Composite
34.0 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 69.4 | 64.1 | 0.30 | 0.2308 | 16.02 | in index |
| staffing risk | 72.0 | 72.0 | 0.25 | 0.1923 | 13.85 | in index |
| financial risk | 34.4 | 36.4 | 0.30 | 0.2308 | 7.94 | in index |
| chow risk | 39.3 | 43.6 | 0.15 | 0.1154 | 4.53 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.2308 | 0.00 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 0.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.1 | 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 | 63.2 | C | v0.6 | default · in composite | |
| financial risk | 36.4 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 1.0 | — | 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 | 2.5 | — | 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 | 64.1 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 72.0 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 86.3 | 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 | 66.3 | 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 | 34.6 | 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 | 40.7 | 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 | 63.9 | 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 | 63.9 | 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 | 72.0 | 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 | 72.0 | 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 | |
|---|---|---|---|
| For-profit ownership | 0.00 | -1.24 | |
| Occupancy | 0.42 | +0.79 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 13.00 | +0.14 | |
| Contract staffing share | 0.15 | +0.13 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | +1.62 | |
| Occupancy | 0.42 | +1.36 | |
| Deficiencies, last 12 months | 13.00 | -0.98 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 | |
| Total nurse staffing (HPRD) | 2.95 | +0.11 | |
| Current owner tenure (years) | 25.00 | +0.11 |
| 2025Q4 HPRD | This facility | KS median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.95 | 3.03 | 3.28 | 2.90–3.77 |
| RN | 0.59 | 0.44 | 0.39 | 0.25–0.58 |
| Weekend total | 2.75 | 2.87 | 3.11 | — |
| Weekday total | 3.03 | 3.10 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 27.6 | 2.95 | 0.59 | 0.22 | 2.14 | 2.75 | 14.9% |
| 2025Q3 | 92 | 26.1 | 3.34 | 0.69 | 0.21 | 2.44 | 3.14 | 12.1% |
| 2025Q2 | 91 | 26.7 | 3.25 | 0.72 | 0.18 | 2.35 | 3.05 | 12.8% |
| 2025Q1 | 90 | 32.3 | 3.01 | 0.51 | 0.25 | 2.25 | 2.76 | 14.1% |
| 2024Q4 | 92 | 32.7 | 3.09 | 0.60 | 0.22 | 2.27 | 2.82 | 17.1% |
| 2024Q3 | 92 | 35.2 | 2.98 | 0.55 | 0.17 | 2.26 | 2.68 | 12.9% |
| 2024Q2 | 91 | 37.3 | 3.16 | 0.60 | 0.20 | 2.36 | 2.66 | 9.6% |
| 2024Q1 | 91 | 40.1 | 3.02 | 0.58 | 0.20 | 2.23 | 2.69 | 23.4% |
| 2023Q4 | 92 | 43.1 | 2.83 | 0.59 | 0.26 | 1.97 | 2.53 | 28.1% |
| 2023Q3 | 92 | 44.2 | 3.09 | 0.60 | 0.28 | 2.22 | 2.91 | 34.6% |
| 2023Q2 | 91 | 47.1 | 2.87 | 0.41 | 0.33 | 2.13 | 2.62 | 31.9% |
| 2023Q1 | 90 | 46.5 | 3.29 | 0.55 | 0.32 | 2.42 | 2.87 | 28.9% |
| 2022Q4 | 92 | 48.0 | 3.20 | 0.55 | 0.29 | 2.35 | 2.82 | 35.4% |
| 2022Q3 | 92 | 48.1 | 2.96 | 0.56 | 0.31 | 2.09 | 2.70 | 26.0% |
| 2022Q2 | 91 | 46.2 | 2.93 | 0.51 | 0.45 | 1.98 | 2.41 | 8.9% |
| 2022Q1 | 90 | 45.9 | 3.20 | 0.67 | 0.58 | 1.95 | 2.69 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2023-09-13 | Fine | $7,960 | CMS provider data |
| 2023-06-27 | Fine | $20,994 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-01-08 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-02-10 |
| 2026-01-08 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | 2026-02-10 |
| 2026-01-08 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | 2026-02-10 |
| 2026-01-08 | Health | F0620 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | F | 2026-02-10 |
| 2026-01-08 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-02-10 |
| 2026-01-08 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-02-10 |
| 2026-01-08 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-02-10 |
| 2026-01-08 | Health | F0732 | Post nurse staffing information every day. | C | 2026-02-10 |
| 2026-01-08 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2026-02-10 |
| 2026-01-08 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2026-02-10 |
| 2026-01-08 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2026-02-10 |
| 2026-01-08 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2026-02-10 |
| 2026-01-08 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | F | 2026-02-10 |
| 2024-03-11 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | 2024-03-27 |
| 2024-03-11 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-03-27 |
| 2024-03-11 | 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 | 2024-03-27 |
| 2024-03-11 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2024-03-27 |
| 2024-03-11 | Health | F0732 | Post nurse staffing information every day. | C | 2024-03-27 |
| 2024-03-11 | 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 | 2024-03-27 |
| 2024-03-11 | 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 | 2024-03-27 |
| 2023-11-30 | 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 | 2023-12-21 |
| 2023-11-30 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-12-21 |
| 2023-11-30 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2023-12-21 |
| 2023-09-13 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2023-09-05 |
| 2023-09-13 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | L | 2023-09-05 |
| 2023-06-27 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2023-07-20 |
| 2023-06-27 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | J | 2023-07-20 |
| 2022-04-25 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2022-05-27 |
| 2022-04-25 | 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 | 2022-05-27 |
| 2022-04-25 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-05-27 |
| 2022-04-25 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2022-05-27 |
| 2022-04-25 | Health | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2022-05-27 |
| 2022-04-25 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-05-27 |
| 2022-04-25 | 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 | 2022-05-27 |
| 2022-04-25 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2022-05-27 |
| 2022-04-25 | 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 | 2022-05-27 |
| 2022-04-25 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2022-05-27 |
| 2022-04-25 | 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 | 2022-05-27 |
| 2022-04-25 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2022-05-27 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| SMITH, JASON | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2014-01-01 | current | pecos_ownership |
| GRACE TEAM LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-07-01 | current | pecos_ownership |
| PARKER, MADISON | CORPORATE DIRECTOR | — | 2022-02-09 | current | pecos_ownership |
| JASON SMITH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2014-01-01 | ended 2026-05-18 | pecos_ownership |
| MADISON PARKER | W-2 MANAGING EMPLOYEE | 100% | 2022-02-09 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-07-01 | VIA CHRISTI VILLAGE PITTSBURG | — | — | — | 96 | VIA CHRISTI VILLAGE PITTSBURG KS LLC |
| 2025-07-01 | VIA CHRISTI VILLAGE HAYS KS LLC | — | — | — | 96 | VIA CHRISTI VILLAGE HAYS KS LLC |
| 2025-01-25 | HOLTON HEALTH CARE CENTER | — | — | — | 45 | HOLTON HEALTH CARE CENTER LLC |
| 2024-08-25 | SWAN HEALTH AT OVERLAND PARK | — | — | — | 44 | HHN KS2 LLC |
| 2024-08-01 | IGNITE MEDICAL RESORT OVERLAND PARK LLC | — | — | — | 102 | IGNITE MEDICAL RESORT OVERLAND PARK LLC |
| 2024-05-01 | HILLSIDE VILLAGE OF DE SOTO REHABILITATION AND NUR | — | — | — | 49 | OSAGE VALLEY HEALTHCARE LLC |
| 2024-03-01 | ATCHISON SENIOR VILLAGE REHABILITATION AND NURSING | — | — | — | 45 | EARHART HEALTHCARE LLC |
| 2024-02-01 | PROVIDENCE LIVING CENTER | — | — | — | 78 | PROVIDENCE OPCO LLC |
| 2023-11-01 | TONGANOXIE TERRACE | — | — | — | 90 | TONGANOXIE OPCO LLC |
| 2023-10-01 | PROVIDENCE PLACE | — | — | — | 45 | STREETCAR HEALTHCARE, INC. |
| 2023-09-01 | MAPLE HEIGHTS NURSING & REHABILITATIVE CENTER | — | — | — | 53 | HIAWATHA OPCO LLC |
| 2023-08-01 | OVERLAND PARK POST ACUTE | — | — | — | 140 | EXCEL OF OVERLAND PARK LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 20015 | fmr | 0 | $782 | 2025-10-01 | HUD_USER_FMR |
| county 20015 | acs median gross | 1 | $642 | 2024-12-31 | CENSUS_ACS5 |
| county 20015 | fmr | 1 | $849 | 2025-10-01 | HUD_USER_FMR |
| county 20015 | acs median gross | 2 | $963 | 2024-12-31 | CENSUS_ACS5 |
| county 20015 | fmr | 2 | $1,099 | 2025-10-01 | HUD_USER_FMR |
| county 20015 | acs median gross | 3 | $1,124 | 2024-12-31 | CENSUS_ACS5 |
| county 20015 | fmr | 3 | $1,444 | 2025-10-01 | HUD_USER_FMR |
| county 20015 | acs median gross | 4 | $1,689 | 2024-12-31 | CENSUS_ACS5 |
| county 20015 | fmr | 4 | $1,784 | 2025-10-01 | HUD_USER_FMR |
| county 20015 | acs median gross | 5 | $1,658 | 2024-12-31 | CENSUS_ACS5 |
| county 20015 | acs median gross | $956 | 2024-12-31 | CENSUS_ACS5 | |
| county 20015 | acs recent mover gross | $1,118 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 67154 | acs median gross | 1 | $564 | 2024-12-31 | CENSUS_ACS5 |
| zcta 67154 | acs median gross | 3 | $875 | 2024-12-31 | CENSUS_ACS5 |
| zcta 67154 | acs median gross | $588 | 2024-12-31 | CENSUS_ACS5 | |
| zip 67154 | payment standard 110 | 0 | $858 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67154 | payment standard 90 | 0 | $702 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67154 | safmr | 0 | $780 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67154 | payment standard 110 | 1 | $924 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67154 | payment standard 90 | 1 | $756 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67154 | safmr | 1 | $840 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67154 | payment standard 110 | 2 | $1,199 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67154 | payment standard 90 | 2 | $981 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67154 | safmr | 2 | $1,090 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67154 | payment standard 110 | 3 | $1,573 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67154 | payment standard 90 | 3 | $1,287 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67154 | safmr | 3 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67154 | payment standard 110 | 4 | $1,947 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67154 | payment standard 90 | 4 | $1,593 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67154 | safmr | 4 | $1,770 | 2025-10-01 | HUD_USER_SAFMR |