Composite
83.3 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 91.9 | 80.0 | 0.30 | 0.2308 | 21.21 | in index |
| regulatory risk | 74.0 | 70.0 | 0.30 | 0.2308 | 17.08 | in index |
| staffing risk | 85.0 | 85.0 | 0.25 | 0.1923 | 16.35 | in index |
| chow risk | 65.6 | 46.9 | 0.15 | 0.1154 | 7.57 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.2308 | 0.00 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 0.0 | A | 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 | 38.7 | B | v0.6 | default · in composite | |
| financial risk | 80.0 | F | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.5 | — | 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 | 0.1 | — | 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 | 70.0 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 85.0 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 44.3 | B | 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 | 24.3 | A | 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 | 64.8 | 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 | 80.6 | F | 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 | 69.9 | 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 | 69.9 | 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 | 85.0 | F | 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 | 85.0 | F | 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) | 2.99 | -1.55 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Contract staffing share | 0.41 | +0.54 | |
| Occupancy | 0.54 | +0.45 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Deficiencies, last 12 months | 0.00 | -0.17 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| Occupancy | 0.54 | +0.87 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Contract staffing share | 0.41 | +0.36 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 2.99 | -0.25 | |
| Chain size (log) | 2.48 | -0.24 |
| 2025Q4 HPRD | This facility | NE median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.69 | 2.88 | 3.28 | 2.90–3.77 |
| RN | 0.08 | 0.42 | 0.39 | 0.25–0.58 |
| Weekend total | 2.75 | 2.75 | 3.11 | — |
| Weekday total | 2.66 | 2.96 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 33.6 | 2.69 | 0.08 | 0.71 | 1.89 | 2.75 | 41.1% |
| 2025Q3 | 92 | 34.2 | 2.75 | 0.10 | 0.70 | 1.96 | 2.76 | 47.9% |
| 2025Q2 | 91 | 36.6 | 2.69 | 0.24 | 0.50 | 1.95 | 2.52 | 44.1% |
| 2025Q1 | 90 | 39.9 | 2.53 | 0.17 | 0.52 | 1.83 | 2.42 | 43.6% |
| 2024Q4 | 92 | 40.5 | 2.77 | 0.19 | 0.68 | 1.90 | 2.46 | 56.4% |
| 2024Q3 | 92 | 38.4 | 2.56 | 0.19 | 0.62 | 1.75 | 2.18 | 50.2% |
| 2024Q2 | 91 | 34.0 | 2.71 | 0.24 | 0.61 | 1.85 | 2.33 | 43.8% |
| 2024Q1 | 91 | 32.3 | 2.42 | 0.28 | 0.52 | 1.61 | 2.39 | 47.6% |
| 2023Q4 | 92 | 29.6 | 2.20 | 0.32 | 0.56 | 1.32 | 2.07 | 0.0% |
| 2023Q3 | 92 | 33.4 | 2.56 | 0.26 | 0.66 | 1.64 | 2.76 | 6.7% |
| 2023Q2 | 91 | 37.0 | 2.79 | 0.23 | 0.73 | 1.83 | 2.68 | 15.1% |
| 2023Q1 | 90 | 37.4 | 2.49 | 0.26 | 0.69 | 1.53 | 2.29 | 30.2% |
| 2022Q4 | 92 | 40.4 | 2.16 | 0.15 | 0.63 | 1.38 | 2.10 | 27.8% |
| 2022Q3 | 92 | 45.4 | 2.38 | 0.21 | 0.52 | 1.66 | 2.28 | 12.4% |
| 2022Q2 | 91 | 43.8 | 2.44 | 0.28 | 0.48 | 1.69 | 2.11 | 15.3% |
| 2022Q1 | 90 | 37.9 | 2.28 | 0.27 | 0.59 | 1.41 | 2.24 | 18.9% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-02-13 | Fine | $13,644 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-04-17 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | 2025-05-30 |
| 2025-04-17 | Health · complaint | 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 | 2025-05-30 |
| 2025-04-17 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-05-30 |
| 2025-04-17 | Health | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2025-05-30 |
| 2025-04-17 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2025-05-30 |
| 2025-04-17 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-05-30 |
| 2025-04-17 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2025-05-30 |
| 2025-04-17 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-05-30 |
| 2025-04-17 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2025-05-30 |
| 2025-04-17 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-05-30 |
| 2025-04-17 | Health · complaint | F0923 | Have enough outside ventilation via a window or mechanical ventilation, or both. | D | 2025-05-30 |
| 2024-05-23 | 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 | 2024-07-06 |
| 2024-05-23 | Health · complaint | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-07-06 |
| 2024-05-23 | Health · complaint | 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 | 2024-07-06 |
| 2024-05-23 | 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 | 2024-07-06 |
| 2024-05-23 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-07-06 |
| 2024-05-23 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-07-06 |
| 2024-05-23 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-07-06 |
| 2024-05-23 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2024-07-06 |
| 2024-05-23 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-07-06 |
| 2024-05-23 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2024-07-06 |
| 2024-05-23 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | E | 2024-07-06 |
| 2024-05-23 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-07-06 |
| 2024-05-23 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-07-06 |
| 2024-02-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | 2024-03-13 |
| 2024-02-13 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | 2024-03-13 |
| 2023-12-28 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-01-26 |
| 2023-12-28 | Health · complaint | F0675 | Honor each resident's preferences, choices, values and beliefs. | D | 2024-01-26 |
| 2023-05-03 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-06-13 |
| 2023-05-03 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2023-06-13 |
| 2023-05-03 | 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. | E | 2023-06-13 |
| 2023-05-03 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2023-06-13 |
| 2023-05-03 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-06-13 |
| 2023-05-03 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-06-13 |
| 2023-05-03 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-06-13 |
| 2023-05-03 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-06-13 |
| 2023-05-03 | Health | F0886 | Perform COVID19 testing on residents and staff. | F | 2023-06-13 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BLUE HILL REALTY | Corporation, partnership or other organization has financial interest in provider | — | 2023-01-01 | current | hcris_a_8_1 |
| BRASS NE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-02 | current | pecos_ownership |
| BSD BEIS HEALTH TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-02 | current | pecos_ownership |
| COPPER NE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-02 | current | pecos_ownership |
| DOURO VALLEY INVESTMENT, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2023-08-02 | current | pecos_ownership |
| GOLD NE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-02 | current | pecos_ownership |
| JACKSON, DIXIE | W-2 MANAGING EMPLOYEE | — | 2023-08-02 | current | pecos_ownership |
| NE 11 HOLDINGS OPCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2023-08-02 | current | pecos_ownership |
| NE SNF HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-02 | current | pecos_ownership |
| SF 4140 OLDE WASHINGTON BOULEVARD REAL PROPERTY LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-01 | current | pecos_ownership |
| SILBERSTEIN, ARI | CORPORATE OFFICER | — | 2023-08-02 | current | pecos_ownership |
| SILVER NE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-02 | current | pecos_ownership |
| TULIP INVESTMENTS NE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-02 | current | pecos_ownership |
| DAVID WEISZ | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | 2023-08-02 | ended 2026-05-18 | pecos_ownership |
| ARI SILBERSTEIN | CORPORATE OFFICER | — | 2023-08-02 | ended 2026-05-18 | pecos_ownership |
| BLUE HILL REALTY | Corporation, partnership or other organization has financial interest in provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| DIXIE JACKSON | W-2 MANAGING EMPLOYEE | — | 2023-08-02 | ended 2026-05-18 | pecos_ownership |
| NE BLUE HILL PROPCO LLC | Corporation, partnership or other organization has financial interest in provider | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| NE BLUE HILL PROPCO LLC | Corporation, partnership or other organization has financial interest in provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2023-08-02 | — | PINES AT BLUE HILL LLC | BCP BLUE HILL LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-04-01 | Accura HealthCare of North Platte | — | — | — | 71 | ACCURA HEALTHCARE OF NORTH PLATTE LLC |
| 2024-10-01 | St. Joseph's Rehabilitation and Care Center | — | — | — | 83 | RAVENSCROFT HEALTHCARE LLC |
| 2024-08-15 | Holmes Lake Rehabilitation & Care Center | — | — | — | 97 | HOLMES LAKE OPERATIONS LLC |
| 2024-04-01 | Heritage of Webster County | — | — | — | 43 | WEBSTER COUNTY COMMUNITY HOSPITAL FOUNDATION, INC. |
| 2024-03-01 | The Cypress at Midtown | — | — | — | 61 | CYPRESS AT MIDTOWN LLC |
| 2024-03-01 | The Banyan at Montclair | — | — | — | 175 | BANYAN AT MONTCLAIR LLC |
| 2023-08-02 | Adept Nursing & Rehab of Central City | — | — | — | 63 | OAKS AT CENTRAL CITY LLC |
| 2023-08-02 | Adept Nursing & Rehab of Blue Hillthis facility | — | — | — | 62 | PINES AT BLUE HILL LLC |
| 2023-08-02 | Adept Nursing & Rehab of North Platte | — | — | — | 94 | MAPLES AT CENTENNIAL LLC |
| 2023-08-02 | Adept Nursing & Rehab of Ashland | — | — | — | 97 | MEADOWS AT ASHLAND LLC |
| 2023-08-02 | Adept Nursing & Rehab of Sutherland | — | — | — | 60 | BIRCH AT SUTHERLAND LLC |
| 2023-08-02 | Adept Nursing & Rehab of Grand Island | — | — | — | 76 | CEDARS AT BROADWELL LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 31181 | fmr | 0 | $666 | 2025-10-01 | HUD_USER_FMR |
| county 31181 | acs median gross | 1 | $556 | 2024-12-31 | CENSUS_ACS5 |
| county 31181 | fmr | 1 | $732 | 2025-10-01 | HUD_USER_FMR |
| county 31181 | acs median gross | 2 | $658 | 2024-12-31 | CENSUS_ACS5 |
| county 31181 | fmr | 2 | $961 | 2025-10-01 | HUD_USER_FMR |
| county 31181 | acs median gross | 3 | $910 | 2024-12-31 | CENSUS_ACS5 |
| county 31181 | fmr | 3 | $1,279 | 2025-10-01 | HUD_USER_FMR |
| county 31181 | acs median gross | 4 | $975 | 2024-12-31 | CENSUS_ACS5 |
| county 31181 | fmr | 4 | $1,284 | 2025-10-01 | HUD_USER_FMR |
| county 31181 | acs median gross | $647 | 2024-12-31 | CENSUS_ACS5 | |
| county 31181 | acs recent mover gross | $609 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 68930 | acs median gross | 1 | $919 | 2024-12-31 | CENSUS_ACS5 |
| zcta 68930 | acs median gross | 2 | $773 | 2024-12-31 | CENSUS_ACS5 |
| zcta 68930 | acs median gross | 3 | $862 | 2024-12-31 | CENSUS_ACS5 |
| zcta 68930 | acs median gross | 4 | $1,097 | 2024-12-31 | CENSUS_ACS5 |
| zcta 68930 | acs median gross | $808 | 2024-12-31 | CENSUS_ACS5 | |
| zip 68930 | payment standard 110 | 0 | $792 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68930 | payment standard 90 | 0 | $648 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68930 | safmr | 0 | $720 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68930 | payment standard 110 | 1 | $869 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68930 | payment standard 90 | 1 | $711 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68930 | safmr | 1 | $790 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68930 | payment standard 110 | 2 | $1,133 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68930 | payment standard 90 | 2 | $927 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68930 | safmr | 2 | $1,030 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68930 | payment standard 110 | 3 | $1,507 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68930 | payment standard 90 | 3 | $1,233 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68930 | safmr | 3 | $1,370 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68930 | payment standard 110 | 4 | $1,518 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68930 | payment standard 90 | 4 | $1,242 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68930 | safmr | 4 | $1,380 | 2025-10-01 | HUD_USER_SAFMR |