Composite
82.8 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| staffing risk | 98.7 | 98.7 | 0.25 | 0.1923 | 18.98 | in index |
| financial risk | 70.2 | 59.3 | 0.30 | 0.2308 | 16.20 | in index |
| regulatory risk | 51.0 | 40.3 | 0.30 | 0.2308 | 11.77 | in index |
| chow risk | 76.7 | 55.1 | 0.15 | 0.1154 | 8.85 | in index |
| billing conduct | 26.7 | 30.0 | 0.30 | 0.2308 | 6.16 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 30.0 | 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 | 65.1 | D | v0.6 | default · in composite | |
| financial risk | 59.3 | 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 | 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 | 40.3 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 98.7 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 79.9 | 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 | 59.9 | 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 | 63.7 | 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 | 60.1 | 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 | 40.2 | 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 | 40.2 | 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 | 98.7 | 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 | 98.7 | 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 | 0.94 | -0.71 | |
| 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 | |
| Total nurse staffing (HPRD) | 1.87 | +0.23 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| Occupancy | 0.94 | -0.82 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 11.00 | -0.61 | |
| Total nurse staffing (HPRD) | 1.87 | +0.57 | |
| Staffing trend, last 4 quarters | -1.13 | -0.55 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
| 2025Q4 HPRD | This facility | OH median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 1.87 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.46 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 1.58 | 3.11 | 3.11 | — |
| Weekday total | 1.98 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 57.5 | 1.87 | 0.46 | 0.40 | 1.00 | 1.58 | 0.0% |
| 2025Q3 | 92 | 57.4 | 2.66 | 0.36 | 0.74 | 1.56 | 2.36 | 0.0% |
| 2025Q2 | 91 | 55.9 | 2.65 | 0.20 | 0.66 | 1.79 | 2.50 | 0.7% |
| 2025Q1 | 90 | 56.0 | 2.90 | 0.30 | 0.74 | 1.85 | 2.81 | 0.0% |
| 2024Q4 | 92 | 54.1 | 3.00 | 0.34 | 0.70 | 1.96 | 2.90 | 0.0% |
| 2024Q3 | 92 | 57.4 | 2.78 | 0.26 | 0.63 | 1.89 | 2.64 | 0.0% |
| 2024Q2 | 91 | 54.0 | 2.71 | 0.34 | 0.65 | 1.72 | 2.42 | 3.1% |
| 2024Q1 | 91 | 56.5 | 2.71 | 0.49 | 0.57 | 1.65 | 2.54 | 1.7% |
| 2023Q4 | 92 | 52.9 | 2.84 | 0.66 | 0.51 | 1.67 | 2.59 | 0.2% |
| 2023Q3 | 92 | 52.8 | 3.31 | 0.66 | 0.58 | 2.07 | 3.07 | 0.9% |
| 2023Q2 | 91 | 49.2 | 3.36 | 0.57 | 0.77 | 2.02 | 3.29 | 3.9% |
| 2023Q1 | 90 | 47.5 | 3.11 | 0.44 | 0.79 | 1.88 | 3.17 | 9.5% |
| 2022Q4 | 92 | 42.1 | 2.65 | 0.32 | 0.85 | 1.48 | 2.42 | 12.6% |
| 2022Q3 | 92 | 44.1 | 0.23 | 0.07 | 0.07 | 0.09 | 0.21 | 100.0% |
| 2022Q2 | 91 | 45.8 | 2.32 | 0.33 | 0.97 | 1.02 | 2.16 | 5.9% |
| 2022Q1 | 90 | 52.9 | 2.42 | 0.24 | 0.98 | 1.19 | 2.48 | 8.5% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-09 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2026-03-09 |
| 2026-03-09 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-03-10 |
| 2026-03-09 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-03-10 |
| 2026-03-09 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-03-09 |
| 2026-03-09 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-03-10 |
| 2026-03-09 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | J | 2026-03-09 |
| 2026-03-09 | Health · complaint | F0844 | Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | F | 2026-03-09 |
| 2026-03-09 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2026-03-10 |
| 2026-03-09 | Health · complaint | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | 2026-03-10 |
| 2026-01-15 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2026-01-16 |
| 2025-12-04 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-12-05 |
| 2025-06-03 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-06-17 |
| 2024-12-05 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-12-20 |
| 2024-10-17 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2024-11-29 |
| 2024-10-17 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-11-29 |
| 2024-10-17 | 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 | 2024-11-29 |
| 2024-10-17 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-11-29 |
| 2024-10-17 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-11-29 |
| 2024-10-17 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-11-29 |
| 2024-10-17 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2024-11-29 |
| 2024-10-17 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-11-29 |
| 2024-10-17 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2024-11-29 |
| 2024-10-17 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-11-29 |
| 2023-07-06 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2023-08-10 |
| 2023-07-06 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2023-08-10 |
| 2023-07-06 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2023-08-10 |
| 2023-07-06 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2023-08-10 |
| 2023-07-06 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2023-08-10 |
| 2023-07-06 | Health | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | 2023-08-10 |
| 2023-07-06 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-08-10 |
| 2023-07-06 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-08-10 |
| 2023-07-06 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-08-10 |
| 2023-07-06 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-08-10 |
| 2023-07-06 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2023-08-10 |
| 2023-07-06 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2023-08-10 |
| 2021-09-15 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2021-10-29 |
| 2021-09-15 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2021-10-29 |
| 2021-09-15 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2021-10-29 |
| 2021-09-15 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2021-10-29 |
| 2021-09-15 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2021-10-29 |
| 2021-09-15 | Health | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2021-10-29 |
| 2021-09-15 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2021-10-29 |
| 2021-09-15 | 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 | 2021-10-29 |
| 2021-09-15 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2021-10-29 |
| 2021-09-15 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2021-10-29 |
| 2021-09-15 | 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 | 2021-10-29 |
| 2021-09-15 | 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. | E | 2021-10-29 |
| 2021-09-15 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2021-10-29 |
| 2021-09-15 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2021-10-29 |
| 2021-09-15 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2021-10-29 |
| 2021-09-15 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2021-10-29 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| RICHARD BUCKLEY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 90% | 2010-02-12 | ended 2026-05-18 | pecos_ownership |
| LAURA BUCKLEY | W-2 MANAGING EMPLOYEE | 50% | 2010-02-25 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-12-31 | SAPPHIRE REHABILITATION AND CARE CENTER | — | — | — | 113 | SAPPHIRE OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF POINT PLACE | — | — | — | 82 | POINT PLACE OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF NEW LEXINGTON | — | — | — | 82 | NEW LEXINGTON OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | Atrium Nursing and Rehabilitation | — | — | — | 99 | ATRIUM OPCO LLC |
| 2024-12-31 | Inniswood Health and Rehabilitation | — | — | — | 99 | FHS INNISWOOD, INC. |
| 2024-12-31 | COMMUNITY SKILLED HEALTHCARE | — | — | — | 110 | CS OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF PERRYSBURG | — | — | — | 75 | PERRYSBURG OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | GRAFTON OAKS NURSING CENTER | — | — | — | 99 | GO OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF KENT | — | — | — | 74 | KENT OH HEALTH & REHAB OPCO LLC |
| 2024-12-30 | Chardon Woods | — | — | — | 161 | CHARDON WOODS OF JOURNEY LLC |
| 2024-12-16 | The Pavilion at Canal Fulton for Nursing and Rehab | — | — | — | 60 | PAVILION AT CANAL FULTON LLC |
| 2024-12-02 | BENNINGTON GLEN NURSING & REHABILITATION CENTER | — | — | — | 79 | FHS BENNINGTON INC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 39009 | acs median gross | 0 | $785 | 2024-12-31 | CENSUS_ACS5 |
| county 39009 | fmr | 0 | $902 | 2025-10-01 | HUD_USER_FMR |
| county 39009 | acs median gross | 1 | $801 | 2024-12-31 | CENSUS_ACS5 |
| county 39009 | fmr | 1 | $907 | 2025-10-01 | HUD_USER_FMR |
| county 39009 | acs median gross | 2 | $955 | 2024-12-31 | CENSUS_ACS5 |
| county 39009 | fmr | 2 | $1,092 | 2025-10-01 | HUD_USER_FMR |
| county 39009 | acs median gross | 3 | $1,150 | 2024-12-31 | CENSUS_ACS5 |
| county 39009 | fmr | 3 | $1,338 | 2025-10-01 | HUD_USER_FMR |
| county 39009 | acs median gross | 4 | $1,048 | 2024-12-31 | CENSUS_ACS5 |
| county 39009 | fmr | 4 | $1,491 | 2025-10-01 | HUD_USER_FMR |
| county 39009 | acs median gross | 5 | $1,378 | 2024-12-31 | CENSUS_ACS5 |
| county 39009 | acs median gross | $939 | 2024-12-31 | CENSUS_ACS5 | |
| county 39009 | acs recent mover gross | $1,037 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 45701 | acs median gross | 0 | $799 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45701 | acs median gross | 1 | $854 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45701 | acs median gross | 2 | $1,083 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45701 | acs median gross | 3 | $1,310 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45701 | acs median gross | 4 | $1,016 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45701 | acs median gross | $996 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 45701 | acs recent mover gross | $1,061 | 2024-12-31 | CENSUS_ACS5 | |
| zip 45701 | payment standard 110 | 0 | $1,144 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45701 | payment standard 90 | 0 | $936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45701 | safmr | 0 | $1,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45701 | payment standard 110 | 1 | $1,155 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45701 | payment standard 90 | 1 | $945 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45701 | safmr | 1 | $1,050 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45701 | payment standard 110 | 2 | $1,386 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45701 | payment standard 90 | 2 | $1,134 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45701 | safmr | 2 | $1,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45701 | payment standard 110 | 3 | $1,694 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45701 | payment standard 90 | 3 | $1,386 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45701 | safmr | 3 | $1,540 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45701 | payment standard 110 | 4 | $1,892 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45701 | payment standard 90 | 4 | $1,548 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45701 | safmr | 4 | $1,720 | 2025-10-01 | HUD_USER_SAFMR |