Composite
68.1 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 58.2 | 42.8 | 0.30 | 0.2308 | 13.43 | in index |
| regulatory risk | 54.6 | 44.3 | 0.30 | 0.2308 | 12.60 | in index |
| staffing risk | 62.7 | 62.7 | 0.25 | 0.1923 | 12.06 | in index |
| chow risk | 77.3 | 51.7 | 0.15 | 0.1154 | 8.92 | in index |
| financial risk | 35.7 | 37.1 | 0.30 | 0.2308 | 8.24 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 42.8 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 35.0 | 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 | 68.4 | D | v0.6 | default · in composite | |
| financial risk | 37.1 | B | 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 | 8.6 | — | 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 | 44.3 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 62.7 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 81.8 | 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 | 61.8 | 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 | 36.0 | 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 | 43.1 | B | 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 | 44.2 | B | 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 | 44.2 | B | 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 | 62.7 | 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 | 62.7 | 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 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.66 | +0.38 | |
| Contract staffing share | 0.21 | +0.23 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 3.00 | -0.10 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 3.66 | -0.93 | |
| Deficiencies, last 12 months | 3.00 | +0.87 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.67 | +0.31 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Contract staffing share | 0.21 | +0.15 | |
| Never sold on record | 1.00 | +0.12 |
| 2025Q4 HPRD | This facility | WI median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.10 | 3.60 | 3.28 | 2.90–3.77 |
| RN | 0.55 | 0.64 | 0.39 | 0.25–0.58 |
| Weekend total | 2.93 | 3.49 | 3.11 | — |
| Weekday total | 3.16 | 3.65 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 71.5 | 3.10 | 0.55 | 0.68 | 1.86 | 2.93 | 21.1% |
| 2025Q3 | 92 | 69.3 | 2.93 | 0.44 | 0.62 | 1.87 | 2.92 | 17.6% |
| 2025Q2 | 91 | 72.4 | 2.84 | 0.45 | 0.60 | 1.79 | 2.84 | 12.3% |
| 2025Q1 | 90 | 72.9 | 2.87 | 0.45 | 0.64 | 1.77 | 2.89 | 13.5% |
| 2024Q4 | 92 | 73.7 | 2.90 | 0.36 | 0.72 | 1.82 | 2.87 | 18.5% |
| 2024Q3 | 92 | 77.1 | 2.85 | 0.31 | 0.77 | 1.78 | 2.81 | 16.2% |
| 2024Q2 | 91 | 74.3 | 2.74 | 0.26 | 0.73 | 1.75 | 2.64 | 10.7% |
| 2024Q1 | 91 | 74.6 | 2.77 | 0.27 | 0.78 | 1.72 | 2.63 | 7.8% |
| 2023Q4 | 92 | 82.4 | 2.91 | 0.27 | 0.80 | 1.83 | 2.83 | 21.8% |
| 2023Q3 | 92 | 73.8 | 2.96 | 0.29 | 0.90 | 1.77 | 2.85 | 19.6% |
| 2023Q2 | 91 | 72.2 | 2.88 | 0.40 | 0.69 | 1.80 | 2.72 | 33.5% |
| 2023Q1 | 90 | 77.9 | 2.77 | 0.48 | 0.65 | 1.64 | 2.55 | 29.3% |
| 2022Q4 | 92 | 74.5 | 2.88 | 0.56 | 0.68 | 1.64 | 2.67 | 32.6% |
| 2022Q3 | 92 | 73.9 | 3.08 | 0.48 | 0.78 | 1.82 | 2.96 | 30.3% |
| 2022Q2 | 91 | 74.1 | 2.79 | 0.59 | 0.70 | 1.50 | 2.65 | 30.8% |
| 2022Q1 | 90 | 70.4 | 2.91 | 0.79 | 0.63 | 1.48 | 2.91 | 27.2% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-17 | 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 | 2026-03-12 |
| 2025-10-08 | Health · complaint | 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. | D | 2025-12-05 |
| 2025-08-08 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-08-29 |
| 2024-11-12 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-12-06 |
| 2024-11-12 | 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 | 2024-12-06 |
| 2024-11-12 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-12-06 |
| 2024-11-12 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-12-06 |
| 2024-11-12 | 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. | D | 2024-12-06 |
| 2024-11-12 | 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 | 2024-12-06 |
| 2024-11-12 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-12-06 |
| 2024-11-12 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-12-06 |
| 2024-11-12 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-12-06 |
| 2024-11-12 | 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 | 2024-12-06 |
| 2024-11-12 | Health | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | 2024-12-06 |
| 2024-11-12 | 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 | 2024-12-06 |
| 2024-11-12 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-12-06 |
| 2024-07-10 | 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 | 2024-08-05 |
| 2024-07-10 | Health · complaint | 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 | 2024-08-05 |
| 2024-07-10 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-08-05 |
| 2024-07-10 | Health · complaint | 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. | D | 2024-08-05 |
| 2024-07-10 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-08-05 |
| 2024-01-16 | Health · complaint | 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. | D | 2024-02-05 |
| 2024-01-16 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-02-05 |
| 2023-12-13 | Health | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2024-01-05 |
| 2023-12-13 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-01-08 |
| 2023-12-13 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2024-01-08 |
| 2023-12-13 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-01-08 |
| 2023-12-13 | 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 | 2024-01-08 |
| 2023-12-13 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | 2023-12-18 |
| 2023-12-13 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-01-05 |
| 2023-12-13 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-01-05 |
| 2023-12-13 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-01-08 |
| 2023-10-04 | Health · complaint | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2023-10-27 |
| 2023-10-04 | 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 | 2023-10-27 |
| 2023-10-04 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-10-27 |
| 2023-10-04 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-10-27 |
| 2023-10-04 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-10-27 |
| 2023-10-04 | Health · complaint | 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 | 2023-10-27 |
| 2022-10-11 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2022-11-04 |
| 2022-10-11 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-11-04 |
| 2022-10-11 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-11-04 |
| 2022-10-11 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2022-11-04 |
| 2022-10-11 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2022-11-04 |
| 2022-10-11 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2022-11-04 |
| 2022-10-11 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2022-11-04 |
| 2022-10-11 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-11-04 |
| 2022-10-11 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2022-11-04 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| THI OF WISCONSIN, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2003-08-30 | current | pecos_ownership |
| GORDON, DAWN | CORPORATE OFFICER | — | 2017-06-26 | current | pecos_ownership |
| HUNT VALLEY HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2006-03-28 | ended 2026-05-18 | pecos_ownership |
| MURRAY FORMAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2006-03-28 | ended 2026-05-18 | pecos_ownership |
| THI OF BALTIMORE, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2003-08-30 | ended 2026-05-18 | pecos_ownership |
| DAWN GORDON | W-2 MANAGING EMPLOYEE | — | 2017-06-26 | ended 2026-05-18 | pecos_ownership |
| 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 55131 | fmr | 0 | $1,027 | 2025-10-01 | HUD_USER_FMR |
| county 55131 | acs median gross | 1 | $915 | 2024-12-31 | CENSUS_ACS5 |
| county 55131 | fmr | 1 | $1,119 | 2025-10-01 | HUD_USER_FMR |
| county 55131 | acs median gross | 2 | $1,150 | 2024-12-31 | CENSUS_ACS5 |
| county 55131 | fmr | 2 | $1,338 | 2025-10-01 | HUD_USER_FMR |
| county 55131 | acs median gross | 3 | $1,413 | 2024-12-31 | CENSUS_ACS5 |
| county 55131 | fmr | 3 | $1,648 | 2025-10-01 | HUD_USER_FMR |
| county 55131 | acs median gross | 4 | $1,558 | 2024-12-31 | CENSUS_ACS5 |
| county 55131 | fmr | 4 | $1,784 | 2025-10-01 | HUD_USER_FMR |
| county 55131 | acs median gross | 5 | $1,299 | 2024-12-31 | CENSUS_ACS5 |
| county 55131 | acs median gross | $1,153 | 2024-12-31 | CENSUS_ACS5 | |
| county 55131 | acs recent mover gross | $1,500 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 53086 | acs median gross | 1 | $773 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53086 | acs median gross | 2 | $1,290 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53086 | acs median gross | 3 | $1,175 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53086 | acs median gross | $1,078 | 2024-12-31 | CENSUS_ACS5 | |
| zip 53086 | payment standard 110 | 0 | $1,089 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53086 | payment standard 90 | 0 | $891 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53086 | safmr | 0 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53086 | payment standard 110 | 1 | $1,188 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53086 | payment standard 90 | 1 | $972 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53086 | safmr | 1 | $1,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53086 | payment standard 110 | 2 | $1,419 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53086 | payment standard 90 | 2 | $1,161 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53086 | safmr | 2 | $1,290 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53086 | payment standard 110 | 3 | $1,749 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53086 | payment standard 90 | 3 | $1,431 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53086 | safmr | 3 | $1,590 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53086 | payment standard 110 | 4 | $1,892 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53086 | payment standard 90 | 4 | $1,548 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53086 | safmr | 4 | $1,720 | 2025-10-01 | HUD_USER_SAFMR |