Composite
60.8 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 94.8 | 84.3 | 0.30 | 0.1875 | 17.78 | in index |
| regulatory risk | 84.8 | 81.9 | 0.30 | 0.1875 | 15.90 | in index |
| staffing risk | 93.6 | 93.6 | 0.25 | 0.1563 | 14.63 | in index |
| chow risk | 44.2 | 49.8 | 0.15 | 0.0938 | 4.14 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.1875 | 0.00 | in index |
| state reg risk | 0.0 | 0.0 | 0.30 | 0.1875 | 0.00 | in index |
| ownership opacity | 1.6 | 15.0 | excluded |
| 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 | 24.6 | 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 | 38.4 | B | v0.1-txhhsc | default · in composite | Texas licence reissue timing as an ownership-transfer proxy. |
| chow risk | 86.0 | F | v0.6 | default · in composite | |
| financial risk | 84.3 | F | v0.5 | default · in composite | R18. |
| ownership opacity | 15.0 | A | v0.1-txhhsc | default · in composite | Texas HHSC directory ownership structure: chain size, absentee owner, management company, entity form, owner closure history. |
| p adverse action 12m | 2.6 | — | 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 | 3.4 | — | 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 | 81.9 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 93.6 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| state reg risk | 0.0 | A | v0.5 | default · in composite | |
| financial risk | 59.4 | C | 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 | 39.4 | B | 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 | 68.4 | 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 | 83.8 | 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 | 81.8 | F | 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 | 81.8 | F | 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 | 93.6 | F | 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 | 93.6 | F | 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 | |
|---|---|---|---|
| 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) | 0.00 | -0.40 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 0.00 | -0.17 | |
| Total nurse staffing (HPRD) | 2.39 | +0.13 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| Chain size (log) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| Staffing trend, last 4 quarters | 1.22 | +0.54 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.66 | +0.37 | |
| Total nurse staffing (HPRD) | 2.39 | +0.35 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
| 2025Q4 HPRD | This facility | TX median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.39 | 2.67 | 3.28 | 2.90–3.77 |
| RN | 0.13 | 0.24 | 0.39 | 0.25–0.58 |
| Weekend total | 2.34 | 2.56 | 3.11 | — |
| Weekday total | 2.41 | 2.72 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 46.2 | 2.39 | 0.13 | 0.76 | 1.50 | 2.34 | 0.0% |
| 2025Q2 | 91 | 44.9 | 1.78 | 0.15 | 0.75 | 0.88 | 1.67 | 0.0% |
| 2024Q4 | 92 | 48.3 | 1.17 | 0.03 | 0.24 | 0.91 | 1.10 | 0.0% |
| 2024Q3 | 92 | 47.1 | 1.14 | 0.01 | 0.26 | 0.87 | 1.04 | 0.0% |
| 2024Q1 | 91 | 51.1 | 1.25 | 0.02 | 0.39 | 0.84 | 1.12 | 0.0% |
| 2023Q4 | 92 | 53.8 | 1.06 | 0.02 | 0.25 | 0.79 | 0.92 | 0.0% |
| 2023Q3 | 92 | 57.4 | 1.19 | 0.02 | 0.33 | 0.83 | 1.19 | 0.0% |
| 2022Q4 | 92 | 63.0 | 1.18 | 0.02 | 0.35 | 0.81 | 1.27 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-05-27 | Fine | $55,904 | CMS provider data |
| 2024-05-27 | Payment Denial | — | CMS provider data |
| 2023-06-20 | Fine | $4,235 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-07-17 | Health | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2025-07-18 |
| 2025-07-17 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | 2025-07-18 |
| 2025-07-17 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-07-18 |
| 2025-07-17 | 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 | 2025-07-18 |
| 2025-07-17 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-07-18 |
| 2025-07-17 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-07-18 |
| 2025-07-17 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2025-07-18 |
| 2025-07-17 | Health | F0908 | Keep all essential equipment working safely. | E | 2025-07-18 |
| 2025-04-11 | Health · complaint | 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. | F | 2025-05-11 |
| 2024-05-27 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | 2024-07-10 |
| 2024-05-27 | 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. | G | 2024-07-10 |
| 2024-05-27 | Health | 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 | 2024-07-10 |
| 2024-05-27 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2024-07-10 |
| 2024-05-27 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2024-07-10 |
| 2024-05-27 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-07-10 |
| 2024-05-27 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-07-10 |
| 2024-05-27 | 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. | E | 2024-07-10 |
| 2024-05-27 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2024-07-10 |
| 2024-05-27 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-07-10 |
| 2024-05-27 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-07-10 |
| 2024-05-27 | Health | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | 2024-07-10 |
| 2024-05-27 | Health | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | 2024-07-10 |
| 2024-05-27 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2024-07-10 |
| 2024-05-27 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-07-10 |
| 2024-05-27 | 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 | 2024-07-10 |
| 2024-05-27 | Health | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | 2024-07-10 |
| 2024-05-27 | 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. | C | 2024-07-10 |
| 2024-05-27 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-07-10 |
| 2024-05-27 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2024-07-10 |
| 2024-05-27 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-07-10 |
| 2024-05-27 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | C | 2024-07-10 |
| 2024-01-09 | Health · complaint | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-02-17 |
| 2024-01-09 | 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 | 2024-02-17 |
| 2024-01-09 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-02-17 |
| 2023-10-03 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-11-17 |
| 2023-03-22 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-04-28 |
| 2023-03-22 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-04-28 |
| 2023-03-22 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2023-04-28 |
| 2023-03-22 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2023-04-28 |
| 2023-03-22 | 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 | 2023-04-28 |
| 2023-03-22 | 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 | 2023-04-28 |
| 2023-03-22 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D | 2023-04-28 |
| 2023-03-22 | Health | F0926 | Have policies on smoking. | D | 2023-04-28 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| LABRANJOR HEALTH CARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2008-04-16 | current | pecos_ownership |
| LABRANJOR HEALTH CARE LLC | — | — | 2024-05-30 | current | tx_hhsc_directory |
| MCCASKILL, DONALD | W-2 MANAGING EMPLOYEE | — | 2008-04-18 | current | pecos_ownership |
| DONALD MCCASKILL | W-2 MANAGING EMPLOYEE | 100% | 2008-04-18 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-10-01 | ST. ANTHONY'S CARE CENTER | — | — | — | 120 | SOUTH LIMESTONE HOSPITAL DISTRICT |
| 2025-10-01 | Avir at New Braunfels | — | — | — | 154 | 821 US HIGHWAY 81 W OPCO LLC |
| 2025-09-01 | Avir at Texarkana | — | — | — | 110 | GUADALUPE COUNTY HOSPITAL BOARD |
| 2025-09-01 | PARKS HEALTH CENTER | — | — | — | 90 | WEST COKE COUNTY HOSPITAL DISTRICT |
| 2025-09-01 | WINDMILL VILLAGE REHABILITATION & CARE CENTER | — | — | — | 120 | FANNIN COUNTY HOSPITAL AUTHORITY |
| 2025-08-31 | Las Ventanas De Socorro | — | — | — | 126 | SOCORRO HEALTH CARE LLC |
| 2025-08-01 | Avir at Mineola | — | — | — | 115 | HOPKINS COUNTY HOSPITAL DISTRICT |
| 2025-08-01 | Avir at Orem | — | — | — | 120 | 3730 W OREM DR OPCO LLC |
| 2025-08-01 | Avir at Courtyard | — | — | — | 120 | 7499 STANWICK DR OPCO LLC |
| 2025-08-01 | HILLSIDE MEDICAL LODGE | — | — | — | 128 | CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY |
| 2025-08-01 | Avir at Pasadena | — | — | — | 131 | 4300 VISTA RD OPCO LLC |
| 2025-07-01 | Highland Meadows | — | — | — | 120 | NOCONA HOSPITAL DISTRICT |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48013 | fmr | 0 | $831 | 2025-10-01 | HUD_USER_FMR |
| county 48013 | acs median gross | 1 | $950 | 2024-12-31 | CENSUS_ACS5 |
| county 48013 | fmr | 1 | $1,002 | 2025-10-01 | HUD_USER_FMR |
| county 48013 | acs median gross | 2 | $961 | 2024-12-31 | CENSUS_ACS5 |
| county 48013 | fmr | 2 | $1,098 | 2025-10-01 | HUD_USER_FMR |
| county 48013 | acs median gross | 3 | $1,186 | 2024-12-31 | CENSUS_ACS5 |
| county 48013 | fmr | 3 | $1,435 | 2025-10-01 | HUD_USER_FMR |
| county 48013 | acs median gross | 4 | $1,139 | 2024-12-31 | CENSUS_ACS5 |
| county 48013 | fmr | 4 | $1,454 | 2025-10-01 | HUD_USER_FMR |
| county 48013 | acs median gross | $1,061 | 2024-12-31 | CENSUS_ACS5 | |
| county 48013 | acs recent mover gross | $1,370 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 78052 | acs median gross | 3 | $1,269 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78052 | acs median gross | $1,214 | 2024-12-31 | CENSUS_ACS5 | |
| zip 78052 | payment standard 110 | 0 | $957 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78052 | payment standard 90 | 0 | $783 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78052 | safmr | 0 | $870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78052 | payment standard 110 | 1 | $1,111 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78052 | payment standard 90 | 1 | $909 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78052 | safmr | 1 | $1,010 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78052 | payment standard 110 | 2 | $1,265 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78052 | payment standard 90 | 2 | $1,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78052 | safmr | 2 | $1,150 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78052 | payment standard 110 | 3 | $1,661 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78052 | payment standard 90 | 3 | $1,359 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78052 | safmr | 3 | $1,510 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78052 | payment standard 110 | 4 | $1,694 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78052 | payment standard 90 | 4 | $1,386 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78052 | safmr | 4 | $1,540 | 2025-10-01 | HUD_USER_SAFMR |