Composite
62.6 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 89.8 | 87.4 | 0.30 | 0.2308 | 20.72 | in index |
| financial risk | 64.1 | 55.0 | 0.30 | 0.2308 | 14.79 | in index |
| chow risk | 81.8 | 56.2 | 0.15 | 0.1154 | 9.44 | in index |
| staffing risk | 42.4 | 42.5 | 0.25 | 0.1923 | 8.15 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.2308 | 0.00 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 0.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 35.0 | 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 | 77.5 | D | v0.6 | default · in composite | |
| financial risk | 55.0 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.8 | — | 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 | 0.0 | — | 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 | 87.4 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 42.5 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 88.9 | 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 | 68.9 | D | 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 | 46.1 | 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 | 59.8 | 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 | 87.4 | F | 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 | 87.4 | F | 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 | 42.5 | B | 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 | 42.5 | B | 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 | |
|---|---|---|---|
| Current owner tenure (years) | 2.24 | -1.63 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Deficiencies, last 12 months | 0.00 | -0.17 | |
| Contract staffing share | 0.00 | -0.10 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| Chain size (log) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| Staffing trend, last 4 quarters | 1.17 | +0.52 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 2.24 | -0.26 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
| 2025Q4 HPRD | This facility | TN median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.41 | 3.28 | 3.28 | 2.90–3.77 |
| RN | 0.62 | 0.34 | 0.39 | 0.25–0.58 |
| Weekend total | 3.36 | 3.10 | 3.11 | — |
| Weekday total | 3.43 | 3.36 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 81.6 | 3.41 | 0.62 | 1.14 | 1.66 | 3.36 | 0.0% |
| 2025Q3 | 92 | 84.5 | 2.97 | 0.56 | 1.11 | 1.29 | 2.92 | 0.0% |
| 2025Q2 | 91 | 88.2 | 2.83 | 0.41 | 1.15 | 1.28 | 2.85 | 1.1% |
| 2025Q1 | 90 | 89.0 | 2.62 | 0.21 | 1.22 | 1.18 | 2.63 | 0.4% |
| 2024Q4 | 92 | 88.3 | 2.25 | 0.06 | 1.11 | 1.08 | 2.24 | 2.9% |
| 2024Q3 | 92 | 88.2 | 1.96 | 0.05 | 1.02 | 0.89 | 1.91 | 0.0% |
| 2024Q2 | 91 | 88.0 | 1.97 | 0.07 | 1.03 | 0.87 | 1.85 | 0.0% |
| 2024Q1 | 91 | 79.4 | 2.31 | 0.07 | 1.21 | 1.03 | 2.28 | 0.0% |
| 2023Q4 | 92 | 73.5 | 2.87 | 0.14 | 1.27 | 1.46 | 2.61 | 0.0% |
| 2023Q3 | 92 | 69.3 | 3.20 | 0.20 | 1.30 | 1.70 | 3.04 | 0.0% |
| 2023Q2 | 91 | 71.6 | 2.98 | 0.20 | 1.27 | 1.51 | 2.78 | 0.0% |
| 2022Q1 | 90 | 55.1 | 3.60 | 0.18 | 1.20 | 2.23 | 3.54 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-08-22 | Fine | $86,768 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2024-08-22 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-09-19 |
| 2024-08-22 | Health · complaint | 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. | D | 2024-09-19 |
| 2024-08-22 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-09-19 |
| 2024-08-22 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-09-19 |
| 2024-08-22 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-09-19 |
| 2024-08-22 | 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. | F | 2024-09-19 |
| 2024-08-22 | 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. | D | 2024-09-19 |
| 2024-08-22 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-09-19 |
| 2024-08-22 | Health | F0814 | Dispose of garbage and refuse properly. | D | 2024-09-19 |
| 2024-08-22 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | L | 2024-09-19 |
| 2024-08-22 | Health | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | L | 2024-09-19 |
| 2024-08-22 | Health | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | C | 2024-09-19 |
| 2024-08-22 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-09-19 |
| 2024-08-22 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | L | 2024-09-19 |
| 2024-08-22 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | L | 2024-09-19 |
| 2024-05-15 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-06-19 |
| 2024-05-15 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2024-06-19 |
| 2024-05-15 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2024-06-19 |
| 2024-05-15 | Health · complaint | 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 | 2024-06-19 |
| 2024-05-15 | Health · complaint | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | D | 2024-06-19 |
| 2021-06-23 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2021-07-19 |
| 2021-06-23 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2021-07-19 |
| 2021-06-23 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2021-07-19 |
| 2021-06-23 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2021-07-19 |
| 2021-06-23 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | 2021-07-19 |
| 2019-10-12 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | 2019-11-04 |
| 2019-10-12 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2019-11-04 |
| 2019-10-12 | 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 | 2019-11-04 |
| 2019-10-12 | Health | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2019-11-04 |
| 2019-10-12 | 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. | J | 2019-11-04 |
| 2019-10-12 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2019-11-04 |
| 2019-10-12 | 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 | 2019-11-04 |
| 2019-10-12 | 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. | J | 2019-11-04 |
| 2019-10-12 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2019-11-04 |
| 2019-10-12 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2019-11-04 |
| 2019-10-12 | 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 | 2019-11-04 |
| 2019-10-12 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | J | 2019-11-04 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| JETTY OPERATIONS HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-05-01 | current | pecos_ownership |
| 204 INDUSTRIAL PARK PROPCO, LLC | ADP OF THE SNF | — | 2025-01-09 | current | pecos_ownership |
| CORE LTC SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-01 | current | pecos_ownership |
| CORE LTC SERVICES LLC | ADP OF THE SNF | — | 2025-01-09 | current | pecos_ownership |
| JETTY CORE HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-05-01 | current | pecos_ownership |
| LAWRENCE, RICHARD | ADP OF THE SNF | — | 2024-06-01 | current | pecos_ownership |
| MERKLE, MARY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-01 | current | pecos_ownership |
| NEE, STEPHEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-01 | current | pecos_ownership |
| RATNER, ERAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-05-01 | current | pecos_ownership |
| UNTERBORN, CHERYL | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-03 | current | pecos_ownership |
| ERAN RATNER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 99% | 2024-05-01 | ended 2026-05-18 | pecos_ownership |
| CHERYL UNTERBORN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-03 | ended 2026-05-18 | pecos_ownership |
| MARY MERKLE | ADP OF THE SNF | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| RICHARD LAWRENCE | ADP OF THE SNF | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| STEPHEN NEE | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-01 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2024-05-01 | — | ROCKY TOP OPERATIONS LLC | SUMMIT VIEW OF LAKE CITY, LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-05-01 | WEXFORD HOUSE | — | — | — | 174 | WEXFORD OPERATING GROUP LLC |
| 2025-05-01 | LAUGHLIN HEALTH CARE CENTER | — | — | — | 90 | LAUGHLIN OPERATING GROUP LLC |
| 2025-02-01 | EATON CREEK POST ACUTE | — | — | — | 124 | NASHVILLE SNF HEALTHCARE LLC |
| 2025-01-01 | APPLINGWOOD POST ACUTE | — | — | — | 78 | DOHENY BEACH HOLDINGS LLC |
| 2025-01-01 | Meadowbrook Healthcare and Rehabilitation Center | — | — | — | 83 | BIG CREEK HEALTHCARE, INC. |
| 2025-01-01 | Westwood Nursing and Rehabilitation | — | — | — | 90 | BLACK WOLF HEALTHCARE LLC |
| 2025-01-01 | SHELBY OAKS POST ACUTE | — | — | — | 77 | EAGLE LAKE HOLDINGS LLC |
| 2025-01-01 | Stone River Post Acute | — | — | — | 68 | MURFREESBORO SNF HEALTHCARE LLC |
| 2025-01-01 | UNION CITY HEALTH AND REHABILITATION | — | — | — | 115 | TURNER HEALTHCARE INC |
| 2025-01-01 | Decatur County Healthcare | — | — | — | 125 | BEAR CREEK HEALTHCARE LLC |
| 2025-01-01 | COVINGTON POST ACUTE | — | — | — | 98 | FLORIDA BAY HOLDINGS LLC |
| 2025-01-01 | CYPRESS GROVE POST ACUTE | — | — | — | 170 | GOODHOPE BAY HOLDINGS LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 47001 | acs median gross | 0 | $913 | 2024-12-31 | CENSUS_ACS5 |
| county 47001 | fmr | 0 | $1,177 | 2025-10-01 | HUD_USER_FMR |
| county 47001 | acs median gross | 1 | $738 | 2024-12-31 | CENSUS_ACS5 |
| county 47001 | fmr | 1 | $1,184 | 2025-10-01 | HUD_USER_FMR |
| county 47001 | acs median gross | 2 | $1,027 | 2024-12-31 | CENSUS_ACS5 |
| county 47001 | fmr | 2 | $1,471 | 2025-10-01 | HUD_USER_FMR |
| county 47001 | acs median gross | 3 | $1,241 | 2024-12-31 | CENSUS_ACS5 |
| county 47001 | fmr | 3 | $1,864 | 2025-10-01 | HUD_USER_FMR |
| county 47001 | acs median gross | 4 | $1,214 | 2024-12-31 | CENSUS_ACS5 |
| county 47001 | fmr | 4 | $2,172 | 2025-10-01 | HUD_USER_FMR |
| county 47001 | acs median gross | 5 | $909 | 2024-12-31 | CENSUS_ACS5 |
| county 47001 | acs median gross | $1,031 | 2024-12-31 | CENSUS_ACS5 | |
| county 47001 | acs recent mover gross | $1,253 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 37769 | acs median gross | 1 | $655 | 2024-12-31 | CENSUS_ACS5 |
| zcta 37769 | acs median gross | 2 | $907 | 2024-12-31 | CENSUS_ACS5 |
| zcta 37769 | acs median gross | 3 | $904 | 2024-12-31 | CENSUS_ACS5 |
| zcta 37769 | acs median gross | $753 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 37769 | acs recent mover gross | $99 | 2024-12-31 | CENSUS_ACS5 | |
| zip 37769 | payment standard 110 | 0 | $891 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37769 | payment standard 90 | 0 | $729 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37769 | safmr | 0 | $810 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37769 | payment standard 110 | 1 | $891 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37769 | payment standard 90 | 1 | $729 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37769 | safmr | 1 | $810 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37769 | payment standard 110 | 2 | $1,089 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37769 | payment standard 90 | 2 | $891 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37769 | safmr | 2 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37769 | payment standard 110 | 3 | $1,419 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37769 | payment standard 90 | 3 | $1,161 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37769 | safmr | 3 | $1,290 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37769 | payment standard 110 | 4 | $1,639 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37769 | payment standard 90 | 4 | $1,341 | 2025-10-01 | HUD_USER_SAFMR |
| zip 37769 | safmr | 4 | $1,490 | 2025-10-01 | HUD_USER_SAFMR |