Composite
93.1 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 89.6 | 77.0 | 0.30 | 0.2308 | 20.68 | in index |
| regulatory risk | 75.1 | 71.2 | 0.30 | 0.2308 | 17.33 | in index |
| billing conduct | 64.1 | 45.1 | 0.30 | 0.2308 | 14.79 | in index |
| staffing risk | 48.7 | 48.7 | 0.25 | 0.1923 | 9.37 | in index |
| chow risk | 62.2 | 61.4 | 0.15 | 0.1154 | 7.18 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 45.1 | 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 | 97.7 | F | v0.6 | default · in composite | |
| financial risk | 77.0 | D | 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 | 0.1 | — | 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 | 71.2 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 48.7 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 79.1 | 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 | 59.1 | 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 | 61.8 | 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 | 78.4 | 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 | 71.2 | 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 | 71.2 | 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 | 48.7 | 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 | 48.7 | 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 | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 4.57 | -1.40 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.52 | +0.52 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.14 | +0.26 | |
| Deficiencies, last 12 months | 15.00 | +0.19 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 15.00 | -1.35 | |
| Occupancy | 0.52 | +0.97 | |
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 3.14 | -0.62 | |
| 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 | |
| Current owner tenure (years) | 4.57 | -0.23 |
| 2025Q4 HPRD | This facility | IN median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.30 | 2.85 | 3.28 | 2.90–3.77 |
| RN | 0.51 | 0.40 | 0.39 | 0.25–0.58 |
| Weekend total | 3.14 | 2.71 | 3.11 | — |
| Weekday total | 3.36 | 2.90 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 32.1 | 3.30 | 0.51 | 1.15 | 1.64 | 3.14 | 0.0% |
| 2025Q3 | 92 | 32.0 | 3.49 | 0.55 | 1.14 | 1.81 | 3.45 | 0.0% |
| 2025Q2 | 91 | 38.3 | 3.30 | 0.54 | 0.94 | 1.82 | 2.90 | 0.0% |
| 2025Q1 | 90 | 38.4 | 2.97 | 0.57 | 0.76 | 1.65 | 2.71 | 0.0% |
| 2024Q4 | 92 | 33.7 | 3.08 | 0.57 | 0.88 | 1.64 | 3.00 | 0.0% |
| 2024Q3 | 92 | 33.4 | 3.40 | 0.65 | 0.85 | 1.90 | 3.22 | 0.0% |
| 2024Q2 | 91 | 35.9 | 3.14 | 0.52 | 0.79 | 1.83 | 2.92 | 0.0% |
| 2024Q1 | 91 | 38.2 | 2.98 | 0.59 | 0.78 | 1.61 | 2.80 | 0.0% |
| 2023Q4 | 92 | 34.9 | 2.79 | 0.59 | 0.67 | 1.53 | 2.48 | 2.3% |
| 2023Q3 | 92 | 32.4 | 0.28 | 0.19 | 0.08 | 0.01 | 0.33 | 0.0% |
| 2023Q2 | 91 | 28.1 | 3.40 | 0.79 | 0.83 | 1.79 | 3.20 | 0.0% |
| 2023Q1 | 90 | 25.6 | 3.74 | 0.52 | 1.13 | 2.09 | 3.34 | 0.0% |
| 2022Q1 | 90 | 17.7 | 3.64 | 0.52 | 1.08 | 2.03 | 3.70 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-08-09 | Fine | $8,021 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-29 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2026-05-18 |
| 2026-04-29 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-05-18 |
| 2026-04-29 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-05-18 |
| 2026-01-08 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-02-17 |
| 2026-01-08 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2026-02-17 |
| 2026-01-08 | Health | F0583 | Keep residents' personal and medical records private and confidential. | E | 2026-02-17 |
| 2026-01-08 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-02-17 |
| 2026-01-08 | Health | F0680 | Ensure the activities program is directed by a qualified professional. | E | 2026-02-17 |
| 2026-01-08 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2026-02-17 |
| 2026-01-08 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-02-17 |
| 2026-01-08 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2026-02-17 |
| 2026-01-08 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2026-02-17 |
| 2026-01-08 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2026-02-17 |
| 2025-10-09 | Health · complaint | 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 | 2025-11-12 |
| 2025-08-28 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-09-26 |
| 2025-02-19 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-03-07 |
| 2024-11-01 | 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 | 2024-11-28 |
| 2024-11-01 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-11-28 |
| 2024-11-01 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-11-28 |
| 2024-11-01 | 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. | E | 2024-11-28 |
| 2024-11-01 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-11-28 |
| 2024-11-01 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-11-28 |
| 2024-11-01 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2024-11-28 |
| 2024-11-01 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2024-11-28 |
| 2024-09-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-09-12 |
| 2024-08-09 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | D | 2024-08-19 |
| 2024-01-08 | 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 | 2024-02-02 |
| 2024-01-08 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2024-02-02 |
| 2024-01-08 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-02-02 |
| 2024-01-08 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-02-02 |
| 2024-01-08 | 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 | 2024-02-02 |
| 2024-01-08 | 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 | 2024-02-02 |
| 2024-01-08 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-02-02 |
| 2024-01-08 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-02-02 |
| 2024-01-08 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2024-02-02 |
| 2024-01-08 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2024-02-02 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| PULASKI MEMORIAL HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-01-01 | current | pecos_ownership |
| CARE PROPERTY III | Other (financial or non-financial) | — | 2023-01-01 | current | hcris_a_8_1 |
| CARE PROPERTY IV | Other (financial or non-financial) | — | 2024-01-01 | current | hcris_a_8_1 |
| JAROSINSKI, STEPHEN | CORPORATE OFFICER | — | 2022-01-01 | current | pecos_ownership |
| MALOTT, GREGG | CORPORATE OFFICER | — | 2022-01-01 | current | pecos_ownership |
| WALKER, NATALIE | CONTRACTED MANAGING EMPLOYEE | — | 2022-01-01 | current | pecos_ownership |
| GREGG MALOTT | CORPORATE OFFICER | 100% | 2022-01-01 | ended 2026-05-18 | pecos_ownership |
| NATALIE WALKER | CONTRACTED MANAGING EMPLOYEE | 100% | 2022-01-01 | ended 2026-05-18 | pecos_ownership |
| STEPHEN JAROSINSKI | CORPORATE OFFICER | 100% | 2022-01-01 | ended 2026-05-18 | pecos_ownership |
| CARE PROPERTY IV | Other (financial or non-financial) | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2022-01-01 | — | PULASKI MEMORIAL HOSPITAL | MAJOR HOSPITAL | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-01-08 | HEALTHWIN HEALTH & REHABILITATION | — | — | — | 145 | PULASKI MEMORIAL HOSPITAL |
| 2025-01-01 | ENVIVE OF LIBERTY | — | — | — | 60 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2025-01-01 | ENVIVE OF MUNCIE | — | — | — | 60 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2024-08-01 | FAIRWAY VILLAGE | — | — | — | 53 | HENRY COUNTY MEMORIAL HOSPITAL |
| 2024-07-01 | ASBURY TOWERS HEALTH CARE CENTER | — | — | — | 48 | PULASKI MEMORIAL HOSPITAL |
| 2024-07-01 | PILGRIM MANOR | — | — | — | 78 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2024-07-01 | CHASE CENTER | — | — | — | 101 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2024-06-01 | IGNITE MEDICAL RESORT CHESTERTON | — | — | — | 70 | IGNITE MEDICAL RESORT CHESTERTON LLC |
| 2024-01-01 | BRIARCLIFF HEALTH & REHABILITATION CENTER | — | — | — | 131 | PULASKI MEMORIAL HOSPITAL |
| 2024-01-01 | SOUTH SHORE HEALTH & REHABILITATION CENTER | — | — | — | 100 | PULASKI MEMORIAL HOSPITAL |
| 2024-01-01 | EVANSVILLE PROTESTANT HOME | — | — | — | 49 | HENRY COUNTY MEMORIAL HOSPITAL |
| 2023-12-01 | ROLLING HILLS HEALTHCARE CENTER | — | — | — | 115 | ADAMS COUNTY MEMORIAL HOSPITAL |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 18101 | fmr | 0 | $685 | 2025-10-01 | HUD_USER_FMR |
| county 18101 | acs median gross | 1 | $478 | 2024-12-31 | CENSUS_ACS5 |
| county 18101 | fmr | 1 | $729 | 2025-10-01 | HUD_USER_FMR |
| county 18101 | acs median gross | 2 | $818 | 2024-12-31 | CENSUS_ACS5 |
| county 18101 | fmr | 2 | $956 | 2025-10-01 | HUD_USER_FMR |
| county 18101 | acs median gross | 3 | $606 | 2024-12-31 | CENSUS_ACS5 |
| county 18101 | fmr | 3 | $1,146 | 2025-10-01 | HUD_USER_FMR |
| county 18101 | acs median gross | 4 | $1,136 | 2024-12-31 | CENSUS_ACS5 |
| county 18101 | fmr | 4 | $1,287 | 2025-10-01 | HUD_USER_FMR |
| county 18101 | acs median gross | $697 | 2024-12-31 | CENSUS_ACS5 | |
| county 18101 | acs recent mover gross | $826 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 47553 | acs median gross | 1 | $483 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47553 | acs median gross | 2 | $847 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47553 | acs median gross | $808 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 47553 | acs recent mover gross | $866 | 2024-12-31 | CENSUS_ACS5 | |
| zip 47553 | payment standard 110 | 0 | $759 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47553 | payment standard 90 | 0 | $621 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47553 | safmr | 0 | $690 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47553 | payment standard 110 | 1 | $803 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47553 | payment standard 90 | 1 | $657 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47553 | safmr | 1 | $730 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47553 | payment standard 110 | 2 | $1,056 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47553 | payment standard 90 | 2 | $864 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47553 | safmr | 2 | $960 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47553 | payment standard 110 | 3 | $1,276 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47553 | payment standard 90 | 3 | $1,044 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47553 | safmr | 3 | $1,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47553 | payment standard 110 | 4 | $1,408 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47553 | payment standard 90 | 4 | $1,152 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47553 | safmr | 4 | $1,280 | 2025-10-01 | HUD_USER_SAFMR |