Composite
66.8 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 69.6 | 58.9 | 0.30 | 0.2308 | 16.06 | in index |
| staffing risk | 66.2 | 66.2 | 0.25 | 0.1923 | 12.73 | in index |
| regulatory risk | 53.4 | 43.1 | 0.30 | 0.2308 | 12.32 | in index |
| billing conduct | 30.5 | 31.8 | 0.30 | 0.2308 | 7.04 | in index |
| chow risk | 57.1 | 55.4 | 0.15 | 0.1154 | 6.59 | in index |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 4 chains | MIRLIS ELIYAHU | 18 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 31.8 | B | 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 | 85.8 | F | v0.6 | default · in composite | |
| financial risk | 58.9 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.2 | — | 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 | 43.1 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 66.2 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 91.1 | 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 | 71.1 | D | 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 | 62.0 | 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 | 60.3 | C | 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 | 43.0 | 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 | 43.0 | 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 | 66.2 | 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 | 66.2 | 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) | 3.91 | -1.47 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.78 | -0.23 | |
| Deficiencies, last 12 months | 0.00 | -0.17 | |
| Contract staffing share | 0.00 | -0.10 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| 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) | 1.61 | +0.26 | |
| Current owner tenure (years) | 3.91 | -0.24 | |
| Ownership changes, last 5 years | 1.00 | +0.23 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
| 2025Q4 HPRD | This facility | MA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.02 | 3.39 | 3.28 | 2.90–3.77 |
| RN | 0.43 | 0.39 | 0.39 | 0.25–0.58 |
| Weekend total | 2.80 | 3.26 | 3.11 | — |
| Weekday total | 3.10 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 77.6 | 3.02 | 0.43 | 0.67 | 1.91 | 2.80 | 0.0% |
| 2025Q3 | 92 | 64.1 | 3.23 | 0.33 | 0.82 | 2.08 | 3.09 | 0.0% |
| 2025Q2 | 91 | 69.1 | 3.04 | 0.32 | 0.78 | 1.94 | 2.89 | 0.0% |
| 2025Q1 | 90 | 76.7 | 2.99 | 0.35 | 0.73 | 1.91 | 2.79 | 0.0% |
| 2024Q4 | 92 | 72.3 | 3.05 | 0.40 | 0.70 | 1.95 | 2.99 | 0.3% |
| 2024Q3 | 92 | 76.6 | 2.93 | 0.35 | 0.74 | 1.84 | 2.82 | 0.8% |
| 2024Q2 | 91 | 71.9 | 3.32 | 0.45 | 0.78 | 2.08 | 3.12 | 3.2% |
| 2024Q1 | 91 | 70.0 | 3.33 | 0.63 | 0.59 | 2.10 | 3.00 | 0.0% |
| 2023Q4 | 92 | 69.5 | 3.51 | 0.52 | 0.77 | 2.23 | 3.32 | 6.1% |
| 2023Q3 | 92 | 72.1 | 3.11 | 0.49 | 0.55 | 2.08 | 2.98 | 0.0% |
| 2023Q2 | 91 | 74.7 | 3.44 | 0.66 | 0.62 | 2.15 | 3.21 | 2.8% |
| 2023Q1 | 90 | 71.5 | 3.49 | 0.72 | 0.65 | 2.12 | 3.21 | 8.9% |
| 2022Q4 | 92 | 71.6 | 3.37 | 0.63 | 0.65 | 2.10 | 3.14 | 6.8% |
| 2022Q3 | 92 | 76.4 | 2.38 | 0.47 | 0.37 | 1.54 | 2.34 | 0.0% |
| 2022Q2 | 91 | 82.7 | 3.33 | 0.59 | 0.55 | 2.19 | 3.13 | 0.0% |
| 2022Q1 | 90 | 82.9 | 3.29 | 0.49 | 0.64 | 2.15 | 3.15 | 0.0% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-05-21 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-05-21 |
| 2025-05-21 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2025-05-21 |
| 2025-05-13 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2025-06-17 |
| 2025-05-13 | Health | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | 2025-06-17 |
| 2025-05-13 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | B | 2025-05-29 |
| 2025-05-13 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-05-29 |
| 2025-05-13 | 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 | 2025-06-17 |
| 2025-05-13 | Health | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | 2025-05-13 |
| 2025-05-13 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | 2025-05-29 |
| 2025-05-13 | Health | 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. | D | 2025-05-13 |
| 2025-05-13 | Health | F0732 | Post nurse staffing information every day. | B | 2025-05-13 |
| 2025-05-13 | 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 | 2025-05-13 |
| 2025-05-13 | Health | F0760 | Ensure that residents are free from significant medication errors. | J | 2025-05-13 |
| 2025-05-13 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | 2025-05-13 |
| 2025-05-13 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2025-05-29 |
| 2025-05-13 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | C | 2025-05-29 |
| 2024-10-31 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-12-04 |
| 2024-06-03 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2024-06-28 |
| 2024-06-03 | 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 | 2024-06-28 |
| 2024-06-03 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-06-28 |
| 2024-06-03 | Health | F0641 | Ensure each resident receives an accurate assessment. | B | 2024-06-28 |
| 2024-06-03 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-06-28 |
| 2024-06-03 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-06-28 |
| 2024-06-03 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-06-28 |
| 2024-06-03 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | 2024-06-28 |
| 2024-06-03 | 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 | 2024-06-28 |
| 2024-06-03 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-06-28 |
| 2024-06-03 | Health | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | 2024-06-28 |
| 2024-06-03 | Health | F0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | E | 2024-06-28 |
| 2023-01-27 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2023-02-28 |
| 2023-01-27 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | 2023-02-28 |
| 2023-01-27 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2023-02-28 |
| 2023-01-27 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-02-28 |
| 2023-01-27 | 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 | 2023-02-28 |
| 2023-01-27 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-02-28 |
| 2023-01-27 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-02-28 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| RC OPCO HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-09-01 | current | pecos_ownership |
| MIRLIS, ELIYAHU | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 99% | 2022-09-01 | current | pecos_ownership |
| ELIYAHU MIRLIS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 99% | 2022-09-01 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2022-09-01 | — | RC TAUNTON LLC | TAUNTON HEALTHCARE CENTER LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-29 | Hadley Pointe Nursing Rehab & Care | — | — | — | 154 | HADLEY CENTER LLC |
| 2025-08-01 | Alliance Health at Coleman | — | — | — | 45 | ALLIANCE HEALTH OF NORTHBOROUGH INC |
| 2025-05-28 | PALM SPRINGS POST ACUTE | — | — | — | 124 | PALM SPRINGS OPERATOR LLC |
| 2025-05-28 | HAMPDEN POST ACUTE | — | — | — | 135 | HAMPDEN OPERATOR LLC |
| 2025-04-01 | BROCKTON POST ACUTE CARE | — | — | — | 169 | BROCKTON OPERATOR LLC |
| 2025-04-01 | HIGHLAND PARK REHABILITATION AND HEALTHCARE CENTER | — | — | — | 195 | HIGHLAND PARK OPERATOR LLC |
| 2025-03-01 | THE CENTER AT ADVOCATE | — | — | — | 190 | THE CENTER AT ADVOCATE LLC |
| 2025-03-01 | Premier Healthcare at Harrington House | — | — | — | 90 | 160 MAIN STREET WALPOLE OPERATOR LLC |
| 2025-02-28 | PORT REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | NEWBURYPORT SNF OPERATIONS LLC |
| 2025-02-28 | MASCONOMET REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | TOPSFIELD SNF OPERATIONS LLC |
| 2025-02-28 | SIPPICAN REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | MARION SNF OPERATIONS LLC |
| 2025-02-28 | NEMASKET REHABILITATION AND HEALTHCARE CENTER | — | — | — | 102 | MIDDLEBOROUGH SNF OPERATIONS LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 25005 | acs median gross | 0 | $1,032 | 2024-12-31 | CENSUS_ACS5 |
| county 25005 | acs median gross | 1 | $925 | 2024-12-31 | CENSUS_ACS5 |
| county 25005 | acs median gross | 2 | $1,347 | 2024-12-31 | CENSUS_ACS5 |
| county 25005 | acs median gross | 3 | $1,395 | 2024-12-31 | CENSUS_ACS5 |
| county 25005 | acs median gross | 4 | $1,574 | 2024-12-31 | CENSUS_ACS5 |
| county 25005 | acs median gross | 5 | $1,414 | 2024-12-31 | CENSUS_ACS5 |
| county 25005 | acs median gross | $1,245 | 2024-12-31 | CENSUS_ACS5 | |
| county 25005 | acs recent mover gross | $1,554 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 02780 | acs median gross | 0 | $794 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02780 | acs median gross | 1 | $965 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02780 | acs median gross | 2 | $1,519 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02780 | acs median gross | 3 | $1,633 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02780 | acs median gross | 4 | $1,130 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02780 | acs median gross | 5 | $1,006 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02780 | acs median gross | $1,313 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 02780 | acs recent mover gross | $1,791 | 2024-12-31 | CENSUS_ACS5 | |
| zip 02780 | payment standard 110 | 0 | $1,804 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02780 | payment standard 90 | 0 | $1,476 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02780 | safmr | 0 | $1,640 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02780 | payment standard 110 | 1 | $1,815 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02780 | payment standard 90 | 1 | $1,485 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02780 | safmr | 1 | $1,650 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02780 | payment standard 110 | 2 | $2,387 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02780 | payment standard 90 | 2 | $1,953 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02780 | safmr | 2 | $2,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02780 | payment standard 110 | 3 | $2,871 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02780 | payment standard 90 | 3 | $2,349 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02780 | safmr | 3 | $2,610 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02780 | payment standard 110 | 4 | $3,476 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02780 | payment standard 90 | 4 | $2,844 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02780 | safmr | 4 | $3,160 | 2025-10-01 | HUD_USER_SAFMR |