Composite
92.9 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 93.8 | 63.9 | 0.30 | 0.2308 | 21.65 | in index |
| financial risk | 76.6 | 64.2 | 0.30 | 0.2308 | 17.68 | in index |
| staffing risk | 80.7 | 80.7 | 0.25 | 0.1923 | 15.52 | in index |
| regulatory risk | 49.4 | 38.5 | 0.30 | 0.2308 | 11.40 | in index |
| chow risk | 25.7 | 28.0 | 0.15 | 0.1154 | 2.97 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 63.9 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.6 | 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 | 31.4 | B | v0.6 | default · in composite | |
| financial risk | 64.2 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.3 | — | 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 | 4.4 | — | 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 | 38.5 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 80.7 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 64.0 | 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 | 44.0 | 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 | 52.5 | C | 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 | 67.9 | 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. |
| regulatory risk | 38.3 | B | 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 | 38.3 | B | 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 | 80.7 | F | 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 | 80.7 | F | 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 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 2.00 | -0.12 | |
| Contract staffing share | 0.00 | -0.10 | |
| Occupancy | 0.67 | +0.07 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 2.00 | +1.06 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.67 | +0.31 | |
| Chain size (log) | 1.61 | +0.26 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Total nurse staffing (HPRD) | 2.79 | +0.18 | |
| Never sold on record | 1.00 | +0.12 |
| 2025Q4 HPRD | This facility | IN median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.79 | 2.85 | 3.28 | 2.90–3.77 |
| RN | 0.24 | 0.40 | 0.39 | 0.25–0.58 |
| Weekend total | 2.85 | 2.71 | 3.11 | — |
| Weekday total | 2.77 | 2.90 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 72.2 | 2.79 | 0.24 | 0.67 | 1.89 | 2.85 | 0.0% |
| 2025Q3 | 92 | 70.4 | 2.87 | 0.27 | 0.77 | 1.83 | 2.90 | 0.0% |
| 2025Q2 | 91 | 74.6 | 2.83 | 0.29 | 0.63 | 1.92 | 2.67 | 0.1% |
| 2025Q1 | 90 | 73.3 | 3.00 | 0.28 | 0.72 | 2.00 | 2.84 | 0.3% |
| 2024Q4 | 92 | 64.5 | 2.92 | 0.19 | 0.71 | 2.02 | 2.86 | 0.0% |
| 2024Q3 | 92 | 63.2 | 3.53 | 0.20 | 0.99 | 2.35 | 3.43 | 0.0% |
| 2024Q2 | 91 | 59.1 | 3.44 | 0.02 | 1.04 | 2.37 | 3.37 | 0.7% |
| 2024Q1 | 91 | 58.1 | 2.14 | 0.45 | 0.54 | 1.15 | 1.99 | 0.0% |
| 2023Q4 | 92 | 55.8 | 2.14 | 0.32 | 0.34 | 1.49 | 1.89 | 0.0% |
| 2023Q3 | 92 | 55.4 | 2.03 | 0.34 | 0.53 | 1.16 | 1.72 | 39.1% |
| 2023Q2 | 91 | 50.8 | 4.25 | 0.59 | 1.20 | 2.45 | 4.00 | 75.5% |
| 2023Q1 | 90 | 54.1 | 3.69 | 0.61 | 1.01 | 2.06 | 3.55 | 70.2% |
| 2022Q4 | 92 | 54.7 | 3.02 | 0.35 | 0.89 | 1.79 | 2.88 | 58.5% |
| 2022Q3 | 92 | 70.8 | 3.52 | 0.63 | 0.71 | 2.18 | 3.28 | 37.5% |
| 2022Q2 | 91 | 88.4 | 3.34 | 0.97 | 0.66 | 1.72 | 3.19 | 0.0% |
| 2022Q1 | 90 | 88.7 | 3.02 | 0.69 | 0.70 | 1.62 | 3.01 | 0.0% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-07 | 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 | 2026-04-30 |
| 2026-04-07 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2026-04-30 |
| 2025-06-13 | Health | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | 2025-07-25 |
| 2025-06-13 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | 2025-07-25 |
| 2025-06-13 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2025-07-25 |
| 2025-06-13 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-07-25 |
| 2025-06-13 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-07-25 |
| 2025-06-13 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-07-25 |
| 2024-05-22 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-07-01 |
| 2024-05-22 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-07-01 |
| 2024-05-22 | 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 | 2024-07-01 |
| 2024-05-22 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2024-07-01 |
| 2024-05-22 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-07-01 |
| 2024-05-22 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2024-07-01 |
| 2024-05-22 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2024-07-01 |
| 2024-05-22 | Health | 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 | 2024-07-01 |
| 2024-05-22 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2024-07-01 |
| 2024-05-22 | 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 | 2024-07-01 |
| 2024-05-22 | 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. | E | 2024-07-01 |
| 2024-05-22 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-07-01 |
| 2024-05-22 | 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 | 2024-07-01 |
| 2024-05-22 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-07-01 |
| 2024-05-22 | Health | F0732 | Post nurse staffing information every day. | C | 2024-07-01 |
| 2024-05-22 | 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. | E | 2024-07-01 |
| 2024-05-22 | 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 | 2024-07-01 |
| 2024-05-22 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-07-01 |
| 2024-05-22 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-07-01 |
| 2024-05-22 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-07-01 |
| 2024-05-22 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2024-07-01 |
| 2023-12-12 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-12-26 |
| 2023-02-09 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2023-04-13 |
| 2023-02-09 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-03-24 |
| 2023-02-09 | 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 | 2023-03-24 |
| 2023-02-09 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-04-13 |
| 2023-02-09 | Health | F0732 | Post nurse staffing information every day. | C | 2023-03-24 |
| 2023-02-09 | 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. | D | 2023-03-24 |
| 2023-02-09 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-03-24 |
| 2023-02-09 | Health | F0888 | Ensure staff are vaccinated for COVID-19 | D | 2023-03-24 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| GREENE COUNTY GENERAL HOSPITAL | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-11-01 | current | pecos_ownership |
| JASPER SNF OPCO LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-03 | current | pecos_ownership |
| MEADOWS, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-05-12 | current | pecos_ownership |
| MEADOWS, MICHAEL | ADP OF THE SNF | — | 2025-05-12 | current | pecos_ownership |
| REETZ, BRENDA | CORPORATE OFFICER | — | 2014-11-01 | current | pecos_ownership |
| BRENDA REETZ | CORPORATE OFFICER | 100% | 2014-11-01 | ended 2026-05-18 | pecos_ownership |
| MICHAEL MEADOWS | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-05-12 | ended 2026-05-18 | pecos_ownership |
| MICHAEL MEADOWS | ADP OF THE SNF | — | 2025-05-12 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-01-08 | HEALTHWIN HEALTH & REHABILITATION | — | — | — | 145 | PULASKI MEMORIAL HOSPITAL |
| 2025-01-01 | ENVIVE OF LIBERTY | — | — | — | 60 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2025-01-01 | ENVIVE OF MUNCIE | — | — | — | 60 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2024-08-01 | FAIRWAY VILLAGE | — | — | — | 53 | HENRY COUNTY MEMORIAL HOSPITAL |
| 2024-07-01 | ASBURY TOWERS HEALTH CARE CENTER | — | — | — | 48 | PULASKI MEMORIAL HOSPITAL |
| 2024-07-01 | PILGRIM MANOR | — | — | — | 78 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2024-07-01 | CHASE CENTER | — | — | — | 101 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2024-06-01 | IGNITE MEDICAL RESORT CHESTERTON | — | — | — | 70 | IGNITE MEDICAL RESORT CHESTERTON LLC |
| 2024-01-01 | BRIARCLIFF HEALTH & REHABILITATION CENTER | — | — | — | 131 | PULASKI MEMORIAL HOSPITAL |
| 2024-01-01 | SOUTH SHORE HEALTH & REHABILITATION CENTER | — | — | — | 100 | PULASKI MEMORIAL HOSPITAL |
| 2024-01-01 | EVANSVILLE PROTESTANT HOME | — | — | — | 49 | HENRY COUNTY MEMORIAL HOSPITAL |
| 2023-12-01 | ROLLING HILLS HEALTHCARE CENTER | — | — | — | 115 | ADAMS COUNTY MEMORIAL HOSPITAL |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 18037 | fmr | 0 | $685 | 2025-10-01 | HUD_USER_FMR |
| county 18037 | acs median gross | 1 | $542 | 2024-12-31 | CENSUS_ACS5 |
| county 18037 | fmr | 1 | $729 | 2025-10-01 | HUD_USER_FMR |
| county 18037 | acs median gross | 2 | $895 | 2024-12-31 | CENSUS_ACS5 |
| county 18037 | fmr | 2 | $956 | 2025-10-01 | HUD_USER_FMR |
| county 18037 | acs median gross | 3 | $1,059 | 2024-12-31 | CENSUS_ACS5 |
| county 18037 | fmr | 3 | $1,328 | 2025-10-01 | HUD_USER_FMR |
| county 18037 | acs median gross | 4 | $1,267 | 2024-12-31 | CENSUS_ACS5 |
| county 18037 | fmr | 4 | $1,604 | 2025-10-01 | HUD_USER_FMR |
| county 18037 | acs median gross | $834 | 2024-12-31 | CENSUS_ACS5 | |
| county 18037 | acs recent mover gross | $950 | 2024-12-31 | CENSUS_ACS5 | |
| zip 47547 | payment standard 110 | 0 | $759 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47547 | payment standard 90 | 0 | $621 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47547 | safmr | 0 | $690 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47547 | payment standard 110 | 1 | $803 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47547 | payment standard 90 | 1 | $657 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47547 | safmr | 1 | $730 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47547 | payment standard 110 | 2 | $1,056 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47547 | payment standard 90 | 2 | $864 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47547 | safmr | 2 | $960 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47547 | payment standard 110 | 3 | $1,463 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47547 | payment standard 90 | 3 | $1,197 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47547 | safmr | 3 | $1,330 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47547 | payment standard 110 | 4 | $1,771 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47547 | payment standard 90 | 4 | $1,449 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47547 | safmr | 4 | $1,610 | 2025-10-01 | HUD_USER_SAFMR |