Composite
31.8 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 75.8 | 50.5 | 0.30 | 0.2308 | 17.49 | in index |
| staffing risk | 59.8 | 59.8 | 0.25 | 0.1923 | 11.50 | in index |
| regulatory risk | 47.0 | 35.9 | 0.30 | 0.2308 | 10.85 | in index |
| chow risk | 10.1 | 15.8 | 0.15 | 0.1154 | 1.17 | in index |
| financial risk | 1.9 | 8.6 | 0.30 | 0.2308 | 0.44 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 50.5 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.1 | 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 | 7.5 | A | v0.6 | default · in composite | |
| financial risk | 8.6 | 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 | 3.4 | — | 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 | 59.8 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 58.4 | 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 | 38.4 | 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 | 30.6 | 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 | 14.6 | 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 | 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 | 59.8 | 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 | 59.8 | 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 | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.93 | -0.66 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Chain size (log) | 4.16 | +0.48 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 1.00 | -0.15 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 1.00 | +1.24 | |
| Chain size (log) | 4.16 | -1.22 | |
| Occupancy | 0.93 | -0.74 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 | |
| Current owner tenure (years) | 25.00 | +0.11 |
| 2025Q4 HPRD | This facility | OH median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.14 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.45 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.10 | 3.11 | 3.11 | — |
| Weekday total | 3.15 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 83.3 | 3.14 | 0.45 | 0.57 | 2.12 | 3.10 | 0.0% |
| 2025Q3 | 92 | 86.6 | 3.04 | 0.45 | 0.52 | 2.07 | 2.93 | 0.0% |
| 2025Q2 | 91 | 83.7 | 3.08 | 0.51 | 0.49 | 2.09 | 3.01 | 0.0% |
| 2025Q1 | 90 | 83.7 | 3.03 | 0.36 | 0.63 | 2.04 | 2.97 | 0.0% |
| 2024Q4 | 92 | 84.1 | 3.06 | 0.48 | 0.52 | 2.06 | 2.94 | 0.0% |
| 2024Q3 | 92 | 86.6 | 3.05 | 0.53 | 0.48 | 2.03 | 2.93 | 0.0% |
| 2024Q2 | 91 | 84.2 | 3.12 | 0.60 | 0.44 | 2.08 | 3.01 | 0.0% |
| 2024Q1 | 91 | 84.9 | 2.95 | 0.54 | 0.46 | 1.95 | 2.94 | 0.0% |
| 2023Q4 | 92 | 90.3 | 2.67 | 0.52 | 0.43 | 1.73 | 2.65 | 0.0% |
| 2023Q3 | 92 | 86.8 | 2.79 | 0.57 | 0.43 | 1.79 | 2.68 | 0.0% |
| 2023Q2 | 91 | 87.8 | 2.53 | 0.51 | 0.45 | 1.58 | 2.48 | 0.0% |
| 2023Q1 | 90 | 87.1 | 2.85 | 0.46 | 0.55 | 1.84 | 2.75 | 0.2% |
| 2022Q4 | 92 | 82.9 | 2.89 | 0.41 | 0.62 | 1.85 | 2.86 | 0.4% |
| 2022Q3 | 92 | 83.6 | 2.90 | 0.44 | 0.56 | 1.89 | 2.89 | 0.0% |
| 2022Q2 | 91 | 83.7 | 2.81 | 0.49 | 0.52 | 1.79 | 2.70 | 0.1% |
| 2022Q1 | 90 | 82.0 | 2.76 | 0.47 | 0.59 | 1.70 | 2.60 | 3.6% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-20 | Health · complaint | 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. | E | 2026-03-13 |
| 2025-07-28 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-09-06 |
| 2025-07-28 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | 2025-09-06 |
| 2025-07-28 | 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 | 2025-09-06 |
| 2025-07-28 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2025-09-06 |
| 2025-07-28 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2025-09-06 |
| 2025-07-28 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-09-06 |
| 2025-07-28 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-09-06 |
| 2025-07-28 | Health | F0826 | Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. | D | 2025-09-06 |
| 2025-07-28 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-09-06 |
| 2024-10-10 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-10-26 |
| 2024-03-13 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-04-05 |
| 2024-03-13 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2024-04-05 |
| 2024-03-13 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-04-05 |
| 2024-03-13 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2024-04-05 |
| 2024-03-13 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-04-05 |
| 2024-03-13 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-04-05 |
| 2024-03-13 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-04-05 |
| 2024-03-13 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-04-05 |
| 2024-03-13 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-04-05 |
| 2024-03-13 | 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 | 2024-04-05 |
| 2024-03-13 | Health | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2024-04-05 |
| 2024-03-13 | Health | 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 | 2024-04-05 |
| 2024-03-13 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-04-05 |
| 2024-03-13 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2024-04-05 |
| 2024-03-13 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | 2024-04-05 |
| 2023-10-14 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-10-21 |
| 2023-07-10 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-07-26 |
| 2023-07-10 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-07-26 |
| 2023-07-10 | Health · complaint | 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 | 2023-07-26 |
| 2021-08-31 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2021-09-30 |
| 2021-08-31 | 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 | 2021-09-30 |
| 2021-08-31 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2021-09-30 |
| 2021-08-31 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2021-09-30 |
| 2021-08-31 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2021-09-30 |
| 2021-08-31 | 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 | 2021-09-30 |
| 2021-08-31 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2021-09-30 |
| 2021-08-31 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2021-09-30 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| 1850 CROWN PARK COURT LLC | Corporation, partnership or other organization has financial interest in provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| 1850 CROWN PARK COURT LLC | Corporation, partnership or other organization has financial interest in provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| COLLERAN, BRIAN | ADP OF THE SNF | — | 2019-01-01 | current | pecos_ownership |
| FOUNDATIONS HEALTH SOLUTIONS, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 | current | pecos_ownership |
| FOUNDATIONS HEALTH SOLUTIONS, LLC | ADP OF THE SNF | — | 2025-04-07 | current | pecos_ownership |
| HIRSEL, VICTORIA | ADP OF THE SNF | — | 2024-11-04 | current | pecos_ownership |
| KRYSTOWSKI, JOHN | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-06-01 | current | pecos_ownership |
| RATNARAJAH, GOKULAN | ADP OF THE SNF | — | 2001-06-29 | current | pecos_ownership |
| COLLERAN FAM TR DATED 01-01-2018 | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2018-06-01 | ended 2026-05-18 | pecos_ownership |
| FOUNDATIONS HEALTH LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2018-06-01 | ended 2026-05-18 | pecos_ownership |
| BRIAN COLLERAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 | ended 2026-05-18 | pecos_ownership |
| GOKULAN RATNARAJAH | ADP OF THE SNF | — | 2001-06-29 | ended 2026-05-18 | pecos_ownership |
| JOHN KRYSTOWSKI | ADP OF THE SNF | — | 2018-06-01 | ended 2026-05-18 | pecos_ownership |
| VICTORIA HIRSEL | ADP OF THE SNF | — | 2024-11-04 | ended 2026-05-18 | pecos_ownership |
| 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 43235 | acs median gross | 0 | $1,377 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43235 | acs median gross | 1 | $1,341 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43235 | acs median gross | 2 | $1,539 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43235 | acs median gross | 3 | $1,795 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43235 | acs median gross | 4 | $2,063 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43235 | acs median gross | $1,477 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 43235 | acs recent mover gross | $1,571 | 2024-12-31 | CENSUS_ACS5 | |
| zip 43235 | payment standard 110 | 0 | $1,441 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43235 | payment standard 90 | 0 | $1,179 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43235 | safmr | 0 | $1,310 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43235 | payment standard 110 | 1 | $1,551 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43235 | payment standard 90 | 1 | $1,269 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43235 | safmr | 1 | $1,410 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43235 | payment standard 110 | 2 | $1,859 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43235 | payment standard 90 | 2 | $1,521 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43235 | safmr | 2 | $1,690 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43235 | payment standard 110 | 3 | $2,233 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43235 | payment standard 90 | 3 | $1,827 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43235 | safmr | 3 | $2,030 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43235 | payment standard 110 | 4 | $2,508 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43235 | payment standard 90 | 4 | $2,052 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43235 | safmr | 4 | $2,280 | 2025-10-01 | HUD_USER_SAFMR |