Composite
88.4 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 82.7 | 69.5 | 0.30 | 0.2500 | 20.68 | in index |
| regulatory risk | 74.9 | 71.0 | 0.30 | 0.2500 | 18.73 | in index |
| lease risk | 90.2 | 79.7 | 0.15 | 0.1250 | 11.28 | in index |
| billing conduct | 34.5 | 33.6 | 0.30 | 0.2500 | 8.63 | in index |
| chow risk | 49.8 | 55.0 | 0.15 | 0.1250 | 6.23 | in index |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| anomaly | Quarter-over-quarter staffing cliff | −45% QoQ | this facility | 2026-07-29 |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 33.6 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 23.9 | 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 | 86.0 | F | v0.6 | default · in composite | |
| financial risk | 69.5 | D | v0.5 | default · in composite | R18. |
| lease risk | 79.7 | D | v0.5 | default · in composite | |
| p adverse action 12m | 4.4 | — | 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 | 12.2 | — | 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 | 71.0 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| financial risk | 82.4 | 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 | 62.4 | 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 | 70.4 | 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 | 68.5 | 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. |
| lease risk | 76.1 | D | v0.4 | superseded | Pre-registry model iteration, superseded by a later lease_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 | 70.8 | 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 | 70.8 | 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. |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.23 | +1.34 | |
| 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) | 1.88 | +0.23 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.23 | +2.17 | |
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| Chain size (log) | 0.00 | +1.20 | |
| Staffing trend, last 4 quarters | -1.65 | -0.80 | |
| For-profit ownership | 1.00 | -0.69 | |
| Total nurse staffing (HPRD) | 1.88 | +0.56 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
| 2024Q4 HPRD | This facility | FL median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 1.88 | 3.42 | 3.28 | 2.90–3.77 |
| RN | 0.20 | 0.45 | 0.39 | 0.25–0.58 |
| Weekend total | 2.20 | 3.31 | 3.11 | — |
| Weekday total | 1.77 | 3.48 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2024Q4 | 92 | 28.0 | 1.88 | 0.20 | 0.27 | 1.42 | 2.20 | 0.0% |
| 2024Q3 | 92 | 85.7 | 3.44 | 0.56 | 0.61 | 2.27 | 3.43 | 0.0% |
| 2024Q2 | 91 | 87.3 | 3.59 | 0.60 | 0.56 | 2.43 | 3.59 | 0.0% |
| 2024Q1 | 91 | 97.0 | 3.23 | 0.42 | 0.69 | 2.12 | 3.15 | 7.0% |
| 2023Q4 | 92 | 92.9 | 3.54 | 0.27 | 1.03 | 2.24 | 3.54 | 28.1% |
| 2023Q3 | 92 | 98.8 | 3.01 | 0.22 | 0.78 | 2.01 | 2.87 | 15.0% |
| 2023Q2 | 91 | 101.4 | 3.29 | 0.25 | 0.85 | 2.20 | 3.19 | 16.8% |
| 2023Q1 | 90 | 94.7 | 3.26 | 0.18 | 0.94 | 2.15 | 3.21 | 30.3% |
| 2022Q4 | 92 | 95.6 | 3.20 | 0.24 | 0.81 | 2.15 | 3.16 | 38.1% |
| 2022Q3 | 92 | 87.1 | 3.27 | 0.21 | 0.86 | 2.20 | 3.22 | 30.8% |
| 2022Q2 | 91 | 84.0 | 3.32 | 0.22 | 0.86 | 2.24 | 3.29 | 53.5% |
| 2022Q1 | 90 | 70.7 | 3.65 | 0.41 | 0.74 | 2.49 | 3.57 | 38.5% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-10-21 | Fine | $8,385 | CMS provider data |
| 2024-02-20 | Fine | $7,098 | CMS provider data |
| 2024-02-20 | Fine | $7,361 | CMS provider data |
| 2023-08-31 | Fine | $3,946 | CMS provider data |
| 2023-08-31 | Fine | $3,946 | CMS provider data |
| 2023-08-31 | Fine | $5,923 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2024-10-21 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | G | 2024-10-27 |
| 2024-02-20 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-03-21 |
| 2024-02-20 | 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. | D | 2024-03-21 |
| 2024-02-20 | Health | F0620 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | D | 2024-03-21 |
| 2024-02-20 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-03-21 |
| 2024-02-20 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-03-21 |
| 2024-02-20 | 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 | 2024-03-21 |
| 2024-02-20 | 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 | 2024-03-21 |
| 2024-02-20 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2024-03-21 |
| 2024-02-20 | Health | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2024-03-21 |
| 2024-02-20 | 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 | 2024-03-21 |
| 2024-02-20 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-03-21 |
| 2024-02-20 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-03-21 |
| 2024-02-20 | 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. | E | 2024-04-19 |
| 2024-02-20 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2024-03-21 |
| 2024-02-20 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-03-21 |
| 2024-02-20 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2024-03-21 |
| 2024-02-20 | 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. | E | 2024-03-21 |
| 2024-02-20 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2024-04-19 |
| 2024-02-20 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-03-21 |
| 2023-10-25 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-11-21 |
| 2023-10-25 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-11-21 |
| 2023-10-25 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-11-21 |
| 2023-08-31 | 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. | D | 2023-10-01 |
| 2023-08-31 | 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. | E | 2023-10-01 |
| 2023-08-31 | Health · complaint | 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. | E | 2023-10-01 |
| 2023-08-31 | Health · complaint | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | 2023-10-01 |
| 2023-08-31 | 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 | 2023-10-01 |
| 2021-10-29 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2021-11-22 |
| 2021-10-29 | 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 | 2021-11-22 |
| 2021-10-29 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2021-11-22 |
| 2021-10-29 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2021-11-22 |
| 2020-02-12 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2020-03-13 |
| 2020-02-12 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2020-03-13 |
| 2020-02-12 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2020-03-13 |
| 2020-02-12 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2020-03-13 |
| 2020-02-12 | 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 | 2020-03-13 |
| 2020-02-12 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2020-03-13 |
| 2020-02-12 | 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 | 2020-03-13 |
| 2020-02-12 | 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 | 2020-03-13 |
| 2020-02-12 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2020-03-13 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| OLDSMAR FL PROPCO LLC | Corporation, partnership or other organization has financial interest in provider | 50% | 2023-01-01 | current | hcris_a_8_1 |
| OLDSMAR FL PROPCO LLC | Individual has financial interest in both related organization and provider | 50% | 2020-11-19 | ended 2021-12-31 | hcris_a_8_1 |
| OLDSMAR FL PROPCO LLC | Corporation, partnership or other organization has financial interest in provider | 50% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-02-01 | MARIANNA HEALTH AND REHABILITATION | — | — | — | 180 | MARIANNA REHABILITATION CENTER, LLC |
| 2024-11-20 | SOLARIS HEALTHCARE LELY PALMS | — | — | — | 117 | LP SNF OPERATIONS LLC |
| 2024-11-01 | GULF COAST MEDICAL CENTER SKILLED NURSING UNIT | — | — | — | 75 | LEE HEALTH SYSTEM INC |
| 2024-09-19 | ARABELLA HEALTH & WELLNESS OF PENSACOLA | — | — | — | 118 | ARABELLA HEALTH & WELLNESS OF PENSACOLA OPCO LLC |
| 2024-08-01 | PENINSULA HEALTH CENTER BY HARBORVIEW | — | — | — | 120 | PENINSULA CARE AND REHABILITATION CENTER BY HARBORVIEW LLC |
| 2024-07-15 | BAYONET POINT HEALTH CENTER BY HARBORVIEW | — | — | — | 120 | LIVING CENTER OF BAYONET POINT BY HARBORVIEW LLC |
| 2024-07-15 | KISSIMMEE NURSING & REHABILITATION CENTER | — | — | — | 120 | KISSIMMEE NURSING AND REHABILITATION CENTER BY HARBORVIEW LLC |
| 2024-07-15 | HARBORVIEW HEALTH CENTER WEST ALTAMONTE | — | — | — | 116 | WEST ALTAMONTE NURSING AND REHABILITATION CENTER BY HARBORVIEW LLC |
| 2024-07-15 | HARBORVIEW SARASOTA | — | — | — | 81 | SARASOTA CENTER FOR NURSING AND REHABILITATION BY HARBORVIEW LLC |
| 2024-07-15 | NURSING & REHABILITATION CENTER OF MELBOURNE | — | — | — | 167 | NURSING AND REHABILITATION CENTER OF MELBOURNE BY HARBORVIEW LLC |
| 2024-07-09 | WATERS EDGE HEALTH AND REHABILITATION | — | — | — | 36 | SANDHILL COVE LLC |
| 2024-07-01 | RIVERWOOD HEALTHCARE & REHABILITATION CENTER | — | — | — | 120 | RIVERWOOD NURSING SNF LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 12103 | acs median gross | 0 | $1,353 | 2024-12-31 | CENSUS_ACS5 |
| county 12103 | fmr | 0 | $1,593 | 2025-10-01 | HUD_USER_FMR |
| county 12103 | acs median gross | 1 | $1,391 | 2024-12-31 | CENSUS_ACS5 |
| county 12103 | fmr | 1 | $1,696 | 2025-10-01 | HUD_USER_FMR |
| county 12103 | acs median gross | 2 | $1,712 | 2024-12-31 | CENSUS_ACS5 |
| county 12103 | fmr | 2 | $1,977 | 2025-10-01 | HUD_USER_FMR |
| county 12103 | acs median gross | 3 | $2,050 | 2024-12-31 | CENSUS_ACS5 |
| county 12103 | fmr | 3 | $2,527 | 2025-10-01 | HUD_USER_FMR |
| county 12103 | acs median gross | 4 | $2,324 | 2024-12-31 | CENSUS_ACS5 |
| county 12103 | fmr | 4 | $3,077 | 2025-10-01 | HUD_USER_FMR |
| county 12103 | acs median gross | 5 | $2,476 | 2024-12-31 | CENSUS_ACS5 |
| county 12103 | acs median gross | $1,642 | 2024-12-31 | CENSUS_ACS5 | |
| county 12103 | acs recent mover gross | $1,906 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 34677 | acs median gross | 1 | $1,439 | 2024-12-31 | CENSUS_ACS5 |
| zcta 34677 | acs median gross | 2 | $1,460 | 2024-12-31 | CENSUS_ACS5 |
| zcta 34677 | acs median gross | 3 | $1,722 | 2024-12-31 | CENSUS_ACS5 |
| zcta 34677 | acs median gross | $1,485 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 34677 | acs recent mover gross | $2,078 | 2024-12-31 | CENSUS_ACS5 | |
| zip 34677 | payment standard 110 | 0 | $1,727 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34677 | payment standard 90 | 0 | $1,413 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34677 | safmr | 0 | $1,570 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34677 | payment standard 110 | 1 | $1,837 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34677 | payment standard 90 | 1 | $1,503 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34677 | safmr | 1 | $1,670 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34677 | payment standard 110 | 2 | $2,145 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34677 | payment standard 90 | 2 | $1,755 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34677 | safmr | 2 | $1,950 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34677 | payment standard 110 | 3 | $2,739 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34677 | payment standard 90 | 3 | $2,241 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34677 | safmr | 3 | $2,490 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34677 | payment standard 110 | 4 | $3,333 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34677 | payment standard 90 | 4 | $2,727 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34677 | safmr | 4 | $3,030 | 2025-10-01 | HUD_USER_SAFMR |