Composite
79.2 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| staffing risk | 87.7 | 87.7 | 0.25 | 0.1923 | 16.87 | in index |
| regulatory risk | 72.0 | 67.5 | 0.30 | 0.2308 | 16.62 | in index |
| billing conduct | 52.7 | 40.5 | 0.30 | 0.2308 | 12.16 | in index |
| financial risk | 44.4 | 42.1 | 0.30 | 0.2308 | 10.25 | in index |
| chow risk | 36.2 | 34.7 | 0.15 | 0.1154 | 4.18 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 40.5 | 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 | 44.5 | B | v0.6 | default · in composite | |
| financial risk | 42.1 | B | 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 | 0.4 | — | 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 | 67.5 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 87.7 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 74.2 | 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 | 54.2 | 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 | 35.0 | B | 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 | 48.2 | 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 | 67.3 | 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 | 67.3 | 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 | 87.7 | 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 | 87.7 | 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) | 6.32 | -1.23 | |
| For-profit ownership | 1.00 | +0.69 | |
| Contract staffing share | 0.38 | +0.49 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.56 | +0.41 | |
| Chain size (log) | 3.76 | +0.40 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 3.76 | -0.99 | |
| Occupancy | 0.56 | +0.81 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 4.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Contract staffing share | 0.38 | +0.33 | |
| Never sold on record | 0.00 | -0.28 | |
| Total nurse staffing (HPRD) | 2.62 | +0.25 |
| 2025Q4 HPRD | This facility | MN median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.62 | 3.49 | 3.28 | 2.90–3.77 |
| RN | 0.62 | 0.65 | 0.39 | 0.25–0.58 |
| Weekend total | 2.71 | 3.32 | 3.11 | — |
| Weekday total | 2.58 | 3.59 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 39.0 | 2.62 | 0.62 | 0.32 | 1.68 | 2.71 | 38.1% |
| 2025Q3 | 92 | 37.2 | 2.54 | 0.75 | 0.14 | 1.65 | 2.53 | 28.5% |
| 2025Q2 | 91 | 37.6 | 1.86 | 0.26 | 0.12 | 1.48 | 1.60 | 0.6% |
| 2025Q1 | 90 | 41.3 | 2.41 | 0.69 | 0.12 | 1.60 | 2.45 | 36.0% |
| 2024Q4 | 92 | 40.6 | 2.57 | 0.69 | 0.19 | 1.69 | 2.57 | 29.9% |
| 2024Q3 | 92 | 40.3 | 2.34 | 0.70 | 0.13 | 1.50 | 2.23 | 28.0% |
| 2024Q2 | 91 | 40.4 | 2.37 | 0.73 | 0.15 | 1.49 | 2.35 | 28.2% |
| 2024Q1 | 91 | 39.4 | 2.29 | 0.68 | 0.32 | 1.29 | 2.17 | 17.8% |
| 2023Q4 | 92 | 39.6 | 2.10 | 0.49 | 0.42 | 1.19 | 2.00 | 3.5% |
| 2023Q3 | 92 | 41.7 | 2.05 | 0.61 | 0.42 | 1.02 | 1.86 | 0.2% |
| 2023Q2 | 91 | 39.4 | 1.92 | 0.52 | 0.44 | 0.96 | 1.80 | 1.8% |
| 2023Q1 | 90 | 42.7 | 1.79 | 0.53 | 0.41 | 0.86 | 1.68 | 13.5% |
| 2022Q4 | 92 | 41.5 | 2.07 | 0.43 | 0.25 | 1.39 | 2.02 | 0.0% |
| 2022Q3 | 92 | 38.2 | 1.99 | 0.36 | 0.26 | 1.38 | 1.87 | 0.0% |
| 2022Q2 | 91 | 41.3 | 2.14 | 0.45 | 0.27 | 1.42 | 2.08 | 0.0% |
| 2022Q1 | 90 | 41.9 | 2.24 | 0.44 | 0.35 | 1.45 | 2.16 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-01-25 | Fine | $8,021 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-08-15 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-09-10 |
| 2025-08-15 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-09-10 |
| 2025-08-15 | Health · complaint | 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 | 2025-09-10 |
| 2025-08-15 | 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 | 2025-09-10 |
| 2025-06-18 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-07-11 |
| 2025-06-18 | Health · complaint | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | 2025-07-11 |
| 2025-05-01 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-06-18 |
| 2025-05-01 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | 2025-06-06 |
| 2025-05-01 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | 2025-06-06 |
| 2025-05-01 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | 2025-06-06 |
| 2025-05-01 | 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 | 2025-06-06 |
| 2025-05-01 | 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. | D | 2025-06-06 |
| 2025-05-01 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2025-06-06 |
| 2025-05-01 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-06-06 |
| 2025-05-01 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-06-06 |
| 2025-05-01 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-06-06 |
| 2025-05-01 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2025-06-06 |
| 2025-05-01 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2025-06-06 |
| 2025-05-01 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-06-06 |
| 2025-03-19 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-04-14 |
| 2025-02-24 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-03-14 |
| 2025-02-24 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2025-03-14 |
| 2025-01-03 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-01-20 |
| 2024-05-14 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-06-12 |
| 2024-05-14 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-06-18 |
| 2024-02-07 | 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 | 2024-03-04 |
| 2024-02-07 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-03-04 |
| 2024-02-07 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-03-04 |
| 2024-01-25 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-01-22 |
| 2023-04-06 | 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 | 2023-05-24 |
| 2023-04-06 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2023-05-24 |
| 2023-04-06 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-05-24 |
| 2023-04-06 | 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 | 2023-05-24 |
| 2023-04-06 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-05-24 |
| 2023-04-06 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-05-24 |
| 2023-04-06 | 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 | 2023-05-24 |
| 2023-04-06 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-05-24 |
| 2023-04-06 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2023-05-24 |
| 2023-04-06 | 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. | E | 2023-05-24 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| HALPERT, MARC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 32% | 2020-04-01 | current | pecos_ownership |
| LEGUM, JOSHUA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 32% | 2020-04-01 | current | pecos_ownership |
| SPARTAN HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 32% | 2020-04-01 | current | pecos_ownership |
| YAZOMA HOLDINGS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 32% | 2020-04-01 | current | pecos_ownership |
| STERN, WILLIAM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 22% | 2020-04-01 | current | pecos_ownership |
| WBS HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 22% | 2020-04-01 | current | pecos_ownership |
| JAFFA, NOAM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 14% | 2020-04-01 | current | pecos_ownership |
| NIJ LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 14% | 2020-04-01 | current | pecos_ownership |
| MONARCH HEALTHCARE OPERATING X LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-04-01 | current | pecos_ownership |
| JOSHUA LEGUM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 32% | 2020-04-01 | ended 2026-05-18 | pecos_ownership |
| MARC HALPERT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 32% | 2020-04-01 | ended 2026-05-18 | pecos_ownership |
| WILLIAM STERN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 22% | 2020-04-01 | ended 2026-05-18 | pecos_ownership |
| NOAM JAFFA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 14% | 2020-04-01 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2020-04-01 | — | GARDENS AT WINSTED LLC | BENEDICTINE LIVING COMMUNITY OF WINSTED | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-07-22 | CURA OF ONAMIA | — | — | — | 57 | CURA OF ONAMIA LLC |
| 2024-12-01 | SHAKOPEE FRIENDSHIP MANOR | — | — | — | 60 | SHAKOPEE CARE LLC |
| 2024-12-01 | EDENBROOK ROCHESTER WEST | — | — | — | 48 | EDENBROOK ROCHESTER WEST LLC |
| 2024-10-29 | Cura of Sauk Centre | — | — | — | 60 | CURA OF SAUK CENTRE LLC |
| 2024-10-15 | Heartwood | — | — | — | 54 | CROSBY SENIOR SERVICES CARE CENTER |
| 2024-02-13 | Cura of Monticello | — | — | — | 67 | CURA OF MONTICELLO LLC |
| 2023-12-31 | MAPLEWOOD REHABILITATION CENTER | — | — | — | 115 | MAPLEWOOD REHABILITATION CENTER LLC |
| 2023-12-31 | SLEEPY EYE REHABILITATI CENTER | — | — | — | 61 | SLEEPY EYE REHABILITATION CENTER LLC |
| 2023-12-15 | ST BENEDICTS CARE CENTER | — | — | — | 75 | ECUMEN SBC ST CLOUD PROPERTIES LLC |
| 2023-12-01 | Frazee Care Center | — | — | — | 42 | LEGACY SENIOR SERVICES |
| 2023-06-05 | CURA OF LE SUEUR | — | — | — | 50 | CURA OF LE SUEUR LLC |
| 2023-05-01 | LAKEHOUSE HEALTHCARE & REHABILITATION CENTER | — | — | — | 260 | LAKE HARRIET OPERATOR LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 27085 | fmr | 0 | $823 | 2025-10-01 | HUD_USER_FMR |
| county 27085 | acs median gross | 1 | $821 | 2024-12-31 | CENSUS_ACS5 |
| county 27085 | fmr | 1 | $865 | 2025-10-01 | HUD_USER_FMR |
| county 27085 | acs median gross | 2 | $963 | 2024-12-31 | CENSUS_ACS5 |
| county 27085 | fmr | 2 | $999 | 2025-10-01 | HUD_USER_FMR |
| county 27085 | acs median gross | 3 | $1,069 | 2024-12-31 | CENSUS_ACS5 |
| county 27085 | fmr | 3 | $1,198 | 2025-10-01 | HUD_USER_FMR |
| county 27085 | acs median gross | 4 | $1,194 | 2024-12-31 | CENSUS_ACS5 |
| county 27085 | fmr | 4 | $1,662 | 2025-10-01 | HUD_USER_FMR |
| county 27085 | acs median gross | $941 | 2024-12-31 | CENSUS_ACS5 | |
| county 27085 | acs recent mover gross | $1,088 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 55395 | acs median gross | 1 | $429 | 2024-12-31 | CENSUS_ACS5 |
| zcta 55395 | acs median gross | 2 | $839 | 2024-12-31 | CENSUS_ACS5 |
| zcta 55395 | acs median gross | 3 | $1,375 | 2024-12-31 | CENSUS_ACS5 |
| zcta 55395 | acs median gross | $839 | 2024-12-31 | CENSUS_ACS5 | |
| zip 55395 | payment standard 110 | 0 | $1,210 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55395 | payment standard 90 | 0 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55395 | safmr | 0 | $1,100 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55395 | payment standard 110 | 1 | $1,375 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55395 | payment standard 90 | 1 | $1,125 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55395 | safmr | 1 | $1,250 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55395 | payment standard 110 | 2 | $1,672 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55395 | payment standard 90 | 2 | $1,368 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55395 | safmr | 2 | $1,520 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55395 | payment standard 110 | 3 | $2,222 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55395 | payment standard 90 | 3 | $1,818 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55395 | safmr | 3 | $2,020 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55395 | payment standard 110 | 4 | $2,497 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55395 | payment standard 90 | 4 | $2,043 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55395 | safmr | 4 | $2,270 | 2025-10-01 | HUD_USER_SAFMR |