Composite
41.7 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| staffing risk | 86.0 | 86.0 | 0.25 | 0.1923 | 16.54 | in index |
| regulatory risk | 66.5 | 59.8 | 0.30 | 0.2308 | 15.35 | in index |
| billing conduct | 33.8 | 33.3 | 0.30 | 0.2308 | 7.80 | in index |
| financial risk | 14.8 | 23.3 | 0.30 | 0.2308 | 3.42 | in index |
| chow risk | 20.0 | 19.4 | 0.15 | 0.1154 | 2.31 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 33.3 | 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 | 13.8 | A | v0.6 | default · in composite | |
| financial risk | 23.3 | A | 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 | 59.8 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 86.0 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 95.2 | F | 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 | 75.2 | D | 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 | 44.4 | 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 | 28.4 | 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 | 59.7 | C | 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 | 59.7 | C | 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 | 86.0 | 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 | 86.0 | 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) | 3.16 | -1.54 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.93 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.66 | +0.38 | |
| Deficiencies, last 12 months | 0.00 | -0.17 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| Chain size (log) | 3.66 | -0.93 | |
| Occupancy | 0.93 | -0.78 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 3.16 | -0.25 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
| 2025Q4 HPRD | This facility | SC median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.66 | 3.32 | 3.28 | 2.90–3.77 |
| RN | 0.25 | 0.33 | 0.39 | 0.25–0.58 |
| Weekend total | 2.57 | 3.05 | 3.11 | — |
| Weekday total | 2.70 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 102.8 | 2.66 | 0.25 | 0.88 | 1.54 | 2.57 | 15.2% |
| 2025Q3 | 92 | 104.7 | 2.55 | 0.25 | 0.80 | 1.50 | 2.51 | 13.7% |
| 2025Q2 | 91 | 102.5 | 2.63 | 0.26 | 0.77 | 1.60 | 2.56 | 12.3% |
| 2025Q1 | 90 | 100.4 | 2.75 | 0.30 | 0.78 | 1.67 | 2.67 | 4.8% |
| 2024Q4 | 92 | 101.5 | 2.80 | 0.28 | 0.76 | 1.76 | 2.69 | 3.0% |
| 2024Q3 | 92 | 104.7 | 2.80 | 0.39 | 0.63 | 1.78 | 2.61 | 0.3% |
| 2024Q2 | 91 | 104.0 | 2.82 | 0.39 | 0.60 | 1.82 | 2.65 | 0.0% |
| 2024Q1 | 91 | 104.7 | 2.90 | 0.35 | 0.71 | 1.84 | 2.69 | 0.0% |
| 2023Q4 | 92 | 104.1 | 2.88 | 0.32 | 0.69 | 1.87 | 2.73 | 0.0% |
| 2023Q3 | 92 | 103.9 | 3.07 | 0.36 | 0.71 | 2.00 | 2.82 | 0.0% |
| 2023Q2 | 91 | 103.9 | 2.25 | 0.20 | 0.53 | 1.50 | 2.00 | 0.0% |
| 2023Q1 | 90 | 98.2 | 3.47 | 0.32 | 0.82 | 2.34 | 3.04 | 0.0% |
| 2022Q4 | 92 | 102.6 | 3.29 | 0.26 | 0.86 | 2.17 | 2.88 | 0.0% |
| 2022Q3 | 92 | 103.3 | 3.28 | 0.23 | 0.85 | 2.20 | 2.91 | 0.0% |
| 2022Q2 | 91 | 103.9 | 3.00 | 0.17 | 0.88 | 1.96 | 2.71 | 0.0% |
| 2022Q1 | 90 | 100.7 | 3.03 | 0.13 | 0.91 | 1.99 | 2.81 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-03-14 | Fine | $7,823 | CMS provider data |
| 2024-03-14 | Fine | $7,823 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-04-11 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-05-02 |
| 2024-11-20 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2024-12-13 |
| 2024-03-14 | 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. | J | 2024-03-15 |
| 2024-03-14 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | — |
| 2024-01-25 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-02-09 |
| 2023-08-29 | Health · complaint | 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 | 2023-09-08 |
| 2023-05-11 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-06-08 |
| 2023-05-11 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2023-06-08 |
| 2023-05-11 | 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 | 2023-06-08 |
| 2023-05-11 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-06-08 |
| 2023-05-11 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-06-08 |
| 2023-05-11 | 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 | 2023-06-08 |
| 2021-08-12 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2021-09-17 |
| 2021-08-12 | 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 | 2021-09-17 |
| 2021-08-12 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2021-09-17 |
| 2021-08-12 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2021-09-17 |
| 2021-08-12 | 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 | 2021-09-17 |
| 2021-08-12 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2021-09-17 |
| 2021-08-12 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2021-09-17 |
| 2021-08-12 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | 2021-09-17 |
| 2021-08-12 | 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 | 2021-09-17 |
| 2021-08-12 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2021-09-17 |
| 2021-08-12 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2021-09-17 |
| 2021-08-12 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2021-09-17 |
| 2021-08-12 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | F | 2021-09-17 |
| 2021-08-12 | Health | F0908 | Keep all essential equipment working safely. | D | 2021-09-17 |
| 2021-08-12 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2021-09-17 |
| 2021-08-12 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2021-09-17 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| THI OF SOUTH CAROLINA, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-06-01 | current | pecos_ownership |
| FLATHMANN, RUSTY | CORPORATE OFFICER | — | 2023-06-01 | current | pecos_ownership |
| PRUITT, KELLY | W-2 MANAGING EMPLOYEE | — | 2023-06-01 | current | pecos_ownership |
| HUNT VALLEY HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-06-01 | ended 2026-05-18 | pecos_ownership |
| MURRAY FORMAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-06-01 | ended 2026-05-18 | pecos_ownership |
| THI OF BALTIMORE, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-06-01 | ended 2026-05-18 | pecos_ownership |
| KELLY PRUITT | W-2 MANAGING EMPLOYEE | — | 2023-06-01 | ended 2026-05-18 | pecos_ownership |
| RUSTY FLATHMANN | CORPORATE OFFICER | — | 2023-06-01 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2023-06-01 | — | BENNETTSVILLE HEALTH CARE LLC | DUNDEE MANOR, LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-05-01 | Oak Hollow of Georgetown Rehabilitation Center LLC | — | — | — | 84 | GEORGETOWN OPERATIONS LLC |
| 2025-05-01 | Oak Hollow Of Sumter Rehabilitation Center | — | — | — | 96 | SUMTER OPERATIONS LLC |
| 2025-01-01 | Veteran Village | — | — | — | 52 | STATE OF SOUTH CAROLINA COMPTROLLER GENERAL |
| 2024-08-01 | White Oak Manor - York | — | — | — | 109 | NHC HEALTHCARE/YORK LLC |
| 2024-06-01 | St Andrews Operator, LLC | — | — | — | 108 | ST ANDREWS OPERATOR LLC |
| 2024-04-01 | The Oaks Post Acute | — | — | — | 122 | ORANGEBURG COMMUNITY HEALTHCARE LLC |
| 2024-01-31 | Honorage Nursing Center | — | — | — | 88 | WILSON SENIOR CARE HONORAGE LLC |
| 2024-01-09 | Forest Acres Post Acute | — | — | — | 132 | FOREST ACRES COMMUNITY HEALTHCARE, LLC |
| 2024-01-09 | Union Post Acute | — | — | — | 88 | UNION COMMUNITY HEALTHCARE, LLC |
| 2024-01-01 | Lakelands Nursing And Rehabilitation Center | — | — | — | 69 | SELF REGIONAL HEALTHCARE |
| 2023-09-13 | Heartland Health Care Center - Greenville East | — | — | — | 132 | BEREA COMMUNITY HEALTHCARE LLC |
| 2023-09-01 | Ashley River Healthcare | — | — | — | 125 | ORANGE GROVE HEALTHCARE INC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 45069 | acs median gross | 0 | $458 | 2024-12-31 | CENSUS_ACS5 |
| county 45069 | fmr | 0 | $685 | 2025-10-01 | HUD_USER_FMR |
| county 45069 | acs median gross | 1 | $469 | 2024-12-31 | CENSUS_ACS5 |
| county 45069 | fmr | 1 | $687 | 2025-10-01 | HUD_USER_FMR |
| county 45069 | acs median gross | 2 | $712 | 2024-12-31 | CENSUS_ACS5 |
| county 45069 | fmr | 2 | $902 | 2025-10-01 | HUD_USER_FMR |
| county 45069 | acs median gross | 3 | $745 | 2024-12-31 | CENSUS_ACS5 |
| county 45069 | fmr | 3 | $1,082 | 2025-10-01 | HUD_USER_FMR |
| county 45069 | acs median gross | 4 | $1,024 | 2024-12-31 | CENSUS_ACS5 |
| county 45069 | fmr | 4 | $1,482 | 2025-10-01 | HUD_USER_FMR |
| county 45069 | acs median gross | $689 | 2024-12-31 | CENSUS_ACS5 | |
| county 45069 | acs recent mover gross | $750 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 29512 | acs median gross | 0 | $450 | 2024-12-31 | CENSUS_ACS5 |
| zcta 29512 | acs median gross | 1 | $509 | 2024-12-31 | CENSUS_ACS5 |
| zcta 29512 | acs median gross | 2 | $724 | 2024-12-31 | CENSUS_ACS5 |
| zcta 29512 | acs median gross | 3 | $713 | 2024-12-31 | CENSUS_ACS5 |
| zcta 29512 | acs median gross | 4 | $1,055 | 2024-12-31 | CENSUS_ACS5 |
| zcta 29512 | acs median gross | $689 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 29512 | acs recent mover gross | $801 | 2024-12-31 | CENSUS_ACS5 | |
| zip 29512 | payment standard 110 | 0 | $759 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29512 | payment standard 90 | 0 | $621 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29512 | safmr | 0 | $690 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29512 | payment standard 110 | 1 | $759 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29512 | payment standard 90 | 1 | $621 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29512 | safmr | 1 | $690 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29512 | payment standard 110 | 2 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29512 | payment standard 90 | 2 | $810 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29512 | safmr | 2 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29512 | payment standard 110 | 3 | $1,188 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29512 | payment standard 90 | 3 | $972 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29512 | safmr | 3 | $1,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29512 | payment standard 110 | 4 | $1,628 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29512 | payment standard 90 | 4 | $1,332 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29512 | safmr | 4 | $1,480 | 2025-10-01 | HUD_USER_SAFMR |