Composite
75.5 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| staffing risk | 91.8 | 91.8 | 0.25 | 0.1923 | 17.65 | in index |
| financial risk | 56.8 | 50.0 | 0.30 | 0.2308 | 13.11 | in index |
| regulatory risk | 48.0 | 37.0 | 0.30 | 0.2308 | 11.08 | in index |
| billing conduct | 41.3 | 36.0 | 0.30 | 0.2308 | 9.53 | in index |
| chow risk | 61.3 | 60.1 | 0.15 | 0.1154 | 7.07 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 36.0 | 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 | 95.3 | F | v0.6 | default · in composite | |
| financial risk | 50.0 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.3 | — | 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 | 7.8 | — | 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 | 37.0 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 91.8 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 88.3 | 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 | 68.3 | D | 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 | 39.7 | 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 | 55.7 | C | 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 | 36.9 | 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 | 36.9 | 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 | 91.8 | 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 | 91.8 | 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 | |
| Occupancy | 0.63 | +0.19 | |
| Deficiencies, last 12 months | 0.00 | -0.17 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| Chain size (log) | 3.58 | -0.88 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.63 | +0.50 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 2.47 | +0.31 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Staffing trend, last 4 quarters | 0.40 | +0.16 |
| 2025Q4 HPRD | This facility | IN median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.47 | 2.85 | 3.28 | 2.90–3.77 |
| RN | 0.09 | 0.40 | 0.39 | 0.25–0.58 |
| Weekend total | 2.25 | 2.71 | 3.11 | — |
| Weekday total | 2.56 | 2.90 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 41.6 | 2.47 | 0.09 | 0.60 | 1.79 | 2.25 | 0.0% |
| 2025Q3 | 92 | 42.0 | 2.27 | 0.26 | 0.33 | 1.68 | 2.11 | 0.0% |
| 2025Q2 | 91 | 42.0 | 2.24 | 0.44 | 0.14 | 1.65 | 2.06 | 0.0% |
| 2025Q1 | 90 | 45.9 | 2.39 | 0.53 | 0.15 | 1.71 | 2.35 | 0.0% |
| 2024Q4 | 92 | 43.3 | 2.07 | 0.37 | 0.30 | 1.40 | 2.04 | 0.0% |
| 2024Q3 | 92 | 41.9 | 1.82 | 0.18 | 0.32 | 1.32 | 1.75 | 0.0% |
| 2024Q2 | 91 | 37.5 | 1.91 | 0.22 | 0.35 | 1.35 | 1.91 | 0.0% |
| 2024Q1 | 91 | 37.4 | 1.78 | 0.21 | 0.38 | 1.18 | 1.80 | 3.9% |
| 2023Q4 | 92 | 38.6 | 2.26 | 0.28 | 0.54 | 1.44 | 2.32 | 5.5% |
| 2023Q3 | 92 | 35.4 | 2.58 | 0.55 | 0.45 | 1.59 | 2.58 | 9.3% |
| 2023Q2 | 91 | 35.3 | 2.44 | 0.28 | 0.61 | 1.54 | 2.47 | 39.6% |
| 2023Q1 | 90 | 36.6 | 2.25 | 0.29 | 0.49 | 1.47 | 2.08 | 47.2% |
| 2022Q4 | 92 | 33.2 | 2.20 | 0.41 | 0.44 | 1.36 | 2.12 | 59.5% |
| 2022Q3 | 92 | 33.6 | 2.55 | 0.59 | 0.47 | 1.49 | 2.43 | 51.3% |
| 2022Q2 | 91 | 34.3 | 2.84 | 0.52 | 0.67 | 1.65 | 2.72 | 31.6% |
| 2022Q1 | 90 | 38.9 | 2.53 | 0.69 | 0.30 | 1.54 | 2.49 | 30.6% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-01-10 | Payment Denial | — | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-01-10 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-02-11 |
| 2025-01-10 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2025-02-11 |
| 2025-01-10 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-02-11 |
| 2025-01-10 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-02-11 |
| 2025-01-10 | 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 | 2025-02-27 |
| 2025-01-10 | 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 | 2025-02-11 |
| 2025-01-10 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-02-11 |
| 2025-01-10 | 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 | 2025-02-27 |
| 2025-01-10 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-02-11 |
| 2025-01-10 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-02-11 |
| 2025-01-10 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-02-11 |
| 2025-01-10 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-02-11 |
| 2025-01-10 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-02-11 |
| 2025-01-10 | 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 | 2025-02-11 |
| 2025-01-10 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2025-02-11 |
| 2025-01-10 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-02-11 |
| 2025-01-10 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-02-27 |
| 2024-02-09 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-03-05 |
| 2024-02-09 | 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 | 2024-03-05 |
| 2024-02-09 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2024-03-05 |
| 2024-02-09 | 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 | 2024-03-05 |
| 2024-02-09 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-03-05 |
| 2024-02-09 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-03-05 |
| 2024-02-09 | 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 | 2024-03-05 |
| 2024-02-09 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-03-05 |
| 2023-01-03 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2023-01-26 |
| 2023-01-03 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-01-26 |
| 2023-01-03 | 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 | 2023-01-26 |
| 2023-01-03 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-01-26 |
| 2023-01-03 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-01-26 |
| 2023-01-03 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-01-26 |
| 2023-01-03 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | 2023-01-26 |
| 2023-01-03 | 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 | 2023-01-26 |
| 2023-01-03 | 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 | 2023-01-26 |
| 2023-01-03 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2023-01-26 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| JOHNSON MEMORIAL HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2013-03-01 | current | pecos_ownership |
| 500 EAST PICKWICK DRIVE | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| 500 EAST PICKWICK DRIVE | Individual has financial interest in both related organization and provider | — | 2023-01-01 | current | hcris_a_8_1 |
| BERKHOUSE, STEVEN | CORPORATE DIRECTOR | — | 2021-10-18 | current | pecos_ownership |
| DECOLA, ROBERT | W-2 MANAGING EMPLOYEE | — | 2019-02-16 | current | pecos_ownership |
| DUNKLE, DAVID | CORPORATE DIRECTOR | — | 2019-03-01 | current | pecos_ownership |
| JACKSON, NATHAN | CONTRACTED MANAGING EMPLOYEE | — | 2021-06-21 | current | pecos_ownership |
| THE WATERS OF SYRACUSE SKILLED NURSING FACILITY LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-11-01 | current | pecos_ownership |
| VANCE, CAROLYN | CONTRACTED MANAGING EMPLOYEE | — | 2022-11-01 | current | pecos_ownership |
| CAROLYN VANCE | CONTRACTED MANAGING EMPLOYEE | 100% | 2022-11-01 | ended 2026-05-18 | pecos_ownership |
| DAVID DUNKLE | CORPORATE DIRECTOR | — | 2019-03-01 | ended 2026-05-18 | pecos_ownership |
| NATHAN JACKSON | CONTRACTED MANAGING EMPLOYEE | — | 2021-06-21 | ended 2026-05-18 | pecos_ownership |
| ROBERT DECOLA | W-2 MANAGING EMPLOYEE | — | 2019-02-16 | ended 2026-05-18 | pecos_ownership |
| STEVEN BERKHOUSE | CORPORATE OFFICER | — | 2021-10-18 | ended 2026-05-18 | pecos_ownership |
| 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 18085 | acs median gross | 0 | $906 | 2024-12-31 | CENSUS_ACS5 |
| county 18085 | fmr | 0 | $875 | 2025-10-01 | HUD_USER_FMR |
| county 18085 | acs median gross | 1 | $818 | 2024-12-31 | CENSUS_ACS5 |
| county 18085 | fmr | 1 | $881 | 2025-10-01 | HUD_USER_FMR |
| county 18085 | acs median gross | 2 | $1,048 | 2024-12-31 | CENSUS_ACS5 |
| county 18085 | fmr | 2 | $1,142 | 2025-10-01 | HUD_USER_FMR |
| county 18085 | acs median gross | 3 | $1,191 | 2024-12-31 | CENSUS_ACS5 |
| county 18085 | fmr | 3 | $1,385 | 2025-10-01 | HUD_USER_FMR |
| county 18085 | acs median gross | 4 | $1,292 | 2024-12-31 | CENSUS_ACS5 |
| county 18085 | fmr | 4 | $1,560 | 2025-10-01 | HUD_USER_FMR |
| county 18085 | acs median gross | 5 | $1,636 | 2024-12-31 | CENSUS_ACS5 |
| county 18085 | acs median gross | $1,043 | 2024-12-31 | CENSUS_ACS5 | |
| county 18085 | acs recent mover gross | $1,381 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 46567 | acs median gross | 1 | $868 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46567 | acs median gross | 2 | $1,020 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46567 | acs median gross | 3 | $1,384 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46567 | acs median gross | $1,027 | 2024-12-31 | CENSUS_ACS5 | |
| zip 46567 | payment standard 110 | 0 | $935 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46567 | payment standard 90 | 0 | $765 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46567 | safmr | 0 | $850 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46567 | payment standard 110 | 1 | $946 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46567 | payment standard 90 | 1 | $774 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46567 | safmr | 1 | $860 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46567 | payment standard 110 | 2 | $1,210 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46567 | payment standard 90 | 2 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46567 | safmr | 2 | $1,100 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46567 | payment standard 110 | 3 | $1,485 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46567 | payment standard 90 | 3 | $1,215 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46567 | safmr | 3 | $1,350 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46567 | payment standard 110 | 4 | $1,650 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46567 | payment standard 90 | 4 | $1,350 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46567 | safmr | 4 | $1,500 | 2025-10-01 | HUD_USER_SAFMR |