Reads as: riskier than 1.8% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
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.
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.
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.
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.
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.
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.
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.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16
2025Q4 HPRD
This facility
HI median
National median
National p25–p75
Total nurse
5.52
4.00
3.28
2.90–3.77
RN
1.39
1.24
0.39
0.25–0.58
Weekend total
4.89
3.78
3.11
—
Weekday total
5.77
4.04
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
54.9
5.52
1.39
0.85
3.28
4.89
6.7%
2025Q3
92
52.7
5.80
1.27
0.90
3.63
5.09
3.3%
2025Q2
91
51.5
4.99
1.17
0.73
3.08
4.50
2.3%
2025Q1
90
51.1
4.50
1.23
0.61
2.66
4.07
1.8%
2024Q4
92
47.7
4.70
1.46
0.60
2.64
4.15
2.1%
2024Q3
92
47.3
4.52
1.35
0.63
2.54
4.08
94.4%
2024Q2
91
46.8
4.39
0.89
0.81
2.69
4.00
5.0%
2024Q1
91
45.6
4.79
1.00
0.79
3.01
4.36
4.6%
2023Q4
92
44.8
4.94
1.30
0.61
3.03
4.35
2.8%
2023Q3
92
44.9
4.61
1.24
0.60
2.77
4.12
1.2%
2023Q2
91
44.4
4.68
1.00
0.68
3.00
4.19
3.4%
2023Q1
90
41.1
4.79
1.17
0.63
2.99
4.25
3.3%
2022Q4
92
40.2
4.77
1.19
0.79
2.79
4.33
5.8%
2022Q3
92
39.6
4.59
1.17
0.76
2.67
4.15
3.3%
2022Q2
91
39.8
4.56
1.21
0.73
2.62
4.18
3.4%
2022Q1
90
40.2
4.16
1.05
0.63
2.48
3.92
0.5%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
23
D × 17E × 3F × 2G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-02-07
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-03-24
2025-02-07
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
2025-03-24
2025-02-07
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
2025-03-24
2025-02-07
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
E
2025-03-24
2025-02-07
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-03-24
2025-02-07
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
2025-03-24
2025-02-07
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-03-24
2025-02-07
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
2025-03-24
2025-02-07
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-03-24
2025-02-07
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-03-24
2025-02-07
Health
F0710
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
D
2025-03-24
2025-02-07
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
2025-03-24
2025-02-07
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
2025-03-24
2025-02-07
Health
F0880
Provide and implement an infection prevention and control program.
F
2025-03-24
2025-02-07
Health
F0943
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
F
2025-03-24
2024-01-11
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-01-26
2022-10-24
Health
F0551
Give the resident's representative the ability to exercise the resident's rights.
D
2022-12-16
2022-10-24
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
2022-12-16
2022-10-24
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
2022-12-16
2022-10-24
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2022-12-16
2022-10-24
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
2022-12-16
2022-10-24
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2022-12-16
2022-10-24
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2022-12-16
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
33
Owner
Role
Pct
From
Status
Source
BELCHER, DANIEL
CORPORATE DIRECTOR
—
2020-06-01
current
pecos_ownership
BRINKMAN, DANIEL
CORPORATE DIRECTOR
—
2007-07-02
current
pecos_ownership
FARIAS, CHAD
CORPORATE DIRECTOR
—
2021-03-01
current
pecos_ownership
GOMEZ, LARA
CORPORATE DIRECTOR
—
2022-11-01
current
pecos_ownership
GRAY, JERRY
CORPORATE DIRECTOR
—
2017-02-01
current
pecos_ownership
HAWAII HEALTH SYSTEMS CORPORATION
OPERATIONAL/MANAGERIAL CONTROL
—
1996-07-01
current
pecos_ownership
HO, BRENDA
CORPORATE OFFICER
—
2016-07-01
current
pecos_ownership
IGNACIO, JAY
CORPORATE DIRECTOR
—
2019-04-01
current
pecos_ownership
KUROHARA, RANDALL
CORPORATE DIRECTOR
—
2021-02-01
current
pecos_ownership
NUNOKAWA, CLARYSSE
CORPORATE DIRECTOR
—
2019-06-01
current
pecos_ownership
SAKO, DEANNA
CORPORATE DIRECTOR
—
2018-09-01
current
pecos_ownership
SKRUCH, JOSEPH
CORPORATE DIRECTOR
—
2022-03-15
current
pecos_ownership
SMITH, STEPHEN
CORPORATE DIRECTOR
—
2018-02-24
current
pecos_ownership
WALTJEN, JONI
W-2 MANAGING EMPLOYEE
—
2001-04-23
current
pecos_ownership
WONG, YVONNE
CORPORATE DIRECTOR
—
2022-10-01
current
pecos_ownership
YAMANAKA, RAE
CORPORATE DIRECTOR
—
2016-05-17
current
pecos_ownership
ZELKO-SCHLUETER, JENNIFER
CORPORATE DIRECTOR
—
2022-07-01
current
pecos_ownership
BRENDA HO
CORPORATE OFFICER
—
2016-07-01
ended 2026-05-18
pecos_ownership
CHAD FARIAS
CORPORATE DIRECTOR
—
2021-03-01
ended 2026-05-18
pecos_ownership
CLARYSSE NUNOKAWA
CORPORATE DIRECTOR
—
2019-06-01
ended 2026-05-18
pecos_ownership
DANIEL BELCHER
CORPORATE DIRECTOR
—
2020-06-01
ended 2026-05-18
pecos_ownership
DANIEL BRINKMAN
CORPORATE DIRECTOR
—
2007-07-02
ended 2026-05-18
pecos_ownership
DEANNA SAKO
CORPORATE DIRECTOR
—
2018-09-01
ended 2026-05-18
pecos_ownership
JAY IGNACIO
CORPORATE DIRECTOR
—
2019-04-01
ended 2026-05-18
pecos_ownership
JENNIFER ZELKO-SCHLUETER
CORPORATE DIRECTOR
—
2022-07-01
ended 2026-05-18
pecos_ownership
JERRY GRAY
CORPORATE DIRECTOR
—
2017-02-01
ended 2026-05-18
pecos_ownership
JONI WALTJEN
W-2 MANAGING EMPLOYEE
—
2001-04-23
ended 2026-05-18
pecos_ownership
JOSEPH SKRUCH
CORPORATE DIRECTOR
—
2022-03-15
ended 2026-05-18
pecos_ownership
LARA GOMEZ
CORPORATE DIRECTOR
—
2022-11-01
ended 2026-05-18
pecos_ownership
RAE YAMANAKA
CORPORATE DIRECTOR
—
2016-05-17
ended 2026-05-18
pecos_ownership
RANDALL KUROHARA
CORPORATE DIRECTOR
—
2021-02-01
ended 2026-05-18
pecos_ownership
STEPHEN SMITH
CORPORATE DIRECTOR
—
2018-02-24
ended 2026-05-18
pecos_ownership
YVONNE WONG
CORPORATE DIRECTOR
—
2022-10-01
ended 2026-05-18
pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
36
Geo
Kind
BR
Amount
As of
Source
county 15001
acs median gross
0
$1,138
2024-12-31
CENSUS_ACS5
county 15001
fmr
0
$1,592
2025-10-01
HUD_USER_FMR
county 15001
acs median gross
1
$1,127
2024-12-31
CENSUS_ACS5
county 15001
fmr
1
$1,603
2025-10-01
HUD_USER_FMR
county 15001
acs median gross
2
$1,500
2024-12-31
CENSUS_ACS5
county 15001
fmr
2
$2,076
2025-10-01
HUD_USER_FMR
county 15001
acs median gross
3
$1,734
2024-12-31
CENSUS_ACS5
county 15001
fmr
3
$2,622
2025-10-01
HUD_USER_FMR
county 15001
acs median gross
4
$1,853
2024-12-31
CENSUS_ACS5
county 15001
fmr
4
$3,024
2025-10-01
HUD_USER_FMR
county 15001
acs median gross
5
$2,286
2024-12-31
CENSUS_ACS5
county 15001
acs median gross
$1,510
2024-12-31
CENSUS_ACS5
county 15001
acs recent mover gross
$1,756
2024-12-31
CENSUS_ACS5
zcta 96720
acs median gross
0
$1,139
2024-12-31
CENSUS_ACS5
zcta 96720
acs median gross
1
$944
2024-12-31
CENSUS_ACS5
zcta 96720
acs median gross
2
$1,317
2024-12-31
CENSUS_ACS5
zcta 96720
acs median gross
3
$1,766
2024-12-31
CENSUS_ACS5
zcta 96720
acs median gross
4
$1,725
2024-12-31
CENSUS_ACS5
zcta 96720
acs median gross
5
$2,143
2024-12-31
CENSUS_ACS5
zcta 96720
acs median gross
$1,428
2024-12-31
CENSUS_ACS5
zcta 96720
acs recent mover gross
$1,427
2024-12-31
CENSUS_ACS5
zip 96720
payment standard 110
0
$1,606
2025-10-01
HUD_USER_SAFMR
zip 96720
payment standard 90
0
$1,314
2025-10-01
HUD_USER_SAFMR
zip 96720
safmr
0
$1,460
2025-10-01
HUD_USER_SAFMR
zip 96720
payment standard 110
1
$1,617
2025-10-01
HUD_USER_SAFMR
zip 96720
payment standard 90
1
$1,323
2025-10-01
HUD_USER_SAFMR
zip 96720
safmr
1
$1,470
2025-10-01
HUD_USER_SAFMR
zip 96720
payment standard 110
2
$2,090
2025-10-01
HUD_USER_SAFMR
zip 96720
payment standard 90
2
$1,710
2025-10-01
HUD_USER_SAFMR
zip 96720
safmr
2
$1,900
2025-10-01
HUD_USER_SAFMR
zip 96720
payment standard 110
3
$2,684
2025-10-01
HUD_USER_SAFMR
zip 96720
payment standard 90
3
$2,196
2025-10-01
HUD_USER_SAFMR
zip 96720
safmr
3
$2,440
2025-10-01
HUD_USER_SAFMR
zip 96720
payment standard 110
4
$3,047
2025-10-01
HUD_USER_SAFMR
zip 96720
payment standard 90
4
$2,493
2025-10-01
HUD_USER_SAFMR
zip 96720
safmr
4
$2,770
2025-10-01
HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.