Composite
12.0 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 58.2 | 48.8 | 0.30 | 0.4286 | 24.94 | in index |
| chow risk | 25.2 | 25.0 | 0.15 | 0.2143 | 5.40 | in index |
| staffing risk | 1.9 | 2.0 | 0.25 | 0.3571 | 0.68 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| 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. |
| p adverse action 12m | 4.0 | — | 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 | 0.3 | — | 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 | 48.8 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 2.0 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| regulatory risk | 48.7 | 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 | 48.7 | 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 | 2.0 | A | 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 | 2.0 | A | 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 | 0.00 | -1.24 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Total nurse staffing (HPRD) | 5.62 | -0.51 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Occupancy | 0.83 | -0.39 | |
| Contract staffing share | 0.29 | +0.35 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | +1.62 | |
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| Chain size (log) | 0.00 | +1.20 | |
| Total nurse staffing (HPRD) | 5.62 | -1.01 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.83 | -0.36 | |
| Staffing trend, last 4 quarters | 0.61 | +0.26 | |
| Facility size (log beds) | 3.22 | +0.24 |
| 2025Q4 HPRD | This facility | NV median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 5.62 | 3.62 | 3.28 | 2.90–3.77 |
| RN | 0.85 | 0.64 | 0.39 | 0.25–0.58 |
| Weekend total | 5.14 | 3.46 | 3.11 | — |
| Weekday total | 5.80 | 3.68 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 20.0 | 5.62 | 0.85 | 1.05 | 3.72 | 5.14 | 28.6% |
| 2025Q3 | 92 | 20.1 | 5.37 | 0.89 | 0.97 | 3.52 | 5.01 | 25.0% |
| 2025Q2 | 91 | 18.8 | 5.49 | 1.15 | 0.42 | 3.92 | 5.09 | 17.8% |
| 2025Q1 | 90 | 20.4 | 5.14 | 1.01 | 0.62 | 3.51 | 4.85 | 22.6% |
| 2024Q4 | 92 | 22.1 | 5.01 | 1.03 | 0.72 | 3.25 | 4.73 | 23.9% |
| 2024Q3 | 92 | 21.8 | 5.10 | 0.96 | 0.91 | 3.24 | 4.49 | 19.2% |
| 2024Q2 | 91 | 20.6 | 5.64 | 0.68 | 1.22 | 3.74 | 4.92 | 17.3% |
| 2024Q1 | 91 | 20.4 | 5.93 | 0.63 | 1.41 | 3.90 | 5.27 | 14.8% |
| 2023Q4 | 92 | 22.3 | 4.93 | 0.36 | 1.22 | 3.35 | 4.21 | 0.0% |
| 2023Q3 | 92 | 21.3 | 5.32 | 0.30 | 1.25 | 3.77 | 5.04 | 0.0% |
| 2023Q2 | 91 | 20.2 | 5.18 | 0.15 | 1.47 | 3.56 | 5.05 | 8.1% |
| 2023Q1 | 90 | 20.5 | 4.70 | 0.00 | 1.54 | 3.16 | 4.44 | 0.0% |
| 2022Q4 | 92 | 22.0 | 4.71 | 0.00 | 1.27 | 3.44 | 4.12 | 0.0% |
| 2022Q3 | 92 | 23.0 | 4.09 | 0.00 | 1.06 | 3.03 | 3.55 | 23.4% |
| 2022Q2 | 91 | 22.9 | 4.18 | 0.15 | 1.20 | 2.82 | 3.68 | 0.0% |
| 2022Q1 | 90 | 23.5 | 3.52 | 0.23 | 0.65 | 2.65 | 3.49 | 0.0% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-04-10 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-04-30 |
| 2025-04-10 | 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 | 2025-05-01 |
| 2025-04-10 | 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 | 2025-05-01 |
| 2025-04-10 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-05-15 |
| 2025-04-10 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-05-19 |
| 2025-04-10 | 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 | 2025-05-02 |
| 2025-04-10 | 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 | 2025-05-19 |
| 2025-04-10 | Health | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D | 2025-05-19 |
| 2025-04-10 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2025-05-19 |
| 2025-04-10 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-04-29 |
| 2025-04-10 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | F | 2025-05-12 |
| 2025-04-10 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2025-05-02 |
| 2025-04-10 | Health | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | 2025-05-19 |
| 2025-04-10 | Health | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | 2025-05-19 |
| 2025-04-10 | Health | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | 2025-05-19 |
| 2025-04-10 | Health | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D | 2025-05-19 |
| 2025-04-10 | Health | F0946 | Provide training in compliance and ethics. | D | 2025-05-19 |
| 2025-04-10 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | 2025-05-19 |
| 2024-05-23 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2024-07-09 |
| 2024-05-23 | 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. | E | 2024-07-01 |
| 2024-05-23 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-06-28 |
| 2024-05-23 | 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 | 2024-07-05 |
| 2024-05-23 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-07-05 |
| 2024-05-23 | 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. | D | 2024-07-12 |
| 2024-05-23 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-07-06 |
| 2024-05-23 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2024-07-05 |
| 2024-05-23 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-07-09 |
| 2024-05-23 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | F | 2024-07-05 |
| 2023-08-10 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2023-10-15 |
| 2023-08-10 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2023-10-15 |
| 2023-08-10 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2023-10-15 |
| 2023-08-10 | 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 | 2023-10-15 |
| 2023-08-10 | 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 | 2023-10-15 |
| 2023-08-10 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-10-15 |
| 2023-08-10 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-08-10 |
| 2023-08-10 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2023-10-15 |
| 2023-08-10 | 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. | F | 2023-10-15 |
| 2023-08-10 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | 2023-09-28 |
| 2023-08-10 | 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 | 2023-10-15 |
| 2023-08-10 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-10-15 |
| 2023-08-10 | 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. | F | 2023-10-15 |
| 2023-08-10 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | 2023-09-28 |
| 2023-08-10 | Health | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D | 2023-08-10 |
| 2023-08-10 | Health | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | C | 2023-09-15 |
| 2023-08-10 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2023-09-18 |
| 2023-08-10 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-09-14 |
| 2023-08-10 | Health | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | 2023-09-15 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| MT GRANT GENERAL HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | current | pecos_ownership |
| DOW, MICHELLE | CORPORATE DIRECTOR | — | 2012-01-01 | current | pecos_ownership |
| FERGUSON, DENISE | ADP OF THE SNF | — | 2022-06-01 | current | pecos_ownership |
| LEHMAN, SANDRAE | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-03-01 | current | pecos_ownership |
| REED, PAULA | CORPORATE DIRECTOR | — | 2020-04-01 | current | pecos_ownership |
| RUCH, SHARON | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-07-01 | current | pecos_ownership |
| RUTHERFORD, NANCY | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-03-01 | current | pecos_ownership |
| SCHUMANN, RICHARD | CORPORATE DIRECTOR | — | 2017-10-01 | current | pecos_ownership |
| WOMACK, KAREN | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-11-01 | current | pecos_ownership |
| HUGH QUALLS | W-2 MANAGING EMPLOYEE | 100% | 2017-10-01 | ended 2026-05-18 | pecos_ownership |
| KAREN WOMACK | CORPORATE DIRECTOR | 0% | 2017-11-01 | ended 2026-05-18 | pecos_ownership |
| MICHELLE DOW | CORPORATE DIRECTOR | 0% | 2012-01-01 | ended 2026-05-18 | pecos_ownership |
| PATRICIA COEN | CORPORATE DIRECTOR | 0% | 2012-01-01 | ended 2026-05-18 | pecos_ownership |
| RICHARD SCHUMANN | CORPORATE DIRECTOR | 0% | 2017-10-01 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-04-17 | OASIS NURSING & REHAB OF GREEN VALLEY | — | — | — | 242 | HENDERSON DELMAR NV OPCO LLC |
| 2024-08-01 | NORTHERN NEVADA STATE VETERANS HOME | — | — | — | 96 | DIMENSIONS MANAGEMENT OF NORTHERN NEVADA LLC |
| 2024-04-18 | HIGHLAND MANOR OF ELKO REHABILITATION LLC | — | — | — | 146 | HIGHLAND MANOR OF ELKO REHABILITATION LLC |
| 2024-04-18 | HIGHLAND MANOR OF FALLON REHABILITATION LLC | — | — | — | 102 | HIGHLAND MANOR OF FALLON REHABILITATION LLC |
| 2024-04-18 | HIGHLAND MANOR OF MESQUITE REHABILITATION LLC | — | — | — | 112 | HIGHLAND MANOR OF MESQUITE REHABILITATION LLC |
| 2024-01-01 | HEARTHSTONE | — | — | — | 125 | TRUCKEE MEADOWS HEALTHCARE, INC. |
| 2023-09-07 | TLC CARE CENTER | — | — | — | 255 | TLC SNF OPERATIONS LLC |
| 2023-08-31 | PAHRUMP HEALTH AND REHABILITATION CENTER | — | — | — | 120 | PAHRUMP SNF OPERATIONS, LLC |
| 2023-08-31 | MOUNTAIN VIEW HEALTH AND REHABILITATION | — | — | — | 146 | MV SNF OPERATIONS LLC |
| 2023-08-31 | GARDNERVILLE HEALTH & REHABILITATION CENTER | — | — | — | 60 | GARDNERVILLE SNF OPERATIONS LLC |
| 2023-08-31 | ORMSBY POST ACUTE REHABILITATION | — | — | — | 120 | ORMSBY SNF OPERATIONS LLC |
| 2023-06-01 | MOUNTAIN VIEW CARE CENTER | — | — | — | 87 | BOULDER CITY NV OPCO LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 32021 | fmr | 0 | $1,055 | 2025-10-01 | HUD_USER_FMR |
| county 32021 | fmr | 1 | $1,062 | 2025-10-01 | HUD_USER_FMR |
| county 32021 | acs median gross | 2 | $799 | 2024-12-31 | CENSUS_ACS5 |
| county 32021 | fmr | 2 | $1,393 | 2025-10-01 | HUD_USER_FMR |
| county 32021 | acs median gross | 3 | $1,224 | 2024-12-31 | CENSUS_ACS5 |
| county 32021 | fmr | 3 | $1,937 | 2025-10-01 | HUD_USER_FMR |
| county 32021 | acs median gross | 4 | $626 | 2024-12-31 | CENSUS_ACS5 |
| county 32021 | fmr | 4 | $2,337 | 2025-10-01 | HUD_USER_FMR |
| county 32021 | acs median gross | $905 | 2024-12-31 | CENSUS_ACS5 | |
| county 32021 | acs recent mover gross | $481 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 89415 | acs median gross | 2 | $914 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89415 | acs median gross | 3 | $1,354 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89415 | acs median gross | $966 | 2024-12-31 | CENSUS_ACS5 | |
| zip 89415 | payment standard 110 | 0 | $1,188 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89415 | payment standard 90 | 0 | $972 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89415 | safmr | 0 | $1,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89415 | payment standard 110 | 1 | $1,188 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89415 | payment standard 90 | 1 | $972 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89415 | safmr | 1 | $1,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89415 | payment standard 110 | 2 | $1,562 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89415 | payment standard 90 | 2 | $1,278 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89415 | safmr | 2 | $1,420 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89415 | payment standard 110 | 3 | $2,167 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89415 | payment standard 90 | 3 | $1,773 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89415 | safmr | 3 | $1,970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89415 | payment standard 110 | 4 | $2,618 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89415 | payment standard 90 | 4 | $2,142 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89415 | safmr | 4 | $2,380 | 2025-10-01 | HUD_USER_SAFMR |