Composite
32.6 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 80.7 | 77.5 | 0.30 | 0.4286 | 34.59 | in index |
| chow risk | 25.2 | 25.0 | 0.15 | 0.2143 | 5.40 | in index |
| staffing risk | 4.9 | 5.0 | 0.25 | 0.3571 | 1.75 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| 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. |
| p adverse action 12m | 11.3 | — | 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 | 0.6 | — | 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 | 77.5 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 5.0 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| regulatory risk | 77.4 | 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 | 77.4 | 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 | 5.0 | 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 | 5.0 | 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 | 0.00 | -1.24 | |
| Never sold on record | 1.00 | +0.62 | |
| Occupancy | 0.49 | +0.59 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Total nurse staffing (HPRD) | 4.85 | -0.36 | |
| 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 | |
| Occupancy | 0.49 | +1.07 | |
| Total nurse staffing (HPRD) | 4.85 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Facility size (log beds) | 3.71 | +0.13 |
| 2025Q4 HPRD | This facility | KS median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 4.85 | 3.03 | 3.28 | 2.90–3.77 |
| RN | 0.90 | 0.44 | 0.39 | 0.25–0.58 |
| Weekend total | 4.45 | 2.87 | 3.11 | — |
| Weekday total | 5.01 | 3.10 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 19.8 | 4.85 | 0.90 | 0.35 | 3.60 | 4.45 | 2.5% |
| 2025Q2 | 91 | 20.0 | 5.12 | 0.99 | 0.32 | 3.80 | 4.91 | 14.0% |
| 2025Q1 | 90 | 23.3 | 4.32 | 0.94 | 0.32 | 3.07 | 4.15 | 19.1% |
| 2024Q4 | 92 | 24.1 | 4.76 | 0.75 | 0.36 | 3.65 | 4.47 | 12.9% |
| 2024Q3 | 92 | 23.0 | 5.58 | 0.83 | 0.57 | 4.18 | 5.39 | 6.0% |
| 2024Q2 | 91 | 21.9 | 5.88 | 0.54 | 0.77 | 4.57 | 5.61 | 7.0% |
| 2023Q4 | 92 | 21.4 | 5.70 | 0.39 | 0.87 | 4.44 | 5.62 | 37.5% |
| 2023Q1 | 90 | 29.1 | 4.31 | 0.56 | 0.23 | 3.52 | 4.38 | 28.5% |
| 2022Q4 | 92 | 29.8 | 4.24 | 0.54 | 0.20 | 3.50 | 4.11 | 30.8% |
| 2022Q3 | 92 | 30.5 | 4.08 | 0.47 | 0.32 | 3.29 | 4.07 | 37.4% |
| 2022Q2 | 91 | 30.3 | 4.35 | 0.50 | 0.28 | 3.58 | 3.93 | 30.8% |
| 2022Q1 | 90 | 32.0 | 4.07 | 0.43 | 0.30 | 3.34 | 3.69 | 17.2% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-02-20 | Fine | $4,893 | CMS provider data |
| 2024-02-12 | Fine | $4,893 | CMS provider data |
| 2024-01-22 | Fine | $14,679 | CMS provider data |
| 2024-01-08 | Fine | $4,893 | CMS provider data |
| 2024-01-02 | Fine | $4,545 | CMS provider data |
| 2023-12-11 | Fine | $13,635 | CMS provider data |
| 2023-11-06 | Fine | $12,587 | CMS provider data |
| 2023-09-18 | Fine | $9,440 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2024-10-24 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-12-06 |
| 2024-10-24 | 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. | E | 2024-12-06 |
| 2024-10-24 | Health | 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. | E | 2024-12-06 |
| 2024-10-24 | 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 | 2024-12-06 |
| 2024-10-24 | 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 | 2024-12-06 |
| 2024-10-24 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | F | 2024-12-06 |
| 2024-10-24 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | 2024-12-06 |
| 2024-10-24 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | 2024-12-06 |
| 2024-10-24 | Health | F0641 | Ensure each resident receives an accurate assessment. | F | 2024-12-06 |
| 2024-10-24 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-12-06 |
| 2024-10-24 | 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 | 2024-12-06 |
| 2024-10-24 | 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 | 2024-12-06 |
| 2024-10-24 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-12-06 |
| 2024-10-24 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-12-06 |
| 2024-10-24 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2024-12-06 |
| 2024-10-24 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | 2024-12-06 |
| 2024-10-24 | 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. | F | 2024-12-06 |
| 2024-10-24 | Health | F0732 | Post nurse staffing information every day. | C | 2024-12-06 |
| 2024-10-24 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2024-12-06 |
| 2024-10-24 | 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 | 2024-12-06 |
| 2024-10-24 | 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 | 2024-12-06 |
| 2024-10-24 | 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 | 2024-12-06 |
| 2024-10-24 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2024-12-06 |
| 2024-10-24 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-12-06 |
| 2024-10-24 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2024-12-06 |
| 2024-10-24 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2024-12-06 |
| 2024-10-24 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2024-12-06 |
| 2024-10-24 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2024-12-06 |
| 2024-10-24 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-12-06 |
| 2024-10-24 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2024-12-06 |
| 2024-10-24 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2024-12-06 |
| 2024-10-24 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-12-06 |
| 2024-10-24 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | 2024-12-06 |
| 2022-12-07 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-01-11 |
| 2022-12-07 | 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 | 2023-01-11 |
| 2022-12-07 | 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 | 2023-01-11 |
| 2022-12-07 | 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 | 2023-01-11 |
| 2022-12-07 | 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 | 2023-01-11 |
| 2022-12-07 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2023-01-11 |
| 2022-12-07 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2023-01-11 |
| 2021-05-27 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2021-06-02 |
| 2021-05-27 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | 2021-06-04 |
| 2021-05-27 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2021-06-07 |
| 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 20093 | fmr | 0 | $1,045 | 2025-10-01 | HUD_USER_FMR |
| county 20093 | fmr | 1 | $1,087 | 2025-10-01 | HUD_USER_FMR |
| county 20093 | acs median gross | 2 | $1,076 | 2024-12-31 | CENSUS_ACS5 |
| county 20093 | fmr | 2 | $1,426 | 2025-10-01 | HUD_USER_FMR |
| county 20093 | acs median gross | 3 | $1,105 | 2024-12-31 | CENSUS_ACS5 |
| county 20093 | fmr | 3 | $1,710 | 2025-10-01 | HUD_USER_FMR |
| county 20093 | acs median gross | 4 | $1,060 | 2024-12-31 | CENSUS_ACS5 |
| county 20093 | fmr | 4 | $1,888 | 2025-10-01 | HUD_USER_FMR |
| county 20093 | acs median gross | $1,056 | 2024-12-31 | CENSUS_ACS5 | |
| county 20093 | acs recent mover gross | $843 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 67860 | acs median gross | 2 | $1,012 | 2024-12-31 | CENSUS_ACS5 |
| zcta 67860 | acs median gross | 3 | $1,557 | 2024-12-31 | CENSUS_ACS5 |
| zcta 67860 | acs median gross | 4 | $1,142 | 2024-12-31 | CENSUS_ACS5 |
| zcta 67860 | acs median gross | $1,134 | 2024-12-31 | CENSUS_ACS5 | |
| zip 67860 | payment standard 110 | 0 | $1,100 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67860 | payment standard 90 | 0 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67860 | safmr | 0 | $1,000 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67860 | payment standard 110 | 1 | $1,144 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67860 | payment standard 90 | 1 | $936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67860 | safmr | 1 | $1,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67860 | payment standard 110 | 2 | $1,496 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67860 | payment standard 90 | 2 | $1,224 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67860 | safmr | 2 | $1,360 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67860 | payment standard 110 | 3 | $1,793 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67860 | payment standard 90 | 3 | $1,467 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67860 | safmr | 3 | $1,630 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67860 | payment standard 110 | 4 | $1,980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67860 | payment standard 90 | 4 | $1,620 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67860 | safmr | 4 | $1,800 | 2025-10-01 | HUD_USER_SAFMR |