Composite
45.8 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 70.5 | 65.5 | 0.30 | 0.2857 | 20.14 | in index |
| financial risk | 36.8 | 37.7 | 0.30 | 0.2857 | 10.51 | in index |
| billing conduct | 36.0 | 34.2 | 0.30 | 0.2857 | 10.29 | in index |
| chow risk | 41.8 | 40.0 | 0.15 | 0.1429 | 5.97 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 34.2 | 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 | 55.1 | C | v0.6 | default · in composite | |
| financial risk | 37.7 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 8.7 | — | 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 | 0.4 | — | 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 | 65.5 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| financial risk | 61.4 | 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 | 41.4 | 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 | 45.3 | 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 | 41.6 | 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 | 65.3 | 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 | 65.3 | 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. |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | -1.24 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.84 | -0.41 | |
| 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 | |
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| Chain size (log) | 0.00 | +1.20 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.84 | -0.38 | |
| Staffing trend, last 4 quarters | 0.65 | +0.27 | |
| Contract staffing share | 0.26 | +0.21 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
| 2024Q2 HPRD | This facility | KS median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.25 | 3.03 | 3.28 | 2.90–3.77 |
| RN | 0.47 | 0.44 | 0.39 | 0.25–0.58 |
| Weekend total | 2.98 | 2.87 | 3.11 | — |
| Weekday total | 3.36 | 3.10 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2024Q2 | 91 | 37.8 | 3.25 | 0.47 | 0.26 | 2.52 | 2.98 | 26.4% |
| 2024Q1 | 91 | 37.1 | 2.87 | 0.42 | 0.23 | 2.21 | 2.88 | 36.5% |
| 2023Q4 | 92 | 36.0 | 3.50 | 0.44 | 0.55 | 2.51 | 3.18 | 35.1% |
| 2023Q3 | 92 | 37.3 | 3.04 | 0.64 | 0.31 | 2.09 | 2.91 | 36.8% |
| 2023Q2 | 91 | 39.0 | 2.60 | 0.37 | 0.56 | 1.67 | 2.46 | 27.0% |
| 2023Q1 | 90 | 41.3 | 2.30 | 0.30 | 0.36 | 1.64 | 2.22 | 28.9% |
| 2022Q4 | 92 | 43.4 | 2.00 | 0.27 | 0.38 | 1.35 | 1.94 | 21.3% |
| 2022Q3 | 92 | 35.4 | 1.95 | 0.50 | 0.03 | 1.42 | 1.82 | 28.7% |
| 2022Q2 | 91 | 36.9 | 1.77 | 0.47 | 0.10 | 1.21 | 1.59 | 24.1% |
| 2022Q1 | 90 | 33.5 | 2.25 | 0.54 | 0.26 | 1.45 | 1.99 | 24.3% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-12-16 | Fine | $8,678 | CMS provider data |
| 2023-10-19 | Fine | $14,918 | CMS provider data |
| 2023-09-11 | Fine | $10,489 | CMS provider data |
| 2023-08-07 | Fine | $2,797 | CMS provider data |
| 2023-07-17 | Fine | $6,293 | CMS provider data |
| 2023-07-11 | Fine | $16,801 | CMS provider data |
| 2023-07-11 | Payment Denial | — | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-03-26 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-04-15 |
| 2025-03-26 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-04-15 |
| 2025-03-26 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-04-15 |
| 2025-03-26 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-04-15 |
| 2025-03-26 | 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 | 2025-04-15 |
| 2025-03-26 | 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. | D | 2025-04-15 |
| 2025-03-26 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-04-15 |
| 2025-03-26 | Health · complaint | 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 | 2025-04-15 |
| 2025-03-26 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-04-15 |
| 2025-03-26 | Health · complaint | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2025-04-15 |
| 2025-03-26 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-04-15 |
| 2025-03-26 | Health · complaint | 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 | 2025-04-15 |
| 2025-03-26 | Health · complaint | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2025-04-15 |
| 2025-03-26 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2025-04-15 |
| 2024-12-16 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | 2024-12-31 |
| 2023-10-19 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2023-11-03 |
| 2023-07-31 | 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 | 2023-08-31 |
| 2023-07-31 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-08-31 |
| 2023-07-31 | Health · complaint | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2023-08-31 |
| 2023-07-11 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | C | 2023-08-17 |
| 2023-07-11 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | 2023-08-17 |
| 2023-07-11 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2023-08-17 |
| 2023-07-11 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-08-17 |
| 2023-07-11 | 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 | 2023-08-17 |
| 2023-07-11 | Health | 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 | 2023-08-17 |
| 2023-07-11 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-08-17 |
| 2023-07-11 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2023-08-17 |
| 2023-07-11 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2023-08-17 |
| 2023-07-11 | 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 | 2023-08-17 |
| 2023-07-11 | 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 | 2023-08-17 |
| 2023-07-11 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2023-08-17 |
| 2023-07-11 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2023-08-17 |
| 2023-07-11 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2023-08-17 |
| 2023-07-11 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2023-08-17 |
| 2023-07-11 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2023-08-17 |
| 2022-01-10 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2022-02-04 |
| 2022-01-10 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | 2022-02-04 |
| 2022-01-10 | 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. | D | 2022-02-04 |
| 2022-01-10 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2022-02-04 |
| 2022-01-10 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2022-02-04 |
| 2022-01-10 | 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 | 2022-02-04 |
| 2022-01-10 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2022-02-04 |
| 2022-01-10 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-02-04 |
| 2022-01-10 | 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 | 2022-02-04 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| FREEBORN, JOANN | CORPORATE DIRECTOR | — | 2022-01-01 | current | pecos_ownership |
| HAYDEN, JAROLD | CORPORATE DIRECTOR | — | 2003-09-03 | current | pecos_ownership |
| JOHNSON, ERIC | CORPORATE DIRECTOR | — | 2015-02-27 | current | pecos_ownership |
| RYSER, CAITLAN | W-2 MANAGING EMPLOYEE | — | 2015-12-01 | current | pecos_ownership |
| SHORE, TERESA | W-2 MANAGING EMPLOYEE | — | 2016-03-21 | current | pecos_ownership |
| WORTHEN, GREGORY | CORPORATE DIRECTOR | — | 2022-01-01 | current | pecos_ownership |
| TERESA SHORE | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2016-03-21 | ended 2026-05-18 | pecos_ownership |
| CAITLAN RYSER | W-2 MANAGING EMPLOYEE | 0% | 2015-12-01 | ended 2026-05-18 | pecos_ownership |
| ERIC JOHNSON | CORPORATE DIRECTOR | — | 2015-02-27 | ended 2026-05-18 | pecos_ownership |
| GREGORY WORTHEN | CORPORATE DIRECTOR | — | 2022-01-01 | ended 2026-05-18 | pecos_ownership |
| JAROLD HAYDEN | CORPORATE DIRECTOR | — | 2003-09-03 | ended 2026-05-18 | pecos_ownership |
| JOANN FREEBORN | CORPORATE DIRECTOR | — | 2022-01-01 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-07-01 | VIA CHRISTI VILLAGE PITTSBURG | — | — | — | 96 | VIA CHRISTI VILLAGE PITTSBURG KS LLC |
| 2025-07-01 | VIA CHRISTI VILLAGE HAYS KS LLC | — | — | — | 96 | VIA CHRISTI VILLAGE HAYS KS LLC |
| 2025-01-25 | HOLTON HEALTH CARE CENTER | — | — | — | 45 | HOLTON HEALTH CARE CENTER LLC |
| 2024-08-25 | SWAN HEALTH AT OVERLAND PARK | — | — | — | 44 | HHN KS2 LLC |
| 2024-08-01 | IGNITE MEDICAL RESORT OVERLAND PARK LLC | — | — | — | 102 | IGNITE MEDICAL RESORT OVERLAND PARK LLC |
| 2024-05-01 | HILLSIDE VILLAGE OF DE SOTO REHABILITATION AND NUR | — | — | — | 49 | OSAGE VALLEY HEALTHCARE LLC |
| 2024-03-01 | ATCHISON SENIOR VILLAGE REHABILITATION AND NURSING | — | — | — | 45 | EARHART HEALTHCARE LLC |
| 2024-02-01 | PROVIDENCE LIVING CENTER | — | — | — | 78 | PROVIDENCE OPCO LLC |
| 2023-11-01 | TONGANOXIE TERRACE | — | — | — | 90 | TONGANOXIE OPCO LLC |
| 2023-10-01 | PROVIDENCE PLACE | — | — | — | 45 | STREETCAR HEALTHCARE, INC. |
| 2023-09-01 | MAPLE HEIGHTS NURSING & REHABILITATIVE CENTER | — | — | — | 53 | HIAWATHA OPCO LLC |
| 2023-08-01 | OVERLAND PARK POST ACUTE | — | — | — | 140 | EXCEL OF OVERLAND PARK LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 20029 | fmr | 0 | $643 | 2025-10-01 | HUD_USER_FMR |
| county 20029 | acs median gross | 1 | $573 | 2024-12-31 | CENSUS_ACS5 |
| county 20029 | fmr | 1 | $676 | 2025-10-01 | HUD_USER_FMR |
| county 20029 | acs median gross | 2 | $804 | 2024-12-31 | CENSUS_ACS5 |
| county 20029 | fmr | 2 | $877 | 2025-10-01 | HUD_USER_FMR |
| county 20029 | acs median gross | 3 | $687 | 2024-12-31 | CENSUS_ACS5 |
| county 20029 | fmr | 3 | $1,052 | 2025-10-01 | HUD_USER_FMR |
| county 20029 | acs median gross | 4 | $983 | 2024-12-31 | CENSUS_ACS5 |
| county 20029 | fmr | 4 | $1,275 | 2025-10-01 | HUD_USER_FMR |
| county 20029 | acs median gross | 5 | $1,067 | 2024-12-31 | CENSUS_ACS5 |
| county 20029 | acs median gross | $769 | 2024-12-31 | CENSUS_ACS5 | |
| county 20029 | acs recent mover gross | $687 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 66901 | acs median gross | 1 | $678 | 2024-12-31 | CENSUS_ACS5 |
| zcta 66901 | acs median gross | 2 | $834 | 2024-12-31 | CENSUS_ACS5 |
| zcta 66901 | acs median gross | 3 | $686 | 2024-12-31 | CENSUS_ACS5 |
| zcta 66901 | acs median gross | 4 | $991 | 2024-12-31 | CENSUS_ACS5 |
| zcta 66901 | acs median gross | $800 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 66901 | acs recent mover gross | $950 | 2024-12-31 | CENSUS_ACS5 | |
| zip 66901 | payment standard 110 | 0 | $737 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66901 | payment standard 90 | 0 | $603 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66901 | safmr | 0 | $670 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66901 | payment standard 110 | 1 | $781 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66901 | payment standard 90 | 1 | $639 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66901 | safmr | 1 | $710 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66901 | payment standard 110 | 2 | $1,001 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66901 | payment standard 90 | 2 | $819 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66901 | safmr | 2 | $910 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66901 | payment standard 110 | 3 | $1,210 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66901 | payment standard 90 | 3 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66901 | safmr | 3 | $1,100 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66901 | payment standard 110 | 4 | $1,452 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66901 | payment standard 90 | 4 | $1,188 | 2025-10-01 | HUD_USER_SAFMR |
| zip 66901 | safmr | 4 | $1,320 | 2025-10-01 | HUD_USER_SAFMR |