Composite
65.5 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 74.3 | 70.3 | 0.30 | 0.4286 | 31.84 | in index |
| staffing risk | 47.5 | 47.5 | 0.25 | 0.3571 | 16.96 | 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 | 2.5 | — | 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 | 0.2 | — | 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 | 70.3 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 47.5 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| regulatory risk | 70.2 | D | 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 | 70.2 | D | 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 | 47.5 | 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 | 47.5 | 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 | 0.00 | -1.24 | |
| Occupancy | 0.99 | -0.85 | |
| 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 | |
| Deficiencies, last 12 months | 0.00 | -0.17 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | +1.62 | |
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| Chain size (log) | 0.00 | +1.20 | |
| Occupancy | 0.99 | -1.02 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Staffing trend, last 4 quarters | -0.47 | -0.25 | |
| Facility size (log beds) | 3.26 | +0.23 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
| 2025Q4 HPRD | This facility | NV median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.32 | 3.62 | 3.28 | 2.90–3.77 |
| RN | 0.63 | 0.64 | 0.39 | 0.25–0.58 |
| Weekend total | 3.10 | 3.46 | 3.11 | — |
| Weekday total | 3.41 | 3.68 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 24.8 | 3.32 | 0.63 | 0.48 | 2.22 | 3.10 | 3.3% |
| 2025Q3 | 92 | 24.9 | 3.74 | 0.81 | 0.48 | 2.44 | 3.07 | 0.6% |
| 2025Q2 | 91 | 24.5 | 3.49 | 0.64 | 0.43 | 2.42 | 3.32 | 7.4% |
| 2025Q1 | 90 | 24.8 | 3.84 | 0.88 | 0.61 | 2.35 | 3.60 | 4.9% |
| 2024Q4 | 92 | 24.8 | 3.80 | 0.66 | 0.46 | 2.68 | 4.06 | 15.0% |
| 2024Q3 | 92 | 24.3 | 4.04 | 1.23 | 0.01 | 2.81 | 3.69 | 18.9% |
| 2024Q2 | 91 | 24.3 | 3.53 | 0.95 | 0.09 | 2.49 | 3.35 | 15.1% |
| 2024Q1 | 91 | 24.3 | 3.53 | 0.84 | 0.38 | 2.31 | 3.49 | 9.2% |
| 2023Q4 | 92 | 24.6 | 3.39 | 0.79 | 0.44 | 2.17 | 3.29 | 7.8% |
| 2023Q3 | 92 | 23.8 | 3.55 | 0.80 | 0.47 | 2.29 | 3.58 | 0.0% |
| 2023Q2 | 91 | 24.7 | 3.14 | 0.51 | 0.48 | 2.15 | 3.18 | 8.0% |
| 2023Q1 | 90 | 23.9 | 3.38 | 0.38 | 0.53 | 2.48 | 3.27 | 64.3% |
| 2022Q4 | 92 | 23.4 | 3.55 | 0.43 | 0.52 | 2.60 | 3.53 | 63.1% |
| 2022Q3 | 92 | 23.3 | 3.37 | 0.84 | 0.32 | 2.22 | 2.70 | 48.4% |
| 2022Q2 | 91 | 20.8 | 1.99 | 0.19 | 0.19 | 1.61 | 1.75 | 0.0% |
| 2022Q1 | 90 | 16.9 | 1.58 | 0.30 | 0.00 | 1.28 | 1.20 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2023-10-19 | Fine | $9,258 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-04-17 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-05-09 |
| 2025-04-17 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-05-09 |
| 2025-04-17 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | 2025-05-09 |
| 2024-10-18 | 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 | 2024-11-10 |
| 2024-10-18 | 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 | 2024-11-10 |
| 2024-10-18 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-11-10 |
| 2024-10-18 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2024-11-10 |
| 2024-10-18 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-11-10 |
| 2024-10-18 | 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 | 2024-11-10 |
| 2024-10-18 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-11-10 |
| 2024-10-18 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-11-10 |
| 2024-10-18 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-11-10 |
| 2024-04-15 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-05-17 |
| 2024-04-15 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2024-05-17 |
| 2024-04-15 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-05-17 |
| 2024-04-15 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-05-17 |
| 2024-04-15 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-05-17 |
| 2024-04-15 | 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 | 2024-05-16 |
| 2024-04-15 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | 2024-05-17 |
| 2024-04-15 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-05-15 |
| 2024-04-15 | 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 | 2024-05-15 |
| 2024-04-15 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-04-20 |
| 2024-04-15 | 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. | E | 2024-04-16 |
| 2024-04-15 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-05-15 |
| 2024-04-15 | 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 | 2024-05-15 |
| 2024-04-15 | 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. | E | 2024-04-23 |
| 2024-04-15 | 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. | D | 2024-05-13 |
| 2024-04-15 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2024-05-17 |
| 2024-04-15 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | 2024-05-17 |
| 2024-04-15 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | 2024-05-17 |
| 2024-04-15 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-05-17 |
| 2024-04-15 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | 2024-05-13 |
| 2024-04-15 | Health | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D | 2024-04-22 |
| 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 | 2024-03-18 |
| 2024-02-28 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-03-21 |
| 2024-02-28 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-03-21 |
| 2024-02-28 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-03-19 |
| 2024-02-28 | 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 | 2024-03-19 |
| 2023-10-19 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-10-23 |
| 2023-10-19 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-10-23 |
| 2023-10-19 | 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 | 2023-10-19 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| PERSHING GENERAL HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | current | pecos_ownership |
| BENDURE, TED | CORPORATE DIRECTOR | — | 2022-01-01 | current | pecos_ownership |
| BROYLES, LYNN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 | current | pecos_ownership |
| CARRUTH, MARCI | CORPORATE DIRECTOR | — | 2025-01-08 | current | pecos_ownership |
| CHADOCK, BRANDON | TRUSTEE OF THE SNF | — | 2022-08-29 | current | pecos_ownership |
| MOCK, DEBORA | CORPORATE DIRECTOR | — | 2011-06-01 | current | pecos_ownership |
| REITZ, DEBORAH | CORPORATE DIRECTOR | — | 2025-02-05 | current | pecos_ownership |
| SAYLES, SONDRA | MANAGING CONTROL - GOVERNING BODY | — | 2024-10-01 | current | pecos_ownership |
| STIEHL, RAYLENE | CORPORATE OFFICER | — | 2024-01-01 | current | pecos_ownership |
| TUELLER, DANA | CORPORATE DIRECTOR | — | 2015-01-01 | current | pecos_ownership |
| VANGUILDER, KAMIN | CORPORATE DIRECTOR | — | 2013-12-26 | current | pecos_ownership |
| BRANDON CHADOCK | CORPORATE OFFICER | 100% | 2022-08-29 | ended 2026-05-18 | pecos_ownership |
| CHARLES SAFFORD | CORPORATE DIRECTOR | — | 2011-01-01 | ended 2026-05-18 | pecos_ownership |
| DEBORA MOCK | CORPORATE DIRECTOR | — | 2011-06-01 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-04-17 | OASIS NURSING & REHAB OF GREEN VALLEY | — | — | — | 242 | HENDERSON DELMAR NV OPCO LLC |
| 2024-08-01 | NORTHERN NEVADA STATE VETERANS HOME | — | — | — | 96 | DIMENSIONS MANAGEMENT OF NORTHERN NEVADA LLC |
| 2024-04-18 | HIGHLAND MANOR OF ELKO REHABILITATION LLC | — | — | — | 146 | HIGHLAND MANOR OF ELKO REHABILITATION LLC |
| 2024-04-18 | HIGHLAND MANOR OF FALLON REHABILITATION LLC | — | — | — | 102 | HIGHLAND MANOR OF FALLON REHABILITATION LLC |
| 2024-04-18 | HIGHLAND MANOR OF MESQUITE REHABILITATION LLC | — | — | — | 112 | HIGHLAND MANOR OF MESQUITE REHABILITATION LLC |
| 2024-01-01 | HEARTHSTONE | — | — | — | 125 | TRUCKEE MEADOWS HEALTHCARE, INC. |
| 2023-09-07 | TLC CARE CENTER | — | — | — | 255 | TLC SNF OPERATIONS LLC |
| 2023-08-31 | PAHRUMP HEALTH AND REHABILITATION CENTER | — | — | — | 120 | PAHRUMP SNF OPERATIONS, LLC |
| 2023-08-31 | MOUNTAIN VIEW HEALTH AND REHABILITATION | — | — | — | 146 | MV SNF OPERATIONS LLC |
| 2023-08-31 | GARDNERVILLE HEALTH & REHABILITATION CENTER | — | — | — | 60 | GARDNERVILLE SNF OPERATIONS LLC |
| 2023-08-31 | ORMSBY POST ACUTE REHABILITATION | — | — | — | 120 | ORMSBY SNF OPERATIONS LLC |
| 2023-06-01 | MOUNTAIN VIEW CARE CENTER | — | — | — | 87 | BOULDER CITY NV OPCO LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 32027 | fmr | 0 | $754 | 2025-10-01 | HUD_USER_FMR |
| county 32027 | acs median gross | 1 | $713 | 2024-12-31 | CENSUS_ACS5 |
| county 32027 | fmr | 1 | $878 | 2025-10-01 | HUD_USER_FMR |
| county 32027 | acs median gross | 2 | $721 | 2024-12-31 | CENSUS_ACS5 |
| county 32027 | fmr | 2 | $985 | 2025-10-01 | HUD_USER_FMR |
| county 32027 | acs median gross | 3 | $692 | 2024-12-31 | CENSUS_ACS5 |
| county 32027 | fmr | 3 | $1,370 | 2025-10-01 | HUD_USER_FMR |
| county 32027 | fmr | 4 | $1,652 | 2025-10-01 | HUD_USER_FMR |
| county 32027 | acs median gross | $715 | 2024-12-31 | CENSUS_ACS5 | |
| county 32027 | acs recent mover gross | $739 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 89419 | acs median gross | 1 | $713 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89419 | acs median gross | 2 | $703 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89419 | acs median gross | 3 | $1,156 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89419 | acs median gross | $715 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 89419 | acs recent mover gross | $739 | 2024-12-31 | CENSUS_ACS5 | |
| zip 89419 | payment standard 110 | 0 | $825 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89419 | payment standard 90 | 0 | $675 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89419 | safmr | 0 | $750 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89419 | payment standard 110 | 1 | $957 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89419 | payment standard 90 | 1 | $783 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89419 | safmr | 1 | $870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89419 | payment standard 110 | 2 | $1,078 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89419 | payment standard 90 | 2 | $882 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89419 | safmr | 2 | $980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89419 | payment standard 110 | 3 | $1,496 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89419 | payment standard 90 | 3 | $1,224 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89419 | safmr | 3 | $1,360 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89419 | payment standard 110 | 4 | $1,804 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89419 | payment standard 90 | 4 | $1,476 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89419 | safmr | 4 | $1,640 | 2025-10-01 | HUD_USER_SAFMR |