Composite
100.0 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 93.7 | 91.5 | 0.30 | 0.4286 | 40.16 | in index |
| staffing risk | 95.6 | 95.6 | 0.25 | 0.3571 | 34.14 | in index |
| chow risk | 89.5 | 54.7 | 0.15 | 0.2143 | 19.18 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 54.7 | C | 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. |
| 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 | 12.8 | — | 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 | 91.5 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 95.6 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| regulatory risk | 91.4 | 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 | 91.4 | 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 | 95.6 | 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 | 95.6 | 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 | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Occupancy | 0.49 | +0.61 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Contract staffing share | 0.26 | +0.30 | |
| Deficiencies, last 12 months | 18.00 | +0.27 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 18.00 | -1.91 | |
| Chain size (log) | 0.00 | +1.20 | |
| Occupancy | 0.49 | +1.10 | |
| Staffing trend, last 4 quarters | -1.57 | -0.76 | |
| For-profit ownership | 1.00 | -0.69 | |
| Total nurse staffing (HPRD) | 2.23 | +0.41 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Contract staffing share | 0.26 | +0.20 |
| 2025Q4 HPRD | This facility | WV median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.23 | 3.14 | 3.28 | 2.90–3.77 |
| RN | 0.10 | 0.37 | 0.39 | 0.25–0.58 |
| Weekend total | 2.24 | 2.97 | 3.11 | — |
| Weekday total | 2.23 | 3.20 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 47.8 | 2.23 | 0.10 | 0.55 | 1.59 | 2.24 | 25.7% |
| 2025Q3 | 92 | 49.4 | 4.37 | 0.74 | 0.68 | 2.96 | 4.17 | 73.3% |
| 2025Q2 | 91 | 50.4 | 3.45 | 0.48 | 0.41 | 2.56 | 3.07 | 68.1% |
| 2025Q1 | 90 | 50.6 | 3.86 | 0.56 | 0.52 | 2.78 | 3.51 | 69.8% |
| 2024Q4 | 92 | 50.6 | 3.81 | 0.58 | 0.52 | 2.71 | 3.62 | 75.6% |
| 2024Q3 | 92 | 47.6 | 4.18 | 0.49 | 0.72 | 2.97 | 4.05 | 73.8% |
| 2024Q2 | 91 | 48.8 | 4.05 | 0.34 | 0.85 | 2.87 | 3.73 | 74.6% |
| 2024Q1 | 91 | 46.4 | 4.22 | 0.34 | 0.88 | 3.00 | 4.15 | 77.5% |
| 2023Q4 | 92 | 45.0 | 4.40 | 0.40 | 0.89 | 3.10 | 4.21 | 82.1% |
| 2023Q3 | 92 | 45.6 | 5.50 | 0.50 | 1.11 | 3.89 | 5.19 | 87.8% |
| 2023Q2 | 91 | 47.7 | 5.82 | 0.52 | 1.09 | 4.21 | 5.66 | 88.8% |
| 2023Q1 | 90 | 45.4 | 5.46 | 0.59 | 1.01 | 3.85 | 5.17 | 89.7% |
| 2022Q4 | 92 | 46.6 | 5.30 | 0.39 | 1.08 | 3.83 | 5.05 | 94.2% |
| 2022Q3 | 92 | 44.6 | 4.78 | 0.19 | 1.20 | 3.39 | 4.58 | 95.1% |
| 2022Q2 | 91 | 44.9 | 4.97 | 0.26 | 1.10 | 3.61 | 4.78 | 95.1% |
| 2022Q1 | 90 | 45.8 | 5.10 | 0.38 | 0.92 | 3.80 | 4.79 | 93.5% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-01-04 | Fine | $57,116 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-19 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-03-15 |
| 2026-02-19 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | 2026-03-15 |
| 2026-02-19 | 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. | E | 2026-03-15 |
| 2026-02-19 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2026-03-15 |
| 2026-02-19 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2026-03-16 |
| 2026-02-19 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2026-03-15 |
| 2026-02-19 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2026-03-16 |
| 2026-02-19 | 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. | E | 2026-03-15 |
| 2026-02-19 | Health | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | 2026-03-15 |
| 2026-02-19 | 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. | F | 2026-03-15 |
| 2026-02-19 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | F | 2026-03-15 |
| 2026-02-19 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2026-03-15 |
| 2026-02-19 | Health | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | 2026-03-15 |
| 2026-02-19 | Health | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | E | 2026-03-15 |
| 2026-02-19 | Health | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2026-03-15 |
| 2026-02-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-03-15 |
| 2026-02-19 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-03-15 |
| 2026-02-19 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2026-03-15 |
| 2024-11-20 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-01-01 |
| 2024-11-20 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-01-01 |
| 2024-11-20 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-01-01 |
| 2024-06-06 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-07-30 |
| 2024-06-06 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | 2024-07-30 |
| 2024-06-06 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-07-30 |
| 2024-06-06 | 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 | 2024-07-30 |
| 2024-06-06 | Health | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | 2024-07-30 |
| 2024-06-06 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-07-30 |
| 2024-06-06 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-07-30 |
| 2024-06-06 | 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. | E | 2024-07-30 |
| 2024-06-06 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-07-30 |
| 2024-06-06 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-07-30 |
| 2024-06-06 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | 2024-07-30 |
| 2024-06-06 | Health | F0732 | Post nurse staffing information every day. | E | 2024-07-30 |
| 2024-06-06 | 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. | E | 2024-07-30 |
| 2024-06-06 | 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 | 2024-07-30 |
| 2024-06-06 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-07-30 |
| 2024-06-06 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-07-30 |
| 2024-03-27 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-04-15 |
| 2024-03-27 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-04-15 |
| 2024-03-27 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-04-15 |
| 2024-03-27 | Health · complaint | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | 2024-04-15 |
| 2024-02-09 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | L | 2024-03-22 |
| 2024-02-09 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | L | 2024-03-22 |
| 2024-02-09 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | L | 2024-03-22 |
| 2024-02-09 | Health · complaint | F0908 | Keep all essential equipment working safely. | L | 2024-01-07 |
| 2024-02-09 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | L | 2024-01-07 |
| 2022-08-24 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2022-10-19 |
| 2022-08-24 | Health | F0680 | Ensure the activities program is directed by a qualified professional. | E | 2022-10-19 |
| 2022-08-24 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2022-10-19 |
| 2022-08-24 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2022-10-19 |
| 2022-08-24 | 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 | 2022-10-19 |
| 2022-08-24 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2022-10-19 |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-11-12 | Cortland Acres Health and Rehabilitation | — | — | — | 94 | CORTLAND ACRES SNF OPERATIONS LLC |
| 2024-09-01 | MORGANTOWN HEIGHTS OF JOURNEY | — | — | — | 100 | MORGANTOWN HEIGHTS OF JOURNEY, LLC |
| 2024-09-01 | GLASGOW HILLS OF JOURNEY | — | — | — | 112 | GLASGOW HILLS OF JOURNEY LLC |
| 2024-09-01 | RIVERSIDE VALLEY OF JOURNEY | — | — | — | 90 | RIVERSIDE VALLEY OF JOURNEY, LLC |
| 2024-05-01 | THOMAS HOSPITALS SKILLED NURSING UNIT | — | — | — | 29 | HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION |
| 2024-04-09 | PETERSON REHABILITATION AND HEALTHCARE | — | — | — | 150 | WHEELING REHABILITATION AND HEALTHCARE CENTER LLC |
| 2023-11-01 | PINE VIEW CENTER | — | — | — | 56 | 400 MCKINLEY AVENUE OPERATIONS LLC |
| 2023-09-28 | BLUESTONE HEALTH AND REHABILITATION | — | — | — | 60 | MAPLES SNF OPERATIONS LLC |
| 2023-08-25 | TYGART VALLEY HEALTH & REHABILITATION | — | — | — | 60 | BELINGTON SNF OPERATIONS LLC |
| 2023-07-31 | NEW MARTINSVILLE HEALTH & REHAB | — | — | — | 100 | MARTINSVILLE SNF OPERATIONS LLC |
| 2023-07-31 | GLENVILLE HEALTH & REHAB | — | — | — | 65 | GLENVILLE SNF OPERATIONS LLC |
| 2023-07-01 | OHIO VALLEY HEALTH CARE | — | — | — | 66 | OHIO VALLEY HEALTH CORPORATION |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 54077 | fmr | 0 | $871 | 2025-10-01 | HUD_USER_FMR |
| county 54077 | acs median gross | 1 | $603 | 2024-12-31 | CENSUS_ACS5 |
| county 54077 | fmr | 1 | $877 | 2025-10-01 | HUD_USER_FMR |
| county 54077 | acs median gross | 2 | $755 | 2024-12-31 | CENSUS_ACS5 |
| county 54077 | fmr | 2 | $1,099 | 2025-10-01 | HUD_USER_FMR |
| county 54077 | acs median gross | 3 | $832 | 2024-12-31 | CENSUS_ACS5 |
| county 54077 | fmr | 3 | $1,318 | 2025-10-01 | HUD_USER_FMR |
| county 54077 | acs median gross | 4 | $1,284 | 2024-12-31 | CENSUS_ACS5 |
| county 54077 | fmr | 4 | $1,657 | 2025-10-01 | HUD_USER_FMR |
| county 54077 | acs median gross | $750 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 26764 | acs median gross | 2 | $676 | 2024-12-31 | CENSUS_ACS5 |
| zcta 26764 | acs median gross | 3 | $1,306 | 2024-12-31 | CENSUS_ACS5 |
| zcta 26764 | acs median gross | $769 | 2024-12-31 | CENSUS_ACS5 | |
| zip 26764 | payment standard 110 | 0 | $847 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26764 | payment standard 90 | 0 | $693 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26764 | safmr | 0 | $770 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26764 | payment standard 110 | 1 | $847 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26764 | payment standard 90 | 1 | $693 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26764 | safmr | 1 | $770 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26764 | payment standard 110 | 2 | $1,067 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26764 | payment standard 90 | 2 | $873 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26764 | safmr | 2 | $970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26764 | payment standard 110 | 3 | $1,276 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26764 | payment standard 90 | 3 | $1,044 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26764 | safmr | 3 | $1,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26764 | payment standard 110 | 4 | $1,771 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26764 | payment standard 90 | 4 | $1,449 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26764 | safmr | 4 | $1,610 | 2025-10-01 | HUD_USER_SAFMR |