Composite
90.4 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 91.7 | 79.8 | 0.30 | 0.2308 | 21.16 | in index |
| regulatory risk | 89.0 | 86.4 | 0.30 | 0.2308 | 20.54 | in index |
| billing conduct | 65.2 | 45.5 | 0.30 | 0.2308 | 15.05 | in index |
| staffing risk | 32.1 | 32.2 | 0.25 | 0.1923 | 6.17 | in index |
| chow risk | 35.3 | 34.7 | 0.15 | 0.1154 | 4.07 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 45.5 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.9 | 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 | 44.6 | B | v0.6 | default · in composite | |
| financial risk | 79.8 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 1.1 | — | 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 | 0.3 | — | 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 | 86.4 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 32.2 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 82.5 | 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 | 62.5 | 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 | 65.7 | 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 | 80.0 | 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 | 86.3 | F | 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 | 86.3 | F | 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 | 32.2 | 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 | 32.2 | 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 | |
|---|---|---|---|
| For-profit ownership | 0.00 | -1.24 | |
| Occupancy | 0.93 | -0.68 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Contract staffing share | 0.26 | +0.31 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | +1.62 | |
| Chain size (log) | 0.00 | +1.20 | |
| Occupancy | 0.93 | -0.77 | |
| Deficiencies, last 12 months | 5.00 | +0.50 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Contract staffing share | 0.26 | +0.21 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Staffing trend, last 4 quarters | -0.30 | -0.16 |
| 2025Q4 HPRD | This facility | WI median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.60 | 3.60 | 3.28 | 2.90–3.77 |
| RN | 0.27 | 0.64 | 0.39 | 0.25–0.58 |
| Weekend total | 3.53 | 3.49 | 3.11 | — |
| Weekday total | 3.63 | 3.65 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 89.4 | 3.60 | 0.27 | 0.75 | 2.58 | 3.53 | 26.2% |
| 2025Q3 | 92 | 79.7 | 4.30 | 0.32 | 0.74 | 3.24 | 4.26 | 18.2% |
| 2025Q2 | 91 | 75.9 | 4.18 | 0.32 | 0.52 | 3.33 | 4.11 | 24.9% |
| 2025Q1 | 90 | 75.0 | 4.27 | 0.50 | 0.58 | 3.19 | 4.03 | 20.7% |
| 2024Q4 | 92 | 65.5 | 3.90 | 0.46 | 0.58 | 2.86 | 3.85 | 5.7% |
| 2024Q3 | 92 | 69.8 | 3.49 | 0.33 | 0.51 | 2.64 | 3.28 | 1.2% |
| 2024Q2 | 91 | 69.9 | 3.34 | 0.39 | 0.47 | 2.48 | 3.17 | 0.0% |
| 2024Q1 | 91 | 69.1 | 3.20 | 0.34 | 0.56 | 2.31 | 3.07 | 0.0% |
| 2023Q4 | 92 | 68.9 | 3.25 | 0.20 | 0.64 | 2.42 | 3.14 | 0.0% |
| 2023Q3 | 92 | 69.9 | 3.40 | 0.27 | 0.63 | 2.49 | 3.23 | 0.0% |
| 2023Q2 | 91 | 65.4 | 3.52 | 0.40 | 0.64 | 2.49 | 3.22 | 0.0% |
| 2023Q1 | 90 | 62.7 | 3.63 | 0.47 | 0.52 | 2.65 | 3.41 | 0.0% |
| 2022Q4 | 92 | 65.6 | 3.89 | 0.53 | 0.52 | 2.84 | 3.65 | 0.0% |
| 2022Q3 | 92 | 64.8 | 4.29 | 0.61 | 0.56 | 3.13 | 3.94 | 0.0% |
| 2022Q2 | 91 | 70.3 | 4.00 | 0.47 | 0.56 | 2.97 | 3.66 | 0.0% |
| 2022Q1 | 90 | 69.8 | 3.82 | 0.52 | 0.52 | 2.77 | 3.55 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-07-09 | Payment Denial | — | CMS provider data |
| 2024-03-12 | Fine | $41,980 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-24 | Health · complaint | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2026-04-08 |
| 2026-03-24 | Health · complaint | 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 | 2026-04-08 |
| 2025-08-04 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-08-26 |
| 2025-08-04 | Health · complaint | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | K | 2025-08-05 |
| 2025-08-04 | Health · complaint | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2025-08-26 |
| 2025-05-29 | Health · complaint | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | 2025-06-27 |
| 2025-01-16 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-02-28 |
| 2025-01-16 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-02-28 |
| 2025-01-16 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-02-28 |
| 2025-01-16 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-02-28 |
| 2024-10-09 | Health · complaint | F0560 | Protect a residents' right to refuse some types of non-requested transfers within the nursing home. | D | 2024-11-01 |
| 2024-10-09 | 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 | 2024-11-01 |
| 2024-10-09 | Health · complaint | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | G | 2024-11-08 |
| 2024-10-09 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-11-01 |
| 2024-10-09 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | D | 2024-11-01 |
| 2024-10-09 | 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. | D | 2024-11-01 |
| 2024-10-09 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-11-01 |
| 2024-09-17 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-10-01 |
| 2024-09-17 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-11-08 |
| 2024-09-17 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-10-01 |
| 2024-07-09 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-08-26 |
| 2024-07-09 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-07-26 |
| 2024-07-09 | Health · complaint | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | 2024-07-26 |
| 2024-07-09 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-11-08 |
| 2024-07-09 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-07-26 |
| 2024-07-09 | 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 | 2024-07-26 |
| 2024-07-09 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2024-07-26 |
| 2024-07-09 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-07-26 |
| 2024-03-12 | Health · complaint | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | 2024-03-26 |
| 2024-03-12 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2024-03-26 |
| 2024-03-12 | Health · complaint | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2024-03-26 |
| 2024-03-12 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-03-26 |
| 2024-03-12 | Health · complaint | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | 2024-03-26 |
| 2024-03-12 | Health · complaint | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2024-03-26 |
| 2024-03-12 | Health · complaint | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | E | 2024-03-26 |
| 2023-03-21 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2023-04-05 |
| 2023-03-21 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-04-05 |
| 2023-03-21 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-04-25 |
| 2023-03-21 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-04-25 |
| 2023-03-21 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2023-04-05 |
| 2023-03-21 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-04-05 |
| 2023-03-21 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2023-04-05 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| COUNTY OF GREEN | OPERATIONAL/MANAGERIAL CONTROL | — | — | current | pecos_ownership |
| JOHNSON, MARIA | W-2 MANAGING EMPLOYEE | — | 2022-01-07 | current | pecos_ownership |
| PAX, THERESA | W-2 MANAGING EMPLOYEE | — | 2019-07-01 | current | pecos_ownership |
| THERESA PAX | W-2 MANAGING EMPLOYEE | 100% | 2019-07-01 | ended 2026-05-18 | pecos_ownership |
| MARIA JOHNSON | W-2 MANAGING EMPLOYEE | 0% | 2022-01-07 | ended 2026-05-18 | pecos_ownership |
| 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 55045 | acs median gross | 0 | $858 | 2024-12-31 | CENSUS_ACS5 |
| county 55045 | fmr | 0 | $794 | 2025-10-01 | HUD_USER_FMR |
| county 55045 | acs median gross | 1 | $668 | 2024-12-31 | CENSUS_ACS5 |
| county 55045 | fmr | 1 | $840 | 2025-10-01 | HUD_USER_FMR |
| county 55045 | acs median gross | 2 | $871 | 2024-12-31 | CENSUS_ACS5 |
| county 55045 | fmr | 2 | $1,097 | 2025-10-01 | HUD_USER_FMR |
| county 55045 | acs median gross | 3 | $1,050 | 2024-12-31 | CENSUS_ACS5 |
| county 55045 | fmr | 3 | $1,315 | 2025-10-01 | HUD_USER_FMR |
| county 55045 | acs median gross | 4 | $941 | 2024-12-31 | CENSUS_ACS5 |
| county 55045 | fmr | 4 | $1,452 | 2025-10-01 | HUD_USER_FMR |
| county 55045 | acs median gross | 5 | $1,149 | 2024-12-31 | CENSUS_ACS5 |
| county 55045 | acs median gross | $867 | 2024-12-31 | CENSUS_ACS5 | |
| county 55045 | acs recent mover gross | $876 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 53566 | acs median gross | 1 | $761 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53566 | acs median gross | 2 | $879 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53566 | acs median gross | 3 | $875 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53566 | acs median gross | 4 | $888 | 2024-12-31 | CENSUS_ACS5 |
| zcta 53566 | acs median gross | $868 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 53566 | acs recent mover gross | $830 | 2024-12-31 | CENSUS_ACS5 | |
| zip 53566 | payment standard 110 | 0 | $869 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53566 | payment standard 90 | 0 | $711 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53566 | safmr | 0 | $790 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53566 | payment standard 110 | 1 | $924 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53566 | payment standard 90 | 1 | $756 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53566 | safmr | 1 | $840 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53566 | payment standard 110 | 2 | $1,199 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53566 | payment standard 90 | 2 | $981 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53566 | safmr | 2 | $1,090 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53566 | payment standard 110 | 3 | $1,441 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53566 | payment standard 90 | 3 | $1,179 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53566 | safmr | 3 | $1,310 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53566 | payment standard 110 | 4 | $1,584 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53566 | payment standard 90 | 4 | $1,296 | 2025-10-01 | HUD_USER_SAFMR |
| zip 53566 | safmr | 4 | $1,440 | 2025-10-01 | HUD_USER_SAFMR |