Composite
31.4 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 52.0 | 40.2 | 0.30 | 0.2308 | 12.00 | in index |
| staffing risk | 51.2 | 51.2 | 0.25 | 0.1923 | 9.85 | in index |
| financial risk | 41.2 | 40.3 | 0.30 | 0.2308 | 9.51 | in index |
| regulatory risk | 27.1 | 18.3 | 0.30 | 0.2308 | 6.25 | in index |
| chow risk | 31.7 | 30.4 | 0.15 | 0.1154 | 3.66 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 40.2 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | 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. |
| chow risk | 35.8 | B | v0.6 | default · in composite | |
| financial risk | 40.3 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.1 | — | 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 | 2.8 | — | 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 | 18.3 | A | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 51.2 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 74.2 | 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 | 54.2 | 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 | 43.1 | 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 | 45.5 | C | 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 | 18.2 | 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 | 18.2 | 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 | 51.2 | C | 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 | 51.2 | C | 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 | |
| Occupancy | 0.83 | -0.38 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 1.00 | -0.15 | |
| Contract staffing share | 0.01 | -0.09 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 1.00 | +1.24 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.83 | -0.34 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 | |
| Facility size (log beds) | 4.88 | -0.11 | |
| Current owner tenure (years) | 25.00 | +0.11 |
| 2025Q4 HPRD | This facility | OH median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.26 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.25 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.16 | 3.11 | 3.11 | — |
| Weekday total | 3.30 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 107.9 | 3.26 | 0.25 | 0.87 | 2.15 | 3.16 | 0.6% |
| 2025Q3 | 92 | 107.7 | 3.25 | 0.27 | 0.85 | 2.13 | 3.10 | 4.8% |
| 2025Q2 | 91 | 114.3 | 3.03 | 0.25 | 0.81 | 1.97 | 2.92 | 10.4% |
| 2025Q1 | 90 | 119.8 | 3.12 | 0.27 | 0.80 | 2.05 | 2.96 | 11.6% |
| 2024Q4 | 92 | 124.2 | 3.00 | 0.25 | 0.80 | 1.95 | 2.88 | 9.8% |
| 2024Q3 | 92 | 120.3 | 3.07 | 0.18 | 0.81 | 2.08 | 2.97 | 11.1% |
| 2024Q2 | 91 | 117.3 | 3.08 | 0.17 | 0.80 | 2.10 | 3.01 | 9.7% |
| 2024Q1 | 91 | 116.0 | 2.99 | 0.20 | 0.79 | 2.00 | 2.93 | 4.1% |
| 2023Q4 | 92 | 110.0 | 3.42 | 0.24 | 0.86 | 2.32 | 3.35 | 5.4% |
| 2023Q3 | 92 | 116.7 | 3.36 | 0.26 | 0.84 | 2.26 | 3.17 | 16.8% |
| 2023Q2 | 91 | 119.0 | 3.15 | 0.21 | 0.77 | 2.17 | 3.03 | 12.5% |
| 2023Q1 | 90 | 117.3 | 3.25 | 0.23 | 0.87 | 2.15 | 3.12 | 17.5% |
| 2022Q4 | 92 | 110.7 | 3.35 | 0.18 | 0.96 | 2.20 | 3.25 | 32.9% |
| 2022Q3 | 92 | 110.3 | 3.27 | 0.19 | 0.94 | 2.14 | 3.14 | 37.9% |
| 2022Q2 | 91 | 111.6 | 3.11 | 0.31 | 0.70 | 2.10 | 3.02 | 30.3% |
| 2022Q1 | 90 | 110.2 | 2.95 | 0.30 | 0.69 | 1.96 | 2.91 | 30.2% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-08-09 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-09-24 |
| 2025-04-16 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-05-16 |
| 2025-04-16 | Health · complaint | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | 2025-05-16 |
| 2024-08-01 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-08-29 |
| 2024-08-01 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | 2024-08-29 |
| 2024-08-01 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-08-29 |
| 2024-08-01 | Health | F0732 | Post nurse staffing information every day. | C | 2024-08-29 |
| 2024-08-01 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | 2024-08-29 |
| 2024-08-01 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-08-29 |
| 2024-08-01 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-08-29 |
| 2024-08-01 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2024-08-29 |
| 2024-06-04 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-07-19 |
| 2024-06-04 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-07-19 |
| 2022-04-28 | 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. | G | 2022-05-24 |
| 2022-04-28 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2022-05-24 |
| 2022-04-28 | 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. | F | 2022-05-24 |
| 2022-04-28 | Health | F0886 | Perform COVID19 testing on residents and staff. | F | 2022-05-24 |
| 2022-04-28 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2022-05-24 |
| 2019-04-26 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2019-06-07 |
| 2019-04-26 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | D | 2019-06-07 |
| 2019-04-26 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2019-06-07 |
| 2019-04-26 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2019-06-07 |
| 2019-04-26 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2019-06-07 |
| 2019-04-26 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2019-06-07 |
| 2019-04-26 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2019-06-07 |
| 2019-04-26 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2019-06-07 |
| 2019-04-26 | Health | 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 | 2019-06-07 |
| 2019-04-26 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2019-06-07 |
| 2019-04-26 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2019-06-07 |
| 2019-04-26 | 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. | F | 2019-06-07 |
| 2019-04-26 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2019-06-07 |
| 2019-04-26 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2019-06-07 |
| 2019-04-26 | 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 | 2019-06-07 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| MASTERNICK, JOHN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | current | pecos_ownership |
| WINDSOR CO | Director, officer, administrator or key person of provider or organization | 50% | 2024-01-01 | current | hcris_a_8_1 |
| WINDSOR CO | Individual has financial interest in both related organization and provider | 50% | 2023-01-01 | current | hcris_a_8_1 |
| DELLIQUADRI, JOHN | ADP OF THE SNF | — | 1997-03-31 | current | pecos_ownership |
| MASTERNICK, JOHN | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-04-01 | current | pecos_ownership |
| MISSO, JOHN | ADP OF THE SNF | — | 2017-09-14 | current | pecos_ownership |
| WINDSOR HOUSE INC. | ADP OF THE SNF | — | 2025-03-24 | current | pecos_ownership |
| WINDSOR HOUSE INC. | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-04-01 | current | pecos_ownership |
| JOHN MASTERNICK | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | ended 2026-05-18 | pecos_ownership |
| WINDSOR CO | Individual has financial interest in both related organization and provider | 50% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| WINDSOR CO | Director, officer, administrator or key person of provider or organization | 50% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| WINDSOR CO | Individual has financial interest in both related organization and provider | 50% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| JOHN DELLIQUADRI | ADP OF THE SNF | — | 1997-03-31 | ended 2026-05-18 | pecos_ownership |
| JOHN MASTERNICK | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-04-01 | ended 2026-05-18 | pecos_ownership |
| JOHN MISSO | ADP OF THE SNF | — | 2017-09-14 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-12-31 | SAPPHIRE REHABILITATION AND CARE CENTER | — | — | — | 113 | SAPPHIRE OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF POINT PLACE | — | — | — | 82 | POINT PLACE OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF NEW LEXINGTON | — | — | — | 82 | NEW LEXINGTON OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | Atrium Nursing and Rehabilitation | — | — | — | 99 | ATRIUM OPCO LLC |
| 2024-12-31 | Inniswood Health and Rehabilitation | — | — | — | 99 | FHS INNISWOOD, INC. |
| 2024-12-31 | COMMUNITY SKILLED HEALTHCARE | — | — | — | 110 | CS OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF PERRYSBURG | — | — | — | 75 | PERRYSBURG OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | GRAFTON OAKS NURSING CENTER | — | — | — | 99 | GO OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF KENT | — | — | — | 74 | KENT OH HEALTH & REHAB OPCO LLC |
| 2024-12-30 | Chardon Woods | — | — | — | 161 | CHARDON WOODS OF JOURNEY LLC |
| 2024-12-16 | The Pavilion at Canal Fulton for Nursing and Rehab | — | — | — | 60 | PAVILION AT CANAL FULTON LLC |
| 2024-12-02 | BENNINGTON GLEN NURSING & REHABILITATION CENTER | — | — | — | 79 | FHS BENNINGTON INC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 39099 | acs median gross | 0 | $595 | 2024-12-31 | CENSUS_ACS5 |
| county 39099 | fmr | 0 | $735 | 2025-10-01 | HUD_USER_FMR |
| county 39099 | acs median gross | 1 | $652 | 2024-12-31 | CENSUS_ACS5 |
| county 39099 | fmr | 1 | $771 | 2025-10-01 | HUD_USER_FMR |
| county 39099 | acs median gross | 2 | $823 | 2024-12-31 | CENSUS_ACS5 |
| county 39099 | fmr | 2 | $973 | 2025-10-01 | HUD_USER_FMR |
| county 39099 | acs median gross | 3 | $945 | 2024-12-31 | CENSUS_ACS5 |
| county 39099 | fmr | 3 | $1,270 | 2025-10-01 | HUD_USER_FMR |
| county 39099 | acs median gross | 4 | $988 | 2024-12-31 | CENSUS_ACS5 |
| county 39099 | fmr | 4 | $1,345 | 2025-10-01 | HUD_USER_FMR |
| county 39099 | acs median gross | 5 | $959 | 2024-12-31 | CENSUS_ACS5 |
| county 39099 | acs median gross | $791 | 2024-12-31 | CENSUS_ACS5 | |
| county 39099 | acs recent mover gross | $885 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 44509 | acs median gross | 0 | $274 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44509 | acs median gross | 1 | $400 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44509 | acs median gross | 2 | $739 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44509 | acs median gross | 3 | $864 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44509 | acs median gross | 4 | $1,091 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44509 | acs median gross | $751 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 44509 | acs recent mover gross | $1,292 | 2024-12-31 | CENSUS_ACS5 | |
| zip 44509 | payment standard 110 | 0 | $825 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44509 | payment standard 90 | 0 | $675 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44509 | safmr | 0 | $750 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44509 | payment standard 110 | 1 | $858 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44509 | payment standard 90 | 1 | $702 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44509 | safmr | 1 | $780 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44509 | payment standard 110 | 2 | $1,089 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44509 | payment standard 90 | 2 | $891 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44509 | safmr | 2 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44509 | payment standard 110 | 3 | $1,419 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44509 | payment standard 90 | 3 | $1,161 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44509 | safmr | 3 | $1,290 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44509 | payment standard 110 | 4 | $1,507 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44509 | payment standard 90 | 4 | $1,233 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44509 | safmr | 4 | $1,370 | 2025-10-01 | HUD_USER_SAFMR |