Composite
88.0 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 87.3 | 84.6 | 0.30 | 0.2308 | 20.15 | in index |
| financial risk | 84.1 | 70.9 | 0.30 | 0.2308 | 19.41 | in index |
| staffing risk | 67.3 | 67.3 | 0.25 | 0.1923 | 12.94 | in index |
| chow risk | 56.2 | 54.4 | 0.15 | 0.1154 | 6.48 | in index |
| billing conduct | 27.2 | 30.3 | 0.30 | 0.2308 | 6.28 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 30.3 | 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 | 83.8 | F | v0.6 | default · in composite | |
| financial risk | 70.9 | D | v0.5 | default · in composite | R18. |
| 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 | 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 | 84.6 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 67.3 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 66.3 | 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 | 46.3 | 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 | 71.9 | 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 | 69.6 | 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 | 84.6 | 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 | 84.6 | 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 | 67.3 | D | 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 | 67.3 | D | 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) | 5.30 | -1.33 | |
| Occupancy | 0.94 | -0.71 | |
| For-profit ownership | 1.00 | +0.69 | |
| 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 | 1.00 | -0.15 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 1.00 | +1.24 | |
| Chain size (log) | 0.00 | +1.20 | |
| Occupancy | 0.94 | -0.81 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 5.30 | -0.22 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
| 2025Q4 HPRD | This facility | PA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.03 | 3.38 | 3.28 | 2.90–3.77 |
| RN | 0.30 | 0.45 | 0.39 | 0.25–0.58 |
| Weekend total | 2.99 | 3.27 | 3.11 | — |
| Weekday total | 3.04 | 3.43 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 162.8 | 3.03 | 0.30 | 0.77 | 1.95 | 2.99 | 7.0% |
| 2025Q3 | 92 | 162.9 | 3.00 | 0.35 | 0.71 | 1.94 | 2.91 | 8.6% |
| 2025Q2 | 91 | 163.0 | 2.98 | 0.35 | 0.70 | 1.93 | 2.83 | 7.0% |
| 2025Q1 | 90 | 162.2 | 2.97 | 0.33 | 0.76 | 1.88 | 2.87 | 5.8% |
| 2024Q4 | 92 | 158.9 | 2.87 | 0.35 | 0.68 | 1.83 | 2.83 | 10.9% |
| 2024Q3 | 92 | 161.3 | 2.84 | 0.31 | 0.74 | 1.79 | 2.79 | 13.6% |
| 2024Q2 | 91 | 150.6 | 2.92 | 0.32 | 0.76 | 1.85 | 2.81 | 9.0% |
| 2024Q1 | 91 | 143.6 | 2.85 | 0.41 | 0.68 | 1.76 | 2.71 | 5.8% |
| 2023Q4 | 92 | 135.5 | 3.02 | 0.44 | 0.69 | 1.89 | 2.95 | 5.1% |
| 2023Q3 | 92 | 127.1 | 3.16 | 0.44 | 0.78 | 1.95 | 3.12 | 8.8% |
| 2023Q2 | 91 | 132.7 | 3.09 | 0.36 | 0.84 | 1.89 | 2.86 | 21.0% |
| 2023Q1 | 90 | 133.8 | 2.78 | 0.37 | 0.87 | 1.54 | 2.49 | 32.6% |
| 2022Q4 | 92 | 143.1 | 2.63 | 0.33 | 0.79 | 1.51 | 2.28 | 47.3% |
| 2022Q3 | 92 | 135.4 | 2.83 | 0.33 | 0.88 | 1.63 | 2.55 | 55.2% |
| 2022Q2 | 91 | 135.5 | 2.81 | 0.32 | 0.88 | 1.61 | 2.60 | 63.4% |
| 2022Q1 | 90 | 145.4 | 2.44 | 0.21 | 0.85 | 1.38 | 2.38 | 48.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-03-29 | Fine | $48,731 | CMS provider data |
| 2024-02-20 | Fine | $4,893 | CMS provider data |
| 2024-01-30 | Fine | $14,679 | CMS provider data |
| 2024-01-08 | Fine | $4,893 | CMS provider data |
| 2024-01-02 | Fine | $4,545 | CMS provider data |
| 2023-12-11 | Fine | $4,892 | CMS provider data |
| 2023-11-20 | Fine | $4,634 | CMS provider data |
| 2023-11-13 | Fine | $4,643 | CMS provider data |
| 2023-10-23 | Fine | $13,778 | CMS provider data |
| 2023-08-07 | Fine | $11,620 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-31 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | G | — |
| 2025-07-25 | 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 | 2025-09-11 |
| 2025-07-25 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-09-11 |
| 2025-07-25 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-09-11 |
| 2025-07-25 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | 2025-09-11 |
| 2025-07-25 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2025-09-11 |
| 2025-07-25 | 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. | D | 2025-09-11 |
| 2025-07-25 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-09-11 |
| 2025-03-05 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-04-30 |
| 2024-08-22 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-10-09 |
| 2024-08-22 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-10-09 |
| 2024-08-22 | Health | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | 2024-10-09 |
| 2024-08-22 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2024-10-09 |
| 2024-08-22 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2024-10-09 |
| 2024-08-22 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | 2024-10-09 |
| 2024-08-22 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2024-10-09 |
| 2024-08-22 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2024-10-09 |
| 2024-08-22 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-10-09 |
| 2024-08-22 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-10-09 |
| 2024-08-22 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-10-09 |
| 2024-08-22 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-10-09 |
| 2024-08-22 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2024-10-09 |
| 2024-08-22 | 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 | 2024-10-09 |
| 2024-08-22 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-10-09 |
| 2024-08-22 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-10-09 |
| 2024-08-22 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-10-09 |
| 2024-08-22 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-10-09 |
| 2024-03-29 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-05-07 |
| 2024-03-29 | 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 | 2024-05-07 |
| 2024-03-29 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2024-05-07 |
| 2024-03-29 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | 2024-05-07 |
| 2024-03-29 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-05-07 |
| 2024-03-29 | 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. | G | 2024-05-07 |
| 2024-03-29 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2024-05-07 |
| 2024-03-29 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-05-07 |
| 2023-08-23 | 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. | D | 2023-10-02 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| SAR FT FAMILY TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2021-04-09 | current | pecos_ownership |
| SNHHC LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-04-09 | current | pecos_ownership |
| ATWOOD, MARK | ADP OF THE SNF | — | 2025-03-24 | current | pecos_ownership |
| ATWOOD, MARK | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 | current | pecos_ownership |
| MANDEL, AVITAL | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-04-09 | current | pecos_ownership |
| 745 OLD CHICKIES RD REALTY LLC | Corporation, partnership or other organization has financial interest in provider | 100% | 2021-04-09 | ended 2022-06-30 | hcris_a_8_1 |
| 745 OLD CHICKIES RD REALTY LLC | Corporation, partnership or other organization has financial interest in provider | 100% | 2022-07-01 | ended 2023-06-30 | hcris_a_8_1 |
| AVITAL MANDEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2021-04-09 | ended 2026-05-18 | pecos_ownership |
| MARK ATWOOD | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 | ended 2026-05-18 | pecos_ownership |
| MARK ATWOOD | ADP OF THE SNF | — | 2025-03-24 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2021-04-09 | — | SUSQUEHANNA REHABILITATION & WELLNESS CENTER LLC | SUSQUEHANNA OPERATOR LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-06-01 | MANOR AT ST LUKE VILLAGE,THE | — | — | — | 104 | 1711 EAST BROAD STREET OPCO LLC |
| 2025-06-01 | PENNKNOLL VILLAGE | — | — | — | 133 | 208 PENNKNOLL ROAD OPCO LLC |
| 2025-06-01 | MAPLEWOOD NURSING AND REHAB CENTER | — | — | — | 180 | MA OPERATING, LLC |
| 2025-06-01 | PAVILION AT ST LUKE VILLAGE, THE | — | — | — | 120 | 1000 STACIE DRIVE OPCO LLC |
| 2025-06-01 | MANOR AT PENN VILLAGE, THE | — | — | — | 159 | 51 ROUTE 204 OPCO LLC |
| 2025-05-01 | WYNCOTE CARE CENTER | — | — | — | 58 | WYNCOTE CARE LLC |
| 2025-05-01 | ONYX WELLNESS CENTER | — | — | — | 119 | ONYX WELLNESS CENTER LLC |
| 2025-04-24 | HAVENCREST REHABILITATION AND HEALTHCARE CENTER | — | — | — | 48 | HAVENCREST REHABILITATION AND HEALTHCARE CENTER LLC |
| 2025-04-24 | BEAVER VALLEY REHABILITATION AND HEALTHCARE CENTER | — | — | — | 120 | BEAVER VALLEY REHABILITATION AND HEALTHCARE CENTER LLC |
| 2025-04-01 | STROUDSBURG POST ACUTE NURSING & REHABILITATIONLLC | — | — | — | 174 | STROUDSBURG POST ACUTE NURSING & REHABILITATION LLC |
| 2025-02-01 | EDENBROOK OF YEADON | — | — | — | 190 | YEADON SNF OPERATIONS, LLC |
| 2025-02-01 | EDENBROOK OF GREENWOOD HILL | — | — | — | 160 | POTTSVILLE SNF OPERATIONS, LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 42071 | acs median gross | 0 | $995 | 2024-12-31 | CENSUS_ACS5 |
| county 42071 | fmr | 0 | $1,102 | 2025-10-01 | HUD_USER_FMR |
| county 42071 | acs median gross | 1 | $1,124 | 2024-12-31 | CENSUS_ACS5 |
| county 42071 | fmr | 1 | $1,220 | 2025-10-01 | HUD_USER_FMR |
| county 42071 | acs median gross | 2 | $1,381 | 2024-12-31 | CENSUS_ACS5 |
| county 42071 | fmr | 2 | $1,526 | 2025-10-01 | HUD_USER_FMR |
| county 42071 | acs median gross | 3 | $1,544 | 2024-12-31 | CENSUS_ACS5 |
| county 42071 | fmr | 3 | $1,980 | 2025-10-01 | HUD_USER_FMR |
| county 42071 | acs median gross | 4 | $1,540 | 2024-12-31 | CENSUS_ACS5 |
| county 42071 | fmr | 4 | $2,020 | 2025-10-01 | HUD_USER_FMR |
| county 42071 | acs median gross | 5 | $1,503 | 2024-12-31 | CENSUS_ACS5 |
| county 42071 | acs median gross | $1,357 | 2024-12-31 | CENSUS_ACS5 | |
| county 42071 | acs recent mover gross | $1,490 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 17512 | acs median gross | 0 | $444 | 2024-12-31 | CENSUS_ACS5 |
| zcta 17512 | acs median gross | 1 | $960 | 2024-12-31 | CENSUS_ACS5 |
| zcta 17512 | acs median gross | 2 | $1,112 | 2024-12-31 | CENSUS_ACS5 |
| zcta 17512 | acs median gross | 3 | $1,223 | 2024-12-31 | CENSUS_ACS5 |
| zcta 17512 | acs median gross | $1,072 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 17512 | acs recent mover gross | $1,160 | 2024-12-31 | CENSUS_ACS5 | |
| zip 17512 | payment standard 110 | 0 | $1,045 | 2025-10-01 | HUD_USER_SAFMR |
| zip 17512 | payment standard 90 | 0 | $855 | 2025-10-01 | HUD_USER_SAFMR |
| zip 17512 | safmr | 0 | $950 | 2025-10-01 | HUD_USER_SAFMR |
| zip 17512 | payment standard 110 | 1 | $1,155 | 2025-10-01 | HUD_USER_SAFMR |
| zip 17512 | payment standard 90 | 1 | $945 | 2025-10-01 | HUD_USER_SAFMR |
| zip 17512 | safmr | 1 | $1,050 | 2025-10-01 | HUD_USER_SAFMR |
| zip 17512 | payment standard 110 | 2 | $1,441 | 2025-10-01 | HUD_USER_SAFMR |
| zip 17512 | payment standard 90 | 2 | $1,179 | 2025-10-01 | HUD_USER_SAFMR |
| zip 17512 | safmr | 2 | $1,310 | 2025-10-01 | HUD_USER_SAFMR |
| zip 17512 | payment standard 110 | 3 | $1,870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 17512 | payment standard 90 | 3 | $1,530 | 2025-10-01 | HUD_USER_SAFMR |
| zip 17512 | safmr | 3 | $1,700 | 2025-10-01 | HUD_USER_SAFMR |
| zip 17512 | payment standard 110 | 4 | $1,903 | 2025-10-01 | HUD_USER_SAFMR |
| zip 17512 | payment standard 90 | 4 | $1,557 | 2025-10-01 | HUD_USER_SAFMR |
| zip 17512 | safmr | 4 | $1,730 | 2025-10-01 | HUD_USER_SAFMR |