | 53 | HENRY COUNTY MEMORIAL HOSPITAL |
| 2024-07-01 | ASBURY TOWERS HEALTH CARE CENTER | — | — | — | 48 | PULASKI MEMORIAL HOSPITAL |
| 2024-07-01 | PILGRIM MANOR | — | — | — | 78 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2024-07-01 | CHASE CENTER | — | — | — | 101 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2024-06-01 | IGNITE MEDICAL RESORT CHESTERTON | — | — | — | 70 | IGNITE MEDICAL RESORT CHESTERTON LLC |
| 2024-01-01 | BRIARCLIFF HEALTH & REHABILITATION CENTER | — | — | — | 131 | PULASKI MEMORIAL HOSPITAL |
| 2024-01-01 | SOUTH SHORE HEALTH & REHABILITATION CENTER | — | — | — | 100 | PULASKI MEMORIAL HOSPITAL |
| 2024-01-01 | EVANSVILLE PROTESTANT HOME | — | — | — | 49 | HENRY COUNTY MEMORIAL HOSPITAL |
| 2023-12-01 | ROLLING HILLS HEALTHCARE CENTER | — | — | — | 115 | ADAMS COUNTY MEMORIAL HOSPITAL |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 18035 | acs median gross | 0 | $775 | 2024-12-31 | CENSUS_ACS5 |
| county 18035 | fmr | 0 | $803 | 2025-10-01 | HUD_USER_FMR |
| county 18035 | acs median gross | 1 | $695 | 2024-12-31 | CENSUS_ACS5 |
| county 18035 | fmr | 1 | $845 | 2025-10-01 | HUD_USER_FMR |
| county 18035 | acs median gross | 2 | $912 | 2024-12-31 | CENSUS_ACS5 |
| county 18035 | fmr | 2 | $1,043 | 2025-10-01 | HUD_USER_FMR |
| county 18035 | acs median gross | 3 | $1,030 | 2024-12-31 | CENSUS_ACS5 |
| county 18035 | fmr | 3 | $1,349 | 2025-10-01 | HUD_USER_FMR |
| county 18035 | acs median gross | 4 | $1,407 | 2024-12-31 | CENSUS_ACS5 |
| county 18035 | fmr | 4 | $1,685 | 2025-10-01 | HUD_USER_FMR |
| county 18035 | acs median gross | $906 | 2024-12-31 | CENSUS_ACS5 | |
| county 18035 | acs recent mover gross | $979 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 47303 | acs median gross | 0 | $828 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47303 | acs median gross | 1 | $722 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47303 | acs median gross | 2 | $952 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47303 | acs median gross | 3 | $1,028 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47303 | acs median gross | 4 | $1,488 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47303 | acs median gross | 5 | $2,058 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47303 | acs median gross | $942 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 47303 | acs recent mover gross | $974 | 2024-12-31 | CENSUS_ACS5 | |
| zip 47303 | payment standard 110 | 0 | $902 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47303 | payment standard 90 | 0 | $738 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47303 | safmr | 0 | $820 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47303 | payment standard 110 | 1 | $957 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47303 | payment standard 90 | 1 | $783 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47303 | safmr | 1 | $870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47303 | payment standard 110 | 2 | $1,177 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47303 | payment standard 90 | 2 | $963 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47303 | safmr | 2 | $1,070 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47303 | payment standard 110 | 3 | $1,518 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47303 | payment standard 90 | 3 | $1,242 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47303 | safmr | 3 | $1,380 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47303 | payment standard 110 | 4 | $1,903 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47303 | payment standard 90 | 4 | $1,557 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47303 | safmr | 4 | $1,730 | 2025-10-01 | HUD_USER_SAFMR |