Composite
48.3 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 79.4 | 76.0 | 0.30 | 0.2308 | 18.32 | in index |
| billing conduct | 72.9 | 49.1 | 0.30 | 0.2308 | 16.82 | in index |
| chow risk | 82.4 | 34.3 | 0.15 | 0.1154 | 9.51 | in index |
| staffing risk | 13.2 | 13.3 | 0.25 | 0.1923 | 2.54 | in index |
| financial risk | 2.9 | 10.4 | 0.30 | 0.2308 | 0.67 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 49.0 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 34.3 | 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. |
| financial risk | 10.4 | A | 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 | 2.4 | — | 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 | 76.0 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 13.3 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 32.2 | B | 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 | 16.5 | A | 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 | 75.9 | 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 | 75.9 | 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 | 13.3 | A | 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 | 13.3 | A | 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 | 0.96 | -0.77 | |
| 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) | 3.37 | +0.31 | |
| Total nurse staffing (HPRD) | 4.18 | -0.23 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.96 | -0.90 | |
| Chain size (log) | 3.37 | -0.76 | |
| For-profit ownership | 1.00 | -0.69 | |
| Total nurse staffing (HPRD) | 4.18 | -0.41 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Deficiencies, last 12 months | 7.00 | +0.13 | |
| Never sold on record | 1.00 | +0.12 |
| 2025Q4 HPRD | This facility | CA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 4.18 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.46 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 4.05 | 3.79 | 3.11 | — |
| Weekday total | 4.23 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 110.7 | 4.18 | 0.46 | 1.32 | 2.41 | 4.05 | 0.0% |
| 2025Q3 | 92 | 110.3 | 4.19 | 0.48 | 1.25 | 2.46 | 4.01 | 0.0% |
| 2025Q2 | 91 | 111.1 | 4.30 | 0.47 | 1.32 | 2.51 | 4.10 | 0.0% |
| 2025Q1 | 90 | 111.9 | 4.20 | 0.41 | 1.33 | 2.46 | 4.09 | 0.0% |
| 2024Q4 | 92 | 109.8 | 4.08 | 0.41 | 1.30 | 2.37 | 3.94 | 0.0% |
| 2024Q3 | 92 | 108.3 | 3.88 | 0.40 | 1.17 | 2.30 | 3.77 | 0.0% |
| 2024Q2 | 91 | 107.7 | 3.97 | 0.40 | 1.24 | 2.34 | 3.70 | 0.0% |
| 2024Q1 | 91 | 108.6 | 4.03 | 0.41 | 1.25 | 2.36 | 3.82 | 0.0% |
| 2023Q4 | 92 | 108.9 | 3.99 | 0.43 | 1.22 | 2.34 | 3.76 | 0.0% |
| 2023Q3 | 92 | 111.2 | 4.15 | 0.42 | 1.29 | 2.43 | 3.86 | 0.0% |
| 2023Q2 | 91 | 110.6 | 4.21 | 0.42 | 1.30 | 2.48 | 4.05 | 0.0% |
| 2023Q1 | 90 | 112.2 | 4.08 | 0.39 | 1.26 | 2.42 | 3.82 | 0.0% |
| 2022Q4 | 92 | 108.4 | 4.02 | 0.39 | 1.25 | 2.38 | 3.77 | 0.0% |
| 2022Q3 | 92 | 106.7 | 3.99 | 0.36 | 1.20 | 2.42 | 3.67 | 0.0% |
| 2022Q2 | 91 | 99.2 | 4.25 | 0.38 | 1.41 | 2.47 | 3.99 | 0.0% |
| 2022Q1 | 90 | 86.9 | 4.81 | 0.49 | 1.77 | 2.55 | 4.33 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-02-22 | Fine | $17,765 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-25 | Health · complaint | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | 2026-03-27 |
| 2026-03-25 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-03-27 |
| 2026-03-05 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-03-23 |
| 2026-03-05 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-03-23 |
| 2025-12-31 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-01-08 |
| 2025-09-23 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-10-07 |
| 2025-09-23 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-10-07 |
| 2025-04-30 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-05-16 |
| 2025-04-30 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-06-10 |
| 2025-04-17 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-05-02 |
| 2025-04-17 | 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 | 2025-05-02 |
| 2025-04-17 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-05-01 |
| 2025-04-17 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2025-04-23 |
| 2025-04-17 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | 2025-05-07 |
| 2025-04-17 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-05-07 |
| 2025-04-17 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | 2025-05-07 |
| 2025-04-17 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-04-23 |
| 2025-03-03 | Health · complaint | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | 2025-03-20 |
| 2025-03-03 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-03-18 |
| 2025-03-03 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-03-18 |
| 2025-01-28 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-02-12 |
| 2024-12-24 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-01-08 |
| 2024-10-10 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-10-29 |
| 2024-10-10 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-10-29 |
| 2024-08-29 | Health · complaint | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | 2024-09-09 |
| 2024-04-15 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-04-23 |
| 2024-02-25 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-02-29 |
| 2024-02-25 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-02-29 |
| 2024-02-25 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-02-29 |
| 2024-02-25 | 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 | 2024-02-29 |
| 2024-02-25 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-02-29 |
| 2024-02-25 | Health | F0880 | Provide and implement an infection prevention and control program. | L | 2024-02-29 |
| 2024-02-22 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2024-03-05 |
| 2024-01-18 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | 2024-01-31 |
| 2023-12-13 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-12-29 |
| 2023-10-06 | 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. | D | 2023-10-20 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BMO BANK NATIONAL ASSOCIATION | 5% OR GREATER SECURITY INTEREST | — | 2023-09-20 | current | pecos_ownership |
| MASTROCOLA, LOIS | CORPORATE OFFICER | — | 2021-04-16 | current | pecos_ownership |
| OLDS, THOMAS | CORPORATE OFFICER | — | 2021-04-16 | current | pecos_ownership |
| RE 9 - TEMECULA | Other (financial or non-financial) | — | 2023-01-01 | current | hcris_a_8_1 |
| RE 9 - TEMECULA | Other (financial or non-financial) | — | 2024-01-01 | current | hcris_a_8_1 |
| LIFE GENERATIONS HEALTHCARE, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-04-16 | ended 2026-05-18 | pecos_ownership |
| THOMAS OLDS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 78% | 2021-04-16 | ended 2026-05-18 | pecos_ownership |
| FRED SMITH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13% | 2021-04-16 | ended 2026-05-18 | pecos_ownership |
| LOIS MASTROCOLA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% | 2021-04-16 | ended 2026-05-18 | pecos_ownership |
| RE 9 - TEMECULA | Other (financial or non-financial) | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| RE 9 - TEMECULA | Other (financial or non-financial) | — | 2021-07-02 | ended 2021-12-31 | hcris_a_8_1 |
| 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 06065 | acs median gross | 0 | $1,372 | 2024-12-31 | CENSUS_ACS5 |
| county 06065 | fmr | 0 | $1,692 | 2025-10-01 | HUD_USER_FMR |
| county 06065 | acs median gross | 1 | $1,440 | 2024-12-31 | CENSUS_ACS5 |
| county 06065 | fmr | 1 | $1,777 | 2025-10-01 | HUD_USER_FMR |
| county 06065 | acs median gross | 2 | $1,810 | 2024-12-31 | CENSUS_ACS5 |
| county 06065 | fmr | 2 | $2,201 | 2025-10-01 | HUD_USER_FMR |
| county 06065 | acs median gross | 3 | $2,166 | 2024-12-31 | CENSUS_ACS5 |
| county 06065 | fmr | 3 | $2,912 | 2025-10-01 | HUD_USER_FMR |
| county 06065 | acs median gross | 4 | $2,666 | 2024-12-31 | CENSUS_ACS5 |
| county 06065 | fmr | 4 | $3,514 | 2025-10-01 | HUD_USER_FMR |
| county 06065 | acs median gross | 5 | $3,157 | 2024-12-31 | CENSUS_ACS5 |
| county 06065 | acs median gross | $1,901 | 2024-12-31 | CENSUS_ACS5 | |
| county 06065 | acs recent mover gross | $2,268 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 92592 | acs median gross | 0 | $2,200 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92592 | acs median gross | 1 | $2,182 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92592 | acs median gross | 2 | $2,207 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92592 | acs median gross | 3 | $2,657 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92592 | acs median gross | 4 | $3,012 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92592 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92592 | acs median gross | $2,559 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 92592 | acs recent mover gross | $3,057 | 2024-12-31 | CENSUS_ACS5 | |
| zip 92592 | payment standard 110 | 0 | $2,717 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92592 | payment standard 90 | 0 | $2,223 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92592 | safmr | 0 | $2,470 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92592 | payment standard 110 | 1 | $2,849 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92592 | payment standard 90 | 1 | $2,331 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92592 | safmr | 1 | $2,590 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92592 | payment standard 110 | 2 | $3,531 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92592 | payment standard 90 | 2 | $2,889 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92592 | safmr | 2 | $3,210 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92592 | payment standard 110 | 3 | $4,675 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92592 | payment standard 90 | 3 | $3,825 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92592 | safmr | 3 | $4,250 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92592 | payment standard 110 | 4 | $5,643 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92592 | payment standard 90 | 4 | $4,617 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92592 | safmr | 4 | $5,130 | 2025-10-01 | HUD_USER_SAFMR |