Composite
31.0 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 85.5 | 82.5 | 0.30 | 0.3000 | 25.65 | in index |
| staffing risk | 29.5 | 29.6 | 0.25 | 0.2500 | 7.38 | in index |
| financial risk | 14.3 | 22.9 | 0.30 | 0.3000 | 4.29 | in index |
| chow risk | 25.2 | 25.0 | 0.15 | 0.1500 | 3.78 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| 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. |
| financial risk | 22.9 | A | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.6 | — | 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 | 2.9 | — | 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 | 82.5 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 29.6 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 45.8 | 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 | 27.7 | 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 | 82.4 | 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 | 82.4 | 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 | 29.6 | B | 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 | 29.6 | B | 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 | |
| Occupancy | 0.87 | -0.51 | |
| Contract staffing share | 0.37 | +0.47 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
| 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 | 0.87 | -0.52 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Contract staffing share | 0.37 | +0.32 | |
| Total nurse staffing (HPRD) | 3.67 | -0.19 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
| 2025Q4 HPRD | This facility | HI median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.67 | 4.00 | 3.28 | 2.90–3.77 |
| RN | 0.89 | 1.24 | 0.39 | 0.25–0.58 |
| Weekend total | 3.71 | 3.78 | 3.11 | — |
| Weekday total | 3.65 | 4.04 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 34.9 | 3.67 | 0.89 | 0.09 | 2.68 | 3.71 | 36.9% |
| 2025Q3 | 92 | 35.1 | 3.99 | 0.82 | 0.12 | 3.05 | 4.05 | 42.9% |
| 2025Q2 | 91 | 39.3 | 3.43 | 0.78 | 0.14 | 2.51 | 3.16 | 46.5% |
| 2025Q1 | 90 | 36.2 | 3.47 | 0.79 | 0.11 | 2.57 | 3.46 | 33.4% |
| 2024Q4 | 92 | 32.2 | 3.61 | 0.85 | 0.11 | 2.65 | 3.21 | 38.0% |
| 2024Q3 | 92 | 35.9 | 3.31 | 0.83 | 0.12 | 2.37 | 3.01 | 32.4% |
| 2024Q2 | 91 | 37.4 | 3.31 | 0.71 | 0.15 | 2.45 | 3.25 | 32.6% |
| 2024Q1 | 91 | 34.2 | 3.41 | 0.80 | 0.07 | 2.55 | 3.32 | 26.4% |
| 2023Q4 | 92 | 35.0 | 3.59 | 0.84 | 0.02 | 2.73 | 3.46 | 27.1% |
| 2023Q3 | 92 | 36.2 | 3.24 | 0.75 | 0.03 | 2.46 | 3.26 | 21.2% |
| 2023Q2 | 91 | 37.2 | 3.19 | 0.77 | 0.00 | 2.42 | 3.10 | 20.1% |
| 2023Q1 | 90 | 36.4 | 3.19 | 0.77 | 0.00 | 2.41 | 3.18 | 26.0% |
| 2022Q4 | 92 | 34.1 | 3.28 | 0.87 | 0.00 | 2.41 | 3.24 | 19.1% |
| 2022Q3 | 92 | 32.9 | 3.31 | 0.86 | 0.00 | 2.45 | 3.27 | 11.5% |
| 2022Q2 | 91 | 33.8 | 3.40 | 0.88 | 0.04 | 2.49 | 3.43 | 10.9% |
| 2022Q1 | 90 | 31.9 | 3.66 | 0.96 | 0.00 | 2.70 | 3.60 | 21.7% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-01-31 | Fine | $72,144 | CMS provider data |
| 2023-09-15 | Fine | $14,888 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-01-31 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-02-27 |
| 2025-01-31 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-02-28 |
| 2025-01-31 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-02-27 |
| 2025-01-31 | Health · complaint | 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 | 2025-03-26 |
| 2025-01-31 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-03-26 |
| 2024-09-27 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-10-31 |
| 2024-09-27 | 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 | 2024-10-31 |
| 2024-09-27 | 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 | 2024-10-31 |
| 2024-09-27 | 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 | 2024-10-31 |
| 2024-09-27 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2024-10-31 |
| 2024-09-27 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2024-10-31 |
| 2023-09-15 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | 2023-12-06 |
| 2023-09-15 | Health · complaint | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | F | 2023-10-31 |
| 2023-09-15 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2023-10-31 |
| 2023-09-15 | 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. | D | 2023-12-06 |
| 2023-09-15 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2023-10-31 |
| 2023-09-15 | 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 | 2023-10-31 |
| 2023-09-15 | 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 | 2023-10-31 |
| 2023-09-15 | Health | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2023-10-31 |
| 2023-09-15 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-10-31 |
| 2023-09-15 | 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. | F | 2023-10-31 |
| 2023-09-15 | Health | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2023-10-31 |
| 2023-09-15 | Health | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2023-10-31 |
| 2023-09-15 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2023-10-31 |
| 2023-09-15 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-10-31 |
| 2023-09-15 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2023-10-31 |
| 2023-09-15 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2023-10-31 |
| 2023-09-15 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-10-31 |
| 2023-09-15 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2023-10-31 |
| 2023-09-15 | Health | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | F | 2023-10-31 |
| 2023-09-15 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2023-10-31 |
| 2023-09-15 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2023-12-06 |
| 2023-09-15 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2023-10-31 |
| 2023-09-15 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | F | 2023-10-31 |
| 2022-10-06 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2022-10-28 |
| 2022-10-06 | 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. | D | 2022-10-28 |
| 2022-10-06 | 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 | 2022-10-28 |
| 2022-10-06 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-10-28 |
| 2022-10-06 | 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 | 2022-10-28 |
| 2022-10-06 | Health | F0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | D | 2022-10-28 |
| 2022-10-06 | Health | F0811 | Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | D | 2022-10-28 |
| 2022-10-06 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | 2022-10-28 |
| 2022-10-06 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2022-11-01 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| FUKUMURA, GARY | CORPORATE OFFICER | — | 2012-06-30 | current | pecos_ownership |
| FUKUMURA, GARY | CORPORATE DIRECTOR | — | 1994-02-15 | current | pecos_ownership |
| FUKUMURA, GARY | W-2 MANAGING EMPLOYEE | — | 2011-03-04 | current | pecos_ownership |
| FUKUMURA, PAULINE | CORPORATE DIRECTOR | — | 1994-02-15 | current | pecos_ownership |
| FUKUMURA, PAULINE | CORPORATE OFFICER | — | 2012-06-30 | current | pecos_ownership |
| FUKUMURA, PAULINE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2011-03-04 | current | pecos_ownership |
| ONO ENTERPRISE LTD | 5% OR GREATER MORTGAGE INTEREST | — | 2022-12-10 | current | pecos_ownership |
| ONO ENTERPRISE LTD | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | — | current | pecos_ownership |
| PAULINE FUKUMURA | CORPORATE OFFICER | 85% | 2012-06-30 | ended 2026-05-18 | pecos_ownership |
| PAULINE FUKUMURA | W-2 MANAGING EMPLOYEE | 85% | 2011-03-04 | ended 2026-05-18 | pecos_ownership |
| GARY FUKUMURA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | 2011-03-04 | ended 2026-05-18 | pecos_ownership |
| GARY FUKUMURA | CORPORATE DIRECTOR | 15% | 1994-02-15 | ended 2026-05-18 | pecos_ownership |
| GARY FUKUMURA | CORPORATE OFFICER | 15% | 2012-06-30 | ended 2026-05-18 | pecos_ownership |
| PAULINE FUKUMURA | CORPORATE DIRECTOR | 15% | 1994-02-15 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2023-03-01 | HALE NANI REHABILITATION AND NURSING CENTER | — | — | — | 288 | HALE NANI REHAB & NURSING CENTER LLC |
| 2023-02-01 | PEARL CITY POST ACUTE | — | — | — | 122 | PSH PEARL CITY LLC |
| 2023-02-01 | Kulana Malama | — | — | — | 33 | PSH KM LLC |
| 2023-02-01 | OAHU CARE FACILITY | — | — | — | 82 | PSH OAHU LLC |
| 2020-12-18 | NUUANU HALE | — | — | — | 75 | NUUANU HALE, INC |
| 2019-12-31 | LEGACY HILO REHABILITATION & NURSING CENTER | — | — | — | 100 | HILO SNF LLC |
| 2017-07-01 | LANAI COMMUNITY HOSPITAL | — | — | — | 10 | MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC |
| 2017-07-01 | KULA HOSPITAL | — | — | — | 105 | MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 15003 | acs median gross | 0 | $1,458 | 2024-12-31 | CENSUS_ACS5 |
| county 15003 | fmr | 0 | $1,877 | 2025-10-01 | HUD_USER_FMR |
| county 15003 | acs median gross | 1 | $1,605 | 2024-12-31 | CENSUS_ACS5 |
| county 15003 | fmr | 1 | $2,016 | 2025-10-01 | HUD_USER_FMR |
| county 15003 | acs median gross | 2 | $2,086 | 2024-12-31 | CENSUS_ACS5 |
| county 15003 | fmr | 2 | $2,642 | 2025-10-01 | HUD_USER_FMR |
| county 15003 | acs median gross | 3 | $2,948 | 2024-12-31 | CENSUS_ACS5 |
| county 15003 | fmr | 3 | $3,674 | 2025-10-01 | HUD_USER_FMR |
| county 15003 | acs median gross | 4 | $3,443 | 2024-12-31 | CENSUS_ACS5 |
| county 15003 | fmr | 4 | $4,432 | 2025-10-01 | HUD_USER_FMR |
| county 15003 | acs median gross | 5 | $3,057 | 2024-12-31 | CENSUS_ACS5 |
| county 15003 | acs median gross | $2,083 | 2024-12-31 | CENSUS_ACS5 | |
| county 15003 | acs recent mover gross | $2,457 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 96821 | acs median gross | 1 | $2,452 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96821 | acs median gross | 2 | $2,643 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96821 | acs median gross | 3 | $3,322 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96821 | acs median gross | 4 | $3,304 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96821 | acs median gross | 5 | $3,056 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96821 | acs median gross | $3,061 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 96821 | acs recent mover gross | $3,241 | 2024-12-31 | CENSUS_ACS5 | |
| zip 96821 | payment standard 110 | 0 | $2,772 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96821 | payment standard 90 | 0 | $2,268 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96821 | safmr | 0 | $2,520 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96821 | payment standard 110 | 1 | $2,981 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96821 | payment standard 90 | 1 | $2,439 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96821 | safmr | 1 | $2,710 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96821 | payment standard 110 | 2 | $3,905 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96821 | payment standard 90 | 2 | $3,195 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96821 | safmr | 2 | $3,550 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96821 | payment standard 110 | 3 | $5,434 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96821 | payment standard 90 | 3 | $4,446 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96821 | safmr | 3 | $4,940 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96821 | payment standard 110 | 4 | $6,556 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96821 | payment standard 90 | 4 | $5,364 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96821 | safmr | 4 | $5,960 | 2025-10-01 | HUD_USER_SAFMR |