Composite
76.5 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 67.1 | 60.5 | 0.30 | 0.2308 | 15.48 | in index |
| billing conduct | 66.7 | 46.2 | 0.30 | 0.2308 | 15.39 | in index |
| financial risk | 53.3 | 47.6 | 0.30 | 0.2308 | 12.30 | in index |
| staffing risk | 63.9 | 63.9 | 0.25 | 0.1923 | 12.29 | in index |
| chow risk | 29.5 | 30.9 | 0.15 | 0.1154 | 3.40 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 46.2 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.7 | 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 | 37.0 | B | v0.6 | default · in composite | |
| financial risk | 47.6 | C | 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 | 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 | 60.5 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 63.9 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 66.1 | 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 | 46.1 | 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 | 57.8 | C | 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 | 50.2 | 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 | 60.3 | 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 | 60.3 | 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 | 63.9 | 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 | 63.9 | 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) | 8.49 | -1.02 | |
| For-profit ownership | 1.00 | +0.69 | |
| 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 | |
| Never sold on record | 0.00 | -0.28 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Current owner tenure (years) | 8.49 | -0.16 |
| 2025Q4 HPRD | This facility | KY median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.08 | 3.11 | 3.28 | 2.90–3.77 |
| RN | 0.68 | 0.41 | 0.39 | 0.25–0.58 |
| Weekend total | 3.01 | 3.01 | 3.11 | — |
| Weekday total | 3.11 | 3.16 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 90.0 | 3.08 | 0.68 | 0.67 | 1.72 | 3.01 | 0.0% |
| 2025Q3 | 92 | 89.7 | 3.19 | 0.70 | 0.70 | 1.79 | 3.10 | 0.0% |
| 2025Q2 | 91 | 92.5 | 2.97 | 0.75 | 0.52 | 1.71 | 2.99 | 0.0% |
| 2025Q1 | 90 | 96.3 | 2.73 | 0.65 | 0.50 | 1.58 | 2.81 | 0.0% |
| 2024Q4 | 92 | 90.0 | 2.94 | 0.40 | 0.81 | 1.73 | 3.00 | 0.0% |
| 2024Q3 | 92 | 90.7 | 2.89 | 0.33 | 0.88 | 1.68 | 2.92 | 0.0% |
| 2024Q2 | 91 | 89.4 | 2.95 | 0.41 | 0.85 | 1.69 | 3.01 | 0.0% |
| 2024Q1 | 91 | 93.7 | 2.91 | 0.41 | 0.80 | 1.69 | 2.99 | 0.0% |
| 2023Q4 | 92 | 94.2 | 2.97 | 0.33 | 0.88 | 1.76 | 2.97 | 0.0% |
| 2023Q3 | 92 | 96.2 | 3.02 | 0.55 | 0.71 | 1.77 | 3.07 | 0.0% |
| 2023Q2 | 91 | 91.1 | 3.07 | 0.89 | 0.51 | 1.67 | 3.10 | 0.0% |
| 2023Q1 | 90 | 77.4 | 3.18 | 0.79 | 0.71 | 1.68 | 3.17 | 0.0% |
| 2022Q4 | 92 | 73.2 | 2.98 | 0.41 | 0.81 | 1.76 | 2.99 | 4.1% |
| 2022Q3 | 92 | 72.3 | 3.17 | 0.63 | 0.77 | 1.78 | 3.17 | 0.0% |
| 2022Q2 | 91 | 73.2 | 3.38 | 0.93 | 0.52 | 1.93 | 3.32 | 10.0% |
| 2022Q1 | 90 | 71.0 | 3.23 | 0.51 | 0.83 | 1.90 | 3.16 | 25.1% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-06-14 | Fine | $12,054 | CMS provider data |
| 2024-06-14 | Payment Denial | — | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-07-09 | 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 | 2025-08-18 |
| 2025-07-09 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-08-18 |
| 2025-07-09 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2025-08-18 |
| 2024-06-14 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-07-16 |
| 2024-06-14 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2024-07-16 |
| 2024-06-14 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2024-07-16 |
| 2024-06-14 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | 2024-07-16 |
| 2024-06-14 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-07-16 |
| 2024-06-14 | Health · complaint | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | G | 2024-07-16 |
| 2024-06-14 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | J | 2024-07-16 |
| 2024-06-14 | 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 | 2024-07-16 |
| 2024-06-14 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-07-16 |
| 2024-06-14 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-07-16 |
| 2024-06-14 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-07-16 |
| 2019-02-28 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2019-04-09 |
| 2019-02-28 | Health | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | 2019-04-09 |
| 2019-02-28 | 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 | 2019-04-09 |
| 2019-02-28 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2019-04-09 |
| 2019-02-28 | Health | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2019-04-09 |
| 2019-02-28 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2019-04-09 |
| 2019-02-28 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | 2019-04-09 |
| 2019-02-28 | 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. | G | 2019-04-09 |
| 2019-02-28 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2019-04-09 |
| 2019-02-28 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2019-04-09 |
| 2019-02-28 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2019-04-09 |
| 2019-02-28 | 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. | E | 2019-04-20 |
| 2019-02-28 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2019-04-09 |
| 2019-02-28 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2019-04-09 |
| 2019-02-28 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2019-04-09 |
| 2019-02-28 | 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 | 2019-04-09 |
| 2019-02-28 | 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 | 2019-04-09 |
| 2019-02-28 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2019-04-09 |
| 2019-02-28 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2019-04-09 |
| 2019-02-28 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2019-04-09 |
| 2019-02-28 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2019-04-20 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CLEARVIEW HEALTHCARE MANAGEMENT KY LLC | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2018-02-01 | ended 2026-05-18 | pecos_ownership |
| CLEARVIEW KY SNF HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2021-12-01 | ended 2026-05-18 | pecos_ownership |
| KY M53 SPE OPCO HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-12-01 | ended 2026-05-18 | pecos_ownership |
| SHNZ HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 95% | 2021-12-01 | ended 2026-05-18 | pecos_ownership |
| HC FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | 2021-12-01 | ended 2026-05-18 | pecos_ownership |
| ZANZIPER FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | 2021-12-01 | ended 2026-05-18 | pecos_ownership |
| SWEET HOME MANAGEMENT LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2021-12-01 | ended 2026-05-18 | pecos_ownership |
| MICK VUJANOVIC | CORPORATE OFFICER | — | 2021-12-01 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2018-02-01 | — | CHEROKEE PARK REHABILITATION, LLC | LP LOUISVILLE CHEROKEE PARK LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-08-07 | Auburn Nursing and Rehabilitation Center | — | — | — | 66 | AUBURN OPCO LLC |
| 2025-01-01 | Henson Park Health & Rehabilitation | — | — | — | 90 | HENSON SNF OPERATIONS LLC |
| 2025-01-01 | Chestnut Ridge Health & Rehabilitation | — | — | — | 92 | CHESTNUT SNF OPERATIONS LLC |
| 2024-11-01 | Green Meadows Health & Rehabilitation | — | — | — | 122 | GREEN MEADOWS SNF OPERATIONS LLC |
| 2024-09-01 | Maple Grove Senior Living LLC | — | — | — | 90 | MAPLE GROVE SENIOR LIVING LLC |
| 2024-08-30 | Sam Swope Care Center | — | — | — | 136 | MASONIC HOMES OF LOUISVILLE LLC |
| 2024-08-01 | Lyndon Crossing | — | — | — | 145 | LYNDON CROSSING, LLC |
| 2024-08-01 | Clifton Heights | — | — | — | 110 | CLIFTON HEIGHTS, LLC |
| 2024-08-01 | Green River Trails | — | — | — | 118 | GREEN RIVER TRAILS, LLC |
| 2024-08-01 | Mountain Ridge Health and Rehabilitation | — | — | — | 59 | MONTICELLO KY OPCO LLC |
| 2024-08-01 | Frankfort Trails | — | — | — | 100 | FRANKFORT TRAILS, LLC |
| 2024-08-01 | Vanceburg Hills | — | — | — | 94 | VANCEBURG HILLS, LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 21111 | acs median gross | 0 | $932 | 2024-12-31 | CENSUS_ACS5 |
| county 21111 | fmr | 0 | $966 | 2025-10-01 | HUD_USER_FMR |
| county 21111 | acs median gross | 1 | $954 | 2024-12-31 | CENSUS_ACS5 |
| county 21111 | fmr | 1 | $1,047 | 2025-10-01 | HUD_USER_FMR |
| county 21111 | acs median gross | 2 | $1,169 | 2024-12-31 | CENSUS_ACS5 |
| county 21111 | fmr | 2 | $1,272 | 2025-10-01 | HUD_USER_FMR |
| county 21111 | acs median gross | 3 | $1,385 | 2024-12-31 | CENSUS_ACS5 |
| county 21111 | fmr | 3 | $1,625 | 2025-10-01 | HUD_USER_FMR |
| county 21111 | acs median gross | 4 | $1,591 | 2024-12-31 | CENSUS_ACS5 |
| county 21111 | fmr | 4 | $1,891 | 2025-10-01 | HUD_USER_FMR |
| county 21111 | acs median gross | 5 | $1,619 | 2024-12-31 | CENSUS_ACS5 |
| county 21111 | acs median gross | $1,149 | 2024-12-31 | CENSUS_ACS5 | |
| county 21111 | acs recent mover gross | $1,269 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 40205 | acs median gross | 1 | $917 | 2024-12-31 | CENSUS_ACS5 |
| zcta 40205 | acs median gross | 2 | $1,267 | 2024-12-31 | CENSUS_ACS5 |
| zcta 40205 | acs median gross | 3 | $1,557 | 2024-12-31 | CENSUS_ACS5 |
| zcta 40205 | acs median gross | 4 | $2,044 | 2024-12-31 | CENSUS_ACS5 |
| zcta 40205 | acs median gross | 5 | $2,429 | 2024-12-31 | CENSUS_ACS5 |
| zcta 40205 | acs median gross | $1,185 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 40205 | acs recent mover gross | $1,181 | 2024-12-31 | CENSUS_ACS5 | |
| zip 40205 | payment standard 110 | 0 | $1,122 | 2025-10-01 | HUD_USER_SAFMR |
| zip 40205 | payment standard 90 | 0 | $918 | 2025-10-01 | HUD_USER_SAFMR |
| zip 40205 | safmr | 0 | $1,020 | 2025-10-01 | HUD_USER_SAFMR |
| zip 40205 | payment standard 110 | 1 | $1,210 | 2025-10-01 | HUD_USER_SAFMR |
| zip 40205 | payment standard 90 | 1 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 40205 | safmr | 1 | $1,100 | 2025-10-01 | HUD_USER_SAFMR |
| zip 40205 | payment standard 110 | 2 | $1,474 | 2025-10-01 | HUD_USER_SAFMR |
| zip 40205 | payment standard 90 | 2 | $1,206 | 2025-10-01 | HUD_USER_SAFMR |
| zip 40205 | safmr | 2 | $1,340 | 2025-10-01 | HUD_USER_SAFMR |
| zip 40205 | payment standard 110 | 3 | $1,881 | 2025-10-01 | HUD_USER_SAFMR |
| zip 40205 | payment standard 90 | 3 | $1,539 | 2025-10-01 | HUD_USER_SAFMR |
| zip 40205 | safmr | 3 | $1,710 | 2025-10-01 | HUD_USER_SAFMR |
| zip 40205 | payment standard 110 | 4 | $2,189 | 2025-10-01 | HUD_USER_SAFMR |
| zip 40205 | payment standard 90 | 4 | $1,791 | 2025-10-01 | HUD_USER_SAFMR |
| zip 40205 | safmr | 4 | $1,990 | 2025-10-01 | HUD_USER_SAFMR |