Composite
97.4 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 90.9 | 78.7 | 0.30 | 0.2308 | 20.98 | in index |
| billing conduct | 80.9 | 53.5 | 0.30 | 0.2308 | 18.67 | in index |
| staffing risk | 87.0 | 87.0 | 0.25 | 0.1923 | 16.73 | in index |
| regulatory risk | 53.4 | 43.1 | 0.30 | 0.2308 | 12.32 | in index |
| chow risk | 57.9 | 56.3 | 0.15 | 0.1154 | 6.68 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 53.5 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| 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 | 87.6 | F | v0.6 | default · in composite | |
| financial risk | 78.7 | D | 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 | 0.3 | — | 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 | 43.1 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 87.0 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 95.2 | 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 | 75.2 | 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 | 62.6 | 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 | 79.9 | 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 | 44.2 | 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 | 44.2 | 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 | 87.0 | 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 | 87.0 | 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 | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 7.91 | -1.08 | |
| Occupancy | 0.43 | +0.76 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 12.00 | +0.12 | |
| Contract staffing share | 0.00 | -0.10 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.43 | +1.32 | |
| Deficiencies, last 12 months | 12.00 | -0.80 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Total nurse staffing (HPRD) | 2.63 | +0.24 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Staffing trend, last 4 quarters | -0.32 | -0.18 |
| 2025Q4 HPRD | This facility | NE median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.63 | 2.88 | 3.28 | 2.90–3.77 |
| RN | 0.91 | 0.42 | 0.39 | 0.25–0.58 |
| Weekend total | 2.29 | 2.75 | 3.11 | — |
| Weekday total | 2.77 | 2.96 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 30.4 | 2.63 | 0.91 | 0.03 | 1.70 | 2.29 | 0.0% |
| 2025Q3 | 92 | 29.8 | 2.68 | 0.83 | 0.11 | 1.75 | 2.48 | 0.0% |
| 2025Q2 | 91 | 30.7 | 2.47 | 0.38 | 0.39 | 1.71 | 2.20 | 0.0% |
| 2025Q1 | 90 | 32.1 | 2.30 | 0.53 | 0.13 | 1.64 | 2.18 | 0.0% |
| 2024Q4 | 92 | 27.4 | 2.96 | 0.77 | 0.18 | 2.01 | 2.85 | 0.0% |
| 2024Q3 | 92 | 30.6 | 2.49 | 0.44 | 0.22 | 1.83 | 2.39 | 0.0% |
| 2024Q2 | 91 | 31.0 | 2.44 | 0.61 | 0.27 | 1.56 | 2.15 | 19.4% |
| 2024Q1 | 91 | 32.6 | 2.21 | 0.64 | 0.21 | 1.37 | 2.04 | 46.9% |
| 2023Q4 | 92 | 30.7 | 2.11 | 0.64 | 0.36 | 1.11 | 2.04 | 49.3% |
| 2023Q3 | 92 | 32.7 | 1.75 | 0.22 | 0.52 | 1.01 | 1.50 | 42.0% |
| 2023Q2 | 91 | 30.8 | 2.03 | 0.06 | 0.65 | 1.32 | 1.70 | 4.7% |
| 2023Q1 | 90 | 33.4 | 2.14 | 0.36 | 0.71 | 1.06 | 1.82 | 15.4% |
| 2022Q4 | 92 | 29.1 | 2.65 | 0.37 | 0.95 | 1.32 | 2.32 | 32.6% |
| 2022Q3 | 92 | 30.3 | 2.33 | 0.12 | 1.02 | 1.19 | 2.29 | 41.1% |
| 2022Q2 | 91 | 30.4 | 2.79 | 0.28 | 0.82 | 1.69 | 2.74 | 41.1% |
| 2022Q1 | 90 | 31.6 | 2.30 | 0.25 | 0.73 | 1.32 | 2.19 | 41.1% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-12-08 | Payment Denial | — | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-08 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2026-01-22 |
| 2025-12-08 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | 2026-01-22 |
| 2025-12-08 | Health | F0610 | Respond appropriately to all alleged violations. | E | 2026-01-22 |
| 2025-12-08 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-01-22 |
| 2025-12-08 | 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 | 2026-01-22 |
| 2025-12-08 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2026-01-22 |
| 2025-12-08 | 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. | E | 2026-01-22 |
| 2025-12-08 | 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 | 2026-01-22 |
| 2025-12-08 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2026-01-22 |
| 2025-12-08 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-01-22 |
| 2025-12-08 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2026-01-22 |
| 2025-12-08 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | 2026-01-22 |
| 2025-02-25 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-03-14 |
| 2025-02-25 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-03-14 |
| 2024-09-04 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-10-07 |
| 2024-09-04 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-10-07 |
| 2024-09-04 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-10-07 |
| 2024-09-04 | 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 | 2024-10-07 |
| 2024-09-04 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-10-07 |
| 2024-09-04 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-10-07 |
| 2024-09-04 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-10-07 |
| 2024-09-04 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-10-07 |
| 2024-09-04 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-10-07 |
| 2024-09-04 | 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. | E | 2024-10-07 |
| 2024-09-04 | 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. | E | 2024-10-07 |
| 2024-09-04 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-10-07 |
| 2024-09-04 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-10-07 |
| 2024-09-04 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2024-10-07 |
| 2024-09-04 | Health | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | 2024-10-07 |
| 2024-09-04 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | 2024-10-07 |
| 2024-04-02 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2024-04-17 |
| 2024-04-02 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-04-17 |
| 2023-08-16 | Health · complaint | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | 2023-09-06 |
| 2023-07-26 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-09-09 |
| 2023-07-26 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-09-09 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| LANTIS ENTERPRISES, INC | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-09-01 | current | pecos_ownership |
| LANTIS, CAMMY | INDIRECT OWNERSHIP INTEREST | — | 2018-09-01 | current | pecos_ownership |
| LANTIS, MARY | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-09-01 | current | pecos_ownership |
| LANTIS, TRAVIS | INDIRECT OWNERSHIP INTEREST | — | 2018-09-01 | current | pecos_ownership |
| MOORE, MICHAEL | MANAGING CONTROL - GOVERNING BODY | — | 2018-09-01 | current | pecos_ownership |
| RINARD, SANDRA | MANAGING CONTROL - GOVERNING BODY | — | 2018-09-01 | current | pecos_ownership |
| SCHUCKMAN, MEGAN | ADP OF THE SNF | — | 2022-01-01 | current | pecos_ownership |
| SOULEK, WENDY | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-09-01 | current | pecos_ownership |
| WICHMAN, HELEN | ADP OF THE SNF | — | 2023-09-05 | current | pecos_ownership |
| MARY LANTIS | INDIRECT OWNERSHIP INTEREST | 52% | 2018-09-01 | ended 2026-05-18 | pecos_ownership |
| CAMMY LANTIS | INDIRECT OWNERSHIP INTEREST | 12% | 2018-09-01 | ended 2026-05-18 | pecos_ownership |
| SANDRA RINARD | INDIRECT OWNERSHIP INTEREST | 12% | 2018-09-01 | ended 2026-05-18 | pecos_ownership |
| TRAVIS LANTIS | INDIRECT OWNERSHIP INTEREST | 12% | 2018-09-01 | ended 2026-05-18 | pecos_ownership |
| WENDY SOULEK | OPERATIONAL/MANAGERIAL CONTROL | 12% | 2018-09-01 | ended 2026-05-18 | pecos_ownership |
| HELEN WICHMAN | ADP OF THE SNF | — | 2023-09-05 | ended 2026-05-18 | pecos_ownership |
| MEGAN SCHUCKMAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-01-01 | ended 2026-05-18 | pecos_ownership |
| MICHAEL MOORE | MANAGING CONTROL - GOVERNING BODY | — | 2018-09-01 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2018-09-01 | — | KISMET CDR, LLC | CHADRON HEALTHCARE LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-04-01 | Accura HealthCare of North Platte | — | — | — | 71 | ACCURA HEALTHCARE OF NORTH PLATTE LLC |
| 2024-10-01 | St. Joseph's Rehabilitation and Care Center | — | — | — | 83 | RAVENSCROFT HEALTHCARE LLC |
| 2024-08-15 | Holmes Lake Rehabilitation & Care Center | — | — | — | 97 | HOLMES LAKE OPERATIONS LLC |
| 2024-04-01 | Heritage of Webster County | — | — | — | 43 | WEBSTER COUNTY COMMUNITY HOSPITAL FOUNDATION, INC. |
| 2024-03-01 | The Cypress at Midtown | — | — | — | 61 | CYPRESS AT MIDTOWN LLC |
| 2024-03-01 | The Banyan at Montclair | — | — | — | 175 | BANYAN AT MONTCLAIR LLC |
| 2023-08-02 | Adept Nursing & Rehab of Central City | — | — | — | 63 | OAKS AT CENTRAL CITY LLC |
| 2023-08-02 | Adept Nursing & Rehab of Blue Hill | — | — | — | 62 | PINES AT BLUE HILL LLC |
| 2023-08-02 | Adept Nursing & Rehab of North Platte | — | — | — | 94 | MAPLES AT CENTENNIAL LLC |
| 2023-08-02 | Adept Nursing & Rehab of Ashland | — | — | — | 97 | MEADOWS AT ASHLAND LLC |
| 2023-08-02 | Adept Nursing & Rehab of Sutherland | — | — | — | 60 | BIRCH AT SUTHERLAND LLC |
| 2023-08-02 | Adept Nursing & Rehab of Grand Island | — | — | — | 76 | CEDARS AT BROADWELL LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 31045 | fmr | 0 | $715 | 2025-10-01 | HUD_USER_FMR |
| county 31045 | acs median gross | 1 | $919 | 2024-12-31 | CENSUS_ACS5 |
| county 31045 | fmr | 1 | $786 | 2025-10-01 | HUD_USER_FMR |
| county 31045 | acs median gross | 2 | $966 | 2024-12-31 | CENSUS_ACS5 |
| county 31045 | fmr | 2 | $1,031 | 2025-10-01 | HUD_USER_FMR |
| county 31045 | acs median gross | 3 | $789 | 2024-12-31 | CENSUS_ACS5 |
| county 31045 | fmr | 3 | $1,372 | 2025-10-01 | HUD_USER_FMR |
| county 31045 | acs median gross | 4 | $1,099 | 2024-12-31 | CENSUS_ACS5 |
| county 31045 | fmr | 4 | $1,378 | 2025-10-01 | HUD_USER_FMR |
| county 31045 | acs median gross | $900 | 2024-12-31 | CENSUS_ACS5 | |
| county 31045 | acs recent mover gross | $832 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 69337 | acs median gross | 1 | $1,000 | 2024-12-31 | CENSUS_ACS5 |
| zcta 69337 | acs median gross | 2 | $947 | 2024-12-31 | CENSUS_ACS5 |
| zcta 69337 | acs median gross | 3 | $789 | 2024-12-31 | CENSUS_ACS5 |
| zcta 69337 | acs median gross | 4 | $1,114 | 2024-12-31 | CENSUS_ACS5 |
| zcta 69337 | acs median gross | $923 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 69337 | acs recent mover gross | $835 | 2024-12-31 | CENSUS_ACS5 | |
| zip 69337 | payment standard 110 | 0 | $792 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69337 | payment standard 90 | 0 | $648 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69337 | safmr | 0 | $720 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69337 | payment standard 110 | 1 | $869 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69337 | payment standard 90 | 1 | $711 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69337 | safmr | 1 | $790 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69337 | payment standard 110 | 2 | $1,144 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69337 | payment standard 90 | 2 | $936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69337 | safmr | 2 | $1,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69337 | payment standard 110 | 3 | $1,518 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69337 | payment standard 90 | 3 | $1,242 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69337 | safmr | 3 | $1,380 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69337 | payment standard 110 | 4 | $1,529 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69337 | payment standard 90 | 4 | $1,251 | 2025-10-01 | HUD_USER_SAFMR |
| zip 69337 | safmr | 4 | $1,390 | 2025-10-01 | HUD_USER_SAFMR |