Composite
71.3 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 81.0 | 53.6 | 0.30 | 0.2308 | 18.69 | in index |
| regulatory risk | 66.9 | 60.2 | 0.30 | 0.2308 | 15.44 | in index |
| staffing risk | 74.3 | 74.3 | 0.25 | 0.1923 | 14.29 | in index |
| financial risk | 30.4 | 34.1 | 0.30 | 0.2308 | 7.02 | in index |
| chow risk | 9.4 | 14.8 | 0.15 | 0.1154 | 1.08 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 53.6 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.2 | 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 | 5.4 | A | v0.6 | default · in composite | |
| financial risk | 34.1 | B | 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 | 60.2 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 74.3 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 76.9 | D | 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 | 56.9 | 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 | 49.8 | 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 | 38.3 | B | 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 | 60.0 | C | 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 | 60.0 | C | 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 | 74.3 | 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 | 74.3 | 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) | 4.91 | -1.37 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.89 | -0.54 | |
| Chain size (log) | 4.16 | +0.48 | |
| 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 | |
| Chain size (log) | 4.16 | -1.22 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.89 | -0.57 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Ownership changes, last 5 years | 1.00 | +0.23 | |
| Current owner tenure (years) | 4.91 | -0.22 |
| 2025Q4 HPRD | This facility | CT median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.91 | 3.46 | 3.28 | 2.90–3.77 |
| RN | 0.12 | 0.40 | 0.39 | 0.25–0.58 |
| Weekend total | 2.82 | 3.25 | 3.11 | — |
| Weekday total | 2.95 | 3.51 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 101.8 | 2.91 | 0.12 | 0.73 | 2.06 | 2.82 | 0.0% |
| 2025Q3 | 92 | 106.0 | 2.78 | 0.08 | 0.73 | 1.97 | 2.69 | 0.0% |
| 2025Q2 | 91 | 104.0 | 2.85 | 0.09 | 0.78 | 1.98 | 2.71 | 0.0% |
| 2025Q1 | 90 | 106.5 | 2.81 | 0.11 | 0.77 | 1.94 | 2.69 | 0.0% |
| 2024Q4 | 92 | 103.3 | 2.76 | 0.15 | 0.74 | 1.87 | 2.61 | 0.0% |
| 2024Q3 | 92 | 104.1 | 2.68 | 0.26 | 0.61 | 1.81 | 2.57 | 0.0% |
| 2024Q2 | 91 | 103.6 | 2.89 | 0.39 | 0.67 | 1.83 | 2.70 | 0.0% |
| 2024Q1 | 91 | 105.8 | 2.76 | 0.34 | 0.71 | 1.71 | 2.55 | 0.0% |
| 2023Q4 | 92 | 104.9 | 3.79 | 0.38 | 0.87 | 2.54 | 3.33 | 0.0% |
| 2023Q3 | 92 | 106.4 | 2.72 | 0.38 | 0.66 | 1.68 | 2.53 | 0.0% |
| 2023Q2 | 91 | 104.2 | 2.77 | 0.27 | 0.76 | 1.74 | 2.52 | 0.0% |
| 2023Q1 | 90 | 104.7 | 2.93 | 0.30 | 0.84 | 1.78 | 2.64 | 0.0% |
| 2022Q4 | 92 | 108.5 | 2.79 | 0.28 | 0.77 | 1.73 | 2.57 | 0.0% |
| 2022Q3 | 92 | 110.0 | 2.67 | 0.25 | 0.74 | 1.68 | 2.50 | 0.1% |
| 2022Q2 | 91 | 109.7 | 2.74 | 0.25 | 0.73 | 1.75 | 2.49 | 2.2% |
| 2022Q1 | 90 | 97.5 | 3.11 | 0.27 | 0.86 | 1.98 | 2.98 | 6.1% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-10-04 | Fine | $8,827 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-04-08 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-05-21 |
| 2024-10-04 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-11-15 |
| 2024-10-04 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-09-10 |
| 2024-04-04 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-05-30 |
| 2024-04-04 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-05-30 |
| 2024-04-04 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-05-30 |
| 2024-04-04 | 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 | 2024-05-30 |
| 2024-04-04 | 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. | D | 2024-05-30 |
| 2024-04-04 | Health | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2024-05-30 |
| 2024-04-04 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-05-30 |
| 2024-04-04 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-05-30 |
| 2024-04-04 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-05-30 |
| 2024-04-04 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | 2024-05-30 |
| 2024-04-04 | 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 | 2024-05-30 |
| 2024-04-04 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-05-30 |
| 2024-04-04 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | 2024-05-30 |
| 2024-04-04 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | B | 2024-05-30 |
| 2024-04-04 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | B | 2024-05-30 |
| 2024-02-22 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-03-22 |
| 2021-11-17 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2021-12-29 |
| 2021-11-17 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2021-12-29 |
| 2021-11-17 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2021-12-29 |
| 2021-11-17 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2021-12-29 |
| 2021-11-17 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2021-12-29 |
| 2021-11-17 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2021-12-29 |
| 2021-11-17 | 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 | 2021-12-29 |
| 2021-11-17 | 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. | D | 2021-12-29 |
| 2021-11-17 | Health | F0791 | Provide or obtain dental services for each resident. | E | 2021-12-29 |
| 2021-11-17 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2021-12-29 |
| 2021-11-17 | Health | F0814 | Dispose of garbage and refuse properly. | D | 2021-12-29 |
| 2021-11-17 | Health | F0825 | Provide or get specialized rehabilitative services as required for a resident. | E | 2021-12-29 |
| 2019-08-28 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2019-10-07 |
| 2019-08-28 | 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 | 2019-10-07 |
| 2019-08-28 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2019-10-07 |
| 2019-08-28 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2019-10-07 |
| 2019-08-28 | 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 | 2019-10-07 |
| 2019-08-28 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2019-10-07 |
| 2019-08-28 | 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. | D | 2019-10-07 |
| 2019-08-28 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2019-10-07 |
| 2019-08-28 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2019-10-07 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| PC CT OPCOS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-09-01 | current | pecos_ownership |
| COMPLETE CARE REALTY | Individual has financial interest in both related organization and provider | 1% | 2022-10-01 | current | hcris_a_8_1 |
| COMPLETE CARE REALTY | Individual has financial interest in both related organization and provider | — | 2023-10-01 | current | hcris_a_8_1 |
| HOCH, ROBERT | W-2 MANAGING EMPLOYEE | — | 2021-09-01 | current | pecos_ownership |
| PC WTA OPCO HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-09-01 | current | pecos_ownership |
| SMS 2021 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2021-09-01 | current | pecos_ownership |
| STEIN, SHALOM | CORPORATE OFFICER | — | 2021-09-01 | current | pecos_ownership |
| PEACE CAPITAL HOLDINGS LLC (DE) | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2021-09-01 | ended 2026-05-18 | pecos_ownership |
| ROBERT HOCH | W-2 MANAGING EMPLOYEE | — | 2021-09-01 | ended 2026-05-18 | pecos_ownership |
| SHALOM STEIN | CORPORATE OFFICER | — | 2021-09-01 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2021-09-01 | — | COMPLETE CARE AT MERIDEN LLC | 845 PADDOCK AVENUE OPERATIONS LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-10-21 | INGRAHAM MANOR REHAB AND NURSING | — | — | — | 128 | IM OPCO LLC |
| 2025-05-15 | HAVENCARE AT LITCHFIELD WOODS | — | — | — | 160 | LITCHFIELD OPCO LLC |
| 2025-05-15 | HAVENCARE AT VALERIE MANOR | — | — | — | 151 | VALERIE OPCO LLC |
| 2024-10-10 | SHADY KNOLL CENTER FOR HEALTH & REHABILITATION | — | — | — | 128 | SHADY KNOLL ACQUISITION OPERATOR LLC |
| 2024-10-10 | MAEFAIR CENTER FOR HEALTH & REHABILITATION | — | — | — | 134 | MAEFAIR ACQUISITION OPERATOR LLC |
| 2024-10-10 | GLASTONBURY CENTER FOR HEALTH & REHABILITATION | — | — | — | 105 | GLASTONBURY ACQUISITION OPERATOR LLC |
| 2024-08-01 | MANSFIELD CENTER FOR NURSING AND REHABILITATION | — | — | — | 98 | MANSFIELD ACQUISITION OPERATOR LLC |
| 2024-06-07 | EVERGREEN CENTER FOR HEALTH & REHABILITATION | — | — | — | 180 | EVERGREEN ACQUISITION OPERATOR LLC |
| 2024-06-07 | MONTOWESE CENTER FOR HEALTH & REHABILITATION | — | — | — | 120 | MONTOWESE ACQUISITION OPERATOR LLC |
| 2024-06-07 | SHARON CENTER FOR HEALTH & REHABILITATION | — | — | — | 88 | SHARON ACQUISITION OPERATOR LLC |
| 2024-06-07 | BEACON BROOK CENTER FOR HEALTH & REHABILITATION | — | — | — | 126 | BEACON BROOK ACQUISITION OPERATOR LLC |
| 2024-06-07 | STONE BRIDGE CENTER FOR HEALTH & REHABILITATION | — | — | — | 154 | NEWTOWN ACQUISITION OPERATOR LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 09170 | acs median gross | 0 | $1,170 | 2024-12-31 | CENSUS_ACS5 |
| county 09170 | acs median gross | 1 | $1,299 | 2024-12-31 | CENSUS_ACS5 |
| county 09170 | acs median gross | 2 | $1,621 | 2024-12-31 | CENSUS_ACS5 |
| county 09170 | acs median gross | 3 | $1,807 | 2024-12-31 | CENSUS_ACS5 |
| county 09170 | acs median gross | 4 | $2,048 | 2024-12-31 | CENSUS_ACS5 |
| county 09170 | acs median gross | 5 | $2,032 | 2024-12-31 | CENSUS_ACS5 |
| county 09170 | acs median gross | $1,525 | 2024-12-31 | CENSUS_ACS5 | |
| county 09170 | acs recent mover gross | $1,879 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 06450 | acs median gross | 0 | $938 | 2024-12-31 | CENSUS_ACS5 |
| zcta 06450 | acs median gross | 1 | $1,101 | 2024-12-31 | CENSUS_ACS5 |
| zcta 06450 | acs median gross | 2 | $1,462 | 2024-12-31 | CENSUS_ACS5 |
| zcta 06450 | acs median gross | 3 | $1,742 | 2024-12-31 | CENSUS_ACS5 |
| zcta 06450 | acs median gross | 4 | $1,762 | 2024-12-31 | CENSUS_ACS5 |
| zcta 06450 | acs median gross | $1,355 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 06450 | acs recent mover gross | $1,970 | 2024-12-31 | CENSUS_ACS5 | |
| zip 06450 | payment standard 110 | 0 | $1,408 | 2025-10-01 | HUD_USER_SAFMR |
| zip 06450 | payment standard 90 | 0 | $1,152 | 2025-10-01 | HUD_USER_SAFMR |
| zip 06450 | safmr | 0 | $1,280 | 2025-10-01 | HUD_USER_SAFMR |
| zip 06450 | payment standard 110 | 1 | $1,584 | 2025-10-01 | HUD_USER_SAFMR |
| zip 06450 | payment standard 90 | 1 | $1,296 | 2025-10-01 | HUD_USER_SAFMR |
| zip 06450 | safmr | 1 | $1,440 | 2025-10-01 | HUD_USER_SAFMR |
| zip 06450 | payment standard 110 | 2 | $1,958 | 2025-10-01 | HUD_USER_SAFMR |
| zip 06450 | payment standard 90 | 2 | $1,602 | 2025-10-01 | HUD_USER_SAFMR |
| zip 06450 | safmr | 2 | $1,780 | 2025-10-01 | HUD_USER_SAFMR |
| zip 06450 | payment standard 110 | 3 | $2,420 | 2025-10-01 | HUD_USER_SAFMR |
| zip 06450 | payment standard 90 | 3 | $1,980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 06450 | safmr | 3 | $2,200 | 2025-10-01 | HUD_USER_SAFMR |
| zip 06450 | payment standard 110 | 4 | $2,860 | 2025-10-01 | HUD_USER_SAFMR |
| zip 06450 | payment standard 90 | 4 | $2,340 | 2025-10-01 | HUD_USER_SAFMR |
| zip 06450 | safmr | 4 | $2,600 | 2025-10-01 | HUD_USER_SAFMR |