Composite
37.2 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 72.0 | 67.5 | 0.30 | 0.3000 | 21.60 | in index |
| staffing risk | 79.5 | 79.5 | 0.25 | 0.2500 | 19.88 | in index |
| chow risk | 14.5 | 14.2 | 0.15 | 0.1500 | 2.18 | in index |
| financial risk | 0.2 | 3.0 | 0.30 | 0.3000 | 0.06 | 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. |
| chow risk | 3.5 | A | v0.6 | default · in composite | |
| financial risk | 3.0 | 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 | 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 | 67.5 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 79.5 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 52.5 | 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 | 32.5 | 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 | 25.5 | 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 | 7.5 | 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 | 67.4 | 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 | 67.4 | 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 | 79.5 | D | 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 | 79.5 | D | 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) | 6.08 | -1.26 | |
| Occupancy | 0.99 | -0.84 | |
| 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 | 0.00 | -0.17 | |
| Chain size (log) | 2.48 | +0.13 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| Occupancy | 0.99 | -1.00 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Chain size (log) | 2.48 | -0.24 | |
| Current owner tenure (years) | 6.08 | -0.20 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
| 2025Q4 HPRD | This facility | OH median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.82 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.42 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 2.76 | 3.11 | 3.11 | — |
| Weekday total | 2.84 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 97.7 | 2.82 | 0.42 | 0.50 | 1.90 | 2.76 | 0.0% |
| 2025Q3 | 92 | 97.3 | 2.80 | 0.42 | 0.57 | 1.81 | 2.65 | 0.0% |
| 2025Q2 | 91 | 98.0 | 2.71 | 0.44 | 0.50 | 1.77 | 2.62 | 0.0% |
| 2025Q1 | 90 | 96.9 | 2.73 | 0.39 | 0.47 | 1.87 | 2.73 | 0.0% |
| 2024Q4 | 92 | 97.2 | 2.71 | 0.39 | 0.49 | 1.84 | 2.76 | 0.0% |
| 2024Q3 | 92 | 97.7 | 2.77 | 0.45 | 0.45 | 1.87 | 2.73 | 0.0% |
| 2024Q2 | 91 | 98.1 | 3.29 | 0.52 | 0.56 | 2.21 | 3.32 | 0.0% |
| 2024Q1 | 91 | 96.1 | 2.97 | 0.50 | 0.63 | 1.83 | 2.99 | 0.0% |
| 2023Q4 | 92 | 97.4 | 2.58 | 0.47 | 0.56 | 1.55 | 2.57 | 0.0% |
| 2023Q3 | 92 | 97.9 | 2.46 | 0.45 | 0.55 | 1.46 | 2.40 | 0.0% |
| 2023Q2 | 91 | 97.6 | 2.48 | 0.36 | 0.71 | 1.41 | 2.30 | 0.0% |
| 2023Q1 | 90 | 96.3 | 2.40 | 0.33 | 0.65 | 1.42 | 2.23 | 0.0% |
| 2022Q4 | 92 | 95.8 | 2.29 | 0.31 | 0.61 | 1.38 | 2.18 | 0.0% |
| 2022Q3 | 92 | 95.8 | 2.54 | 0.37 | 0.64 | 1.54 | 2.36 | 0.0% |
| 2022Q2 | 91 | 95.3 | 2.75 | 0.37 | 0.76 | 1.62 | 2.46 | 0.0% |
| 2022Q1 | 90 | 94.8 | 2.67 | 0.41 | 0.61 | 1.64 | 2.40 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-03-10 | Fine | $26,685 | CMS provider data |
| 2025-03-10 | Payment Denial | — | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-03-10 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-04-14 |
| 2025-03-10 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-04-15 |
| 2025-01-15 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-01-31 |
| 2025-01-15 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2025-01-31 |
| 2025-01-15 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2025-01-31 |
| 2024-08-27 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | D | 2024-10-02 |
| 2024-08-27 | 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 | 2024-10-02 |
| 2024-08-27 | 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 | 2024-10-02 |
| 2024-08-27 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2024-10-02 |
| 2024-08-27 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2024-10-02 |
| 2024-08-27 | Health | F0680 | Ensure the activities program is directed by a qualified professional. | F | 2024-10-02 |
| 2024-08-27 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-10-02 |
| 2024-08-27 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2024-10-02 |
| 2024-08-27 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-10-02 |
| 2024-08-27 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2024-10-02 |
| 2024-08-27 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2024-10-02 |
| 2024-08-27 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-10-02 |
| 2024-08-27 | 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. | F | 2024-10-02 |
| 2024-08-27 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-10-02 |
| 2024-08-27 | Health | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | 2024-10-02 |
| 2024-08-27 | Health | F0843 | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | C | 2024-10-02 |
| 2024-08-27 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-10-02 |
| 2024-03-06 | Health · complaint | F0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | F | 2024-02-12 |
| 2022-02-22 | 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. | D | 2022-04-01 |
| 2022-02-22 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2022-04-01 |
| 2022-02-22 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2022-04-01 |
| 2022-02-22 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2022-04-01 |
| 2019-04-25 | 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 | 2019-05-21 |
| 2019-04-25 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2019-05-21 |
| 2019-04-25 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2019-05-21 |
| 2019-04-25 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2019-05-21 |
| 2019-04-25 | 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 | 2019-05-21 |
| 2019-04-25 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2019-05-21 |
| 2019-04-25 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2019-05-21 |
| 2019-04-25 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2019-05-21 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| LIONSTONE HZ OPCO HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-01-01 | current | pecos_ownership |
| KAZARNOVSKY, SOLOMON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2023-01-01 | current | pecos_ownership |
| STEIN, ABBA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2023-01-01 | current | pecos_ownership |
| CUSNER, ADAM | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-27 | current | pecos_ownership |
| DEGYANSKY, JEFFREY | CORPORATE OFFICER | — | 2020-01-01 | current | pecos_ownership |
| DEGYANSKY, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-01-01 | current | pecos_ownership |
| GOLDISH, ELIEZER | CORPORATE OFFICER | — | 2023-10-09 | current | pecos_ownership |
| ALZHEIMERS MED PROPERTIES | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| ALZHEIMERS MED PROPERTIES | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| ALZHEIMERS MED PROPERTIES LTD. | Individual has financial interest in both related organization and provider | 100% | 2020-07-01 | ended 2020-12-31 | hcris_a_8_1 |
| ABBA STEIN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| SOLOMON KAZARNOVSKY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| ADAM CUSNER | CORPORATE OFFICER | — | 2025-01-27 | ended 2026-05-18 | pecos_ownership |
| ELIEZER GOLDISH | CORPORATE OFFICER | — | 2023-10-09 | ended 2026-05-18 | pecos_ownership |
| JEFFREY DEGYANSKY | ADP OF THE SNF | — | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| JEFFREY DEGYANSKY | CORPORATE OFFICER | — | 2020-01-01 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2020-07-01 | — | COLUMBUS ALZHEIMERS OPERATING COMPANY, LLC | HEALTHCARE VENTURES OF OHIO LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-12-31 | SAPPHIRE REHABILITATION AND CARE CENTER | — | — | — | 113 | SAPPHIRE OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF POINT PLACE | — | — | — | 82 | POINT PLACE OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF NEW LEXINGTON | — | — | — | 82 | NEW LEXINGTON OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | Atrium Nursing and Rehabilitation | — | — | — | 99 | ATRIUM OPCO LLC |
| 2024-12-31 | Inniswood Health and Rehabilitation | — | — | — | 99 | FHS INNISWOOD, INC. |
| 2024-12-31 | COMMUNITY SKILLED HEALTHCARE | — | — | — | 110 | CS OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF PERRYSBURG | — | — | — | 75 | PERRYSBURG OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | GRAFTON OAKS NURSING CENTER | — | — | — | 99 | GO OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF KENT | — | — | — | 74 | KENT OH HEALTH & REHAB OPCO LLC |
| 2024-12-30 | Chardon Woods | — | — | — | 161 | CHARDON WOODS OF JOURNEY LLC |
| 2024-12-16 | The Pavilion at Canal Fulton for Nursing and Rehab | — | — | — | 60 | PAVILION AT CANAL FULTON LLC |
| 2024-12-02 | BENNINGTON GLEN NURSING & REHABILITATION CENTER | — | — | — | 79 | FHS BENNINGTON INC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 39049 | acs median gross | 0 | $1,112 | 2024-12-31 | CENSUS_ACS5 |
| county 39049 | fmr | 0 | $1,111 | 2025-10-01 | HUD_USER_FMR |
| county 39049 | acs median gross | 1 | $1,119 | 2024-12-31 | CENSUS_ACS5 |
| county 39049 | fmr | 1 | $1,194 | 2025-10-01 | HUD_USER_FMR |
| county 39049 | acs median gross | 2 | $1,339 | 2024-12-31 | CENSUS_ACS5 |
| county 39049 | fmr | 2 | $1,430 | 2025-10-01 | HUD_USER_FMR |
| county 39049 | acs median gross | 3 | $1,469 | 2024-12-31 | CENSUS_ACS5 |
| county 39049 | fmr | 3 | $1,715 | 2025-10-01 | HUD_USER_FMR |
| county 39049 | acs median gross | 4 | $1,711 | 2024-12-31 | CENSUS_ACS5 |
| county 39049 | fmr | 4 | $1,927 | 2025-10-01 | HUD_USER_FMR |
| county 39049 | acs median gross | 5 | $1,617 | 2024-12-31 | CENSUS_ACS5 |
| county 39049 | acs median gross | $1,302 | 2024-12-31 | CENSUS_ACS5 | |
| county 39049 | acs recent mover gross | $1,444 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 43214 | acs median gross | 0 | $897 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43214 | acs median gross | 1 | $1,027 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43214 | acs median gross | 2 | $1,401 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43214 | acs median gross | 3 | $1,548 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43214 | acs median gross | 4 | $2,186 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43214 | acs median gross | $1,272 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 43214 | acs recent mover gross | $1,482 | 2024-12-31 | CENSUS_ACS5 | |
| zip 43214 | payment standard 110 | 0 | $1,221 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43214 | payment standard 90 | 0 | $999 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43214 | safmr | 0 | $1,110 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43214 | payment standard 110 | 1 | $1,309 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43214 | payment standard 90 | 1 | $1,071 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43214 | safmr | 1 | $1,190 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43214 | payment standard 110 | 2 | $1,573 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43214 | payment standard 90 | 2 | $1,287 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43214 | safmr | 2 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43214 | payment standard 110 | 3 | $1,881 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43214 | payment standard 90 | 3 | $1,539 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43214 | safmr | 3 | $1,710 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43214 | payment standard 110 | 4 | $2,123 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43214 | payment standard 90 | 4 | $1,737 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43214 | safmr | 4 | $1,930 | 2025-10-01 | HUD_USER_SAFMR |