Composite
41.7 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 66.9 | 60.2 | 0.30 | 0.2308 | 15.44 | in index |
| financial risk | 66.5 | 56.8 | 0.30 | 0.2308 | 15.35 | in index |
| staffing risk | 52.5 | 52.5 | 0.25 | 0.1923 | 10.10 | in index |
| chow risk | 39.3 | 37.7 | 0.15 | 0.1154 | 4.53 | 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 | 50.4 | C | v0.6 | default · in composite | |
| financial risk | 56.8 | 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 | 2.5 | — | 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 | 60.2 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 52.5 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 63.4 | 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 | 43.4 | 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 | 49.7 | 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 | 61.0 | 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 | 60.1 | C | 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 | 60.1 | C | 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 | 52.5 | 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 | 52.5 | 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 | 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) | 0.00 | -0.40 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 0.00 | -0.17 | |
| Occupancy | 0.74 | -0.13 |
| 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 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 | |
| Current owner tenure (years) | 25.00 | +0.11 | |
| Staffing trend, last 4 quarters | 0.20 | +0.06 |
| 2025Q4 HPRD | This facility | OH median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.25 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.55 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 2.98 | 3.11 | 3.11 | — |
| Weekday total | 3.35 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 50.5 | 3.25 | 0.55 | 0.47 | 2.23 | 2.98 | 1.9% |
| 2025Q3 | 92 | 53.0 | 3.34 | 0.44 | 0.49 | 2.41 | 3.08 | 7.7% |
| 2025Q2 | 91 | 56.8 | 3.21 | 0.37 | 0.53 | 2.32 | 3.06 | 3.3% |
| 2025Q1 | 90 | 52.0 | 3.24 | 0.41 | 0.58 | 2.25 | 3.00 | 3.1% |
| 2024Q4 | 92 | 52.4 | 3.05 | 0.41 | 0.58 | 2.07 | 2.75 | 2.1% |
| 2024Q3 | 92 | 50.0 | 3.19 | 0.38 | 0.64 | 2.17 | 2.92 | 6.4% |
| 2024Q2 | 91 | 52.1 | 3.07 | 0.40 | 0.57 | 2.11 | 2.72 | 6.2% |
| 2024Q1 | 91 | 52.9 | 3.16 | 0.41 | 0.56 | 2.19 | 2.96 | 0.0% |
| 2023Q4 | 92 | 49.5 | 3.00 | 0.46 | 0.55 | 1.99 | 2.80 | 0.0% |
| 2023Q3 | 92 | 50.0 | 3.19 | 0.39 | 0.63 | 2.17 | 3.02 | 1.5% |
| 2023Q2 | 91 | 52.6 | 2.90 | 0.28 | 0.66 | 1.95 | 2.65 | 0.0% |
| 2023Q1 | 90 | 48.6 | 3.16 | 0.27 | 0.79 | 2.11 | 2.82 | 2.7% |
| 2022Q4 | 92 | 45.9 | 3.14 | 0.33 | 0.71 | 2.10 | 2.86 | 0.8% |
| 2022Q3 | 92 | 54.1 | 3.14 | 0.40 | 0.66 | 2.08 | 2.95 | 11.2% |
| 2022Q2 | 91 | 57.2 | 3.14 | 0.28 | 0.73 | 2.13 | 2.94 | 1.7% |
| 2022Q1 | 90 | 60.1 | 3.10 | 0.17 | 0.88 | 2.06 | 2.85 | 4.2% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-05-13 | Fine | $41,243 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-05-13 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2025-06-04 |
| 2025-05-13 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | 2025-06-04 |
| 2025-05-13 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-06-04 |
| 2025-05-13 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2025-06-04 |
| 2025-05-13 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-06-04 |
| 2025-05-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-06-04 |
| 2025-05-13 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-06-04 |
| 2025-05-13 | Health | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2025-06-04 |
| 2025-05-13 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-06-04 |
| 2025-05-13 | Health | F0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | D | 2025-06-04 |
| 2025-05-13 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-06-04 |
| 2025-05-13 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-06-04 |
| 2025-05-13 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | F | 2025-06-04 |
| 2023-12-19 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-12-26 |
| 2023-12-19 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-12-26 |
| 2023-12-19 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-12-26 |
| 2023-11-01 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-11-06 |
| 2022-09-07 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2022-11-05 |
| 2022-09-07 | 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 | 2022-11-05 |
| 2022-09-07 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2022-11-05 |
| 2022-09-07 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2022-11-05 |
| 2022-09-07 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2022-11-05 |
| 2022-09-07 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2022-11-05 |
| 2022-09-07 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2022-11-05 |
| 2022-09-07 | 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 | 2022-11-05 |
| 2022-09-07 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2022-11-05 |
| 2019-09-12 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | C | 2019-10-12 |
| 2019-09-12 | 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 | 2019-10-12 |
| 2019-09-12 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2019-10-12 |
| 2019-09-12 | 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 | 2019-10-12 |
| 2019-09-12 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2019-10-12 |
| 2019-09-12 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2019-10-12 |
| 2019-09-12 | 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 | 2019-10-12 |
| 2019-09-12 | Health | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2019-10-12 |
| 2019-09-12 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2019-10-12 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BLACK-KUREK, LINDA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2001-07-18 | current | pecos_ownership |
| BLACK-KUREK, LINDA | CORPORATE DIRECTOR | — | 2003-09-16 | current | pecos_ownership |
| CARPENTER, BRUCE | CORPORATE OFFICER | — | 2003-09-16 | current | pecos_ownership |
| LIBERTY PROPERTY | Individual is director, officer, administrator or key person of provider and related organization | — | 2024-01-01 | current | hcris_a_8_1 |
| LIBERTY PROPERTY | Individual is director, officer, administrator or key person of provider and related organization | — | 2023-01-01 | current | hcris_a_8_1 |
| WEBBER, ANGEL | W-2 MANAGING EMPLOYEE | — | 2021-08-30 | current | pecos_ownership |
| ANGEL WEBBER | W-2 MANAGING EMPLOYEE | 100% | 2021-08-30 | ended 2026-05-18 | pecos_ownership |
| LINDA BLACK-KUREK | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2001-07-18 | ended 2026-05-18 | pecos_ownership |
| BRUCE CARPENTER | CORPORATE OFFICER | — | 2003-09-16 | ended 2026-05-18 | pecos_ownership |
| LIBERTY PROPERTY | Individual is director, officer, administrator or key person of provider and related organization | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| LIBERTY PROPERTY | Individual is director, officer, administrator or key person of provider and related organization | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| LIBERTY PROPERTY | Individual is director, officer, administrator or key person of provider and related organization | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| LINDA BLACK-KUREK | CORPORATE DIRECTOR | — | 2003-09-16 | ended 2026-05-18 | pecos_ownership |
| 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 39139 | acs median gross | 0 | $604 | 2024-12-31 | CENSUS_ACS5 |
| county 39139 | fmr | 0 | $671 | 2025-10-01 | HUD_USER_FMR |
| county 39139 | acs median gross | 1 | $605 | 2024-12-31 | CENSUS_ACS5 |
| county 39139 | fmr | 1 | $773 | 2025-10-01 | HUD_USER_FMR |
| county 39139 | acs median gross | 2 | $817 | 2024-12-31 | CENSUS_ACS5 |
| county 39139 | fmr | 2 | $973 | 2025-10-01 | HUD_USER_FMR |
| county 39139 | acs median gross | 3 | $985 | 2024-12-31 | CENSUS_ACS5 |
| county 39139 | fmr | 3 | $1,315 | 2025-10-01 | HUD_USER_FMR |
| county 39139 | acs median gross | 4 | $1,121 | 2024-12-31 | CENSUS_ACS5 |
| county 39139 | fmr | 4 | $1,530 | 2025-10-01 | HUD_USER_FMR |
| county 39139 | acs median gross | 5 | $1,047 | 2024-12-31 | CENSUS_ACS5 |
| county 39139 | acs median gross | $824 | 2024-12-31 | CENSUS_ACS5 | |
| county 39139 | acs recent mover gross | $968 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 44907 | acs median gross | 1 | $601 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44907 | acs median gross | 2 | $861 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44907 | acs median gross | 3 | $1,052 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44907 | acs median gross | 4 | $1,193 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44907 | acs median gross | $834 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 44907 | acs recent mover gross | $906 | 2024-12-31 | CENSUS_ACS5 | |
| zip 44907 | payment standard 110 | 0 | $737 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44907 | payment standard 90 | 0 | $603 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44907 | safmr | 0 | $670 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44907 | payment standard 110 | 1 | $847 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44907 | payment standard 90 | 1 | $693 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44907 | safmr | 1 | $770 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44907 | payment standard 110 | 2 | $1,067 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44907 | payment standard 90 | 2 | $873 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44907 | safmr | 2 | $970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44907 | payment standard 110 | 3 | $1,441 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44907 | payment standard 90 | 3 | $1,179 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44907 | safmr | 3 | $1,310 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44907 | payment standard 110 | 4 | $1,683 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44907 | payment standard 90 | 4 | $1,377 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44907 | safmr | 4 | $1,530 | 2025-10-01 | HUD_USER_SAFMR |