Composite
57.3 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 79.9 | 76.7 | 0.30 | 0.2308 | 18.44 | in index |
| billing conduct | 73.8 | 49.4 | 0.30 | 0.2308 | 17.03 | in index |
| staffing risk | 61.8 | 61.8 | 0.25 | 0.1923 | 11.88 | in index |
| financial risk | 11.0 | 20.0 | 0.30 | 0.2308 | 2.54 | in index |
| chow risk | 10.0 | 12.6 | 0.15 | 0.1154 | 1.15 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 49.4 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.7 | 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 | 0.5 | A | v0.6 | default · in composite | |
| financial risk | 20.0 | 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 | 0.0 | — | 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 | 76.7 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 61.8 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 45.7 | 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 | 25.7 | 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 | 30.3 | 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 | 25.9 | 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 | 76.6 | D | 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 | 76.6 | D | 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 | 61.8 | 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 | 61.8 | 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) | 4.82 | -1.38 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.89 | -0.55 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Contract staffing share | 0.19 | +0.20 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| Deficiencies, last 12 months | 12.00 | -0.80 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.89 | -0.59 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Ownership changes, last 5 years | 1.00 | +0.23 | |
| Current owner tenure (years) | 4.82 | -0.22 |
| 2025Q4 HPRD | This facility | LA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.11 | 3.38 | 3.28 | 2.90–3.77 |
| RN | 0.01 | 0.10 | 0.39 | 0.25–0.58 |
| Weekend total | 2.92 | 3.09 | 3.11 | — |
| Weekday total | 3.18 | 3.48 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 167.8 | 3.11 | 0.01 | 0.86 | 2.23 | 2.92 | 19.2% |
| 2025Q3 | 92 | 166.7 | 3.38 | 0.01 | 0.91 | 2.45 | 3.14 | 22.1% |
| 2025Q2 | 91 | 167.4 | 3.06 | 0.01 | 0.81 | 2.24 | 2.75 | 31.0% |
| 2025Q1 | 90 | 166.3 | 3.16 | 0.04 | 0.92 | 2.20 | 2.96 | 44.5% |
| 2024Q4 | 92 | 168.5 | 3.09 | 0.00 | 0.95 | 2.14 | 2.87 | 33.5% |
| 2024Q3 | 92 | 168.2 | 3.13 | 0.03 | 0.96 | 2.13 | 2.95 | 36.7% |
| 2024Q2 | 91 | 165.5 | 3.02 | 0.06 | 0.88 | 2.08 | 2.70 | 32.5% |
| 2024Q1 | 91 | 160.9 | 3.22 | 0.06 | 0.95 | 2.21 | 3.04 | 46.4% |
| 2023Q4 | 92 | 161.4 | 2.89 | 0.05 | 0.95 | 1.89 | 2.76 | 44.9% |
| 2023Q3 | 92 | 164.8 | 2.93 | 0.04 | 0.95 | 1.93 | 2.69 | 48.6% |
| 2023Q2 | 91 | 159.2 | 1.70 | 0.05 | 0.68 | 0.97 | 1.49 | 0.0% |
| 2023Q1 | 90 | 159.9 | 3.11 | 0.08 | 1.05 | 1.98 | 2.80 | 45.4% |
| 2022Q4 | 92 | 161.2 | 3.08 | 0.07 | 0.97 | 2.05 | 2.87 | 38.4% |
| 2022Q3 | 92 | 162.9 | 2.81 | 0.05 | 0.98 | 1.78 | 2.63 | 38.2% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2023-08-30 | Fine | $14,518 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-16 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-12-30 |
| 2025-08-13 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2025-09-05 |
| 2025-08-13 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | 2025-09-05 |
| 2025-08-13 | 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 | 2025-09-05 |
| 2025-08-13 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2025-09-05 |
| 2025-08-13 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-09-05 |
| 2025-08-13 | 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 | 2025-09-05 |
| 2025-08-13 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-09-05 |
| 2025-08-13 | Health | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2025-09-05 |
| 2025-08-13 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | 2025-09-05 |
| 2025-08-13 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2025-09-05 |
| 2025-08-13 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-09-05 |
| 2025-05-14 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-05-29 |
| 2025-05-14 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-05-29 |
| 2025-05-14 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-05-29 |
| 2025-04-03 | Health · complaint | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2025-05-09 |
| 2025-04-03 | 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 | 2025-05-09 |
| 2024-06-12 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-07-19 |
| 2024-06-12 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2024-07-19 |
| 2024-06-12 | 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 | 2024-07-19 |
| 2024-06-12 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-07-19 |
| 2024-06-12 | 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 | 2024-07-19 |
| 2024-06-12 | 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 | 2024-07-19 |
| 2024-06-12 | 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 | 2024-07-19 |
| 2024-06-12 | 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 | 2024-07-19 |
| 2024-06-12 | 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. | D | 2024-07-19 |
| 2024-06-12 | Health | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | 2024-07-19 |
| 2024-06-12 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | 2024-07-19 |
| 2024-06-12 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | 2024-07-19 |
| 2024-06-12 | Health | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | 2024-07-19 |
| 2024-06-12 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-07-19 |
| 2024-04-04 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | 2024-04-19 |
| 2024-03-05 | 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 | 2024-03-19 |
| 2024-03-05 | 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 | 2024-03-19 |
| 2024-01-23 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-01-24 |
| 2023-09-19 | 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 | 2023-10-06 |
| 2023-08-30 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2023-08-21 |
| 2023-08-08 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2023-06-09 |
| 2023-05-17 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-06-16 |
| 2023-05-17 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | 2023-06-16 |
| 2023-05-17 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2023-06-16 |
| 2023-05-17 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2023-06-16 |
| 2023-05-17 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-06-16 |
| 2023-05-17 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-06-16 |
| 2023-05-17 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | 2023-06-16 |
| 2023-05-17 | Health | F0888 | Ensure staff are vaccinated for COVID-19 | D | 2023-06-16 |
| 2023-05-17 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | 2023-06-16 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| MOODY, CHARLES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 78% | 2021-10-01 | current | pecos_ownership |
| MCPHERSON, WILLIAM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | 2021-10-01 | current | pecos_ownership |
| CHARLES MOODY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 78% | 2021-10-01 | ended 2026-05-18 | pecos_ownership |
| WILLIAM MCPHERSON | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | 2021-10-01 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2021-10-01 | — | 2707 LAF SNF LLC | ACADIAN OAKS NURSING HOME LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-04-01 | Timber Springs Rehab and Retirement | — | — | — | 153 | PMG OPCO - SPRINGHILL LLC |
| 2025-03-28 | Cornerstone Post Acute Care Of Bossier | — | — | — | 7 | CORNERSTONE POST ACUTE CARE OF BOSSIER LLC |
| 2024-09-16 | REGENCY HOUSE OF ALEXANDRIA | — | — | — | 58 | REGENCY HOUSE SNF OPERATIONS LLC |
| 2024-03-01 | Heritage Manor Health & Rehab | — | — | — | 64 | 2575 AIRLINE DRIVE OPCO LLC |
| 2024-03-01 | FAIR CITY HEALTH AND REHAB | — | — | — | 121 | 2000 FRANK SNF LLC |
| 2024-03-01 | Adira Medical Resort | — | — | — | 77 | 4405 AIRLINE DRIVE OPCO LLC |
| 2023-12-28 | Oak Haven Rehabilitation and Healthcare Center | — | — | — | 104 | OAK HAVEN SNF OPERATIONS LLC |
| 2023-12-28 | The Columns Rehabilitation and Healthcare Center | — | — | — | 140 | COLUMNS SNF OPERATIONS LLC |
| 2023-10-01 | MAISON D'ACADIENS CARE CENTER | — | — | — | 78 | 2907 BASILE SNF LLC |
| 2023-10-01 | Riverview Care Center | — | — | — | 135 | BOSSIER RIVERVIEW, LLC |
| 2023-10-01 | Flannery Oaks Guest House | — | — | — | 130 | FLANNERY OAKS GH BR |
| 2023-08-01 | Legacy Nursing at St. Christina | — | — | — | 140 | ST CHRISTINA OPCO LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 22055 | acs median gross | 0 | $848 | 2024-12-31 | CENSUS_ACS5 |
| county 22055 | fmr | 0 | $779 | 2025-10-01 | HUD_USER_FMR |
| county 22055 | acs median gross | 1 | $895 | 2024-12-31 | CENSUS_ACS5 |
| county 22055 | fmr | 1 | $898 | 2025-10-01 | HUD_USER_FMR |
| county 22055 | acs median gross | 2 | $1,028 | 2024-12-31 | CENSUS_ACS5 |
| county 22055 | fmr | 2 | $1,019 | 2025-10-01 | HUD_USER_FMR |
| county 22055 | acs median gross | 3 | $1,216 | 2024-12-31 | CENSUS_ACS5 |
| county 22055 | fmr | 3 | $1,301 | 2025-10-01 | HUD_USER_FMR |
| county 22055 | acs median gross | 4 | $1,405 | 2024-12-31 | CENSUS_ACS5 |
| county 22055 | fmr | 4 | $1,581 | 2025-10-01 | HUD_USER_FMR |
| county 22055 | acs median gross | $1,057 | 2024-12-31 | CENSUS_ACS5 | |
| county 22055 | acs recent mover gross | $1,080 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 70508 | acs median gross | 0 | $1,354 | 2024-12-31 | CENSUS_ACS5 |
| zcta 70508 | acs median gross | 1 | $1,101 | 2024-12-31 | CENSUS_ACS5 |
| zcta 70508 | acs median gross | 2 | $1,262 | 2024-12-31 | CENSUS_ACS5 |
| zcta 70508 | acs median gross | 3 | $1,599 | 2024-12-31 | CENSUS_ACS5 |
| zcta 70508 | acs median gross | 4 | $1,167 | 2024-12-31 | CENSUS_ACS5 |
| zcta 70508 | acs median gross | $1,239 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 70508 | acs recent mover gross | $1,023 | 2024-12-31 | CENSUS_ACS5 | |
| zip 70508 | payment standard 110 | 0 | $1,023 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70508 | payment standard 90 | 0 | $837 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70508 | safmr | 0 | $930 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70508 | payment standard 110 | 1 | $1,177 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70508 | payment standard 90 | 1 | $963 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70508 | safmr | 1 | $1,070 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70508 | payment standard 110 | 2 | $1,342 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70508 | payment standard 90 | 2 | $1,098 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70508 | safmr | 2 | $1,220 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70508 | payment standard 110 | 3 | $1,716 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70508 | payment standard 90 | 3 | $1,404 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70508 | safmr | 3 | $1,560 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70508 | payment standard 110 | 4 | $2,079 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70508 | payment standard 90 | 4 | $1,701 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70508 | safmr | 4 | $1,890 | 2025-10-01 | HUD_USER_SAFMR |