Composite
58.5 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 98.5 | 92.3 | 0.30 | 0.2308 | 22.73 | in index |
| regulatory risk | 57.1 | 47.4 | 0.30 | 0.2308 | 13.18 | in index |
| chow risk | 94.7 | 76.6 | 0.15 | 0.1154 | 10.93 | in index |
| staffing risk | 24.2 | 24.3 | 0.25 | 0.1923 | 4.65 | 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 | 55.0 | C | 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 | 98.1 | F | v0.6 | default · in composite | |
| financial risk | 92.3 | F | 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 | 0.3 | — | 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 | 47.4 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 24.3 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 56.3 | 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 | 36.3 | 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 | 72.6 | D | 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 | 90.9 | F | 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 | 47.3 | 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 | 47.3 | 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 | 24.3 | A | 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 | 24.3 | A | 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) | 9.32 | -0.94 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.54 | +0.47 | |
| Chain size (log) | 4.06 | +0.46 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 3.77 | -0.15 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 4.06 | -1.16 | |
| Occupancy | 0.54 | +0.90 | |
| 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 | |
| Total nurse staffing (HPRD) | 3.77 | -0.24 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
| 2025Q4 HPRD | This facility | MN median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.77 | 3.49 | 3.28 | 2.90–3.77 |
| RN | 0.30 | 0.65 | 0.39 | 0.25–0.58 |
| Weekend total | 3.74 | 3.32 | 3.11 | — |
| Weekday total | 3.79 | 3.59 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 34.8 | 3.77 | 0.30 | 1.49 | 1.99 | 3.74 | 0.0% |
| 2025Q3 | 92 | 34.9 | 4.08 | 0.39 | 1.45 | 2.25 | 3.78 | 0.0% |
| 2025Q2 | 91 | 36.2 | 4.05 | 0.41 | 1.53 | 2.10 | 3.74 | 0.0% |
| 2025Q1 | 90 | 39.9 | 3.56 | 0.34 | 1.31 | 1.90 | 3.55 | 0.0% |
| 2024Q4 | 92 | 39.0 | 3.76 | 0.41 | 1.47 | 1.88 | 3.51 | 0.0% |
| 2024Q3 | 92 | 41.9 | 3.35 | 0.45 | 1.16 | 1.74 | 3.13 | 0.0% |
| 2024Q2 | 91 | 43.1 | 3.32 | 0.52 | 1.19 | 1.61 | 3.10 | 0.0% |
| 2024Q1 | 91 | 43.7 | 3.45 | 0.52 | 1.22 | 1.72 | 3.30 | 0.0% |
| 2023Q4 | 92 | 45.8 | 3.17 | 0.50 | 1.02 | 1.65 | 3.05 | 0.0% |
| 2023Q3 | 92 | 46.1 | 3.08 | 0.52 | 0.93 | 1.63 | 2.96 | 0.0% |
| 2023Q2 | 91 | 45.7 | 3.11 | 0.58 | 0.88 | 1.66 | 3.07 | 0.0% |
| 2023Q1 | 90 | 46.3 | 3.39 | 0.50 | 0.85 | 2.04 | 3.36 | 0.1% |
| 2022Q4 | 92 | 47.7 | 3.62 | 0.49 | 0.94 | 2.19 | 3.58 | 0.1% |
| 2022Q3 | 92 | 49.8 | 3.56 | 0.57 | 0.82 | 2.17 | 3.50 | 0.0% |
| 2022Q2 | 91 | 52.7 | 3.48 | 0.76 | 0.75 | 1.98 | 3.37 | 0.0% |
| 2022Q1 | 90 | 57.8 | 3.05 | 0.63 | 0.76 | 1.65 | 2.88 | 0.0% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-12 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2026-05-15 |
| 2026-03-12 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-05-15 |
| 2026-03-12 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-05-15 |
| 2026-03-12 | 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 | 2026-05-15 |
| 2026-03-12 | Health | F0732 | Post nurse staffing information every day. | C | 2026-05-15 |
| 2026-03-12 | Health | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | 2026-05-15 |
| 2026-03-12 | Health | F0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | E | 2026-05-15 |
| 2026-03-12 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2026-05-15 |
| 2026-03-12 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2026-05-15 |
| 2026-03-12 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2026-05-15 |
| 2026-03-12 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2026-05-15 |
| 2024-12-16 | Health | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | C | 2025-01-31 |
| 2024-12-16 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | 2025-01-21 |
| 2024-12-16 | 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 | 2025-01-31 |
| 2024-12-16 | 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 | 2025-01-31 |
| 2024-12-16 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2025-01-31 |
| 2024-12-16 | 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 | 2025-02-15 |
| 2024-12-16 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-01-31 |
| 2024-12-16 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2025-01-31 |
| 2024-12-16 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2025-01-16 |
| 2024-12-16 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-01-31 |
| 2024-12-16 | 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 | 2025-01-31 |
| 2024-12-16 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2025-01-31 |
| 2024-12-16 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-01-31 |
| 2024-12-16 | 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. | E | 2025-01-07 |
| 2024-12-16 | 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 | 2025-01-31 |
| 2024-12-16 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2025-01-31 |
| 2024-12-16 | Health | F0908 | Keep all essential equipment working safely. | D | 2025-01-13 |
| 2024-12-16 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2025-02-15 |
| 2024-12-16 | 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 | 2025-01-31 |
| 2024-10-02 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-10-24 |
| 2024-10-02 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-10-24 |
| 2024-03-01 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-03-31 |
| 2024-03-01 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-03-31 |
| 2024-03-01 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-03-31 |
| 2024-03-01 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2024-03-31 |
| 2024-03-01 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-03-31 |
| 2024-03-01 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-03-31 |
| 2024-03-01 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2024-03-31 |
| 2024-03-01 | 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. | D | 2024-03-31 |
| 2024-03-01 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-03-31 |
| 2024-03-01 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2024-03-31 |
| 2024-03-01 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-03-31 |
| 2024-03-01 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-03-31 |
| 2023-09-13 | Health · complaint | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2023-10-27 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| NSHC WISCONSIN LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-04-04 | current | pecos_ownership |
| BAUMANN, TROY | CORPORATE OFFICER | — | 2017-04-04 | current | pecos_ownership |
| HOEHN, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-04 | current | pecos_ownership |
| NORTH SHORE HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-04 | current | pecos_ownership |
| JEFFREY HOEHN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2017-04-04 | ended 2026-05-18 | pecos_ownership |
| TROY BAUMANN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2017-04-04 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2017-04-04 | — | NSH HOPKINS LLC | BEVERLY ENTERPRISES - MINNESOTA LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-07-22 | CURA OF ONAMIA | — | — | — | 57 | CURA OF ONAMIA LLC |
| 2024-12-01 | SHAKOPEE FRIENDSHIP MANOR | — | — | — | 60 | SHAKOPEE CARE LLC |
| 2024-12-01 | EDENBROOK ROCHESTER WEST | — | — | — | 48 | EDENBROOK ROCHESTER WEST LLC |
| 2024-10-29 | Cura of Sauk Centre | — | — | — | 60 | CURA OF SAUK CENTRE LLC |
| 2024-10-15 | Heartwood | — | — | — | 54 | CROSBY SENIOR SERVICES CARE CENTER |
| 2024-02-13 | Cura of Monticello | — | — | — | 67 | CURA OF MONTICELLO LLC |
| 2023-12-31 | MAPLEWOOD REHABILITATION CENTER | — | — | — | 115 | MAPLEWOOD REHABILITATION CENTER LLC |
| 2023-12-31 | SLEEPY EYE REHABILITATI CENTER | — | — | — | 61 | SLEEPY EYE REHABILITATION CENTER LLC |
| 2023-12-15 | ST BENEDICTS CARE CENTER | — | — | — | 75 | ECUMEN SBC ST CLOUD PROPERTIES LLC |
| 2023-12-01 | Frazee Care Center | — | — | — | 42 | LEGACY SENIOR SERVICES |
| 2023-06-05 | CURA OF LE SUEUR | — | — | — | 50 | CURA OF LE SUEUR LLC |
| 2023-05-01 | LAKEHOUSE HEALTHCARE & REHABILITATION CENTER | — | — | — | 260 | LAKE HARRIET OPERATOR LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 27053 | acs median gross | 0 | $1,141 | 2024-12-31 | CENSUS_ACS5 |
| county 27053 | fmr | 0 | $1,242 | 2025-10-01 | HUD_USER_FMR |
| county 27053 | acs median gross | 1 | $1,293 | 2024-12-31 | CENSUS_ACS5 |
| county 27053 | fmr | 1 | $1,405 | 2025-10-01 | HUD_USER_FMR |
| county 27053 | acs median gross | 2 | $1,677 | 2024-12-31 | CENSUS_ACS5 |
| county 27053 | fmr | 2 | $1,709 | 2025-10-01 | HUD_USER_FMR |
| county 27053 | acs median gross | 3 | $1,963 | 2024-12-31 | CENSUS_ACS5 |
| county 27053 | fmr | 3 | $2,262 | 2025-10-01 | HUD_USER_FMR |
| county 27053 | acs median gross | 4 | $2,216 | 2024-12-31 | CENSUS_ACS5 |
| county 27053 | fmr | 4 | $2,531 | 2025-10-01 | HUD_USER_FMR |
| county 27053 | acs median gross | 5 | $1,999 | 2024-12-31 | CENSUS_ACS5 |
| county 27053 | acs median gross | $1,487 | 2024-12-31 | CENSUS_ACS5 | |
| county 27053 | acs recent mover gross | $1,628 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 55343 | acs median gross | 0 | $1,208 | 2024-12-31 | CENSUS_ACS5 |
| zcta 55343 | acs median gross | 1 | $1,357 | 2024-12-31 | CENSUS_ACS5 |
| zcta 55343 | acs median gross | 2 | $1,701 | 2024-12-31 | CENSUS_ACS5 |
| zcta 55343 | acs median gross | 3 | $2,073 | 2024-12-31 | CENSUS_ACS5 |
| zcta 55343 | acs median gross | 4 | $2,770 | 2024-12-31 | CENSUS_ACS5 |
| zcta 55343 | acs median gross | $1,568 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 55343 | acs recent mover gross | $1,630 | 2024-12-31 | CENSUS_ACS5 | |
| zip 55343 | payment standard 110 | 0 | $1,441 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55343 | payment standard 90 | 0 | $1,179 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55343 | safmr | 0 | $1,310 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55343 | payment standard 110 | 1 | $1,628 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55343 | payment standard 90 | 1 | $1,332 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55343 | safmr | 1 | $1,480 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55343 | payment standard 110 | 2 | $1,980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55343 | payment standard 90 | 2 | $1,620 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55343 | safmr | 2 | $1,800 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55343 | payment standard 110 | 3 | $2,618 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55343 | payment standard 90 | 3 | $2,142 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55343 | safmr | 3 | $2,380 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55343 | payment standard 110 | 4 | $2,937 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55343 | payment standard 90 | 4 | $2,403 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55343 | safmr | 4 | $2,670 | 2025-10-01 | HUD_USER_SAFMR |