Composite
96.2 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 93.9 | 82.7 | 0.30 | 0.2308 | 21.67 | in index |
| regulatory risk | 93.4 | 91.1 | 0.30 | 0.2308 | 21.55 | in index |
| staffing risk | 69.1 | 69.1 | 0.25 | 0.1923 | 13.29 | in index |
| chow risk | 89.5 | 68.2 | 0.15 | 0.1154 | 10.33 | in index |
| billing conduct | 27.0 | 30.1 | 0.30 | 0.2308 | 6.23 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 30.1 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 45.0 | C | 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 | 91.3 | F | v0.6 | default · in composite | |
| financial risk | 82.7 | F | 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 | 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 | 91.1 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 69.1 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 70.8 | 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 | 50.8 | 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 | 72.6 | 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 | 81.2 | F | 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 | 91.0 | 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 | 91.0 | 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 | 69.1 | D | 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 | 69.1 | D | 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 | |
| Occupancy | 0.79 | -0.26 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Facility size (log beds) | 5.19 | -0.13 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 11.25 | -0.64 | |
| Deficiencies, last 12 months | 11.00 | -0.61 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Facility size (log beds) | 5.19 | -0.17 | |
| Penalties, last 12 months | 2.00 | -0.17 | |
| Occupancy | 0.79 | -0.16 |
| 2025Q4 HPRD | This facility | RI median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.00 | 3.22 | 3.28 | 2.90–3.77 |
| RN | 0.23 | 0.53 | 0.39 | 0.25–0.58 |
| Weekend total | 2.94 | 3.04 | 3.11 | — |
| Weekday total | 3.02 | 3.28 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 139.9 | 3.00 | 0.23 | 0.67 | 2.10 | 2.94 | 0.0% |
| 2025Q3 | 92 | 132.5 | 3.04 | 0.20 | 0.71 | 2.13 | 2.97 | 0.4% |
| 2025Q2 | 91 | 132.0 | 2.96 | 0.21 | 0.72 | 2.03 | 2.78 | 0.3% |
| 2025Q1 | 90 | 131.2 | 2.87 | 0.25 | 0.62 | 2.00 | 2.79 | 0.6% |
| 2024Q4 | 92 | 122.3 | 2.89 | 0.26 | 0.59 | 2.04 | 2.81 | 0.2% |
| 2024Q3 | 92 | 114.2 | 2.81 | 0.29 | 0.53 | 1.99 | 2.73 | 0.0% |
| 2024Q2 | 91 | 109.6 | 2.83 | 0.26 | 0.64 | 1.93 | 2.68 | 0.0% |
| 2024Q1 | 91 | 112.7 | 2.81 | 0.25 | 0.62 | 1.93 | 2.70 | 0.0% |
| 2023Q4 | 92 | 105.3 | 3.10 | 0.32 | 0.63 | 2.15 | 2.99 | 0.0% |
| 2023Q3 | 92 | 113.5 | 3.16 | 0.34 | 0.66 | 2.16 | 3.01 | 0.0% |
| 2023Q2 | 91 | 110.6 | 3.44 | 0.35 | 0.73 | 2.36 | 3.31 | 0.0% |
| 2023Q1 | 90 | 114.0 | 3.63 | 0.32 | 0.88 | 2.42 | 3.55 | 0.0% |
| 2022Q4 | 92 | 126.9 | 3.02 | 0.19 | 0.79 | 2.04 | 2.98 | 0.0% |
| 2022Q3 | 92 | 130.7 | 3.15 | 0.26 | 0.82 | 2.07 | 2.96 | 0.0% |
| 2022Q2 | 91 | 129.1 | 3.00 | 0.29 | 0.70 | 2.01 | 2.87 | 0.0% |
| 2022Q1 | 90 | 134.5 | 2.60 | 0.21 | 0.61 | 1.77 | 2.61 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-11-25 | Fine | $25,805 | CMS provider data |
| 2025-08-06 | Fine | $51,174 | CMS provider data |
| 2024-09-12 | Fine | $24,086 | CMS provider data |
| 2024-06-24 | Fine | $10,033 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-10 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-12-30 |
| 2025-12-02 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-12-22 |
| 2025-12-02 | Health · complaint | F0908 | Keep all essential equipment working safely. | F | 2025-12-22 |
| 2025-11-25 | Health | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2025-12-16 |
| 2025-11-25 | 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 | 2025-12-16 |
| 2025-11-25 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-12-16 |
| 2025-11-25 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-12-16 |
| 2025-11-25 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2025-12-16 |
| 2025-11-25 | 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 | 2025-12-16 |
| 2025-08-06 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-08-26 |
| 2025-08-06 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-08-26 |
| 2025-06-06 | Health · complaint | 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 | 2025-06-16 |
| 2024-12-05 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-12-23 |
| 2024-12-05 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-12-23 |
| 2024-12-05 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-12-23 |
| 2024-10-08 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-10-08 |
| 2024-10-08 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | J | 2024-10-08 |
| 2024-10-01 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-10-04 |
| 2024-10-01 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | G | 2024-10-04 |
| 2024-09-12 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-10-02 |
| 2024-09-12 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2024-10-02 |
| 2024-09-12 | 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 | 2024-10-02 |
| 2024-09-12 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | E | 2024-10-02 |
| 2024-09-12 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-10-02 |
| 2024-07-23 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-08-09 |
| 2024-06-24 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-08-08 |
| 2024-05-14 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-05-31 |
| 2024-05-06 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-05-22 |
| 2024-03-04 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-03-22 |
| 2024-03-04 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-03-22 |
| 2024-03-04 | 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 | 2024-03-22 |
| 2023-09-28 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2023-10-20 |
| 2023-09-28 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2023-10-20 |
| 2023-09-28 | Health · complaint | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | 2023-10-20 |
| 2023-09-28 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-10-20 |
| 2023-09-28 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-10-20 |
| 2023-09-28 | 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 | 2023-10-20 |
| 2023-09-28 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-10-20 |
| 2023-09-28 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-10-20 |
| 2023-09-28 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-10-20 |
| 2023-09-28 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2023-10-20 |
| 2023-08-01 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-08-18 |
| 2023-08-01 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-08-18 |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-06-01 | Cedar Haven Operations LLC DBA Lake Forrest Health | — | — | — | 133 | CEDAR HAVEN OPERATIONS LLC |
| 2025-05-23 | Warren Operations RI, LLC DBA Warren Center | — | — | — | 63 | WARREN OPERATIONS RI LLC |
| 2025-02-01 | Adviniacare Providence Dodge Rehab Center, LLC | — | — | — | 161 | ADVINIACARE PROVIDENCE DODGE REHAB CENTER LLC |
| 2025-02-01 | Adviniacare Pawtucket Pleasant Rehab Center, LLC | — | — | — | 129 | ADVINIACARE PAWTUCKET PLEASANT REHAB CENTER LLC |
| 2024-01-31 | The Friendly Home | — | — | — | 126 | FRIENDLY EDEN OPERATIONS LLC |
| 2024-01-01 | Pawtucket Falls Healthcare Center | — | — | — | 154 | VIOLET SNF HOLDCO LLC |
| 2022-11-01 | Riverview Healthcare Community | — | — | — | 190 | RIVERVIEW OPERATOR LLC |
| 2022-11-01 | Morgan Health Center | — | — | — | 120 | MORGAN OPERATOR LLC |
| 2022-11-01 | Westerly Health Center | — | — | — | 120 | WESTERLY OPERATOR LLC |
| 2022-11-01 | Heritage Hills Nursing & Rehabilitation Center | — | — | — | 100 | HERITAGE HILLS OPERATOR LLC |
| 2022-08-19 | South County Eden Operations LLC DBA Lakeside Nurs | — | — | — | 120 | SOUTH COUNTY EDEN OPERATIONS LLC |
| 2022-06-07 | Brentwood Health Center | — | — | — | 96 | 4000 POST ROAD EDEN OPERATIONS LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 44007 | acs median gross | 0 | $963 | 2024-12-31 | CENSUS_ACS5 |
| county 44007 | acs median gross | 1 | $952 | 2024-12-31 | CENSUS_ACS5 |
| county 44007 | acs median gross | 2 | $1,397 | 2024-12-31 | CENSUS_ACS5 |
| county 44007 | acs median gross | 3 | $1,597 | 2024-12-31 | CENSUS_ACS5 |
| county 44007 | acs median gross | 4 | $1,647 | 2024-12-31 | CENSUS_ACS5 |
| county 44007 | acs median gross | 5 | $1,808 | 2024-12-31 | CENSUS_ACS5 |
| county 44007 | acs median gross | $1,312 | 2024-12-31 | CENSUS_ACS5 | |
| county 44007 | acs recent mover gross | $1,677 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 02895 | acs median gross | 0 | $731 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02895 | acs median gross | 1 | $776 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02895 | acs median gross | 2 | $1,266 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02895 | acs median gross | 3 | $1,347 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02895 | acs median gross | 4 | $1,922 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02895 | acs median gross | 5 | $1,160 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02895 | acs median gross | $1,161 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 02895 | acs recent mover gross | $1,500 | 2024-12-31 | CENSUS_ACS5 | |
| zip 02895 | payment standard 110 | 0 | $1,342 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02895 | payment standard 90 | 0 | $1,098 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02895 | safmr | 0 | $1,220 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02895 | payment standard 110 | 1 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02895 | payment standard 90 | 1 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02895 | safmr | 1 | $1,300 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02895 | payment standard 110 | 2 | $1,760 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02895 | payment standard 90 | 2 | $1,440 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02895 | safmr | 2 | $1,600 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02895 | payment standard 110 | 3 | $2,123 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02895 | payment standard 90 | 3 | $1,737 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02895 | safmr | 3 | $1,930 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02895 | payment standard 110 | 4 | $2,530 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02895 | payment standard 90 | 4 | $2,070 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02895 | safmr | 4 | $2,300 | 2025-10-01 | HUD_USER_SAFMR |