Composite
22.0 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 53.4 | 43.1 | 0.30 | 0.2308 | 12.32 | in index |
| financial risk | 45.9 | 43.0 | 0.30 | 0.2308 | 10.59 | in index |
| billing conduct | 26.2 | 29.7 | 0.30 | 0.2308 | 6.05 | in index |
| staffing risk | 28.8 | 28.9 | 0.25 | 0.1923 | 5.54 | in index |
| chow risk | 22.2 | 21.5 | 0.15 | 0.1154 | 2.56 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 29.7 | B | 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 | 17.9 | A | v0.6 | default · in composite | |
| financial risk | 43.0 | 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 | 2.6 | — | 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 | 43.1 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 28.9 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 60.6 | C | 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 | 40.6 | B | 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 | 48.3 | 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 | 47.4 | 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 | 43.0 | 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 | 43.0 | 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. |
| staffing risk | 28.9 | B | 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 | 28.9 | B | 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 | |
| Occupancy | 0.76 | -0.19 | |
| Deficiencies, last 12 months | 13.00 | +0.14 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| Deficiencies, last 12 months | 13.00 | -0.98 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 3.68 | -0.20 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 | |
| Staffing trend, last 4 quarters | 0.30 | +0.12 |
| 2025Q4 HPRD | This facility | MA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.68 | 3.39 | 3.28 | 2.90–3.77 |
| RN | 0.43 | 0.39 | 0.39 | 0.25–0.58 |
| Weekend total | 3.34 | 3.26 | 3.11 | — |
| Weekday total | 3.82 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 78.7 | 3.68 | 0.43 | 0.84 | 2.42 | 3.34 | 0.0% |
| 2025Q3 | 92 | 80.6 | 3.57 | 0.41 | 0.77 | 2.38 | 3.25 | 0.0% |
| 2025Q2 | 91 | 79.7 | 3.63 | 0.35 | 0.81 | 2.48 | 3.38 | 0.0% |
| 2025Q1 | 90 | 84.5 | 2.62 | 0.28 | 0.51 | 1.84 | 2.39 | 0.0% |
| 2024Q4 | 92 | 83.1 | 3.38 | 0.39 | 0.60 | 2.39 | 3.28 | 0.0% |
| 2024Q3 | 92 | 87.5 | 3.12 | 0.41 | 0.48 | 2.23 | 2.91 | 2.0% |
| 2024Q2 | 91 | 88.5 | 3.18 | 0.46 | 0.52 | 2.21 | 2.95 | 0.0% |
| 2024Q1 | 91 | 88.1 | 3.22 | 0.37 | 0.60 | 2.25 | 2.98 | 0.0% |
| 2023Q4 | 92 | 80.7 | 3.19 | 0.47 | 0.66 | 2.05 | 2.88 | 0.0% |
| 2023Q3 | 92 | 84.2 | 3.16 | 0.42 | 0.60 | 2.14 | 2.93 | 0.0% |
| 2023Q2 | 91 | 86.4 | 3.26 | 0.55 | 0.60 | 2.11 | 3.02 | 0.0% |
| 2023Q1 | 90 | 84.4 | 3.45 | 0.59 | 0.66 | 2.20 | 3.14 | 0.9% |
| 2022Q4 | 92 | 83.5 | 3.45 | 0.44 | 0.72 | 2.29 | 3.18 | 1.1% |
| 2022Q3 | 92 | 85.6 | 2.88 | 0.34 | 0.59 | 1.95 | 2.67 | 2.1% |
| 2022Q2 | 91 | 89.7 | 2.43 | 0.39 | 0.62 | 1.41 | 2.17 | 0.2% |
| 2022Q1 | 90 | 96.5 | 2.54 | 0.51 | 0.47 | 1.57 | 2.20 | 0.1% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-25 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-04-11 |
| 2026-02-25 | 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 | 2026-04-11 |
| 2026-02-25 | 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 | 2026-04-11 |
| 2026-02-25 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2026-04-11 |
| 2026-02-25 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-04-11 |
| 2026-02-25 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2026-04-11 |
| 2026-02-25 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2026-04-11 |
| 2026-02-25 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-04-11 |
| 2026-02-25 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-04-11 |
| 2026-02-25 | 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 | 2026-04-11 |
| 2026-02-25 | 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 | 2026-04-11 |
| 2026-02-25 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-04-11 |
| 2026-02-25 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2026-04-11 |
| 2024-10-29 | 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. | D | 2024-12-08 |
| 2024-10-29 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-12-08 |
| 2024-10-29 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2024-12-08 |
| 2024-10-29 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-12-08 |
| 2024-10-29 | Health | 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 | 2024-12-08 |
| 2024-10-29 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-12-08 |
| 2024-10-29 | Health | F0732 | Post nurse staffing information every day. | B | 2024-12-08 |
| 2024-10-29 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2024-12-08 |
| 2024-10-29 | 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. | D | 2024-12-08 |
| 2024-10-29 | 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. | F | 2024-12-08 |
| 2024-10-29 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2024-12-08 |
| 2024-10-29 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-11-22 |
| 2024-10-29 | 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. | F | 2024-11-22 |
| 2023-08-14 | 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 | 2023-09-27 |
| 2023-08-14 | 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 | 2023-09-27 |
| 2023-08-14 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2023-09-27 |
| 2023-08-14 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-09-27 |
| 2023-08-14 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-09-27 |
| 2023-08-14 | Health | F0732 | Post nurse staffing information every day. | C | 2023-09-27 |
| 2023-08-14 | Health | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | D | 2023-09-27 |
| 2023-08-14 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-09-27 |
| 2023-08-14 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-09-27 |
| 2023-08-14 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2023-09-27 |
| 2023-08-14 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2023-09-27 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| G&L ENTERPRISES | Corporation, partnership or other organization has financial interest in provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| G&L ENTERPRISES | Corporation, partnership or other organization has financial interest in provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| DESAI, INDIRA | CORPORATE OFFICER | — | 2015-12-15 | current | pecos_ownership |
| WATERVIEW LODGE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2015-12-15 | current | pecos_ownership |
| G&L ENTERPRISES | Corporation, partnership or other organization has financial interest in provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| G&L ENTERPRISES | Corporation, partnership or other organization has financial interest in provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| G&L ENTERPRISES | Corporation, partnership or other organization has financial interest in provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| INDIRA DESAI | W-2 MANAGING EMPLOYEE | 100% | 2015-12-15 | 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 25017 | acs median gross | 0 | $1,773 | 2024-12-31 | CENSUS_ACS5 |
| county 25017 | acs median gross | 1 | $1,807 | 2024-12-31 | CENSUS_ACS5 |
| county 25017 | acs median gross | 2 | $2,336 | 2024-12-31 | CENSUS_ACS5 |
| county 25017 | acs median gross | 3 | $2,612 | 2024-12-31 | CENSUS_ACS5 |
| county 25017 | acs median gross | 4 | $2,955 | 2024-12-31 | CENSUS_ACS5 |
| county 25017 | acs median gross | 5 | $2,755 | 2024-12-31 | CENSUS_ACS5 |
| county 25017 | acs median gross | $2,201 | 2024-12-31 | CENSUS_ACS5 | |
| county 25017 | acs recent mover gross | $2,657 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 01721 | acs median gross | 0 | $1,213 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01721 | acs median gross | 1 | $1,961 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01721 | acs median gross | 2 | $2,737 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01721 | acs median gross | 3 | $2,271 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01721 | acs median gross | $2,452 | 2024-12-31 | CENSUS_ACS5 | |
| zip 01721 | payment standard 110 | 0 | $2,882 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01721 | payment standard 90 | 0 | $2,358 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01721 | safmr | 0 | $2,620 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01721 | payment standard 110 | 1 | $3,025 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01721 | payment standard 90 | 1 | $2,475 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01721 | safmr | 1 | $2,750 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01721 | payment standard 110 | 2 | $3,597 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01721 | payment standard 90 | 2 | $2,943 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01721 | safmr | 2 | $3,270 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01721 | payment standard 110 | 3 | $4,312 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01721 | payment standard 90 | 3 | $3,528 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01721 | safmr | 3 | $3,920 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01721 | payment standard 110 | 4 | $4,763 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01721 | payment standard 90 | 4 | $3,897 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01721 | safmr | 4 | $4,330 | 2025-10-01 | HUD_USER_SAFMR |