Composite
21.8 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 65.4 | 58.1 | 0.30 | 0.2308 | 15.09 | in index |
| billing conduct | 43.0 | 36.6 | 0.30 | 0.2308 | 9.92 | in index |
| financial risk | 25.0 | 30.6 | 0.30 | 0.2308 | 5.77 | in index |
| staffing risk | 16.2 | 16.3 | 0.25 | 0.1923 | 3.12 | in index |
| chow risk | 26.5 | 25.5 | 0.15 | 0.1154 | 3.06 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 36.6 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 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 | 26.0 | B | v0.6 | default · in composite | |
| financial risk | 30.6 | B | 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 | 2.7 | — | 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 | 58.1 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 16.3 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 47.3 | 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 | 27.3 | 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 | 36.5 | B | 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 | 36.6 | B | 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 | 57.9 | 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 | 57.9 | 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 | 16.3 | 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 | 16.3 | 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 | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Occupancy | 0.89 | -0.56 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.37 | +0.31 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 4.05 | -0.20 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 1.00 | +1.24 | |
| Chain size (log) | 3.37 | -0.76 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.89 | -0.60 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 4.05 | -0.35 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 |
| 2025Q4 HPRD | This facility | CA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 4.05 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.65 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.93 | 3.79 | 3.11 | — |
| Weekday total | 4.09 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 67.8 | 4.05 | 0.65 | 0.89 | 2.50 | 3.93 | 0.0% |
| 2025Q3 | 92 | 65.0 | 4.13 | 0.68 | 0.99 | 2.46 | 4.03 | 0.0% |
| 2025Q2 | 91 | 63.9 | 3.90 | 0.77 | 0.96 | 2.17 | 3.73 | 0.0% |
| 2025Q1 | 90 | 64.1 | 4.06 | 0.88 | 0.85 | 2.33 | 3.74 | 0.0% |
| 2024Q4 | 92 | 65.0 | 3.82 | 0.81 | 0.84 | 2.16 | 3.52 | 0.0% |
| 2024Q3 | 92 | 65.4 | 4.02 | 0.81 | 0.94 | 2.27 | 3.82 | 0.0% |
| 2024Q2 | 91 | 61.8 | 4.03 | 0.86 | 0.88 | 2.30 | 3.73 | 0.0% |
| 2024Q1 | 91 | 61.4 | 3.99 | 0.78 | 0.93 | 2.29 | 3.76 | 0.0% |
| 2023Q4 | 92 | 58.9 | 3.45 | 0.70 | 1.06 | 1.68 | 3.26 | 0.0% |
| 2023Q3 | 92 | 57.4 | 3.82 | 0.85 | 0.80 | 2.17 | 3.60 | 0.0% |
| 2023Q2 | 91 | 53.0 | 4.13 | 0.92 | 0.83 | 2.38 | 3.89 | 0.0% |
| 2023Q1 | 90 | 60.0 | 3.79 | 0.84 | 0.79 | 2.16 | 3.43 | 0.0% |
| 2022Q4 | 92 | 53.9 | 4.40 | 0.98 | 0.80 | 2.62 | 4.05 | 0.0% |
| 2022Q3 | 92 | 60.2 | 4.01 | 0.70 | 0.79 | 2.51 | 3.81 | 0.0% |
| 2022Q2 | 91 | 58.6 | 3.50 | 0.61 | 0.77 | 2.12 | 3.44 | 0.0% |
| 2022Q1 | 90 | 49.0 | 4.20 | 0.51 | 1.06 | 2.62 | 4.12 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-09-24 | Fine | $8,018 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-08-07 | Health · complaint | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | 2025-08-30 |
| 2025-07-16 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-08-22 |
| 2025-07-16 | Health · complaint | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2025-08-22 |
| 2025-03-28 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-04-26 |
| 2025-03-28 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2025-04-26 |
| 2025-03-28 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2025-04-26 |
| 2025-03-28 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-04-26 |
| 2025-03-28 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2025-04-26 |
| 2025-03-28 | 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 | 2025-04-26 |
| 2025-03-28 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2025-04-26 |
| 2025-03-28 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-04-26 |
| 2024-09-24 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-10-09 |
| 2024-05-31 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-06-30 |
| 2024-05-31 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-06-30 |
| 2023-12-01 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2023-12-31 |
| 2023-12-01 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-12-31 |
| 2023-12-01 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2023-12-31 |
| 2023-12-01 | 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. | D | 2023-12-31 |
| 2023-12-01 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-12-31 |
| 2023-12-01 | 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 | 2023-12-31 |
| 2023-12-01 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-12-31 |
| 2023-12-01 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-12-31 |
| 2023-10-31 | Health · complaint | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | 2023-11-29 |
| 2023-07-05 | Health · complaint | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | 2023-08-03 |
| 2022-02-11 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2022-03-13 |
| 2022-02-11 | 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 | 2022-03-13 |
| 2022-02-11 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-03-13 |
| 2022-02-11 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-03-13 |
| 2022-02-11 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2022-03-13 |
| 2022-02-11 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2022-03-13 |
| 2022-02-11 | 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 | 2022-03-13 |
| 2022-02-11 | 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 | 2022-03-13 |
| 2022-02-11 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2022-03-13 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BMO BANK NATIONAL ASSOCIATION | 5% OR GREATER SECURITY INTEREST | — | 2023-09-20 | current | pecos_ownership |
| MASTROCOLA, LOIS | CORPORATE OFFICER | — | 1998-02-01 | current | pecos_ownership |
| MASTROCOLA, LOIS | W-2 MANAGING EMPLOYEE | — | 2023-09-20 | current | pecos_ownership |
| OLDS, THOMAS | CORPORATE DIRECTOR | — | 1998-02-01 | current | pecos_ownership |
| LIFE GENERATIONS HEALTHCARE, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 1998-11-01 | ended 2026-05-18 | pecos_ownership |
| THOMAS OLDS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 78% | 1998-02-01 | ended 2026-05-18 | pecos_ownership |
| FRED SMITH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13% | 1998-02-01 | ended 2026-05-18 | pecos_ownership |
| LOIS MASTROCOLA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% | 1998-02-01 | ended 2026-05-18 | pecos_ownership |
| LOIS MASTROCOLA | W-2 MANAGING EMPLOYEE | — | 2023-09-20 | 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 06085 | acs median gross | 0 | $2,205 | 2024-12-31 | CENSUS_ACS5 |
| county 06085 | fmr | 0 | $2,621 | 2025-10-01 | HUD_USER_FMR |
| county 06085 | acs median gross | 1 | $2,487 | 2024-12-31 | CENSUS_ACS5 |
| county 06085 | fmr | 1 | $2,982 | 2025-10-01 | HUD_USER_FMR |
| county 06085 | acs median gross | 2 | $2,950 | 2024-12-31 | CENSUS_ACS5 |
| county 06085 | fmr | 2 | $3,483 | 2025-10-01 | HUD_USER_FMR |
| county 06085 | acs median gross | 3 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 06085 | fmr | 3 | $4,602 | 2025-10-01 | HUD_USER_FMR |
| county 06085 | acs median gross | 4 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 06085 | fmr | 4 | $5,010 | 2025-10-01 | HUD_USER_FMR |
| county 06085 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 06085 | acs median gross | $2,857 | 2024-12-31 | CENSUS_ACS5 | |
| county 06085 | acs recent mover gross | $3,016 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 95124 | acs median gross | 0 | $1,831 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95124 | acs median gross | 1 | $1,897 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95124 | acs median gross | 2 | $2,739 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95124 | acs median gross | 3 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95124 | acs median gross | 4 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95124 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95124 | acs median gross | $2,865 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 95124 | acs recent mover gross | $2,819 | 2024-12-31 | CENSUS_ACS5 | |
| zip 95124 | payment standard 110 | 0 | $3,036 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95124 | payment standard 90 | 0 | $2,484 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95124 | safmr | 0 | $2,760 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95124 | payment standard 110 | 1 | $3,454 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95124 | payment standard 90 | 1 | $2,826 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95124 | safmr | 1 | $3,140 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95124 | payment standard 110 | 2 | $4,037 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95124 | payment standard 90 | 2 | $3,303 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95124 | safmr | 2 | $3,670 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95124 | payment standard 110 | 3 | $5,335 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95124 | payment standard 90 | 3 | $4,365 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95124 | safmr | 3 | $4,850 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95124 | payment standard 110 | 4 | $5,808 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95124 | payment standard 90 | 4 | $4,752 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95124 | safmr | 4 | $5,280 | 2025-10-01 | HUD_USER_SAFMR |