Composite
20.8 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 55.3 | 45.4 | 0.30 | 0.3000 | 16.59 | in index |
| staffing risk | 45.9 | 45.9 | 0.25 | 0.2500 | 11.48 | in index |
| billing conduct | 15.3 | 20.0 | 0.30 | 0.3000 | 4.59 | in index |
| chow risk | 25.2 | 25.0 | 0.15 | 0.1500 | 3.78 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 20.0 | 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. |
| 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 | 5.0 | — | 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 | 45.4 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 45.9 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| regulatory risk | 45.3 | 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 | 45.3 | 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 | 45.9 | 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 | 45.9 | 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 | |
|---|---|---|---|
| Occupancy | 0.94 | -0.71 | |
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Contract staffing share | 0.39 | +0.51 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Deficiencies, last 12 months | 20.00 | +0.31 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 20.00 | -2.28 | |
| Occupancy | 0.94 | -0.82 | |
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 1.39 | +0.39 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Contract staffing share | 0.39 | +0.34 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 |
| 2025Q4 HPRD | This facility | CA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.35 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.75 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.07 | 3.79 | 3.11 | — |
| Weekday total | 3.45 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 86.7 | 3.35 | 0.75 | 0.84 | 1.75 | 3.07 | 39.0% |
| 2025Q3 | 92 | 84.2 | 3.71 | 0.67 | 1.15 | 1.89 | 3.28 | 46.4% |
| 2025Q2 | 91 | 83.3 | 3.87 | 0.74 | 1.20 | 1.93 | 3.69 | 52.5% |
| 2025Q1 | 90 | 89.6 | 3.31 | 0.83 | 0.79 | 1.69 | 3.13 | 34.8% |
| 2024Q4 | 92 | 94.8 | 3.43 | 0.77 | 0.80 | 1.86 | 3.20 | 34.6% |
| 2024Q3 | 92 | 102.5 | 3.10 | 0.64 | 0.74 | 1.73 | 2.80 | 31.8% |
| 2024Q2 | 91 | 100.1 | 3.37 | 0.58 | 0.90 | 1.89 | 3.06 | 34.2% |
| 2024Q1 | 91 | 97.3 | 3.48 | 0.62 | 1.03 | 1.83 | 3.02 | 34.4% |
| 2023Q4 | 92 | 84.8 | 3.73 | 0.65 | 1.13 | 1.96 | 3.35 | 30.7% |
| 2023Q3 | 92 | 87.1 | 3.59 | 0.59 | 0.89 | 2.10 | 2.95 | 32.6% |
| 2023Q2 | 91 | 96.1 | 3.22 | 0.53 | 0.82 | 1.86 | 2.69 | 22.0% |
| 2023Q1 | 90 | 99.3 | 3.48 | 0.68 | 1.00 | 1.80 | 3.09 | 22.0% |
| 2022Q4 | 92 | 92.4 | 3.54 | 0.73 | 1.17 | 1.64 | 3.18 | 1.4% |
| 2022Q3 | 92 | 92.5 | 3.46 | 0.56 | 1.15 | 1.74 | 3.20 | 0.0% |
| 2022Q2 | 91 | 97.8 | 3.42 | 0.62 | 1.09 | 1.70 | 3.17 | 0.0% |
| 2022Q1 | 90 | 101.1 | 3.48 | 0.58 | 1.17 | 1.73 | 3.23 | 0.0% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-29 | 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. | E | 2026-05-21 |
| 2026-03-19 | 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 | 2026-04-30 |
| 2026-03-19 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-04-30 |
| 2026-03-19 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2026-04-30 |
| 2026-03-19 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2026-04-30 |
| 2026-03-19 | 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 | 2026-04-30 |
| 2026-03-19 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2026-04-30 |
| 2026-03-19 | 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. | F | 2026-04-30 |
| 2026-03-19 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2026-04-30 |
| 2026-03-19 | Health | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | F | 2026-04-30 |
| 2026-03-19 | Health | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | 2026-04-30 |
| 2026-03-19 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2026-04-30 |
| 2026-03-11 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-04-10 |
| 2026-03-03 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2026-03-23 |
| 2026-02-11 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-03-09 |
| 2026-01-29 | Health · complaint | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2026-02-20 |
| 2025-09-22 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-10-17 |
| 2025-08-25 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-09-24 |
| 2025-08-06 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-09-05 |
| 2025-08-06 | Health · complaint | 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 | 2025-09-05 |
| 2024-12-05 | 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 | 2025-01-05 |
| 2024-12-05 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2025-01-05 |
| 2024-12-05 | 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 | 2025-01-05 |
| 2024-12-05 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-01-05 |
| 2024-08-29 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-09-29 |
| 2024-08-26 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2024-09-16 |
| 2024-08-26 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | 2024-09-16 |
| 2024-03-26 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-04-04 |
| 2024-01-23 | Health · complaint | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2024-02-12 |
| 2023-12-08 | 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 | 2024-01-08 |
| 2023-12-08 | 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 | 2024-01-08 |
| 2023-12-08 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-01-08 |
| 2023-12-08 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2024-01-08 |
| 2023-12-08 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-01-08 |
| 2023-12-08 | 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 | 2024-01-08 |
| 2023-12-08 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2024-01-08 |
| 2023-12-08 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-01-08 |
| 2023-12-08 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-01-08 |
| 2023-09-19 | Health · complaint | 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. | E | 2023-09-26 |
| 2023-08-03 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-08-21 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BURKETT, JOSHUA | CORPORATE OFFICER | — | 2024-10-20 | current | pecos_ownership |
| FAULIS, KAREN | ADP OF THE SNF | — | 2025-11-14 | current | pecos_ownership |
| FAULIS, KAREN | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-02-22 | current | pecos_ownership |
| MACK, KRISTINA | CORPORATE OFFICER | — | 2015-05-21 | current | pecos_ownership |
| MOHAMMADI, MEELAD | ADP OF THE SNF | — | 2026-02-18 | current | pecos_ownership |
| MOHAMMADI, MEELAD | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-01 | current | pecos_ownership |
| PAGANO, ANGELO | CORPORATE OFFICER | — | 2024-07-01 | current | pecos_ownership |
| SMITH, SHARILEE | CORPORATE DIRECTOR | — | 2024-03-01 | current | pecos_ownership |
| SUTARIA, SAUMYA | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-19 | current | pecos_ownership |
| ANGELO PAGANO | CORPORATE OFFICER | 100% | 2024-07-01 | ended 2026-05-18 | pecos_ownership |
| HEALTH SERVICES NETWORK HOSPITALS, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2015-07-15 | ended 2026-05-18 | pecos_ownership |
| TENET CALIFORNIA INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2015-07-15 | ended 2026-05-18 | pecos_ownership |
| TENET HEALTHCARE CORPORATION | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2015-07-15 | ended 2026-05-18 | pecos_ownership |
| JOSHUA BURKETT | CORPORATE OFFICER | 0% | 2024-10-20 | ended 2026-05-18 | pecos_ownership |
| KAREN FAULIS | ADP OF THE SNF | — | 2025-11-14 | ended 2026-05-18 | pecos_ownership |
| KAREN FAULIS | CORPORATE OFFICER | — | 2016-02-22 | ended 2026-05-18 | pecos_ownership |
| KRISTINA MACK | CORPORATE OFFICER | — | 2015-05-21 | ended 2026-05-18 | pecos_ownership |
| MEELAD MOHAMMADI | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-01 | ended 2026-05-18 | pecos_ownership |
| MEELAD MOHAMMADI | ADP OF THE SNF | — | 2026-02-18 | ended 2026-05-18 | pecos_ownership |
| SAUMYA SUTARIA | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-19 | ended 2026-05-18 | pecos_ownership |
| SHARILEE SMITH | CORPORATE DIRECTOR | — | 2024-03-01 | 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 06071 | acs median gross | 0 | $1,374 | 2024-12-31 | CENSUS_ACS5 |
| county 06071 | fmr | 0 | $1,692 | 2025-10-01 | HUD_USER_FMR |
| county 06071 | acs median gross | 1 | $1,432 | 2024-12-31 | CENSUS_ACS5 |
| county 06071 | fmr | 1 | $1,777 | 2025-10-01 | HUD_USER_FMR |
| county 06071 | acs median gross | 2 | $1,717 | 2024-12-31 | CENSUS_ACS5 |
| county 06071 | fmr | 2 | $2,201 | 2025-10-01 | HUD_USER_FMR |
| county 06071 | acs median gross | 3 | $2,050 | 2024-12-31 | CENSUS_ACS5 |
| county 06071 | fmr | 3 | $2,912 | 2025-10-01 | HUD_USER_FMR |
| county 06071 | acs median gross | 4 | $2,471 | 2024-12-31 | CENSUS_ACS5 |
| county 06071 | fmr | 4 | $3,514 | 2025-10-01 | HUD_USER_FMR |
| county 06071 | acs median gross | 5 | $2,796 | 2024-12-31 | CENSUS_ACS5 |
| county 06071 | acs median gross | $1,801 | 2024-12-31 | CENSUS_ACS5 | |
| county 06071 | acs recent mover gross | $2,184 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 92252 | acs median gross | 0 | $753 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92252 | acs median gross | 1 | $932 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92252 | acs median gross | 2 | $1,628 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92252 | acs median gross | 3 | $1,674 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92252 | acs median gross | $1,223 | 2024-12-31 | CENSUS_ACS5 | |
| zip 92252 | payment standard 110 | 0 | $1,760 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92252 | payment standard 90 | 0 | $1,440 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92252 | safmr | 0 | $1,600 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92252 | payment standard 110 | 1 | $1,837 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92252 | payment standard 90 | 1 | $1,503 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92252 | safmr | 1 | $1,670 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92252 | payment standard 110 | 2 | $2,288 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92252 | payment standard 90 | 2 | $1,872 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92252 | safmr | 2 | $2,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92252 | payment standard 110 | 3 | $3,058 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92252 | payment standard 90 | 3 | $2,502 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92252 | safmr | 3 | $2,780 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92252 | payment standard 110 | 4 | $3,718 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92252 | payment standard 90 | 4 | $3,042 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92252 | safmr | 4 | $3,380 | 2025-10-01 | HUD_USER_SAFMR |