Composite
69.1 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 76.8 | 64.4 | 0.30 | 0.2308 | 17.72 | in index |
| regulatory risk | 72.3 | 67.8 | 0.30 | 0.2308 | 16.68 | in index |
| staffing risk | 55.7 | 55.7 | 0.25 | 0.1923 | 10.71 | in index |
| billing conduct | 33.5 | 33.1 | 0.30 | 0.2308 | 7.73 | in index |
| chow risk | 24.3 | 30.0 | 0.15 | 0.1154 | 2.80 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 33.1 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 23.8 | A | 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 | 36.2 | B | v0.6 | default · in composite | |
| financial risk | 64.4 | 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 | 0.4 | — | 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 | 67.8 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 55.7 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 68.8 | 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 | 48.8 | 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 | 64.6 | 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 | 65.1 | D | 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 | 67.6 | 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 | 67.6 | 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 | 55.7 | C | 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 | 55.7 | C | 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 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Occupancy | 0.86 | -0.47 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Chain size (log) | 1.39 | -0.11 | |
| Contract staffing share | 0.00 | -0.10 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | +1.62 | |
| Staffing trend, last 4 quarters | 1.41 | +0.63 | |
| Occupancy | 0.86 | -0.47 | |
| Chain size (log) | 1.39 | +0.39 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Deficiencies, last 12 months | 9.00 | -0.24 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 |
| 2025Q4 HPRD | This facility | UT median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.20 | 3.19 | 3.28 | 2.90–3.77 |
| RN | 0.59 | 0.78 | 0.39 | 0.25–0.58 |
| Weekend total | 3.36 | 3.04 | 3.11 | — |
| Weekday total | 3.13 | 3.25 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 51.6 | 3.20 | 0.59 | 0.29 | 2.32 | 3.36 | 0.0% |
| 2025Q3 | 92 | 50.5 | 3.32 | 0.61 | 0.30 | 2.40 | 3.48 | 0.0% |
| 2025Q2 | 91 | 51.7 | 3.23 | 0.66 | 0.21 | 2.36 | 3.33 | 0.0% |
| 2025Q1 | 90 | 51.2 | 2.88 | 0.65 | 0.24 | 1.99 | 3.12 | 0.0% |
| 2024Q4 | 92 | 49.7 | 1.79 | 0.76 | 0.16 | 0.87 | 1.51 | 0.0% |
| 2024Q3 | 92 | 51.5 | 2.73 | 0.62 | 0.24 | 1.87 | 2.83 | 0.0% |
| 2024Q2 | 91 | 46.2 | 3.38 | 0.74 | 0.26 | 2.37 | 3.50 | 0.0% |
| 2024Q1 | 91 | 45.6 | 3.14 | 0.78 | 0.27 | 2.10 | 3.29 | 0.0% |
| 2023Q4 | 92 | 43.3 | 3.26 | 0.83 | 0.22 | 2.21 | 3.19 | 0.0% |
| 2023Q3 | 92 | 43.8 | 3.46 | 0.84 | 0.20 | 2.42 | 3.53 | 0.0% |
| 2023Q2 | 91 | 40.9 | 3.93 | 0.88 | 0.18 | 2.86 | 3.79 | 0.0% |
| 2023Q1 | 90 | 42.8 | 3.72 | 0.85 | 0.21 | 2.65 | 3.65 | 0.0% |
| 2022Q4 | 92 | 48.3 | 2.85 | 0.74 | 0.15 | 1.97 | 2.82 | 0.0% |
| 2022Q3 | 92 | 49.9 | 3.05 | 0.71 | 0.19 | 2.16 | 3.03 | 0.0% |
| 2022Q2 | 91 | 49.8 | 3.19 | 0.70 | 0.23 | 2.26 | 3.09 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-02-07 | Fine | $19,656 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-30 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | — |
| 2026-04-30 | Health · complaint | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | — |
| 2026-04-30 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | — |
| 2026-04-30 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | — |
| 2026-04-30 | Health · complaint | 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 | — |
| 2026-04-30 | 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. | D | — |
| 2026-04-30 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | — |
| 2026-04-30 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | — |
| 2026-04-30 | Health · complaint | F0881 | Implement a program that monitors antibiotic use. | D | — |
| 2024-02-07 | 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 | 2024-03-24 |
| 2024-02-07 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-03-24 |
| 2024-02-07 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-03-24 |
| 2024-02-07 | 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 | 2024-03-24 |
| 2024-02-07 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-03-24 |
| 2024-02-07 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-03-24 |
| 2024-02-07 | 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. | E | 2024-03-24 |
| 2024-02-07 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-03-24 |
| 2024-02-07 | 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. | E | 2024-03-24 |
| 2024-02-07 | 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 | 2024-03-24 |
| 2024-02-07 | Health | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2024-03-24 |
| 2024-02-07 | Health | F0775 | Keep complete, dated laboratory records in the resident's record. | D | 2024-03-24 |
| 2024-02-07 | Health | F0779 | Keep signed and dated reports of x-rays and other diagnostic services in the residents record. | D | 2024-03-24 |
| 2024-02-07 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2024-03-24 |
| 2024-02-07 | Health | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | 2024-03-24 |
| 2024-02-07 | Health | F0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D | 2024-03-24 |
| 2024-02-07 | 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 | 2024-03-24 |
| 2024-02-07 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-03-24 |
| 2024-02-07 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2024-03-24 |
| 2022-05-05 | 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 | 2022-06-17 |
| 2022-05-05 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2022-06-17 |
| 2022-05-05 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | 2022-06-17 |
| 2022-05-05 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2022-06-17 |
| 2022-05-05 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2022-06-17 |
| 2022-05-05 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-06-17 |
| 2022-05-05 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2022-06-17 |
| 2022-05-05 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2022-05-27 |
| 2019-12-05 | 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 | 2020-01-31 |
| 2019-12-05 | 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 | 2020-03-02 |
| 2019-12-05 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2020-03-02 |
| 2019-12-05 | 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. | E | 2020-01-31 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CHRISTENSEN, JEFFERY | ADP OF THE SNF | — | 2026-03-13 | current | pecos_ownership |
| CHRISTENSEN, JEFFERY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-20 | current | pecos_ownership |
| MILLARD COUNTY CARE & REHABILITATION INC | OPERATIONAL/MANAGERIAL CONTROL | — | 2008-03-01 | current | pecos_ownership |
| SMITH, ALAN | ADP OF THE SNF | — | 2026-04-17 | current | pecos_ownership |
| TRADITIONS HEALTH CARE, INC. | ADP OF THE SNF | — | 2026-03-13 | current | pecos_ownership |
| TRADITIONS HEALTH CARE, INC. | OPERATIONAL/MANAGERIAL CONTROL | — | 2008-01-01 | current | pecos_ownership |
| JEFFERY CHRISTENSEN | W-2 MANAGING EMPLOYEE | 100% | 2024-03-20 | ended 2026-05-18 | pecos_ownership |
| JEFFERY CHRISTENSEN | CONTRACTED MANAGING EMPLOYEE | 100% | 2020-03-20 | ended 2026-05-18 | pecos_ownership |
| TRADITIONS HEALTH CARE, INC. | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2008-03-01 | ended 2026-05-18 | pecos_ownership |
| JEFFERY CHRISTENSEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-27 | ended 2026-05-18 | pecos_ownership |
| JEFFERY CHRISTENSEN | ADP OF THE SNF | — | 2024-12-11 | ended 2026-05-18 | pecos_ownership |
| KATHY WALKER | CORPORATE DIRECTOR | — | 2008-03-01 | ended 2026-05-18 | pecos_ownership |
| LON JACKSON | CORPORATE DIRECTOR | — | 2008-03-01 | ended 2026-05-18 | pecos_ownership |
| REX STANDWORTH | CORPORATE DIRECTOR | — | 2008-03-01 | ended 2026-05-18 | pecos_ownership |
| TONY DEARDEN | CORPORATE DIRECTOR | — | 2008-03-01 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-11-01 | Stonehenge of South Jordan | — | — | — | 32 | TRILITHON HEALTHCARE LLC |
| 2025-11-01 | Stonehenge of Orem | — | — | — | 34 | SARSEN HEALTHCARE LLC |
| 2024-06-05 | Midtown Manor | — | — | — | 82 | MILFORD MEMORIAL HOSPITAL |
| 2024-05-01 | South Davis Specialty Care | — | — | — | 95 | HOLBROOK HEALTHCARE LLC |
| 2024-02-01 | Monument Healthcare Bountiful | — | — | — | 100 | MILFORD MEMORIAL HOSPITAL |
| 2024-02-01 | Monument Healthcare Millcreek | — | — | — | 120 | MILFORD MEMORIAL HOSPITAL |
| 2022-10-02 | Sunshine Terrace Skilled Nursing | — | — | — | 172 | MILFORD MEMORIAL HOSPITAL |
| 2020-07-01 | Monument Healthcare Stonecreek | — | — | — | 122 | GUNNISON VALLEY HOSPITAL |
| 2020-07-01 | Monument Healthcare Canyon Rim | — | — | — | 90 | GUNNISON VALLEY HOSPITAL |
| 2020-07-01 | Monument Healthcare American Fork | — | — | — | 106 | GUNNISON VALLEY HOSPITAL |
| 2020-07-01 | Mission at Richfield Nursing and Rehabilitation | — | — | — | 98 | GUNNISON VALLEY HOSPITAL |
| 2020-07-01 | Monument Healthcare Cottonwood Creek | — | — | — | 77 | GUNNISON VALLEY HOSPITAL |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 49027 | fmr | 0 | $821 | 2025-10-01 | HUD_USER_FMR |
| county 49027 | acs median gross | 1 | $643 | 2024-12-31 | CENSUS_ACS5 |
| county 49027 | fmr | 1 | $857 | 2025-10-01 | HUD_USER_FMR |
| county 49027 | acs median gross | 2 | $850 | 2024-12-31 | CENSUS_ACS5 |
| county 49027 | fmr | 2 | $1,124 | 2025-10-01 | HUD_USER_FMR |
| county 49027 | acs median gross | 3 | $1,019 | 2024-12-31 | CENSUS_ACS5 |
| county 49027 | fmr | 3 | $1,550 | 2025-10-01 | HUD_USER_FMR |
| county 49027 | acs median gross | 4 | $935 | 2024-12-31 | CENSUS_ACS5 |
| county 49027 | fmr | 4 | $1,555 | 2025-10-01 | HUD_USER_FMR |
| county 49027 | acs median gross | 5 | $997 | 2024-12-31 | CENSUS_ACS5 |
| county 49027 | acs median gross | $882 | 2024-12-31 | CENSUS_ACS5 | |
| county 49027 | acs recent mover gross | $911 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 84624 | acs median gross | 1 | $560 | 2024-12-31 | CENSUS_ACS5 |
| zcta 84624 | acs median gross | 2 | $913 | 2024-12-31 | CENSUS_ACS5 |
| zcta 84624 | acs median gross | 3 | $808 | 2024-12-31 | CENSUS_ACS5 |
| zcta 84624 | acs median gross | $876 | 2024-12-31 | CENSUS_ACS5 | |
| zip 84624 | payment standard 110 | 0 | $979 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84624 | payment standard 90 | 0 | $801 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84624 | safmr | 0 | $890 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84624 | payment standard 110 | 1 | $1,023 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84624 | payment standard 90 | 1 | $837 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84624 | safmr | 1 | $930 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84624 | payment standard 110 | 2 | $1,342 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84624 | payment standard 90 | 2 | $1,098 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84624 | safmr | 2 | $1,220 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84624 | payment standard 110 | 3 | $1,848 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84624 | payment standard 90 | 3 | $1,512 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84624 | safmr | 3 | $1,680 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84624 | payment standard 110 | 4 | $1,859 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84624 | payment standard 90 | 4 | $1,521 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84624 | safmr | 4 | $1,690 | 2025-10-01 | HUD_USER_SAFMR |