Composite
67.8 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 93.0 | 90.8 | 0.30 | 0.2308 | 21.46 | in index |
| staffing risk | 86.9 | 86.9 | 0.25 | 0.1923 | 16.71 | in index |
| billing conduct | 40.3 | 35.7 | 0.30 | 0.2308 | 9.30 | in index |
| financial risk | 19.7 | 26.8 | 0.30 | 0.2308 | 4.55 | in index |
| chow risk | 26.7 | 25.7 | 0.15 | 0.1154 | 3.08 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 35.7 | 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 | 26.3 | B | v0.6 | default · in composite | |
| financial risk | 26.8 | B | 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 | 9.7 | — | 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 | 90.8 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 86.9 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 53.0 | 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 | 33.0 | 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 | 28.1 | 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 | 32.2 | 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 | 90.7 | F | 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 | 90.7 | F | 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 | 86.9 | 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 | 86.9 | 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 | |
|---|---|---|---|
| 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) | 3.58 | +0.36 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 13.00 | +0.14 | |
| Occupancy | 0.66 | +0.10 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 13.00 | -0.98 | |
| Chain size (log) | 3.58 | -0.88 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.66 | +0.37 | |
| Total nurse staffing (HPRD) | 2.63 | +0.24 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 |
| 2025Q4 HPRD | This facility | IN median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.63 | 2.85 | 3.28 | 2.90–3.77 |
| RN | 0.26 | 0.40 | 0.39 | 0.25–0.58 |
| Weekend total | 2.58 | 2.71 | 3.11 | — |
| Weekday total | 2.66 | 2.90 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 78.7 | 2.63 | 0.26 | 0.43 | 1.95 | 2.58 | 0.1% |
| 2025Q3 | 92 | 77.4 | 2.57 | 0.29 | 0.38 | 1.90 | 2.50 | 0.1% |
| 2025Q2 | 91 | 83.2 | 2.42 | 0.29 | 0.30 | 1.83 | 2.32 | 0.1% |
| 2025Q1 | 90 | 80.1 | 2.41 | 0.27 | 0.35 | 1.79 | 2.33 | 0.0% |
| 2024Q4 | 92 | 79.9 | 2.51 | 0.30 | 0.35 | 1.86 | 2.34 | 0.5% |
| 2024Q3 | 92 | 80.4 | 2.64 | 0.26 | 0.54 | 1.83 | 2.58 | 11.5% |
| 2024Q2 | 91 | 77.7 | 2.24 | 0.28 | 0.53 | 1.42 | 2.14 | 17.8% |
| 2024Q1 | 91 | 80.0 | 2.24 | 0.30 | 0.58 | 1.35 | 2.14 | 18.9% |
| 2023Q4 | 92 | 88.7 | 2.74 | 0.43 | 0.40 | 1.91 | 2.55 | 22.8% |
| 2023Q3 | 92 | 98.6 | 2.15 | 0.34 | 0.33 | 1.47 | 1.97 | 18.7% |
| 2023Q2 | 91 | 88.7 | 2.19 | 0.25 | 0.35 | 1.59 | 2.17 | 0.0% |
| 2023Q1 | 90 | 87.7 | 2.29 | 0.28 | 0.51 | 1.50 | 2.11 | 5.3% |
| 2022Q4 | 92 | 90.8 | 2.56 | 0.29 | 0.41 | 1.86 | 2.43 | 4.5% |
| 2022Q3 | 92 | 94.3 | 2.63 | 0.39 | 0.43 | 1.81 | 2.42 | 11.2% |
| 2022Q2 | 91 | 94.0 | 2.18 | 0.27 | 0.26 | 1.65 | 2.08 | 3.1% |
| 2022Q1 | 90 | 94.6 | 2.33 | 0.37 | 0.38 | 1.58 | 2.21 | 15.9% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2023-08-04 | Fine | $97,313 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-15 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | 2026-01-27 |
| 2025-12-15 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2026-01-27 |
| 2025-12-15 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-01-27 |
| 2025-12-15 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2026-01-27 |
| 2025-12-15 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-01-27 |
| 2025-12-15 | 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 | 2026-01-27 |
| 2025-12-15 | 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 | 2026-01-27 |
| 2025-12-15 | Health | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | 2026-01-27 |
| 2025-12-15 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-01-27 |
| 2025-12-15 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2026-01-27 |
| 2025-12-15 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2026-01-27 |
| 2025-10-20 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2025-11-15 |
| 2025-10-20 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2025-11-15 |
| 2025-07-23 | 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 | 2025-08-21 |
| 2025-07-23 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-08-21 |
| 2025-07-23 | 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. | E | 2025-08-21 |
| 2024-11-22 | 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 | 2024-12-12 |
| 2024-11-22 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-12-12 |
| 2024-10-09 | 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 | 2024-11-19 |
| 2024-10-09 | 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. | D | 2024-11-19 |
| 2024-10-09 | 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. | D | 2024-11-19 |
| 2024-10-09 | 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 | 2024-11-19 |
| 2024-10-09 | 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 | 2024-11-19 |
| 2024-10-09 | 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 | 2024-11-19 |
| 2024-10-09 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2024-11-19 |
| 2024-09-03 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2024-09-25 |
| 2024-09-03 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-09-25 |
| 2024-09-03 | Health · complaint | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | E | 2024-09-25 |
| 2024-04-05 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-05-07 |
| 2024-04-05 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-05-07 |
| 2023-09-13 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2023-10-16 |
| 2023-09-13 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-10-16 |
| 2023-09-13 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-10-16 |
| 2023-09-13 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-10-16 |
| 2023-09-13 | 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 | 2023-10-16 |
| 2023-09-13 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-10-16 |
| 2023-09-13 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-10-16 |
| 2023-08-04 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | J | 2023-08-07 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| 1600 EAST LIBER | Corporation, partnership or other organization has financial interest in provider | — | 2023-01-01 | current | hcris_a_8_1 |
| 1600 EAST LIBER | Corporation, partnership or other organization has financial interest in provider | — | 2024-01-01 | current | hcris_a_8_1 |
| HORNER, JOHN | CORPORATE OFFICER | — | 2014-05-19 | current | pecos_ownership |
| PRUITT, FAY | CONTRACTED MANAGING EMPLOYEE | — | 2014-05-19 | current | pecos_ownership |
| THE WATERS OF COVINGTON, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-05-19 | current | pecos_ownership |
| FAY PRUITT | CONTRACTED MANAGING EMPLOYEE | 100% | 2014-05-19 | ended 2026-05-18 | pecos_ownership |
| JOHN HORNER | CORPORATE OFFICER | 100% | 2014-05-19 | ended 2026-05-18 | pecos_ownership |
| MAJOR HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2014-05-19 | ended 2026-05-18 | pecos_ownership |
| 1600 EAST LIBER | Corporation, partnership or other organization has financial interest in provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| 1600 EAST LIBER | Corporation, partnership or other organization has financial interest in provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| 1600 EAST LIBER | Corporation, partnership or other organization has financial interest in provider | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-01-08 | HEALTHWIN HEALTH & REHABILITATION | — | — | — | 145 | PULASKI MEMORIAL HOSPITAL |
| 2025-01-01 | ENVIVE OF LIBERTY | — | — | — | 60 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2025-01-01 | ENVIVE OF MUNCIE | — | — | — | 60 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2024-08-01 | FAIRWAY VILLAGE | — | — | — | 53 | HENRY COUNTY MEMORIAL HOSPITAL |
| 2024-07-01 | ASBURY TOWERS HEALTH CARE CENTER | — | — | — | 48 | PULASKI MEMORIAL HOSPITAL |
| 2024-07-01 | PILGRIM MANOR | — | — | — | 78 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2024-07-01 | CHASE CENTER | — | — | — | 101 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2024-06-01 | IGNITE MEDICAL RESORT CHESTERTON | — | — | — | 70 | IGNITE MEDICAL RESORT CHESTERTON LLC |
| 2024-01-01 | BRIARCLIFF HEALTH & REHABILITATION CENTER | — | — | — | 131 | PULASKI MEMORIAL HOSPITAL |
| 2024-01-01 | SOUTH SHORE HEALTH & REHABILITATION CENTER | — | — | — | 100 | PULASKI MEMORIAL HOSPITAL |
| 2024-01-01 | EVANSVILLE PROTESTANT HOME | — | — | — | 49 | HENRY COUNTY MEMORIAL HOSPITAL |
| 2023-12-01 | ROLLING HILLS HEALTHCARE CENTER | — | — | — | 115 | ADAMS COUNTY MEMORIAL HOSPITAL |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 18045 | fmr | 0 | $685 | 2025-10-01 | HUD_USER_FMR |
| county 18045 | acs median gross | 1 | $578 | 2024-12-31 | CENSUS_ACS5 |
| county 18045 | fmr | 1 | $729 | 2025-10-01 | HUD_USER_FMR |
| county 18045 | acs median gross | 2 | $824 | 2024-12-31 | CENSUS_ACS5 |
| county 18045 | fmr | 2 | $956 | 2025-10-01 | HUD_USER_FMR |
| county 18045 | acs median gross | 3 | $946 | 2024-12-31 | CENSUS_ACS5 |
| county 18045 | fmr | 3 | $1,178 | 2025-10-01 | HUD_USER_FMR |
| county 18045 | acs median gross | 4 | $2,023 | 2024-12-31 | CENSUS_ACS5 |
| county 18045 | fmr | 4 | $1,604 | 2025-10-01 | HUD_USER_FMR |
| county 18045 | acs median gross | $843 | 2024-12-31 | CENSUS_ACS5 | |
| county 18045 | acs recent mover gross | $847 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 47932 | acs median gross | 1 | $716 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47932 | acs median gross | 2 | $840 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47932 | acs median gross | 3 | $850 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47932 | acs median gross | $825 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 47932 | acs recent mover gross | $844 | 2024-12-31 | CENSUS_ACS5 | |
| zip 47932 | payment standard 110 | 0 | $781 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47932 | payment standard 90 | 0 | $639 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47932 | safmr | 0 | $710 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47932 | payment standard 110 | 1 | $825 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47932 | payment standard 90 | 1 | $675 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47932 | safmr | 1 | $750 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47932 | payment standard 110 | 2 | $1,056 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47932 | payment standard 90 | 2 | $864 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47932 | safmr | 2 | $960 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47932 | payment standard 110 | 3 | $1,309 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47932 | payment standard 90 | 3 | $1,071 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47932 | safmr | 3 | $1,190 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47932 | payment standard 110 | 4 | $1,727 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47932 | payment standard 90 | 4 | $1,413 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47932 | safmr | 4 | $1,570 | 2025-10-01 | HUD_USER_SAFMR |