Composite
15.2 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 67.6 | 61.5 | 0.30 | 0.2308 | 15.60 | in index |
| staffing risk | 49.3 | 49.3 | 0.25 | 0.1923 | 9.48 | in index |
| billing conduct | 19.6 | 24.5 | 0.30 | 0.2308 | 4.52 | in index |
| chow risk | 23.4 | 22.5 | 0.15 | 0.1154 | 2.70 | in index |
| financial risk | 4.2 | 12.6 | 0.30 | 0.2308 | 0.97 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 24.5 | A | 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 | 20.1 | A | v0.6 | default · in composite | |
| financial risk | 12.6 | A | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | 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 | 0.1 | — | 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 | 61.5 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 49.3 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 61.0 | C | 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 | 41.0 | B | 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 | 34.8 | B | 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 | 18.6 | A | 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 | 61.3 | 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 | 61.3 | 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. |
| staffing risk | 49.3 | 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 | 49.3 | 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 | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 8.82 | -0.99 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.91 | -0.60 | |
| Chain size (log) | 4.06 | +0.46 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| 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) | 4.06 | -1.16 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.91 | -0.66 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Current owner tenure (years) | 8.82 | -0.16 |
| 2025Q4 HPRD | This facility | WI median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.29 | 3.60 | 3.28 | 2.90–3.77 |
| RN | 0.15 | 0.64 | 0.39 | 0.25–0.58 |
| Weekend total | 3.22 | 3.49 | 3.11 | — |
| Weekday total | 3.32 | 3.65 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 72.5 | 3.29 | 0.15 | 1.00 | 2.13 | 3.22 | 0.0% |
| 2025Q3 | 92 | 70.4 | 3.20 | 0.10 | 1.06 | 2.04 | 3.17 | 0.0% |
| 2025Q2 | 91 | 72.3 | 3.19 | 0.14 | 1.01 | 2.04 | 3.11 | 0.0% |
| 2025Q1 | 90 | 73.8 | 3.33 | 0.23 | 0.93 | 2.17 | 3.27 | 0.0% |
| 2024Q4 | 92 | 75.0 | 3.19 | 0.32 | 0.76 | 2.12 | 3.14 | 0.0% |
| 2024Q3 | 92 | 76.6 | 2.95 | 0.24 | 0.85 | 1.86 | 2.83 | 0.0% |
| 2024Q2 | 91 | 74.4 | 3.02 | 0.20 | 0.93 | 1.88 | 2.88 | 0.0% |
| 2024Q1 | 91 | 75.5 | 2.88 | 0.20 | 0.88 | 1.80 | 2.80 | 0.0% |
| 2023Q4 | 92 | 75.9 | 3.04 | 0.34 | 0.76 | 1.94 | 2.97 | 0.0% |
| 2023Q3 | 92 | 76.7 | 2.97 | 0.42 | 0.71 | 1.84 | 2.90 | 0.2% |
| 2023Q2 | 91 | 74.8 | 2.62 | 0.41 | 0.69 | 1.52 | 2.49 | 0.0% |
| 2023Q1 | 90 | 75.7 | 2.53 | 0.44 | 0.51 | 1.58 | 2.38 | 0.9% |
| 2022Q4 | 92 | 71.2 | 2.70 | 0.40 | 0.53 | 1.77 | 2.57 | 2.2% |
| 2022Q3 | 92 | 70.8 | 2.76 | 0.36 | 0.64 | 1.77 | 2.54 | 0.0% |
| 2022Q2 | 91 | 66.1 | 2.65 | 0.20 | 0.86 | 1.59 | 2.50 | 9.0% |
| 2022Q1 | 90 | 62.9 | 2.79 | 0.22 | 0.91 | 1.66 | 2.78 | 7.9% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-10-17 | Fine | $14,433 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-07-01 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-07-18 |
| 2025-04-30 | 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 | 2025-05-30 |
| 2025-04-30 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-05-30 |
| 2024-10-17 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2024-11-18 |
| 2024-10-17 | Health · complaint | 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 | 2024-11-18 |
| 2024-10-17 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2024-11-18 |
| 2024-05-07 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-06-03 |
| 2024-05-07 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-06-03 |
| 2024-05-07 | Health · complaint | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2024-06-03 |
| 2024-01-25 | 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 | 2024-02-23 |
| 2024-01-25 | 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. | D | 2024-02-23 |
| 2024-01-25 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-02-23 |
| 2024-01-25 | 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 | 2024-02-23 |
| 2024-01-25 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-02-23 |
| 2023-12-21 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-01-10 |
| 2023-08-28 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-09-28 |
| 2023-08-28 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2023-09-28 |
| 2023-06-28 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2023-07-19 |
| 2023-06-28 | 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 | 2023-07-19 |
| 2023-06-28 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-07-19 |
| 2023-06-28 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-07-19 |
| 2023-06-28 | Health · complaint | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2023-07-19 |
| 2022-10-03 | Health | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2022-11-01 |
| 2022-10-03 | 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 | 2022-11-01 |
| 2022-10-03 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2022-11-01 |
| 2022-10-03 | 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 | 2022-11-01 |
| 2022-10-03 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-11-01 |
| 2022-10-03 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | 2022-11-01 |
| 2022-10-03 | Health | F0687 | Provide appropriate foot care. | D | 2022-11-01 |
| 2022-10-03 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-11-01 |
| 2022-10-03 | 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 | 2022-11-01 |
| 2022-10-03 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2022-11-01 |
| 2022-10-03 | 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 | 2022-11-01 |
| 2022-10-03 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2022-11-01 |
| 2022-10-03 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2022-11-01 |
| 2022-10-03 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2022-11-01 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| NSHF OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-07-24 | current | pecos_ownership |
| MILLS, DAVID | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2017-06-29 | current | pecos_ownership |
| BAUMANN, TROY | CORPORATE DIRECTOR | — | 2017-06-29 | current | pecos_ownership |
| HOEHN, JEFFREY | CORPORATE DIRECTOR | — | 2017-06-29 | current | pecos_ownership |
| HOEHN, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-10-01 | current | pecos_ownership |
| NORTH SHORE HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-10-01 | current | pecos_ownership |
| JEFFREY HOEHN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 40% | 2017-06-29 | ended 2026-05-18 | pecos_ownership |
| TROY BAUMANN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 40% | 2017-06-29 | ended 2026-05-18 | pecos_ownership |
| DAVID MILLS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2017-06-29 | ended 2026-05-18 | pecos_ownership |
| JEFFREY HOEHN | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-10-01 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2017-10-01 | — | NSH MAPLE RIDGE LLC | FMG WEST RAMSEY AVENUE WISCONSIN LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-05-28 | Complete Care at Hales Corners | — | — | — | 62 | HALES CORNERS CARE AND REHAB CENTER LLC |
| 2025-05-28 | Complete Care at Care Age | — | — | — | 110 | CARE AGE OF BROOKFIELD CARE AND REHAB CENTER LLC |
| 2025-04-24 | Edenbrook Sheboygan | — | — | — | 121 | SHEBOYGAN SNF OPERATIONS, LLC |
| 2025-02-28 | Complete Care at Jefferson Meadows LLC | — | — | — | 102 | ST CLARE CARE AND REHAB CENTER LLC |
| 2025-02-28 | Complete Care at Christian Home LLC | — | — | — | 50 | CHRISTIAN HOME CARE AND REHAB CENTER LLC |
| 2025-02-01 | COLONIAL HEALTH SERVICES | — | — | — | 70 | NSH COLBY LLC |
| 2024-12-14 | CAREVIEW HEALTH AND REHAB OF MINOCQUA | — | — | — | 72 | CAREVIEW HEALTH AND REHAB OF MINOCQUA, LLC |
| 2024-11-01 | Wood Aven Health and Rehabilitation | — | — | — | 82 | RIVER HAWK HEALTHCARE LLC |
| 2024-07-01 | Samaritan Nursing and Rehab | — | — | — | 131 | SAMARITAN NURSING AND REHAB LLC |
| 2024-05-01 | DOVE HEALTHCARE - SPOONER | — | — | — | 50 | SPOONER REHABILITATION AND NURSING CENTER LLC |
| 2024-04-16 | MIDDLE RIVER HEALTH AND REHABILITATION CENTER | — | — | — | 86 | MIDDLE RIVER REHABILITATION LLC |
| 2024-01-25 | Serenity Spring Senior Living at Scandia Village | — | — | — | 50 | SISTER BAY SNF OPCO, LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 55079 | acs median gross | 0 | $866 | 2024-12-31 | CENSUS_ACS5 |
| county 55079 | fmr | 0 | $1,027 | 2025-10-01 | HUD_USER_FMR |
| county 55079 | acs median gross | 1 | $927 | 2024-12-31 | CENSUS_ACS5 |
| county 55079 | fmr | 1 | $1,119 | 2025-10-01 | HUD_USER_FMR |
| county 55079 | acs median gross | 2 | $1,130 | 2024-12-31 | CENSUS_ACS5 |
| county 55079 | fmr | 2 | $1,338 | 2025-10-01 | HUD_USER_FMR |
| county 55079 | acs median gross | 3 | $1,280 | 2024-12-31 | CENSUS_ACS5 |
| county 55079 | fmr | 3 | $1,648 | 2025-10-01 | HUD_USER_FMR |
| county 55079 | acs median gross | 4 | $1,384 | 2024-12-31 | CENSUS_ACS5 |
| county 55079 | fmr | 4 | $1,784 | 2025-10-01 | HUD_USER_FMR |
| county 55079 | acs median gross | 5 | $1,458 | 2024-12-31 | CENSUS_ACS5 |
| county 55079 | acs median gross | $1,101 | 2024-12-31 | CENSUS_ACS5 | |
| county 55079 | acs recent mover gross | $1,231 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 53221 | acs median gross | 0 | $934 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53221 | acs median gross | 1 | $896 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53221 | acs median gross | 2 | $1,184 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53221 | acs median gross | 3 | $1,247 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53221 | acs median gross | 4 | $1,384 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53221 | acs median gross | $1,119 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 53221 | acs recent mover gross | $1,258 | 2024-12-31 | CENSUS_ACS5 | |
| zip 53221 | payment standard 110 | 0 | $1,155 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53221 | payment standard 90 | 0 | $945 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53221 | safmr | 0 | $1,050 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53221 | payment standard 110 | 1 | $1,265 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53221 | payment standard 90 | 1 | $1,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53221 | safmr | 1 | $1,150 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53221 | payment standard 110 | 2 | $1,507 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53221 | payment standard 90 | 2 | $1,233 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53221 | safmr | 2 | $1,370 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53221 | payment standard 110 | 3 | $1,859 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53221 | payment standard 90 | 3 | $1,521 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53221 | safmr | 3 | $1,690 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53221 | payment standard 110 | 4 | $2,013 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53221 | payment standard 90 | 4 | $1,647 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53221 | safmr | 4 | $1,830 | 2025-10-01 | HUD_USER_SAFMR |