Composite
80.6 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 75.3 | 50.3 | 0.30 | 0.2308 | 17.38 | in index |
| regulatory risk | 71.9 | 67.4 | 0.30 | 0.2308 | 16.59 | in index |
| financial risk | 65.2 | 55.8 | 0.30 | 0.2308 | 15.05 | in index |
| chow risk | 91.4 | 72.5 | 0.15 | 0.1154 | 10.55 | in index |
| staffing risk | 6.4 | 6.5 | 0.25 | 0.1923 | 1.23 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 50.3 | C | 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 | 90.0 | F | v0.6 | default · in composite | |
| financial risk | 55.8 | C | 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 | 3.2 | — | 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 | 67.4 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 6.5 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 76.5 | 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 | 56.5 | 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 | 68.3 | 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 | 55.3 | C | 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 | 67.3 | 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 | 67.3 | 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 | 6.5 | 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 | 6.5 | 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 | |
|---|---|---|---|
| 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 | |
| Chain size (log) | 0.00 | -0.40 | |
| Total nurse staffing (HPRD) | 4.66 | -0.32 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Contract staffing share | 0.13 | +0.10 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| Total nurse staffing (HPRD) | 4.66 | -0.61 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.67 | +0.35 | |
| Deficiencies, last 12 months | 9.00 | -0.24 | |
| Staffing trend, last 4 quarters | 0.49 | +0.20 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
| 2025Q4 HPRD | This facility | CA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 4.66 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.86 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 4.50 | 3.79 | 3.11 | — |
| Weekday total | 4.72 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 65.9 | 4.66 | 0.86 | 1.21 | 2.59 | 4.50 | 12.9% |
| 2025Q3 | 92 | 66.8 | 4.77 | 0.85 | 1.18 | 2.74 | 4.61 | 11.2% |
| 2025Q2 | 91 | 70.8 | 4.52 | 0.68 | 1.12 | 2.71 | 4.47 | 12.7% |
| 2025Q1 | 90 | 67.8 | 4.23 | 0.66 | 0.95 | 2.63 | 4.14 | 15.4% |
| 2024Q4 | 92 | 65.5 | 4.17 | 0.70 | 0.91 | 2.56 | 4.14 | 11.7% |
| 2024Q3 | 92 | 62.5 | 4.20 | 0.75 | 0.87 | 2.58 | 4.15 | 8.5% |
| 2024Q2 | 91 | 63.0 | 4.24 | 0.79 | 0.88 | 2.56 | 4.20 | 8.8% |
| 2024Q1 | 91 | 63.2 | 4.23 | 0.87 | 0.75 | 2.61 | 4.24 | 9.1% |
| 2023Q4 | 92 | 64.9 | 4.14 | 0.84 | 0.82 | 2.48 | 4.02 | 13.0% |
| 2023Q3 | 92 | 65.3 | 4.13 | 0.99 | 0.61 | 2.52 | 4.03 | 11.8% |
| 2023Q2 | 91 | 64.5 | 4.04 | 1.02 | 0.59 | 2.42 | 4.10 | 10.8% |
| 2023Q1 | 90 | 66.5 | 4.01 | 0.94 | 0.69 | 2.37 | 3.96 | 9.0% |
| 2022Q4 | 92 | 63.8 | 4.21 | 0.91 | 0.76 | 2.54 | 4.12 | 7.9% |
| 2022Q3 | 92 | 65.5 | 4.08 | 0.82 | 0.77 | 2.48 | 3.92 | 8.6% |
| 2022Q2 | 91 | 61.1 | 3.90 | 0.58 | 0.71 | 2.60 | 3.74 | 6.5% |
| 2022Q1 | 90 | 61.5 | 3.94 | 0.59 | 0.74 | 2.60 | 3.84 | 5.5% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-03-13 | Fine | $8,018 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-20 | Health | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2026-04-12 |
| 2026-03-20 | 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 | 2026-04-12 |
| 2026-03-20 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-04-12 |
| 2026-03-20 | Health | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | 2026-04-12 |
| 2026-03-20 | 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 | 2026-04-12 |
| 2026-03-20 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2026-04-12 |
| 2026-03-20 | 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 | 2026-04-12 |
| 2026-03-20 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2026-04-12 |
| 2026-03-20 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2026-04-12 |
| 2025-03-07 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-04-07 |
| 2025-03-07 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | 2025-04-07 |
| 2025-03-07 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-04-07 |
| 2025-03-07 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2025-04-07 |
| 2025-03-07 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-04-07 |
| 2025-03-07 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-04-07 |
| 2025-03-07 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2025-04-07 |
| 2025-03-07 | 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 | 2025-04-07 |
| 2025-03-07 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2025-04-07 |
| 2025-03-07 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-04-07 |
| 2025-03-07 | Health | F0908 | Keep all essential equipment working safely. | E | 2025-04-07 |
| 2025-02-14 | Health · complaint | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2025-03-11 |
| 2024-11-25 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-12-17 |
| 2024-05-22 | 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. | E | 2024-06-20 |
| 2024-05-14 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-06-03 |
| 2024-04-30 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-05-08 |
| 2024-04-30 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-05-08 |
| 2024-04-29 | 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 | 2024-05-08 |
| 2024-03-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-04-17 |
| 2023-11-16 | 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. | E | 2023-12-13 |
| 2023-11-16 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-12-13 |
| 2023-11-16 | 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 | 2023-12-13 |
| 2023-11-16 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | 2023-12-13 |
| 2023-11-16 | 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. | D | 2023-12-13 |
| 2023-11-16 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-12-13 |
| 2023-10-24 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-10-27 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CHEN, JENQ | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2013-07-01 | current | pecos_ownership |
| CHEN, TZE-YUN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2013-07-01 | current | pecos_ownership |
| BUCKINGHAM, ROBERT | ADP OF THE SNF | — | 2021-10-01 | current | pecos_ownership |
| LYLES, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-24 | current | pecos_ownership |
| PADAMA, JOHN | MANAGING CONTROL - GOVERNING BODY | — | 2017-10-02 | current | pecos_ownership |
| JENQ CHEN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2013-07-01 | ended 2026-05-18 | pecos_ownership |
| TZE-YUN CHEN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2013-07-01 | ended 2026-05-18 | pecos_ownership |
| JOHN PADAMA | MANAGING CONTROL - GOVERNING BODY | — | 2017-10-02 | ended 2026-05-18 | pecos_ownership |
| ROBERT BUCKINGHAM | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-10-01 | ended 2026-05-18 | pecos_ownership |
| WILLIAM LYLES | ADP OF THE SNF | — | 2025-03-24 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-08-01 | Turlock Nursing & Rehabilitation Center | — | — | — | 144 | TRACY RIDGE HEALTHCARE, INC. |
| 2025-04-01 | ALAMITOS WEST HEALTH & REHABILITATION | — | — | — | 150 | MALCOLM HEALTHCARE, INC. |
| 2025-04-01 | PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER | — | — | — | 99 | STRAWBERRY POND HEALTHCARE LLC |
| 2025-01-16 | GOLDEN HARBOR HEALTHCARE CENTER | — | — | — | 99 | CEYLON HOLDINGS LLC |
| 2024-12-30 | GRASS VALLEY HEALTHCARE CENTER | — | — | — | 86 | HEISMAN LLC |
| 2024-10-01 | REDWOOD GROVE POST ACUTE | — | — | — | 144 | SOQUEL CARE LLC |
| 2024-09-01 | OAK GROVE POST ACUTE | — | — | — | 119 | 4545 SHELLEY COURT OPCO, LLC |
| 2024-08-01 | WE CARE SKILLED NURSING - FREMONT | — | — | — | 99 | WE CARE SKILLED NURSING-FREMONT, LLC |
| 2024-05-01 | MAJESTIC MOUNTAIN CARE CENTER | — | — | — | 66 | OAKHURST SKILLED CARE LLC |
| 2024-04-01 | THE BRADLEY GARDENS | — | — | — | 44 | GHC OF SAN JACINTO LLC |
| 2024-04-01 | SANTA FE POST-ACUTE | — | — | — | 187 | SKILLED BOBIER LLC |
| 2024-04-01 | BAYSHIRE SAN DIMAS POST-ACUTE | — | — | — | 45 | SKILLED SAN DIMAS LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06111 | acs median gross | 0 | $1,772 | 2024-12-31 | CENSUS_ACS5 |
| county 06111 | fmr | 0 | $1,998 | 2025-10-01 | HUD_USER_FMR |
| county 06111 | acs median gross | 1 | $1,946 | 2024-12-31 | CENSUS_ACS5 |
| county 06111 | fmr | 1 | $2,250 | 2025-10-01 | HUD_USER_FMR |
| county 06111 | acs median gross | 2 | $2,249 | 2024-12-31 | CENSUS_ACS5 |
| county 06111 | fmr | 2 | $2,693 | 2025-10-01 | HUD_USER_FMR |
| county 06111 | acs median gross | 3 | $2,754 | 2024-12-31 | CENSUS_ACS5 |
| county 06111 | fmr | 3 | $3,652 | 2025-10-01 | HUD_USER_FMR |
| county 06111 | acs median gross | 4 | $3,220 | 2024-12-31 | CENSUS_ACS5 |
| county 06111 | fmr | 4 | $4,240 | 2025-10-01 | HUD_USER_FMR |
| county 06111 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 06111 | acs median gross | $2,317 | 2024-12-31 | CENSUS_ACS5 | |
| county 06111 | acs recent mover gross | $2,592 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 93015 | acs median gross | 0 | $1,092 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93015 | acs median gross | 1 | $1,311 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93015 | acs median gross | 2 | $1,620 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93015 | acs median gross | 3 | $2,093 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93015 | acs median gross | 4 | $2,653 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93015 | acs median gross | $1,847 | 2024-12-31 | CENSUS_ACS5 | |
| zip 93015 | payment standard 110 | 0 | $1,804 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93015 | payment standard 90 | 0 | $1,476 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93015 | safmr | 0 | $1,640 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93015 | payment standard 110 | 1 | $2,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93015 | payment standard 90 | 1 | $1,665 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93015 | safmr | 1 | $1,850 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93015 | payment standard 110 | 2 | $2,431 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93015 | payment standard 90 | 2 | $1,989 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93015 | safmr | 2 | $2,210 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93015 | payment standard 110 | 3 | $3,300 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93015 | payment standard 90 | 3 | $2,700 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93015 | safmr | 3 | $3,000 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93015 | payment standard 110 | 4 | $3,828 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93015 | payment standard 90 | 4 | $3,132 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93015 | safmr | 4 | $3,480 | 2025-10-01 | HUD_USER_SAFMR |