Composite
63.5 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 96.3 | 67.4 | 0.30 | 0.2857 | 27.51 | in index |
| regulatory risk | 44.0 | 32.8 | 0.30 | 0.2857 | 12.57 | in index |
| financial risk | 31.2 | 34.6 | 0.30 | 0.2857 | 8.91 | in index |
| chow risk | 31.0 | 29.7 | 0.15 | 0.1429 | 4.43 | in index |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +28.4 vs natl | CORPORATE INTERFACE SERVICES LLC | 42 facilities |
| connection | Owner fleet risk far above national | +25.5 vs natl | ROCKPORT ADMINISTRATIVE SERVICES LLC | 72 facilities |
| connection | Owner fleet risk far above national | +24.2 vs natl | RECHNITZ SHLOMO | 75 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 67.4 | D | 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 | 34.4 | B | v0.6 | default · in composite | |
| financial risk | 34.6 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | 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 | 3.7 | — | 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 | 32.8 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| financial risk | 64.7 | 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 | 44.7 | 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 | 39.8 | 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 | 40.3 | 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 | 32.7 | 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 | 32.7 | 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. |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Chain size (log) | 4.23 | +0.50 | |
| Occupancy | 0.87 | -0.49 | |
| 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 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| Chain size (log) | 4.23 | -1.26 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.87 | -0.49 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Total nurse staffing (HPRD) | 3.55 | -0.14 | |
| Never sold on record | 1.00 | +0.12 |
| 2025Q3 HPRD | This facility | CA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.55 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.32 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.58 | 3.79 | 3.11 | — |
| Weekday total | 3.54 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q3 | 92 | 77.9 | 3.55 | 0.32 | 1.04 | 2.19 | 3.58 | 0.0% |
| 2025Q2 | 91 | 73.7 | 3.59 | 0.34 | 1.02 | 2.22 | 3.64 | 0.0% |
| 2025Q1 | 90 | 76.7 | 3.62 | 0.28 | 1.16 | 2.18 | 3.68 | 0.0% |
| 2024Q4 | 92 | 72.8 | 3.67 | 0.37 | 1.07 | 2.23 | 3.74 | 0.0% |
| 2024Q3 | 92 | 70.4 | 3.66 | 0.38 | 0.98 | 2.30 | 3.68 | 0.0% |
| 2024Q2 | 91 | 68.5 | 3.65 | 0.35 | 1.05 | 2.26 | 3.77 | 0.0% |
| 2024Q1 | 91 | 70.5 | 3.53 | 0.39 | 0.95 | 2.19 | 3.69 | 0.0% |
| 2023Q4 | 92 | 68.5 | 3.58 | 0.41 | 0.96 | 2.21 | 3.68 | 0.0% |
| 2023Q3 | 92 | 72.3 | 3.44 | 0.42 | 0.87 | 2.15 | 3.57 | 0.0% |
| 2023Q2 | 91 | 74.4 | 3.48 | 0.39 | 1.02 | 2.07 | 3.61 | 0.0% |
| 2023Q1 | 90 | 82.9 | 3.24 | 0.34 | 0.94 | 1.96 | 3.27 | 0.0% |
| 2022Q4 | 92 | 71.7 | 3.47 | 0.34 | 0.93 | 2.20 | 3.49 | 0.0% |
| 2022Q3 | 92 | 58.4 | 3.57 | 0.36 | 0.97 | 2.23 | 3.54 | 0.0% |
| 2022Q2 | 91 | 62.8 | 3.57 | 0.18 | 1.09 | 2.29 | 3.62 | 0.0% |
| 2022Q1 | 90 | 61.5 | 3.67 | 0.15 | 1.13 | 2.39 | 3.72 | 0.0% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-05-25 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2025-06-14 |
| 2025-05-25 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-06-14 |
| 2025-05-25 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-06-14 |
| 2025-05-25 | 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 | 2025-06-14 |
| 2025-05-25 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-06-14 |
| 2025-05-25 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-06-14 |
| 2025-05-25 | 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 | 2025-06-14 |
| 2025-05-25 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-06-14 |
| 2025-05-25 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | 2025-06-14 |
| 2025-05-25 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-06-14 |
| 2025-05-25 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-06-14 |
| 2025-05-25 | Health | F0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B | 2025-06-14 |
| 2025-03-19 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-03-31 |
| 2024-10-07 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-10-21 |
| 2024-09-05 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2024-09-24 |
| 2024-09-05 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-09-24 |
| 2024-06-06 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-06-24 |
| 2024-06-06 | 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 | 2024-06-24 |
| 2024-06-06 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-06-24 |
| 2024-06-06 | Health | F0732 | Post nurse staffing information every day. | E | 2024-06-24 |
| 2024-06-06 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-06-24 |
| 2024-06-06 | Health | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | 2024-06-24 |
| 2024-06-06 | Health | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2024-06-24 |
| 2024-06-06 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-06-24 |
| 2024-06-06 | Health | F0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B | 2024-06-24 |
| 2023-06-01 | Health · complaint | 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. | D | 2023-07-01 |
| 2023-06-01 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-07-01 |
| 2022-02-04 | 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 | 2022-03-01 |
| 2022-02-04 | 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 | 2022-03-01 |
| 2022-02-04 | 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 | 2022-03-01 |
| 2022-02-04 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2022-03-01 |
| 2022-02-04 | 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. | E | 2022-03-01 |
| 2022-02-04 | 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 | 2022-03-01 |
| 2022-02-04 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2022-03-01 |
| 2022-02-04 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2022-03-01 |
| 2022-02-04 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | 2022-03-01 |
| 2022-02-04 | Health | F0886 | Perform COVID19 testing on residents and staff. | E | 2022-03-01 |
| 2022-02-04 | Health | F0888 | Ensure staff are vaccinated for COVID-19 | D | 2022-03-01 |
| 2022-02-04 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2022-03-01 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CORPORATE INTERFACE SERVICES LLC | ADP OF THE SNF | — | 2025-06-18 | current | pecos_ownership |
| CORPORATE INTERFACE SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-18 | current | pecos_ownership |
| MONTECITO WELLNESS GP, LLC | GENERAL PARTNERSHIP INTEREST | — | 2019-01-01 | current | pecos_ownership |
| MONTECITO-LET | Director, officer, administrator or key person of related organization, or relative, has financial interest in provider | — | 2023-01-01 | current | hcris_a_8_1 |
| MONTECITO-LET | Director, officer, administrator or key person of related organization, or relative, has financial interest in provider | — | 2024-01-01 | current | hcris_a_8_1 |
| MONTECITO-LET LP | ADP OF THE SNF | — | 2025-06-18 | current | pecos_ownership |
| RECHNITZ, SHLOMO | LIMITED PARTNERSHIP INTEREST | — | 2013-12-01 | current | pecos_ownership |
| ROCKPORT ADMINISTRATIVE SERVICES, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-01-15 | current | pecos_ownership |
| ROCKPORT ADMINISTRATIVE SERVICES, LLC | ADP OF THE SNF | — | 2025-06-18 | current | pecos_ownership |
| RONEN, JOSHUA | ADP OF THE SNF | — | 2025-06-01 | current | pecos_ownership |
| VACA, ERIC | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-03 | current | pecos_ownership |
| SHLOMO RECHNITZ | LIMITED PARTNERSHIP INTEREST | 100% | 2013-12-01 | ended 2026-05-18 | pecos_ownership |
| ERIC VACA | ADP OF THE SNF | — | 2025-03-03 | ended 2026-05-18 | pecos_ownership |
| JOSHUA RONEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| MONTECITO-LET | Director, officer, administrator or key person of related organization, or relative, has financial interest in provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| MONTECITO-LET | Director, officer, administrator or key person of related organization, or relative, has financial interest in provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-08-01 | Turlock Nursing & Rehabilitation Center | — | — | — | 144 | TRACY RIDGE HEALTHCARE, INC. |
| 2025-04-01 | ALAMITOS WEST HEALTH & REHABILITATION | — | — | — | 150 | MALCOLM HEALTHCARE, INC. |
| 2025-04-01 | PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER | — | — | — | 99 | STRAWBERRY POND HEALTHCARE LLC |
| 2025-01-16 | GOLDEN HARBOR HEALTHCARE CENTER | — | — | — | 99 | CEYLON HOLDINGS LLC |
| 2024-12-30 | GRASS VALLEY HEALTHCARE CENTER | — | — | — | 86 | HEISMAN LLC |
| 2024-10-01 | REDWOOD GROVE POST ACUTE | — | — | — | 144 | SOQUEL CARE LLC |
| 2024-09-01 | OAK GROVE POST ACUTE | — | — | — | 119 | 4545 SHELLEY COURT OPCO, LLC |
| 2024-08-01 | WE CARE SKILLED NURSING - FREMONT | — | — | — | 99 | WE CARE SKILLED NURSING-FREMONT, LLC |
| 2024-05-01 | MAJESTIC MOUNTAIN CARE CENTER | — | — | — | 66 | OAKHURST SKILLED CARE LLC |
| 2024-04-01 | THE BRADLEY GARDENS | — | — | — | 44 | GHC OF SAN JACINTO LLC |
| 2024-04-01 | SANTA FE POST-ACUTE | — | — | — | 187 | SKILLED BOBIER LLC |
| 2024-04-01 | BAYSHIRE SAN DIMAS POST-ACUTE | — | — | — | 45 | SKILLED SAN DIMAS LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06037 | acs median gross | 0 | $1,523 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 0 | $1,863 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 1 | $1,724 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 1 | $2,085 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 2 | $2,127 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 2 | $2,601 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 3 | $2,484 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 3 | $3,298 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 4 | $2,866 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 4 | $3,672 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 5 | $2,767 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | acs median gross | $1,954 | 2024-12-31 | CENSUS_ACS5 | |
| county 06037 | acs recent mover gross | $2,358 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 90065 | acs median gross | 0 | $1,239 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90065 | acs median gross | 1 | $1,462 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90065 | acs median gross | 2 | $2,030 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90065 | acs median gross | 3 | $2,548 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90065 | acs median gross | 4 | $2,444 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90065 | acs median gross | $1,822 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 90065 | acs recent mover gross | $2,804 | 2024-12-31 | CENSUS_ACS5 | |
| zip 90065 | payment standard 110 | 0 | $2,178 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90065 | payment standard 90 | 0 | $1,782 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90065 | safmr | 0 | $1,980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90065 | payment standard 110 | 1 | $2,442 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90065 | payment standard 90 | 1 | $1,998 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90065 | safmr | 1 | $2,220 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90065 | payment standard 110 | 2 | $3,047 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90065 | payment standard 90 | 2 | $2,493 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90065 | safmr | 2 | $2,770 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90065 | payment standard 110 | 3 | $3,861 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90065 | payment standard 90 | 3 | $3,159 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90065 | safmr | 3 | $3,510 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90065 | payment standard 110 | 4 | $4,301 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90065 | payment standard 90 | 4 | $3,519 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90065 | safmr | 4 | $3,910 | 2025-10-01 | HUD_USER_SAFMR |