Composite
43.9 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| staffing risk | 69.6 | 69.6 | 0.25 | 0.1923 | 13.38 | in index |
| billing conduct | 46.2 | 37.8 | 0.30 | 0.2308 | 10.66 | in index |
| regulatory risk | 42.8 | 31.6 | 0.30 | 0.2308 | 9.88 | in index |
| financial risk | 36.2 | 37.4 | 0.30 | 0.2308 | 8.35 | in index |
| chow risk | 34.1 | 32.7 | 0.15 | 0.1154 | 3.93 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 37.8 | 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 | 40.4 | B | v0.6 | default · in composite | |
| financial risk | 37.4 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.1 | — | 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 | 0.1 | — | 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 | 31.6 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 69.6 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 63.4 | 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 | 43.4 | 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 | 34.3 | 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 | 31.5 | B | 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 | 31.5 | B | 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 | 69.6 | 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 | 69.6 | 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 | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 5.31 | -1.33 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.09 | +0.25 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Occupancy | 0.76 | -0.19 | |
| Deficiencies, last 12 months | 0.00 | -0.17 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 3.09 | -0.60 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 5.31 | -0.21 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Total nurse staffing (HPRD) | 2.99 | +0.09 |
| 2025Q4 HPRD | This facility | AR median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.99 | 3.38 | 3.28 | 2.90–3.77 |
| RN | 0.09 | 0.15 | 0.39 | 0.25–0.58 |
| Weekend total | 2.99 | 3.09 | 3.11 | — |
| Weekday total | 2.99 | 3.46 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 91.4 | 2.99 | 0.09 | 0.78 | 2.12 | 2.99 | 10.8% |
| 2025Q3 | 92 | 94.9 | 2.91 | 0.12 | 0.73 | 2.06 | 2.87 | 11.3% |
| 2025Q2 | 91 | 89.0 | 2.93 | 0.18 | 0.70 | 2.04 | 2.91 | 10.2% |
| 2025Q1 | 90 | 89.4 | 2.71 | 0.22 | 0.64 | 1.85 | 2.57 | 10.1% |
| 2024Q4 | 92 | 82.8 | 2.91 | 0.29 | 0.61 | 2.02 | 2.75 | 10.2% |
| 2024Q3 | 92 | 79.6 | 3.02 | 0.33 | 0.66 | 2.04 | 2.85 | 15.0% |
| 2024Q2 | 91 | 85.2 | 2.94 | 0.27 | 0.65 | 2.02 | 2.69 | 22.4% |
| 2024Q1 | 91 | 80.1 | 2.89 | 0.31 | 0.61 | 1.97 | 2.70 | 19.2% |
| 2023Q4 | 92 | 82.0 | 2.90 | 0.21 | 0.71 | 1.98 | 2.64 | 15.0% |
| 2023Q3 | 92 | 83.8 | 2.82 | 0.22 | 0.67 | 1.93 | 2.57 | 21.5% |
| 2023Q2 | 91 | 78.8 | 2.84 | 0.21 | 0.64 | 1.99 | 2.56 | 15.1% |
| 2023Q1 | 90 | 73.9 | 2.85 | 0.25 | 0.59 | 2.01 | 2.49 | 9.2% |
| 2022Q4 | 92 | 72.9 | 2.90 | 0.20 | 0.63 | 2.07 | 2.48 | 2.4% |
| 2022Q3 | 92 | 73.7 | 3.06 | 0.26 | 0.75 | 2.06 | 2.69 | 3.6% |
| 2022Q2 | 91 | 68.8 | 2.98 | 0.09 | 0.93 | 1.96 | 2.82 | 12.4% |
| 2022Q1 | 90 | 54.3 | 3.32 | 0.05 | 1.05 | 2.22 | 3.25 | 4.3% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-04-17 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-05-01 |
| 2025-04-17 | Health · complaint | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2025-05-01 |
| 2025-04-17 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-05-01 |
| 2025-04-17 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-05-01 |
| 2024-02-08 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2024-03-09 |
| 2024-02-08 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-03-09 |
| 2024-02-08 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-03-09 |
| 2024-02-08 | 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 | 2024-03-09 |
| 2024-02-08 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-03-09 |
| 2024-02-08 | 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 | 2024-03-09 |
| 2024-02-08 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-03-09 |
| 2024-02-08 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2024-03-09 |
| 2024-02-08 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2024-03-09 |
| 2024-02-08 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2024-03-09 |
| 2024-02-08 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-03-09 |
| 2024-02-08 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | 2024-03-09 |
| 2024-02-08 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-03-09 |
| 2024-02-08 | Health | F0814 | Dispose of garbage and refuse properly. | E | 2024-03-09 |
| 2024-02-08 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-03-09 |
| 2023-12-28 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2024-01-19 |
| 2023-12-28 | 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 | 2024-01-19 |
| 2023-12-28 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2024-01-19 |
| 2023-11-07 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-11-28 |
| 2023-06-29 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-06-30 |
| 2022-11-10 | 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 | 2022-12-08 |
| 2022-11-10 | 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 | 2022-12-08 |
| 2022-11-10 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | 2022-12-08 |
| 2022-11-10 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2022-12-08 |
| 2022-11-10 | 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 | 2022-12-08 |
| 2022-11-10 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2022-12-08 |
| 2022-11-10 | Health | F0687 | Provide appropriate foot care. | D | 2022-12-08 |
| 2022-11-10 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2022-12-08 |
| 2022-11-10 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2022-12-08 |
| 2022-11-10 | 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. | E | 2022-12-08 |
| 2022-11-10 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | 2022-12-08 |
| 2022-11-10 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-12-08 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| AKS AR OPOC LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-01-01 | current | pecos_ownership |
| MORTON, DONNA MARIE | W-2 MANAGING EMPLOYEE | — | 2021-04-05 | current | pecos_ownership |
| SCHEINBAUM, SHLOMO | CORPORATE OFFICER | — | 2021-04-05 | current | pecos_ownership |
| SCHEINBAUM, SHLOMO | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-01-01 | current | pecos_ownership |
| SCHREIBER, ABRAHAM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-01-01 | current | pecos_ownership |
| DONNA MARIE MORTON | W-2 MANAGING EMPLOYEE | 100% | 2021-04-05 | ended 2026-05-18 | pecos_ownership |
| SHLOMO SCHEINBAUM | CORPORATE OFFICER | 100% | 2021-04-05 | ended 2026-05-18 | pecos_ownership |
| ABRAHAM SCHREIBER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 65% | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| SHLOMO SCHEINBAUM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 32% | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| ZCS AR OPCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 32% | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| 9209 DOLLARWAY RD | Corporation, partnership or other organization has financial interest in provider | — | 2020-07-01 | ended 2021-04-04 | hcris_a_8_1 |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2021-04-05 | — | DOLLARWAY ROAD OPERATING LLC | THE WATERS OF WHITE HALL LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-08-02 | LAKE FOREST SENIOR LIVING AT HOT SPRINGS VILLAGE | — | — | — | 50 | HOT SPRINGS SNF OPCO LLC |
| 2024-08-02 | LAKE FOREST SENIOR LIVING AT MOUNTAIN HOME | — | — | — | 70 | MOUNTAIN HOME SNF OPCO LLC |
| 2024-08-01 | THE BLOSSOMS AT STAR CITY REHAB & NURSING CENTER | — | — | — | 95 | N DREW STREET OPERATING LLC |
| 2024-08-01 | THE BLOSSOMS AT OAKDALE REHAB & NURSING CENTER | — | — | — | 154 | CYNTHIA STREET OPERATING LLC |
| 2024-08-01 | THE SPRINGS OF WALDRON | — | — | — | 105 | WALDRON HEALTHCARE LLC |
| 2024-05-01 | THE SPRINGS OF FAIRFIELD BAY | — | — | — | 55 | INDIAN ROCK HEALTHCARE LLC |
| 2024-01-01 | THE SPRINGS OF RED OAK | — | — | — | 80 | RED OAK HEALTHCARE LLC |
| 2023-06-01 | Pine Bluff Transitional Care | — | — | — | 177 | PINE BLUFF NURSING, LLC |
| 2023-04-01 | The Blossoms at Berryville Rehab & Nursing Center | — | — | — | 114 | HAMMONS AVENUE OPERATING LLC |
| 2023-04-01 | THE BLOSSOMS AT EUREKA SPRINGS REHAB & NURSING CEN | — | — | — | 100 | HUNTSVILLE ROAD OPERATING LLC |
| 2023-04-01 | THE BLOSSOMS AT VAN BUREN REHAB AND NURSING CENTER | — | — | — | 129 | MAIN STREET OPERATING LLC |
| 2023-04-01 | PIGGOTT HEALTHCARE & SENIOR LIVING, LLC | — | — | — | 105 | PIGGOTT HEALTHCARE & SENIOR LIVING, LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 05069 | acs median gross | 0 | $619 | 2024-12-31 | CENSUS_ACS5 |
| county 05069 | fmr | 0 | $697 | 2025-10-01 | HUD_USER_FMR |
| county 05069 | acs median gross | 1 | $574 | 2024-12-31 | CENSUS_ACS5 |
| county 05069 | fmr | 1 | $728 | 2025-10-01 | HUD_USER_FMR |
| county 05069 | acs median gross | 2 | $866 | 2024-12-31 | CENSUS_ACS5 |
| county 05069 | fmr | 2 | $937 | 2025-10-01 | HUD_USER_FMR |
| county 05069 | acs median gross | 3 | $997 | 2024-12-31 | CENSUS_ACS5 |
| county 05069 | fmr | 3 | $1,224 | 2025-10-01 | HUD_USER_FMR |
| county 05069 | acs median gross | 4 | $1,042 | 2024-12-31 | CENSUS_ACS5 |
| county 05069 | fmr | 4 | $1,241 | 2025-10-01 | HUD_USER_FMR |
| county 05069 | acs median gross | $888 | 2024-12-31 | CENSUS_ACS5 | |
| county 05069 | acs recent mover gross | $1,141 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 71602 | acs median gross | 0 | $623 | 2024-12-31 | CENSUS_ACS5 |
| zcta 71602 | acs median gross | 1 | $559 | 2024-12-31 | CENSUS_ACS5 |
| zcta 71602 | acs median gross | 2 | $942 | 2024-12-31 | CENSUS_ACS5 |
| zcta 71602 | acs median gross | 3 | $959 | 2024-12-31 | CENSUS_ACS5 |
| zcta 71602 | acs median gross | 4 | $1,018 | 2024-12-31 | CENSUS_ACS5 |
| zcta 71602 | acs median gross | $937 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 71602 | acs recent mover gross | $1,148 | 2024-12-31 | CENSUS_ACS5 | |
| zip 71602 | payment standard 110 | 0 | $770 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71602 | payment standard 90 | 0 | $630 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71602 | safmr | 0 | $700 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71602 | payment standard 110 | 1 | $803 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71602 | payment standard 90 | 1 | $657 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71602 | safmr | 1 | $730 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71602 | payment standard 110 | 2 | $1,034 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71602 | payment standard 90 | 2 | $846 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71602 | safmr | 2 | $940 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71602 | payment standard 110 | 3 | $1,353 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71602 | payment standard 90 | 3 | $1,107 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71602 | safmr | 3 | $1,230 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71602 | payment standard 110 | 4 | $1,375 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71602 | payment standard 90 | 4 | $1,125 | 2025-10-01 | HUD_USER_SAFMR |
| zip 71602 | safmr | 4 | $1,250 | 2025-10-01 | HUD_USER_SAFMR |