Composite
20.8 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 52.2 | 41.7 | 0.30 | 0.2308 | 12.05 | in index |
| billing conduct | 51.4 | 39.9 | 0.30 | 0.2308 | 11.86 | in index |
| financial risk | 41.6 | 40.5 | 0.30 | 0.2308 | 9.60 | in index |
| staffing risk | 8.2 | 8.3 | 0.25 | 0.1923 | 1.58 | in index |
| chow risk | 11.2 | 12.9 | 0.15 | 0.1154 | 1.29 | in index |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 6 chains | SMITH KIMBERLY | 9 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 39.9 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.8 | 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 | 1.0 | A | v0.6 | default · in composite | |
| financial risk | 40.5 | B | 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 | 0.0 | — | 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 | 41.7 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 8.3 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 70.9 | 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 | 50.9 | 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 | 54.2 | 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 | 44.0 | B | 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 | 41.6 | B | 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 | 41.6 | B | 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 | 8.3 | 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 | 8.3 | 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 | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 4.57 | -1.40 | |
| For-profit ownership | 0.00 | -1.24 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| Occupancy | 0.92 | -0.63 | |
| Chain size (log) | 3.99 | +0.44 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Total nurse staffing (HPRD) | 4.48 | -0.29 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | +1.62 | |
| Chain size (log) | 3.99 | -1.12 | |
| Occupancy | 0.92 | -0.70 | |
| Total nurse staffing (HPRD) | 4.48 | -0.53 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Deficiencies, last 12 months | 9.00 | -0.24 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
| 2025Q4 HPRD | This facility | IN median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 4.48 | 2.85 | 3.28 | 2.90–3.77 |
| RN | 0.30 | 0.40 | 0.39 | 0.25–0.58 |
| Weekend total | 4.44 | 2.71 | 3.11 | — |
| Weekday total | 4.50 | 2.90 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 62.3 | 4.48 | 0.30 | 1.09 | 3.10 | 4.44 | 0.0% |
| 2025Q3 | 92 | 64.3 | 4.62 | 0.20 | 1.26 | 3.16 | 4.48 | 0.0% |
| 2025Q2 | 91 | 64.2 | 4.24 | 0.28 | 1.10 | 2.87 | 4.29 | 0.0% |
| 2025Q1 | 90 | 63.9 | 4.32 | 0.31 | 1.18 | 2.83 | 4.01 | 3.3% |
| 2024Q4 | 92 | 63.6 | 3.94 | 0.30 | 1.11 | 2.53 | 3.87 | 3.1% |
| 2024Q3 | 92 | 62.7 | 4.07 | 0.51 | 1.16 | 2.41 | 3.96 | 0.0% |
| 2024Q2 | 91 | 61.9 | 4.35 | 0.59 | 1.07 | 2.69 | 4.37 | 0.9% |
| 2024Q1 | 91 | 61.0 | 4.49 | 0.68 | 1.15 | 2.66 | 4.42 | 1.0% |
| 2023Q4 | 92 | 61.7 | 4.39 | 0.64 | 1.25 | 2.50 | 4.35 | 2.5% |
| 2023Q3 | 92 | 62.3 | 4.69 | 0.60 | 1.31 | 2.79 | 4.54 | 2.9% |
| 2023Q2 | 91 | 64.6 | 4.38 | 0.40 | 1.31 | 2.67 | 4.36 | 14.3% |
| 2023Q1 | 90 | 63.8 | 4.81 | 0.33 | 1.71 | 2.78 | 4.69 | 31.8% |
| 2022Q4 | 92 | 65.0 | 4.30 | 0.36 | 1.56 | 2.38 | 4.37 | 31.4% |
| 2022Q3 | 92 | 53.9 | 4.98 | 0.53 | 1.82 | 2.63 | 4.94 | 22.1% |
| 2022Q2 | 91 | 53.7 | 4.94 | 0.74 | 1.39 | 2.81 | 4.65 | 11.1% |
| 2022Q1 | 90 | 50.5 | 5.56 | 0.86 | 1.14 | 3.56 | 5.33 | 0.0% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-30 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-05-06 |
| 2026-03-30 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-05-06 |
| 2026-03-30 | 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. | F | 2026-05-06 |
| 2026-03-30 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2026-05-06 |
| 2026-03-30 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-05-06 |
| 2025-09-26 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-12-03 |
| 2025-09-26 | Health · complaint | 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 | 2025-12-03 |
| 2025-09-26 | 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. | F | 2025-12-03 |
| 2025-09-26 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2025-12-03 |
| 2025-06-16 | 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 | 2025-07-24 |
| 2025-06-16 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-07-24 |
| 2025-06-16 | Health | F0679 | Provide activities to meet all resident's needs. | F | 2025-07-24 |
| 2025-06-16 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-07-24 |
| 2025-06-16 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-07-24 |
| 2025-06-16 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2025-07-24 |
| 2025-06-16 | 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. | F | 2025-07-24 |
| 2025-06-16 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | 2025-07-24 |
| 2025-06-16 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-07-24 |
| 2025-06-16 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-07-24 |
| 2025-05-15 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-05-20 |
| 2025-03-27 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-04-22 |
| 2025-03-27 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-04-22 |
| 2025-03-27 | Health · complaint | 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 | 2025-04-22 |
| 2025-03-27 | Health · complaint | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | 2025-04-22 |
| 2025-03-27 | 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. | F | 2025-04-22 |
| 2025-03-27 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-04-22 |
| 2025-03-27 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-04-22 |
| 2024-12-31 | Health · complaint | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2025-02-04 |
| 2024-12-31 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-02-04 |
| 2024-12-31 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | E | 2025-02-04 |
| 2024-12-31 | 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 | 2025-02-04 |
| 2024-06-28 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-07-23 |
| 2024-04-16 | 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 | 2024-05-03 |
| 2023-12-28 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-01-19 |
| 2023-04-26 | 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 | 2023-06-01 |
| 2023-04-26 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2023-06-01 |
| 2023-04-26 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-06-01 |
| 2023-04-26 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-06-01 |
| 2023-04-26 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-06-01 |
| 2023-04-26 | Health | F0886 | Perform COVID19 testing on residents and staff. | D | 2023-06-01 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| 1002 SISTER BARBARA WAY LLC | Corporation, partnership or other organization has financial interest in provider | — | 2024-01-01 | current | hcris_a_8_1 |
| SMITH, KIMBERLY | CONTRACTED MANAGING EMPLOYEE | — | 2022-01-01 | current | pecos_ownership |
| SMITH, SCOTT | CORPORATE OFFICER | — | 2022-01-01 | current | pecos_ownership |
| SPRUNGER, KYLE | CORPORATE OFFICER | — | 2022-01-01 | current | pecos_ownership |
| WHEELER, DANE | CORPORATE OFFICER | — | 2022-01-01 | current | pecos_ownership |
| ADAMS COUNTY MEMORIAL HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-01-01 | ended 2026-05-18 | pecos_ownership |
| DANE WHEELER | CORPORATE OFFICER | 100% | 2022-01-01 | ended 2026-05-18 | pecos_ownership |
| KIMBERLY SMITH | CONTRACTED MANAGING EMPLOYEE | 100% | 2022-01-01 | ended 2026-05-18 | pecos_ownership |
| KYLE SPRUNGER | CORPORATE OFFICER | 100% | 2022-01-01 | ended 2026-05-18 | pecos_ownership |
| SCOTT SMITH | CORPORATE OFFICER | 100% | 2022-01-01 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2022-01-01 | — | ADAMS COUNTY MEMORIAL HOSPITAL | RUSH MEMORIAL HOSPITAL | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-01-08 | HEALTHWIN HEALTH & REHABILITATION | — | — | — | 145 | PULASKI MEMORIAL HOSPITAL |
| 2025-01-01 | ENVIVE OF LIBERTY | — | — | — | 60 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2025-01-01 | ENVIVE OF MUNCIE | — | — | — | 60 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2024-08-01 | FAIRWAY VILLAGE | — | — | — | 53 | HENRY COUNTY MEMORIAL HOSPITAL |
| 2024-07-01 | ASBURY TOWERS HEALTH CARE CENTER | — | — | — | 48 | PULASKI MEMORIAL HOSPITAL |
| 2024-07-01 | PILGRIM MANOR | — | — | — | 78 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2024-07-01 | CHASE CENTER | — | — | — | 101 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2024-06-01 | IGNITE MEDICAL RESORT CHESTERTON | — | — | — | 70 | IGNITE MEDICAL RESORT CHESTERTON LLC |
| 2024-01-01 | BRIARCLIFF HEALTH & REHABILITATION CENTER | — | — | — | 131 | PULASKI MEMORIAL HOSPITAL |
| 2024-01-01 | SOUTH SHORE HEALTH & REHABILITATION CENTER | — | — | — | 100 | PULASKI MEMORIAL HOSPITAL |
| 2024-01-01 | EVANSVILLE PROTESTANT HOME | — | — | — | 49 | HENRY COUNTY MEMORIAL HOSPITAL |
| 2023-12-01 | ROLLING HILLS HEALTHCARE CENTER | — | — | — | 115 | ADAMS COUNTY MEMORIAL HOSPITAL |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 18043 | acs median gross | 0 | $916 | 2024-12-31 | CENSUS_ACS5 |
| county 18043 | fmr | 0 | $966 | 2025-10-01 | HUD_USER_FMR |
| county 18043 | acs median gross | 1 | $880 | 2024-12-31 | CENSUS_ACS5 |
| county 18043 | fmr | 1 | $1,047 | 2025-10-01 | HUD_USER_FMR |
| county 18043 | acs median gross | 2 | $1,068 | 2024-12-31 | CENSUS_ACS5 |
| county 18043 | fmr | 2 | $1,272 | 2025-10-01 | HUD_USER_FMR |
| county 18043 | acs median gross | 3 | $1,185 | 2024-12-31 | CENSUS_ACS5 |
| county 18043 | fmr | 3 | $1,625 | 2025-10-01 | HUD_USER_FMR |
| county 18043 | acs median gross | 4 | $862 | 2024-12-31 | CENSUS_ACS5 |
| county 18043 | fmr | 4 | $1,891 | 2025-10-01 | HUD_USER_FMR |
| county 18043 | acs median gross | 5 | $1,574 | 2024-12-31 | CENSUS_ACS5 |
| county 18043 | acs median gross | $1,036 | 2024-12-31 | CENSUS_ACS5 | |
| county 18043 | acs recent mover gross | $989 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 47122 | acs median gross | 1 | $516 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47122 | acs median gross | 2 | $1,037 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47122 | acs median gross | 3 | $962 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47122 | acs median gross | $982 | 2024-12-31 | CENSUS_ACS5 | |
| zip 47122 | payment standard 110 | 0 | $957 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47122 | payment standard 90 | 0 | $783 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47122 | safmr | 0 | $870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47122 | payment standard 110 | 1 | $1,034 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47122 | payment standard 90 | 1 | $846 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47122 | safmr | 1 | $940 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47122 | payment standard 110 | 2 | $1,254 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47122 | payment standard 90 | 2 | $1,026 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47122 | safmr | 2 | $1,140 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47122 | payment standard 110 | 3 | $1,606 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47122 | payment standard 90 | 3 | $1,314 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47122 | safmr | 3 | $1,460 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47122 | payment standard 110 | 4 | $1,859 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47122 | payment standard 90 | 4 | $1,521 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47122 | safmr | 4 | $1,690 | 2025-10-01 | HUD_USER_SAFMR |