Composite
82.5 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 74.6 | 62.5 | 0.30 | 0.2308 | 17.22 | in index |
| regulatory risk | 74.5 | 70.5 | 0.30 | 0.2308 | 17.19 | in index |
| staffing risk | 81.7 | 81.7 | 0.25 | 0.1923 | 15.71 | in index |
| billing conduct | 33.5 | 33.1 | 0.30 | 0.2308 | 7.73 | in index |
| chow risk | 34.5 | 33.1 | 0.15 | 0.1154 | 3.98 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 33.1 | B | 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 | 41.2 | B | v0.6 | default · in composite | |
| financial risk | 62.5 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.2 | — | 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 | 3.1 | — | 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 | 70.5 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 81.7 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 73.7 | D | 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 | 53.7 | C | 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 | 54.6 | 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 | 66.0 | 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 | 70.3 | 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 | 70.3 | 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 | 81.7 | F | 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 | 81.7 | F | 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 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Chain size (log) | 1.10 | -0.17 | |
| Facility size (log beds) | 5.26 | -0.14 | |
| Deficiencies, last 12 months | 2.00 | -0.12 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 2.00 | +1.06 | |
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 1.10 | +0.56 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Staffing trend, last 4 quarters | -0.63 | -0.32 | |
| Facility size (log beds) | 5.26 | -0.19 | |
| Total nurse staffing (HPRD) | 2.77 | +0.19 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
| 2025Q4 HPRD | This facility | MA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.77 | 3.39 | 3.28 | 2.90–3.77 |
| RN | 0.28 | 0.39 | 0.39 | 0.25–0.58 |
| Weekend total | 2.83 | 3.26 | 3.11 | — |
| Weekday total | 2.75 | 3.44 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 140.3 | 2.77 | 0.28 | 0.49 | 2.00 | 2.83 | 0.0% |
| 2025Q3 | 92 | 134.4 | 3.15 | 0.41 | 0.62 | 2.12 | 3.15 | 6.8% |
| 2025Q2 | 91 | 128.4 | 3.29 | 0.46 | 0.61 | 2.22 | 3.26 | 5.5% |
| 2025Q1 | 90 | 136.3 | 3.29 | 0.49 | 0.65 | 2.14 | 3.21 | 9.5% |
| 2024Q4 | 92 | 131.4 | 3.39 | 0.46 | 0.75 | 2.18 | 3.36 | 9.1% |
| 2024Q3 | 92 | 129.5 | 3.45 | 0.55 | 0.69 | 2.21 | 3.33 | 10.3% |
| 2024Q2 | 91 | 125.6 | 3.61 | 0.59 | 0.73 | 2.29 | 3.53 | 7.0% |
| 2024Q1 | 91 | 131.9 | 3.49 | 0.56 | 0.69 | 2.24 | 3.38 | 8.1% |
| 2023Q4 | 92 | 124.2 | 3.84 | 0.60 | 0.71 | 2.54 | 3.71 | 6.0% |
| 2023Q3 | 92 | 126.4 | 3.78 | 0.49 | 0.81 | 2.48 | 3.65 | 6.4% |
| 2023Q2 | 91 | 120.7 | 3.98 | 0.51 | 0.86 | 2.60 | 3.90 | 4.6% |
| 2023Q1 | 90 | 112.4 | 4.06 | 0.48 | 0.90 | 2.68 | 3.92 | 3.7% |
| 2022Q4 | 92 | 118.8 | 3.84 | 0.48 | 0.85 | 2.50 | 3.69 | 4.5% |
| 2022Q3 | 92 | 128.6 | 3.41 | 0.44 | 0.74 | 2.23 | 3.33 | 4.2% |
| 2022Q2 | 91 | 126.7 | 3.62 | 0.43 | 0.79 | 2.40 | 3.53 | 3.2% |
| 2022Q1 | 90 | 127.9 | 3.57 | 0.44 | 0.78 | 2.35 | 3.50 | 1.7% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-04-22 | Fine | $57,158 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-01-15 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2025-12-10 |
| 2025-09-02 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-10-02 |
| 2025-05-20 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2025-05-09 |
| 2025-05-20 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-06-13 |
| 2025-04-29 | 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 | 2025-06-06 |
| 2025-04-29 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | B | 2025-06-06 |
| 2025-04-29 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2025-06-06 |
| 2025-04-29 | Health | F0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D | 2025-06-06 |
| 2025-04-29 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-06-06 |
| 2024-04-22 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-05-21 |
| 2024-04-22 | Health | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2024-05-29 |
| 2024-04-22 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-05-21 |
| 2024-04-22 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2024-05-21 |
| 2024-04-22 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-05-21 |
| 2024-04-22 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2024-05-21 |
| 2024-04-22 | 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. | G | 2024-05-21 |
| 2024-04-22 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | 2024-05-21 |
| 2024-04-22 | 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 | 2024-05-21 |
| 2024-04-22 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-05-21 |
| 2024-04-22 | 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. | D | 2024-05-21 |
| 2024-04-22 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-05-21 |
| 2024-04-22 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-05-21 |
| 2024-04-22 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2024-05-21 |
| 2023-10-19 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-11-04 |
| 2023-08-16 | 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 | 2023-09-28 |
| 2022-12-16 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-01-20 |
| 2022-12-16 | Health | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | E | 2023-01-20 |
| 2022-12-16 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-01-24 |
| 2022-12-16 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-01-24 |
| 2022-12-16 | 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 | 2023-01-20 |
| 2022-12-16 | 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 | 2023-01-20 |
| 2022-12-16 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2023-01-20 |
| 2022-12-16 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2023-01-20 |
| 2022-12-16 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2023-01-20 |
| 2022-12-16 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-02-20 |
| 2022-12-16 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2023-01-20 |
| 2022-12-16 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-01-20 |
| 2022-12-16 | 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. | D | 2023-01-20 |
| 2022-12-16 | 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 | 2023-01-20 |
| 2022-12-16 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2023-01-24 |
| 2022-12-16 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2023-01-20 |
| 2022-12-16 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2023-01-20 |
| 2022-12-16 | Health | F0886 | Perform COVID19 testing on residents and staff. | F | 2023-01-24 |
| 2022-12-16 | Health | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | F | 2023-01-20 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| FRANCHI, ANTHONY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 80% | — | current | pecos_ownership |
| FRANCHI, CONSTANCE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | — | current | pecos_ownership |
| A. FRANCHI CONTRACTORS, INC. | OPERATIONAL/MANAGERIAL CONTROL | — | — | current | pecos_ownership |
| ELLIS AVE RLTY | Individual has financial interest in both related organization and provider | — | 2023-01-01 | current | hcris_a_8_1 |
| ELLIS AVE RLTY | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| ANTHONY FRANCHI | CORPORATE OFFICER | 100% | — | ended 2026-05-18 | pecos_ownership |
| CONSTANCE FRANCHI | CORPORATE DIRECTOR | 50% | — | ended 2026-05-18 | pecos_ownership |
| ELLIS AVE RLTY | Individual has financial interest in both related organization and provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| ELLIS AVE RLTY | Individual has financial interest in both related organization and provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| ELLIS AVE RLTY | Individual has financial interest in both related organization and provider | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-29 | Hadley Pointe Nursing Rehab & Care | — | — | — | 154 | HADLEY CENTER LLC |
| 2025-08-01 | Alliance Health at Coleman | — | — | — | 45 | ALLIANCE HEALTH OF NORTHBOROUGH INC |
| 2025-05-28 | PALM SPRINGS POST ACUTE | — | — | — | 124 | PALM SPRINGS OPERATOR LLC |
| 2025-05-28 | HAMPDEN POST ACUTE | — | — | — | 135 | HAMPDEN OPERATOR LLC |
| 2025-04-01 | BROCKTON POST ACUTE CARE | — | — | — | 169 | BROCKTON OPERATOR LLC |
| 2025-04-01 | HIGHLAND PARK REHABILITATION AND HEALTHCARE CENTER | — | — | — | 195 | HIGHLAND PARK OPERATOR LLC |
| 2025-03-01 | THE CENTER AT ADVOCATE | — | — | — | 190 | THE CENTER AT ADVOCATE LLC |
| 2025-03-01 | Premier Healthcare at Harrington House | — | — | — | 90 | 160 MAIN STREET WALPOLE OPERATOR LLC |
| 2025-02-28 | PORT REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | NEWBURYPORT SNF OPERATIONS LLC |
| 2025-02-28 | MASCONOMET REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | TOPSFIELD SNF OPERATIONS LLC |
| 2025-02-28 | SIPPICAN REHABILITATION AND HEALTHCARE CENTER | — | — | — | 123 | MARION SNF OPERATIONS LLC |
| 2025-02-28 | NEMASKET REHABILITATION AND HEALTHCARE CENTER | — | — | — | 102 | MIDDLEBOROUGH SNF OPERATIONS LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 25021 | acs median gross | 0 | $1,664 | 2024-12-31 | CENSUS_ACS5 |
| county 25021 | acs median gross | 1 | $1,877 | 2024-12-31 | CENSUS_ACS5 |
| county 25021 | acs median gross | 2 | $2,314 | 2024-12-31 | CENSUS_ACS5 |
| county 25021 | acs median gross | 3 | $2,488 | 2024-12-31 | CENSUS_ACS5 |
| county 25021 | acs median gross | 4 | $2,959 | 2024-12-31 | CENSUS_ACS5 |
| county 25021 | acs median gross | 5 | $2,191 | 2024-12-31 | CENSUS_ACS5 |
| county 25021 | acs median gross | $2,149 | 2024-12-31 | CENSUS_ACS5 | |
| county 25021 | acs recent mover gross | $2,459 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 02062 | acs median gross | 0 | $1,929 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02062 | acs median gross | 1 | $1,977 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02062 | acs median gross | 2 | $2,177 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02062 | acs median gross | 3 | $2,273 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02062 | acs median gross | 5 | $1,781 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02062 | acs median gross | $2,116 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 02062 | acs recent mover gross | $2,219 | 2024-12-31 | CENSUS_ACS5 | |
| zip 02062 | payment standard 110 | 0 | $2,486 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | payment standard 90 | 0 | $2,034 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | safmr | 0 | $2,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | payment standard 110 | 1 | $2,607 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | payment standard 90 | 1 | $2,133 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | safmr | 1 | $2,370 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | payment standard 110 | 2 | $3,102 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | payment standard 90 | 2 | $2,538 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | safmr | 2 | $2,820 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | payment standard 110 | 3 | $3,718 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | payment standard 90 | 3 | $3,042 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | safmr | 3 | $3,380 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | payment standard 110 | 4 | $4,103 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | payment standard 90 | 4 | $3,357 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02062 | safmr | 4 | $3,730 | 2025-10-01 | HUD_USER_SAFMR |