Composite
81.6 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 67.0 | 46.3 | 0.30 | 0.2308 | 15.46 | in index |
| regulatory risk | 65.8 | 58.8 | 0.30 | 0.2308 | 15.18 | in index |
| staffing risk | 71.0 | 71.0 | 0.25 | 0.1923 | 13.65 | in index |
| financial risk | 56.2 | 49.7 | 0.30 | 0.2308 | 12.97 | in index |
| chow risk | 35.1 | 42.2 | 0.15 | 0.1154 | 4.05 | in index |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 7 chains | RUBENSTEIN DAVID | 31 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 46.3 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 21.5 | 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 | 62.8 | C | v0.6 | default · in composite | |
| financial risk | 49.7 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.1 | — | 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 | 58.8 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 71.0 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 58.6 | C | 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 | 38.6 | B | 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 | 57.5 | 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 | 52.3 | 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 | 58.6 | 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 | 58.6 | 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 | 71.0 | 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 | 71.0 | 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) | 9.62 | -0.91 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.88 | -0.54 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| 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 | |
| Occupancy | 0.88 | -0.57 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Current owner tenure (years) | 9.62 | -0.14 | |
| Chain size (log) | 2.30 | -0.14 |
| 2025Q4 HPRD | This facility | VA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.97 | 3.13 | 3.28 | 2.90–3.77 |
| RN | 0.38 | 0.30 | 0.39 | 0.25–0.58 |
| Weekend total | 3.02 | 2.96 | 3.11 | — |
| Weekday total | 2.95 | 3.20 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 82.2 | 2.97 | 0.38 | 0.53 | 2.06 | 3.02 | 0.0% |
| 2025Q3 | 92 | 82.8 | 3.19 | 0.33 | 0.82 | 2.04 | 3.12 | 18.9% |
| 2025Q2 | 91 | 79.3 | 2.94 | 0.40 | 0.73 | 1.80 | 2.75 | 25.2% |
| 2025Q1 | 90 | 79.6 | 2.89 | 0.42 | 0.73 | 1.74 | 2.84 | 25.7% |
| 2024Q4 | 92 | 76.5 | 3.10 | 0.52 | 0.68 | 1.90 | 3.06 | 15.1% |
| 2024Q3 | 92 | 80.8 | 2.76 | 0.45 | 0.56 | 1.76 | 2.68 | 4.2% |
| 2024Q2 | 91 | 73.9 | 3.17 | 0.51 | 0.63 | 2.03 | 3.08 | 3.1% |
| 2024Q1 | 91 | 76.6 | 3.03 | 0.52 | 0.55 | 1.97 | 3.00 | 2.6% |
| 2023Q4 | 92 | 75.8 | 3.15 | 0.56 | 0.57 | 2.02 | 3.11 | 1.8% |
| 2023Q3 | 92 | 80.7 | 2.91 | 0.50 | 0.54 | 1.87 | 2.80 | 0.5% |
| 2023Q2 | 91 | 80.5 | 2.81 | 0.41 | 0.59 | 1.80 | 2.70 | 0.2% |
| 2023Q1 | 90 | 80.8 | 2.66 | 0.43 | 0.46 | 1.77 | 2.64 | 0.0% |
| 2022Q4 | 92 | 77.1 | 2.42 | 0.44 | 0.45 | 1.53 | 2.36 | 0.3% |
| 2022Q3 | 92 | 71.8 | 2.73 | 0.48 | 0.59 | 1.66 | 2.65 | 8.6% |
| 2022Q2 | 91 | 70.9 | 3.55 | 0.33 | 0.86 | 2.36 | 3.55 | 48.8% |
| 2022Q1 | 90 | 69.2 | 2.44 | 0.13 | 0.54 | 1.76 | 2.19 | 65.5% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-01-31 | Fine | $50,635 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-01-23 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-01-17 |
| 2025-01-23 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-01-17 |
| 2024-01-31 | Health · complaint | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | 2024-04-01 |
| 2024-01-31 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | G | 2024-04-01 |
| 2024-01-31 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | G | 2024-04-01 |
| 2024-01-31 | Health · complaint | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2024-04-01 |
| 2024-01-31 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-04-01 |
| 2024-01-31 | Health · complaint | 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. | F | 2024-04-01 |
| 2024-01-31 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-04-01 |
| 2024-01-31 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2024-04-01 |
| 2024-01-31 | Health · complaint | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | 2024-04-01 |
| 2024-01-31 | Health · complaint | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | 2024-04-01 |
| 2023-02-23 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-03-23 |
| 2023-02-23 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-03-23 |
| 2023-02-23 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-03-23 |
| 2023-02-23 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-03-23 |
| 2023-02-23 | Health | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | F | 2023-03-23 |
| 2023-02-23 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-03-23 |
| 2021-05-27 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2021-06-25 |
| 2021-05-27 | 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 | 2021-06-25 |
| 2021-05-27 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2021-06-25 |
| 2021-05-27 | 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 | 2021-06-25 |
| 2021-05-27 | 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 | 2021-06-25 |
| 2021-05-27 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2021-07-20 |
| 2021-05-27 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2021-06-25 |
| 2021-05-27 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2021-06-25 |
| 2021-05-27 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2021-06-25 |
| 2021-05-27 | Health | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | 2021-06-25 |
| 2021-05-27 | 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. | E | 2021-06-25 |
| 2021-05-27 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2021-07-20 |
| 2021-05-27 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2021-06-25 |
| 2019-03-14 | 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 | 2019-04-03 |
| 2019-03-14 | 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 | 2019-04-03 |
| 2019-03-14 | 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 | 2019-04-03 |
| 2019-03-14 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2019-04-03 |
| 2019-03-14 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2019-04-03 |
| 2019-03-14 | 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 | 2019-04-03 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| GL VIRGINIA HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2016-12-16 | current | pecos_ownership |
| GENTRY, BOYD | CORPORATE OFFICER | — | 2016-12-16 | current | pecos_ownership |
| LAM, ANGELA | W-2 MANAGING EMPLOYEE | — | 2023-05-15 | current | pecos_ownership |
| RUBENSTEIN, DAVID | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2016-12-16 | current | pecos_ownership |
| TRIO HEALTH CARE - EAST, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-05-24 | current | pecos_ownership |
| TRIO HEALTHCARE INVESTORS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2016-12-06 | current | pecos_ownership |
| TRIO HEALTHCARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-12-10 | current | pecos_ownership |
| DAVID RUBENSTEIN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 57% | 2016-12-16 | ended 2026-05-18 | pecos_ownership |
| BOYD GENTRY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 43% | 2016-12-16 | ended 2026-05-18 | pecos_ownership |
| ANGELA LAM | W-2 MANAGING EMPLOYEE | — | 2023-05-15 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2016-12-16 | — | GL VIRGINIA SHENANDOAH LLC | GGNSC BUENA VISTA LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-06-01 | Woodstock Valley Health and Rehabilitation | — | — | — | 88 | 803 SOUTH MAIN STREET OPCO LLC |
| 2025-06-01 | Jamestown Health and Rehabilitation | — | — | — | 90 | 1811 JAMESTOWN ROAD OPCO LLC |
| 2025-06-01 | Windsor Grove Health and Rehabilitation | — | — | — | 114 | 23352 COURTHOUSE HIGHWAY OPCO LLC |
| 2025-06-01 | Grayson Health and Rehabilitation | — | — | — | 120 | 400 SOUTH INDEPENDENCE AVENUE OPCO LLC |
| 2025-06-01 | SKYLINE NURSING & REHABILITATION | — | — | — | 90 | 237 FRANKLIN PIKE ROAD SE OPCO LLC |
| 2025-06-01 | KINGS DAUGHTERS COMMUNITY HEALTH & REHAB | — | — | — | 117 | 1410 NORTH AUGUSTA STREET OPCO LLC |
| 2025-06-01 | Ghent Health and Rehabilitation | — | — | — | 222 | 3900 LLEWELLYN AVENUE OPCO LLC |
| 2025-06-01 | ASHLAND NURSING AND REHABILITATION | — | — | — | 190 | 906 THOMPSON STREET OPCO LLC |
| 2025-05-19 | The Boulevard Post Acute | — | — | — | 81 | BOULEVARD OPERATOR LLC |
| 2025-05-01 | FRANCIS MARION MANOR HEALTH & REHABILITATION | — | — | — | 109 | FRANCIS MARION OPERATING GROUP LLC |
| 2024-09-01 | POPLAR HILL HEALTH AND REHAB | — | — | — | 113 | FAUQUIER OPCO LLC |
| 2024-05-01 | NORTHERN CARDINAL REHABILITATION AND NURSING | — | — | — | 120 | NORTHERN CARDINAL REHABILITATION AND NURSING LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 51530 | fmr | 0 | $870 | 2025-10-01 | HUD_USER_FMR |
| county 51530 | acs median gross | 1 | $673 | 2024-12-31 | CENSUS_ACS5 |
| county 51530 | fmr | 1 | $917 | 2025-10-01 | HUD_USER_FMR |
| county 51530 | acs median gross | 2 | $878 | 2024-12-31 | CENSUS_ACS5 |
| county 51530 | fmr | 2 | $1,005 | 2025-10-01 | HUD_USER_FMR |
| county 51530 | acs median gross | 3 | $1,186 | 2024-12-31 | CENSUS_ACS5 |
| county 51530 | fmr | 3 | $1,398 | 2025-10-01 | HUD_USER_FMR |
| county 51530 | acs median gross | 4 | $1,348 | 2024-12-31 | CENSUS_ACS5 |
| county 51530 | fmr | 4 | $1,686 | 2025-10-01 | HUD_USER_FMR |
| county 51530 | acs median gross | $1,112 | 2024-12-31 | CENSUS_ACS5 | |
| county 51530 | acs recent mover gross | $2,004 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 24416 | acs median gross | 1 | $679 | 2024-12-31 | CENSUS_ACS5 |
| zcta 24416 | acs median gross | 2 | $859 | 2024-12-31 | CENSUS_ACS5 |
| zcta 24416 | acs median gross | 3 | $1,147 | 2024-12-31 | CENSUS_ACS5 |
| zcta 24416 | acs median gross | 4 | $1,344 | 2024-12-31 | CENSUS_ACS5 |
| zcta 24416 | acs median gross | $1,069 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 24416 | acs recent mover gross | $2,004 | 2024-12-31 | CENSUS_ACS5 | |
| zip 24416 | payment standard 110 | 0 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24416 | payment standard 90 | 0 | $810 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24416 | safmr | 0 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24416 | payment standard 110 | 1 | $1,045 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24416 | payment standard 90 | 1 | $855 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24416 | safmr | 1 | $950 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24416 | payment standard 110 | 2 | $1,144 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24416 | payment standard 90 | 2 | $936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24416 | safmr | 2 | $1,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24416 | payment standard 110 | 3 | $1,595 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24416 | payment standard 90 | 3 | $1,305 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24416 | safmr | 3 | $1,450 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24416 | payment standard 110 | 4 | $1,914 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24416 | payment standard 90 | 4 | $1,566 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24416 | safmr | 4 | $1,740 | 2025-10-01 | HUD_USER_SAFMR |