Composite
56.2 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 76.4 | 64.0 | 0.30 | 0.2308 | 17.63 | in index |
| staffing risk | 61.8 | 61.8 | 0.25 | 0.1923 | 11.88 | in index |
| regulatory risk | 34.8 | 24.4 | 0.30 | 0.2308 | 8.03 | in index |
| billing conduct | 30.7 | 31.9 | 0.30 | 0.2308 | 7.08 | in index |
| chow risk | 52.0 | 60.0 | 0.15 | 0.1154 | 6.00 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 31.9 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 22.0 | A | 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 | 98.0 | F | v0.6 | default · in composite | |
| financial risk | 64.0 | C | 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 | 3.9 | — | 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 | 24.4 | A | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 61.8 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 93.0 | 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 | 73.0 | 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 | 52.9 | 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 | 67.7 | 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 | 24.3 | A | 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 | 24.3 | A | 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 | 61.8 | 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 | 61.8 | 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 | |
|---|---|---|---|
| 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 | |
| Occupancy | 0.77 | -0.22 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 3.00 | -0.10 | |
| Contract staffing share | 0.12 | +0.09 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 3.00 | +0.87 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Chain size (log) | 1.61 | +0.26 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Staffing trend, last 4 quarters | -0.30 | -0.17 | |
| Never sold on record | 1.00 | +0.12 | |
| Occupancy | 0.77 | -0.11 |
| 2025Q4 HPRD | This facility | OH median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.11 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.53 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 2.93 | 3.11 | 3.11 | — |
| Weekday total | 3.18 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 76.7 | 3.11 | 0.53 | 0.80 | 1.77 | 2.93 | 12.4% |
| 2025Q3 | 92 | 79.3 | 3.27 | 0.57 | 0.89 | 1.81 | 3.02 | 23.3% |
| 2025Q2 | 91 | 75.3 | 3.33 | 0.58 | 0.81 | 1.94 | 3.13 | 21.0% |
| 2025Q1 | 90 | 71.7 | 3.45 | 0.42 | 0.87 | 2.16 | 3.25 | 23.1% |
| 2024Q4 | 92 | 73.7 | 3.41 | 0.49 | 0.81 | 2.10 | 3.21 | 18.4% |
| 2024Q3 | 92 | 67.6 | 3.60 | 0.47 | 1.04 | 2.10 | 3.43 | 16.3% |
| 2024Q2 | 91 | 72.3 | 3.27 | 0.52 | 0.86 | 1.89 | 3.21 | 19.4% |
| 2024Q1 | 91 | 69.7 | 3.17 | 0.48 | 0.87 | 1.81 | 3.05 | 11.5% |
| 2023Q4 | 92 | 63.6 | 3.10 | 0.48 | 0.82 | 1.81 | 3.17 | 19.0% |
| 2023Q3 | 92 | 48.2 | 3.20 | 0.48 | 0.76 | 1.96 | 3.28 | 0.0% |
| 2023Q2 | 91 | 52.7 | 3.25 | 0.59 | 0.82 | 1.84 | 3.15 | 0.0% |
| 2023Q1 | 90 | 55.6 | 3.43 | 0.63 | 0.86 | 1.93 | 3.31 | 0.0% |
| 2022Q4 | 92 | 57.7 | 3.49 | 0.63 | 0.86 | 1.99 | 3.41 | 0.1% |
| 2022Q3 | 92 | 64.1 | 3.45 | 0.55 | 1.09 | 1.81 | 3.39 | 15.2% |
| 2022Q2 | 91 | 65.5 | 3.40 | 0.40 | 1.25 | 1.76 | 3.33 | 36.8% |
| 2022Q1 | 90 | 73.0 | 3.66 | 0.30 | 1.31 | 2.04 | 3.40 | 43.7% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-01-12 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2026-02-12 |
| 2026-01-12 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2026-02-12 |
| 2026-01-12 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2026-02-12 |
| 2025-06-14 | Health · complaint | F0567 | Honor the resident's right to manage his or her financial affairs. | D | 2025-08-05 |
| 2025-06-14 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-08-05 |
| 2025-06-14 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-08-05 |
| 2025-06-14 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2025-08-05 |
| 2025-06-14 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-08-05 |
| 2025-06-14 | 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 | 2025-08-05 |
| 2025-06-14 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-08-05 |
| 2024-06-30 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-07-26 |
| 2024-04-09 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2024-05-03 |
| 2024-02-02 | Health · complaint | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2024-02-14 |
| 2024-01-09 | Health · complaint | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2024-02-14 |
| 2024-01-09 | 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 | 2024-02-14 |
| 2024-01-09 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-02-14 |
| 2024-01-09 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-02-14 |
| 2023-05-18 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | 2023-06-19 |
| 2023-05-18 | Health | F0641 | Ensure each resident receives an accurate assessment. | B | 2023-06-19 |
| 2023-05-18 | 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 | 2023-06-19 |
| 2023-05-18 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2023-06-19 |
| 2023-05-18 | 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 | 2023-06-19 |
| 2020-01-09 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2020-03-05 |
| 2020-01-09 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | D | 2020-03-05 |
| 2020-01-09 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | 2020-02-14 |
| 2020-01-09 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2020-03-05 |
| 2020-01-09 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2020-03-05 |
| 2020-01-09 | 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 | 2020-03-05 |
| 2020-01-09 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2020-03-05 |
| 2020-01-09 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2020-03-05 |
| 2020-01-09 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2020-03-05 |
| 2020-01-09 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2020-03-05 |
| 2020-01-09 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2020-03-05 |
| 2020-01-09 | 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 | 2020-03-05 |
| 2020-01-09 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2020-03-05 |
| 2020-01-09 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2020-03-05 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| YYAM HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-06-29 | current | pecos_ownership |
| YYAM IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 95% | 2023-06-29 | current | pecos_ownership |
| NUSSBAUM, MATTISYAHU | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2023-06-20 | current | pecos_ownership |
| GAHANA PROPCO | Corporation, partnership or other organization has financial interest in provider | — | 2023-06-29 | current | hcris_a_8_1 |
| GAHANA PROPCO | Corporation, partnership or other organization has financial interest in provider | — | 2024-01-01 | current | hcris_a_8_1 |
| LUXOR HEALTHCARE GROUP LLC | 5% OR GREATER SECURITY INTEREST | — | 2023-06-29 | current | pecos_ownership |
| WEINER, JEFFREY | W-2 MANAGING EMPLOYEE | — | 2023-06-29 | current | pecos_ownership |
| MATTISYAHU NUSSBAUM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2023-06-20 | ended 2026-05-18 | pecos_ownership |
| JEFFREY WEINER | W-2 MANAGING EMPLOYEE | — | 2023-06-29 | ended 2026-05-18 | pecos_ownership |
| VBH LEASING COMPANY LLC | Corporation, partnership or other organization has financial interest in provider | — | 2023-02-01 | ended 2023-06-28 | hcris_a_8_1 |
| 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 39061 | acs median gross | 0 | $888 | 2024-12-31 | CENSUS_ACS5 |
| county 39061 | fmr | 0 | $958 | 2025-10-01 | HUD_USER_FMR |
| county 39061 | acs median gross | 1 | $885 | 2024-12-31 | CENSUS_ACS5 |
| county 39061 | fmr | 1 | $1,051 | 2025-10-01 | HUD_USER_FMR |
| county 39061 | acs median gross | 2 | $1,136 | 2024-12-31 | CENSUS_ACS5 |
| county 39061 | fmr | 2 | $1,353 | 2025-10-01 | HUD_USER_FMR |
| county 39061 | acs median gross | 3 | $1,432 | 2024-12-31 | CENSUS_ACS5 |
| county 39061 | fmr | 3 | $1,785 | 2025-10-01 | HUD_USER_FMR |
| county 39061 | acs median gross | 4 | $1,645 | 2024-12-31 | CENSUS_ACS5 |
| county 39061 | fmr | 4 | $1,976 | 2025-10-01 | HUD_USER_FMR |
| county 39061 | acs median gross | 5 | $1,941 | 2024-12-31 | CENSUS_ACS5 |
| county 39061 | acs median gross | $1,075 | 2024-12-31 | CENSUS_ACS5 | |
| county 39061 | acs recent mover gross | $1,331 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 45227 | acs median gross | 0 | $795 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45227 | acs median gross | 1 | $1,149 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45227 | acs median gross | 2 | $1,284 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45227 | acs median gross | 3 | $1,631 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45227 | acs median gross | $1,229 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 45227 | acs recent mover gross | $1,503 | 2024-12-31 | CENSUS_ACS5 | |
| zip 45227 | payment standard 110 | 0 | $1,199 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45227 | payment standard 90 | 0 | $981 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45227 | safmr | 0 | $1,090 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45227 | payment standard 110 | 1 | $1,320 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45227 | payment standard 90 | 1 | $1,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45227 | safmr | 1 | $1,200 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45227 | payment standard 110 | 2 | $1,694 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45227 | payment standard 90 | 2 | $1,386 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45227 | safmr | 2 | $1,540 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45227 | payment standard 110 | 3 | $2,233 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45227 | payment standard 90 | 3 | $1,827 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45227 | safmr | 3 | $2,030 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45227 | payment standard 110 | 4 | $2,475 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45227 | payment standard 90 | 4 | $2,025 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45227 | safmr | 4 | $2,250 | 2025-10-01 | HUD_USER_SAFMR |