Composite
72.2 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 82.1 | 79.0 | 0.30 | 0.2308 | 18.95 | in index |
| billing conduct | 55.1 | 41.5 | 0.30 | 0.2308 | 12.72 | in index |
| staffing risk | 62.0 | 62.0 | 0.25 | 0.1923 | 11.92 | in index |
| financial risk | 46.0 | 43.1 | 0.30 | 0.2308 | 10.62 | in index |
| chow risk | 23.5 | 23.5 | 0.15 | 0.1154 | 2.71 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 41.5 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.9 | 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 | 22.1 | A | v0.6 | default · in composite | |
| financial risk | 43.1 | B | 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 | 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 | 79.0 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 62.0 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 52.9 | C | 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 | 32.9 | B | 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 | 41.9 | B | 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 | 48.5 | 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 | 78.9 | 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 | 78.9 | 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 | 62.0 | 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 | 62.0 | 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 | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 7.16 | -1.15 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.79 | -0.26 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Chain size (log) | 2.48 | +0.13 | |
| Contract staffing share | 0.01 | -0.09 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Staffing trend, last 4 quarters | 0.61 | +0.26 | |
| Chain size (log) | 2.48 | -0.24 | |
| Current owner tenure (years) | 7.16 | -0.18 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Occupancy | 0.79 | -0.17 |
| 2025Q4 HPRD | This facility | WI median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.10 | 3.60 | 3.28 | 2.90–3.77 |
| RN | 0.62 | 0.64 | 0.39 | 0.25–0.58 |
| Weekend total | 2.84 | 3.49 | 3.11 | — |
| Weekday total | 3.20 | 3.65 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 39.4 | 3.10 | 0.62 | 0.63 | 1.85 | 2.84 | 0.6% |
| 2025Q3 | 92 | 39.4 | 3.12 | 0.58 | 0.72 | 1.82 | 2.77 | 2.8% |
| 2025Q2 | 91 | 37.8 | 3.22 | 0.45 | 0.92 | 1.85 | 2.92 | 24.3% |
| 2025Q1 | 90 | 39.7 | 2.67 | 0.48 | 0.63 | 1.56 | 2.49 | 26.6% |
| 2024Q4 | 92 | 38.0 | 2.48 | 0.29 | 0.74 | 1.46 | 2.47 | 26.5% |
| 2024Q3 | 92 | 37.0 | 2.66 | 0.24 | 0.86 | 1.56 | 2.64 | 24.1% |
| 2024Q2 | 91 | 35.8 | 2.62 | 0.23 | 0.88 | 1.51 | 2.67 | 14.7% |
| 2024Q1 | 91 | 35.7 | 2.66 | 0.20 | 0.93 | 1.53 | 2.75 | 6.6% |
| 2023Q4 | 92 | 33.9 | 2.53 | 0.21 | 0.89 | 1.43 | 2.46 | 15.4% |
| 2023Q3 | 92 | 35.0 | 2.44 | 0.46 | 0.49 | 1.49 | 2.19 | 29.4% |
| 2023Q2 | 91 | 38.3 | 2.49 | 0.46 | 0.48 | 1.55 | 2.17 | 34.2% |
| 2023Q1 | 90 | 37.3 | 2.22 | 0.48 | 0.50 | 1.25 | 2.12 | 21.6% |
| 2022Q4 | 92 | 39.5 | 2.24 | 0.43 | 0.48 | 1.32 | 1.96 | 23.1% |
| 2022Q3 | 92 | 41.9 | 2.06 | 0.34 | 0.41 | 1.31 | 2.11 | 29.5% |
| 2022Q2 | 91 | 42.0 | 1.79 | 0.32 | 0.42 | 1.05 | 1.87 | 15.3% |
| 2022Q1 | 90 | 43.0 | 1.61 | 0.27 | 0.41 | 0.93 | 1.52 | 0.3% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-07-03 | Fine | $8,968 | CMS provider data |
| 2023-10-11 | Fine | $9,851 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-25 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-04-22 |
| 2026-03-25 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2026-04-22 |
| 2026-03-25 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-04-22 |
| 2026-03-25 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2026-04-22 |
| 2025-09-17 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-10-08 |
| 2025-09-17 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-10-08 |
| 2025-09-17 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2025-10-08 |
| 2025-09-17 | Health | F0908 | Keep all essential equipment working safely. | E | 2025-10-08 |
| 2025-03-12 | 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 | 2025-04-01 |
| 2025-03-12 | Health · complaint | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2025-04-01 |
| 2025-03-12 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-04-01 |
| 2025-03-12 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-04-01 |
| 2025-03-12 | Health · complaint | F0659 | Provide care by qualified persons according to each resident's written plan of care. | D | 2025-04-01 |
| 2025-03-12 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-04-01 |
| 2025-02-12 | 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 | 2025-03-05 |
| 2025-02-12 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-03-05 |
| 2025-02-12 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-03-05 |
| 2024-11-22 | Health · complaint | F0567 | Honor the resident's right to manage his or her financial affairs. | D | 2024-12-03 |
| 2024-11-22 | Health · complaint | 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 | 2024-11-23 |
| 2024-11-22 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-11-23 |
| 2024-09-03 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-09-04 |
| 2024-09-03 | Health · complaint | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2024-09-04 |
| 2024-08-20 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-08-28 |
| 2024-07-03 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-08-15 |
| 2024-07-03 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-08-15 |
| 2024-07-03 | 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 | 2024-08-15 |
| 2024-07-03 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-08-15 |
| 2024-07-03 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-08-15 |
| 2024-07-03 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-08-15 |
| 2024-06-03 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-06-28 |
| 2024-06-03 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-06-20 |
| 2024-04-16 | Health · complaint | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2024-04-17 |
| 2023-10-24 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2023-10-02 |
| 2023-10-11 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-11-03 |
| 2023-06-07 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2023-07-06 |
| 2023-06-07 | 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. | E | 2023-07-06 |
| 2023-06-07 | 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 | 2023-07-06 |
| 2023-06-07 | Health | F0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | D | 2023-07-06 |
| 2023-06-07 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-07-06 |
| 2023-06-07 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-07-06 |
| 2023-06-07 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-07-06 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CHAMPION WI REALTY LLC | Individual has financial interest in both related organization and provider | 50% | 2023-01-01 | current | hcris_a_8_1 |
| CHAMPION WI REALTY LLC | Individual has financial interest in both related organization and provider | 50% | 2024-01-01 | current | hcris_a_8_1 |
| RUVEL, MENACHEM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 48% | 2019-06-01 | current | pecos_ownership |
| WEINBERG, YISROEL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 48% | 2019-06-01 | current | pecos_ownership |
| CHAMPION CARE LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-06-01 | current | pecos_ownership |
| CHAMPION WI REALTY LLC | Individual has financial interest in both related organization and provider | 50% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| WOODLAND PROPERTY | Individual has financial interest in both related organization and provider | 50% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| MENACHEM RUVEL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 48% | 2019-06-01 | ended 2026-05-18 | pecos_ownership |
| YISROEL WEINBERG | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 48% | 2019-06-01 | ended 2026-05-18 | pecos_ownership |
| OCONTO PROPERTY | Individual has financial interest in both related organization and provider | 25% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2019-06-01 | — | BAY AT OCONTO HEALTH AND REHABILITATION CENTER LLC | WOODLANDS OF OCONTO INC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-05-28 | Complete Care at Hales Corners | — | — | — | 62 | HALES CORNERS CARE AND REHAB CENTER LLC |
| 2025-05-28 | Complete Care at Care Age | — | — | — | 110 | CARE AGE OF BROOKFIELD CARE AND REHAB CENTER LLC |
| 2025-04-24 | Edenbrook Sheboygan | — | — | — | 121 | SHEBOYGAN SNF OPERATIONS, LLC |
| 2025-02-28 | Complete Care at Jefferson Meadows LLC | — | — | — | 102 | ST CLARE CARE AND REHAB CENTER LLC |
| 2025-02-28 | Complete Care at Christian Home LLC | — | — | — | 50 | CHRISTIAN HOME CARE AND REHAB CENTER LLC |
| 2025-02-01 | COLONIAL HEALTH SERVICES | — | — | — | 70 | NSH COLBY LLC |
| 2024-12-14 | CAREVIEW HEALTH AND REHAB OF MINOCQUA | — | — | — | 72 | CAREVIEW HEALTH AND REHAB OF MINOCQUA, LLC |
| 2024-11-01 | Wood Aven Health and Rehabilitation | — | — | — | 82 | RIVER HAWK HEALTHCARE LLC |
| 2024-07-01 | Samaritan Nursing and Rehab | — | — | — | 131 | SAMARITAN NURSING AND REHAB LLC |
| 2024-05-01 | DOVE HEALTHCARE - SPOONER | — | — | — | 50 | SPOONER REHABILITATION AND NURSING CENTER LLC |
| 2024-04-16 | MIDDLE RIVER HEALTH AND REHABILITATION CENTER | — | — | — | 86 | MIDDLE RIVER REHABILITATION LLC |
| 2024-01-25 | Serenity Spring Senior Living at Scandia Village | — | — | — | 50 | SISTER BAY SNF OPCO, LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 55083 | acs median gross | 0 | $607 | 2024-12-31 | CENSUS_ACS5 |
| county 55083 | fmr | 0 | $723 | 2025-10-01 | HUD_USER_FMR |
| county 55083 | acs median gross | 1 | $656 | 2024-12-31 | CENSUS_ACS5 |
| county 55083 | fmr | 1 | $793 | 2025-10-01 | HUD_USER_FMR |
| county 55083 | acs median gross | 2 | $793 | 2024-12-31 | CENSUS_ACS5 |
| county 55083 | fmr | 2 | $973 | 2025-10-01 | HUD_USER_FMR |
| county 55083 | acs median gross | 3 | $1,083 | 2024-12-31 | CENSUS_ACS5 |
| county 55083 | fmr | 3 | $1,272 | 2025-10-01 | HUD_USER_FMR |
| county 55083 | acs median gross | 4 | $988 | 2024-12-31 | CENSUS_ACS5 |
| county 55083 | fmr | 4 | $1,288 | 2025-10-01 | HUD_USER_FMR |
| county 55083 | acs median gross | 5 | $850 | 2024-12-31 | CENSUS_ACS5 |
| county 55083 | acs median gross | $791 | 2024-12-31 | CENSUS_ACS5 | |
| county 55083 | acs recent mover gross | $970 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 54153 | acs median gross | 1 | $658 | 2024-12-31 | CENSUS_ACS5 |
| zcta 54153 | acs median gross | 2 | $799 | 2024-12-31 | CENSUS_ACS5 |
| zcta 54153 | acs median gross | 3 | $1,151 | 2024-12-31 | CENSUS_ACS5 |
| zcta 54153 | acs median gross | 4 | $880 | 2024-12-31 | CENSUS_ACS5 |
| zcta 54153 | acs median gross | $800 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 54153 | acs recent mover gross | $1,097 | 2024-12-31 | CENSUS_ACS5 | |
| zip 54153 | payment standard 110 | 0 | $803 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54153 | payment standard 90 | 0 | $657 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54153 | safmr | 0 | $730 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54153 | payment standard 110 | 1 | $880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54153 | payment standard 90 | 1 | $720 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54153 | safmr | 1 | $800 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54153 | payment standard 110 | 2 | $1,078 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54153 | payment standard 90 | 2 | $882 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54153 | safmr | 2 | $980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54153 | payment standard 110 | 3 | $1,408 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54153 | payment standard 90 | 3 | $1,152 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54153 | safmr | 3 | $1,280 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54153 | payment standard 110 | 4 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54153 | payment standard 90 | 4 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54153 | safmr | 4 | $1,300 | 2025-10-01 | HUD_USER_SAFMR |