Composite
61.2 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 83.1 | 54.9 | 0.30 | 0.2308 | 19.18 | in index |
| regulatory risk | 70.4 | 65.4 | 0.30 | 0.2308 | 16.25 | in index |
| staffing risk | 30.5 | 30.6 | 0.25 | 0.1923 | 5.87 | in index |
| chow risk | 49.3 | 47.4 | 0.15 | 0.1154 | 5.69 | in index |
| financial risk | 24.3 | 30.1 | 0.30 | 0.2308 | 5.61 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 54.9 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | 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 | 69.9 | D | v0.6 | default · in composite | |
| financial risk | 30.1 | B | 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 | 6.7 | — | 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 | 65.4 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 30.6 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 58.8 | 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 | 38.8 | 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 | 30.7 | 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 | 36.1 | 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 | 65.3 | 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 | 65.3 | 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 | 30.6 | 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 | 30.6 | 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 | |
|---|---|---|---|
| Chain size (log) | 5.31 | +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 | |
| Occupancy | 0.83 | -0.39 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 3.65 | -0.12 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 5.31 | -1.89 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 4.00 | +0.69 | |
| Fine amount, 12m (log) | 9.50 | -0.52 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.83 | -0.36 | |
| Total nurse staffing (HPRD) | 3.65 | -0.18 | |
| Never sold on record | 1.00 | +0.12 |
| 2025Q4 HPRD | This facility | HI median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.65 | 4.00 | 3.28 | 2.90–3.77 |
| RN | 1.33 | 1.24 | 0.39 | 0.25–0.58 |
| Weekend total | 3.39 | 3.78 | 3.11 | — |
| Weekday total | 3.75 | 4.04 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 100.0 | 3.65 | 1.33 | 0.37 | 1.95 | 3.39 | 0.0% |
| 2025Q3 | 92 | 93.3 | 3.64 | 1.28 | 0.38 | 1.98 | 3.34 | 2.3% |
| 2025Q2 | 91 | 89.5 | 3.65 | 1.31 | 0.41 | 1.93 | 3.39 | 1.0% |
| 2025Q1 | 90 | 91.8 | 3.63 | 1.25 | 0.43 | 1.96 | 3.35 | 0.8% |
| 2024Q4 | 92 | 89.8 | 3.80 | 1.26 | 0.42 | 2.11 | 3.52 | 0.0% |
| 2024Q3 | 92 | 88.2 | 3.90 | 1.29 | 0.41 | 2.20 | 3.70 | 0.0% |
| 2024Q2 | 91 | 87.3 | 3.88 | 1.26 | 0.46 | 2.16 | 3.69 | 0.0% |
| 2024Q1 | 91 | 87.6 | 3.84 | 1.27 | 0.41 | 2.16 | 3.69 | 0.0% |
| 2023Q4 | 92 | 90.8 | 3.58 | 1.19 | 0.39 | 2.00 | 3.50 | 0.0% |
| 2023Q3 | 92 | 90.3 | 3.66 | 1.13 | 0.43 | 2.10 | 3.48 | 0.1% |
| 2023Q2 | 91 | 86.8 | 3.66 | 1.23 | 0.40 | 2.03 | 3.43 | 0.6% |
| 2023Q1 | 90 | 88.4 | 3.39 | 1.23 | 0.40 | 1.77 | 3.19 | 0.7% |
| 2022Q4 | 92 | 82.8 | 3.23 | 1.19 | 0.47 | 1.56 | 3.08 | 0.7% |
| 2022Q3 | 92 | 83.5 | 3.41 | 1.28 | 0.34 | 1.79 | 3.30 | 0.0% |
| 2022Q2 | 91 | 83.9 | 3.50 | 1.32 | 0.33 | 1.85 | 3.35 | 0.0% |
| 2022Q1 | 90 | 78.0 | 3.55 | 1.38 | 0.36 | 1.81 | 3.41 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2026-03-16 | Fine | $13,343 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-24 | 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 | — |
| 2026-04-24 | 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 | — |
| 2026-04-24 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | — |
| 2026-04-24 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | — |
| 2025-04-03 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-05-16 |
| 2025-04-03 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-05-16 |
| 2025-04-03 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-05-16 |
| 2025-04-03 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-05-16 |
| 2025-04-03 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-05-16 |
| 2025-04-03 | 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. | D | 2025-05-16 |
| 2025-04-03 | 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 | 2025-05-16 |
| 2025-04-03 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2025-05-16 |
| 2025-04-03 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2025-05-16 |
| 2024-04-26 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2024-06-07 |
| 2024-04-26 | 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 | 2024-06-07 |
| 2024-04-26 | 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 | 2024-06-07 |
| 2024-04-26 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-06-07 |
| 2024-04-26 | 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 | 2024-06-07 |
| 2024-04-26 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-06-07 |
| 2024-04-26 | 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 | 2024-06-20 |
| 2024-04-26 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-06-20 |
| 2024-04-26 | 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 | 2024-06-07 |
| 2024-04-26 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-06-07 |
| 2024-04-26 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-06-07 |
| 2024-04-26 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-06-07 |
| 2023-05-05 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2023-06-09 |
| 2023-05-05 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2023-06-09 |
| 2023-05-05 | 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 | 2023-06-09 |
| 2023-05-05 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-06-09 |
| 2023-05-05 | 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 | 2023-06-09 |
| 2023-05-05 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-06-09 |
| 2023-05-05 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2023-06-09 |
| 2023-05-05 | Health | F0713 | Provide or arrange emergency care by a doctor 24 hours a day. | D | 2023-06-09 |
| 2023-05-05 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-06-09 |
| 2023-05-05 | 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. | E | 2023-06-09 |
| 2023-05-05 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-06-09 |
| 2023-05-05 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2023-06-09 |
| 2023-05-05 | Health | F0908 | Keep all essential equipment working safely. | D | 2023-06-09 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| KELLETT, STILES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 29% | 1997-06-02 | current | pecos_ownership |
| KELLETT PARTNERS LP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | 2008-09-01 | current | pecos_ownership |
| PARTEE, LESLIE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 7% | 2009-01-01 | current | pecos_ownership |
| KENNEDY, DEBORAH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | 2009-01-01 | current | pecos_ownership |
| LEUNG, ALBERT | OPERATIONAL/MANAGERIAL CONTROL | — | 2002-05-01 | current | pecos_ownership |
| LEUNG, ALBERT | ADP OF THE SNF | — | 2025-12-02 | current | pecos_ownership |
| LIFE CARE CENTERS OF AMERICA, INC. | OPERATIONAL/MANAGERIAL CONTROL | — | 2000-05-01 | current | pecos_ownership |
| LIFE CARE CENTERS OF AMERICA, INC. | ADP OF THE SNF | — | 2025-12-02 | current | pecos_ownership |
| REYES-CADAY, JENALYN | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-02-18 | current | pecos_ownership |
| SAMUEL B KELLET QTIP MRTL TR | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 44% | 2025-01-01 | ended 2026-05-18 | pecos_ownership |
| STILES KELLETT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 29% | 1997-06-02 | ended 2026-05-18 | pecos_ownership |
| LESLIE PARTEE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 7% | 2009-01-01 | ended 2026-05-18 | pecos_ownership |
| DEBORAH KENNEDY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | 2009-01-01 | ended 2026-05-18 | pecos_ownership |
| ALBERT LEUNG | ADP OF THE SNF | — | 2025-12-02 | ended 2026-05-18 | pecos_ownership |
| ALBERT LEUNG | OPERATIONAL/MANAGERIAL CONTROL | — | 2002-05-01 | ended 2026-05-18 | pecos_ownership |
| JENALYN REYES-CADAY | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-02-18 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2023-03-01 | HALE NANI REHABILITATION AND NURSING CENTER | — | — | — | 288 | HALE NANI REHAB & NURSING CENTER LLC |
| 2023-02-01 | PEARL CITY POST ACUTE | — | — | — | 122 | PSH PEARL CITY LLC |
| 2023-02-01 | Kulana Malama | — | — | — | 33 | PSH KM LLC |
| 2023-02-01 | OAHU CARE FACILITY | — | — | — | 82 | PSH OAHU LLC |
| 2020-12-18 | NUUANU HALE | — | — | — | 75 | NUUANU HALE, INC |
| 2019-12-31 | LEGACY HILO REHABILITATION & NURSING CENTER | — | — | — | 100 | HILO SNF LLC |
| 2017-07-01 | LANAI COMMUNITY HOSPITAL | — | — | — | 10 | MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC |
| 2017-07-01 | KULA HOSPITAL | — | — | — | 105 | MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 15003 | acs median gross | 0 | $1,458 | 2024-12-31 | CENSUS_ACS5 |
| county 15003 | fmr | 0 | $1,877 | 2025-10-01 | HUD_USER_FMR |
| county 15003 | acs median gross | 1 | $1,605 | 2024-12-31 | CENSUS_ACS5 |
| county 15003 | fmr | 1 | $2,016 | 2025-10-01 | HUD_USER_FMR |
| county 15003 | acs median gross | 2 | $2,086 | 2024-12-31 | CENSUS_ACS5 |
| county 15003 | fmr | 2 | $2,642 | 2025-10-01 | HUD_USER_FMR |
| county 15003 | acs median gross | 3 | $2,948 | 2024-12-31 | CENSUS_ACS5 |
| county 15003 | fmr | 3 | $3,674 | 2025-10-01 | HUD_USER_FMR |
| county 15003 | acs median gross | 4 | $3,443 | 2024-12-31 | CENSUS_ACS5 |
| county 15003 | fmr | 4 | $4,432 | 2025-10-01 | HUD_USER_FMR |
| county 15003 | acs median gross | 5 | $3,057 | 2024-12-31 | CENSUS_ACS5 |
| county 15003 | acs median gross | $2,083 | 2024-12-31 | CENSUS_ACS5 | |
| county 15003 | acs recent mover gross | $2,457 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 96707 | acs median gross | 1 | $1,305 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96707 | acs median gross | 2 | $2,299 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96707 | acs median gross | 3 | $3,370 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96707 | acs median gross | 4 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96707 | acs median gross | 5 | $1,208 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96707 | acs median gross | $2,434 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 96707 | acs recent mover gross | $2,935 | 2024-12-31 | CENSUS_ACS5 | |
| zip 96707 | payment standard 110 | 0 | $2,530 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96707 | payment standard 90 | 0 | $2,070 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96707 | safmr | 0 | $2,300 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96707 | payment standard 110 | 1 | $2,717 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96707 | payment standard 90 | 1 | $2,223 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96707 | safmr | 1 | $2,470 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96707 | payment standard 110 | 2 | $3,564 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96707 | payment standard 90 | 2 | $2,916 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96707 | safmr | 2 | $3,240 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96707 | payment standard 110 | 3 | $4,961 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96707 | payment standard 90 | 3 | $4,059 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96707 | safmr | 3 | $4,510 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96707 | payment standard 110 | 4 | $5,984 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96707 | payment standard 90 | 4 | $4,896 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96707 | safmr | 4 | $5,440 | 2025-10-01 | HUD_USER_SAFMR |