Composite
83.0 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 83.0 | 69.8 | 0.30 | 0.3000 | 24.90 | in index |
| staffing risk | 66.4 | 66.4 | 0.25 | 0.2500 | 16.60 | in index |
| regulatory risk | 40.4 | 29.4 | 0.30 | 0.3000 | 12.12 | in index |
| chow risk | 56.3 | 54.5 | 0.15 | 0.1500 | 8.45 | 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. |
| chow risk | 84.0 | F | v0.6 | default · in composite | |
| financial risk | 69.8 | D | v0.5 | default · in composite | R18. |
| 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 | 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 | 29.4 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 66.4 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 93.8 | 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 | 73.8 | 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 | 61.7 | 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 | 71.2 | D | 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 | 29.2 | 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 | 29.2 | 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 | 66.4 | 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 | 66.4 | 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 | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 5.66 | -1.30 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Occupancy | 0.64 | +0.16 | |
| Chain size (log) | 1.39 | -0.11 | |
| Contract staffing share | 0.00 | -0.10 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.64 | +0.45 | |
| Chain size (log) | 1.39 | +0.39 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 5.66 | -0.21 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Staffing trend, last 4 quarters | -0.21 | -0.12 |
| 2025Q4 HPRD | This facility | OH median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.04 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.29 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 2.88 | 3.11 | 3.11 | — |
| Weekday total | 3.10 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 44.3 | 3.04 | 0.29 | 0.94 | 1.81 | 2.88 | 0.0% |
| 2025Q3 | 92 | 40.6 | 3.11 | 0.35 | 0.96 | 1.79 | 2.84 | 0.0% |
| 2025Q2 | 91 | 41.5 | 3.01 | 0.36 | 0.88 | 1.78 | 2.76 | 0.0% |
| 2025Q1 | 90 | 37.8 | 3.29 | 0.41 | 1.00 | 1.88 | 3.00 | 0.0% |
| 2024Q4 | 92 | 36.7 | 3.25 | 0.38 | 0.94 | 1.92 | 2.95 | 0.0% |
| 2024Q3 | 92 | 39.1 | 3.29 | 0.42 | 0.88 | 1.99 | 3.01 | 0.0% |
| 2024Q2 | 91 | 37.0 | 3.35 | 0.45 | 0.93 | 1.96 | 3.06 | 0.0% |
| 2024Q1 | 91 | 40.5 | 3.34 | 0.41 | 0.90 | 2.03 | 3.15 | 0.0% |
| 2023Q4 | 92 | 42.6 | 3.29 | 0.40 | 0.83 | 2.06 | 3.06 | 0.0% |
| 2023Q3 | 92 | 43.8 | 3.09 | 0.42 | 0.86 | 1.81 | 2.74 | 0.0% |
| 2023Q2 | 91 | 47.4 | 2.85 | 0.29 | 0.86 | 1.70 | 2.61 | 0.0% |
| 2023Q1 | 90 | 46.4 | 3.01 | 0.39 | 0.86 | 1.77 | 2.74 | 0.0% |
| 2022Q4 | 92 | 47.6 | 2.81 | 0.39 | 0.80 | 1.62 | 2.73 | 0.0% |
| 2022Q3 | 92 | 44.8 | 2.69 | 0.37 | 0.76 | 1.56 | 2.55 | 0.1% |
| 2022Q2 | 91 | 51.0 | 2.75 | 0.31 | 0.76 | 1.68 | 2.56 | 0.0% |
| 2022Q1 | 90 | 56.5 | 2.73 | 0.28 | 0.80 | 1.65 | 2.35 | 10.7% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-26 | Health · complaint | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | 2026-04-17 |
| 2026-03-26 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-04-17 |
| 2026-03-26 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2026-04-17 |
| 2025-12-08 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | D | 2026-01-02 |
| 2025-12-08 | Health · complaint | F0687 | Provide appropriate foot care. | D | 2026-01-02 |
| 2025-12-08 | Health · complaint | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2026-01-02 |
| 2025-12-08 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-01-02 |
| 2025-12-08 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2026-01-02 |
| 2025-01-27 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-01-28 |
| 2024-08-19 | 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 | 2024-09-16 |
| 2024-08-19 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-09-16 |
| 2024-08-19 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2024-09-16 |
| 2024-08-19 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2024-09-16 |
| 2024-08-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2024-09-16 |
| 2024-08-19 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-09-16 |
| 2024-08-19 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-09-16 |
| 2024-02-28 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-04-16 |
| 2024-02-28 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-04-16 |
| 2024-02-28 | Health · complaint | F0908 | Keep all essential equipment working safely. | F | 2024-04-17 |
| 2024-02-28 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2024-04-17 |
| 2023-08-11 | Health · complaint | 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 | 2023-08-25 |
| 2023-07-21 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2023-08-04 |
| 2023-05-01 | 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 | 2023-06-05 |
| 2023-05-01 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-06-05 |
| 2023-05-01 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-06-05 |
| 2023-05-01 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2023-06-05 |
| 2023-05-01 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-06-05 |
| 2023-05-01 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2023-06-05 |
| 2023-05-01 | 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 | 2023-06-16 |
| 2023-05-01 | Health | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2023-06-05 |
| 2023-05-01 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-06-05 |
| 2023-05-01 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2023-06-05 |
| 2021-05-13 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2021-06-30 |
| 2021-05-13 | 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 | 2021-06-30 |
| 2021-05-13 | 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 | 2021-06-30 |
| 2021-05-13 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2021-06-30 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| DHM OH THREE HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2020-12-01 | current | pecos_ownership |
| MARKOVITS, ISAAK | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2020-12-01 | current | pecos_ownership |
| RICHLAND, ILAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2020-12-01 | current | pecos_ownership |
| THE LAURELS GROUP PROPCOS | Corporation, partnership or other organization has financial interest in provider | — | 2023-01-01 | current | hcris_a_8_1 |
| THE LAURELS GROUP PROPCOS | Corporation, partnership or other organization has financial interest in provider | — | 2024-01-01 | current | hcris_a_8_1 |
| ILAN RICHLAND | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2020-12-01 | ended 2026-05-18 | pecos_ownership |
| ISAAK MARKOVITS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2020-12-01 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2020-12-01 | — | CANTON REHABILITATION AND NURSING CENTER LLC | THE LAURELS OF CANTON, LLC | chow |
| 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 39151 | acs median gross | 0 | $630 | 2024-12-31 | CENSUS_ACS5 |
| county 39151 | fmr | 0 | $749 | 2025-10-01 | HUD_USER_FMR |
| county 39151 | acs median gross | 1 | $703 | 2024-12-31 | CENSUS_ACS5 |
| county 39151 | fmr | 1 | $846 | 2025-10-01 | HUD_USER_FMR |
| county 39151 | acs median gross | 2 | $918 | 2024-12-31 | CENSUS_ACS5 |
| county 39151 | fmr | 2 | $1,086 | 2025-10-01 | HUD_USER_FMR |
| county 39151 | acs median gross | 3 | $1,059 | 2024-12-31 | CENSUS_ACS5 |
| county 39151 | fmr | 3 | $1,371 | 2025-10-01 | HUD_USER_FMR |
| county 39151 | acs median gross | 4 | $1,121 | 2024-12-31 | CENSUS_ACS5 |
| county 39151 | fmr | 4 | $1,451 | 2025-10-01 | HUD_USER_FMR |
| county 39151 | acs median gross | 5 | $1,085 | 2024-12-31 | CENSUS_ACS5 |
| county 39151 | acs median gross | $909 | 2024-12-31 | CENSUS_ACS5 | |
| county 39151 | acs recent mover gross | $985 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 44708 | acs median gross | 0 | $663 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44708 | acs median gross | 1 | $767 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44708 | acs median gross | 2 | $965 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44708 | acs median gross | 3 | $1,099 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44708 | acs median gross | $968 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 44708 | acs recent mover gross | $983 | 2024-12-31 | CENSUS_ACS5 | |
| zip 44708 | payment standard 110 | 0 | $869 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44708 | payment standard 90 | 0 | $711 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44708 | safmr | 0 | $790 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44708 | payment standard 110 | 1 | $979 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44708 | payment standard 90 | 1 | $801 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44708 | safmr | 1 | $890 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44708 | payment standard 110 | 2 | $1,254 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44708 | payment standard 90 | 2 | $1,026 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44708 | safmr | 2 | $1,140 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44708 | payment standard 110 | 3 | $1,584 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44708 | payment standard 90 | 3 | $1,296 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44708 | safmr | 3 | $1,440 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44708 | payment standard 110 | 4 | $1,672 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44708 | payment standard 90 | 4 | $1,368 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44708 | safmr | 4 | $1,520 | 2025-10-01 | HUD_USER_SAFMR |