Composite
51.4 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| staffing risk | 84.0 | 84.0 | 0.25 | 0.1923 | 16.15 | in index |
| regulatory risk | 56.8 | 47.0 | 0.30 | 0.2308 | 13.11 | in index |
| billing conduct | 50.7 | 39.6 | 0.30 | 0.2308 | 11.70 | in index |
| financial risk | 31.2 | 34.6 | 0.30 | 0.2308 | 7.20 | in index |
| chow risk | 6.9 | 12.4 | 0.15 | 0.1154 | 0.80 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 39.6 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.2 | 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 | 0.7 | A | v0.6 | default · in composite | |
| financial risk | 34.6 | B | 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 | 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 | 47.0 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 84.0 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 94.0 | F | 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 | 74.0 | D | 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 | 30.8 | 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 | 40.6 | 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 | 46.9 | 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 | 46.9 | 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 | 84.0 | F | 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 | 84.0 | F | 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) | 4.77 | -1.38 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| High-severity deficiencies, 12m | 3.00 | +0.14 | |
| Deficiencies, last 12 months | 11.00 | +0.10 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 11.00 | -0.61 | |
| 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 | |
| Occupancy | 0.69 | +0.23 | |
| Current owner tenure (years) | 4.77 | -0.22 |
| 2025Q4 HPRD | This facility | WI median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.72 | 3.60 | 3.28 | 2.90–3.77 |
| RN | 0.00 | 0.64 | 0.39 | 0.25–0.58 |
| Weekend total | 2.65 | 3.49 | 3.11 | — |
| Weekday total | 2.74 | 3.65 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 34.7 | 2.72 | 0.00 | 0.86 | 1.86 | 2.65 | 1.1% |
| 2025Q3 | 92 | 32.5 | 3.20 | 0.17 | 1.00 | 2.03 | 2.81 | 0.6% |
| 2025Q2 | 91 | 31.0 | 3.30 | 0.26 | 0.95 | 2.09 | 2.83 | 10.1% |
| 2025Q1 | 90 | 33.3 | 2.85 | 0.25 | 0.91 | 1.69 | 2.56 | 10.1% |
| 2024Q4 | 92 | 33.3 | 2.79 | 0.32 | 0.82 | 1.65 | 2.47 | 6.2% |
| 2024Q3 | 92 | 31.6 | 2.90 | 0.37 | 0.84 | 1.69 | 2.54 | 15.8% |
| 2024Q2 | 91 | 32.1 | 2.84 | 0.39 | 0.74 | 1.72 | 2.54 | 15.8% |
| 2024Q1 | 91 | 31.5 | 2.82 | 0.20 | 0.85 | 1.77 | 2.66 | 15.3% |
| 2023Q4 | 92 | 32.1 | 2.70 | 0.14 | 0.88 | 1.68 | 2.47 | 19.7% |
| 2023Q3 | 92 | 33.6 | 2.79 | 0.20 | 0.91 | 1.68 | 2.52 | 8.4% |
| 2023Q2 | 91 | 32.6 | 2.10 | 0.19 | 0.57 | 1.34 | 2.01 | 0.0% |
| 2023Q1 | 90 | 32.7 | 2.35 | 0.01 | 0.70 | 1.64 | 2.24 | 0.0% |
| 2022Q3 | 92 | 33.8 | 2.08 | 0.18 | 0.70 | 1.20 | 2.16 | 0.0% |
| 2022Q2 | 91 | 30.0 | 2.23 | 0.01 | 0.92 | 1.31 | 2.10 | 0.0% |
| 2022Q1 | 90 | 30.7 | 2.18 | 0.08 | 0.91 | 1.20 | 2.24 | 0.0% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-30 | 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. | D | — |
| 2026-04-30 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | — |
| 2026-04-30 | Health · complaint | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | — |
| 2026-04-30 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | — |
| 2026-03-28 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-04-23 |
| 2026-03-28 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2026-04-23 |
| 2026-03-28 | 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. | F | 2026-04-23 |
| 2026-03-28 | Health · complaint | 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. | L | 2026-04-23 |
| 2026-03-28 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | G | 2026-04-23 |
| 2026-03-28 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-04-23 |
| 2026-03-28 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2026-04-23 |
| 2025-05-21 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-06-12 |
| 2025-05-21 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-06-12 |
| 2025-05-21 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-05-29 |
| 2025-05-21 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2025-06-12 |
| 2025-05-21 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-06-13 |
| 2024-11-18 | Health · complaint | F0814 | Dispose of garbage and refuse properly. | C | 2024-11-21 |
| 2024-03-27 | Health | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2024-04-16 |
| 2024-03-27 | 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 | 2024-03-27 |
| 2024-03-27 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-03-27 |
| 2024-03-27 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | 2024-04-16 |
| 2024-03-27 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-04-16 |
| 2024-03-27 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-03-27 |
| 2024-03-27 | Health | F0732 | Post nurse staffing information every day. | C | 2024-04-18 |
| 2024-03-27 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2024-04-19 |
| 2024-03-27 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2024-04-17 |
| 2024-03-27 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-04-17 |
| 2024-03-27 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-04-17 |
| 2024-03-27 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-04-20 |
| 2023-03-07 | Health | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2023-04-07 |
| 2023-03-07 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2023-04-07 |
| 2023-03-07 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2023-04-07 |
| 2023-03-07 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2023-04-07 |
| 2023-03-07 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2023-04-07 |
| 2023-03-07 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2023-04-07 |
| 2023-03-07 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-04-07 |
| 2023-03-07 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-04-07 |
| 2023-03-07 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2023-04-07 |
| 2023-03-07 | 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 | 2023-04-07 |
| 2023-03-07 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2023-04-07 |
| 2023-03-07 | 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 | 2023-04-07 |
| 2023-03-07 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-04-07 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BRANDMAN, JOSEPH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 40% | 2021-10-22 | current | pecos_ownership |
| REBEL, IGOR | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2021-10-22 | current | pecos_ownership |
| RHODE, ROSALINDA | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-04-01 | current | pecos_ownership |
| TOPPER, AARON | CORPORATE OFFICER | — | 2021-10-22 | current | pecos_ownership |
| WEBER, LISA | ADP OF THE SNF | — | 2021-10-01 | current | pecos_ownership |
| AARON TOPPER | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2021-10-22 | ended 2026-05-18 | pecos_ownership |
| JOSEPH BRANDMAN | CORPORATE OFFICER | 100% | 2021-10-22 | ended 2026-05-18 | pecos_ownership |
| IGOR REBEL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2021-10-22 | ended 2026-05-18 | pecos_ownership |
| LISA WEBER | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-10-01 | ended 2026-05-18 | pecos_ownership |
| ROSALINDA RHODE | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-04-01 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2021-10-22 | — | MANOR OF FOND DU LAC LLC | GOLDENHIGH LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-05-28 | Complete Care at Hales Corners | — | — | — | 62 | HALES CORNERS CARE AND REHAB CENTER LLC |
| 2025-05-28 | Complete Care at Care Age | — | — | — | 110 | CARE AGE OF BROOKFIELD CARE AND REHAB CENTER LLC |
| 2025-04-24 | Edenbrook Sheboygan | — | — | — | 121 | SHEBOYGAN SNF OPERATIONS, LLC |
| 2025-02-28 | Complete Care at Jefferson Meadows LLC | — | — | — | 102 | ST CLARE CARE AND REHAB CENTER LLC |
| 2025-02-28 | Complete Care at Christian Home LLC | — | — | — | 50 | CHRISTIAN HOME CARE AND REHAB CENTER LLC |
| 2025-02-01 | COLONIAL HEALTH SERVICES | — | — | — | 70 | NSH COLBY LLC |
| 2024-12-14 | CAREVIEW HEALTH AND REHAB OF MINOCQUA | — | — | — | 72 | CAREVIEW HEALTH AND REHAB OF MINOCQUA, LLC |
| 2024-11-01 | Wood Aven Health and Rehabilitation | — | — | — | 82 | RIVER HAWK HEALTHCARE LLC |
| 2024-07-01 | Samaritan Nursing and Rehab | — | — | — | 131 | SAMARITAN NURSING AND REHAB LLC |
| 2024-05-01 | DOVE HEALTHCARE - SPOONER | — | — | — | 50 | SPOONER REHABILITATION AND NURSING CENTER LLC |
| 2024-04-16 | MIDDLE RIVER HEALTH AND REHABILITATION CENTER | — | — | — | 86 | MIDDLE RIVER REHABILITATION LLC |
| 2024-01-25 | Serenity Spring Senior Living at Scandia Village | — | — | — | 50 | SISTER BAY SNF OPCO, LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 55039 | acs median gross | 0 | $584 | 2024-12-31 | CENSUS_ACS5 |
| county 55039 | fmr | 0 | $811 | 2025-10-01 | HUD_USER_FMR |
| county 55039 | acs median gross | 1 | $783 | 2024-12-31 | CENSUS_ACS5 |
| county 55039 | fmr | 1 | $946 | 2025-10-01 | HUD_USER_FMR |
| county 55039 | acs median gross | 2 | $1,024 | 2024-12-31 | CENSUS_ACS5 |
| county 55039 | fmr | 2 | $1,176 | 2025-10-01 | HUD_USER_FMR |
| county 55039 | acs median gross | 3 | $1,187 | 2024-12-31 | CENSUS_ACS5 |
| county 55039 | fmr | 3 | $1,522 | 2025-10-01 | HUD_USER_FMR |
| county 55039 | acs median gross | 4 | $1,333 | 2024-12-31 | CENSUS_ACS5 |
| county 55039 | fmr | 4 | $1,665 | 2025-10-01 | HUD_USER_FMR |
| county 55039 | acs median gross | 5 | $583 | 2024-12-31 | CENSUS_ACS5 |
| county 55039 | acs median gross | $960 | 2024-12-31 | CENSUS_ACS5 | |
| county 55039 | acs recent mover gross | $1,107 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 54935 | acs median gross | 0 | $577 | 2024-12-31 | CENSUS_ACS5 |
| zcta 54935 | acs median gross | 1 | $783 | 2024-12-31 | CENSUS_ACS5 |
| zcta 54935 | acs median gross | 2 | $960 | 2024-12-31 | CENSUS_ACS5 |
| zcta 54935 | acs median gross | 3 | $1,153 | 2024-12-31 | CENSUS_ACS5 |
| zcta 54935 | acs median gross | 4 | $1,355 | 2024-12-31 | CENSUS_ACS5 |
| zcta 54935 | acs median gross | 5 | $405 | 2024-12-31 | CENSUS_ACS5 |
| zcta 54935 | acs median gross | $885 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 54935 | acs recent mover gross | $1,098 | 2024-12-31 | CENSUS_ACS5 | |
| zip 54935 | payment standard 110 | 0 | $869 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54935 | payment standard 90 | 0 | $711 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54935 | safmr | 0 | $790 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54935 | payment standard 110 | 1 | $1,012 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54935 | payment standard 90 | 1 | $828 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54935 | safmr | 1 | $920 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54935 | payment standard 110 | 2 | $1,254 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54935 | payment standard 90 | 2 | $1,026 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54935 | safmr | 2 | $1,140 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54935 | payment standard 110 | 3 | $1,628 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54935 | payment standard 90 | 3 | $1,332 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54935 | safmr | 3 | $1,480 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54935 | payment standard 110 | 4 | $1,771 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54935 | payment standard 90 | 4 | $1,449 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54935 | safmr | 4 | $1,610 | 2025-10-01 | HUD_USER_SAFMR |