Composite
62.9 / 100 percentile
Screener / 125023
C
LANAI COMMUNITY HOSPITAL
snfHI
628 7TH STREET, LANAI CITY, HI 96763 · CCN 125023 · chain KAISER FOUNDATION HOSPITALS
Peer group
snf n = 14,684
Evidence depth
moderate
Certified beds
10
Model
v1.2
Reads as: riskier than 62.9% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model2Components6CHOW radar1Distress radar1Staffing2Penalties0Deficiencies17Licensure0Ownership37Related party0Transactions1Comps8Market rent32
Composite explanation
2| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| chow risk | 90.0 | 55.0 | 0.15 | 0.3333 | 30.00 | in index |
| regulatory risk | 34.8 | 24.4 | 0.30 | 0.6667 | 23.20 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
Component scores and registry models
6| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 55.0 | C | 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. |
| 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 | 0.1 | — | 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 | 24.4 | A | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| regulatory risk | 24.3 | A | 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 | 24.3 | A | 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. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
17.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Total nurse staffing (HPRD) | 8.23 | -1.03 | |
| Current owner tenure (years) | 9.08 | -0.97 | |
| Occupancy | 0.99 | -0.85 | |
| For-profit ownership | 1.00 | +0.69 | |
| Chain size (log) | 4.30 | +0.51 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Facility size (log beds) | 2.40 | +0.29 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Total nurse staffing (HPRD) | 8.23 | -2.11 | |
| Chain size (log) | 4.30 | -1.30 | |
| Occupancy | 0.99 | -1.02 | |
| For-profit ownership | 1.00 | -0.69 | |
| Facility size (log beds) | 2.40 | +0.41 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Deficiencies, last 12 months | 6.00 | +0.32 | |
| Never sold on record | 0.00 | -0.28 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
2| 2022Q4 HPRD | This facility | HI median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 8.23 | 4.00 | 3.28 | 2.90–3.77 |
| RN | 2.95 | 1.24 | 0.39 | 0.25–0.58 |
| Weekend total | 8.32 | 3.78 | 3.11 | — |
| Weekday total | 8.19 | 4.04 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2022Q4 | 92 | 9.9 | 8.23 | 2.95 | 0.41 | 4.87 | 8.32 | 18.4% |
| 2022Q3 | 92 | 10.0 | 9.05 | 3.28 | 0.68 | 5.08 | 7.99 | 16.3% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
17D × 15E × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-02 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2026-05-15 |
| 2026-04-02 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-05-15 |
| 2026-04-02 | 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 | 2026-05-15 |
| 2026-04-02 | 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 | 2026-05-15 |
| 2026-04-02 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2026-05-15 |
| 2026-04-02 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2026-05-15 |
| 2024-10-18 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-11-19 |
| 2024-10-18 | 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 | 2024-11-19 |
| 2024-10-18 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-11-19 |
| 2024-10-18 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-11-19 |
| 2024-10-18 | 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. | E | 2024-11-19 |
| 2023-10-27 | Health | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2024-01-11 |
| 2023-10-27 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-01-11 |
| 2023-10-27 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-01-11 |
| 2023-10-27 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2024-01-11 |
| 2023-10-27 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2024-01-11 |
| 2023-10-27 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | 2024-01-11 |
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
37| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| KAISER FOUNDATION HOSPITALS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2015-12-24 | current | pecos_ownership |
| CARTWRIGHT, DEBRA | ADP OF THE SNF | — | 2023-05-01 | current | pecos_ownership |
| CHOUCAIR, BECHARA | CORPORATE OFFICER | — | 2024-01-01 | current | pecos_ownership |
| DECOSTA-GALDEIRA, SHELBY | CORPORATE OFFICER | — | 2024-09-01 | current | pecos_ownership |
| EBERSOLE, WADE | ADP OF THE SNF | — | 2023-02-23 | current | pecos_ownership |
| FULTON, LYNN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 | current | pecos_ownership |
| GOODFELLOW, TAMAR | CORPORATE DIRECTOR | — | 2021-03-31 | current | pecos_ownership |
| HANENBURG, THOMAS | CORPORATE OFFICER | — | 2024-01-01 | current | pecos_ownership |
| HEW, MARY | CORPORATE DIRECTOR | — | 2017-07-01 | current | pecos_ownership |
| KAISER FOUNDATION HOSPITALS | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-01-01 | current | pecos_ownership |
| KAISER FOUNDATION HOSPITALS | ADP OF THE SNF | — | 2026-03-12 | current | pecos_ownership |
| KOVAL, PENNY | ADP OF THE SNF | — | 2025-11-18 | current | pecos_ownership |
| KOVAL, PENNY | CORPORATE OFFICER | — | 2024-11-03 | current | pecos_ownership |
| SHITAMOTO, BARRY | CORPORATE OFFICER | — | 2023-07-01 | current | pecos_ownership |
| SUTHERLAND, RICHARD | CORPORATE DIRECTOR | — | 2017-07-01 | current | pecos_ownership |
| TAKITANI, ANTHONY | CORPORATE DIRECTOR | — | 2017-07-01 | current | pecos_ownership |
| YAMAMOTO, JOHN | CORPORATE DIRECTOR | — | 2017-07-01 | current | pecos_ownership |
| ANTHONY TAKITANI | CORPORATE DIRECTOR | 100% | 2017-07-01 | ended 2026-04-01 | pecos_ownership |
| BRYAN SMITH | CORPORATE DIRECTOR | 100% | 2017-07-01 | ended 2026-04-01 | pecos_ownership |
| JOHN YAMAMOTO | CORPORATE DIRECTOR | 100% | 2017-07-01 | ended 2026-04-01 | pecos_ownership |
| KAISER FOUNDATION HOSPITALS | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2017-07-01 | ended 2026-04-01 | pecos_ownership |
| KATHRYN LANCASTER | CORPORATE DIRECTOR | 100% | 2017-07-01 | ended 2026-04-01 | pecos_ownership |
| MARY HEW | CORPORATE DIRECTOR | 100% | 2017-07-01 | ended 2026-04-01 | pecos_ownership |
| MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2017-07-01 | ended 2026-04-01 | pecos_ownership |
| MICHAEL REMBIS | CORPORATE OFFICER | 100% | 2017-09-01 | ended 2026-04-01 | pecos_ownership |
| RICHARD SUTHERLAND | CORPORATE DIRECTOR | 100% | 2017-07-01 | ended 2026-04-01 | pecos_ownership |
| STEPHEN MILLER | CORPORATE DIRECTOR | 100% | 2017-07-01 | ended 2026-04-01 | pecos_ownership |
| BARRY SHITAMOTO | CORPORATE OFFICER | — | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| BECHARA CHOUCAIR | CORPORATE OFFICER | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| DEBRA CARTWRIGHT | ADP OF THE SNF | — | 2023-05-01 | ended 2026-05-18 | pecos_ownership |
| LYNN FULTON | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| PENNY KOVAL | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-03 | ended 2026-05-18 | pecos_ownership |
| PENNY KOVAL | ADP OF THE SNF | — | 2025-11-18 | ended 2026-05-18 | pecos_ownership |
| SHELBY DECOSTA-GALDEIRA | CORPORATE OFFICER | — | 2024-09-01 | ended 2026-05-18 | pecos_ownership |
| TAMAR GOODFELLOW | CORPORATE DIRECTOR | — | 2021-03-31 | ended 2026-05-18 | pecos_ownership |
| THOMAS HANENBURG | CORPORATE OFFICER | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| WADE EBERSOLE | CORPORATE OFFICER | — | 2023-02-23 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2017-07-01 | — | MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC | LANAI COMMUNITY HOSPITAL | chow |
Comparable trades — HI snf
8| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2023-03-01 | HALE NANI REHABILITATION AND NURSING CENTER | — | — | — | 288 | HALE NANI REHAB & NURSING CENTER LLC |
| 2023-02-01 | PEARL CITY POST ACUTE | — | — | — | 122 | PSH PEARL CITY LLC |
| 2023-02-01 | Kulana Malama | — | — | — | 33 | PSH KM LLC |
| 2023-02-01 | OAHU CARE FACILITY | — | — | — | 82 | PSH OAHU LLC |
| 2020-12-18 | NUUANU HALE | — | — | — | 75 | NUUANU HALE, INC |
| 2019-12-31 | LEGACY HILO REHABILITATION & NURSING CENTER | — | — | — | 100 | HILO SNF LLC |
| 2017-07-01 | LANAI COMMUNITY HOSPITALthis facility | — | — | — | 10 | MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC |
| 2017-07-01 | KULA HOSPITAL | — | — | — | 105 | MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
32| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 15009 | acs median gross | 0 | $1,365 | 2024-12-31 | CENSUS_ACS5 |
| county 15009 | fmr | 0 | $1,896 | 2025-10-01 | HUD_USER_FMR |
| county 15009 | acs median gross | 1 | $1,330 | 2024-12-31 | CENSUS_ACS5 |
| county 15009 | fmr | 1 | $2,000 | 2025-10-01 | HUD_USER_FMR |
| county 15009 | acs median gross | 2 | $2,020 | 2024-12-31 | CENSUS_ACS5 |
| county 15009 | fmr | 2 | $2,624 | 2025-10-01 | HUD_USER_FMR |
| county 15009 | acs median gross | 3 | $2,368 | 2024-12-31 | CENSUS_ACS5 |
| county 15009 | fmr | 3 | $3,398 | 2025-10-01 | HUD_USER_FMR |
| county 15009 | acs median gross | 4 | $2,814 | 2024-12-31 | CENSUS_ACS5 |
| county 15009 | fmr | 4 | $4,236 | 2025-10-01 | HUD_USER_FMR |
| county 15009 | acs median gross | 5 | $3,083 | 2024-12-31 | CENSUS_ACS5 |
| county 15009 | acs median gross | $1,916 | 2024-12-31 | CENSUS_ACS5 | |
| county 15009 | acs recent mover gross | $2,219 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 96763 | acs median gross | 1 | $872 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96763 | acs median gross | 2 | $1,203 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96763 | acs median gross | 3 | $1,719 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96763 | acs median gross | $1,051 | 2024-12-31 | CENSUS_ACS5 | |
| zip 96763 | payment standard 110 | 0 | $1,738 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96763 | payment standard 90 | 0 | $1,422 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96763 | safmr | 0 | $1,580 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96763 | payment standard 110 | 1 | $1,749 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96763 | payment standard 90 | 1 | $1,431 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96763 | safmr | 1 | $1,590 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96763 | payment standard 110 | 2 | $2,288 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96763 | payment standard 90 | 2 | $1,872 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96763 | safmr | 2 | $2,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96763 | payment standard 110 | 3 | $3,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96763 | payment standard 90 | 3 | $2,520 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96763 | safmr | 3 | $2,800 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96763 | payment standard 110 | 4 | $3,553 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96763 | payment standard 90 | 4 | $2,907 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96763 | safmr | 4 | $3,230 | 2025-10-01 | HUD_USER_SAFMR |
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.