Composite
33.3 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| staffing risk | 65.2 | 65.2 | 0.25 | 0.1923 | 12.54 | in index |
| billing conduct | 52.1 | 40.2 | 0.30 | 0.2308 | 12.02 | in index |
| regulatory risk | 50.1 | 39.3 | 0.30 | 0.2308 | 11.56 | in index |
| financial risk | 16.9 | 24.8 | 0.30 | 0.2308 | 3.90 | in index |
| chow risk | 17.8 | 21.2 | 0.15 | 0.1154 | 2.05 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 40.2 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.5 | 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 | 17.9 | A | v0.6 | default · in composite | |
| financial risk | 24.8 | A | 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 | 1.9 | — | 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 | 39.3 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 65.2 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 55.3 | 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 | 35.3 | 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 | 34.0 | 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 | 30.9 | 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 | 39.1 | 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 | 39.1 | 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 | 65.2 | D | 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 | 65.2 | D | 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 | 0.96 | -0.76 | |
| 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 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 2.00 | -0.12 | |
| Contract staffing share | 0.00 | -0.10 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 2.00 | +1.06 | |
| Occupancy | 0.96 | -0.89 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Chain size (log) | 1.61 | +0.26 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 | |
| Staffing trend, last 4 quarters | 0.30 | +0.11 |
| 2025Q4 HPRD | This facility | OH median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.06 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.31 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 2.99 | 3.11 | 3.11 | — |
| Weekday total | 3.09 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 72.9 | 3.06 | 0.31 | 0.74 | 2.02 | 2.99 | 0.0% |
| 2025Q3 | 92 | 68.1 | 3.13 | 0.39 | 0.66 | 2.08 | 3.02 | 0.0% |
| 2025Q2 | 91 | 66.5 | 2.96 | 0.44 | 0.60 | 1.92 | 2.98 | 0.0% |
| 2025Q1 | 90 | 70.7 | 2.68 | 0.39 | 0.56 | 1.73 | 2.73 | 0.0% |
| 2024Q4 | 92 | 67.2 | 2.76 | 0.43 | 0.55 | 1.78 | 2.88 | 0.0% |
| 2024Q3 | 92 | 67.0 | 2.66 | 0.43 | 0.53 | 1.70 | 2.65 | 0.0% |
| 2024Q2 | 91 | 62.6 | 2.69 | 0.46 | 0.54 | 1.69 | 2.62 | 0.0% |
| 2024Q1 | 91 | 61.5 | 2.78 | 0.42 | 0.62 | 1.74 | 2.78 | 0.0% |
| 2023Q4 | 92 | 62.9 | 2.68 | 0.39 | 0.59 | 1.69 | 2.72 | 0.0% |
| 2023Q3 | 92 | 63.4 | 2.58 | 0.33 | 0.67 | 1.58 | 2.55 | 0.0% |
| 2023Q2 | 91 | 65.5 | 2.48 | 0.32 | 0.69 | 1.48 | 2.35 | 0.0% |
| 2023Q1 | 90 | 66.7 | 2.34 | 0.38 | 0.57 | 1.39 | 2.21 | 0.0% |
| 2022Q4 | 92 | 66.3 | 2.75 | 0.37 | 0.70 | 1.69 | 2.62 | 0.0% |
| 2022Q3 | 92 | 64.7 | 2.96 | 0.36 | 0.66 | 1.94 | 2.75 | 0.0% |
| 2022Q2 | 91 | 65.8 | 2.94 | 0.39 | 0.64 | 1.91 | 2.74 | 0.0% |
| 2022Q1 | 90 | 66.7 | 3.02 | 0.47 | 0.64 | 1.90 | 2.76 | 0.0% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-14 | Health · complaint | F0732 | Post nurse staffing information every day. | C | 2026-04-15 |
| 2026-04-14 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2026-04-15 |
| 2025-06-10 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-05-26 |
| 2024-10-03 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-10-17 |
| 2024-10-03 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2024-08-18 |
| 2024-10-03 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-10-17 |
| 2024-05-16 | 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 | 2024-06-06 |
| 2024-05-16 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-06-06 |
| 2024-05-16 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-06-06 |
| 2024-05-16 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2024-06-06 |
| 2024-05-16 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-06-06 |
| 2024-05-16 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-06-06 |
| 2024-05-16 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-06-06 |
| 2024-05-16 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-06-06 |
| 2024-05-16 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-06-06 |
| 2024-05-16 | 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. | D | 2024-06-06 |
| 2024-05-16 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2024-06-06 |
| 2024-05-16 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-06-06 |
| 2024-03-15 | Health · complaint | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | 2024-03-26 |
| 2024-03-15 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2024-03-26 |
| 2024-03-15 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-03-26 |
| 2023-11-07 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-11-21 |
| 2023-11-07 | Health · complaint | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | 2023-11-21 |
| 2023-11-07 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2023-11-21 |
| 2023-08-29 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2023-09-18 |
| 2023-04-20 | 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 | 2023-05-05 |
| 2023-04-20 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2023-05-05 |
| 2023-04-20 | 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 | 2023-05-05 |
| 2023-04-20 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2023-05-05 |
| 2023-04-20 | 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 | 2023-05-05 |
| 2023-04-20 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-05-05 |
| 2023-04-20 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-05-05 |
| 2023-04-20 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-05-05 |
| 2023-04-20 | Health | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2023-05-05 |
| 2023-04-20 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2023-05-05 |
| 2023-04-20 | 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. | D | 2023-05-05 |
| 2023-04-20 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2023-05-05 |
| 2023-04-20 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-05-05 |
| 2023-04-20 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-05-05 |
| 2021-05-20 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2021-06-10 |
| 2021-05-20 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2021-06-10 |
| 2021-05-20 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2021-06-10 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CCC II LTD | Corporation, partnership or other organization has financial interest in provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| CCC II LTD. | Corporation, partnership or other organization has financial interest in provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| HOLLAND, JOHN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 43% | 2012-01-23 | current | pecos_ownership |
| HOLLAND GROUP II, LTD | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | 2008-01-01 | current | pecos_ownership |
| HARRIS, JANET | OPERATIONAL/MANAGERIAL CONTROL | — | 2008-01-01 | current | pecos_ownership |
| HOLLAND GROUP II, LTD | ADP OF THE SNF | — | 2024-11-07 | current | pecos_ownership |
| HOLLAND-GRESCOCK, TERESA | ADP OF THE SNF | — | 2024-11-07 | current | pecos_ownership |
| HOLLAND, JOHN | ADP OF THE SNF | — | 2024-11-07 | current | pecos_ownership |
| CCC II LTD | Corporation, partnership or other organization has financial interest in provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| CCC II LTD | Corporation, partnership or other organization has financial interest in provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| CCC II LTD | Corporation, partnership or other organization has financial interest in provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| JOHN HOLLAND | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 43% | 2012-01-23 | ended 2026-05-18 | pecos_ownership |
| TERESA HOLLAND-GRESCOCK | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 43% | 2012-01-23 | ended 2026-05-18 | pecos_ownership |
| JANET HARRIS | CORPORATE OFFICER | — | 2008-01-01 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-12-31 | SAPPHIRE REHABILITATION AND CARE CENTER | — | — | — | 113 | SAPPHIRE OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF POINT PLACE | — | — | — | 82 | POINT PLACE OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF NEW LEXINGTON | — | — | — | 82 | NEW LEXINGTON OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | Atrium Nursing and Rehabilitation | — | — | — | 99 | ATRIUM OPCO LLC |
| 2024-12-31 | Inniswood Health and Rehabilitation | — | — | — | 99 | FHS INNISWOOD, INC. |
| 2024-12-31 | COMMUNITY SKILLED HEALTHCARE | — | — | — | 110 | CS OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF PERRYSBURG | — | — | — | 75 | PERRYSBURG OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | GRAFTON OAKS NURSING CENTER | — | — | — | 99 | GO OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF KENT | — | — | — | 74 | KENT OH HEALTH & REHAB OPCO LLC |
| 2024-12-30 | Chardon Woods | — | — | — | 161 | CHARDON WOODS OF JOURNEY LLC |
| 2024-12-16 | The Pavilion at Canal Fulton for Nursing and Rehab | — | — | — | 60 | PAVILION AT CANAL FULTON LLC |
| 2024-12-02 | BENNINGTON GLEN NURSING & REHABILITATION CENTER | — | — | — | 79 | FHS BENNINGTON INC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 39083 | acs median gross | 0 | $639 | 2024-12-31 | CENSUS_ACS5 |
| county 39083 | fmr | 0 | $824 | 2025-10-01 | HUD_USER_FMR |
| county 39083 | acs median gross | 1 | $758 | 2024-12-31 | CENSUS_ACS5 |
| county 39083 | fmr | 1 | $862 | 2025-10-01 | HUD_USER_FMR |
| county 39083 | acs median gross | 2 | $983 | 2024-12-31 | CENSUS_ACS5 |
| county 39083 | fmr | 2 | $1,078 | 2025-10-01 | HUD_USER_FMR |
| county 39083 | acs median gross | 3 | $1,064 | 2024-12-31 | CENSUS_ACS5 |
| county 39083 | fmr | 3 | $1,408 | 2025-10-01 | HUD_USER_FMR |
| county 39083 | acs median gross | 4 | $1,164 | 2024-12-31 | CENSUS_ACS5 |
| county 39083 | fmr | 4 | $1,427 | 2025-10-01 | HUD_USER_FMR |
| county 39083 | acs median gross | 5 | $970 | 2024-12-31 | CENSUS_ACS5 |
| county 39083 | acs median gross | $950 | 2024-12-31 | CENSUS_ACS5 | |
| county 39083 | acs recent mover gross | $1,054 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 43050 | acs median gross | 0 | $595 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43050 | acs median gross | 1 | $769 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43050 | acs median gross | 2 | $1,011 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43050 | acs median gross | 3 | $1,083 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43050 | acs median gross | 4 | $1,250 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43050 | acs median gross | $967 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 43050 | acs recent mover gross | $1,113 | 2024-12-31 | CENSUS_ACS5 | |
| zip 43050 | payment standard 110 | 0 | $891 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43050 | payment standard 90 | 0 | $729 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43050 | safmr | 0 | $810 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43050 | payment standard 110 | 1 | $957 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43050 | payment standard 90 | 1 | $783 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43050 | safmr | 1 | $870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43050 | payment standard 110 | 2 | $1,177 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43050 | payment standard 90 | 2 | $963 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43050 | safmr | 2 | $1,070 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43050 | payment standard 110 | 3 | $1,518 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43050 | payment standard 90 | 3 | $1,242 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43050 | safmr | 3 | $1,380 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43050 | payment standard 110 | 4 | $1,573 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43050 | payment standard 90 | 4 | $1,287 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43050 | safmr | 4 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |