Composite
80.1 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 81.6 | 78.5 | 0.30 | 0.2308 | 18.83 | in index |
| financial risk | 77.6 | 65.0 | 0.30 | 0.2308 | 17.91 | in index |
| billing conduct | 73.9 | 49.5 | 0.30 | 0.2308 | 17.05 | in index |
| chow risk | 54.0 | 52.2 | 0.15 | 0.1154 | 6.23 | in index |
| staffing risk | 2.8 | 2.9 | 0.25 | 0.1923 | 0.54 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 49.5 | C | 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 | 79.3 | D | v0.6 | default · in composite | |
| financial risk | 65.0 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 6.4 | — | 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 | 0.5 | — | 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 | 78.5 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 2.9 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 62.9 | 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 | 42.9 | 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 | 52.4 | 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 | 68.8 | D | 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 | 78.4 | D | 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 | 78.4 | D | 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 | 2.9 | A | 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 | 2.9 | A | 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 | |
| Total nurse staffing (HPRD) | 5.27 | -0.44 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Contract staffing share | 0.25 | +0.30 | |
| Occupancy | 0.60 | +0.28 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | +1.62 | |
| Deficiencies, last 12 months | 1.00 | +1.24 | |
| Chain size (log) | 0.00 | +1.20 | |
| Total nurse staffing (HPRD) | 5.27 | -0.86 | |
| Occupancy | 0.60 | +0.62 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Staffing trend, last 4 quarters | 0.65 | +0.28 | |
| Contract staffing share | 0.25 | +0.20 |
| 2025Q4 HPRD | This facility | NM median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 5.27 | 2.82 | 3.28 | 2.90–3.77 |
| RN | 0.73 | 0.41 | 0.39 | 0.25–0.58 |
| Weekend total | 4.70 | 2.65 | 3.11 | — |
| Weekday total | 5.49 | 2.88 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 120.2 | 5.27 | 0.73 | 0.56 | 3.98 | 4.70 | 25.3% |
| 2025Q3 | 92 | 114.0 | 5.36 | 0.79 | 0.56 | 4.01 | 4.77 | 23.6% |
| 2025Q2 | 91 | 112.3 | 4.94 | 0.79 | 0.56 | 3.60 | 4.44 | 18.7% |
| 2025Q1 | 90 | 105.6 | 4.49 | 0.79 | 0.48 | 3.21 | 4.61 | 26.4% |
| 2024Q4 | 92 | 106.0 | 4.61 | 0.80 | 0.50 | 3.31 | 4.18 | 25.5% |
| 2024Q3 | 92 | 102.9 | 4.58 | 0.84 | 0.50 | 3.24 | 4.16 | 24.0% |
| 2024Q2 | 91 | 99.7 | 4.65 | 0.93 | 0.38 | 3.34 | 4.14 | 20.6% |
| 2024Q1 | 91 | 103.9 | 4.75 | 1.05 | 0.39 | 3.31 | 4.38 | 20.2% |
| 2023Q4 | 92 | 105.0 | 4.40 | 0.97 | 0.39 | 3.03 | 4.10 | 20.2% |
| 2023Q3 | 92 | 108.4 | 3.99 | 0.86 | 0.32 | 2.81 | 3.45 | 14.0% |
| 2023Q2 | 91 | 100.9 | 4.24 | 0.89 | 0.27 | 3.08 | 3.53 | 8.7% |
| 2023Q1 | 90 | 101.1 | 4.71 | 0.71 | 0.50 | 3.49 | 3.94 | 16.9% |
| 2022Q4 | 92 | 103.0 | 4.17 | 0.55 | 0.43 | 3.19 | 3.58 | 18.5% |
| 2022Q3 | 92 | 96.9 | 4.25 | 0.53 | 0.33 | 3.39 | 3.79 | 17.9% |
| 2022Q2 | 91 | 100.5 | 3.73 | 0.47 | 0.40 | 2.85 | 3.42 | 10.8% |
| 2022Q1 | 90 | 101.9 | 3.85 | 0.74 | 0.31 | 2.80 | 3.41 | 0.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-06-11 | Fine | $83,501 | CMS provider data |
| 2024-06-11 | Payment Denial | — | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-08 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-05-23 |
| 2025-07-10 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-08-24 |
| 2025-07-10 | Health · complaint | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-08-24 |
| 2025-07-10 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2025-08-24 |
| 2025-07-10 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-08-24 |
| 2025-01-24 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2025-04-01 |
| 2025-01-24 | 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 | 2025-04-01 |
| 2024-08-09 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-10-25 |
| 2024-08-09 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-10-25 |
| 2024-08-09 | 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 | 2024-10-25 |
| 2024-08-09 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | 2024-10-25 |
| 2024-08-09 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-10-25 |
| 2024-08-09 | 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 | 2024-10-25 |
| 2024-08-09 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-10-25 |
| 2024-08-09 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | 2024-10-25 |
| 2024-08-09 | Health | F0732 | Post nurse staffing information every day. | F | 2024-10-25 |
| 2024-08-09 | 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. | E | 2024-10-25 |
| 2024-08-09 | 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 | 2024-10-25 |
| 2024-08-09 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-10-25 |
| 2024-06-11 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2024-07-26 |
| 2024-06-11 | Health · complaint | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | E | 2024-07-26 |
| 2024-06-11 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | 2024-07-26 |
| 2024-06-11 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | H | 2024-07-26 |
| 2024-06-11 | Health · complaint | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | 2024-07-26 |
| 2023-06-01 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-09-08 |
| 2023-06-01 | 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 | 2023-09-08 |
| 2023-06-01 | 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. | E | 2023-09-08 |
| 2023-06-01 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2023-09-08 |
| 2023-06-01 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2023-09-08 |
| 2023-06-01 | 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. | E | 2023-09-08 |
| 2023-06-01 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2023-09-08 |
| 2023-06-01 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | 2023-09-08 |
| 2023-06-01 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2023-09-08 |
| 2023-06-01 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-09-08 |
| 2023-06-01 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2023-09-08 |
| 2023-06-01 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2023-09-08 |
| 2023-06-01 | Health | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | 2023-09-08 |
| 2022-03-03 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2022-04-30 |
| 2022-03-03 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | F | 2022-04-30 |
| 2022-03-03 | 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. | E | 2022-04-30 |
| 2022-03-03 | 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. | E | 2022-04-30 |
| 2022-03-03 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2022-04-30 |
| 2022-03-03 | 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. | E | 2022-04-30 |
| 2022-03-03 | 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. | E | 2022-04-30 |
| 2022-03-03 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2022-04-30 |
| 2022-03-03 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-04-30 |
| 2022-03-03 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2022-04-30 |
| 2022-03-03 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2022-04-30 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BAYS, SHERRI | CORPORATE OFFICER | — | 2018-10-01 | current | pecos_ownership |
| HAMILTON, JASON | CORPORATE OFFICER | — | 2018-10-01 | current | pecos_ownership |
| JASON HAMILTON | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2018-10-01 | ended 2026-05-18 | pecos_ownership |
| SHERRI BAYS | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2018-10-01 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-04-01 | Luna Wellness Rehabilitation LLC | — | — | — | 66 | LUNA WELLNESS & REHABILITATION LLC |
| 2024-11-01 | Manzano Del Sol by Purehealth | — | — | — | 117 | MM OPS ALBUQUERQUE LLC |
| 2024-11-01 | Socorro Wellness & Rehabilitation | — | — | — | 66 | SOCORRO WELLNESS & REHABILITATION LLC |
| 2024-11-01 | Grants Wellness & Rehabilitation LLC | — | — | — | 80 | GRANTS WELLNESS & REHABILITATION LLC |
| 2024-11-01 | Betty Dare Wellness & Rehabilitation LLC | — | — | — | 90 | BETTY DARE WELLNESS & REHABILITATION LLC |
| 2024-11-01 | Las Cruces Village Nursing & Rehabilitation LLC | — | — | — | 94 | LAS CRUCES VILLAGE NURSING & REHABILITATION LLC |
| 2024-05-01 | Las Cruces Wellness & Rehabilitation LLC | — | — | — | 75 | LAS CRUCES WELLNESS & REHABILITATION LLC |
| 2024-02-01 | Princeton Health & Rehabilitation | — | — | — | 369 | 369 ALBUQUERQUE OPS LLC |
| 2023-10-01 | Los Alamos Wellness & Rehabilitation | — | — | — | 66 | LOS ALAMOS WELLNESS & REHABILITATION LLC |
| 2023-08-24 | San Juan Care Center | — | — | — | 93 | SAN JUAN CARE CENTER LLC |
| 2023-08-11 | Gallup Nursing & Rehabilitation LLC | — | — | — | 62 | GALLUP NURSING & REHABILITATION LLC |
| 2023-07-01 | La Vida Buena Healthcare | — | — | — | 102 | LA VIDA BUENA HEALTHCARE LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 35017 | acs median gross | 0 | $561 | 2024-12-31 | CENSUS_ACS5 |
| county 35017 | fmr | 0 | $795 | 2025-10-01 | HUD_USER_FMR |
| county 35017 | acs median gross | 1 | $660 | 2024-12-31 | CENSUS_ACS5 |
| county 35017 | fmr | 1 | $801 | 2025-10-01 | HUD_USER_FMR |
| county 35017 | acs median gross | 2 | $845 | 2024-12-31 | CENSUS_ACS5 |
| county 35017 | fmr | 2 | $1,048 | 2025-10-01 | HUD_USER_FMR |
| county 35017 | acs median gross | 3 | $900 | 2024-12-31 | CENSUS_ACS5 |
| county 35017 | fmr | 3 | $1,304 | 2025-10-01 | HUD_USER_FMR |
| county 35017 | fmr | 4 | $1,388 | 2025-10-01 | HUD_USER_FMR |
| county 35017 | acs median gross | $825 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 88026 | acs median gross | 1 | $390 | 2024-12-31 | CENSUS_ACS5 |
| zcta 88026 | acs median gross | 3 | $730 | 2024-12-31 | CENSUS_ACS5 |
| zcta 88026 | acs median gross | $543 | 2024-12-31 | CENSUS_ACS5 | |
| zip 88026 | payment standard 110 | 0 | $869 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88026 | payment standard 90 | 0 | $711 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88026 | safmr | 0 | $790 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88026 | payment standard 110 | 1 | $869 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88026 | payment standard 90 | 1 | $711 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88026 | safmr | 1 | $790 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88026 | payment standard 110 | 2 | $1,144 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88026 | payment standard 90 | 2 | $936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88026 | safmr | 2 | $1,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88026 | payment standard 110 | 3 | $1,419 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88026 | payment standard 90 | 3 | $1,161 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88026 | safmr | 3 | $1,290 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88026 | payment standard 110 | 4 | $1,518 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88026 | payment standard 90 | 4 | $1,242 | 2025-10-01 | HUD_USER_SAFMR |
| zip 88026 | safmr | 4 | $1,380 | 2025-10-01 | HUD_USER_SAFMR |