Composite
92.2 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 89.3 | 76.5 | 0.30 | 0.2857 | 25.51 | in index |
| billing conduct | 66.7 | 46.2 | 0.30 | 0.2857 | 19.06 | in index |
| regulatory risk | 58.6 | 49.3 | 0.30 | 0.2857 | 16.74 | in index |
| chow risk | 50.8 | 48.9 | 0.15 | 0.1429 | 7.26 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 46.2 | C | 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 | 72.8 | D | v0.6 | default · in composite | |
| financial risk | 76.5 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 5.9 | — | 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 | 1.1 | — | 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 | 49.3 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| financial risk | 96.0 | 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 | 76.0 | 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 | 64.0 | C | 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 | 77.3 | 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 | 49.3 | 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 | 49.3 | 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. |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.25 | +1.30 | |
| For-profit ownership | 0.00 | -1.24 | |
| Total nurse staffing (HPRD) | 7.80 | -0.95 | |
| Never sold on record | 1.00 | +0.62 | |
| 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 | 0.30 | +0.36 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.25 | +2.10 | |
| Total nurse staffing (HPRD) | 7.80 | -1.93 | |
| For-profit ownership | 0.00 | +1.62 | |
| Chain size (log) | 0.00 | +1.20 | |
| Deficiencies, last 12 months | 4.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Contract staffing share | 0.30 | +0.24 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
| 2025Q2 HPRD | This facility | NM median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 7.80 | 2.82 | 3.28 | 2.90–3.77 |
| RN | 1.58 | 0.41 | 0.39 | 0.25–0.58 |
| Weekend total | 7.51 | 2.65 | 3.11 | — |
| Weekday total | 7.92 | 2.88 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q2 | 91 | 10.0 | 7.80 | 1.58 | 2.71 | 3.52 | 7.51 | 29.5% |
| 2025Q1 | 90 | 18.3 | 3.97 | 0.94 | 1.23 | 1.80 | 3.64 | 13.5% |
| 2024Q4 | 92 | 11.7 | 7.56 | 1.72 | 2.31 | 3.53 | 6.35 | 20.3% |
| 2023Q3 | 92 | 4.5 | 15.45 | 4.13 | 4.00 | 7.32 | 12.83 | 0.0% |
| 2022Q4 | 92 | 18.9 | 4.30 | 1.28 | 0.65 | 2.37 | 4.60 | 0.0% |
| 2022Q2 | 91 | 22.5 | 3.79 | 1.09 | 0.58 | 2.12 | 3.68 | 0.5% |
| 2022Q1 | 90 | 19.8 | 3.88 | 0.98 | 0.60 | 2.30 | 3.54 | 0.0% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-05 | Health · complaint | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2026-01-15 |
| 2025-12-05 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2026-01-15 |
| 2025-12-05 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-01-15 |
| 2025-12-05 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2026-01-15 |
| 2025-05-19 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-07-18 |
| 2025-05-19 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | 2025-07-18 |
| 2025-05-19 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | 2025-07-18 |
| 2025-05-19 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | 2025-07-18 |
| 2025-05-19 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2025-07-18 |
| 2025-05-19 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2025-07-18 |
| 2025-05-19 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | 2025-07-18 |
| 2025-05-19 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2025-07-18 |
| 2025-05-19 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2025-07-18 |
| 2025-05-19 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-07-18 |
| 2025-05-19 | 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 | 2025-07-18 |
| 2025-05-19 | 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. | E | 2025-07-18 |
| 2025-05-19 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-07-18 |
| 2025-05-19 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2025-07-18 |
| 2025-05-19 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-07-18 |
| 2025-05-19 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | 2025-07-18 |
| 2025-05-19 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2025-07-18 |
| 2025-05-19 | 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 | 2025-07-18 |
| 2025-05-19 | Health | F0791 | Provide or obtain dental services for each resident. | E | 2025-07-18 |
| 2025-05-19 | 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 | 2025-07-18 |
| 2025-05-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-07-18 |
| 2025-05-19 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-07-18 |
| 2025-05-19 | Health | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | 2025-07-18 |
| 2025-05-19 | Health | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | 2025-07-18 |
| 2025-05-19 | Health | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | 2025-07-18 |
| 2025-05-19 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | 2025-07-18 |
| 2025-05-19 | Health | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | 2025-07-18 |
| 2025-05-19 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | 2025-07-18 |
| 2025-05-19 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | 2025-07-18 |
| 2025-02-27 | Health · complaint | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | 2024-12-17 |
| 2024-05-22 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2024-08-05 |
| 2024-05-22 | 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 | 2024-08-05 |
| 2024-05-22 | 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 | 2024-08-05 |
| 2024-05-22 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-08-05 |
| 2024-05-22 | 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. | E | 2024-08-05 |
| 2024-05-22 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | 2024-08-05 |
| 2024-05-22 | 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 | 2024-08-05 |
| 2024-05-22 | Health | F0791 | Provide or obtain dental services for each resident. | E | 2024-08-05 |
| 2024-05-22 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-08-05 |
| 2024-05-22 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-08-05 |
| 2024-05-22 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2024-08-05 |
| 2024-05-22 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-08-05 |
| 2024-05-22 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-08-05 |
| 2024-05-22 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | 2024-08-05 |
| 2023-06-15 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | 2023-08-31 |
| 2023-06-15 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | 2023-08-31 |
| 2023-06-15 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-08-31 |
| 2023-06-15 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2023-08-31 |
| 2023-06-15 | Health | 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. | F | 2023-08-31 |
| 2023-06-15 | 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 | 2023-08-31 |
| 2023-06-15 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2023-08-31 |
| 2023-06-15 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | 2023-08-31 |
| 2023-06-15 | 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. | E | 2023-08-31 |
| 2023-06-15 | 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 | 2023-08-31 |
| 2023-06-15 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-08-31 |
| 2023-06-15 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-08-31 |
| 2023-06-15 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2023-08-31 |
| 2023-06-15 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | 2023-08-31 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| MESCALERO APACHE TRIBE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2003-12-01 | current | pecos_ownership |
| CERVANTES, NELVA | CORPORATE OFFICER | — | 2020-06-29 | current | pecos_ownership |
| ESQUIBEL, CAROL | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-06-29 | current | pecos_ownership |
| CAROL ESQUIBEL | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2020-06-29 | ended 2026-05-18 | pecos_ownership |
| NELVA CERVANTES | CORPORATE OFFICER | — | 2020-06-29 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-04-01 | Luna Wellness Rehabilitation LLC | — | — | — | 66 | LUNA WELLNESS & REHABILITATION LLC |
| 2024-11-01 | Manzano Del Sol by Purehealth | — | — | — | 117 | MM OPS ALBUQUERQUE LLC |
| 2024-11-01 | Socorro Wellness & Rehabilitation | — | — | — | 66 | SOCORRO WELLNESS & REHABILITATION LLC |
| 2024-11-01 | Grants Wellness & Rehabilitation LLC | — | — | — | 80 | GRANTS WELLNESS & REHABILITATION LLC |
| 2024-11-01 | Betty Dare Wellness & Rehabilitation LLC | — | — | — | 90 | BETTY DARE WELLNESS & REHABILITATION LLC |
| 2024-11-01 | Las Cruces Village Nursing & Rehabilitation LLC | — | — | — | 94 | LAS CRUCES VILLAGE NURSING & REHABILITATION LLC |
| 2024-05-01 | Las Cruces Wellness & Rehabilitation LLC | — | — | — | 75 | LAS CRUCES WELLNESS & REHABILITATION LLC |
| 2024-02-01 | Princeton Health & Rehabilitation | — | — | — | 369 | 369 ALBUQUERQUE OPS LLC |
| 2023-10-01 | Los Alamos Wellness & Rehabilitation | — | — | — | 66 | LOS ALAMOS WELLNESS & REHABILITATION LLC |
| 2023-08-24 | San Juan Care Center | — | — | — | 93 | SAN JUAN CARE CENTER LLC |
| 2023-08-11 | Gallup Nursing & Rehabilitation LLC | — | — | — | 62 | GALLUP NURSING & REHABILITATION LLC |
| 2023-07-01 | La Vida Buena Healthcare | — | — | — | 102 | LA VIDA BUENA HEALTHCARE LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 35035 | acs median gross | 0 | $519 | 2024-12-31 | CENSUS_ACS5 |
| county 35035 | fmr | 0 | $671 | 2025-10-01 | HUD_USER_FMR |
| county 35035 | acs median gross | 1 | $730 | 2024-12-31 | CENSUS_ACS5 |
| county 35035 | fmr | 1 | $792 | 2025-10-01 | HUD_USER_FMR |
| county 35035 | acs median gross | 2 | $818 | 2024-12-31 | CENSUS_ACS5 |
| county 35035 | fmr | 2 | $973 | 2025-10-01 | HUD_USER_FMR |
| county 35035 | acs median gross | 3 | $1,178 | 2024-12-31 | CENSUS_ACS5 |
| county 35035 | fmr | 3 | $1,353 | 2025-10-01 | HUD_USER_FMR |
| county 35035 | acs median gross | 4 | $1,480 | 2024-12-31 | CENSUS_ACS5 |
| county 35035 | fmr | 4 | $1,632 | 2025-10-01 | HUD_USER_FMR |
| county 35035 | acs median gross | 5 | $1,110 | 2024-12-31 | CENSUS_ACS5 |
| county 35035 | acs median gross | $962 | 2024-12-31 | CENSUS_ACS5 | |
| county 35035 | acs recent mover gross | $1,145 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 88340 | acs median gross | 2 | $285 | 2024-12-31 | CENSUS_ACS5 |
| zcta 88340 | acs median gross | 3 | $381 | 2024-12-31 | CENSUS_ACS5 |
| zcta 88340 | acs median gross | $330 | 2024-12-31 | CENSUS_ACS5 | |
| zip 88340 | payment standard 110 | 0 | $737 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88340 | payment standard 90 | 0 | $603 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88340 | safmr | 0 | $670 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88340 | payment standard 110 | 1 | $869 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88340 | payment standard 90 | 1 | $711 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88340 | safmr | 1 | $790 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88340 | payment standard 110 | 2 | $1,067 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88340 | payment standard 90 | 2 | $873 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88340 | safmr | 2 | $970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88340 | payment standard 110 | 3 | $1,485 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88340 | payment standard 90 | 3 | $1,215 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88340 | safmr | 3 | $1,350 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88340 | payment standard 110 | 4 | $1,804 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88340 | payment standard 90 | 4 | $1,476 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88340 | safmr | 4 | $1,640 | 2025-10-01 | HUD_USER_SAFMR |