Composite
64.9 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 68.4 | 62.4 | 0.30 | 0.2308 | 15.78 | in index |
| staffing risk | 72.2 | 72.2 | 0.25 | 0.1923 | 13.88 | in index |
| billing conduct | 50.6 | 39.6 | 0.30 | 0.2308 | 11.68 | in index |
| financial risk | 37.1 | 37.9 | 0.30 | 0.2308 | 8.56 | in index |
| chow risk | 34.5 | 33.1 | 0.15 | 0.1154 | 3.98 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 39.6 | 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 | 41.2 | B | v0.6 | default · in composite | |
| financial risk | 37.9 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 1.4 | — | 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 | 3.7 | — | 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 | 62.4 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 72.2 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 55.6 | 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 | 35.6 | 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 | 41.1 | 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 | 43.4 | 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 | 62.3 | C | 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 | 62.3 | C | 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 | 72.2 | D | 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 | 72.2 | D | 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 | 0.61 | +0.25 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 0.00 | -0.17 |
| 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 | |
| Occupancy | 0.61 | +0.58 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 | |
| Total nurse staffing (HPRD) | 2.94 | +0.11 |
| 2025Q4 HPRD | This facility | MA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.94 | 3.39 | 3.28 | 2.90–3.77 |
| RN | 0.41 | 0.39 | 0.39 | 0.25–0.58 |
| Weekend total | 2.88 | 3.26 | 3.11 | — |
| Weekday total | 2.97 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 73.4 | 2.94 | 0.41 | 0.63 | 1.90 | 2.88 | 5.0% |
| 2025Q3 | 92 | 72.0 | 2.99 | 0.34 | 0.73 | 1.91 | 2.92 | 5.8% |
| 2025Q2 | 91 | 70.9 | 2.99 | 0.35 | 0.68 | 1.95 | 2.96 | 5.1% |
| 2025Q1 | 90 | 76.5 | 3.04 | 0.35 | 0.77 | 1.92 | 3.04 | 3.7% |
| 2024Q4 | 92 | 81.1 | 2.85 | 0.34 | 0.69 | 1.82 | 2.83 | 5.1% |
| 2024Q3 | 92 | 80.3 | 2.87 | 0.32 | 0.75 | 1.80 | 2.82 | 3.5% |
| 2024Q2 | 91 | 76.8 | 2.83 | 0.32 | 0.71 | 1.80 | 2.84 | 0.5% |
| 2024Q1 | 91 | 82.5 | 2.61 | 0.28 | 0.66 | 1.66 | 2.56 | 0.5% |
| 2023Q4 | 92 | 78.5 | 2.60 | 0.24 | 0.77 | 1.59 | 2.54 | 0.0% |
| 2023Q3 | 92 | 79.4 | 2.63 | 0.24 | 0.71 | 1.67 | 2.63 | 0.0% |
| 2023Q2 | 91 | 73.7 | 2.70 | 0.32 | 0.71 | 1.67 | 2.67 | 5.5% |
| 2023Q1 | 90 | 74.6 | 2.59 | 0.41 | 0.56 | 1.61 | 2.48 | 6.5% |
| 2022Q4 | 92 | 68.8 | 2.32 | 0.32 | 0.64 | 1.37 | 2.16 | 9.4% |
| 2022Q3 | 92 | 59.0 | 2.48 | 0.34 | 0.83 | 1.31 | 2.26 | 0.0% |
| 2022Q2 | 91 | 68.1 | 2.29 | 0.60 | 0.66 | 1.04 | 2.12 | 8.6% |
| 2022Q1 | 90 | 68.8 | 2.33 | 0.58 | 0.73 | 1.02 | 2.23 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2023-10-16 | Fine | $7,901 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-07-15 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-08-03 |
| 2025-07-15 | 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 | 2025-08-03 |
| 2025-07-15 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-08-03 |
| 2025-02-07 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2025-03-07 |
| 2025-02-07 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | 2025-03-07 |
| 2025-02-07 | Health | 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. | E | 2025-03-07 |
| 2025-02-07 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-03-14 |
| 2025-02-07 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2025-03-07 |
| 2025-02-07 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2025-03-07 |
| 2025-02-07 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-03-14 |
| 2025-02-07 | 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 | 2025-03-14 |
| 2025-02-07 | Health | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2025-03-14 |
| 2024-05-29 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-06-22 |
| 2023-12-05 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | 2023-12-29 |
| 2023-12-05 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2024-01-04 |
| 2023-12-05 | Health | F0583 | Keep residents' personal and medical records private and confidential. | E | 2023-12-29 |
| 2023-12-05 | Health | 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 | 2024-01-04 |
| 2023-12-05 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-12-29 |
| 2023-12-05 | 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 | 2023-12-29 |
| 2023-12-05 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-12-29 |
| 2023-12-05 | 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 | 2023-12-29 |
| 2023-12-05 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-01-04 |
| 2023-12-05 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-12-29 |
| 2023-10-16 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | G | 2023-11-07 |
| 2023-10-16 | Health · complaint | 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. | G | 2023-11-07 |
| 2021-06-08 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2021-07-09 |
| 2021-06-08 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2021-07-09 |
| 2021-06-08 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2021-07-09 |
| 2021-06-08 | 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 | 2021-07-09 |
| 2021-06-08 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2021-07-09 |
| 2021-06-08 | 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 | 2021-07-09 |
| 2021-06-08 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2021-07-09 |
| 2021-06-08 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | 2021-07-09 |
| 2021-06-08 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2021-07-09 |
| 2021-06-08 | Health | 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. | D | 2021-07-09 |
| 2021-06-08 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2021-07-09 |
| 2021-06-08 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2021-07-09 |
| 2021-06-08 | 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 | 2021-07-09 |
| 2021-06-08 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2021-07-09 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| MAMARY, JAMES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2014-07-01 | current | pecos_ownership |
| 161 FALMOUTH RD. LLC | Individual has financial interest in both related organization and provider | 96% | 2023-01-01 | current | hcris_a_8_1 |
| 161 FALMOUTH RD. LLC | Individual has financial interest in both related organization and provider | 96% | 2024-01-01 | current | hcris_a_8_1 |
| BATILO, MARIA | CONTRACTED MANAGING EMPLOYEE | — | 2020-01-01 | current | pecos_ownership |
| REID, PAULA | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-07-01 | current | pecos_ownership |
| WEEKS, SHAUNA | W-2 MANAGING EMPLOYEE | — | 2023-04-10 | current | pecos_ownership |
| JAMES MAMARY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2014-07-01 | ended 2026-05-18 | pecos_ownership |
| 161 FALMOUTH RD. LLC | Individual has financial interest in both related organization and provider | 96% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| PAULA REID | OPERATIONAL/MANAGERIAL CONTROL | 5% | 2014-07-01 | ended 2026-05-18 | pecos_ownership |
| 161 FALMOUTH RD. LLC | Individual has financial interest in both related organization and provider | 1% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| 161 FALMOUTH RD. LLC | Individual has financial interest in both related organization and provider | 1% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| MARIA BATILO | CONTRACTED MANAGING EMPLOYEE | 0% | 2020-01-01 | ended 2026-05-18 | pecos_ownership |
| SHAUNA WEEKS | W-2 MANAGING EMPLOYEE | 0% | 2023-04-10 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-29 | Hadley Pointe Nursing Rehab & Care | — | — | — | 154 | HADLEY CENTER LLC |
| 2025-08-01 | Alliance Health at Coleman | — | — | — | 45 | ALLIANCE HEALTH OF NORTHBOROUGH INC |
| 2025-05-28 | PALM SPRINGS POST ACUTE | — | — | — | 124 | PALM SPRINGS OPERATOR LLC |
| 2025-05-28 | HAMPDEN POST ACUTE | — | — | — | 135 | HAMPDEN OPERATOR LLC |
| 2025-04-01 | BROCKTON POST ACUTE CARE | — | — | — | 169 | BROCKTON OPERATOR LLC |
| 2025-04-01 | HIGHLAND PARK REHABILITATION AND HEALTHCARE CENTER | — | — | — | 195 | HIGHLAND PARK OPERATOR LLC |
| 2025-03-01 | THE CENTER AT ADVOCATE | — | — | — | 190 | THE CENTER AT ADVOCATE LLC |
| 2025-03-01 | Premier Healthcare at Harrington House | — | — | — | 90 | 160 MAIN STREET WALPOLE OPERATOR LLC |
| 2025-02-28 | PORT REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | NEWBURYPORT SNF OPERATIONS LLC |
| 2025-02-28 | MASCONOMET REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | TOPSFIELD SNF OPERATIONS LLC |
| 2025-02-28 | SIPPICAN REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | MARION SNF OPERATIONS LLC |
| 2025-02-28 | NEMASKET REHABILITATION AND HEALTHCARE CENTER | — | — | — | 102 | MIDDLEBOROUGH SNF OPERATIONS LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 25001 | acs median gross | 0 | $1,468 | 2024-12-31 | CENSUS_ACS5 |
| county 25001 | acs median gross | 1 | $1,095 | 2024-12-31 | CENSUS_ACS5 |
| county 25001 | acs median gross | 2 | $1,785 | 2024-12-31 | CENSUS_ACS5 |
| county 25001 | acs median gross | 3 | $2,136 | 2024-12-31 | CENSUS_ACS5 |
| county 25001 | acs median gross | 4 | $2,606 | 2024-12-31 | CENSUS_ACS5 |
| county 25001 | acs median gross | 5 | $1,615 | 2024-12-31 | CENSUS_ACS5 |
| county 25001 | acs median gross | $1,678 | 2024-12-31 | CENSUS_ACS5 | |
| county 25001 | acs recent mover gross | $1,874 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 02649 | acs median gross | 1 | $1,659 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02649 | acs median gross | 2 | $1,757 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02649 | acs median gross | 3 | $1,979 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02649 | acs median gross | 4 | $2,932 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02649 | acs median gross | $1,776 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 02649 | acs recent mover gross | $1,240 | 2024-12-31 | CENSUS_ACS5 | |
| zip 02649 | payment standard 110 | 0 | $2,057 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02649 | payment standard 90 | 0 | $1,683 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02649 | safmr | 0 | $1,870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02649 | payment standard 110 | 1 | $2,068 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02649 | payment standard 90 | 1 | $1,692 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02649 | safmr | 1 | $1,880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02649 | payment standard 110 | 2 | $2,717 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02649 | payment standard 90 | 2 | $2,223 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02649 | safmr | 2 | $2,470 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02649 | payment standard 110 | 3 | $3,344 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02649 | payment standard 90 | 3 | $2,736 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02649 | safmr | 3 | $3,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02649 | payment standard 110 | 4 | $3,850 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02649 | payment standard 90 | 4 | $3,150 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02649 | safmr | 4 | $3,500 | 2025-10-01 | HUD_USER_SAFMR |