Composite
60.3 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 94.2 | 83.3 | 0.30 | 0.2308 | 21.74 | in index |
| billing conduct | 46.2 | 37.8 | 0.30 | 0.2308 | 10.66 | in index |
| regulatory risk | 40.4 | 29.4 | 0.30 | 0.2308 | 9.32 | in index |
| chow risk | 48.6 | 55.7 | 0.15 | 0.1154 | 5.61 | in index |
| staffing risk | 25.4 | 25.5 | 0.25 | 0.1923 | 4.88 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 37.8 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 22.2 | A | 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 | 89.3 | F | v0.6 | default · in composite | |
| financial risk | 83.3 | F | v0.5 | default · in composite | R18. |
| p adverse action 12m | 4.6 | — | 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 | 0.4 | — | 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 | 29.4 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 25.5 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 92.4 | 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 | 72.4 | 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 | 72.8 | D | 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 | 81.7 | F | 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 | 29.2 | 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 | 29.2 | 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 | 25.5 | 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 | 25.5 | 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 | 0.00 | -1.24 | |
| 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 | |
| Facility size (log beds) | 5.89 | -0.24 | |
| Occupancy | 0.62 | +0.22 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | +1.62 | |
| Chain size (log) | 0.00 | +1.20 | |
| Deficiencies, last 12 months | 2.00 | +1.06 | |
| Occupancy | 0.62 | +0.54 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Facility size (log beds) | 5.89 | -0.32 | |
| Total nurse staffing (HPRD) | 3.77 | -0.23 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
| 2025Q4 HPRD | This facility | NY median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.77 | 3.33 | 3.28 | 2.90–3.77 |
| RN | 0.42 | 0.43 | 0.39 | 0.25–0.58 |
| Weekend total | 3.40 | 3.03 | 3.11 | — |
| Weekday total | 3.91 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 223.6 | 3.77 | 0.42 | 0.68 | 2.67 | 3.40 | 2.3% |
| 2025Q3 | 92 | 219.9 | 3.90 | 0.44 | 0.70 | 2.76 | 3.54 | 4.3% |
| 2025Q2 | 91 | 221.1 | 3.88 | 0.42 | 0.70 | 2.77 | 3.44 | 3.7% |
| 2025Q1 | 90 | 225.7 | 3.79 | 0.33 | 0.72 | 2.74 | 3.35 | 2.8% |
| 2024Q4 | 92 | 228.9 | 3.85 | 0.33 | 0.79 | 2.73 | 3.52 | 2.9% |
| 2024Q3 | 92 | 232.5 | 3.58 | 0.33 | 0.77 | 2.49 | 3.30 | 2.9% |
| 2024Q2 | 91 | 232.1 | 3.62 | 0.35 | 0.77 | 2.51 | 3.35 | 4.2% |
| 2024Q1 | 91 | 234.1 | 3.54 | 0.35 | 0.78 | 2.42 | 3.28 | 4.7% |
| 2023Q4 | 92 | 235.7 | 3.60 | 0.33 | 0.84 | 2.42 | 3.25 | 3.5% |
| 2023Q3 | 92 | 230.1 | 3.71 | 0.31 | 0.84 | 2.56 | 3.36 | 2.0% |
| 2023Q2 | 91 | 226.0 | 3.82 | 0.30 | 0.85 | 2.66 | 3.50 | 0.1% |
| 2023Q1 | 90 | 232.5 | 3.77 | 0.31 | 0.85 | 2.62 | 3.56 | 0.4% |
| 2022Q4 | 92 | 237.9 | 3.75 | 0.32 | 0.83 | 2.60 | 3.45 | 0.4% |
| 2022Q3 | 92 | 241.0 | 3.76 | 0.29 | 0.85 | 2.62 | 3.49 | 0.3% |
| 2022Q2 | 91 | 248.0 | 3.75 | 0.29 | 0.90 | 2.56 | 3.51 | 0.0% |
| 2022Q1 | 90 | 247.9 | 3.74 | 0.28 | 0.86 | 2.60 | 3.50 | 0.0% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-03 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2026-03-26 |
| 2026-02-03 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-03-26 |
| 2025-07-22 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-09-19 |
| 2025-07-22 | 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 | 2025-09-19 |
| 2025-07-22 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2025-09-19 |
| 2025-07-22 | Health | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2025-09-19 |
| 2025-07-22 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-09-19 |
| 2025-07-22 | Health | F0610 | Respond appropriately to all alleged violations. | E | 2025-09-19 |
| 2025-07-22 | 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 | 2025-09-19 |
| 2025-07-22 | 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 | 2025-09-19 |
| 2025-07-22 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-09-19 |
| 2025-07-22 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-09-19 |
| 2025-07-22 | 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 | 2025-09-19 |
| 2025-07-22 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-09-19 |
| 2025-07-22 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-09-19 |
| 2025-07-22 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-09-19 |
| 2025-07-22 | Health | F0908 | Keep all essential equipment working safely. | E | 2025-09-19 |
| 2025-07-01 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-08-15 |
| 2025-07-01 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-08-15 |
| 2025-07-01 | Health · complaint | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D | 2025-08-15 |
| 2024-04-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-05-31 |
| 2023-06-08 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | 2023-08-04 |
| 2023-06-08 | 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 | 2023-08-04 |
| 2023-06-08 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-08-04 |
| 2023-06-08 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2023-08-04 |
| 2023-06-08 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-08-04 |
| 2023-06-08 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-08-04 |
| 2023-06-08 | 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 | 2023-08-04 |
| 2023-06-08 | Health · complaint | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2023-08-04 |
| 2023-06-08 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-08-04 |
| 2023-06-08 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-08-04 |
| 2023-06-08 | 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 | 2023-08-04 |
| 2023-06-08 | 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 | 2023-08-04 |
| 2023-06-08 | 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. | D | 2023-08-04 |
| 2023-06-08 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-08-04 |
| 2019-08-09 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2019-10-04 |
| 2019-08-09 | 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 | 2019-10-04 |
| 2019-08-09 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2019-10-04 |
| 2019-08-09 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2019-10-04 |
| 2019-08-09 | Health | 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 | 2019-10-04 |
| 2019-08-09 | Health | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | 2019-10-04 |
| 2019-08-09 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2019-10-04 |
| 2019-08-09 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2019-10-04 |
| 2019-08-09 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2019-10-04 |
| 2019-08-09 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2019-10-04 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| LADUE, LAURENCE | W-2 MANAGING EMPLOYEE | — | 2013-01-15 | current | pecos_ownership |
| NEUHAUS, STEVEN | CORPORATE OFFICER | — | 2014-01-01 | current | pecos_ownership |
| STRECKER, DONNA | W-2 MANAGING EMPLOYEE | — | 2012-01-10 | current | pecos_ownership |
| COUNTY OF ORANGE | OTHER | 100% | — | ended 2026-05-18 | pecos_ownership |
| ALICIA WEISSMAN | OTHER | 0% | 2007-01-02 | ended 2026-05-18 | pecos_ownership |
| DONNA STRECKER | W-2 MANAGING EMPLOYEE | 0% | 2012-01-10 | ended 2026-05-18 | pecos_ownership |
| LAURENCE LADUE | W-2 MANAGING EMPLOYEE | 0% | 2013-01-15 | ended 2026-05-18 | pecos_ownership |
| STEVEN NEUHAUS | CORPORATE OFFICER | 0% | 2014-01-01 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-06-01 | PINE FOREST CARE CENTER FOR REHAB & HEALTHCARE | — | — | — | 76 | HILAIRE CARE NETWORK LLC |
| 2024-05-17 | Fairport Rehabilitation and Nursing Center | — | — | — | 196 | FAIRPORT SNF LLC |
| 2024-05-09 | MARIA REGINA REHABILITATION AND NURSING | — | — | — | 188 | OPTIMA CARE BRENTWOOD LLC |
| 2024-02-01 | TUPPER LAKE CENTER FOR NURSING AND REHABILITATION | — | — | — | 60 | TUPPER LAKE CENTER LLC |
| 2023-08-31 | WEST VILLAGE REHABILITATION AND NURSING CENTER | — | — | — | 105 | VILLAGE ACQUISITION I LLC |
| 2023-06-23 | Crest Manor Living and Rehabilitation Center | — | — | — | 80 | CREST OPCO LLC |
| 2023-06-23 | East Side Nursing Home | — | — | — | 80 | EASTSIDE OPCO LLC |
| 2023-05-05 | SPRINGVALE NURSING & REHABILITATION CENTER | — | — | — | 200 | THE PREMIER CENTER FOR REHABILITATION OF WESTCHESTER LLC |
| 2023-04-21 | LIVINGSTON HILLS NURSING AND REHABILITATION CENTER | — | — | — | 120 | LIVINGSTON TWO OPERATIONS LLC |
| 2023-01-12 | EDEN REHABILITATION NURSING CENTER | — | — | — | 40 | EDRNC OPERATING LLC |
| 2023-01-01 | DUNKIRK REHABILITATION & NURSING CENTER | — | — | — | 40 | DURNC OPERATING LLC |
| 2022-09-12 | ROSS CENTER FOR NURSING AND REHABILITATION | — | — | — | 135 | ROSS OPCO LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 36071 | acs median gross | 0 | $1,113 | 2024-12-31 | CENSUS_ACS5 |
| county 36071 | fmr | 0 | $1,364 | 2025-10-01 | HUD_USER_FMR |
| county 36071 | acs median gross | 1 | $1,314 | 2024-12-31 | CENSUS_ACS5 |
| county 36071 | fmr | 1 | $1,549 | 2025-10-01 | HUD_USER_FMR |
| county 36071 | acs median gross | 2 | $1,771 | 2024-12-31 | CENSUS_ACS5 |
| county 36071 | fmr | 2 | $1,979 | 2025-10-01 | HUD_USER_FMR |
| county 36071 | acs median gross | 3 | $1,992 | 2024-12-31 | CENSUS_ACS5 |
| county 36071 | fmr | 3 | $2,511 | 2025-10-01 | HUD_USER_FMR |
| county 36071 | acs median gross | 4 | $2,136 | 2024-12-31 | CENSUS_ACS5 |
| county 36071 | fmr | 4 | $2,694 | 2025-10-01 | HUD_USER_FMR |
| county 36071 | acs median gross | 5 | $2,503 | 2024-12-31 | CENSUS_ACS5 |
| county 36071 | acs median gross | $1,680 | 2024-12-31 | CENSUS_ACS5 | |
| county 36071 | acs recent mover gross | $2,113 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 10924 | acs median gross | 1 | $1,480 | 2024-12-31 | CENSUS_ACS5 |
| zcta 10924 | acs median gross | 2 | $2,039 | 2024-12-31 | CENSUS_ACS5 |
| zcta 10924 | acs median gross | 3 | $1,927 | 2024-12-31 | CENSUS_ACS5 |
| zcta 10924 | acs median gross | 4 | $2,045 | 2024-12-31 | CENSUS_ACS5 |
| zcta 10924 | acs median gross | $1,770 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 10924 | acs recent mover gross | $2,359 | 2024-12-31 | CENSUS_ACS5 | |
| zip 10924 | payment standard 110 | 0 | $1,474 | 2025-10-01 | HUD_USER_SAFMR |
| zip 10924 | payment standard 90 | 0 | $1,206 | 2025-10-01 | HUD_USER_SAFMR |
| zip 10924 | safmr | 0 | $1,340 | 2025-10-01 | HUD_USER_SAFMR |
| zip 10924 | payment standard 110 | 1 | $1,683 | 2025-10-01 | HUD_USER_SAFMR |
| zip 10924 | payment standard 90 | 1 | $1,377 | 2025-10-01 | HUD_USER_SAFMR |
| zip 10924 | safmr | 1 | $1,530 | 2025-10-01 | HUD_USER_SAFMR |
| zip 10924 | payment standard 110 | 2 | $2,145 | 2025-10-01 | HUD_USER_SAFMR |
| zip 10924 | payment standard 90 | 2 | $1,755 | 2025-10-01 | HUD_USER_SAFMR |
| zip 10924 | safmr | 2 | $1,950 | 2025-10-01 | HUD_USER_SAFMR |
| zip 10924 | payment standard 110 | 3 | $2,717 | 2025-10-01 | HUD_USER_SAFMR |
| zip 10924 | payment standard 90 | 3 | $2,223 | 2025-10-01 | HUD_USER_SAFMR |
| zip 10924 | safmr | 3 | $2,470 | 2025-10-01 | HUD_USER_SAFMR |
| zip 10924 | payment standard 110 | 4 | $2,915 | 2025-10-01 | HUD_USER_SAFMR |
| zip 10924 | payment standard 90 | 4 | $2,385 | 2025-10-01 | HUD_USER_SAFMR |
| zip 10924 | safmr | 4 | $2,650 | 2025-10-01 | HUD_USER_SAFMR |