Composite
68.1 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 90.6 | 78.3 | 0.30 | 0.2308 | 20.91 | in index |
| regulatory risk | 88.3 | 85.7 | 0.30 | 0.2308 | 20.38 | in index |
| staffing risk | 39.5 | 39.6 | 0.25 | 0.1923 | 7.60 | in index |
| chow risk | 54.8 | 54.0 | 0.15 | 0.1154 | 6.32 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.2308 | 0.00 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 0.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.9 | 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 | 83.1 | F | v0.6 | default · in composite | |
| financial risk | 78.3 | D | 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 | 6.4 | — | 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 | 85.7 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 39.6 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 63.2 | 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 | 43.2 | 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 | 61.7 | 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 | 79.7 | D | 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 | 85.6 | 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 | 85.6 | 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 | 39.6 | B | 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 | 39.6 | B | 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 | |
|---|---|---|---|
| Occupancy | 0.45 | +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 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 3.46 | -0.08 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.45 | +1.28 | |
| Chain size (log) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Deficiencies, last 12 months | 6.00 | +0.32 | |
| Staffing trend, last 4 quarters | -0.60 | -0.31 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 |
| 2025Q4 HPRD | This facility | LA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.46 | 3.38 | 3.28 | 2.90–3.77 |
| RN | 0.17 | 0.10 | 0.39 | 0.25–0.58 |
| Weekend total | 2.85 | 3.09 | 3.11 | — |
| Weekday total | 3.70 | 3.48 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 40.5 | 3.46 | 0.17 | 0.92 | 2.36 | 2.85 | 4.4% |
| 2025Q3 | 92 | 38.5 | 3.80 | 0.18 | 1.01 | 2.61 | 3.42 | 5.6% |
| 2025Q2 | 91 | 37.4 | 4.04 | 0.07 | 1.00 | 2.98 | 3.54 | 2.8% |
| 2025Q1 | 90 | 35.1 | 3.85 | 0.07 | 1.04 | 2.73 | 3.65 | 3.8% |
| 2024Q4 | 92 | 37.3 | 4.06 | 0.09 | 1.09 | 2.88 | 3.54 | 3.4% |
| 2024Q3 | 92 | 39.1 | 3.65 | 0.08 | 1.08 | 2.48 | 3.03 | 3.0% |
| 2024Q2 | 91 | 34.5 | 3.80 | 0.13 | 1.20 | 2.47 | 3.11 | 3.6% |
| 2024Q1 | 91 | 37.4 | 3.39 | 0.06 | 1.24 | 2.09 | 2.56 | 5.9% |
| 2023Q4 | 92 | 39.6 | 3.33 | 0.06 | 0.93 | 2.34 | 2.75 | 8.5% |
| 2023Q3 | 92 | 40.6 | 3.51 | 0.06 | 1.14 | 2.31 | 2.87 | 4.3% |
| 2023Q2 | 91 | 40.6 | 3.38 | 0.05 | 0.99 | 2.34 | 2.60 | 0.0% |
| 2023Q1 | 90 | 40.0 | 2.06 | 0.04 | 0.59 | 1.43 | 1.43 | 0.3% |
| 2022Q4 | 92 | 44.5 | 3.26 | 0.04 | 0.90 | 2.32 | 2.50 | 0.3% |
| 2022Q3 | 92 | 44.3 | 3.27 | 0.03 | 0.90 | 2.35 | 2.62 | 0.0% |
| 2022Q2 | 91 | 46.0 | 3.12 | 0.05 | 0.84 | 2.23 | 2.46 | 0.0% |
| 2022Q1 | 90 | 44.5 | 3.33 | 0.05 | 0.99 | 2.29 | 2.65 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-03-25 | Fine | $38,805 | CMS provider data |
| 2023-09-25 | Fine | $4,545 | CMS provider data |
| 2023-09-18 | Fine | $4,545 | CMS provider data |
| 2023-09-11 | Fine | $4,545 | CMS provider data |
| 2023-09-05 | Fine | $4,545 | CMS provider data |
| 2023-08-28 | Fine | $4,545 | CMS provider data |
| 2023-08-21 | Fine | $4,545 | CMS provider data |
| 2023-08-14 | Fine | $4,545 | CMS provider data |
| 2023-08-07 | Fine | $4,545 | CMS provider data |
| 2023-07-17 | Fine | $13,635 | CMS provider data |
| 2023-06-26 | Fine | $4,545 | CMS provider data |
| 2023-06-20 | Fine | $4,545 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-08-27 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2025-09-08 |
| 2025-08-27 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2025-09-01 |
| 2025-08-27 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-09-17 |
| 2025-08-27 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | 2025-09-01 |
| 2025-08-27 | Health | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | 2025-09-01 |
| 2025-08-27 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-09-01 |
| 2024-08-27 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-09-17 |
| 2024-07-17 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2024-08-30 |
| 2024-07-17 | 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 | 2024-08-30 |
| 2024-07-17 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-08-30 |
| 2024-07-17 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | 2024-08-30 |
| 2024-07-17 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | 2024-08-30 |
| 2024-07-17 | 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 | 2024-08-30 |
| 2024-07-17 | 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 | 2024-08-30 |
| 2024-07-17 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-08-30 |
| 2024-07-17 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2024-08-30 |
| 2024-07-17 | Health | F0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | E | 2024-08-30 |
| 2024-07-17 | 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 | 2024-08-30 |
| 2024-07-17 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-08-30 |
| 2024-07-17 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | 2024-08-30 |
| 2024-07-17 | Health | F0908 | Keep all essential equipment working safely. | E | 2024-08-30 |
| 2024-07-17 | 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. | E | 2024-08-30 |
| 2024-03-25 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-04-08 |
| 2024-03-25 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J | 2024-04-08 |
| 2024-01-23 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-02-19 |
| 2023-12-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-01-06 |
| 2023-09-20 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2023-11-04 |
| 2023-09-20 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2023-11-04 |
| 2023-09-20 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2023-11-04 |
| 2023-09-20 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2023-11-04 |
| 2023-09-20 | 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 | 2023-11-04 |
| 2023-09-20 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-11-04 |
| 2023-09-20 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | E | 2023-11-04 |
| 2023-09-20 | 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. | E | 2023-11-04 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| DAVIS, EDDYE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | 2003-07-01 | current | pecos_ownership |
| WILSON, ANTHONY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 13% | 2003-07-01 | current | pecos_ownership |
| DAVIS, FAITH MARIE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% | 2003-07-01 | current | pecos_ownership |
| HOWELL, MICHELLE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% | 2003-07-01 | current | pecos_ownership |
| EDDYE DAVIS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | 2003-07-01 | ended 2026-05-18 | pecos_ownership |
| ANTHONY WILSON | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 13% | 2003-07-01 | ended 2026-05-18 | pecos_ownership |
| FAITH MARIE DAVIS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% | 2003-07-01 | ended 2026-05-18 | pecos_ownership |
| MICHELLE HOWELL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% | 2003-07-01 | ended 2026-05-18 | pecos_ownership |
| 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 22073 | acs median gross | 0 | $656 | 2024-12-31 | CENSUS_ACS5 |
| county 22073 | fmr | 0 | $765 | 2025-10-01 | HUD_USER_FMR |
| county 22073 | acs median gross | 1 | $751 | 2024-12-31 | CENSUS_ACS5 |
| county 22073 | fmr | 1 | $793 | 2025-10-01 | HUD_USER_FMR |
| county 22073 | acs median gross | 2 | $924 | 2024-12-31 | CENSUS_ACS5 |
| county 22073 | fmr | 2 | $1,026 | 2025-10-01 | HUD_USER_FMR |
| county 22073 | acs median gross | 3 | $1,110 | 2024-12-31 | CENSUS_ACS5 |
| county 22073 | fmr | 3 | $1,319 | 2025-10-01 | HUD_USER_FMR |
| county 22073 | acs median gross | 4 | $962 | 2024-12-31 | CENSUS_ACS5 |
| county 22073 | fmr | 4 | $1,358 | 2025-10-01 | HUD_USER_FMR |
| county 22073 | acs median gross | $959 | 2024-12-31 | CENSUS_ACS5 | |
| county 22073 | acs recent mover gross | $1,177 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 71203 | acs median gross | 0 | $1,618 | 2024-12-31 | CENSUS_ACS5 |
| zcta 71203 | acs median gross | 1 | $837 | 2024-12-31 | CENSUS_ACS5 |
| zcta 71203 | acs median gross | 2 | $1,042 | 2024-12-31 | CENSUS_ACS5 |
| zcta 71203 | acs median gross | 3 | $1,235 | 2024-12-31 | CENSUS_ACS5 |
| zcta 71203 | acs median gross | 4 | $971 | 2024-12-31 | CENSUS_ACS5 |
| zcta 71203 | acs median gross | $1,042 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 71203 | acs recent mover gross | $1,328 | 2024-12-31 | CENSUS_ACS5 | |
| zip 71203 | payment standard 110 | 0 | $891 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71203 | payment standard 90 | 0 | $729 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71203 | safmr | 0 | $810 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71203 | payment standard 110 | 1 | $924 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71203 | payment standard 90 | 1 | $756 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71203 | safmr | 1 | $840 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71203 | payment standard 110 | 2 | $1,199 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71203 | payment standard 90 | 2 | $981 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71203 | safmr | 2 | $1,090 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71203 | payment standard 110 | 3 | $1,540 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71203 | payment standard 90 | 3 | $1,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71203 | safmr | 3 | $1,400 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71203 | payment standard 110 | 4 | $1,584 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71203 | payment standard 90 | 4 | $1,296 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71203 | safmr | 4 | $1,440 | 2025-10-01 | HUD_USER_SAFMR |