Composite
82.7 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 81.5 | 78.4 | 0.30 | 0.2308 | 18.81 | in index |
| billing conduct | 58.1 | 42.8 | 0.30 | 0.2308 | 13.41 | in index |
| staffing risk | 64.5 | 64.5 | 0.25 | 0.1923 | 12.40 | in index |
| financial risk | 47.8 | 44.2 | 0.30 | 0.2308 | 11.03 | in index |
| chow risk | 54.2 | 58.4 | 0.15 | 0.1154 | 6.25 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 42.8 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.2 | 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 | 92.6 | F | v0.6 | default · in composite | |
| financial risk | 44.2 | 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 | 0.1 | — | 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 | 78.4 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 64.5 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 86.0 | 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 | 66.0 | 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 | 35.3 | 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 | 50.3 | 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 | 78.3 | D | 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 | 78.3 | D | 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 | 64.5 | 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 | 64.5 | 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 | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 8.82 | -0.99 | |
| For-profit ownership | 1.00 | +0.69 | |
| Chain size (log) | 4.06 | +0.46 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Occupancy | 0.77 | -0.20 | |
| Deficiencies, last 12 months | 0.00 | -0.17 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| Chain size (log) | 4.06 | -1.16 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Current owner tenure (years) | 8.82 | -0.16 | |
| Occupancy | 0.77 | -0.07 |
| 2025Q4 HPRD | This facility | WI median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.07 | 3.60 | 3.28 | 2.90–3.77 |
| RN | 0.32 | 0.64 | 0.39 | 0.25–0.58 |
| Weekend total | 2.91 | 3.49 | 3.11 | — |
| Weekday total | 3.13 | 3.65 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 76.5 | 3.07 | 0.32 | 0.88 | 1.87 | 2.91 | 0.1% |
| 2025Q3 | 92 | 74.6 | 3.13 | 0.34 | 0.90 | 1.90 | 3.00 | 0.0% |
| 2025Q2 | 91 | 73.1 | 3.23 | 0.39 | 0.90 | 1.95 | 3.08 | 0.0% |
| 2025Q1 | 90 | 75.4 | 2.92 | 0.31 | 0.86 | 1.76 | 2.81 | 0.0% |
| 2024Q4 | 92 | 74.1 | 2.99 | 0.35 | 0.87 | 1.76 | 2.80 | 0.0% |
| 2024Q3 | 92 | 70.2 | 3.33 | 0.54 | 0.81 | 1.98 | 3.08 | 0.0% |
| 2024Q2 | 91 | 73.8 | 3.29 | 0.54 | 0.83 | 1.93 | 3.02 | 0.5% |
| 2024Q1 | 91 | 75.6 | 3.81 | 0.47 | 0.91 | 2.42 | 3.71 | 24.8% |
| 2023Q4 | 92 | 72.9 | 2.88 | 0.51 | 0.75 | 1.63 | 2.39 | 0.4% |
| 2023Q3 | 92 | 76.8 | 3.01 | 0.43 | 0.81 | 1.77 | 2.67 | 10.4% |
| 2023Q2 | 91 | 81.6 | 2.69 | 0.47 | 0.65 | 1.56 | 2.33 | 0.0% |
| 2023Q1 | 90 | 80.2 | 2.77 | 0.53 | 0.71 | 1.53 | 2.53 | 0.0% |
| 2022Q4 | 92 | 80.2 | 3.00 | 0.47 | 0.77 | 1.76 | 2.73 | 0.0% |
| 2022Q3 | 92 | 77.8 | 2.99 | 0.49 | 0.74 | 1.76 | 2.78 | 0.1% |
| 2022Q2 | 91 | 75.7 | 2.98 | 0.54 | 0.78 | 1.67 | 2.78 | 0.2% |
| 2022Q1 | 90 | 79.3 | 3.52 | 0.75 | 0.89 | 1.89 | 3.26 | 0.4% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-03-29 | Fine | $21,285 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-06-05 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-07-05 |
| 2025-06-05 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-07-05 |
| 2025-06-05 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-07-05 |
| 2025-06-05 | 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 | 2025-07-05 |
| 2025-06-05 | 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 | 2025-07-05 |
| 2025-06-05 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2025-07-05 |
| 2025-06-05 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-07-05 |
| 2025-06-05 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2025-07-05 |
| 2025-06-05 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-07-05 |
| 2025-06-05 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-07-05 |
| 2025-06-05 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-07-05 |
| 2025-06-05 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2025-07-05 |
| 2025-06-05 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2025-07-05 |
| 2025-03-05 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-03-31 |
| 2024-10-14 | Health · complaint | F0732 | Post nurse staffing information every day. | C | 2024-11-12 |
| 2024-03-29 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | 2024-04-26 |
| 2024-03-29 | Health · complaint | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | 2024-04-26 |
| 2024-03-29 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-04-26 |
| 2024-03-29 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-04-26 |
| 2024-03-29 | 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 | 2024-04-26 |
| 2024-03-29 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-04-26 |
| 2024-03-29 | Health · complaint | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2024-04-26 |
| 2024-03-29 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2024-04-26 |
| 2024-03-29 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-04-26 |
| 2024-03-29 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2024-04-26 |
| 2024-03-29 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2024-04-26 |
| 2024-03-29 | 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 | 2024-04-26 |
| 2024-03-29 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-04-26 |
| 2024-03-29 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-04-26 |
| 2024-03-29 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | 2024-04-26 |
| 2024-03-29 | Health | F0946 | Provide training in compliance and ethics. | E | 2024-04-26 |
| 2024-03-29 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | 2024-04-26 |
| 2023-01-12 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-02-10 |
| 2023-01-12 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-02-10 |
| 2023-01-12 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-02-10 |
| 2023-01-12 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-02-10 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| NSHF OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-07-24 | current | pecos_ownership |
| MILLS, DAVID | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2017-06-29 | current | pecos_ownership |
| BAUMANN, TROY | CORPORATE DIRECTOR | — | 2017-06-29 | current | pecos_ownership |
| HOEHN, JEFFREY | CORPORATE DIRECTOR | — | 2017-06-29 | current | pecos_ownership |
| NORTH SHORE HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-10-01 | current | pecos_ownership |
| JEFFREY HOEHN | CORPORATE DIRECTOR | 100% | 2017-06-29 | ended 2026-05-18 | pecos_ownership |
| TROY BAUMANN | CORPORATE DIRECTOR | 100% | 2017-06-29 | ended 2026-05-18 | pecos_ownership |
| DAVID MILLS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2017-06-29 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2017-10-01 | — | NSH SOUTH MILWAUKEE LLC | FMG SOUTH CHICAGO AVENUE WISCONSIN LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-05-28 | Complete Care at Hales Corners | — | — | — | 62 | HALES CORNERS CARE AND REHAB CENTER LLC |
| 2025-05-28 | Complete Care at Care Age | — | — | — | 110 | CARE AGE OF BROOKFIELD CARE AND REHAB CENTER LLC |
| 2025-04-24 | Edenbrook Sheboygan | — | — | — | 121 | SHEBOYGAN SNF OPERATIONS, LLC |
| 2025-02-28 | Complete Care at Jefferson Meadows LLC | — | — | — | 102 | ST CLARE CARE AND REHAB CENTER LLC |
| 2025-02-28 | Complete Care at Christian Home LLC | — | — | — | 50 | CHRISTIAN HOME CARE AND REHAB CENTER LLC |
| 2025-02-01 | COLONIAL HEALTH SERVICES | — | — | — | 70 | NSH COLBY LLC |
| 2024-12-14 | CAREVIEW HEALTH AND REHAB OF MINOCQUA | — | — | — | 72 | CAREVIEW HEALTH AND REHAB OF MINOCQUA, LLC |
| 2024-11-01 | Wood Aven Health and Rehabilitation | — | — | — | 82 | RIVER HAWK HEALTHCARE LLC |
| 2024-07-01 | Samaritan Nursing and Rehab | — | — | — | 131 | SAMARITAN NURSING AND REHAB LLC |
| 2024-05-01 | DOVE HEALTHCARE - SPOONER | — | — | — | 50 | SPOONER REHABILITATION AND NURSING CENTER LLC |
| 2024-04-16 | MIDDLE RIVER HEALTH AND REHABILITATION CENTER | — | — | — | 86 | MIDDLE RIVER REHABILITATION LLC |
| 2024-01-25 | Serenity Spring Senior Living at Scandia Village | — | — | — | 50 | SISTER BAY SNF OPCO, LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 55079 | acs median gross | 0 | $866 | 2024-12-31 | CENSUS_ACS5 |
| county 55079 | fmr | 0 | $1,027 | 2025-10-01 | HUD_USER_FMR |
| county 55079 | acs median gross | 1 | $927 | 2024-12-31 | CENSUS_ACS5 |
| county 55079 | fmr | 1 | $1,119 | 2025-10-01 | HUD_USER_FMR |
| county 55079 | acs median gross | 2 | $1,130 | 2024-12-31 | CENSUS_ACS5 |
| county 55079 | fmr | 2 | $1,338 | 2025-10-01 | HUD_USER_FMR |
| county 55079 | acs median gross | 3 | $1,280 | 2024-12-31 | CENSUS_ACS5 |
| county 55079 | fmr | 3 | $1,648 | 2025-10-01 | HUD_USER_FMR |
| county 55079 | acs median gross | 4 | $1,384 | 2024-12-31 | CENSUS_ACS5 |
| county 55079 | fmr | 4 | $1,784 | 2025-10-01 | HUD_USER_FMR |
| county 55079 | acs median gross | 5 | $1,458 | 2024-12-31 | CENSUS_ACS5 |
| county 55079 | acs median gross | $1,101 | 2024-12-31 | CENSUS_ACS5 | |
| county 55079 | acs recent mover gross | $1,231 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 53172 | acs median gross | 0 | $748 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53172 | acs median gross | 1 | $930 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53172 | acs median gross | 2 | $1,096 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53172 | acs median gross | 3 | $1,399 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53172 | acs median gross | $1,014 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 53172 | acs recent mover gross | $1,026 | 2024-12-31 | CENSUS_ACS5 | |
| zip 53172 | payment standard 110 | 0 | $1,067 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53172 | payment standard 90 | 0 | $873 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53172 | safmr | 0 | $970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53172 | payment standard 110 | 1 | $1,166 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53172 | payment standard 90 | 1 | $954 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53172 | safmr | 1 | $1,060 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53172 | payment standard 110 | 2 | $1,397 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53172 | payment standard 90 | 2 | $1,143 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53172 | safmr | 2 | $1,270 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53172 | payment standard 110 | 3 | $1,716 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53172 | payment standard 90 | 3 | $1,404 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53172 | safmr | 3 | $1,560 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53172 | payment standard 110 | 4 | $1,859 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53172 | payment standard 90 | 4 | $1,521 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53172 | safmr | 4 | $1,690 | 2025-10-01 | HUD_USER_SAFMR |