Composite
32.0 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| staffing risk | 95.3 | 95.3 | 0.25 | 0.1923 | 18.33 | in index |
| regulatory risk | 54.9 | 44.8 | 0.30 | 0.2308 | 12.67 | in index |
| chow risk | 49.6 | 47.8 | 0.15 | 0.1154 | 5.72 | in index |
| financial risk | 20.6 | 27.5 | 0.30 | 0.2308 | 4.75 | 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 | 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 | 70.5 | D | v0.6 | default · in composite | |
| financial risk | 27.5 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.1 | — | 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 | 5.8 | — | 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 | 44.8 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 95.3 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 71.8 | 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 | 51.8 | 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 | 27.4 | B | 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 | 32.7 | 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 | 44.7 | 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 | 44.7 | 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. |
| staffing risk | 95.3 | 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 | 95.3 | 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) | 3.58 | +0.36 | |
| Occupancy | 0.77 | -0.22 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 2.27 | +0.15 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 3.58 | -0.88 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 4.00 | +0.69 | |
| Total nurse staffing (HPRD) | 2.27 | +0.40 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 | |
| Current owner tenure (years) | 25.00 | +0.11 |
| 2025Q4 HPRD | This facility | IN median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.27 | 2.85 | 3.28 | 2.90–3.77 |
| RN | 0.18 | 0.40 | 0.39 | 0.25–0.58 |
| Weekend total | 2.15 | 2.71 | 3.11 | — |
| Weekday total | 2.32 | 2.90 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 77.3 | 2.27 | 0.18 | 0.56 | 1.53 | 2.15 | 0.0% |
| 2025Q3 | 92 | 73.6 | 2.51 | 0.25 | 0.65 | 1.61 | 2.30 | 0.0% |
| 2025Q2 | 91 | 74.2 | 2.19 | 0.19 | 0.65 | 1.36 | 2.09 | 0.0% |
| 2025Q1 | 90 | 75.1 | 2.18 | 0.20 | 0.74 | 1.25 | 2.15 | 0.0% |
| 2024Q4 | 92 | 78.3 | 2.28 | 0.21 | 0.84 | 1.23 | 2.10 | 0.5% |
| 2024Q3 | 92 | 79.9 | 1.90 | 0.18 | 0.70 | 1.02 | 1.72 | 0.1% |
| 2024Q2 | 91 | 79.4 | 1.95 | 0.14 | 0.66 | 1.15 | 1.92 | 18.1% |
| 2024Q1 | 91 | 78.6 | 2.38 | 0.19 | 0.70 | 1.49 | 2.38 | 32.8% |
| 2023Q4 | 92 | 77.8 | 2.63 | 0.37 | 0.76 | 1.50 | 2.48 | 42.0% |
| 2023Q3 | 92 | 77.2 | 2.13 | 0.34 | 0.79 | 1.00 | 1.99 | 31.5% |
| 2023Q2 | 91 | 71.6 | 2.17 | 0.31 | 0.86 | 1.01 | 1.94 | 42.6% |
| 2023Q1 | 90 | 69.5 | 2.20 | 0.37 | 0.84 | 0.98 | 2.00 | 47.4% |
| 2022Q4 | 92 | 65.2 | 2.08 | 0.24 | 0.96 | 0.89 | 2.00 | 33.4% |
| 2022Q3 | 92 | 59.1 | 2.36 | 0.33 | 1.06 | 0.97 | 2.35 | 39.5% |
| 2022Q2 | 91 | 61.7 | 2.35 | 0.29 | 0.97 | 1.09 | 2.27 | 38.3% |
| 2022Q1 | 90 | 58.5 | 2.50 | 0.34 | 1.04 | 1.12 | 2.39 | 26.6% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-09-04 | Payment Denial | — | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-30 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-05-01 |
| 2025-09-10 | 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 | 2025-10-03 |
| 2025-09-10 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-10-03 |
| 2025-09-10 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-10-03 |
| 2025-02-03 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-01-22 |
| 2025-02-03 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | 2025-01-22 |
| 2024-10-01 | 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 | 2024-10-11 |
| 2024-10-01 | 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 | 2024-10-11 |
| 2024-10-01 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2024-10-11 |
| 2024-10-01 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-10-11 |
| 2024-10-01 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-10-11 |
| 2024-10-01 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-10-11 |
| 2024-10-01 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-10-11 |
| 2024-10-01 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-10-11 |
| 2024-10-01 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-10-11 |
| 2024-10-01 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2024-10-11 |
| 2024-10-01 | 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 | 2024-10-11 |
| 2024-10-01 | Health · complaint | F0732 | Post nurse staffing information every day. | C | 2024-10-11 |
| 2024-10-01 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2024-10-11 |
| 2024-10-01 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2024-10-11 |
| 2024-09-04 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-09-30 |
| 2024-09-04 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-09-30 |
| 2024-07-18 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | 2024-08-10 |
| 2024-07-18 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2024-08-10 |
| 2024-04-02 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-04-22 |
| 2024-04-02 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-04-22 |
| 2024-04-02 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-04-22 |
| 2023-12-01 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-01-08 |
| 2023-12-01 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2024-01-08 |
| 2023-12-01 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2024-01-08 |
| 2023-12-01 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-01-08 |
| 2023-12-01 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-01-08 |
| 2023-12-01 | 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. | E | 2024-01-08 |
| 2023-12-01 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2024-01-08 |
| 2023-12-01 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2024-01-08 |
| 2023-08-16 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-09-01 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| JOHNSON MEMORIAL HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2013-03-01 | current | pecos_ownership |
| BERKHOUSE, STEVEN | CORPORATE DIRECTOR | — | 2021-10-18 | current | pecos_ownership |
| DECOLA, ROBERT | W-2 MANAGING EMPLOYEE | — | 2019-02-16 | current | pecos_ownership |
| DUNKLE, DAVID | CORPORATE OFFICER | — | 2019-06-01 | current | pecos_ownership |
| DUNKLE, DAVID | CORPORATE DIRECTOR | — | 2019-03-01 | current | pecos_ownership |
| LENON, ISAAC | CONTRACTED MANAGING EMPLOYEE | — | 2021-12-16 | current | pecos_ownership |
| MILLER'S HEALTH SYSTEMS INC | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-03-01 | current | pecos_ownership |
| THE WATERS OF LAGRANGE SKILLED NURSING FACILITY LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-11-01 | current | pecos_ownership |
| THOMAS, MYRAN | CONTRACTED MANAGING EMPLOYEE | — | 2022-07-07 | current | pecos_ownership |
| MYRAN THOMAS | CONTRACTED MANAGING EMPLOYEE | 100% | 2022-07-07 | ended 2026-05-18 | pecos_ownership |
| DAVID DUNKLE | CORPORATE OFFICER | — | 2019-06-01 | ended 2026-05-18 | pecos_ownership |
| DAVID DUNKLE | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-03-01 | ended 2026-05-18 | pecos_ownership |
| ISAAC LENON | CONTRACTED MANAGING EMPLOYEE | — | 2021-12-16 | ended 2026-05-18 | pecos_ownership |
| PATRICK BOYLE | OTHER | — | 2017-05-30 | ended 2026-05-18 | pecos_ownership |
| ROBERT DECOLA | W-2 MANAGING EMPLOYEE | — | 2019-02-16 | ended 2026-05-18 | pecos_ownership |
| STEVEN BERKHOUSE | CORPORATE OFFICER | — | 2021-10-18 | ended 2026-05-18 | pecos_ownership |
| 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 18087 | acs median gross | 0 | $721 | 2024-12-31 | CENSUS_ACS5 |
| county 18087 | fmr | 0 | $740 | 2025-10-01 | HUD_USER_FMR |
| county 18087 | acs median gross | 1 | $633 | 2024-12-31 | CENSUS_ACS5 |
| county 18087 | fmr | 1 | $745 | 2025-10-01 | HUD_USER_FMR |
| county 18087 | acs median gross | 2 | $886 | 2024-12-31 | CENSUS_ACS5 |
| county 18087 | fmr | 2 | $977 | 2025-10-01 | HUD_USER_FMR |
| county 18087 | acs median gross | 3 | $873 | 2024-12-31 | CENSUS_ACS5 |
| county 18087 | fmr | 3 | $1,171 | 2025-10-01 | HUD_USER_FMR |
| county 18087 | acs median gross | 4 | $839 | 2024-12-31 | CENSUS_ACS5 |
| county 18087 | fmr | 4 | $1,294 | 2025-10-01 | HUD_USER_FMR |
| county 18087 | acs median gross | 5 | $854 | 2024-12-31 | CENSUS_ACS5 |
| county 18087 | acs median gross | $839 | 2024-12-31 | CENSUS_ACS5 | |
| county 18087 | acs recent mover gross | $822 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 46761 | acs median gross | 0 | $721 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46761 | acs median gross | 1 | $690 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46761 | acs median gross | 2 | $839 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46761 | acs median gross | 3 | $844 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46761 | acs median gross | 4 | $846 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46761 | acs median gross | 5 | $838 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46761 | acs median gross | $779 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 46761 | acs recent mover gross | $1,015 | 2024-12-31 | CENSUS_ACS5 | |
| zip 46761 | payment standard 110 | 0 | $792 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46761 | payment standard 90 | 0 | $648 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46761 | safmr | 0 | $720 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46761 | payment standard 110 | 1 | $803 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46761 | payment standard 90 | 1 | $657 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46761 | safmr | 1 | $730 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46761 | payment standard 110 | 2 | $1,056 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46761 | payment standard 90 | 2 | $864 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46761 | safmr | 2 | $960 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46761 | payment standard 110 | 3 | $1,265 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46761 | payment standard 90 | 3 | $1,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46761 | safmr | 3 | $1,150 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46761 | payment standard 110 | 4 | $1,397 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46761 | payment standard 90 | 4 | $1,143 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46761 | safmr | 4 | $1,270 | 2025-10-01 | HUD_USER_SAFMR |