Composite
58.2 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 87.8 | 74.8 | 0.30 | 0.2857 | 25.09 | in index |
| regulatory risk | 51.6 | 40.9 | 0.30 | 0.2857 | 14.74 | in index |
| chow risk | 81.0 | 61.7 | 0.15 | 0.1429 | 11.57 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.2857 | 0.00 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 0.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 55.0 | C | 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 | 68.5 | D | v0.6 | default · in composite | |
| financial risk | 74.8 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | 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 | 0.0 | — | 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 | 40.9 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| financial risk | 80.9 | 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 | 60.9 | 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 | 73.7 | 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 | 73.1 | 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 | 40.8 | 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 | 40.8 | 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. |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 4.06 | -1.45 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.87 | -0.51 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Contract staffing share | 0.00 | -0.10 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.87 | -0.52 | |
| Deficiencies, last 12 months | 10.00 | -0.43 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 4.06 | -0.24 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
| 2025Q3 HPRD | This facility | NH median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.42 | 3.28 | 3.28 | 2.90–3.77 |
| RN | 0.22 | 0.52 | 0.39 | 0.25–0.58 |
| Weekend total | 3.08 | 3.14 | 3.11 | — |
| Weekday total | 3.55 | 3.32 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q3 | 92 | 35.8 | 3.42 | 0.22 | 0.94 | 2.26 | 3.08 | 0.0% |
| 2025Q2 | 91 | 33.6 | 3.78 | 0.35 | 0.98 | 2.44 | 3.55 | 0.0% |
| 2025Q1 | 90 | 34.3 | 4.04 | 0.58 | 0.94 | 2.52 | 4.11 | 0.0% |
| 2024Q4 | 92 | 35.1 | 3.57 | 0.28 | 0.99 | 2.30 | 3.56 | 0.0% |
| 2024Q3 | 92 | 34.8 | 3.48 | 0.10 | 1.06 | 2.32 | 3.38 | 0.0% |
| 2023Q3 | 92 | 26.8 | 4.44 | 0.23 | 1.13 | 3.09 | 3.56 | 0.0% |
| 2023Q2 | 91 | 22.3 | 5.16 | 0.41 | 1.23 | 3.52 | 4.41 | 0.0% |
| 2023Q1 | 90 | 25.6 | 4.78 | 0.69 | 0.79 | 3.30 | 4.22 | 0.0% |
| 2022Q4 | 92 | 29.0 | 4.39 | 0.56 | 0.77 | 3.06 | 4.02 | 0.0% |
| 2022Q3 | 92 | 31.3 | 4.17 | 0.39 | 0.88 | 2.90 | 3.67 | 0.0% |
| 2022Q2 | 91 | 31.2 | 4.07 | 0.40 | 0.86 | 2.81 | 3.55 | 0.0% |
| 2022Q1 | 90 | 31.5 | 4.16 | 0.34 | 0.99 | 2.83 | 3.67 | 0.0% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-03 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2026-01-16 |
| 2025-12-03 | Health · complaint | F0567 | Honor the resident's right to manage his or her financial affairs. | B | 2026-01-16 |
| 2025-12-03 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2026-01-16 |
| 2025-12-03 | Health | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | 2026-01-16 |
| 2025-12-03 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-01-16 |
| 2025-12-03 | 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 | 2026-01-16 |
| 2025-12-03 | 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 | 2026-01-16 |
| 2025-12-03 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2026-01-16 |
| 2025-12-03 | 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. | D | 2026-01-16 |
| 2025-12-03 | Health | F0908 | Keep all essential equipment working safely. | D | 2026-01-16 |
| 2024-10-22 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | 2024-12-06 |
| 2024-10-22 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-11-27 |
| 2024-10-22 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2024-11-27 |
| 2024-10-22 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-11-27 |
| 2024-10-22 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2024-11-27 |
| 2024-10-22 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | 2024-11-27 |
| 2024-10-22 | 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 | 2024-11-27 |
| 2024-10-22 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2024-11-27 |
| 2024-10-22 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-11-27 |
| 2024-10-22 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2024-11-27 |
| 2024-10-22 | Health | F0908 | Keep all essential equipment working safely. | E | 2024-11-27 |
| 2023-10-26 | 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 | 2023-12-11 |
| 2023-10-26 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-12-08 |
| 2023-10-26 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-12-11 |
| 2023-10-26 | 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. | D | 2023-12-08 |
| 2023-10-26 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | 2023-12-12 |
| 2023-10-26 | Health | F0732 | Post nurse staffing information every day. | C | 2023-11-30 |
| 2023-10-26 | 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 | 2023-12-12 |
| 2023-10-26 | 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 | 2023-12-04 |
| 2023-10-26 | Health | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2023-12-12 |
| 2023-10-26 | Health | F0814 | Dispose of garbage and refuse properly. | D | 2023-12-12 |
| 2023-10-26 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-11-27 |
| 2023-10-26 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2023-12-12 |
| 2023-10-26 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2023-12-12 |
| 2023-06-06 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2023-08-16 |
| 2023-06-06 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-08-16 |
| 2023-06-06 | Health · complaint | F0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | E | 2023-08-16 |
| 2023-06-06 | Health · complaint | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | C | 2023-08-16 |
| 2023-06-06 | Health · complaint | 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. | C | 2023-08-16 |
| 2023-06-06 | Health · complaint | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | 2023-07-27 |
| 2023-06-06 | Health · complaint | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | 2023-07-27 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| GOTTA HAVE LLC | Individual has financial interest in both related organization and provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| GOTTA HAVE LLC | Individual has financial interest in both related organization and provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| SOROKA, NACHUM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-07-08 | current | pecos_ownership |
| SOROKA, NACHUM | CORPORATE DIRECTOR | — | 2022-07-31 | current | pecos_ownership |
| TELLER, JOSHUA | W-2 MANAGING EMPLOYEE | — | 2022-07-31 | current | pecos_ownership |
| GOTTA HAVE LLC | Individual has financial interest in both related organization and provider | 100% | 2022-07-08 | ended 2022-12-31 | hcris_a_8_1 |
| MMB & BB REALTY | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-07-07 | hcris_a_8_1 |
| MMB & BB REALTY | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| NACHUM SOROKA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-07-08 | ended 2026-05-18 | pecos_ownership |
| JOSHUA TELLER | W-2 MANAGING EMPLOYEE | — | 2022-07-31 | ended 2026-05-18 | pecos_ownership |
| NACHUM SOROKA | CORPORATE DIRECTOR | — | 2022-07-31 | ended 2026-05-18 | pecos_ownership |
| PROP CO. | Individual has financial interest in both related organization and provider | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2022-07-08 | — | MORE COWBELL LLC | BEL-AIR NURSING AND REHAB CENTER INC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-06-05 | Nashua Post Acute Care | — | — | — | 290 | PREMIER OPERATOR LLC |
| 2024-11-01 | Pleasant Valley Nursing and Rehab Center | — | — | — | 112 | PLEASANT VALLEY OPCO LLC |
| 2024-11-01 | WOODLAWN HEALTHCARE CENTER LLC | — | — | — | 53 | WOODLAWN HEALTHCARE CENTER LLC |
| 2024-09-01 | WOLFEBORO BAY CENTER | — | — | — | 104 | WOLFEBORO SNF OPCO LLC |
| 2024-09-01 | LANGDON PLACE OF DOVER | — | — | — | 30 | DOVER SNF OPCO LLC |
| 2024-09-01 | MINERAL SPRINGS | — | — | — | 87 | NORTH CONWAY SNF OPCO LLC |
| 2024-09-01 | BEDFORD HILLS CENTER | — | — | — | 147 | BEDFORD HILLS SNF OPCO LLC |
| 2024-09-01 | LANGDON PLACE OF KEENE | — | — | — | 25 | KEENE SNF OPCO LLC |
| 2023-02-01 | BEDFORD NURSING & REHABILITATION CENTER | — | — | — | 102 | BEDFORD SNF OPCO LLC |
| 2022-07-08 | GOFFSTOWN NURSING AND REHAB CENTERthis facility | — | — | — | 41 | MORE COWBELL LLC |
| 2022-01-11 | DERRY CENTER FOR REHABILITATION AND HEALTHCARE | — | — | — | 62 | DERRY REHABILITATION AND NURSING CENTER LLC |
| 2021-07-01 | LAFAYETTE CENTER | — | — | — | 72 | LAFAYETTE OPERATING GROUP LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 33011 | acs median gross | 0 | $1,194 | 2024-12-31 | CENSUS_ACS5 |
| county 33011 | acs median gross | 1 | $1,296 | 2024-12-31 | CENSUS_ACS5 |
| county 33011 | acs median gross | 2 | $1,722 | 2024-12-31 | CENSUS_ACS5 |
| county 33011 | acs median gross | 3 | $1,835 | 2024-12-31 | CENSUS_ACS5 |
| county 33011 | acs median gross | 4 | $2,025 | 2024-12-31 | CENSUS_ACS5 |
| county 33011 | acs median gross | 5 | $1,566 | 2024-12-31 | CENSUS_ACS5 |
| county 33011 | acs median gross | $1,623 | 2024-12-31 | CENSUS_ACS5 | |
| county 33011 | acs recent mover gross | $1,932 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 03045 | acs median gross | 1 | $1,245 | 2024-12-31 | CENSUS_ACS5 |
| zcta 03045 | acs median gross | 2 | $1,702 | 2024-12-31 | CENSUS_ACS5 |
| zcta 03045 | acs median gross | 3 | $1,675 | 2024-12-31 | CENSUS_ACS5 |
| zcta 03045 | acs median gross | 4 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 03045 | acs median gross | $1,486 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 03045 | acs recent mover gross | $1,228 | 2024-12-31 | CENSUS_ACS5 | |
| zip 03045 | payment standard 110 | 0 | $1,628 | 2025-10-01 | HUD_USER_SAFMR |
| zip 03045 | payment standard 90 | 0 | $1,332 | 2025-10-01 | HUD_USER_SAFMR |
| zip 03045 | safmr | 0 | $1,480 | 2025-10-01 | HUD_USER_SAFMR |
| zip 03045 | payment standard 110 | 1 | $1,793 | 2025-10-01 | HUD_USER_SAFMR |
| zip 03045 | payment standard 90 | 1 | $1,467 | 2025-10-01 | HUD_USER_SAFMR |
| zip 03045 | safmr | 1 | $1,630 | 2025-10-01 | HUD_USER_SAFMR |
| zip 03045 | payment standard 110 | 2 | $2,354 | 2025-10-01 | HUD_USER_SAFMR |
| zip 03045 | payment standard 90 | 2 | $1,926 | 2025-10-01 | HUD_USER_SAFMR |
| zip 03045 | safmr | 2 | $2,140 | 2025-10-01 | HUD_USER_SAFMR |
| zip 03045 | payment standard 110 | 3 | $2,827 | 2025-10-01 | HUD_USER_SAFMR |
| zip 03045 | payment standard 90 | 3 | $2,313 | 2025-10-01 | HUD_USER_SAFMR |
| zip 03045 | safmr | 3 | $2,570 | 2025-10-01 | HUD_USER_SAFMR |
| zip 03045 | payment standard 110 | 4 | $3,124 | 2025-10-01 | HUD_USER_SAFMR |
| zip 03045 | payment standard 90 | 4 | $2,556 | 2025-10-01 | HUD_USER_SAFMR |
| zip 03045 | safmr | 4 | $2,840 | 2025-10-01 | HUD_USER_SAFMR |