Composite
64.1 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 85.2 | 82.2 | 0.30 | 0.2308 | 19.66 | in index |
| financial risk | 62.2 | 53.8 | 0.30 | 0.2308 | 14.35 | in index |
| staffing risk | 55.4 | 55.4 | 0.25 | 0.1923 | 10.65 | in index |
| billing conduct | 28.9 | 31.1 | 0.30 | 0.2308 | 6.67 | in index |
| chow risk | 20.0 | 22.6 | 0.15 | 0.1154 | 2.31 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 31.1 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.6 | 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 | 20.6 | A | v0.6 | default · in composite | |
| financial risk | 53.8 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.6 | — | 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 | 0.3 | — | 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 | 82.2 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 55.4 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 73.5 | 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 | 53.5 | 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 | 62.9 | C | 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 | 55.2 | C | 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 | 82.2 | 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 | 82.2 | 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 | 55.4 | 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 | 55.4 | 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 | 0.00 | -1.24 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Occupancy | 0.88 | -0.54 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Facility size (log beds) | 4.89 | -0.08 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | +1.62 | |
| Chain size (log) | 0.00 | +1.20 | |
| Occupancy | 0.88 | -0.56 | |
| Deficiencies, last 12 months | 10.00 | -0.43 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 | |
| Facility size (log beds) | 4.89 | -0.11 |
| 2025Q4 HPRD | This facility | NY median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.20 | 3.33 | 3.28 | 2.90–3.77 |
| RN | 0.23 | 0.43 | 0.39 | 0.25–0.58 |
| Weekend total | 3.05 | 3.03 | 3.11 | — |
| Weekday total | 3.25 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 116.5 | 3.20 | 0.23 | 0.98 | 1.99 | 3.05 | 2.5% |
| 2025Q3 | 92 | 112.9 | 3.38 | 0.27 | 1.00 | 2.11 | 3.12 | 1.4% |
| 2025Q2 | 91 | 114.6 | 3.41 | 0.25 | 1.09 | 2.07 | 2.97 | 2.2% |
| 2025Q1 | 90 | 116.7 | 3.16 | 0.19 | 1.03 | 1.94 | 2.74 | 7.4% |
| 2024Q4 | 92 | 119.2 | 3.27 | 0.28 | 0.90 | 2.10 | 2.92 | 0.0% |
| 2024Q3 | 92 | 122.6 | 3.41 | 0.27 | 0.99 | 2.16 | 3.02 | 0.0% |
| 2024Q2 | 91 | 123.3 | 3.46 | 0.17 | 1.01 | 2.27 | 2.97 | 0.0% |
| 2024Q1 | 91 | 130.6 | 3.59 | 0.14 | 1.06 | 2.39 | 2.94 | 0.0% |
| 2023Q4 | 92 | 123.9 | 3.86 | 0.17 | 1.10 | 2.59 | 3.38 | 0.8% |
| 2023Q3 | 92 | 118.7 | 4.21 | 0.23 | 1.11 | 2.88 | 3.70 | 4.3% |
| 2023Q2 | 91 | 117.6 | 3.79 | 0.25 | 1.04 | 2.49 | 3.43 | 0.0% |
| 2023Q1 | 90 | 116.8 | 3.49 | 0.28 | 1.02 | 2.19 | 3.10 | 0.0% |
| 2022Q4 | 92 | 112.9 | 3.43 | 0.36 | 0.93 | 2.14 | 3.10 | 0.0% |
| 2022Q3 | 92 | 112.7 | 3.19 | 0.43 | 0.87 | 1.89 | 2.81 | 0.0% |
| 2022Q2 | 91 | 111.3 | 2.71 | 0.45 | 0.77 | 1.49 | 2.53 | 0.0% |
| 2022Q1 | 90 | 107.6 | 0.63 | 0.34 | 0.09 | 0.20 | 0.46 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2023-09-27 | Fine | $121,573 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-10 | 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 | 2026-05-08 |
| 2026-03-10 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2026-05-08 |
| 2026-03-10 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2026-05-08 |
| 2026-03-10 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-05-08 |
| 2026-03-10 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | 2026-05-08 |
| 2026-03-10 | 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 | 2026-05-08 |
| 2026-03-10 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2026-05-08 |
| 2026-03-10 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-05-08 |
| 2026-03-10 | Health | F0814 | Dispose of garbage and refuse properly. | D | 2026-05-08 |
| 2025-11-18 | Health · complaint | F0687 | Provide appropriate foot care. | D | 2025-12-30 |
| 2024-05-23 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-07-19 |
| 2024-05-23 | 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 | 2024-07-19 |
| 2024-05-23 | 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. | E | 2024-07-19 |
| 2024-05-23 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-07-19 |
| 2024-05-23 | 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 |
| 2024-05-23 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-07-19 |
| 2024-05-23 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2024-07-19 |
| 2024-05-23 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-07-19 |
| 2024-05-23 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | 2024-07-19 |
| 2024-05-23 | Health · complaint | F0732 | Post nurse staffing information every day. | D | 2024-07-19 |
| 2024-05-23 | 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 | 2024-07-19 |
| 2024-05-23 | Health · complaint | 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. | D | 2024-07-19 |
| 2024-05-23 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2024-07-19 |
| 2024-05-23 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2024-07-19 |
| 2024-05-23 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-07-19 |
| 2024-05-23 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-07-19 |
| 2024-05-23 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2024-07-19 |
| 2023-09-27 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2023-11-01 |
| 2023-09-27 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-11-01 |
| 2023-09-27 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-11-01 |
| 2023-09-27 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | 2023-11-01 |
| 2022-03-08 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | 2022-04-22 |
| 2022-03-08 | 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 | 2022-04-22 |
| 2022-03-08 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2022-04-22 |
| 2022-03-08 | 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 | 2022-04-22 |
| 2022-03-08 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-04-22 |
| 2022-03-08 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2022-04-22 |
| 2022-03-08 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2022-04-22 |
| 2022-03-08 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2022-04-22 |
| 2022-03-08 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2022-04-22 |
| 2022-03-08 | Health | F0888 | Ensure staff are vaccinated for COVID-19 | D | 2022-04-22 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BLOODGOOD, MARY ELLEN | W-2 MANAGING EMPLOYEE | — | — | current | pecos_ownership |
| COLE, ANTOINETTE | W-2 MANAGING EMPLOYEE | — | — | current | pecos_ownership |
| LAVINE, PHYLLIS | CORPORATE OFFICER | — | 2010-01-01 | current | pecos_ownership |
| MALOFF, JON | CORPORATE OFFICER | — | 2010-01-01 | current | pecos_ownership |
| SCHEER, JEFF | CORPORATE OFFICER | — | 2010-01-01 | current | pecos_ownership |
| WOOD, ROBERT | CORPORATE OFFICER | — | 2012-10-29 | current | pecos_ownership |
| MARY ELLEN BLOODGOOD | CORPORATE DIRECTOR | 100% | — | ended 2026-05-18 | pecos_ownership |
| ANTOINETTE COLE | W-2 MANAGING EMPLOYEE | 0% | — | ended 2026-05-18 | pecos_ownership |
| JEFF SCHEER | CORPORATE OFFICER | 0% | 2010-01-01 | ended 2026-05-18 | pecos_ownership |
| JON MALOFF | CORPORATE OFFICER | 0% | 2010-01-01 | ended 2026-05-18 | pecos_ownership |
| PHYLLIS LAVINE | CORPORATE OFFICER | 0% | 2010-01-01 | ended 2026-05-18 | pecos_ownership |
| ROBERT WOOD | CORPORATE OFFICER | 0% | 2012-10-29 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-06-01 | PINE FOREST CARE CENTER FOR REHAB & HEALTHCARE | — | — | — | 76 | HILAIRE CARE NETWORK LLC |
| 2024-05-17 | Fairport Rehabilitation and Nursing Center | — | — | — | 196 | FAIRPORT SNF LLC |
| 2024-05-09 | MARIA REGINA REHABILITATION AND NURSING | — | — | — | 188 | OPTIMA CARE BRENTWOOD LLC |
| 2024-02-01 | TUPPER LAKE CENTER FOR NURSING AND REHABILITATION | — | — | — | 60 | TUPPER LAKE CENTER LLC |
| 2023-08-31 | WEST VILLAGE REHABILITATION AND NURSING CENTER | — | — | — | 105 | VILLAGE ACQUISITION I LLC |
| 2023-06-23 | Crest Manor Living and Rehabilitation Center | — | — | — | 80 | CREST OPCO LLC |
| 2023-06-23 | East Side Nursing Home | — | — | — | 80 | EASTSIDE OPCO LLC |
| 2023-05-05 | SPRINGVALE NURSING & REHABILITATION CENTER | — | — | — | 200 | THE PREMIER CENTER FOR REHABILITATION OF WESTCHESTER LLC |
| 2023-04-21 | LIVINGSTON HILLS NURSING AND REHABILITATION CENTER | — | — | — | 120 | LIVINGSTON TWO OPERATIONS LLC |
| 2023-01-12 | EDEN REHABILITATION NURSING CENTER | — | — | — | 40 | EDRNC OPERATING LLC |
| 2023-01-01 | DUNKIRK REHABILITATION & NURSING CENTER | — | — | — | 40 | DURNC OPERATING LLC |
| 2022-09-12 | ROSS CENTER FOR NURSING AND REHABILITATION | — | — | — | 135 | ROSS OPCO LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 36067 | acs median gross | 0 | $786 | 2024-12-31 | CENSUS_ACS5 |
| county 36067 | fmr | 0 | $995 | 2025-10-01 | HUD_USER_FMR |
| county 36067 | acs median gross | 1 | $924 | 2024-12-31 | CENSUS_ACS5 |
| county 36067 | fmr | 1 | $1,123 | 2025-10-01 | HUD_USER_FMR |
| county 36067 | acs median gross | 2 | $1,164 | 2024-12-31 | CENSUS_ACS5 |
| county 36067 | fmr | 2 | $1,392 | 2025-10-01 | HUD_USER_FMR |
| county 36067 | acs median gross | 3 | $1,313 | 2024-12-31 | CENSUS_ACS5 |
| county 36067 | fmr | 3 | $1,691 | 2025-10-01 | HUD_USER_FMR |
| county 36067 | acs median gross | 4 | $1,354 | 2024-12-31 | CENSUS_ACS5 |
| county 36067 | fmr | 4 | $1,848 | 2025-10-01 | HUD_USER_FMR |
| county 36067 | acs median gross | 5 | $1,295 | 2024-12-31 | CENSUS_ACS5 |
| county 36067 | acs median gross | $1,108 | 2024-12-31 | CENSUS_ACS5 | |
| county 36067 | acs recent mover gross | $1,309 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 13214 | acs median gross | 2 | $1,114 | 2024-12-31 | CENSUS_ACS5 |
| zcta 13214 | acs median gross | 3 | $1,240 | 2024-12-31 | CENSUS_ACS5 |
| zcta 13214 | acs median gross | 4 | $2,250 | 2024-12-31 | CENSUS_ACS5 |
| zcta 13214 | acs median gross | $1,141 | 2024-12-31 | CENSUS_ACS5 | |
| zip 13214 | payment standard 110 | 0 | $1,067 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13214 | payment standard 90 | 0 | $873 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13214 | safmr | 0 | $970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13214 | payment standard 110 | 1 | $1,210 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13214 | payment standard 90 | 1 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13214 | safmr | 1 | $1,100 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13214 | payment standard 110 | 2 | $1,496 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13214 | payment standard 90 | 2 | $1,224 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13214 | safmr | 2 | $1,360 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13214 | payment standard 110 | 3 | $1,815 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13214 | payment standard 90 | 3 | $1,485 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13214 | safmr | 3 | $1,650 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13214 | payment standard 110 | 4 | $1,991 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13214 | payment standard 90 | 4 | $1,629 | 2025-10-01 | HUD_USER_SAFMR |
| zip 13214 | safmr | 4 | $1,810 | 2025-10-01 | HUD_USER_SAFMR |