Composite
62.5 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 85.6 | 56.5 | 0.30 | 0.2308 | 19.75 | in index |
| financial risk | 63.7 | 54.8 | 0.30 | 0.2308 | 14.70 | in index |
| regulatory risk | 47.1 | 36.1 | 0.30 | 0.2308 | 10.87 | in index |
| chow risk | 37.1 | 35.6 | 0.15 | 0.1154 | 4.28 | in index |
| staffing risk | 17.8 | 17.9 | 0.25 | 0.1923 | 3.42 | in index |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 5 chains | JOHNSON DAVID | 13 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 56.5 | C | 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 | 46.2 | C | v0.6 | default · in composite | |
| financial risk | 54.8 | C | 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 | 1.8 | — | 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 | 36.1 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 17.9 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 89.6 | F | 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 | 69.6 | D | 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 | 73.7 | D | 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 | 53.1 | 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 | 36.0 | 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 | 36.0 | 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 | 17.9 | 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 | 17.9 | 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 | |
|---|---|---|---|
| Occupancy | 0.99 | -0.85 | |
| 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 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 3.99 | -0.19 | |
| Contract staffing share | 0.00 | -0.10 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.99 | -1.01 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 3.99 | -0.32 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Deficiencies, last 12 months | 7.00 | +0.13 | |
| Never sold on record | 1.00 | +0.12 | |
| Current owner tenure (years) | 25.00 | +0.11 |
| 2025Q4 HPRD | This facility | NV median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.99 | 3.62 | 3.28 | 2.90–3.77 |
| RN | 0.77 | 0.64 | 0.39 | 0.25–0.58 |
| Weekend total | 3.72 | 3.46 | 3.11 | — |
| Weekday total | 4.09 | 3.68 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 94.0 | 3.99 | 0.77 | 0.74 | 2.47 | 3.72 | 0.0% |
| 2025Q3 | 92 | 93.5 | 4.02 | 0.91 | 0.69 | 2.42 | 3.73 | 0.0% |
| 2025Q2 | 91 | 93.5 | 4.05 | 0.85 | 0.81 | 2.40 | 3.64 | 0.0% |
| 2025Q1 | 90 | 93.5 | 3.96 | 0.89 | 0.81 | 2.25 | 3.67 | 0.0% |
| 2024Q4 | 92 | 93.1 | 4.04 | 0.92 | 0.81 | 2.31 | 3.71 | 0.0% |
| 2024Q3 | 92 | 93.2 | 3.69 | 0.73 | 0.87 | 2.09 | 3.44 | 0.0% |
| 2024Q2 | 91 | 93.1 | 2.81 | 0.56 | 0.70 | 1.56 | 2.59 | 0.0% |
| 2023Q4 | 92 | 94.2 | 3.45 | 0.41 | 0.94 | 2.09 | 3.25 | 0.0% |
| 2023Q3 | 92 | 93.4 | 3.87 | 0.36 | 1.20 | 2.31 | 3.74 | 0.0% |
| 2023Q2 | 91 | 93.1 | 3.56 | 0.44 | 1.23 | 1.90 | 3.44 | 0.0% |
| 2023Q1 | 90 | 93.0 | 3.43 | 0.43 | 1.17 | 1.82 | 3.21 | 0.0% |
| 2022Q4 | 92 | 92.6 | 3.31 | 0.41 | 1.10 | 1.79 | 3.06 | 0.0% |
| 2022Q3 | 92 | 90.8 | 3.47 | 0.40 | 1.00 | 2.07 | 3.19 | 0.0% |
| 2022Q2 | 91 | 92.8 | 3.68 | 0.39 | 1.04 | 2.24 | 3.52 | 0.0% |
| 2022Q1 | 90 | 89.8 | 3.98 | 0.49 | 1.14 | 2.35 | 3.85 | 0.0% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-23 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2026-05-15 |
| 2026-04-23 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-05-15 |
| 2026-04-23 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2026-05-15 |
| 2026-04-23 | 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 | 2026-05-15 |
| 2026-04-23 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | 2026-05-15 |
| 2025-11-18 | Health · complaint | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | 2025-12-22 |
| 2025-11-18 | Health · complaint | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2025-12-22 |
| 2025-06-27 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-07-27 |
| 2025-06-27 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2025-07-27 |
| 2025-06-27 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2025-07-27 |
| 2025-06-27 | Health | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | D | 2025-07-27 |
| 2025-06-27 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-07-27 |
| 2025-06-27 | Health | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | 2025-07-27 |
| 2025-03-12 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-03-12 |
| 2025-03-12 | Health · complaint | 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 | 2025-03-31 |
| 2025-03-12 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-03-31 |
| 2024-08-29 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-09-11 |
| 2024-05-10 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-02-01 |
| 2024-05-10 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-06-04 |
| 2024-05-10 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-06-04 |
| 2024-05-10 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-06-04 |
| 2024-05-10 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2024-06-04 |
| 2024-05-10 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2024-06-04 |
| 2024-05-10 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-06-04 |
| 2024-05-10 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-06-04 |
| 2024-05-10 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-06-04 |
| 2024-05-10 | Health | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D | 2024-06-04 |
| 2023-06-29 | 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 | 2023-07-21 |
| 2023-06-29 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-07-21 |
| 2023-06-29 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | 2023-07-21 |
| 2023-06-29 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-07-21 |
| 2023-06-29 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-07-21 |
| 2023-06-29 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2023-07-21 |
| 2023-06-29 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-07-21 |
| 2023-06-29 | Health | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | 2023-07-21 |
| 2023-06-29 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-07-21 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| TORREY PINES REHABILITATION HOSPITAL LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2012-11-14 | current | pecos_ownership |
| BELLINGER, FRANK | ADP OF THE SNF | — | 2022-02-08 | current | pecos_ownership |
| CHAMBERS, THOMAS | DIRECT OWNERSHIP INTEREST | — | 2012-11-14 | current | pecos_ownership |
| JOHNSON, DAVID | DIRECT OWNERSHIP INTEREST | — | 2012-11-14 | current | pecos_ownership |
| MERIDIAN MANAGEMENT SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-03-13 | current | pecos_ownership |
| MERIDIAN MANAGEMENT SERVICES LLC | ADP OF THE SNF | — | 2025-08-26 | current | pecos_ownership |
| PUNZALAN, RUSTICO | ADP OF THE SNF | — | 2024-05-01 | current | pecos_ownership |
| SAXENA, ALOK | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 | current | pecos_ownership |
| DAVID JOHNSON | DIRECT OWNERSHIP INTEREST | 50% | 2012-11-14 | ended 2026-05-18 | pecos_ownership |
| THOMAS CHAMBERS | DIRECT OWNERSHIP INTEREST | 50% | 2012-11-14 | ended 2026-05-18 | pecos_ownership |
| ALOK SAXENA | ADP OF THE SNF | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| FRANK BELLINGER | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-02-08 | ended 2026-05-18 | pecos_ownership |
| RUSTICO PUNZALAN | ADP OF THE SNF | — | 2024-05-01 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-04-17 | OASIS NURSING & REHAB OF GREEN VALLEY | — | — | — | 242 | HENDERSON DELMAR NV OPCO LLC |
| 2024-08-01 | NORTHERN NEVADA STATE VETERANS HOME | — | — | — | 96 | DIMENSIONS MANAGEMENT OF NORTHERN NEVADA LLC |
| 2024-04-18 | HIGHLAND MANOR OF ELKO REHABILITATION LLC | — | — | — | 146 | HIGHLAND MANOR OF ELKO REHABILITATION LLC |
| 2024-04-18 | HIGHLAND MANOR OF FALLON REHABILITATION LLC | — | — | — | 102 | HIGHLAND MANOR OF FALLON REHABILITATION LLC |
| 2024-04-18 | HIGHLAND MANOR OF MESQUITE REHABILITATION LLC | — | — | — | 112 | HIGHLAND MANOR OF MESQUITE REHABILITATION LLC |
| 2024-01-01 | HEARTHSTONE | — | — | — | 125 | TRUCKEE MEADOWS HEALTHCARE, INC. |
| 2023-09-07 | TLC CARE CENTER | — | — | — | 255 | TLC SNF OPERATIONS LLC |
| 2023-08-31 | PAHRUMP HEALTH AND REHABILITATION CENTER | — | — | — | 120 | PAHRUMP SNF OPERATIONS, LLC |
| 2023-08-31 | MOUNTAIN VIEW HEALTH AND REHABILITATION | — | — | — | 146 | MV SNF OPERATIONS LLC |
| 2023-08-31 | GARDNERVILLE HEALTH & REHABILITATION CENTER | — | — | — | 60 | GARDNERVILLE SNF OPERATIONS LLC |
| 2023-08-31 | ORMSBY POST ACUTE REHABILITATION | — | — | — | 120 | ORMSBY SNF OPERATIONS LLC |
| 2023-06-01 | MOUNTAIN VIEW CARE CENTER | — | — | — | 87 | BOULDER CITY NV OPCO LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 32003 | acs median gross | 0 | $1,218 | 2024-12-31 | CENSUS_ACS5 |
| county 32003 | fmr | 0 | $1,333 | 2025-10-01 | HUD_USER_FMR |
| county 32003 | acs median gross | 1 | $1,308 | 2024-12-31 | CENSUS_ACS5 |
| county 32003 | fmr | 1 | $1,478 | 2025-10-01 | HUD_USER_FMR |
| county 32003 | acs median gross | 2 | $1,553 | 2024-12-31 | CENSUS_ACS5 |
| county 32003 | fmr | 2 | $1,735 | 2025-10-01 | HUD_USER_FMR |
| county 32003 | acs median gross | 3 | $1,908 | 2024-12-31 | CENSUS_ACS5 |
| county 32003 | fmr | 3 | $2,413 | 2025-10-01 | HUD_USER_FMR |
| county 32003 | acs median gross | 4 | $2,227 | 2024-12-31 | CENSUS_ACS5 |
| county 32003 | fmr | 4 | $2,764 | 2025-10-01 | HUD_USER_FMR |
| county 32003 | acs median gross | 5 | $2,581 | 2024-12-31 | CENSUS_ACS5 |
| county 32003 | acs median gross | $1,626 | 2024-12-31 | CENSUS_ACS5 | |
| county 32003 | acs recent mover gross | $1,755 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 89146 | acs median gross | 1 | $1,287 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89146 | acs median gross | 2 | $1,540 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89146 | acs median gross | 3 | $1,815 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89146 | acs median gross | 4 | $2,139 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89146 | acs median gross | 5 | $1,786 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89146 | acs median gross | $1,528 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 89146 | acs recent mover gross | $1,603 | 2024-12-31 | CENSUS_ACS5 | |
| zip 89146 | payment standard 110 | 0 | $1,441 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89146 | payment standard 90 | 0 | $1,179 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89146 | safmr | 0 | $1,310 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89146 | payment standard 110 | 1 | $1,595 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89146 | payment standard 90 | 1 | $1,305 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89146 | safmr | 1 | $1,450 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89146 | payment standard 110 | 2 | $1,870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89146 | payment standard 90 | 2 | $1,530 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89146 | safmr | 2 | $1,700 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89146 | payment standard 110 | 3 | $2,596 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89146 | payment standard 90 | 3 | $2,124 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89146 | safmr | 3 | $2,360 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89146 | payment standard 110 | 4 | $2,981 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89146 | payment standard 90 | 4 | $2,439 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89146 | safmr | 4 | $2,710 | 2025-10-01 | HUD_USER_SAFMR |