Composite
55.6 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 85.2 | 56.2 | 0.30 | 0.2308 | 19.66 | in index |
| regulatory risk | 59.3 | 50.3 | 0.30 | 0.2308 | 13.68 | in index |
| staffing risk | 54.1 | 54.1 | 0.25 | 0.1923 | 10.40 | in index |
| chow risk | 37.0 | 42.8 | 0.15 | 0.1154 | 4.27 | in index |
| financial risk | 10.2 | 19.4 | 0.30 | 0.2308 | 2.35 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 56.2 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 23.4 | A | 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 | 62.2 | C | v0.6 | default · in composite | |
| financial risk | 19.4 | 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 | 5.2 | — | 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 | 50.3 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 54.1 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 47.2 | 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 | 27.2 | 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 | 24.8 | A | 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 | 23.5 | 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 | 50.1 | 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 | 50.1 | 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 | 54.1 | 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 | 54.1 | 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 | |
|---|---|---|---|
| Chain size (log) | 5.31 | +0.73 | |
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Occupancy | 0.89 | -0.56 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Facility size (log beds) | 5.53 | -0.18 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 5.31 | -1.89 | |
| Deficiencies, last 12 months | 3.00 | +0.87 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.89 | -0.59 | |
| Fine amount, 12m (log) | 9.48 | -0.51 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Facility size (log beds) | 5.53 | -0.24 | |
| Never sold on record | 1.00 | +0.12 |
| 2025Q4 HPRD | This facility | HI median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.22 | 4.00 | 3.28 | 2.90–3.77 |
| RN | 0.80 | 1.24 | 0.39 | 0.25–0.58 |
| Weekend total | 2.93 | 3.78 | 3.11 | — |
| Weekday total | 3.34 | 4.04 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 224.2 | 3.22 | 0.80 | 0.46 | 1.96 | 2.93 | 0.9% |
| 2025Q3 | 92 | 219.8 | 3.33 | 0.83 | 0.48 | 2.01 | 3.09 | 3.2% |
| 2025Q2 | 91 | 221.6 | 3.14 | 0.71 | 0.42 | 2.00 | 2.96 | 0.5% |
| 2025Q1 | 90 | 220.9 | 3.29 | 0.71 | 0.46 | 2.12 | 3.08 | 1.6% |
| 2024Q4 | 92 | 224.8 | 3.19 | 0.66 | 0.51 | 2.02 | 2.96 | 1.4% |
| 2024Q3 | 92 | 215.0 | 3.33 | 0.78 | 0.45 | 2.10 | 3.10 | 0.6% |
| 2024Q2 | 91 | 212.6 | 3.09 | 0.66 | 0.44 | 1.98 | 2.97 | 0.5% |
| 2024Q1 | 91 | 212.5 | 3.10 | 0.69 | 0.44 | 1.97 | 2.98 | 1.4% |
| 2023Q4 | 92 | 208.0 | 3.08 | 0.67 | 0.47 | 1.94 | 2.91 | 1.7% |
| 2023Q3 | 92 | 209.0 | 3.01 | 0.61 | 0.46 | 1.94 | 2.91 | 0.6% |
| 2023Q2 | 91 | 205.4 | 2.94 | 0.59 | 0.45 | 1.91 | 2.86 | 2.9% |
| 2023Q1 | 90 | 202.6 | 3.06 | 0.62 | 0.46 | 1.99 | 2.89 | 1.2% |
| 2022Q4 | 92 | 200.2 | 3.06 | 0.57 | 0.49 | 2.01 | 2.94 | 2.7% |
| 2022Q3 | 92 | 197.2 | 2.94 | 0.61 | 0.43 | 1.89 | 2.83 | 0.9% |
| 2022Q2 | 91 | 201.4 | 2.86 | 0.63 | 0.39 | 1.84 | 2.77 | 0.0% |
| 2022Q1 | 90 | 193.2 | 3.03 | 0.64 | 0.45 | 1.94 | 2.93 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2026-04-01 | Fine | $13,065 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-01 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-05-01 |
| 2026-04-01 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2026-05-01 |
| 2026-04-01 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2026-05-01 |
| 2025-05-01 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-05-01 |
| 2023-12-01 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-01-15 |
| 2023-12-01 | 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 | 2024-01-15 |
| 2023-12-01 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-01-15 |
| 2023-12-01 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-01-15 |
| 2023-12-01 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-01-15 |
| 2023-12-01 | 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. | E | 2024-01-15 |
| 2023-12-01 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-01-15 |
| 2023-12-01 | 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 | 2024-01-15 |
| 2023-12-01 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2024-01-15 |
| 2023-12-01 | Health | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | 2024-01-15 |
| 2022-11-18 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2023-01-02 |
| 2022-11-18 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2023-01-02 |
| 2022-11-18 | Health | F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | E | 2023-01-02 |
| 2022-11-18 | 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 | 2023-01-02 |
| 2022-11-18 | 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 | 2023-01-02 |
| 2022-11-18 | 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. | E | 2023-01-02 |
| 2022-11-18 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-01-02 |
| 2022-11-18 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2023-01-02 |
| 2022-11-18 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-01-02 |
| 2022-11-18 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-01-02 |
| 2022-11-18 | 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 | 2023-01-02 |
| 2022-11-18 | 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 | 2023-01-02 |
| 2022-11-18 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2023-01-02 |
| 2022-11-18 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-01-02 |
| 2022-11-18 | 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. | E | 2023-01-02 |
| 2022-11-18 | Health | F0732 | Post nurse staffing information every day. | E | 2023-01-02 |
| 2022-11-18 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2023-01-02 |
| 2022-11-18 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-01-02 |
| 2022-11-18 | 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. | E | 2023-01-02 |
| 2022-11-18 | Health | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2023-01-02 |
| 2022-11-18 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-01-02 |
| 2022-11-18 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-01-02 |
| 2022-11-18 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2023-01-02 |
| 2022-11-18 | Health | F0920 | Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | D | 2023-01-02 |
| 2021-10-26 | Health | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | C | 2021-11-16 |
| 2021-10-26 | 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 | 2021-11-16 |
| 2021-10-26 | 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 | 2021-11-16 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| KELLETT, STILES | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 1999-06-14 | current | pecos_ownership |
| SAK JR LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | 1999-06-14 | current | pecos_ownership |
| SBK LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | 1999-06-14 | current | pecos_ownership |
| LEMANUA, LEMAPU | W-2 MANAGING EMPLOYEE | — | 2021-09-20 | current | pecos_ownership |
| LIFE CARE CENTERS OF AMERICA, INC. | OPERATIONAL/MANAGERIAL CONTROL | — | 1994-08-01 | current | pecos_ownership |
| LEMAPU LEMANUA | W-2 MANAGING EMPLOYEE | 100% | 2021-09-20 | ended 2026-05-18 | pecos_ownership |
| STILES KELLETT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 1999-06-14 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2023-03-01 | HALE NANI REHABILITATION AND NURSING CENTER | — | — | — | 288 | HALE NANI REHAB & NURSING CENTER LLC |
| 2023-02-01 | PEARL CITY POST ACUTE | — | — | — | 122 | PSH PEARL CITY LLC |
| 2023-02-01 | Kulana Malama | — | — | — | 33 | PSH KM LLC |
| 2023-02-01 | OAHU CARE FACILITY | — | — | — | 82 | PSH OAHU LLC |
| 2020-12-18 | NUUANU HALE | — | — | — | 75 | NUUANU HALE, INC |
| 2019-12-31 | LEGACY HILO REHABILITATION & NURSING CENTER | — | — | — | 100 | HILO SNF LLC |
| 2017-07-01 | LANAI COMMUNITY HOSPITAL | — | — | — | 10 | MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC |
| 2017-07-01 | KULA HOSPITAL | — | — | — | 105 | MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 15001 | acs median gross | 0 | $1,138 | 2024-12-31 | CENSUS_ACS5 |
| county 15001 | fmr | 0 | $1,592 | 2025-10-01 | HUD_USER_FMR |
| county 15001 | acs median gross | 1 | $1,127 | 2024-12-31 | CENSUS_ACS5 |
| county 15001 | fmr | 1 | $1,603 | 2025-10-01 | HUD_USER_FMR |
| county 15001 | acs median gross | 2 | $1,500 | 2024-12-31 | CENSUS_ACS5 |
| county 15001 | fmr | 2 | $2,076 | 2025-10-01 | HUD_USER_FMR |
| county 15001 | acs median gross | 3 | $1,734 | 2024-12-31 | CENSUS_ACS5 |
| county 15001 | fmr | 3 | $2,622 | 2025-10-01 | HUD_USER_FMR |
| county 15001 | acs median gross | 4 | $1,853 | 2024-12-31 | CENSUS_ACS5 |
| county 15001 | fmr | 4 | $3,024 | 2025-10-01 | HUD_USER_FMR |
| county 15001 | acs median gross | 5 | $2,286 | 2024-12-31 | CENSUS_ACS5 |
| county 15001 | acs median gross | $1,510 | 2024-12-31 | CENSUS_ACS5 | |
| county 15001 | acs recent mover gross | $1,756 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 96720 | acs median gross | 0 | $1,139 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96720 | acs median gross | 1 | $944 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96720 | acs median gross | 2 | $1,317 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96720 | acs median gross | 3 | $1,766 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96720 | acs median gross | 4 | $1,725 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96720 | acs median gross | 5 | $2,143 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96720 | acs median gross | $1,428 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 96720 | acs recent mover gross | $1,427 | 2024-12-31 | CENSUS_ACS5 | |
| zip 96720 | payment standard 110 | 0 | $1,606 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96720 | payment standard 90 | 0 | $1,314 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96720 | safmr | 0 | $1,460 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96720 | payment standard 110 | 1 | $1,617 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96720 | payment standard 90 | 1 | $1,323 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96720 | safmr | 1 | $1,470 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96720 | payment standard 110 | 2 | $2,090 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96720 | payment standard 90 | 2 | $1,710 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96720 | safmr | 2 | $1,900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96720 | payment standard 110 | 3 | $2,684 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96720 | payment standard 90 | 3 | $2,196 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96720 | safmr | 3 | $2,440 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96720 | payment standard 110 | 4 | $3,047 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96720 | payment standard 90 | 4 | $2,493 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96720 | safmr | 4 | $2,770 | 2025-10-01 | HUD_USER_SAFMR |