Composite
9.2 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 77.8 | 74.3 | 0.30 | 0.2308 | 17.95 | in index |
| billing conduct | 15.3 | 20.0 | 0.30 | 0.2308 | 3.53 | in index |
| financial risk | 15.1 | 23.5 | 0.30 | 0.2308 | 3.48 | in index |
| chow risk | 20.1 | 19.5 | 0.15 | 0.1154 | 2.32 | in index |
| staffing risk | 7.7 | 7.8 | 0.25 | 0.1923 | 1.48 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 20.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 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 | 13.9 | A | v0.6 | default · in composite | |
| financial risk | 23.5 | A | 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 | 2.0 | — | 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 | 74.3 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 7.8 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 74.0 | D | 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 | 54.0 | 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 | 37.2 | 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 | 29.5 | 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 | 74.2 | 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 | 74.2 | 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. |
| staffing risk | 7.8 | 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 | 7.8 | 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 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Occupancy | 0.80 | -0.30 | |
| Total nurse staffing (HPRD) | 4.54 | -0.30 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 1.00 | +1.24 | |
| Chain size (log) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| Total nurse staffing (HPRD) | 4.54 | -0.56 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.80 | -0.22 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 |
| 2025Q4 HPRD | This facility | MN median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 4.54 | 3.49 | 3.28 | 2.90–3.77 |
| RN | 0.84 | 0.65 | 0.39 | 0.25–0.58 |
| Weekend total | 4.46 | 3.32 | 3.11 | — |
| Weekday total | 4.57 | 3.59 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 67.2 | 4.54 | 0.84 | 0.75 | 2.95 | 4.46 | 13.8% |
| 2025Q3 | 92 | 74.0 | 4.75 | 0.85 | 0.76 | 3.14 | 4.57 | 24.9% |
| 2025Q2 | 91 | 70.3 | 4.30 | 0.89 | 0.61 | 2.80 | 4.23 | 28.7% |
| 2025Q1 | 90 | 71.5 | 4.62 | 0.94 | 0.70 | 2.98 | 4.56 | 25.8% |
| 2024Q4 | 92 | 74.3 | 4.47 | 0.89 | 0.68 | 2.90 | 4.33 | 23.3% |
| 2024Q3 | 92 | 76.9 | 4.31 | 0.79 | 0.74 | 2.78 | 4.16 | 26.5% |
| 2024Q2 | 91 | 72.6 | 4.51 | 0.88 | 0.75 | 2.88 | 4.46 | 26.1% |
| 2024Q1 | 91 | 72.5 | 4.49 | 0.97 | 0.69 | 2.83 | 4.41 | 32.6% |
| 2023Q4 | 92 | 72.2 | 4.29 | 0.98 | 0.62 | 2.70 | 4.24 | 35.0% |
| 2023Q3 | 92 | 71.8 | 4.34 | 0.81 | 0.77 | 2.76 | 4.26 | 34.3% |
| 2023Q2 | 91 | 73.2 | 4.31 | 0.75 | 0.84 | 2.72 | 4.21 | 38.6% |
| 2023Q1 | 90 | 75.4 | 4.19 | 0.68 | 0.83 | 2.68 | 4.19 | 45.3% |
| 2022Q4 | 92 | 76.1 | 3.37 | 0.55 | 0.73 | 2.09 | 3.05 | 36.0% |
| 2022Q2 | 91 | 75.4 | 5.01 | 0.38 | 0.69 | 3.95 | 5.06 | 34.5% |
| 2022Q1 | 90 | 72.4 | 5.04 | 0.64 | 0.95 | 3.45 | 5.02 | 27.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-10-08 | Fine | $8,827 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-01-14 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2026-02-06 |
| 2025-05-29 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-07-03 |
| 2025-05-29 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | 2025-07-03 |
| 2025-05-29 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-07-03 |
| 2025-05-29 | Health | F0570 | Assure the security of all personal funds of residents deposited with the facility. | B | 2025-07-03 |
| 2025-05-29 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | 2025-07-03 |
| 2025-05-29 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-07-03 |
| 2025-05-29 | 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 | 2025-07-03 |
| 2025-05-29 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-07-03 |
| 2025-05-29 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-07-03 |
| 2025-05-29 | 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 | 2025-07-03 |
| 2025-05-29 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-07-03 |
| 2025-05-29 | Health | 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 | 2025-07-03 |
| 2025-05-29 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-07-03 |
| 2025-05-29 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2025-07-03 |
| 2025-05-29 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-07-03 |
| 2025-05-29 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2025-07-03 |
| 2025-05-29 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2025-07-03 |
| 2024-10-08 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-10-09 |
| 2024-08-07 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-09-17 |
| 2024-08-07 | Health · complaint | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-09-17 |
| 2024-08-07 | 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 | 2024-09-17 |
| 2024-08-07 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-09-17 |
| 2024-08-07 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-09-17 |
| 2024-08-07 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-09-17 |
| 2024-08-07 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-09-17 |
| 2024-08-07 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2024-09-17 |
| 2024-08-07 | 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 | 2024-09-17 |
| 2024-08-07 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-09-17 |
| 2024-08-07 | 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 | 2024-09-17 |
| 2024-08-07 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2024-09-17 |
| 2024-08-07 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-09-17 |
| 2024-08-07 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-09-17 |
| 2023-09-28 | 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 | 2023-10-24 |
| 2023-09-28 | Health | F0641 | Ensure each resident receives an accurate assessment. | B | 2023-10-24 |
| 2023-09-28 | 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 | 2023-10-24 |
| 2023-09-28 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-10-24 |
| 2023-09-28 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-10-24 |
| 2023-09-28 | 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 | 2023-10-24 |
| 2023-09-28 | 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 | 2023-10-24 |
| 2023-09-28 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-10-24 |
| 2023-09-28 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2023-10-24 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| MARKOWITZ, ALAN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-11-30 | current | pecos_ownership |
| SALAZAR, MONA | ADP OF THE SNF | — | 2021-11-30 | current | pecos_ownership |
| SONNTAG, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-11-30 | current | pecos_ownership |
| WILHELM, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-03 | current | pecos_ownership |
| ALAN MARKOWITZ | CORPORATE OFFICER | 100% | 2021-11-30 | ended 2026-05-18 | pecos_ownership |
| MONA SALAZAR | ADP OF THE SNF | — | 2021-11-30 | ended 2026-05-18 | pecos_ownership |
| ROBERT SONNTAG | ADP OF THE SNF | — | 2021-11-30 | ended 2026-05-18 | pecos_ownership |
| SCOTT WILHELM | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-03 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-07-22 | CURA OF ONAMIA | — | — | — | 57 | CURA OF ONAMIA LLC |
| 2024-12-01 | SHAKOPEE FRIENDSHIP MANOR | — | — | — | 60 | SHAKOPEE CARE LLC |
| 2024-12-01 | EDENBROOK ROCHESTER WEST | — | — | — | 48 | EDENBROOK ROCHESTER WEST LLC |
| 2024-10-29 | Cura of Sauk Centre | — | — | — | 60 | CURA OF SAUK CENTRE LLC |
| 2024-10-15 | Heartwood | — | — | — | 54 | CROSBY SENIOR SERVICES CARE CENTER |
| 2024-02-13 | Cura of Monticello | — | — | — | 67 | CURA OF MONTICELLO LLC |
| 2023-12-31 | MAPLEWOOD REHABILITATION CENTER | — | — | — | 115 | MAPLEWOOD REHABILITATION CENTER LLC |
| 2023-12-31 | SLEEPY EYE REHABILITATI CENTER | — | — | — | 61 | SLEEPY EYE REHABILITATION CENTER LLC |
| 2023-12-15 | ST BENEDICTS CARE CENTER | — | — | — | 75 | ECUMEN SBC ST CLOUD PROPERTIES LLC |
| 2023-12-01 | Frazee Care Center | — | — | — | 42 | LEGACY SENIOR SERVICES |
| 2023-06-05 | CURA OF LE SUEUR | — | — | — | 50 | CURA OF LE SUEUR LLC |
| 2023-05-01 | LAKEHOUSE HEALTHCARE & REHABILITATION CENTER | — | — | — | 260 | LAKE HARRIET OPERATOR LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 27123 | acs median gross | 0 | $1,074 | 2024-12-31 | CENSUS_ACS5 |
| county 27123 | fmr | 0 | $1,242 | 2025-10-01 | HUD_USER_FMR |
| county 27123 | acs median gross | 1 | $1,173 | 2024-12-31 | CENSUS_ACS5 |
| county 27123 | fmr | 1 | $1,405 | 2025-10-01 | HUD_USER_FMR |
| county 27123 | acs median gross | 2 | $1,438 | 2024-12-31 | CENSUS_ACS5 |
| county 27123 | fmr | 2 | $1,709 | 2025-10-01 | HUD_USER_FMR |
| county 27123 | acs median gross | 3 | $1,776 | 2024-12-31 | CENSUS_ACS5 |
| county 27123 | fmr | 3 | $2,262 | 2025-10-01 | HUD_USER_FMR |
| county 27123 | acs median gross | 4 | $1,911 | 2024-12-31 | CENSUS_ACS5 |
| county 27123 | fmr | 4 | $2,531 | 2025-10-01 | HUD_USER_FMR |
| county 27123 | acs median gross | 5 | $1,813 | 2024-12-31 | CENSUS_ACS5 |
| county 27123 | acs median gross | $1,329 | 2024-12-31 | CENSUS_ACS5 | |
| county 27123 | acs recent mover gross | $1,347 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 55108 | acs median gross | 0 | $1,324 | 2024-12-31 | CENSUS_ACS5 |
| zcta 55108 | acs median gross | 1 | $1,227 | 2024-12-31 | CENSUS_ACS5 |
| zcta 55108 | acs median gross | 2 | $1,534 | 2024-12-31 | CENSUS_ACS5 |
| zcta 55108 | acs median gross | 3 | $2,065 | 2024-12-31 | CENSUS_ACS5 |
| zcta 55108 | acs median gross | $1,348 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 55108 | acs recent mover gross | $1,328 | 2024-12-31 | CENSUS_ACS5 | |
| zip 55108 | payment standard 110 | 0 | $1,386 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55108 | payment standard 90 | 0 | $1,134 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55108 | safmr | 0 | $1,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55108 | payment standard 110 | 1 | $1,562 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55108 | payment standard 90 | 1 | $1,278 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55108 | safmr | 1 | $1,420 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55108 | payment standard 110 | 2 | $1,903 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55108 | payment standard 90 | 2 | $1,557 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55108 | safmr | 2 | $1,730 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55108 | payment standard 110 | 3 | $2,519 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55108 | payment standard 90 | 3 | $2,061 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55108 | safmr | 3 | $2,290 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55108 | payment standard 110 | 4 | $2,816 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55108 | payment standard 90 | 4 | $2,304 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55108 | safmr | 4 | $2,560 | 2025-10-01 | HUD_USER_SAFMR |