Composite
60.5 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 99.0 | 93.9 | 0.30 | 0.2308 | 22.85 | in index |
| regulatory risk | 60.6 | 51.9 | 0.30 | 0.2308 | 13.98 | in index |
| staffing risk | 46.2 | 46.3 | 0.25 | 0.1923 | 8.88 | in index |
| chow risk | 57.1 | 60.2 | 0.15 | 0.1154 | 6.59 | 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 | 24.5 | 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 | 96.0 | F | v0.6 | default · in composite | |
| financial risk | 93.9 | F | 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 | 2.6 | — | 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 | 51.9 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 46.3 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 76.4 | 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 | 56.4 | 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 | 76.1 | 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 | 92.3 | F | 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 | 51.7 | 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 | 51.7 | 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 | 46.3 | C | 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 | 46.3 | C | 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 | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Occupancy | 0.81 | -0.33 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 10.00 | +0.07 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 10.00 | -0.43 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.81 | -0.27 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 | |
| Current owner tenure (years) | 25.00 | +0.11 |
| 2025Q4 HPRD | This facility | CA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.35 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.53 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.33 | 3.79 | 3.11 | — |
| Weekday total | 3.35 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 80.4 | 3.35 | 0.53 | 0.51 | 2.31 | 3.33 | 6.3% |
| 2025Q3 | 92 | 75.8 | 3.63 | 0.56 | 0.54 | 2.53 | 3.62 | 12.6% |
| 2025Q2 | 91 | 77.4 | 3.66 | 0.57 | 0.54 | 2.54 | 3.64 | 2.3% |
| 2025Q1 | 90 | 81.4 | 3.59 | 0.54 | 0.51 | 2.54 | 3.58 | 0.4% |
| 2024Q4 | 92 | 71.9 | 3.45 | 0.56 | 0.55 | 2.35 | 3.38 | 18.8% |
| 2024Q3 | 92 | 78.4 | 3.09 | 0.50 | 0.50 | 2.09 | 3.03 | 22.3% |
| 2024Q2 | 91 | 59.5 | 3.27 | 0.23 | 0.74 | 2.30 | 3.04 | 0.0% |
| 2024Q1 | 91 | 42.6 | 2.77 | 0.01 | 0.57 | 2.18 | 2.60 | 24.5% |
| 2023Q4 | 92 | 42.3 | 2.87 | 0.11 | 0.63 | 2.13 | 2.57 | 0.0% |
| 2023Q1 | 90 | 52.9 | 2.37 | 0.00 | 0.79 | 1.59 | 2.12 | 0.0% |
| 2022Q4 | 92 | 46.8 | 2.62 | 0.01 | 0.81 | 1.80 | 2.54 | 0.0% |
| 2022Q3 | 92 | 48.7 | 2.71 | 0.10 | 0.75 | 1.85 | 2.58 | 0.0% |
| 2022Q2 | 91 | 49.1 | 2.81 | 0.12 | 0.81 | 1.87 | 2.89 | 0.0% |
| 2022Q1 | 90 | 51.4 | 2.56 | 0.19 | 0.63 | 1.74 | 2.79 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-02-20 | Fine | $4,938 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-08-14 | 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. | E | 2025-09-19 |
| 2025-08-14 | 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 | 2025-09-19 |
| 2025-08-14 | 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. | D | 2025-09-19 |
| 2025-08-14 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | 2025-09-19 |
| 2025-08-14 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-09-19 |
| 2025-08-14 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2025-09-19 |
| 2025-08-14 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-09-19 |
| 2025-08-14 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-09-19 |
| 2025-08-14 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-09-19 |
| 2025-08-14 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | 2025-09-19 |
| 2024-07-16 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-08-16 |
| 2024-05-17 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-06-17 |
| 2024-05-17 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-06-17 |
| 2024-05-17 | 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 | 2024-06-17 |
| 2024-05-17 | 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 | 2024-06-17 |
| 2024-05-17 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-06-17 |
| 2024-05-17 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-06-17 |
| 2024-05-17 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-06-17 |
| 2024-05-17 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-06-17 |
| 2024-05-17 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-06-17 |
| 2024-05-17 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-06-17 |
| 2024-05-17 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | 2024-06-17 |
| 2023-07-19 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2023-08-01 |
| 2023-07-12 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-07-31 |
| 2023-07-12 | Health · complaint | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2023-07-31 |
| 2021-05-27 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2021-07-09 |
| 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 | 2021-07-09 |
| 2021-05-27 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2021-07-09 |
| 2021-05-27 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2021-07-09 |
| 2021-05-27 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2021-07-09 |
| 2021-05-27 | 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 | 2021-07-09 |
| 2021-05-27 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2021-07-09 |
| 2021-05-27 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | 2021-07-09 |
| 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 | 2021-07-09 |
| 2021-05-27 | 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 | 2021-07-09 |
| 2021-05-27 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2021-07-09 |
| 2021-05-27 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2021-07-09 |
| 2021-05-27 | 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 | 2021-07-09 |
| 2021-05-27 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2021-07-09 |
| 2021-05-27 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2021-07-09 |
| 2021-05-27 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | 2021-07-09 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| RAJ, REGINA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2010-03-23 | current | pecos_ownership |
| ANBURAJ, SELVINA | W-2 MANAGING EMPLOYEE | — | 2020-04-13 | current | pecos_ownership |
| OAKRHEEM | OPERATIONAL/MANAGERIAL CONTROL | — | 2010-08-01 | current | pecos_ownership |
| RIZZI, KIMBERLY | W-2 MANAGING EMPLOYEE | — | 2020-05-01 | current | pecos_ownership |
| TRASK, APRIL | CORPORATE DIRECTOR | — | 2016-10-24 | current | pecos_ownership |
| TRASK, APRIL | W-2 MANAGING EMPLOYEE | — | 2016-01-01 | current | pecos_ownership |
| REGINA RAJ | CORPORATE DIRECTOR | 100% | 2010-03-23 | ended 2026-05-18 | pecos_ownership |
| APRIL TRASK | W-2 MANAGING EMPLOYEE | — | 2016-01-01 | ended 2026-05-18 | pecos_ownership |
| APRIL TRASK | CORPORATE DIRECTOR | — | 2016-10-24 | ended 2026-05-18 | pecos_ownership |
| KIMBERLY RIZZI | W-2 MANAGING EMPLOYEE | — | 2020-05-01 | ended 2026-05-18 | pecos_ownership |
| SELVINA ANBURAJ | W-2 MANAGING EMPLOYEE | — | 2020-04-13 | ended 2026-05-18 | pecos_ownership |
| 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 06001 | acs median gross | 0 | $1,746 | 2024-12-31 | CENSUS_ACS5 |
| county 06001 | fmr | 0 | $2,142 | 2025-10-01 | HUD_USER_FMR |
| county 06001 | acs median gross | 1 | $2,046 | 2024-12-31 | CENSUS_ACS5 |
| county 06001 | fmr | 1 | $2,385 | 2025-10-01 | HUD_USER_FMR |
| county 06001 | acs median gross | 2 | $2,552 | 2024-12-31 | CENSUS_ACS5 |
| county 06001 | fmr | 2 | $2,912 | 2025-10-01 | HUD_USER_FMR |
| county 06001 | acs median gross | 3 | $3,051 | 2024-12-31 | CENSUS_ACS5 |
| county 06001 | fmr | 3 | $3,724 | 2025-10-01 | HUD_USER_FMR |
| county 06001 | acs median gross | 4 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 06001 | fmr | 4 | $4,413 | 2025-10-01 | HUD_USER_FMR |
| county 06001 | acs median gross | 5 | $3,410 | 2024-12-31 | CENSUS_ACS5 |
| county 06001 | acs median gross | $2,357 | 2024-12-31 | CENSUS_ACS5 | |
| county 06001 | acs recent mover gross | $2,636 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 94541 | acs median gross | 0 | $1,720 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94541 | acs median gross | 1 | $1,718 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94541 | acs median gross | 2 | $2,360 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94541 | acs median gross | 3 | $2,723 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94541 | acs median gross | 4 | $3,172 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94541 | acs median gross | 5 | $2,869 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94541 | acs median gross | $2,239 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 94541 | acs recent mover gross | $2,627 | 2024-12-31 | CENSUS_ACS5 | |
| zip 94541 | payment standard 110 | 0 | $2,310 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94541 | payment standard 90 | 0 | $1,890 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94541 | safmr | 0 | $2,100 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94541 | payment standard 110 | 1 | $2,563 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94541 | payment standard 90 | 1 | $2,097 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94541 | safmr | 1 | $2,330 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94541 | payment standard 110 | 2 | $3,135 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94541 | payment standard 90 | 2 | $2,565 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94541 | safmr | 2 | $2,850 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94541 | payment standard 110 | 3 | $4,004 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94541 | payment standard 90 | 3 | $3,276 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94541 | safmr | 3 | $3,640 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94541 | payment standard 110 | 4 | $4,752 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94541 | payment standard 90 | 4 | $3,888 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94541 | safmr | 4 | $4,320 | 2025-10-01 | HUD_USER_SAFMR |