Composite
58.0 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 87.8 | 85.1 | 0.30 | 0.2308 | 20.26 | in index |
| staffing risk | 64.1 | 64.1 | 0.25 | 0.1923 | 12.33 | in index |
| financial risk | 42.5 | 41.0 | 0.30 | 0.2308 | 9.81 | in index |
| billing conduct | 25.2 | 29.1 | 0.30 | 0.2308 | 5.82 | in index |
| chow risk | 27.0 | 25.9 | 0.15 | 0.1154 | 3.12 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 29.1 | 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 | 26.8 | B | v0.6 | default · in composite | |
| financial risk | 41.0 | B | 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 | 0.1 | — | 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 | 85.1 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 64.1 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 56.7 | 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 | 36.7 | 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 | 51.5 | 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 | 44.9 | 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 | 85.0 | 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 | 85.0 | 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 | 64.1 | 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 | 64.1 | 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 | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 8.91 | -0.98 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.88 | -0.53 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Chain size (log) | 2.71 | +0.17 | |
| Facility size (log beds) | 4.90 | -0.09 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.88 | -0.56 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Chain size (log) | 2.71 | -0.37 | |
| Never sold on record | 0.00 | -0.28 | |
| Deficiencies, last 12 months | 9.00 | -0.24 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Current owner tenure (years) | 8.91 | -0.16 |
| 2025Q4 HPRD | This facility | MA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.07 | 3.39 | 3.28 | 2.90–3.77 |
| RN | 0.52 | 0.39 | 0.39 | 0.25–0.58 |
| Weekend total | 3.07 | 3.26 | 3.11 | — |
| Weekday total | 3.08 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 117.2 | 3.07 | 0.52 | 0.67 | 1.89 | 3.07 | 4.4% |
| 2025Q3 | 92 | 114.0 | 3.17 | 0.50 | 0.77 | 1.90 | 3.08 | 2.8% |
| 2025Q2 | 91 | 115.1 | 3.15 | 0.50 | 0.76 | 1.90 | 3.11 | 3.0% |
| 2025Q1 | 90 | 113.1 | 3.21 | 0.44 | 0.80 | 1.97 | 3.18 | 4.6% |
| 2024Q4 | 92 | 114.2 | 3.21 | 0.48 | 0.81 | 1.92 | 3.15 | 6.3% |
| 2024Q3 | 92 | 116.9 | 3.08 | 0.51 | 0.76 | 1.82 | 3.00 | 10.0% |
| 2024Q2 | 91 | 118.1 | 3.02 | 0.41 | 0.76 | 1.84 | 3.00 | 12.9% |
| 2024Q1 | 91 | 122.2 | 2.88 | 0.39 | 0.76 | 1.73 | 2.81 | 13.1% |
| 2023Q4 | 92 | 116.1 | 3.07 | 0.44 | 0.81 | 1.82 | 2.93 | 18.4% |
| 2023Q3 | 92 | 113.5 | 2.94 | 0.40 | 0.74 | 1.80 | 2.87 | 26.7% |
| 2023Q2 | 91 | 117.4 | 2.89 | 0.32 | 0.78 | 1.78 | 2.86 | 27.0% |
| 2023Q1 | 90 | 117.5 | 2.86 | 0.36 | 0.79 | 1.72 | 2.88 | 24.3% |
| 2022Q4 | 92 | 119.4 | 2.70 | 0.36 | 0.74 | 1.59 | 2.68 | 25.0% |
| 2022Q3 | 92 | 105.1 | 2.71 | 0.65 | 0.53 | 1.53 | 2.69 | 25.9% |
| 2022Q2 | 91 | 99.2 | 2.60 | 0.52 | 0.62 | 1.46 | 2.54 | 13.0% |
| 2022Q1 | 90 | 96.9 | 2.63 | 0.33 | 0.78 | 1.52 | 2.57 | 5.5% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-11-06 | Fine | $27,372 | CMS provider data |
| 2023-08-16 | Fine | $55,116 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-10 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2025-12-29 |
| 2025-12-10 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-12-29 |
| 2025-12-10 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2025-12-29 |
| 2025-12-10 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-12-29 |
| 2025-12-10 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-12-29 |
| 2025-12-10 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-12-29 |
| 2025-12-10 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-12-29 |
| 2025-12-10 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-12-29 |
| 2025-12-10 | 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 | 2025-12-29 |
| 2024-11-06 | Health | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2024-12-05 |
| 2024-11-06 | 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 | 2024-12-05 |
| 2024-11-06 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-12-05 |
| 2024-11-06 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-12-05 |
| 2024-11-06 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-12-05 |
| 2024-11-06 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-12-05 |
| 2024-11-06 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-12-05 |
| 2024-11-06 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2024-12-05 |
| 2024-11-06 | 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 | 2024-12-05 |
| 2024-11-06 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2024-12-05 |
| 2024-11-06 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-12-05 |
| 2024-10-01 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-10-17 |
| 2023-08-16 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-09-13 |
| 2023-08-16 | 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 | 2023-09-13 |
| 2023-08-16 | 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 | 2023-09-13 |
| 2023-08-16 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2023-09-13 |
| 2023-08-16 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-09-13 |
| 2023-08-16 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2023-09-13 |
| 2023-08-16 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | 2023-09-13 |
| 2023-08-16 | 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 | 2023-09-13 |
| 2023-08-16 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-09-13 |
| 2023-08-16 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2023-09-13 |
| 2023-08-16 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2023-09-13 |
| 2023-08-16 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | 2023-09-13 |
| 2023-08-16 | 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 | 2023-09-13 |
| 2023-08-16 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2023-09-13 |
| 2023-08-16 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-09-13 |
| 2023-08-16 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-09-13 |
| 2023-08-16 | Health | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | 2023-09-13 |
| 2023-08-16 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2023-09-13 |
| 2023-08-16 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2023-09-13 |
| 2023-08-16 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-09-13 |
| 2023-08-16 | Health | F0908 | Keep all essential equipment working safely. | E | 2023-09-13 |
| 2023-08-16 | Health | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | 2023-09-22 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| DELL'ANNO, DAMIAN | CORPORATE OFFICER | — | 2017-09-01 | current | pecos_ownership |
| LOEW, MATTHEW | ADP OF THE SNF | — | 2017-12-01 | current | pecos_ownership |
| MAGANGA, ANDRICK | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-01-03 | current | pecos_ownership |
| NEXT STEP HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-09-01 | current | pecos_ownership |
| NEXT STEP HEALTHCARE LLC | ADP OF THE SNF | — | 2025-06-04 | current | pecos_ownership |
| STEPHAN, WILLIAM | CORPORATE OFFICER | — | 2017-09-01 | current | pecos_ownership |
| DAMIAN DELL'ANNO | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2017-09-01 | ended 2026-05-18 | pecos_ownership |
| WILLIAM STEPHAN | CORPORATE OFFICER | 50% | 2017-09-01 | ended 2026-05-18 | pecos_ownership |
| ANDRICK MAGANGA | ADP OF THE SNF | — | 2022-01-03 | ended 2026-05-18 | pecos_ownership |
| MATTHEW LOEW | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-12-01 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2017-09-01 | — | 193 PLEASANT STREET OPERATOR LLC | GGNSC ATTLEBORO PLEASANT MANOR LLC | chow |
| 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 25005 | acs median gross | 0 | $1,032 | 2024-12-31 | CENSUS_ACS5 |
| county 25005 | acs median gross | 1 | $925 | 2024-12-31 | CENSUS_ACS5 |
| county 25005 | acs median gross | 2 | $1,347 | 2024-12-31 | CENSUS_ACS5 |
| county 25005 | acs median gross | 3 | $1,395 | 2024-12-31 | CENSUS_ACS5 |
| county 25005 | acs median gross | 4 | $1,574 | 2024-12-31 | CENSUS_ACS5 |
| county 25005 | acs median gross | 5 | $1,414 | 2024-12-31 | CENSUS_ACS5 |
| county 25005 | acs median gross | $1,245 | 2024-12-31 | CENSUS_ACS5 | |
| county 25005 | acs recent mover gross | $1,554 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 02703 | acs median gross | 0 | $2,049 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02703 | acs median gross | 1 | $887 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02703 | acs median gross | 2 | $1,668 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02703 | acs median gross | 3 | $1,910 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02703 | acs median gross | 4 | $2,165 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02703 | acs median gross | $1,590 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 02703 | acs recent mover gross | $1,720 | 2024-12-31 | CENSUS_ACS5 | |
| zip 02703 | payment standard 110 | 0 | $1,661 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02703 | payment standard 90 | 0 | $1,359 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02703 | safmr | 0 | $1,510 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02703 | payment standard 110 | 1 | $1,771 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02703 | payment standard 90 | 1 | $1,449 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02703 | safmr | 1 | $1,610 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02703 | payment standard 110 | 2 | $2,178 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02703 | payment standard 90 | 2 | $1,782 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02703 | safmr | 2 | $1,980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02703 | payment standard 110 | 3 | $2,629 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02703 | payment standard 90 | 3 | $2,151 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02703 | safmr | 3 | $2,390 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02703 | payment standard 110 | 4 | $3,124 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02703 | payment standard 90 | 4 | $2,556 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02703 | safmr | 4 | $2,840 | 2025-10-01 | HUD_USER_SAFMR |