Composite
29.3 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| staffing risk | 92.5 | 92.5 | 0.25 | 0.1923 | 17.79 | in index |
| regulatory risk | 74.2 | 70.2 | 0.30 | 0.2308 | 17.12 | in index |
| chow risk | 42.9 | 41.1 | 0.15 | 0.1154 | 4.95 | in index |
| financial risk | 2.6 | 10.1 | 0.30 | 0.2308 | 0.60 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.2308 | 0.00 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 0.0 | 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 | 57.3 | C | v0.6 | default · in composite | |
| financial risk | 10.1 | A | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | 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 | 70.2 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 92.5 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 84.7 | F | 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 | 64.7 | 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 | 31.4 | 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 | 16.2 | A | 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 | 70.0 | 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 | 70.0 | 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 | 92.5 | F | 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 | 92.5 | F | 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) | 10.57 | -0.82 | |
| Occupancy | 0.96 | -0.75 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Chain size (log) | 2.56 | +0.14 | |
| Total nurse staffing (HPRD) | 2.44 | +0.12 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.96 | -0.88 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 4.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 2.44 | +0.33 | |
| Chain size (log) | 2.56 | -0.29 | |
| Never sold on record | 0.00 | -0.28 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
| 2025Q4 HPRD | This facility | OH median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.44 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.28 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 2.33 | 3.11 | 3.11 | — |
| Weekday total | 2.48 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 86.2 | 2.44 | 0.28 | 0.54 | 1.62 | 2.33 | 0.0% |
| 2025Q3 | 92 | 85.0 | 2.48 | 0.27 | 0.55 | 1.67 | 2.34 | 0.0% |
| 2025Q2 | 91 | 83.4 | 2.36 | 0.32 | 0.50 | 1.54 | 2.20 | 0.0% |
| 2025Q1 | 90 | 85.1 | 2.39 | 0.35 | 0.47 | 1.57 | 2.24 | 0.0% |
| 2024Q4 | 92 | 83.0 | 2.49 | 0.23 | 0.62 | 1.64 | 2.36 | 0.0% |
| 2024Q3 | 92 | 86.4 | 2.47 | 0.27 | 0.53 | 1.68 | 2.36 | 0.0% |
| 2024Q2 | 91 | 85.5 | 2.38 | 0.25 | 0.57 | 1.56 | 2.30 | 0.0% |
| 2024Q1 | 91 | 86.4 | 2.45 | 0.16 | 0.67 | 1.62 | 2.30 | 0.0% |
| 2023Q4 | 92 | 86.4 | 2.54 | 0.26 | 0.59 | 1.70 | 2.47 | 0.0% |
| 2023Q3 | 92 | 86.0 | 2.57 | 0.28 | 0.55 | 1.74 | 2.46 | 0.0% |
| 2023Q2 | 91 | 85.5 | 2.67 | 0.20 | 0.65 | 1.83 | 2.54 | 0.0% |
| 2023Q1 | 90 | 81.7 | 2.68 | 0.19 | 0.72 | 1.77 | 2.55 | 0.0% |
| 2022Q4 | 92 | 78.8 | 2.55 | 0.21 | 0.55 | 1.79 | 2.50 | 0.0% |
| 2022Q3 | 92 | 76.6 | 2.53 | 0.19 | 0.59 | 1.75 | 2.44 | 0.0% |
| 2022Q2 | 91 | 74.9 | 2.34 | 0.09 | 0.47 | 1.78 | 2.15 | 0.0% |
| 2022Q1 | 90 | 71.8 | 2.76 | 0.15 | 0.83 | 1.77 | 2.60 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-10-17 | Fine | $12,834 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-09-09 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2025-09-25 |
| 2025-09-09 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2025-09-25 |
| 2025-09-09 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-09-25 |
| 2025-09-09 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-09-25 |
| 2025-03-12 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-04-04 |
| 2025-03-12 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-04-04 |
| 2024-10-17 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-11-01 |
| 2024-10-17 | 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 | 2024-11-01 |
| 2024-10-17 | 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 | 2024-11-01 |
| 2024-10-17 | Health | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | 2024-11-01 |
| 2024-10-17 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-11-01 |
| 2024-10-17 | 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 | 2024-11-01 |
| 2024-10-17 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-09-27 |
| 2024-10-17 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2024-11-01 |
| 2024-10-17 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-11-01 |
| 2024-10-17 | Health · complaint | 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 | 2024-11-01 |
| 2024-10-17 | 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. | F | 2024-11-01 |
| 2024-10-17 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2024-11-01 |
| 2024-10-17 | Health · complaint | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2024-11-01 |
| 2024-10-17 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-11-01 |
| 2024-10-17 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-11-01 |
| 2024-10-17 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-11-01 |
| 2023-11-14 | 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 | 2023-12-05 |
| 2023-11-14 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-12-05 |
| 2023-08-01 | Health · complaint | 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 | 2023-08-22 |
| 2023-08-01 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-08-22 |
| 2023-01-19 | Health | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2023-02-17 |
| 2023-01-19 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | C | 2023-02-17 |
| 2023-01-19 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-02-17 |
| 2023-01-19 | 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 | 2023-02-17 |
| 2023-01-19 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-02-17 |
| 2019-09-26 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2019-12-12 |
| 2019-09-26 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2019-12-12 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| MILAN SKILLED NURSING REALTY LLC | Corporation, partnership or other organization has financial interest in provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| MALLETT, CHRISTOPHER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30% | 2016-01-01 | current | pecos_ownership |
| SPRENGER, MARK | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30% | 2016-01-01 | current | pecos_ownership |
| SPRENGER, TIMOTHY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30% | 2016-01-01 | current | pecos_ownership |
| BUNNER, MICHAEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2016-01-01 | current | pecos_ownership |
| PARSONS, BENJAMIN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2016-01-01 | current | pecos_ownership |
| CONTINUING HEALTHCARE SOLUTIONS INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2015-10-02 | ended 2026-05-18 | pecos_ownership |
| CHRISTOPHER MALLETT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30% | 2016-01-01 | ended 2026-05-18 | pecos_ownership |
| MARK SPRENGER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30% | 2016-01-01 | ended 2026-05-18 | pecos_ownership |
| TIMOTHY SPRENGER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30% | 2016-01-01 | ended 2026-05-18 | pecos_ownership |
| BENJAMIN PARSONS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2016-01-01 | ended 2026-05-18 | pecos_ownership |
| MICHAEL BUNNER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2016-01-01 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2016-01-01 | — | MILAN SKILLED NURSING LLC | CLASSIC HEALTH CARE CENTER OF MILAN, INC. | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-12-31 | SAPPHIRE REHABILITATION AND CARE CENTER | — | — | — | 113 | SAPPHIRE OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF POINT PLACE | — | — | — | 82 | POINT PLACE OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF NEW LEXINGTON | — | — | — | 82 | NEW LEXINGTON OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | Atrium Nursing and Rehabilitation | — | — | — | 99 | ATRIUM OPCO LLC |
| 2024-12-31 | Inniswood Health and Rehabilitation | — | — | — | 99 | FHS INNISWOOD, INC. |
| 2024-12-31 | COMMUNITY SKILLED HEALTHCARE | — | — | — | 110 | CS OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF PERRYSBURG | — | — | — | 75 | PERRYSBURG OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | GRAFTON OAKS NURSING CENTER | — | — | — | 99 | GO OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF KENT | — | — | — | 74 | KENT OH HEALTH & REHAB OPCO LLC |
| 2024-12-30 | Chardon Woods | — | — | — | 161 | CHARDON WOODS OF JOURNEY LLC |
| 2024-12-16 | The Pavilion at Canal Fulton for Nursing and Rehab | — | — | — | 60 | PAVILION AT CANAL FULTON LLC |
| 2024-12-02 | BENNINGTON GLEN NURSING & REHABILITATION CENTER | — | — | — | 79 | FHS BENNINGTON INC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 39043 | acs median gross | 0 | $703 | 2024-12-31 | CENSUS_ACS5 |
| county 39043 | fmr | 0 | $854 | 2025-10-01 | HUD_USER_FMR |
| county 39043 | acs median gross | 1 | $721 | 2024-12-31 | CENSUS_ACS5 |
| county 39043 | fmr | 1 | $886 | 2025-10-01 | HUD_USER_FMR |
| county 39043 | acs median gross | 2 | $944 | 2024-12-31 | CENSUS_ACS5 |
| county 39043 | fmr | 2 | $1,106 | 2025-10-01 | HUD_USER_FMR |
| county 39043 | acs median gross | 3 | $1,104 | 2024-12-31 | CENSUS_ACS5 |
| county 39043 | fmr | 3 | $1,384 | 2025-10-01 | HUD_USER_FMR |
| county 39043 | acs median gross | 4 | $1,128 | 2024-12-31 | CENSUS_ACS5 |
| county 39043 | fmr | 4 | $1,557 | 2025-10-01 | HUD_USER_FMR |
| county 39043 | acs median gross | 5 | $1,205 | 2024-12-31 | CENSUS_ACS5 |
| county 39043 | acs median gross | $933 | 2024-12-31 | CENSUS_ACS5 | |
| county 39043 | acs recent mover gross | $1,116 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 44846 | acs median gross | 2 | $962 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44846 | acs median gross | 3 | $983 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44846 | acs median gross | $947 | 2024-12-31 | CENSUS_ACS5 | |
| zip 44846 | payment standard 110 | 0 | $1,056 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44846 | payment standard 90 | 0 | $864 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44846 | safmr | 0 | $960 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44846 | payment standard 110 | 1 | $1,089 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44846 | payment standard 90 | 1 | $891 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44846 | safmr | 1 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44846 | payment standard 110 | 2 | $1,364 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44846 | payment standard 90 | 2 | $1,116 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44846 | safmr | 2 | $1,240 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44846 | payment standard 110 | 3 | $1,705 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44846 | payment standard 90 | 3 | $1,395 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44846 | safmr | 3 | $1,550 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44846 | payment standard 110 | 4 | $1,947 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44846 | payment standard 90 | 4 | $1,593 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44846 | safmr | 4 | $1,770 | 2025-10-01 | HUD_USER_SAFMR |