Composite
88.9 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 94.3 | 92.2 | 0.30 | 0.2308 | 21.76 | in index |
| financial risk | 80.1 | 67.1 | 0.30 | 0.2308 | 18.48 | in index |
| billing conduct | 51.2 | 39.8 | 0.30 | 0.2308 | 11.82 | in index |
| staffing risk | 46.1 | 46.1 | 0.25 | 0.1923 | 8.87 | in index |
| chow risk | 42.9 | 41.1 | 0.15 | 0.1154 | 4.95 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 39.8 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 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 | 57.2 | C | v0.6 | default · in composite | |
| financial risk | 67.1 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.3 | — | 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 | 2.2 | — | 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 | 92.2 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 46.1 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 89.9 | 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 | 69.9 | 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 | 67.7 | 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 | 66.8 | 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 | 92.2 | 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 | 92.2 | 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 | 46.1 | 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 | 46.1 | 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 | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| 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 | |
| Contract staffing share | 0.14 | +0.11 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| Deficiencies, last 12 months | 3.00 | +0.87 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.85 | -0.44 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 | |
| Staffing trend, last 4 quarters | -0.20 | -0.12 |
| 2025Q4 HPRD | This facility | MA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.35 | 3.39 | 3.28 | 2.90–3.77 |
| RN | 0.63 | 0.39 | 0.39 | 0.25–0.58 |
| Weekend total | 3.24 | 3.26 | 3.11 | — |
| Weekday total | 3.39 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 73.4 | 3.35 | 0.63 | 0.90 | 1.82 | 3.24 | 13.6% |
| 2025Q3 | 92 | 70.6 | 3.53 | 0.57 | 1.08 | 1.88 | 3.37 | 17.1% |
| 2025Q2 | 91 | 68.3 | 3.48 | 0.53 | 1.05 | 1.90 | 3.45 | 15.0% |
| 2025Q1 | 90 | 67.5 | 3.41 | 0.42 | 1.08 | 1.91 | 3.47 | 9.4% |
| 2024Q4 | 92 | 69.8 | 3.55 | 0.39 | 1.14 | 2.02 | 3.52 | 12.5% |
| 2024Q3 | 92 | 71.8 | 3.23 | 0.33 | 1.21 | 1.69 | 3.19 | 10.3% |
| 2024Q2 | 91 | 71.2 | 3.15 | 0.28 | 1.19 | 1.68 | 3.14 | 8.0% |
| 2024Q1 | 91 | 70.4 | 2.93 | 0.49 | 0.96 | 1.47 | 2.94 | 6.9% |
| 2023Q4 | 92 | 67.8 | 3.05 | 0.62 | 0.98 | 1.45 | 2.93 | 4.1% |
| 2023Q3 | 92 | 69.5 | 3.23 | 0.79 | 0.87 | 1.57 | 3.04 | 11.0% |
| 2023Q2 | 91 | 64.9 | 3.29 | 0.83 | 0.80 | 1.65 | 3.19 | 4.5% |
| 2023Q1 | 90 | 69.9 | 3.40 | 0.66 | 0.93 | 1.81 | 3.18 | 4.4% |
| 2022Q4 | 92 | 67.1 | 3.23 | 0.69 | 0.96 | 1.58 | 2.96 | 7.8% |
| 2022Q3 | 92 | 61.8 | 2.92 | 0.64 | 0.97 | 1.32 | 2.65 | 14.2% |
| 2022Q2 | 91 | 68.2 | 2.97 | 0.78 | 0.78 | 1.42 | 2.82 | 23.0% |
| 2022Q1 | 90 | 67.1 | 3.06 | 0.72 | 0.78 | 1.55 | 3.09 | 18.4% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-01-06 | Fine | $10,868 | CMS provider data |
| 2023-09-14 | Fine | $104,000 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-11-25 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-12-10 |
| 2025-11-25 | 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 | 2025-12-10 |
| 2025-11-25 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-12-10 |
| 2025-01-06 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | 2024-12-19 |
| 2025-01-06 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-12-19 |
| 2024-10-18 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-10-30 |
| 2024-10-18 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-10-30 |
| 2024-10-18 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-10-30 |
| 2024-10-18 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-10-30 |
| 2024-10-18 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2024-10-30 |
| 2024-10-18 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-10-30 |
| 2024-10-18 | 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 | 2024-10-30 |
| 2024-10-18 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-10-30 |
| 2023-09-14 | 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. | D | 2023-09-26 |
| 2023-09-14 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | 2023-09-26 |
| 2023-09-14 | Health | F0583 | Keep residents' personal and medical records private and confidential. | E | 2023-09-26 |
| 2023-09-14 | 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. | D | 2023-10-23 |
| 2023-09-14 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2023-10-23 |
| 2023-09-14 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-10-23 |
| 2023-09-14 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2023-10-23 |
| 2023-09-14 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-09-22 |
| 2023-09-14 | 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 | 2023-09-19 |
| 2023-09-14 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | J | 2023-09-17 |
| 2023-09-14 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-09-22 |
| 2023-09-14 | 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 | 2023-09-19 |
| 2023-09-14 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | J | 2023-09-17 |
| 2023-09-14 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-09-19 |
| 2023-09-14 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | 2023-09-26 |
| 2023-09-14 | 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. | H | 2023-10-13 |
| 2023-09-14 | 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 | 2023-09-19 |
| 2023-09-14 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2023-10-02 |
| 2023-09-14 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-10-02 |
| 2023-09-14 | 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. | E | 2023-09-19 |
| 2023-09-14 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | 2023-09-19 |
| 2023-09-14 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2023-09-29 |
| 2023-09-14 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2023-10-23 |
| 2023-09-14 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2023-09-26 |
| 2023-09-14 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2023-09-26 |
| 2023-09-14 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2023-09-19 |
| 2023-09-14 | Health | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | 2023-09-19 |
| 2023-09-14 | Health | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | F | 2023-09-19 |
| 2023-09-14 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | 2023-09-19 |
| 2023-09-14 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | 2023-09-19 |
| 2023-07-13 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-08-05 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| MAMARY, JAMES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2013-12-01 | current | pecos_ownership |
| RNNRC REALTY | Individual has financial interest in both related organization and provider | 96% | 2023-01-01 | current | hcris_a_8_1 |
| RNNRC REALTY | Individual has financial interest in both related organization and provider | 96% | 2024-01-01 | current | hcris_a_8_1 |
| CELORIER, KRISTIE | W-2 MANAGING EMPLOYEE | — | 2018-07-02 | current | pecos_ownership |
| JAMES MAMARY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2013-12-01 | ended 2026-05-18 | pecos_ownership |
| RNNRC REALTY | Individual has financial interest in both related organization and provider | 96% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| RNNRC REALTY | Individual has financial interest in both related organization and provider | 1% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| RNNRC REALTY | Individual has financial interest in both related organization and provider | 1% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| KRISTIE CELORIER | W-2 MANAGING EMPLOYEE | 0% | 2018-07-02 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-29 | Hadley Pointe Nursing Rehab & Care | — | — | — | 154 | HADLEY CENTER LLC |
| 2025-08-01 | Alliance Health at Coleman | — | — | — | 45 | ALLIANCE HEALTH OF NORTHBOROUGH INC |
| 2025-05-28 | PALM SPRINGS POST ACUTE | — | — | — | 124 | PALM SPRINGS OPERATOR LLC |
| 2025-05-28 | HAMPDEN POST ACUTE | — | — | — | 135 | HAMPDEN OPERATOR LLC |
| 2025-04-01 | BROCKTON POST ACUTE CARE | — | — | — | 169 | BROCKTON OPERATOR LLC |
| 2025-04-01 | HIGHLAND PARK REHABILITATION AND HEALTHCARE CENTER | — | — | — | 195 | HIGHLAND PARK OPERATOR LLC |
| 2025-03-01 | THE CENTER AT ADVOCATE | — | — | — | 190 | THE CENTER AT ADVOCATE LLC |
| 2025-03-01 | Premier Healthcare at Harrington House | — | — | — | 90 | 160 MAIN STREET WALPOLE OPERATOR LLC |
| 2025-02-28 | PORT REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | NEWBURYPORT SNF OPERATIONS LLC |
| 2025-02-28 | MASCONOMET REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | TOPSFIELD SNF OPERATIONS LLC |
| 2025-02-28 | SIPPICAN REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | MARION SNF OPERATIONS LLC |
| 2025-02-28 | NEMASKET REHABILITATION AND HEALTHCARE CENTER | — | — | — | 102 | MIDDLEBOROUGH SNF OPERATIONS LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 25023 | acs median gross | 0 | $1,174 | 2024-12-31 | CENSUS_ACS5 |
| county 25023 | acs median gross | 1 | $1,197 | 2024-12-31 | CENSUS_ACS5 |
| county 25023 | acs median gross | 2 | $1,861 | 2024-12-31 | CENSUS_ACS5 |
| county 25023 | acs median gross | 3 | $2,158 | 2024-12-31 | CENSUS_ACS5 |
| county 25023 | acs median gross | 4 | $2,168 | 2024-12-31 | CENSUS_ACS5 |
| county 25023 | acs median gross | 5 | $1,913 | 2024-12-31 | CENSUS_ACS5 |
| county 25023 | acs median gross | $1,747 | 2024-12-31 | CENSUS_ACS5 | |
| county 25023 | acs recent mover gross | $2,336 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 02061 | acs median gross | 1 | $1,395 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02061 | acs median gross | 2 | $2,301 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02061 | acs median gross | 3 | $3,066 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02061 | acs median gross | 4 | $2,829 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02061 | acs median gross | $2,215 | 2024-12-31 | CENSUS_ACS5 | |
| zip 02061 | payment standard 110 | 0 | $2,585 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02061 | payment standard 90 | 0 | $2,115 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02061 | safmr | 0 | $2,350 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02061 | payment standard 110 | 1 | $2,717 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02061 | payment standard 90 | 1 | $2,223 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02061 | safmr | 1 | $2,470 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02061 | payment standard 110 | 2 | $3,223 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02061 | payment standard 90 | 2 | $2,637 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02061 | safmr | 2 | $2,930 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02061 | payment standard 110 | 3 | $3,861 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02061 | payment standard 90 | 3 | $3,159 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02061 | safmr | 3 | $3,510 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02061 | payment standard 110 | 4 | $4,268 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02061 | payment standard 90 | 4 | $3,492 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02061 | safmr | 4 | $3,880 | 2025-10-01 | HUD_USER_SAFMR |