Composite
62.8 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 84.0 | 55.5 | 0.30 | 0.2308 | 19.38 | in index |
| staffing risk | 72.8 | 72.8 | 0.25 | 0.1923 | 14.00 | in index |
| regulatory risk | 54.4 | 44.2 | 0.30 | 0.2308 | 12.55 | in index |
| chow risk | 43.5 | 41.7 | 0.15 | 0.1154 | 5.02 | in index |
| financial risk | 9.6 | 18.8 | 0.30 | 0.2308 | 2.22 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 55.5 | 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 | 58.4 | C | v0.6 | default · in composite | |
| financial risk | 18.8 | 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 | 3.7 | — | 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 | 44.2 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 72.8 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 81.1 | 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 | 61.1 | 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 | 31.3 | 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 | 24.9 | 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 | 44.1 | 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 | 44.1 | 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 | 72.8 | 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 | 72.8 | 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 | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.81 | -0.32 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Chain size (log) | 1.39 | -0.11 | |
| Contract staffing share | 0.00 | -0.10 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 1.39 | +0.39 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Staffing trend, last 4 quarters | -0.50 | -0.26 | |
| Occupancy | 0.81 | -0.25 | |
| Deficiencies, last 12 months | 9.00 | -0.24 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 |
| 2025Q4 HPRD | This facility | OH median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.94 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.48 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 2.87 | 3.11 | 3.11 | — |
| Weekday total | 2.96 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 61.4 | 2.94 | 0.48 | 0.64 | 1.81 | 2.87 | 0.0% |
| 2025Q3 | 92 | 64.5 | 2.91 | 0.44 | 0.61 | 1.86 | 2.79 | 0.0% |
| 2025Q2 | 91 | 65.1 | 3.45 | 0.35 | 0.79 | 2.31 | 3.04 | 0.0% |
| 2025Q1 | 90 | 67.2 | 3.57 | 0.38 | 0.76 | 2.43 | 3.09 | 0.0% |
| 2024Q4 | 92 | 66.2 | 3.43 | 0.36 | 0.75 | 2.32 | 2.88 | 0.0% |
| 2024Q3 | 92 | 66.5 | 3.39 | 0.33 | 0.70 | 2.36 | 2.67 | 0.0% |
| 2024Q2 | 91 | 65.6 | 3.45 | 0.33 | 0.73 | 2.39 | 2.94 | 0.0% |
| 2024Q1 | 91 | 64.6 | 3.68 | 0.43 | 0.80 | 2.44 | 2.98 | 0.0% |
| 2023Q4 | 92 | 67.8 | 3.08 | 0.44 | 0.72 | 1.92 | 2.69 | 0.0% |
| 2023Q3 | 92 | 66.6 | 2.68 | 0.50 | 0.69 | 1.49 | 2.34 | 0.0% |
| 2023Q2 | 91 | 67.0 | 2.81 | 0.52 | 0.65 | 1.64 | 2.43 | 0.0% |
| 2023Q1 | 90 | 66.6 | 3.13 | 0.57 | 0.68 | 1.88 | 2.57 | 0.0% |
| 2022Q4 | 92 | 70.1 | 2.82 | 0.53 | 0.65 | 1.63 | 2.31 | 0.0% |
| 2022Q3 | 92 | 64.3 | 2.92 | 0.51 | 0.71 | 1.69 | 2.43 | 0.0% |
| 2022Q2 | 91 | 60.0 | 2.31 | 0.59 | 0.60 | 1.12 | 1.88 | 0.0% |
| 2022Q1 | 90 | 61.7 | 1.96 | 0.50 | 0.57 | 0.89 | 1.60 | 0.0% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-16 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-04-16 |
| 2026-04-16 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2026-04-16 |
| 2026-04-16 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-04-17 |
| 2026-04-16 | Health · complaint | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | 2026-04-17 |
| 2026-04-16 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-04-16 |
| 2026-01-20 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-01-21 |
| 2026-01-20 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2026-01-21 |
| 2026-01-20 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | 2026-01-21 |
| 2026-01-20 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2026-01-21 |
| 2025-05-21 | 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 | 2025-05-30 |
| 2025-05-21 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-05-30 |
| 2025-05-21 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2025-05-30 |
| 2025-05-21 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | 2025-05-30 |
| 2025-05-21 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | 2025-05-30 |
| 2025-05-21 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-05-30 |
| 2025-05-21 | 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 | 2025-05-30 |
| 2025-05-21 | 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. | E | 2025-05-30 |
| 2025-05-21 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-05-30 |
| 2025-05-21 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-05-30 |
| 2025-05-21 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2025-05-30 |
| 2025-05-21 | 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. | E | 2025-05-30 |
| 2025-05-21 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-05-30 |
| 2025-05-21 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2025-05-30 |
| 2025-05-21 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2025-05-30 |
| 2025-04-16 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-04-17 |
| 2024-12-24 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2024-12-26 |
| 2023-12-18 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | D | 2023-12-19 |
| 2023-12-18 | 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 | 2023-12-19 |
| 2023-12-18 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | C | 2023-12-19 |
| 2023-12-18 | 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 | 2023-12-19 |
| 2023-12-18 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-12-19 |
| 2023-12-18 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2023-12-19 |
| 2023-08-17 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2023-08-24 |
| 2023-08-17 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-08-24 |
| 2023-08-17 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-08-24 |
| 2023-06-11 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-06-12 |
| 2023-06-11 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-06-12 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| RA ASSETS HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-05-17 | current | pecos_ownership |
| RA GENEVA ASSETS | Corporation, partnership or other organization has financial interest in provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| RA GENEVA ASSETS | Corporation, partnership or other organization has financial interest in provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| RA OPCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 53% | 2022-05-17 | current | pecos_ownership |
| RA INVESTMENT OH LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 35% | 2022-05-17 | current | pecos_ownership |
| GEWIRTZ, JONATHAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13% | 2022-05-17 | current | pecos_ownership |
| HERRON, DANIELLE | ADP OF THE SNF | — | 2022-05-17 | current | pecos_ownership |
| LELE, SHREENIWAS | ADP OF THE SNF | — | 2022-05-17 | current | pecos_ownership |
| NEIL BAY MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-05-17 | current | pecos_ownership |
| NEIL BAY MANAGEMENT LLC | ADP OF THE SNF | — | 2025-02-17 | current | pecos_ownership |
| MARIMOND LLC | Corporation, partnership or other organization has financial interest in provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| MARIMOND LLC | Corporation, partnership or other organization has financial interest in provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| RA GENEVA ASSETS | Corporation, partnership or other organization has financial interest in provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| JONATHAN GEWIRTZ | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13% | 2022-05-17 | ended 2026-05-18 | pecos_ownership |
| DANIELLE HERRON | ADP OF THE SNF | — | 2022-05-17 | ended 2026-05-18 | pecos_ownership |
| MARIMOND LLC | Corporation, partnership or other organization has financial interest in provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| SHREENIWAS LELE | ADP OF THE SNF | — | 2022-05-17 | 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 39007 | acs median gross | 0 | $478 | 2024-12-31 | CENSUS_ACS5 |
| county 39007 | fmr | 0 | $715 | 2025-10-01 | HUD_USER_FMR |
| county 39007 | acs median gross | 1 | $638 | 2024-12-31 | CENSUS_ACS5 |
| county 39007 | fmr | 1 | $840 | 2025-10-01 | HUD_USER_FMR |
| county 39007 | acs median gross | 2 | $822 | 2024-12-31 | CENSUS_ACS5 |
| county 39007 | fmr | 2 | $1,037 | 2025-10-01 | HUD_USER_FMR |
| county 39007 | acs median gross | 3 | $974 | 2024-12-31 | CENSUS_ACS5 |
| county 39007 | fmr | 3 | $1,257 | 2025-10-01 | HUD_USER_FMR |
| county 39007 | acs median gross | 4 | $1,081 | 2024-12-31 | CENSUS_ACS5 |
| county 39007 | fmr | 4 | $1,429 | 2025-10-01 | HUD_USER_FMR |
| county 39007 | acs median gross | 5 | $951 | 2024-12-31 | CENSUS_ACS5 |
| county 39007 | acs median gross | $828 | 2024-12-31 | CENSUS_ACS5 | |
| county 39007 | acs recent mover gross | $811 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 44041 | acs median gross | 0 | $482 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44041 | acs median gross | 1 | $690 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44041 | acs median gross | 2 | $856 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44041 | acs median gross | 3 | $1,148 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44041 | acs median gross | 4 | $1,079 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44041 | acs median gross | $813 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 44041 | acs recent mover gross | $1,327 | 2024-12-31 | CENSUS_ACS5 | |
| zip 44041 | payment standard 110 | 0 | $781 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44041 | payment standard 90 | 0 | $639 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44041 | safmr | 0 | $710 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44041 | payment standard 110 | 1 | $913 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44041 | payment standard 90 | 1 | $747 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44041 | safmr | 1 | $830 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44041 | payment standard 110 | 2 | $1,133 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44041 | payment standard 90 | 2 | $927 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44041 | safmr | 2 | $1,030 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44041 | payment standard 110 | 3 | $1,375 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44041 | payment standard 90 | 3 | $1,125 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44041 | safmr | 3 | $1,250 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44041 | payment standard 110 | 4 | $1,562 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44041 | payment standard 90 | 4 | $1,278 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44041 | safmr | 4 | $1,420 | 2025-10-01 | HUD_USER_SAFMR |