Composite
71.6 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 97.0 | 88.4 | 0.30 | 0.2308 | 22.38 | in index |
| regulatory risk | 52.2 | 41.7 | 0.30 | 0.2308 | 12.05 | in index |
| chow risk | 98.1 | 84.8 | 0.15 | 0.1154 | 11.32 | in index |
| staffing risk | 38.6 | 38.7 | 0.25 | 0.1923 | 7.42 | in index |
| billing conduct | 14.8 | 18.8 | 0.30 | 0.2308 | 3.42 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 18.8 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 75.0 | D | 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 | 94.6 | F | v0.6 | default · in composite | |
| financial risk | 88.4 | F | 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 | 13.9 | — | 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 | 38.7 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 78.4 | 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 | 58.4 | 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 | 72.2 | D | 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 | 87.0 | F | 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 | 38.7 | B | 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 | 38.7 | B | 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 | |
| Occupancy | 0.49 | +0.59 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Contract staffing share | 0.20 | +0.22 | |
| Chain size (log) | 2.89 | +0.21 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 15.00 | -1.35 | |
| Occupancy | 0.49 | +1.08 | |
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 2.89 | -0.48 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Staffing trend, last 4 quarters | 0.47 | +0.19 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Contract staffing share | 0.20 | +0.14 |
| 2025Q4 HPRD | This facility | IN median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.48 | 2.85 | 3.28 | 2.90–3.77 |
| RN | 0.23 | 0.40 | 0.39 | 0.25–0.58 |
| Weekend total | 3.50 | 2.71 | 3.11 | — |
| Weekday total | 3.47 | 2.90 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 56.2 | 3.48 | 0.23 | 1.08 | 2.18 | 3.50 | 20.2% |
| 2025Q3 | 92 | 59.0 | 3.21 | 0.21 | 0.96 | 2.04 | 3.18 | 23.0% |
| 2025Q2 | 91 | 57.3 | 2.92 | 0.32 | 0.66 | 1.94 | 2.73 | 11.2% |
| 2025Q1 | 90 | 56.7 | 2.99 | 0.40 | 0.47 | 2.12 | 2.83 | 0.0% |
| 2024Q4 | 92 | 63.3 | 3.01 | 0.34 | 0.65 | 2.02 | 2.80 | 0.0% |
| 2024Q3 | 92 | 64.2 | 3.22 | 0.38 | 0.63 | 2.21 | 3.23 | 0.0% |
| 2024Q2 | 91 | 66.6 | 3.23 | 0.35 | 0.66 | 2.22 | 3.22 | 0.0% |
| 2024Q1 | 91 | 67.5 | 3.24 | 0.31 | 0.71 | 2.21 | 3.27 | 0.0% |
| 2023Q4 | 92 | 60.3 | 3.23 | 0.33 | 0.77 | 2.13 | 3.07 | 0.0% |
| 2023Q3 | 92 | 56.3 | 3.68 | 0.34 | 0.90 | 2.44 | 3.56 | 0.0% |
| 2023Q2 | 91 | 58.5 | 3.59 | 0.40 | 0.87 | 2.31 | 3.57 | 0.1% |
| 2023Q1 | 90 | 58.0 | 3.56 | 0.32 | 0.97 | 2.27 | 3.45 | 16.2% |
| 2022Q4 | 92 | 62.3 | 3.44 | 0.38 | 0.93 | 2.14 | 3.17 | 13.0% |
| 2022Q3 | 92 | 58.5 | 3.53 | 0.31 | 1.03 | 2.18 | 3.43 | 16.2% |
| 2022Q2 | 91 | 59.7 | 3.85 | 0.48 | 1.08 | 2.29 | 3.59 | 16.1% |
| 2022Q1 | 90 | 61.6 | 4.08 | 0.60 | 1.06 | 2.42 | 3.81 | 19.6% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-17 | Health | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | 2026-05-29 |
| 2026-04-17 | 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 | 2026-05-29 |
| 2026-04-17 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2026-05-29 |
| 2026-04-17 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2026-05-29 |
| 2026-04-17 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | 2026-05-29 |
| 2026-04-17 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2026-05-29 |
| 2026-04-17 | 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 | 2026-05-29 |
| 2026-04-17 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-05-29 |
| 2026-04-17 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-05-29 |
| 2026-04-17 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2026-05-29 |
| 2026-04-17 | 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 | 2026-05-29 |
| 2026-04-17 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2026-05-29 |
| 2026-04-17 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2026-05-29 |
| 2026-04-17 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2026-05-29 |
| 2026-02-10 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2026-02-27 |
| 2025-02-13 | Health | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2025-03-15 |
| 2025-02-13 | 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 | 2025-03-15 |
| 2025-02-13 | 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 | 2025-03-15 |
| 2025-02-13 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-03-15 |
| 2025-02-13 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-03-15 |
| 2025-02-13 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-03-15 |
| 2025-02-13 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2025-03-15 |
| 2025-02-13 | 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 | 2025-03-15 |
| 2025-02-13 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2025-03-15 |
| 2025-02-13 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2025-03-15 |
| 2025-02-13 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2025-03-15 |
| 2024-12-19 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2025-01-15 |
| 2023-12-15 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-01-15 |
| 2023-12-15 | Health · complaint | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2024-01-15 |
| 2023-12-15 | 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 | 2024-01-15 |
| 2023-12-15 | 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 | 2024-01-15 |
| 2023-12-15 | 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 | 2024-01-15 |
| 2023-12-15 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-01-15 |
| 2023-08-23 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-09-28 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| DAVIESS COUNTY HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2015-05-01 | current | pecos_ownership |
| CONROY, TRACY | CORPORATE OFFICER | — | 2017-04-01 | current | pecos_ownership |
| RODEWALD, AMANDA | CORPORATE OFFICER | — | 2017-04-01 | current | pecos_ownership |
| STEINER, DERON | CORPORATE DIRECTOR | — | 2015-05-01 | current | pecos_ownership |
| WEIGEL, SUZANNE | W-2 MANAGING EMPLOYEE | — | 2016-07-05 | current | pecos_ownership |
| AMANDA RODEWALD | CORPORATE OFFICER | 100% | 2017-04-01 | ended 2026-05-18 | pecos_ownership |
| DERON STEINER | CORPORATE DIRECTOR | 100% | 2015-05-01 | ended 2026-05-18 | pecos_ownership |
| SUZANNE WEIGEL | W-2 MANAGING EMPLOYEE | 100% | 2016-07-05 | ended 2026-05-18 | pecos_ownership |
| TRACY CONROY | CORPORATE OFFICER | 100% | 2017-04-01 | ended 2026-05-18 | pecos_ownership |
| 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 18173 | acs median gross | 0 | $790 | 2024-12-31 | CENSUS_ACS5 |
| county 18173 | fmr | 0 | $853 | 2025-10-01 | HUD_USER_FMR |
| county 18173 | acs median gross | 1 | $898 | 2024-12-31 | CENSUS_ACS5 |
| county 18173 | fmr | 1 | $860 | 2025-10-01 | HUD_USER_FMR |
| county 18173 | acs median gross | 2 | $1,103 | 2024-12-31 | CENSUS_ACS5 |
| county 18173 | fmr | 2 | $1,113 | 2025-10-01 | HUD_USER_FMR |
| county 18173 | acs median gross | 3 | $1,199 | 2024-12-31 | CENSUS_ACS5 |
| county 18173 | fmr | 3 | $1,370 | 2025-10-01 | HUD_USER_FMR |
| county 18173 | acs median gross | 4 | $1,317 | 2024-12-31 | CENSUS_ACS5 |
| county 18173 | fmr | 4 | $1,539 | 2025-10-01 | HUD_USER_FMR |
| county 18173 | acs median gross | 5 | $977 | 2024-12-31 | CENSUS_ACS5 |
| county 18173 | acs median gross | $1,061 | 2024-12-31 | CENSUS_ACS5 | |
| county 18173 | acs recent mover gross | $1,101 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 47630 | acs median gross | 0 | $787 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47630 | acs median gross | 1 | $1,066 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47630 | acs median gross | 2 | $1,178 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47630 | acs median gross | 3 | $1,381 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47630 | acs median gross | 4 | $1,298 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47630 | acs median gross | 5 | $973 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47630 | acs median gross | $1,145 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 47630 | acs recent mover gross | $1,166 | 2024-12-31 | CENSUS_ACS5 | |
| zip 47630 | payment standard 110 | 0 | $1,078 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47630 | payment standard 90 | 0 | $882 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47630 | safmr | 0 | $980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47630 | payment standard 110 | 1 | $1,089 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47630 | payment standard 90 | 1 | $891 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47630 | safmr | 1 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47630 | payment standard 110 | 2 | $1,408 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47630 | payment standard 90 | 2 | $1,152 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47630 | safmr | 2 | $1,280 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47630 | payment standard 110 | 3 | $1,738 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47630 | payment standard 90 | 3 | $1,422 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47630 | safmr | 3 | $1,580 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47630 | payment standard 110 | 4 | $1,947 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47630 | payment standard 90 | 4 | $1,593 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47630 | safmr | 4 | $1,770 | 2025-10-01 | HUD_USER_SAFMR |