Composite
82.5 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 77.9 | 65.2 | 0.30 | 0.2308 | 17.98 | in index |
| staffing risk | 91.6 | 91.6 | 0.25 | 0.1923 | 17.62 | in index |
| billing conduct | 56.2 | 42.0 | 0.30 | 0.2308 | 12.97 | in index |
| chow risk | 60.0 | 41.7 | 0.15 | 0.1154 | 6.92 | in index |
| regulatory risk | 27.4 | 18.5 | 0.30 | 0.2308 | 6.32 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 42.0 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 54.6 | C | 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 | 28.7 | B | v0.6 | default · in composite | |
| financial risk | 65.2 | D | 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 | 0.2 | — | 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 | 18.5 | A | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 91.6 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 66.7 | 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 | 46.7 | 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 | 59.8 | 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 | 67.3 | D | 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 | 18.4 | A | 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 | 18.4 | A | 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 | 91.6 | 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 | 91.6 | 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 | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 6.83 | -1.18 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.69 | +0.38 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 2.48 | +0.11 | |
| Contract staffing share | 0.00 | -0.10 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 3.69 | -0.94 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 2.48 | +0.31 | |
| Never sold on record | 0.00 | -0.28 | |
| Occupancy | 0.68 | +0.27 | |
| Current owner tenure (years) | 6.83 | -0.19 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
| 2025Q4 HPRD | This facility | KS median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.48 | 3.03 | 3.28 | 2.90–3.77 |
| RN | 0.55 | 0.44 | 0.39 | 0.25–0.58 |
| Weekend total | 2.46 | 2.87 | 3.11 | — |
| Weekday total | 2.48 | 3.10 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 58.8 | 2.48 | 0.55 | 0.27 | 1.66 | 2.46 | 0.0% |
| 2025Q3 | 92 | 56.4 | 2.37 | 0.55 | 0.28 | 1.54 | 2.39 | 0.0% |
| 2025Q2 | 91 | 54.4 | 2.40 | 0.55 | 0.30 | 1.54 | 2.40 | 0.0% |
| 2025Q1 | 90 | 54.5 | 2.39 | 0.57 | 0.31 | 1.51 | 2.49 | 0.0% |
| 2024Q4 | 92 | 51.8 | 2.53 | 0.64 | 0.30 | 1.58 | 2.57 | 0.0% |
| 2024Q3 | 92 | 53.6 | 2.47 | 0.56 | 0.35 | 1.56 | 2.48 | 0.0% |
| 2024Q2 | 91 | 52.2 | 2.49 | 0.55 | 0.35 | 1.59 | 2.50 | 0.0% |
| 2024Q1 | 91 | 55.8 | 2.23 | 0.55 | 0.27 | 1.41 | 2.15 | 0.0% |
| 2023Q4 | 92 | 55.5 | 2.44 | 0.59 | 0.27 | 1.58 | 2.31 | 0.0% |
| 2023Q3 | 92 | 57.5 | 2.64 | 0.52 | 0.32 | 1.80 | 2.43 | 0.0% |
| 2023Q2 | 91 | 59.8 | 2.48 | 0.40 | 0.41 | 1.67 | 2.26 | 0.0% |
| 2023Q1 | 90 | 60.5 | 2.46 | 0.34 | 0.47 | 1.66 | 2.40 | 0.0% |
| 2022Q4 | 92 | 63.5 | 2.60 | 0.34 | 0.47 | 1.80 | 2.44 | 0.0% |
| 2022Q3 | 92 | 64.4 | 2.73 | 0.31 | 0.42 | 1.99 | 2.44 | 0.0% |
| 2022Q2 | 91 | 65.3 | 2.90 | 0.43 | 0.44 | 2.03 | 2.69 | 0.0% |
| 2022Q1 | 90 | 66.7 | 2.69 | 0.45 | 0.42 | 1.83 | 2.52 | 0.0% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-11 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-04-01 |
| 2026-03-11 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2026-04-01 |
| 2026-03-11 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2026-04-01 |
| 2026-03-11 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2026-04-01 |
| 2026-03-11 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2026-04-01 |
| 2026-03-11 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2026-04-01 |
| 2026-03-11 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2026-04-01 |
| 2026-03-11 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2026-04-01 |
| 2024-05-29 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-06-26 |
| 2024-05-29 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-06-26 |
| 2024-05-29 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-06-26 |
| 2024-05-29 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-06-26 |
| 2024-05-29 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-06-26 |
| 2023-06-28 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-07-10 |
| 2022-09-15 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2022-10-14 |
| 2022-09-15 | 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. | E | 2022-10-14 |
| 2022-09-15 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2022-10-14 |
| 2022-09-15 | 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 | 2022-10-14 |
| 2022-09-15 | 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 | 2022-10-14 |
| 2022-09-15 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-10-14 |
| 2022-09-15 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-10-14 |
| 2022-09-15 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2022-10-14 |
| 2022-09-15 | 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. | G | 2022-10-14 |
| 2022-09-15 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-10-14 |
| 2022-09-15 | 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 | 2022-10-14 |
| 2022-09-15 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | G | 2022-10-14 |
| 2022-09-15 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2022-10-14 |
| 2022-09-15 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2022-10-14 |
| 2022-09-15 | Health | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | 2022-10-14 |
| 2022-09-15 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2022-10-14 |
| 2022-09-15 | Health | F0760 | Ensure that residents are free from significant medication errors. | G | 2022-10-14 |
| 2022-09-15 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-10-14 |
| 2022-09-15 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2022-10-14 |
| 2022-09-15 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2022-10-14 |
| 2022-09-15 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2022-10-14 |
| 2022-09-15 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2022-10-14 |
| 2022-09-15 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2022-10-14 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CORONADO OPERATOR, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-10-01 | current | pecos_ownership |
| BARRES, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-10-01 | current | pecos_ownership |
| BUCKLE, WHITNEY | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-10-01 | current | pecos_ownership |
| CURIS HOLDINGS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-10-01 | current | pecos_ownership |
| LINDEMAN, STUART | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-10-01 | current | pecos_ownership |
| MISSION HEALTH COMMUNITIES, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-10-01 | current | pecos_ownership |
| PITTSBURG OPERATOR, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-10-01 | current | pecos_ownership |
| T AND C CAPITAL ASSETS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-10-01 | current | pecos_ownership |
| THOMAS, TINA | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-10-01 | current | pecos_ownership |
| WINDWARD HEALTH PARTNERS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-10-01 | current | pecos_ownership |
| YOAKUM, JAMIE | CORPORATE OFFICER | — | 2024-03-21 | current | pecos_ownership |
| JAMIE YOAKUM | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-21 | ended 2026-05-18 | pecos_ownership |
| MICH 16 PITTSBURG LLC | OTHER | — | 2022-04-29 | ended 2026-05-18 | pecos_ownership |
| STUART LINDEMAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-10-01 | ended 2026-05-18 | pecos_ownership |
| TINA THOMAS | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-10-01 | ended 2026-05-18 | pecos_ownership |
| WHITNEY BUCKLE | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-10-01 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2019-10-01 | — | PITTSBURG OPERATOR, LLC | PITTSBURG CARE AND REHABILITATION CENTER LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-07-01 | VIA CHRISTI VILLAGE PITTSBURG | — | — | — | 96 | VIA CHRISTI VILLAGE PITTSBURG KS LLC |
| 2025-07-01 | VIA CHRISTI VILLAGE HAYS KS LLC | — | — | — | 96 | VIA CHRISTI VILLAGE HAYS KS LLC |
| 2025-01-25 | HOLTON HEALTH CARE CENTER | — | — | — | 45 | HOLTON HEALTH CARE CENTER LLC |
| 2024-08-25 | SWAN HEALTH AT OVERLAND PARK | — | — | — | 44 | HHN KS2 LLC |
| 2024-08-01 | IGNITE MEDICAL RESORT OVERLAND PARK LLC | — | — | — | 102 | IGNITE MEDICAL RESORT OVERLAND PARK LLC |
| 2024-05-01 | HILLSIDE VILLAGE OF DE SOTO REHABILITATION AND NUR | — | — | — | 49 | OSAGE VALLEY HEALTHCARE LLC |
| 2024-03-01 | ATCHISON SENIOR VILLAGE REHABILITATION AND NURSING | — | — | — | 45 | EARHART HEALTHCARE LLC |
| 2024-02-01 | PROVIDENCE LIVING CENTER | — | — | — | 78 | PROVIDENCE OPCO LLC |
| 2023-11-01 | TONGANOXIE TERRACE | — | — | — | 90 | TONGANOXIE OPCO LLC |
| 2023-10-01 | PROVIDENCE PLACE | — | — | — | 45 | STREETCAR HEALTHCARE, INC. |
| 2023-09-01 | MAPLE HEIGHTS NURSING & REHABILITATIVE CENTER | — | — | — | 53 | HIAWATHA OPCO LLC |
| 2023-08-01 | OVERLAND PARK POST ACUTE | — | — | — | 140 | EXCEL OF OVERLAND PARK LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 20037 | acs median gross | 0 | $706 | 2024-12-31 | CENSUS_ACS5 |
| county 20037 | fmr | 0 | $682 | 2025-10-01 | HUD_USER_FMR |
| county 20037 | acs median gross | 1 | $638 | 2024-12-31 | CENSUS_ACS5 |
| county 20037 | fmr | 1 | $687 | 2025-10-01 | HUD_USER_FMR |
| county 20037 | acs median gross | 2 | $866 | 2024-12-31 | CENSUS_ACS5 |
| county 20037 | fmr | 2 | $901 | 2025-10-01 | HUD_USER_FMR |
| county 20037 | acs median gross | 3 | $1,070 | 2024-12-31 | CENSUS_ACS5 |
| county 20037 | fmr | 3 | $1,253 | 2025-10-01 | HUD_USER_FMR |
| county 20037 | acs median gross | 4 | $530 | 2024-12-31 | CENSUS_ACS5 |
| county 20037 | fmr | 4 | $1,511 | 2025-10-01 | HUD_USER_FMR |
| county 20037 | acs median gross | $849 | 2024-12-31 | CENSUS_ACS5 | |
| county 20037 | acs recent mover gross | $911 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 66762 | acs median gross | 0 | $735 | 2024-12-31 | CENSUS_ACS5 |
| zcta 66762 | acs median gross | 1 | $686 | 2024-12-31 | CENSUS_ACS5 |
| zcta 66762 | acs median gross | 2 | $875 | 2024-12-31 | CENSUS_ACS5 |
| zcta 66762 | acs median gross | 3 | $1,125 | 2024-12-31 | CENSUS_ACS5 |
| zcta 66762 | acs median gross | 4 | $518 | 2024-12-31 | CENSUS_ACS5 |
| zcta 66762 | acs median gross | $861 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 66762 | acs recent mover gross | $940 | 2024-12-31 | CENSUS_ACS5 | |
| zip 66762 | payment standard 110 | 0 | $770 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66762 | payment standard 90 | 0 | $630 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66762 | safmr | 0 | $700 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66762 | payment standard 110 | 1 | $781 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66762 | payment standard 90 | 1 | $639 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66762 | safmr | 1 | $710 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66762 | payment standard 110 | 2 | $1,023 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66762 | payment standard 90 | 2 | $837 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66762 | safmr | 2 | $930 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66762 | payment standard 110 | 3 | $1,419 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66762 | payment standard 90 | 3 | $1,161 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66762 | safmr | 3 | $1,290 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66762 | payment standard 110 | 4 | $1,716 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66762 | payment standard 90 | 4 | $1,404 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66762 | safmr | 4 | $1,560 | 2025-10-01 | HUD_USER_SAFMR |