Composite
72.9 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 99.6 | 96.2 | 0.30 | 0.2308 | 22.98 | in index |
| regulatory risk | 75.1 | 71.2 | 0.30 | 0.2308 | 17.33 | in index |
| staffing risk | 50.6 | 50.6 | 0.25 | 0.1923 | 9.73 | in index |
| chow risk | 62.3 | 61.6 | 0.15 | 0.1154 | 7.19 | 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 | 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 | 98.2 | F | v0.6 | default · in composite | |
| financial risk | 96.2 | 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 | 0.3 | — | 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 | 71.2 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 50.6 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 93.5 | 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 | 73.5 | 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 | 76.0 | 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 | 94.6 | 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 | 71.1 | D | 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 | 71.1 | D | 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 | 50.6 | 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 | 50.6 | 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 | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 8.82 | -0.99 | |
| For-profit ownership | 1.00 | +0.69 | |
| Chain size (log) | 4.06 | +0.46 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.59 | +0.31 | |
| 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) | 4.06 | -1.16 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.59 | +0.66 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Current owner tenure (years) | 8.82 | -0.16 |
| 2025Q4 HPRD | This facility | WI median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.27 | 3.60 | 3.28 | 2.90–3.77 |
| RN | 0.63 | 0.64 | 0.39 | 0.25–0.58 |
| Weekend total | 3.23 | 3.49 | 3.11 | — |
| Weekday total | 3.28 | 3.65 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 29.6 | 3.27 | 0.63 | 0.76 | 1.88 | 3.23 | 16.9% |
| 2025Q3 | 92 | 30.0 | 3.25 | 0.62 | 0.76 | 1.86 | 3.21 | 21.0% |
| 2025Q2 | 91 | 29.0 | 3.31 | 0.65 | 0.82 | 1.83 | 3.28 | 28.1% |
| 2025Q1 | 90 | 27.0 | 3.29 | 0.66 | 0.91 | 1.72 | 3.25 | 21.3% |
| 2024Q4 | 92 | 28.0 | 2.96 | 0.51 | 0.81 | 1.64 | 2.88 | 4.8% |
| 2024Q3 | 92 | 24.4 | 3.12 | 0.44 | 0.90 | 1.79 | 3.08 | 0.0% |
| 2024Q2 | 91 | 22.1 | 3.36 | 0.37 | 1.14 | 1.85 | 3.17 | 1.2% |
| 2024Q1 | 91 | 24.5 | 3.49 | 0.36 | 1.28 | 1.85 | 3.37 | 13.4% |
| 2023Q4 | 92 | 22.7 | 3.57 | 0.55 | 1.23 | 1.78 | 3.27 | 0.0% |
| 2023Q3 | 92 | 18.8 | 2.93 | 0.43 | 1.06 | 1.44 | 3.00 | 2.0% |
| 2023Q2 | 91 | 19.4 | 2.64 | 0.60 | 0.84 | 1.20 | 2.50 | 0.9% |
| 2023Q1 | 90 | 19.5 | 3.47 | 0.88 | 0.83 | 1.76 | 3.29 | 26.0% |
| 2022Q4 | 92 | 26.2 | 2.61 | 0.60 | 0.87 | 1.14 | 2.44 | 16.3% |
| 2022Q3 | 92 | 28.9 | 2.85 | 0.48 | 0.86 | 1.50 | 2.63 | 31.5% |
| 2022Q2 | 91 | 29.0 | 3.20 | 0.76 | 0.86 | 1.59 | 2.89 | 36.1% |
| 2022Q1 | 90 | 29.8 | 2.74 | 0.56 | 0.82 | 1.35 | 2.56 | 16.9% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-09-12 | Fine | $16,801 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-03-12 | Health | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2025-04-11 |
| 2025-03-12 | 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 | 2025-04-11 |
| 2025-03-12 | 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. | D | 2025-04-11 |
| 2025-03-12 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-04-11 |
| 2025-03-12 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-04-11 |
| 2025-03-12 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | 2025-04-11 |
| 2025-03-12 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2025-04-11 |
| 2025-03-12 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2025-04-11 |
| 2024-12-05 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-01-02 |
| 2024-09-12 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-10-08 |
| 2024-09-12 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2024-10-08 |
| 2024-09-12 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | L | 2024-04-15 |
| 2024-09-12 | Health · complaint | F0732 | Post nurse staffing information every day. | C | 2024-10-08 |
| 2024-09-12 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-10-08 |
| 2024-02-06 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-03-04 |
| 2024-02-06 | Health | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2024-03-04 |
| 2024-02-06 | 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 | 2024-03-04 |
| 2024-02-06 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-03-04 |
| 2024-02-06 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | 2024-03-04 |
| 2024-02-06 | 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. | C | 2024-03-04 |
| 2024-02-06 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-03-04 |
| 2024-02-06 | 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 | 2024-03-04 |
| 2024-02-06 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-03-04 |
| 2024-02-06 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-03-04 |
| 2024-02-06 | Health · complaint | 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 | 2024-03-04 |
| 2024-02-06 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2024-03-04 |
| 2024-02-06 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-03-04 |
| 2024-02-06 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2024-03-04 |
| 2023-11-08 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-12-07 |
| 2023-01-26 | 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 | 2023-03-10 |
| 2023-01-26 | 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 | 2023-03-10 |
| 2023-01-26 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-03-10 |
| 2023-01-26 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-03-10 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| NSHF OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-07-24 | current | pecos_ownership |
| MILLS, DAVID | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2017-06-29 | current | pecos_ownership |
| BAUMANN, TROY | W-2 MANAGING EMPLOYEE | — | 2017-06-29 | current | pecos_ownership |
| HOEHN, JEFFREY | CORPORATE DIRECTOR | — | 2017-06-29 | current | pecos_ownership |
| NORTH SHORE HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-10-01 | current | pecos_ownership |
| JEFFREY HOEHN | CORPORATE DIRECTOR | 100% | 2017-06-29 | ended 2026-05-18 | pecos_ownership |
| TROY BAUMANN | CORPORATE DIRECTOR | 100% | 2017-06-29 | ended 2026-05-18 | pecos_ownership |
| DAVID MILLS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2017-06-29 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2017-10-01 | — | NSH PORT WASHINGTON LLC | FMG NORTH WISCONSIN STREET WISCONSIN LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-05-28 | Complete Care at Hales Corners | — | — | — | 62 | HALES CORNERS CARE AND REHAB CENTER LLC |
| 2025-05-28 | Complete Care at Care Age | — | — | — | 110 | CARE AGE OF BROOKFIELD CARE AND REHAB CENTER LLC |
| 2025-04-24 | Edenbrook Sheboygan | — | — | — | 121 | SHEBOYGAN SNF OPERATIONS, LLC |
| 2025-02-28 | Complete Care at Jefferson Meadows LLC | — | — | — | 102 | ST CLARE CARE AND REHAB CENTER LLC |
| 2025-02-28 | Complete Care at Christian Home LLC | — | — | — | 50 | CHRISTIAN HOME CARE AND REHAB CENTER LLC |
| 2025-02-01 | COLONIAL HEALTH SERVICES | — | — | — | 70 | NSH COLBY LLC |
| 2024-12-14 | CAREVIEW HEALTH AND REHAB OF MINOCQUA | — | — | — | 72 | CAREVIEW HEALTH AND REHAB OF MINOCQUA, LLC |
| 2024-11-01 | Wood Aven Health and Rehabilitation | — | — | — | 82 | RIVER HAWK HEALTHCARE LLC |
| 2024-07-01 | Samaritan Nursing and Rehab | — | — | — | 131 | SAMARITAN NURSING AND REHAB LLC |
| 2024-05-01 | DOVE HEALTHCARE - SPOONER | — | — | — | 50 | SPOONER REHABILITATION AND NURSING CENTER LLC |
| 2024-04-16 | MIDDLE RIVER HEALTH AND REHABILITATION CENTER | — | — | — | 86 | MIDDLE RIVER REHABILITATION LLC |
| 2024-01-25 | Serenity Spring Senior Living at Scandia Village | — | — | — | 50 | SISTER BAY SNF OPCO, LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 55089 | acs median gross | 0 | $883 | 2024-12-31 | CENSUS_ACS5 |
| county 55089 | fmr | 0 | $1,027 | 2025-10-01 | HUD_USER_FMR |
| county 55089 | acs median gross | 1 | $948 | 2024-12-31 | CENSUS_ACS5 |
| county 55089 | fmr | 1 | $1,119 | 2025-10-01 | HUD_USER_FMR |
| county 55089 | acs median gross | 2 | $1,133 | 2024-12-31 | CENSUS_ACS5 |
| county 55089 | fmr | 2 | $1,338 | 2025-10-01 | HUD_USER_FMR |
| county 55089 | acs median gross | 3 | $1,486 | 2024-12-31 | CENSUS_ACS5 |
| county 55089 | fmr | 3 | $1,648 | 2025-10-01 | HUD_USER_FMR |
| county 55089 | acs median gross | 4 | $1,794 | 2024-12-31 | CENSUS_ACS5 |
| county 55089 | fmr | 4 | $1,784 | 2025-10-01 | HUD_USER_FMR |
| county 55089 | acs median gross | 5 | $2,202 | 2024-12-31 | CENSUS_ACS5 |
| county 55089 | acs median gross | $1,154 | 2024-12-31 | CENSUS_ACS5 | |
| county 55089 | acs recent mover gross | $1,286 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 53074 | acs median gross | 1 | $861 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53074 | acs median gross | 2 | $1,046 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53074 | acs median gross | 3 | $1,301 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53074 | acs median gross | 4 | $1,170 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53074 | acs median gross | $1,011 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 53074 | acs recent mover gross | $1,017 | 2024-12-31 | CENSUS_ACS5 | |
| zip 53074 | payment standard 110 | 0 | $1,078 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53074 | payment standard 90 | 0 | $882 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53074 | safmr | 0 | $980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53074 | payment standard 110 | 1 | $1,177 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53074 | payment standard 90 | 1 | $963 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53074 | safmr | 1 | $1,070 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53074 | payment standard 110 | 2 | $1,408 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53074 | payment standard 90 | 2 | $1,152 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53074 | safmr | 2 | $1,280 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53074 | payment standard 110 | 3 | $1,738 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53074 | payment standard 90 | 3 | $1,422 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53074 | safmr | 3 | $1,580 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53074 | payment standard 110 | 4 | $1,881 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53074 | payment standard 90 | 4 | $1,539 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53074 | safmr | 4 | $1,710 | 2025-10-01 | HUD_USER_SAFMR |