Composite
90.2 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 91.9 | 80.0 | 0.30 | 0.2308 | 21.21 | in index |
| regulatory risk | 90.4 | 88.0 | 0.30 | 0.2308 | 20.86 | in index |
| billing conduct | 45.9 | 37.7 | 0.30 | 0.2308 | 10.59 | in index |
| staffing risk | 43.8 | 43.9 | 0.25 | 0.1923 | 8.42 | in index |
| chow risk | 49.7 | 47.8 | 0.15 | 0.1154 | 5.73 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 37.7 | 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 | 70.6 | D | v0.6 | default · in composite | |
| financial risk | 80.0 | F | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.2 | — | 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 | 88.0 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 43.9 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 82.5 | 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 | 62.5 | 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 | 71.2 | 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 | 78.8 | 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 | 87.9 | F | 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 | 87.9 | F | 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 | 43.9 | 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 | 43.9 | 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 | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 6.89 | -1.18 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.85 | -0.45 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Ownership changes, last 5 years | 0.00 | +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) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.85 | -0.44 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 6.89 | -0.19 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
| 2025Q4 HPRD | This facility | SC median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.38 | 3.32 | 3.28 | 2.90–3.77 |
| RN | 0.13 | 0.33 | 0.39 | 0.25–0.58 |
| Weekend total | 3.16 | 3.05 | 3.11 | — |
| Weekday total | 3.47 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 154.3 | 3.38 | 0.13 | 1.00 | 2.25 | 3.16 | 5.6% |
| 2025Q3 | 92 | 154.8 | 3.10 | 0.07 | 1.02 | 2.02 | 2.95 | 8.6% |
| 2025Q2 | 91 | 156.8 | 3.10 | 0.04 | 1.01 | 2.05 | 2.89 | 10.0% |
| 2025Q1 | 90 | 153.5 | 3.29 | 0.06 | 0.96 | 2.27 | 3.07 | 4.7% |
| 2024Q4 | 92 | 149.2 | 3.62 | 0.08 | 1.00 | 2.54 | 3.55 | 3.2% |
| 2024Q3 | 92 | 151.5 | 3.94 | 0.09 | 0.98 | 2.88 | 3.65 | 0.3% |
| 2024Q2 | 91 | 150.4 | 3.97 | 0.11 | 0.89 | 2.97 | 3.49 | 7.1% |
| 2024Q1 | 91 | 149.5 | 3.25 | 0.23 | 0.72 | 2.30 | 2.96 | 0.6% |
| 2023Q4 | 92 | 140.9 | 3.24 | 0.29 | 0.74 | 2.21 | 2.99 | 2.3% |
| 2023Q3 | 92 | 112.2 | 3.51 | 0.24 | 0.96 | 2.31 | 3.22 | 2.6% |
| 2023Q2 | 91 | 114.3 | 3.42 | 0.25 | 1.07 | 2.10 | 3.04 | 7.5% |
| 2023Q1 | 90 | 111.1 | 3.47 | 0.16 | 1.10 | 2.21 | 3.25 | 20.2% |
| 2022Q4 | 92 | 107.9 | 3.19 | 0.10 | 1.07 | 2.01 | 3.11 | 25.6% |
| 2022Q3 | 92 | 116.7 | 3.01 | 0.10 | 1.04 | 1.87 | 2.96 | 33.0% |
| 2022Q2 | 91 | 132.4 | 2.92 | 0.12 | 1.06 | 1.74 | 2.94 | 37.6% |
| 2022Q1 | 90 | 131.7 | 2.79 | 0.15 | 1.04 | 1.60 | 2.62 | 25.7% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-01-11 | Fine | $39,354 | CMS provider data |
| 2025-01-11 | Payment Denial | — | CMS provider data |
| 2024-03-07 | Fine | $24,119 | CMS provider data |
| 2024-03-07 | Payment Denial | — | CMS provider data |
| 2023-12-15 | Fine | $10,065 | CMS provider data |
| 2023-12-15 | Payment Denial | — | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-03-05 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2025-04-01 |
| 2025-01-11 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-02-06 |
| 2025-01-11 | 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. | J | 2025-02-06 |
| 2025-01-11 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2025-02-06 |
| 2025-01-11 | 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 | 2025-02-06 |
| 2025-01-11 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-02-06 |
| 2025-01-11 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2025-02-06 |
| 2025-01-11 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-02-06 |
| 2025-01-11 | 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 | 2025-02-06 |
| 2025-01-11 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-02-06 |
| 2025-01-11 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-04-01 |
| 2025-01-11 | 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 | 2025-02-06 |
| 2025-01-11 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-02-06 |
| 2025-01-11 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-02-06 |
| 2025-01-11 | Health | F0908 | Keep all essential equipment working safely. | E | 2025-02-06 |
| 2025-01-11 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2025-02-06 |
| 2024-07-06 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-08-09 |
| 2024-03-07 | Health · complaint | 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 | 2024-03-15 |
| 2024-03-07 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-03-15 |
| 2024-03-07 | Health · complaint | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | 2024-03-15 |
| 2024-03-07 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-03-15 |
| 2024-03-07 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | J | 2024-03-15 |
| 2024-03-07 | 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 | 2024-03-15 |
| 2023-12-15 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-01-31 |
| 2023-02-01 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2023-03-01 |
| 2023-02-01 | 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 | 2023-03-01 |
| 2023-02-01 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-03-01 |
| 2023-02-01 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-03-01 |
| 2023-02-01 | 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 | 2023-04-17 |
| 2023-02-01 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-04-24 |
| 2021-05-19 | 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 | 2021-06-18 |
| 2021-05-19 | 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 | 2021-06-18 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ANDERSON SC PROPCO LLC | Individual has financial interest in both related organization and provider | 25% | 2024-01-01 | current | hcris_a_8_1 |
| ANDERSON SC PROPCO LLC | Individual has financial interest in both related organization and provider | 25% | 2023-01-01 | current | hcris_a_8_1 |
| ANDERSON SC PROPCO LLC | Individual has financial interest in both related organization and provider | 252% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| NAFTALI ZANZIPER | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2019-09-06 | ended 2026-05-18 | pecos_ownership |
| SIMCHA HYMAN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2019-09-06 | ended 2026-05-18 | pecos_ownership |
| ANDERSON SC PROPCO LLC | Individual has financial interest in both related organization and provider | 25% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| ANDERSON SC PROPCO LLC | Individual has financial interest in both related organization and provider | 25% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| AMANDA COCHRAN | W-2 MANAGING EMPLOYEE | — | 2019-09-06 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2019-09-06 | — | ANDERSON SC OPCO LLC | ELLENBURG NURSING CENTER, INC. | 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 45007 | acs median gross | 0 | $1,018 | 2024-12-31 | CENSUS_ACS5 |
| county 45007 | fmr | 0 | $1,022 | 2025-10-01 | HUD_USER_FMR |
| county 45007 | acs median gross | 1 | $821 | 2024-12-31 | CENSUS_ACS5 |
| county 45007 | fmr | 1 | $1,035 | 2025-10-01 | HUD_USER_FMR |
| county 45007 | acs median gross | 2 | $921 | 2024-12-31 | CENSUS_ACS5 |
| county 45007 | fmr | 2 | $1,173 | 2025-10-01 | HUD_USER_FMR |
| county 45007 | acs median gross | 3 | $1,119 | 2024-12-31 | CENSUS_ACS5 |
| county 45007 | fmr | 3 | $1,519 | 2025-10-01 | HUD_USER_FMR |
| county 45007 | acs median gross | 4 | $1,416 | 2024-12-31 | CENSUS_ACS5 |
| county 45007 | fmr | 4 | $1,849 | 2025-10-01 | HUD_USER_FMR |
| county 45007 | acs median gross | 5 | $1,388 | 2024-12-31 | CENSUS_ACS5 |
| county 45007 | acs median gross | $989 | 2024-12-31 | CENSUS_ACS5 | |
| county 45007 | acs recent mover gross | $1,317 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 29624 | acs median gross | 0 | $1,125 | 2024-12-31 | CENSUS_ACS5 |
| zcta 29624 | acs median gross | 1 | $554 | 2024-12-31 | CENSUS_ACS5 |
| zcta 29624 | acs median gross | 2 | $668 | 2024-12-31 | CENSUS_ACS5 |
| zcta 29624 | acs median gross | 3 | $1,037 | 2024-12-31 | CENSUS_ACS5 |
| zcta 29624 | acs median gross | 4 | $1,682 | 2024-12-31 | CENSUS_ACS5 |
| zcta 29624 | acs median gross | $780 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 29624 | acs recent mover gross | $988 | 2024-12-31 | CENSUS_ACS5 | |
| zip 29624 | payment standard 110 | 0 | $935 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29624 | payment standard 90 | 0 | $765 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29624 | safmr | 0 | $850 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29624 | payment standard 110 | 1 | $946 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29624 | payment standard 90 | 1 | $774 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29624 | safmr | 1 | $860 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29624 | payment standard 110 | 2 | $1,078 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29624 | payment standard 90 | 2 | $882 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29624 | safmr | 2 | $980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29624 | payment standard 110 | 3 | $1,397 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29624 | payment standard 90 | 3 | $1,143 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29624 | safmr | 3 | $1,270 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29624 | payment standard 110 | 4 | $1,694 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29624 | payment standard 90 | 4 | $1,386 | 2025-10-01 | HUD_USER_SAFMR |
| zip 29624 | safmr | 4 | $1,540 | 2025-10-01 | HUD_USER_SAFMR |