Composite
89.1 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| staffing risk | 94.8 | 94.8 | 0.25 | 0.3571 | 33.86 | in index |
| regulatory risk | 62.3 | 54.0 | 0.30 | 0.4286 | 26.70 | in index |
| chow risk | 25.2 | 25.0 | 0.15 | 0.2143 | 5.40 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| 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. |
| 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 | 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 | 54.0 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 94.8 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| regulatory risk | 53.9 | C | 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 | 53.9 | C | 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 | 94.8 | 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 | 94.8 | 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 | |
|---|---|---|---|
| Occupancy | 1.00 | -0.87 | |
| 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 | |
| Total nurse staffing (HPRD) | 2.30 | +0.15 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| Occupancy | 1.00 | -1.05 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 10.00 | -0.43 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 2.30 | +0.38 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 |
| 2025Q4 HPRD | This facility | CA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.30 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.17 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 2.23 | 3.79 | 3.11 | — |
| Weekday total | 2.33 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 76.8 | 2.30 | 0.17 | 0.49 | 1.64 | 2.23 | 0.0% |
| 2025Q3 | 92 | 76.8 | 2.42 | 0.23 | 0.45 | 1.74 | 2.32 | 0.0% |
| 2025Q2 | 91 | 76.6 | 2.40 | 0.29 | 0.42 | 1.69 | 2.36 | 0.0% |
| 2025Q1 | 90 | 76.6 | 2.38 | 0.19 | 0.52 | 1.66 | 2.36 | 0.0% |
| 2024Q4 | 92 | 77.2 | 2.33 | 0.17 | 0.51 | 1.66 | 2.33 | 0.0% |
| 2024Q3 | 92 | 77.0 | 2.34 | 0.17 | 0.52 | 1.64 | 2.33 | 0.0% |
| 2024Q2 | 91 | 77.0 | 2.33 | 0.18 | 0.51 | 1.64 | 2.33 | 0.0% |
| 2024Q1 | 91 | 77.0 | 2.33 | 0.17 | 0.51 | 1.65 | 2.34 | 0.0% |
| 2023Q4 | 92 | 76.9 | 2.33 | 0.16 | 0.54 | 1.64 | 2.32 | 0.0% |
| 2023Q3 | 92 | 76.2 | 2.35 | 0.16 | 0.55 | 1.63 | 2.33 | 0.0% |
| 2023Q2 | 91 | 76.8 | 2.33 | 0.17 | 0.54 | 1.63 | 2.32 | 0.0% |
| 2023Q1 | 90 | 76.0 | 2.36 | 0.14 | 0.58 | 1.64 | 2.36 | 0.0% |
| 2022Q4 | 92 | 76.9 | 2.33 | 0.16 | 0.52 | 1.65 | 2.33 | 0.0% |
| 2022Q3 | 92 | 76.8 | 2.33 | 0.22 | 0.50 | 1.61 | 2.32 | 0.0% |
| 2022Q2 | 91 | 76.9 | 2.33 | 0.19 | 0.51 | 1.62 | 2.33 | 0.0% |
| 2022Q1 | 90 | 77.5 | 2.31 | 0.12 | 0.56 | 1.63 | 2.31 | 0.0% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-03 | Health | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2026-04-21 |
| 2026-04-03 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-04-21 |
| 2026-04-03 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-04-21 |
| 2026-04-03 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2026-04-21 |
| 2026-04-03 | Health | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2026-04-21 |
| 2026-04-03 | Health | F0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B | — |
| 2026-04-03 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | — |
| 2025-12-10 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2026-01-02 |
| 2025-12-10 | Health · complaint | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | 2026-01-02 |
| 2025-08-20 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-09-05 |
| 2025-07-22 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-08-08 |
| 2025-06-06 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | 2025-06-25 |
| 2025-05-30 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2025-06-23 |
| 2025-05-30 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | 2025-06-23 |
| 2025-05-30 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-06-23 |
| 2025-04-04 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | H | 2025-04-22 |
| 2025-02-14 | Health · complaint | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | 2025-03-06 |
| 2025-01-24 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | 2025-02-20 |
| 2025-01-24 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-02-20 |
| 2025-01-24 | 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 | 2025-02-20 |
| 2025-01-24 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2025-02-20 |
| 2025-01-24 | Health | F0732 | Post nurse staffing information every day. | D | 2025-02-20 |
| 2025-01-24 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-02-20 |
| 2025-01-24 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-02-20 |
| 2025-01-24 | Health | F0908 | Keep all essential equipment working safely. | E | 2025-02-20 |
| 2025-01-24 | Health | F0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B | 2025-02-20 |
| 2025-01-24 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | 2025-02-20 |
| 2024-12-04 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2025-01-03 |
| 2024-12-04 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2025-01-03 |
| 2024-05-15 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-06-12 |
| 2024-03-14 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-04-09 |
| 2024-01-12 | 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. | E | 2024-02-10 |
| 2024-01-12 | 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 | 2024-02-10 |
| 2024-01-12 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2024-02-10 |
| 2024-01-12 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | 2024-02-10 |
| 2024-01-12 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-02-10 |
| 2024-01-12 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-02-10 |
| 2024-01-12 | Health | F0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | E | 2024-02-10 |
| 2024-01-12 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | 2024-02-10 |
| 2024-01-12 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2024-02-10 |
| 2023-10-04 | 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 | 2023-10-16 |
| 2023-10-04 | Health · complaint | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2023-10-16 |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-08-01 | Turlock Nursing & Rehabilitation Center | — | — | — | 144 | TRACY RIDGE HEALTHCARE, INC. |
| 2025-04-01 | ALAMITOS WEST HEALTH & REHABILITATION | — | — | — | 150 | MALCOLM HEALTHCARE, INC. |
| 2025-04-01 | PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER | — | — | — | 99 | STRAWBERRY POND HEALTHCARE LLC |
| 2025-01-16 | GOLDEN HARBOR HEALTHCARE CENTER | — | — | — | 99 | CEYLON HOLDINGS LLC |
| 2024-12-30 | GRASS VALLEY HEALTHCARE CENTER | — | — | — | 86 | HEISMAN LLC |
| 2024-10-01 | REDWOOD GROVE POST ACUTE | — | — | — | 144 | SOQUEL CARE LLC |
| 2024-09-01 | OAK GROVE POST ACUTE | — | — | — | 119 | 4545 SHELLEY COURT OPCO, LLC |
| 2024-08-01 | WE CARE SKILLED NURSING - FREMONT | — | — | — | 99 | WE CARE SKILLED NURSING-FREMONT, LLC |
| 2024-05-01 | MAJESTIC MOUNTAIN CARE CENTER | — | — | — | 66 | OAKHURST SKILLED CARE LLC |
| 2024-04-01 | THE BRADLEY GARDENS | — | — | — | 44 | GHC OF SAN JACINTO LLC |
| 2024-04-01 | SANTA FE POST-ACUTE | — | — | — | 187 | SKILLED BOBIER LLC |
| 2024-04-01 | BAYSHIRE SAN DIMAS POST-ACUTE | — | — | — | 45 | SKILLED SAN DIMAS LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06037 | acs median gross | 0 | $1,523 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 0 | $1,863 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 1 | $1,724 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 1 | $2,085 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 2 | $2,127 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 2 | $2,601 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 3 | $2,484 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 3 | $3,298 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 4 | $2,866 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 4 | $3,672 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 5 | $2,767 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | acs median gross | $1,954 | 2024-12-31 | CENSUS_ACS5 | |
| county 06037 | acs recent mover gross | $2,358 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 90066 | acs median gross | 0 | $1,744 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90066 | acs median gross | 1 | $2,017 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90066 | acs median gross | 2 | $2,585 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90066 | acs median gross | 3 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90066 | acs median gross | 4 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90066 | acs median gross | 5 | $1,768 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90066 | acs median gross | $2,279 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 90066 | acs recent mover gross | $2,640 | 2024-12-31 | CENSUS_ACS5 | |
| zip 90066 | payment standard 110 | 0 | $2,794 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90066 | payment standard 90 | 0 | $2,286 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90066 | safmr | 0 | $2,540 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90066 | payment standard 110 | 1 | $3,124 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90066 | payment standard 90 | 1 | $2,556 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90066 | safmr | 1 | $2,840 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90066 | payment standard 110 | 2 | $3,894 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90066 | payment standard 90 | 2 | $3,186 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90066 | safmr | 2 | $3,540 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90066 | payment standard 110 | 3 | $4,939 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90066 | payment standard 90 | 3 | $4,041 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90066 | safmr | 3 | $4,490 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90066 | payment standard 110 | 4 | $5,500 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90066 | payment standard 90 | 4 | $4,500 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90066 | safmr | 4 | $5,000 | 2025-10-01 | HUD_USER_SAFMR |