Composite
80.7 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 96.0 | 94.4 | 0.30 | 0.4000 | 38.40 | in index |
| billing conduct | 50.0 | 39.4 | 0.30 | 0.4000 | 20.00 | in index |
| chow risk | 12.1 | 24.1 | 0.15 | 0.2000 | 2.42 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 39.4 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.1 | 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. |
| p adverse action 12m | 2.0 | — | 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 | 0.2 | — | 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 | 94.4 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| regulatory risk | 94.4 | 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 | 94.4 | 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. |
| 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 | |
| Occupancy | 0.86 | -0.46 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Facility size (log beds) | 5.85 | -0.23 | |
| 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 | 0.86 | -0.45 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Facility size (log beds) | 5.85 | -0.31 | |
| Total nurse staffing (HPRD) | 3.86 | -0.27 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
| 2025Q3 HPRD | This facility | CA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.86 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.37 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.82 | 3.79 | 3.11 | — |
| Weekday total | 3.87 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q3 | 92 | 295.3 | 3.86 | 0.37 | 0.94 | 2.55 | 3.82 | 14.1% |
| 2025Q2 | 91 | 295.0 | 3.59 | 0.32 | 0.93 | 2.33 | 3.52 | 15.3% |
| 2025Q1 | 90 | 289.8 | 3.70 | 0.51 | 0.94 | 2.25 | 3.54 | 15.1% |
| 2024Q4 | 92 | 282.7 | 3.82 | 0.55 | 0.90 | 2.38 | 3.61 | 12.6% |
| 2024Q3 | 92 | 282.7 | 3.83 | 0.57 | 0.86 | 2.41 | 3.53 | 10.5% |
| 2024Q2 | 91 | 292.8 | 3.71 | 0.56 | 0.96 | 2.19 | 3.41 | 12.1% |
| 2024Q1 | 91 | 285.0 | 2.94 | 0.26 | 0.87 | 1.81 | 2.81 | 0.0% |
| 2023Q4 | 92 | 265.9 | 2.92 | 0.34 | 0.80 | 1.78 | 2.60 | 5.9% |
| 2023Q3 | 92 | 234.6 | 3.01 | 0.28 | 0.88 | 1.84 | 2.78 | 0.0% |
| 2023Q2 | 91 | 244.6 | 2.89 | 0.36 | 0.80 | 1.73 | 2.77 | 13.0% |
| 2023Q1 | 90 | 250.6 | 3.03 | 0.36 | 0.78 | 1.89 | 2.98 | 12.2% |
| 2022Q4 | 92 | 246.2 | 3.23 | 0.33 | 0.78 | 2.11 | 3.12 | 11.0% |
| 2022Q3 | 92 | 224.8 | 3.74 | 0.36 | 0.82 | 2.56 | 3.51 | 10.4% |
| 2022Q2 | 91 | 206.2 | 3.52 | 0.50 | 0.72 | 2.30 | 3.35 | 19.2% |
| 2022Q1 | 90 | 217.8 | 3.21 | 0.46 | 0.58 | 2.17 | 3.10 | 19.6% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-07-03 | Fine | $40,118 | CMS provider data |
| 2025-07-03 | Payment Denial | — | CMS provider data |
| 2024-01-30 | Fine | $63,882 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-19 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-03-06 |
| 2026-02-19 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2026-03-06 |
| 2025-07-03 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-08-01 |
| 2025-07-03 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-08-01 |
| 2025-07-03 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-08-01 |
| 2025-07-03 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2025-08-01 |
| 2025-07-03 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2025-08-01 |
| 2025-07-03 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-08-01 |
| 2025-07-03 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | 2025-08-01 |
| 2025-07-03 | 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 | 2025-08-01 |
| 2025-07-03 | 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 | 2025-08-01 |
| 2025-07-03 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-08-01 |
| 2025-07-03 | Health | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | F | 2025-08-01 |
| 2025-07-03 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-08-01 |
| 2025-07-03 | 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. | D | 2025-08-01 |
| 2025-07-03 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2025-08-01 |
| 2024-03-21 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-04-19 |
| 2024-03-21 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-04-19 |
| 2024-03-21 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-04-19 |
| 2024-03-21 | 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 | 2024-04-19 |
| 2024-03-21 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-04-19 |
| 2024-03-21 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-03-21 |
| 2024-03-21 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-04-19 |
| 2024-03-21 | Health | F0732 | Post nurse staffing information every day. | D | 2024-04-19 |
| 2024-03-21 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-04-19 |
| 2024-03-21 | 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 | 2024-04-19 |
| 2024-03-21 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-04-19 |
| 2024-03-21 | 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. | E | 2024-04-19 |
| 2024-03-21 | 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 | 2024-04-19 |
| 2024-03-21 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | F | 2024-04-19 |
| 2024-03-21 | 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. | F | 2024-04-19 |
| 2024-03-21 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-04-19 |
| 2024-03-21 | Health | F0814 | Dispose of garbage and refuse properly. | D | 2024-04-19 |
| 2024-03-21 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-04-19 |
| 2024-03-21 | Health | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D | 2024-04-19 |
| 2024-02-15 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-03-26 |
| 2024-01-30 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-03-18 |
| 2023-10-20 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2023-11-17 |
| 2023-10-20 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2023-11-17 |
| 2023-10-20 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | 2023-11-17 |
| 2023-10-20 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | G | 2023-11-17 |
| 2023-10-20 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | H | 2023-11-17 |
| 2023-10-20 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-11-17 |
| 2023-10-20 | 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 | 2023-11-17 |
| 2023-10-20 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-11-17 |
| 2023-10-20 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-11-17 |
| 2023-10-20 | Health · complaint | F0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | G | 2023-11-17 |
| 2021-05-10 | 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 | 2021-06-16 |
| 2021-05-10 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2021-06-16 |
| 2021-05-10 | 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 | 2021-06-16 |
| 2021-05-10 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2021-06-16 |
| 2021-05-10 | 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 | 2021-06-16 |
| 2021-05-10 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2021-06-16 |
| 2021-05-10 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2021-06-16 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| COUNTY OF SAN MATEO | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | current | pecos_ownership |
| MCGREW, DAVID | W-2 MANAGING EMPLOYEE | — | 2014-05-28 | current | pecos_ownership |
| MCGREW, DAVID | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-08-26 | current | pecos_ownership |
| DAVID MCGREW | W-2 MANAGING EMPLOYEE | — | 2014-05-28 | ended 2026-05-18 | pecos_ownership |
| DAVID MCGREW | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-08-26 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-08-01 | Turlock Nursing & Rehabilitation Center | — | — | — | 144 | TRACY RIDGE HEALTHCARE, INC. |
| 2025-04-01 | ALAMITOS WEST HEALTH & REHABILITATION | — | — | — | 150 | MALCOLM HEALTHCARE, INC. |
| 2025-04-01 | PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER | — | — | — | 99 | STRAWBERRY POND HEALTHCARE LLC |
| 2025-01-16 | GOLDEN HARBOR HEALTHCARE CENTER | — | — | — | 99 | CEYLON HOLDINGS LLC |
| 2024-12-30 | GRASS VALLEY HEALTHCARE CENTER | — | — | — | 86 | HEISMAN LLC |
| 2024-10-01 | REDWOOD GROVE POST ACUTE | — | — | — | 144 | SOQUEL CARE LLC |
| 2024-09-01 | OAK GROVE POST ACUTE | — | — | — | 119 | 4545 SHELLEY COURT OPCO, LLC |
| 2024-08-01 | WE CARE SKILLED NURSING - FREMONT | — | — | — | 99 | WE CARE SKILLED NURSING-FREMONT, LLC |
| 2024-05-01 | MAJESTIC MOUNTAIN CARE CENTER | — | — | — | 66 | OAKHURST SKILLED CARE LLC |
| 2024-04-01 | THE BRADLEY GARDENS | — | — | — | 44 | GHC OF SAN JACINTO LLC |
| 2024-04-01 | SANTA FE POST-ACUTE | — | — | — | 187 | SKILLED BOBIER LLC |
| 2024-04-01 | BAYSHIRE SAN DIMAS POST-ACUTE | — | — | — | 45 | SKILLED SAN DIMAS LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06081 | acs median gross | 0 | $2,263 | 2024-12-31 | CENSUS_ACS5 |
| county 06081 | fmr | 0 | $2,485 | 2025-10-01 | HUD_USER_FMR |
| county 06081 | acs median gross | 1 | $2,526 | 2024-12-31 | CENSUS_ACS5 |
| county 06081 | fmr | 1 | $2,977 | 2025-10-01 | HUD_USER_FMR |
| county 06081 | acs median gross | 2 | $3,215 | 2024-12-31 | CENSUS_ACS5 |
| county 06081 | fmr | 2 | $3,604 | 2025-10-01 | HUD_USER_FMR |
| county 06081 | acs median gross | 3 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 06081 | fmr | 3 | $4,604 | 2025-10-01 | HUD_USER_FMR |
| county 06081 | acs median gross | 4 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 06081 | fmr | 4 | $4,772 | 2025-10-01 | HUD_USER_FMR |
| county 06081 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 06081 | acs median gross | $2,922 | 2024-12-31 | CENSUS_ACS5 | |
| county 06081 | acs recent mover gross | $3,144 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 94403 | acs median gross | 0 | $2,459 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94403 | acs median gross | 1 | $2,735 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94403 | acs median gross | 2 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94403 | acs median gross | 3 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94403 | acs median gross | 4 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94403 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94403 | acs median gross | $3,263 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 94403 | acs recent mover gross | $3,294 | 2024-12-31 | CENSUS_ACS5 | |
| zip 94403 | payment standard 110 | 0 | $3,366 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94403 | payment standard 90 | 0 | $2,754 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94403 | safmr | 0 | $3,060 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94403 | payment standard 110 | 1 | $4,037 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94403 | payment standard 90 | 1 | $3,303 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94403 | safmr | 1 | $3,670 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94403 | payment standard 110 | 2 | $4,884 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94403 | payment standard 90 | 2 | $3,996 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94403 | safmr | 2 | $4,440 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94403 | payment standard 110 | 3 | $6,237 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94403 | payment standard 90 | 3 | $5,103 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94403 | safmr | 3 | $5,670 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94403 | payment standard 110 | 4 | $6,468 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94403 | payment standard 90 | 4 | $5,292 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94403 | safmr | 4 | $5,880 | 2025-10-01 | HUD_USER_SAFMR |