Composite
35.9 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 76.7 | 73.1 | 0.30 | 0.2308 | 17.70 | in index |
| staffing risk | 63.0 | 63.0 | 0.25 | 0.1923 | 12.12 | in index |
| financial risk | 29.9 | 33.8 | 0.30 | 0.2308 | 6.90 | in index |
| chow risk | 33.0 | 31.6 | 0.15 | 0.1154 | 3.81 | in index |
| billing conduct | 11.3 | 10.0 | 0.30 | 0.2308 | 2.61 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 10.0 | 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 | 38.2 | B | v0.6 | default · in composite | |
| financial risk | 33.8 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.1 | — | 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 | 73.1 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 63.0 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 63.7 | 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 | 43.7 | 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 | 32.5 | 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 | 39.9 | B | 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 | 72.9 | 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 | 72.9 | 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 | 63.0 | 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 | 63.0 | 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) | 3.56 | +0.35 | |
| Occupancy | 0.58 | +0.34 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 0.00 | -0.17 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| Chain size (log) | 3.56 | -0.87 | |
| Occupancy | 0.58 | +0.71 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Staffing trend, last 4 quarters | -0.41 | -0.21 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 |
| 2025Q4 HPRD | This facility | OH median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.09 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.35 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 2.95 | 3.11 | 3.11 | — |
| Weekday total | 3.14 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 57.3 | 3.09 | 0.35 | 0.83 | 1.91 | 2.95 | 0.3% |
| 2025Q3 | 92 | 62.2 | 3.38 | 0.33 | 0.93 | 2.13 | 3.15 | 0.0% |
| 2025Q2 | 91 | 70.2 | 3.83 | 0.30 | 0.83 | 2.70 | 3.53 | 0.0% |
| 2025Q1 | 90 | 74.2 | 3.50 | 0.38 | 0.76 | 2.35 | 3.21 | 0.0% |
| 2024Q4 | 92 | 75.8 | 3.50 | 0.38 | 0.71 | 2.41 | 3.22 | 0.0% |
| 2024Q3 | 92 | 75.6 | 3.46 | 0.39 | 0.64 | 2.44 | 3.15 | 0.0% |
| 2024Q2 | 91 | 69.2 | 3.64 | 0.31 | 0.76 | 2.56 | 3.32 | 0.0% |
| 2024Q1 | 91 | 73.0 | 3.54 | 0.32 | 0.73 | 2.48 | 3.39 | 0.0% |
| 2023Q4 | 92 | 71.4 | 3.33 | 0.41 | 0.67 | 2.26 | 3.21 | 0.7% |
| 2023Q3 | 92 | 71.9 | 2.93 | 0.49 | 0.59 | 1.85 | 2.74 | 0.1% |
| 2023Q2 | 91 | 70.3 | 2.98 | 0.48 | 0.59 | 1.90 | 2.76 | 2.7% |
| 2023Q1 | 90 | 68.5 | 2.51 | 0.35 | 0.65 | 1.52 | 2.38 | 7.0% |
| 2022Q4 | 92 | 64.7 | 2.45 | 0.17 | 0.80 | 1.48 | 2.44 | 20.8% |
| 2022Q3 | 92 | 67.1 | 1.88 | 0.13 | 0.59 | 1.17 | 1.74 | 6.0% |
| 2022Q1 | 90 | 70.1 | 2.66 | 0.30 | 0.53 | 1.83 | 2.51 | 5.6% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-04-01 | Fine | $47,486 | CMS provider data |
| 2025-04-01 | Payment Denial | — | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-04-01 | 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 | 2025-05-01 |
| 2025-04-01 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-05-01 |
| 2025-04-01 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2025-05-01 |
| 2025-04-01 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-05-01 |
| 2025-04-01 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-05-01 |
| 2025-04-01 | Health · complaint | 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 | 2025-05-02 |
| 2025-04-01 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-05-01 |
| 2025-04-01 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-05-01 |
| 2025-04-01 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-05-01 |
| 2025-04-01 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-05-01 |
| 2025-04-01 | 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 | 2025-05-01 |
| 2025-04-01 | Health | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2025-05-01 |
| 2025-04-01 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2025-05-01 |
| 2025-04-01 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2025-05-01 |
| 2025-04-01 | Health | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | D | 2025-05-02 |
| 2025-04-01 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-05-02 |
| 2025-04-01 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2025-05-01 |
| 2025-01-08 | Health · complaint | 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. | D | 2025-01-17 |
| 2024-08-20 | Health · complaint | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | 2024-09-10 |
| 2024-08-20 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-09-10 |
| 2024-08-20 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-09-10 |
| 2024-08-20 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2024-09-10 |
| 2024-08-20 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-09-10 |
| 2023-09-12 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2023-09-25 |
| 2023-09-12 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-09-25 |
| 2023-09-12 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-09-25 |
| 2022-11-03 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-11-25 |
| 2022-11-03 | 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 | 2022-11-25 |
| 2022-11-03 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2022-11-25 |
| 2022-11-03 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | 2022-11-25 |
| 2019-08-08 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2019-09-04 |
| 2019-08-08 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2019-09-04 |
| 2019-08-08 | 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 | 2019-09-04 |
| 2019-08-08 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2019-09-04 |
| 2019-08-08 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2019-09-04 |
| 2019-08-08 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2019-09-04 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| LONGMEADOW INC. | Corporation, partnership or other organization has financial interest in provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| LONGMEADOW INC. | Corporation, partnership or other organization has financial interest in provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| CHRISTIAN HEALTH NETWORK II LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 30% | 2014-11-01 | current | pecos_ownership |
| HANDLER, AARON | CORPORATE DIRECTOR | — | 2015-09-01 | current | pecos_ownership |
| HOFFMAN, JILL | W-2 MANAGING EMPLOYEE | — | 2015-02-01 | current | pecos_ownership |
| AARON HANDLER | CORPORATE DIRECTOR | 100% | 2015-09-01 | ended 2026-05-18 | pecos_ownership |
| JILL HOFFMAN | W-2 MANAGING EMPLOYEE | 100% | 2015-02-01 | ended 2026-05-18 | pecos_ownership |
| LONGMEADOW | Corporation, partnership or other organization has financial interest in provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| LONGMEADOW INC. | Corporation, partnership or other organization has financial interest in provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| LONGMEADOW INC. | Corporation, partnership or other organization has financial interest in provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| AARON HANDLER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 70% | 2020-01-01 | ended 2026-05-18 | pecos_ownership |
| EMBASSY HEALTHCARE HOLDINGS INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 70% | 2020-01-01 | 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 39133 | acs median gross | 0 | $734 | 2024-12-31 | CENSUS_ACS5 |
| county 39133 | fmr | 0 | $904 | 2025-10-01 | HUD_USER_FMR |
| county 39133 | acs median gross | 1 | $870 | 2024-12-31 | CENSUS_ACS5 |
| county 39133 | fmr | 1 | $985 | 2025-10-01 | HUD_USER_FMR |
| county 39133 | acs median gross | 2 | $1,080 | 2024-12-31 | CENSUS_ACS5 |
| county 39133 | fmr | 2 | $1,268 | 2025-10-01 | HUD_USER_FMR |
| county 39133 | acs median gross | 3 | $1,201 | 2024-12-31 | CENSUS_ACS5 |
| county 39133 | fmr | 3 | $1,547 | 2025-10-01 | HUD_USER_FMR |
| county 39133 | acs median gross | 4 | $1,226 | 2024-12-31 | CENSUS_ACS5 |
| county 39133 | fmr | 4 | $1,681 | 2025-10-01 | HUD_USER_FMR |
| county 39133 | acs median gross | 5 | $1,667 | 2024-12-31 | CENSUS_ACS5 |
| county 39133 | acs median gross | $1,064 | 2024-12-31 | CENSUS_ACS5 | |
| county 39133 | acs recent mover gross | $1,116 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 44266 | acs median gross | 0 | $761 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44266 | acs median gross | 1 | $775 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44266 | acs median gross | 2 | $918 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44266 | acs median gross | 3 | $1,187 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44266 | acs median gross | 4 | $1,103 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44266 | acs median gross | $943 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 44266 | acs recent mover gross | $1,036 | 2024-12-31 | CENSUS_ACS5 | |
| zip 44266 | payment standard 110 | 0 | $946 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44266 | payment standard 90 | 0 | $774 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44266 | safmr | 0 | $860 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44266 | payment standard 110 | 1 | $1,023 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44266 | payment standard 90 | 1 | $837 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44266 | safmr | 1 | $930 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44266 | payment standard 110 | 2 | $1,320 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44266 | payment standard 90 | 2 | $1,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44266 | safmr | 2 | $1,200 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44266 | payment standard 110 | 3 | $1,606 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44266 | payment standard 90 | 3 | $1,314 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44266 | safmr | 3 | $1,460 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44266 | payment standard 110 | 4 | $1,749 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44266 | payment standard 90 | 4 | $1,431 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44266 | safmr | 4 | $1,590 | 2025-10-01 | HUD_USER_SAFMR |