Composite
57.7 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 79.2 | 66.2 | 0.30 | 0.2308 | 18.28 | in index |
| regulatory risk | 47.0 | 35.9 | 0.30 | 0.2308 | 10.85 | in index |
| chow risk | 84.1 | 64.9 | 0.15 | 0.1154 | 9.70 | in index |
| billing conduct | 30.8 | 31.9 | 0.30 | 0.2308 | 7.11 | in index |
| staffing risk | 27.4 | 27.5 | 0.25 | 0.1923 | 5.27 | 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 | 55.0 | C | 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 | 74.8 | D | v0.6 | default · in composite | |
| financial risk | 66.2 | 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 | 0.0 | — | 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 | 35.9 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 27.5 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 82.3 | 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 | 62.3 | C | 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 | 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 | 35.8 | 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 | 35.8 | 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 | 27.5 | B | 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 | 27.5 | B | 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) | 4.24 | -1.43 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.82 | -0.35 | |
| Deficiencies, last 12 months | 16.00 | +0.22 | |
| Total nurse staffing (HPRD) | 3.72 | -0.13 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 16.00 | -1.54 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.82 | -0.30 | |
| Never sold on record | 0.00 | -0.28 | |
| Ownership changes, last 5 years | 1.00 | +0.23 | |
| Current owner tenure (years) | 4.24 | -0.23 | |
| Total nurse staffing (HPRD) | 3.72 | -0.21 |
| 2025Q4 HPRD | This facility | CA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.72 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.18 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.70 | 3.79 | 3.11 | — |
| Weekday total | 3.73 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 108.9 | 3.72 | 0.18 | 0.87 | 2.67 | 3.70 | 0.1% |
| 2025Q3 | 92 | 113.4 | 3.71 | 0.15 | 0.85 | 2.71 | 3.68 | 0.1% |
| 2025Q2 | 91 | 107.6 | 3.76 | 0.16 | 0.87 | 2.73 | 3.71 | 0.9% |
| 2025Q1 | 90 | 113.7 | 3.70 | 0.13 | 0.89 | 2.68 | 3.69 | 0.7% |
| 2024Q4 | 92 | 113.5 | 3.65 | 0.11 | 0.87 | 2.68 | 3.63 | 0.5% |
| 2024Q3 | 92 | 112.8 | 3.77 | 0.10 | 0.83 | 2.84 | 3.67 | 0.5% |
| 2024Q2 | 91 | 108.2 | 3.79 | 0.10 | 0.93 | 2.75 | 3.55 | 2.1% |
| 2024Q1 | 91 | 105.7 | 3.72 | 0.14 | 0.87 | 2.70 | 3.54 | 2.9% |
| 2023Q4 | 92 | 96.0 | 3.85 | 0.11 | 0.89 | 2.85 | 3.70 | 1.0% |
| 2023Q3 | 92 | 99.5 | 3.75 | 0.09 | 0.93 | 2.73 | 3.60 | 0.9% |
| 2023Q2 | 91 | 88.0 | 3.84 | 0.14 | 0.94 | 2.76 | 3.64 | 0.4% |
| 2023Q1 | 90 | 95.5 | 3.73 | 0.13 | 0.99 | 2.60 | 3.57 | 2.5% |
| 2022Q4 | 92 | 87.3 | 3.47 | 0.26 | 0.73 | 2.48 | 3.28 | 0.9% |
| 2022Q3 | 92 | 81.0 | 3.94 | 0.24 | 0.86 | 2.84 | 3.74 | 0.0% |
| 2022Q2 | 91 | 72.9 | 4.08 | 0.28 | 0.77 | 3.02 | 3.79 | 0.0% |
| 2022Q1 | 90 | 75.8 | 4.32 | 0.34 | 0.85 | 3.14 | 3.97 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-04-01 | Payment Denial | — | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-10 | Health | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | 2026-04-30 |
| 2026-04-10 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2026-04-30 |
| 2026-04-10 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2026-04-30 |
| 2026-04-10 | 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 | 2026-04-30 |
| 2026-04-10 | 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 | 2026-04-30 |
| 2026-04-10 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2026-04-30 |
| 2026-04-10 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-04-30 |
| 2026-04-10 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-04-30 |
| 2026-04-10 | Health | F0732 | Post nurse staffing information every day. | D | 2026-04-30 |
| 2026-04-10 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2026-04-30 |
| 2026-04-10 | 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 | 2026-04-30 |
| 2026-04-10 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2026-04-30 |
| 2026-04-10 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2026-04-30 |
| 2026-04-10 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2026-04-30 |
| 2026-04-10 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | 2026-04-30 |
| 2026-01-02 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2026-01-12 |
| 2025-04-01 | 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 | 2025-05-06 |
| 2025-04-01 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-05-06 |
| 2024-11-01 | Health · complaint | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | 2024-12-11 |
| 2024-08-08 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-08-30 |
| 2024-08-08 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-08-30 |
| 2024-08-08 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | 2024-08-30 |
| 2024-04-25 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-04-26 |
| 2023-11-03 | 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 | 2023-12-22 |
| 2019-12-06 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2020-02-07 |
| 2019-12-06 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2020-02-07 |
| 2019-12-06 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2020-02-07 |
| 2019-12-06 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | 2020-02-07 |
| 2019-12-06 | 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. | F | 2020-02-07 |
| 2019-12-06 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2020-02-07 |
| 2019-12-06 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2020-02-07 |
| 2019-12-06 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2020-02-07 |
| 2019-12-06 | Health | F0908 | Keep all essential equipment working safely. | F | 2020-02-07 |
| 2019-12-06 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E | 2020-02-07 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| 361 E GRANGEVILLE LLC | Corporation, partnership or other organization has financial interest in provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| 361 E GRANGEVILLE LLC | Corporation, partnership or other organization has financial interest in provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| WEST HARBOR HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-05-10 | current | pecos_ownership |
| GALBASINI, KEVIN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 40% | 2022-05-10 | current | pecos_ownership |
| GILL, DANIEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 40% | 2022-05-10 | current | pecos_ownership |
| ROSENHAN, CAMERON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2022-05-10 | current | pecos_ownership |
| HACIENDA PROPERTIES | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-05-01 | hcris_a_8_1 |
| HACIENDA PROPERTIES | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| HACIENDA PROPERTIES | Individual has financial interest in both related organization and provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| DANIEL GILL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 40% | 2022-05-10 | ended 2026-05-18 | pecos_ownership |
| KEVIN GALBASINI | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 40% | 2022-05-10 | ended 2026-05-18 | pecos_ownership |
| CAMERON ROSENHAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2022-05-10 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2022-05-02 | — | PLAYA CONCHAL LLC | HACIENDA POST ACUTE INC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-08-01 | Turlock Nursing & Rehabilitation Center | — | — | — | 144 | TRACY RIDGE HEALTHCARE, INC. |
| 2025-04-01 | ALAMITOS WEST HEALTH & REHABILITATION | — | — | — | 150 | MALCOLM HEALTHCARE, INC. |
| 2025-04-01 | PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER | — | — | — | 99 | STRAWBERRY POND HEALTHCARE LLC |
| 2025-01-16 | GOLDEN HARBOR HEALTHCARE CENTER | — | — | — | 99 | CEYLON HOLDINGS LLC |
| 2024-12-30 | GRASS VALLEY HEALTHCARE CENTER | — | — | — | 86 | HEISMAN LLC |
| 2024-10-01 | REDWOOD GROVE POST ACUTE | — | — | — | 144 | SOQUEL CARE LLC |
| 2024-09-01 | OAK GROVE POST ACUTE | — | — | — | 119 | 4545 SHELLEY COURT OPCO, LLC |
| 2024-08-01 | WE CARE SKILLED NURSING - FREMONT | — | — | — | 99 | WE CARE SKILLED NURSING-FREMONT, LLC |
| 2024-05-01 | MAJESTIC MOUNTAIN CARE CENTER | — | — | — | 66 | OAKHURST SKILLED CARE LLC |
| 2024-04-01 | THE BRADLEY GARDENS | — | — | — | 44 | GHC OF SAN JACINTO LLC |
| 2024-04-01 | SANTA FE POST-ACUTE | — | — | — | 187 | SKILLED BOBIER LLC |
| 2024-04-01 | BAYSHIRE SAN DIMAS POST-ACUTE | — | — | — | 45 | SKILLED SAN DIMAS LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06031 | acs median gross | 0 | $904 | 2024-12-31 | CENSUS_ACS5 |
| county 06031 | fmr | 0 | $1,150 | 2025-10-01 | HUD_USER_FMR |
| county 06031 | acs median gross | 1 | $908 | 2024-12-31 | CENSUS_ACS5 |
| county 06031 | fmr | 1 | $1,157 | 2025-10-01 | HUD_USER_FMR |
| county 06031 | acs median gross | 2 | $1,190 | 2024-12-31 | CENSUS_ACS5 |
| county 06031 | fmr | 2 | $1,469 | 2025-10-01 | HUD_USER_FMR |
| county 06031 | acs median gross | 3 | $1,553 | 2024-12-31 | CENSUS_ACS5 |
| county 06031 | fmr | 3 | $2,043 | 2025-10-01 | HUD_USER_FMR |
| county 06031 | acs median gross | 4 | $1,817 | 2024-12-31 | CENSUS_ACS5 |
| county 06031 | fmr | 4 | $2,451 | 2025-10-01 | HUD_USER_FMR |
| county 06031 | acs median gross | 5 | $2,287 | 2024-12-31 | CENSUS_ACS5 |
| county 06031 | acs median gross | $1,331 | 2024-12-31 | CENSUS_ACS5 | |
| county 06031 | acs recent mover gross | $1,788 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 93230 | acs median gross | 0 | $896 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93230 | acs median gross | 1 | $923 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93230 | acs median gross | 2 | $1,174 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93230 | acs median gross | 3 | $1,568 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93230 | acs median gross | 4 | $1,780 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93230 | acs median gross | $1,305 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 93230 | acs recent mover gross | $2,109 | 2024-12-31 | CENSUS_ACS5 | |
| zip 93230 | payment standard 110 | 0 | $1,243 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93230 | payment standard 90 | 0 | $1,017 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93230 | safmr | 0 | $1,130 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93230 | payment standard 110 | 1 | $1,254 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93230 | payment standard 90 | 1 | $1,026 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93230 | safmr | 1 | $1,140 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93230 | payment standard 110 | 2 | $1,595 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93230 | payment standard 90 | 2 | $1,305 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93230 | safmr | 2 | $1,450 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93230 | payment standard 110 | 3 | $2,222 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93230 | payment standard 90 | 3 | $1,818 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93230 | safmr | 3 | $2,020 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93230 | payment standard 110 | 4 | $2,662 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93230 | payment standard 90 | 4 | $2,178 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93230 | safmr | 4 | $2,420 | 2025-10-01 | HUD_USER_SAFMR |