Composite
34.7 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 58.0 | 50.9 | 0.30 | 0.2308 | 13.38 | in index |
| regulatory risk | 47.8 | 36.8 | 0.30 | 0.2308 | 11.03 | in index |
| billing conduct | 47.4 | 38.3 | 0.30 | 0.2308 | 10.94 | in index |
| staffing risk | 27.8 | 27.9 | 0.25 | 0.1923 | 5.35 | in index |
| chow risk | 16.4 | 16.1 | 0.15 | 0.1154 | 1.89 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 38.3 | 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 | 7.2 | A | v0.6 | default · in composite | |
| financial risk | 50.9 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.2 | — | 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 | 36.8 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 27.9 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 68.3 | 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 | 48.3 | 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 | 67.8 | D | 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 | 50.5 | 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 | 36.7 | B | 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 | 36.7 | B | 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 | 27.9 | B | 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 | 27.9 | B | 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 | |
| For-profit ownership | 0.00 | -1.24 | |
| Current owner tenure (years) | 8.74 | -1.00 | |
| Occupancy | 0.94 | -0.70 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 2.89 | +0.21 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 3.71 | -0.13 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | +1.62 | |
| Deficiencies, last 12 months | 3.00 | +0.87 | |
| Occupancy | 0.94 | -0.81 | |
| Chain size (log) | 2.89 | -0.48 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Total nurse staffing (HPRD) | 3.71 | -0.21 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
| 2025Q4 HPRD | This facility | MA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.71 | 3.39 | 3.28 | 2.90–3.77 |
| RN | 0.33 | 0.39 | 0.39 | 0.25–0.58 |
| Weekend total | 3.60 | 3.26 | 3.11 | — |
| Weekday total | 3.75 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 86.5 | 3.71 | 0.33 | 0.89 | 2.50 | 3.60 | 8.7% |
| 2025Q3 | 92 | 83.1 | 3.79 | 0.36 | 0.91 | 2.52 | 3.70 | 7.6% |
| 2025Q2 | 91 | 87.1 | 3.42 | 0.31 | 0.76 | 2.35 | 3.32 | 10.7% |
| 2025Q1 | 90 | 86.9 | 3.18 | 0.33 | 0.80 | 2.06 | 3.08 | 13.8% |
| 2024Q4 | 92 | 89.3 | 3.27 | 0.33 | 0.76 | 2.17 | 3.15 | 11.1% |
| 2024Q3 | 92 | 88.5 | 3.30 | 0.31 | 0.75 | 2.23 | 3.19 | 13.9% |
| 2024Q2 | 91 | 87.3 | 3.38 | 0.38 | 0.71 | 2.28 | 3.31 | 11.9% |
| 2024Q1 | 91 | 88.3 | 3.33 | 0.41 | 0.71 | 2.22 | 3.22 | 12.0% |
| 2023Q4 | 92 | 88.3 | 3.57 | 0.41 | 0.73 | 2.42 | 3.46 | 15.0% |
| 2023Q3 | 92 | 87.7 | 3.42 | 0.40 | 0.78 | 2.24 | 3.26 | 18.5% |
| 2023Q2 | 91 | 88.4 | 3.37 | 0.35 | 0.76 | 2.26 | 3.16 | 13.9% |
| 2023Q1 | 90 | 86.9 | 3.74 | 0.37 | 0.79 | 2.58 | 3.41 | 29.1% |
| 2022Q4 | 92 | 85.6 | 3.52 | 0.27 | 0.93 | 2.31 | 3.31 | 36.9% |
| 2022Q3 | 92 | 85.4 | 4.50 | 0.30 | 1.06 | 3.13 | 4.42 | 53.9% |
| 2022Q2 | 91 | 85.7 | 3.79 | 0.25 | 0.95 | 2.59 | 3.58 | 57.9% |
| 2022Q1 | 90 | 84.4 | 3.31 | 0.32 | 0.79 | 2.20 | 3.13 | 52.7% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-11-18 | Health · complaint | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | 2025-12-16 |
| 2025-11-18 | 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 | 2025-09-17 |
| 2025-11-18 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-12-16 |
| 2025-04-03 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-05-18 |
| 2025-04-03 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | 2025-05-18 |
| 2025-04-03 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2025-05-18 |
| 2025-04-03 | Health | F0641 | Ensure each resident receives an accurate assessment. | B | 2025-05-18 |
| 2025-04-03 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-05-18 |
| 2025-04-03 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-05-18 |
| 2025-04-03 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-05-18 |
| 2025-04-03 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-05-18 |
| 2025-04-03 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-05-18 |
| 2025-04-03 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-05-18 |
| 2025-04-03 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | 2025-05-18 |
| 2025-04-03 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-05-18 |
| 2025-04-03 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | 2025-05-18 |
| 2025-04-03 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-05-18 |
| 2025-04-03 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-05-18 |
| 2025-04-03 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2025-05-18 |
| 2025-03-26 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-05-01 |
| 2025-03-26 | Health · complaint | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2025-05-01 |
| 2025-03-26 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-05-01 |
| 2024-02-05 | Health | F0641 | Ensure each resident receives an accurate assessment. | C | 2024-03-21 |
| 2024-02-05 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2024-03-21 |
| 2024-02-05 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-03-21 |
| 2024-02-05 | 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 | 2024-03-21 |
| 2024-02-05 | 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 | 2024-03-21 |
| 2024-02-05 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-03-21 |
| 2024-02-05 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-03-21 |
| 2022-08-04 | 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 | 2022-09-08 |
| 2022-08-04 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2022-09-08 |
| 2022-08-04 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | 2022-09-08 |
| 2022-08-04 | 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 | 2022-09-08 |
| 2022-08-04 | 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 | 2022-09-08 |
| 2022-08-04 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2022-09-08 |
| 2022-08-04 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2022-09-08 |
| 2022-08-04 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2022-09-08 |
| 2022-08-04 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2022-09-08 |
| 2022-08-04 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2022-09-08 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| INTEGRITUS HEALTHCARE INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-09-01 | current | pecos_ownership |
| INTEGRITUS HEALTHCARE MANAGEMENT SERVICES INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2022-02-01 | current | pecos_ownership |
| GINGRAS, MARCIE JO | CORPORATE OFFICER | — | 2021-12-31 | current | pecos_ownership |
| GINGRAS, MARCIE JO | ADP OF THE SNF | — | 2022-02-01 | current | pecos_ownership |
| INTEGRITUS HEALTHCARE INC | ADP OF THE SNF | — | 2025-02-27 | current | pecos_ownership |
| INTEGRITUS HEALTHCARE INC | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-02-01 | current | pecos_ownership |
| INTEGRITUS HEALTHCARE MANAGEMENT SERVICES INC | ADP OF THE SNF | — | 2025-02-27 | current | pecos_ownership |
| JONES, WILLIAM | CORPORATE OFFICER | — | 2017-05-12 | current | pecos_ownership |
| JONES, WILLIAM | ADP OF THE SNF | — | 2022-02-01 | current | pecos_ownership |
| KAZI, FAHIM | ADP OF THE SNF | — | 2022-02-01 | current | pecos_ownership |
| WALTON, DANE | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-02-01 | current | pecos_ownership |
| DANE WALTON | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2022-02-01 | ended 2026-05-18 | pecos_ownership |
| FAHIM KAZI | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-02-01 | ended 2026-05-18 | pecos_ownership |
| MARCIE JO GINGRAS | ADP OF THE SNF | — | 2022-02-01 | ended 2026-05-18 | pecos_ownership |
| MARCIE JO GINGRAS | CORPORATE OFFICER | — | 2021-12-31 | ended 2026-05-18 | pecos_ownership |
| WILLIAM JONES | CORPORATE DIRECTOR | — | 2017-05-12 | ended 2026-05-18 | pecos_ownership |
| WILLIAM JONES | ADP OF THE SNF | — | 2022-02-01 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2017-11-01 | — | HOLYOKE RETIREMENT COMMUNITY, INC. | LOOMIS HOUSE INC. | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-29 | Hadley Pointe Nursing Rehab & Care | — | — | — | 154 | HADLEY CENTER LLC |
| 2025-08-01 | Alliance Health at Coleman | — | — | — | 45 | ALLIANCE HEALTH OF NORTHBOROUGH INC |
| 2025-05-28 | PALM SPRINGS POST ACUTE | — | — | — | 124 | PALM SPRINGS OPERATOR LLC |
| 2025-05-28 | HAMPDEN POST ACUTE | — | — | — | 135 | HAMPDEN OPERATOR LLC |
| 2025-04-01 | BROCKTON POST ACUTE CARE | — | — | — | 169 | BROCKTON OPERATOR LLC |
| 2025-04-01 | HIGHLAND PARK REHABILITATION AND HEALTHCARE CENTER | — | — | — | 195 | HIGHLAND PARK OPERATOR LLC |
| 2025-03-01 | THE CENTER AT ADVOCATE | — | — | — | 190 | THE CENTER AT ADVOCATE LLC |
| 2025-03-01 | Premier Healthcare at Harrington House | — | — | — | 90 | 160 MAIN STREET WALPOLE OPERATOR LLC |
| 2025-02-28 | PORT REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | NEWBURYPORT SNF OPERATIONS LLC |
| 2025-02-28 | MASCONOMET REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | TOPSFIELD SNF OPERATIONS LLC |
| 2025-02-28 | SIPPICAN REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | MARION SNF OPERATIONS LLC |
| 2025-02-28 | NEMASKET REHABILITATION AND HEALTHCARE CENTER | — | — | — | 102 | MIDDLEBOROUGH SNF OPERATIONS LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 25013 | acs median gross | 0 | $826 | 2024-12-31 | CENSUS_ACS5 |
| county 25013 | acs median gross | 1 | $869 | 2024-12-31 | CENSUS_ACS5 |
| county 25013 | acs median gross | 2 | $1,234 | 2024-12-31 | CENSUS_ACS5 |
| county 25013 | acs median gross | 3 | $1,408 | 2024-12-31 | CENSUS_ACS5 |
| county 25013 | acs median gross | 4 | $1,461 | 2024-12-31 | CENSUS_ACS5 |
| county 25013 | acs median gross | 5 | $1,586 | 2024-12-31 | CENSUS_ACS5 |
| county 25013 | acs median gross | $1,136 | 2024-12-31 | CENSUS_ACS5 | |
| county 25013 | acs recent mover gross | $1,231 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 01040 | acs median gross | 0 | $340 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01040 | acs median gross | 1 | $823 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01040 | acs median gross | 2 | $1,113 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01040 | acs median gross | 3 | $1,258 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01040 | acs median gross | 4 | $1,156 | 2024-12-31 | CENSUS_ACS5 |
| zcta 01040 | acs median gross | $1,021 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 01040 | acs recent mover gross | $1,356 | 2024-12-31 | CENSUS_ACS5 | |
| zip 01040 | payment standard 110 | 0 | $1,331 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01040 | payment standard 90 | 0 | $1,089 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01040 | safmr | 0 | $1,210 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01040 | payment standard 110 | 1 | $1,507 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01040 | payment standard 90 | 1 | $1,233 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01040 | safmr | 1 | $1,370 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01040 | payment standard 110 | 2 | $1,892 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01040 | payment standard 90 | 2 | $1,548 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01040 | safmr | 2 | $1,720 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01040 | payment standard 110 | 3 | $2,321 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01040 | payment standard 90 | 3 | $1,899 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01040 | safmr | 3 | $2,110 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01040 | payment standard 110 | 4 | $2,508 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01040 | payment standard 90 | 4 | $2,052 | 2025-10-01 | HUD_USER_SAFMR |
| zip 01040 | safmr | 4 | $2,280 | 2025-10-01 | HUD_USER_SAFMR |