Composite
47.4 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 84.9 | 56.1 | 0.30 | 0.2308 | 19.59 | in index |
| regulatory risk | 74.8 | 70.9 | 0.30 | 0.2308 | 17.26 | in index |
| staffing risk | 36.1 | 36.1 | 0.25 | 0.1923 | 6.94 | in index |
| financial risk | 8.2 | 17.3 | 0.30 | 0.2308 | 1.89 | in index |
| chow risk | 15.7 | 15.4 | 0.15 | 0.1154 | 1.81 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 56.1 | 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 | 5.7 | A | v0.6 | default · in composite | |
| financial risk | 17.3 | A | 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 | 2.9 | — | 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 | 70.9 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 36.1 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 61.7 | 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 | 41.7 | 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 | 36.7 | 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 | 23.3 | A | 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 | 70.8 | 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 | 70.8 | 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 | 36.1 | 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 | 36.1 | 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 | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.92 | -0.64 | |
| 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 | |
| Deficiencies, last 12 months | 17.00 | +0.24 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 17.00 | -1.72 | |
| Chain size (log) | 0.00 | +1.20 | |
| Occupancy | 0.92 | -0.71 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 9.42 | -0.51 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Facility size (log beds) | 3.71 | +0.13 | |
| Total nurse staffing (HPRD) | 3.52 | -0.13 |
| 2025Q4 HPRD | This facility | ME median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.52 | 3.66 | 3.28 | 2.90–3.77 |
| RN | 0.95 | 0.79 | 0.39 | 0.25–0.58 |
| Weekend total | 3.43 | 3.50 | 3.11 | — |
| Weekday total | 3.56 | 3.71 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 36.7 | 3.52 | 0.95 | 0.67 | 1.90 | 3.43 | 2.1% |
| 2025Q3 | 92 | 38.1 | 3.37 | 0.98 | 0.56 | 1.83 | 3.31 | 1.2% |
| 2025Q2 | 91 | 38.2 | 3.41 | 1.12 | 0.56 | 1.74 | 3.43 | 1.8% |
| 2025Q1 | 90 | 38.2 | 3.59 | 1.12 | 0.55 | 1.92 | 3.52 | 0.0% |
| 2024Q4 | 92 | 37.1 | 3.66 | 1.10 | 0.49 | 2.07 | 3.57 | 0.0% |
| 2024Q3 | 92 | 38.1 | 3.69 | 1.12 | 0.51 | 2.07 | 3.46 | 0.0% |
| 2024Q2 | 91 | 38.1 | 3.51 | 1.14 | 0.52 | 1.85 | 3.37 | 2.7% |
| 2024Q1 | 91 | 37.1 | 3.59 | 1.25 | 0.41 | 1.94 | 3.39 | 5.5% |
| 2023Q4 | 92 | 37.8 | 3.45 | 1.32 | 0.28 | 1.84 | 3.19 | 0.3% |
| 2023Q3 | 92 | 37.8 | 3.62 | 1.29 | 0.38 | 1.95 | 3.27 | 0.0% |
| 2023Q2 | 91 | 37.5 | 3.69 | 1.06 | 0.56 | 2.06 | 3.33 | 0.0% |
| 2023Q1 | 90 | 38.3 | 3.83 | 1.09 | 0.71 | 2.04 | 3.50 | 0.0% |
| 2022Q4 | 92 | 38.0 | 3.75 | 1.05 | 0.59 | 2.11 | 3.49 | 0.0% |
| 2022Q3 | 92 | 37.2 | 4.15 | 0.93 | 0.66 | 2.56 | 4.24 | 0.0% |
| 2022Q2 | 91 | 37.5 | 4.25 | 0.98 | 0.70 | 2.57 | 4.18 | 1.9% |
| 2022Q1 | 90 | 36.7 | 4.25 | 1.14 | 0.61 | 2.51 | 4.05 | 11.8% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-12-30 | Fine | $12,375 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-01-14 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-02-26 |
| 2026-01-14 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | D | 2026-02-26 |
| 2026-01-14 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | B | 2026-02-26 |
| 2026-01-14 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2026-02-26 |
| 2026-01-14 | Health | F0583 | Keep residents' personal and medical records private and confidential. | E | 2026-02-26 |
| 2026-01-14 | 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 | 2026-02-26 |
| 2026-01-14 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | B | 2026-02-26 |
| 2026-01-14 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2026-02-26 |
| 2026-01-14 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2026-02-26 |
| 2026-01-14 | 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 | 2026-02-26 |
| 2026-01-14 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-02-26 |
| 2026-01-14 | 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 | 2026-02-26 |
| 2026-01-14 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2026-02-26 |
| 2026-01-14 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2026-02-26 |
| 2026-01-14 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2026-02-26 |
| 2026-01-14 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2026-02-26 |
| 2025-12-30 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2026-02-11 |
| 2025-07-22 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-08-22 |
| 2025-07-22 | 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 | 2025-08-22 |
| 2025-07-22 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-08-22 |
| 2025-07-22 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-07-21 |
| 2025-07-22 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-08-22 |
| 2024-12-04 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-01-14 |
| 2024-12-04 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | 2025-01-14 |
| 2024-12-04 | 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 | 2025-02-25 |
| 2024-12-04 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2025-01-14 |
| 2024-12-04 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-01-14 |
| 2024-12-04 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2025-01-14 |
| 2024-12-04 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | 2025-02-25 |
| 2024-12-04 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | 2025-01-14 |
| 2023-10-19 | 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 | 2023-11-22 |
| 2023-10-19 | Health | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2023-11-22 |
| 2023-10-19 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2023-11-22 |
| 2023-10-19 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2023-11-22 |
| 2023-10-19 | 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. | D | 2023-11-22 |
| 2023-10-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-11-22 |
| 2023-10-19 | Health | F0814 | Dispose of garbage and refuse properly. | E | 2023-11-22 |
| 2023-10-19 | Health | F0880 | Provide and implement an infection prevention and control program. | C | 2023-11-22 |
| 2023-10-19 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | 2023-11-22 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| GENESIS HEALTHCARE OF MAINE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2012-10-02 | current | pecos_ownership |
| BERG, MICHAEL | CORPORATE OFFICER | — | 2012-12-01 | current | pecos_ownership |
| BRIDGEFORD, LAURA | CORPORATE OFFICER | — | 2024-06-01 | current | pecos_ownership |
| CARLSON, DENNIS | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | current | pecos_ownership |
| GEN OPERATIONS I LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2011-04-01 | current | pecos_ownership |
| GEN OPERATIONS II LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2011-04-01 | current | pecos_ownership |
| GENESIS HEALTHCARE INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 | current | pecos_ownership |
| GENESIS HEALTHCARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2011-04-01 | current | pecos_ownership |
| GENESIS HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 | current | pecos_ownership |
| MENDELSON, AVI | CORPORATE OFFICER | — | 2024-06-01 | current | pecos_ownership |
| SUN HEALTHCARE GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-02-02 | current | pecos_ownership |
| WHITMAN, ARNOLD | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-03-01 | current | pecos_ownership |
| YNTEMA, LAURIE | ADP OF THE SNF | — | 2021-08-02 | current | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2023-07-19 | BREAKWATER COMMONS | — | — | — | 96 | BREAKWATER COMMONS OPERATIONS, LLC |
| 2021-05-01 | SUMMER COMMONS | — | — | — | 64 | SANFORD SENIOR CARE OPERATIONS, LLC |
| 2020-07-01 | PINNACLE HEALTH & REHAB AT SOUTH PORTLAND | — | — | — | 73 | PINNACLE GROUP OF HUDSON VALLEY IV LLC |
| 2019-08-05 | PINNACLE HEALTH & REHAB AT N BERWICK | — | — | — | 64 | PINNACLE GROUP OF HUDSON VALLEY III LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 23027 | acs median gross | 0 | $772 | 2024-12-31 | CENSUS_ACS5 |
| county 23027 | acs median gross | 1 | $844 | 2024-12-31 | CENSUS_ACS5 |
| county 23027 | acs median gross | 2 | $998 | 2024-12-31 | CENSUS_ACS5 |
| county 23027 | acs median gross | 3 | $1,219 | 2024-12-31 | CENSUS_ACS5 |
| county 23027 | acs median gross | 4 | $1,102 | 2024-12-31 | CENSUS_ACS5 |
| county 23027 | acs median gross | 5 | $1,486 | 2024-12-31 | CENSUS_ACS5 |
| county 23027 | acs median gross | $1,021 | 2024-12-31 | CENSUS_ACS5 | |
| county 23027 | acs recent mover gross | $1,331 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 04915 | acs median gross | 0 | $916 | 2024-12-31 | CENSUS_ACS5 |
| zcta 04915 | acs median gross | 1 | $744 | 2024-12-31 | CENSUS_ACS5 |
| zcta 04915 | acs median gross | 2 | $981 | 2024-12-31 | CENSUS_ACS5 |
| zcta 04915 | acs median gross | 3 | $1,371 | 2024-12-31 | CENSUS_ACS5 |
| zcta 04915 | acs median gross | $972 | 2024-12-31 | CENSUS_ACS5 | |
| zip 04915 | payment standard 110 | 0 | $1,287 | 2025-10-01 | HUD_USER_SAFMR |
| zip 04915 | payment standard 90 | 0 | $1,053 | 2025-10-01 | HUD_USER_SAFMR |
| zip 04915 | safmr | 0 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 04915 | payment standard 110 | 1 | $1,298 | 2025-10-01 | HUD_USER_SAFMR |
| zip 04915 | payment standard 90 | 1 | $1,062 | 2025-10-01 | HUD_USER_SAFMR |
| zip 04915 | safmr | 1 | $1,180 | 2025-10-01 | HUD_USER_SAFMR |
| zip 04915 | payment standard 110 | 2 | $1,606 | 2025-10-01 | HUD_USER_SAFMR |
| zip 04915 | payment standard 90 | 2 | $1,314 | 2025-10-01 | HUD_USER_SAFMR |
| zip 04915 | safmr | 2 | $1,460 | 2025-10-01 | HUD_USER_SAFMR |
| zip 04915 | payment standard 110 | 3 | $2,079 | 2025-10-01 | HUD_USER_SAFMR |
| zip 04915 | payment standard 90 | 3 | $1,701 | 2025-10-01 | HUD_USER_SAFMR |
| zip 04915 | safmr | 3 | $1,890 | 2025-10-01 | HUD_USER_SAFMR |
| zip 04915 | payment standard 110 | 4 | $2,266 | 2025-10-01 | HUD_USER_SAFMR |
| zip 04915 | payment standard 90 | 4 | $1,854 | 2025-10-01 | HUD_USER_SAFMR |
| zip 04915 | safmr | 4 | $2,060 | 2025-10-01 | HUD_USER_SAFMR |