Composite
93.4 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 91.6 | 89.3 | 0.30 | 0.2308 | 21.14 | in index |
| financial risk | 82.7 | 69.4 | 0.30 | 0.2308 | 19.08 | in index |
| staffing risk | 81.7 | 81.7 | 0.25 | 0.1923 | 15.71 | in index |
| chow risk | 68.8 | 47.3 | 0.15 | 0.1154 | 7.94 | in index |
| billing conduct | 24.9 | 28.9 | 0.30 | 0.2308 | 5.75 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 28.9 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 44.6 | 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 | 49.9 | C | v0.6 | default · in composite | |
| financial risk | 69.4 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.3 | — | 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 | 3.5 | — | 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 | 89.3 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 81.7 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 77.2 | 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 | 57.2 | 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 | 58.0 | 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 | 71.9 | 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 | 89.3 | F | 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 | 89.3 | F | 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 | 81.7 | F | 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 | 81.7 | F | 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 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 1.00 | -0.15 | |
| Facility size (log beds) | 5.02 | -0.10 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 1.00 | +1.24 | |
| Chain size (log) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 10.79 | -0.61 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 2.77 | +0.19 | |
| Occupancy | 0.72 | +0.14 | |
| Facility size (log beds) | 5.02 | -0.14 |
| 2025Q4 HPRD | This facility | IL median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.77 | 3.13 | 3.28 | 2.90–3.77 |
| RN | 0.21 | 0.49 | 0.39 | 0.25–0.58 |
| Weekend total | 2.60 | 2.93 | 3.11 | — |
| Weekday total | 2.83 | 3.23 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 107.3 | 2.77 | 0.21 | 0.64 | 1.92 | 2.60 | 5.6% |
| 2025Q3 | 92 | 112.4 | 2.60 | 0.15 | 0.65 | 1.81 | 2.46 | 4.0% |
| 2025Q2 | 91 | 111.4 | 2.71 | 0.08 | 0.71 | 1.92 | 2.52 | 10.0% |
| 2025Q1 | 90 | 103.2 | 2.62 | 0.09 | 0.64 | 1.88 | 2.50 | 10.0% |
| 2024Q4 | 92 | 94.7 | 2.80 | 0.08 | 0.66 | 2.06 | 2.73 | 2.5% |
| 2024Q3 | 92 | 93.8 | 2.88 | 0.08 | 0.69 | 2.11 | 2.78 | 5.8% |
| 2024Q2 | 91 | 86.7 | 2.82 | 0.04 | 0.78 | 1.99 | 2.71 | 12.2% |
| 2024Q1 | 91 | 83.8 | 2.59 | 0.07 | 0.72 | 1.80 | 2.41 | 7.3% |
| 2023Q4 | 92 | 87.3 | 2.71 | 0.05 | 0.77 | 1.89 | 2.62 | 16.9% |
| 2023Q3 | 92 | 87.3 | 2.92 | 0.23 | 0.74 | 1.94 | 2.65 | 11.3% |
| 2023Q2 | 91 | 86.5 | 3.02 | 0.23 | 0.82 | 1.96 | 2.56 | 15.8% |
| 2023Q1 | 90 | 85.0 | 2.97 | 0.28 | 0.75 | 1.95 | 2.64 | 9.3% |
| 2022Q4 | 92 | 86.4 | 2.81 | 0.24 | 0.72 | 1.84 | 2.54 | 13.1% |
| 2022Q3 | 92 | 77.7 | 3.19 | 0.17 | 0.93 | 2.09 | 2.83 | 38.6% |
| 2022Q2 | 91 | 87.3 | 3.06 | 0.23 | 0.86 | 1.96 | 2.72 | 28.0% |
| 2022Q1 | 90 | 89.8 | 2.56 | 0.15 | 0.73 | 1.68 | 2.46 | 35.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2026-02-19 | Fine | $48,620 | CMS provider data |
| 2025-06-27 | Fine | $108,640 | CMS provider data |
| 2025-06-27 | Payment Denial | — | CMS provider data |
| 2023-11-02 | Fine | $65,403 | CMS provider data |
| 2023-11-02 | Payment Denial | — | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-19 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2026-02-26 |
| 2025-06-27 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2025-07-18 |
| 2025-06-27 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-07-18 |
| 2025-06-27 | 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 | 2025-07-18 |
| 2025-02-14 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-03-07 |
| 2024-08-28 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-09-18 |
| 2024-06-17 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-07-08 |
| 2024-05-31 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-07-07 |
| 2024-05-31 | 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 | 2024-07-07 |
| 2024-05-31 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-07-07 |
| 2024-05-31 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-07-07 |
| 2024-05-31 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2024-07-07 |
| 2024-01-19 | Health · complaint | 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 | 2024-01-31 |
| 2024-01-02 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-01-03 |
| 2024-01-02 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-01-03 |
| 2024-01-02 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2024-01-31 |
| 2024-01-02 | Health · complaint | 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 | 2024-01-03 |
| 2024-01-02 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | G | 2024-01-31 |
| 2024-01-02 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2024-01-03 |
| 2023-11-16 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2023-12-01 |
| 2023-11-02 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-11-17 |
| 2023-09-05 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-09-16 |
| 2023-09-05 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-09-16 |
| 2023-09-05 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-09-16 |
| 2023-09-05 | Health · complaint | F0881 | Implement a program that monitors antibiotic use. | E | 2023-09-16 |
| 2023-08-17 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-09-15 |
| 2023-08-17 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2023-09-15 |
| 2023-08-03 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2023-09-07 |
| 2023-08-03 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-09-07 |
| 2023-08-03 | Health · complaint | 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 | 2023-09-07 |
| 2023-04-11 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2023-05-05 |
| 2023-04-11 | 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 | 2023-05-05 |
| 2023-04-11 | 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 | 2023-05-05 |
| 2023-04-11 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2023-05-05 |
| 2023-04-11 | 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 | 2023-05-05 |
| 2023-04-11 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-05-05 |
| 2023-04-11 | Health | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | 2023-05-05 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| MILSTEIN, ALBERT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 26% | 1994-06-01 | current | pecos_ownership |
| WOLFE, SHELDON | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 24% | 1994-06-01 | current | pecos_ownership |
| KLEIN, MIRIAM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 7% | 2011-10-18 | current | pecos_ownership |
| KLEIN, RONNIE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | 2011-10-21 | current | pecos_ownership |
| MILSTEIN, ALBERT | CORPORATE DIRECTOR | — | 2005-07-13 | current | pecos_ownership |
| SW MANAGEMENT | ADP OF THE SNF | — | 2024-12-31 | current | pecos_ownership |
| WOLFE, SHELDON | CORPORATE DIRECTOR | — | 2005-07-13 | current | pecos_ownership |
| ALBERT MILSTEIN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 26% | 1994-06-01 | ended 2026-05-18 | pecos_ownership |
| SHELDON WOLFE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 24% | 1994-06-01 | ended 2026-05-18 | pecos_ownership |
| MIRIAM KLEIN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 7% | 2011-10-18 | ended 2026-05-18 | pecos_ownership |
| RONNIE KLEIN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | 2011-10-21 | ended 2026-05-18 | pecos_ownership |
| SW MANAGEMENT | OTHER | 0% | 2013-10-01 | ended 2026-05-18 | pecos_ownership |
| ALBERT MILSTEIN | CORPORATE DIRECTOR | — | 2005-07-13 | ended 2026-05-18 | pecos_ownership |
| SHELDON WOLFE | CORPORATE DIRECTOR | — | 2005-07-13 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-05-01 | RIVAYA CARE OF DES PLAINES | — | — | — | 231 | RIVAYA CARE OF DES PLAINES LLC |
| 2025-04-10 | THE PEARL OF DOWNERS GROVE | — | — | — | 145 | PEARL OF DOWNERS GROVE LLC |
| 2025-04-01 | La Bella of Mascoutah | — | — | — | 76 | MASCOUTAH REHAB AND NURSING LLC |
| 2025-04-01 | MONMOUTH REHAB AND NURSING | — | — | — | 58 | MONMOUTH REHAB AND NURSING LLC |
| 2025-03-05 | GOLDWATER CARE CLINTON | — | — | — | 134 | GOLDWATER CARE CLINTON LLC |
| 2025-03-01 | THE HAVEN OF BRIDGEPORT | — | — | — | 99 | HAVEN OF BRIDGEPORT LLC |
| 2025-03-01 | CASS COUNTY SENIOR LIVING & REHABILITATION LLC | — | — | — | 71 | CASS COUNTY SENIOR LIVING & REHABILITATION LLC |
| 2025-03-01 | Avantara Joliet | — | — | — | 154 | PRIME HEALTHCARE SENIOR LIVING, LLC |
| 2025-03-01 | THE HAVEN OF ST. ELMO | — | — | — | 60 | HAVEN OF ST. ELMO LLC |
| 2025-02-01 | Arc at Sangamon Valley | — | — | — | 171 | ARC AT SANGAMON VALLEY LLC |
| 2025-02-01 | ARC AT HICKORY POINT | — | — | — | 64 | ARC AT HICKORY POINT LLC |
| 2024-12-17 | WYNSCAPE HEALTH & REHAB | — | — | — | 209 | NELP-WYNDEMERE OPERATOR LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 17163 | acs median gross | 0 | $864 | 2024-12-31 | CENSUS_ACS5 |
| county 17163 | fmr | 0 | $955 | 2025-10-01 | HUD_USER_FMR |
| county 17163 | acs median gross | 1 | $836 | 2024-12-31 | CENSUS_ACS5 |
| county 17163 | fmr | 1 | $995 | 2025-10-01 | HUD_USER_FMR |
| county 17163 | acs median gross | 2 | $1,070 | 2024-12-31 | CENSUS_ACS5 |
| county 17163 | fmr | 2 | $1,218 | 2025-10-01 | HUD_USER_FMR |
| county 17163 | acs median gross | 3 | $1,285 | 2024-12-31 | CENSUS_ACS5 |
| county 17163 | fmr | 3 | $1,568 | 2025-10-01 | HUD_USER_FMR |
| county 17163 | acs median gross | 4 | $1,611 | 2024-12-31 | CENSUS_ACS5 |
| county 17163 | fmr | 4 | $1,812 | 2025-10-01 | HUD_USER_FMR |
| county 17163 | acs median gross | 5 | $1,317 | 2024-12-31 | CENSUS_ACS5 |
| county 17163 | acs median gross | $1,090 | 2024-12-31 | CENSUS_ACS5 | |
| county 17163 | acs recent mover gross | $1,247 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 62232 | acs median gross | 1 | $1,246 | 2024-12-31 | CENSUS_ACS5 |
| zcta 62232 | acs median gross | 2 | $980 | 2024-12-31 | CENSUS_ACS5 |
| zcta 62232 | acs median gross | 3 | $1,021 | 2024-12-31 | CENSUS_ACS5 |
| zcta 62232 | acs median gross | $1,041 | 2024-12-31 | CENSUS_ACS5 | |
| zip 62232 | payment standard 110 | 0 | $1,056 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62232 | payment standard 90 | 0 | $864 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62232 | safmr | 0 | $960 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62232 | payment standard 110 | 1 | $1,100 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62232 | payment standard 90 | 1 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62232 | safmr | 1 | $1,000 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62232 | payment standard 110 | 2 | $1,342 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62232 | payment standard 90 | 2 | $1,098 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62232 | safmr | 2 | $1,220 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62232 | payment standard 110 | 3 | $1,727 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62232 | payment standard 90 | 3 | $1,413 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62232 | safmr | 3 | $1,570 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62232 | payment standard 110 | 4 | $1,991 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62232 | payment standard 90 | 4 | $1,629 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62232 | safmr | 4 | $1,810 | 2025-10-01 | HUD_USER_SAFMR |