Composite
31.3 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 72.3 | 67.8 | 0.30 | 0.2308 | 16.68 | in index |
| financial risk | 51.3 | 46.3 | 0.30 | 0.2308 | 11.84 | in index |
| billing conduct | 37.0 | 34.6 | 0.30 | 0.2308 | 8.54 | in index |
| chow risk | 25.5 | 24.5 | 0.15 | 0.1154 | 2.94 | in index |
| staffing risk | 6.3 | 6.4 | 0.25 | 0.1923 | 1.21 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 34.6 | 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 | 24.1 | A | v0.6 | default · in composite | |
| financial risk | 46.3 | C | 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 | 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 | 67.8 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 6.4 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 80.3 | 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 | 60.3 | 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 | 54.3 | 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 | 49.8 | C | 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 | 67.7 | 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 | 67.7 | 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 | 6.4 | 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 | 6.4 | 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 | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 3.49 | -1.51 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Total nurse staffing (HPRD) | 4.60 | -0.31 | |
| Contract staffing share | 0.21 | +0.22 | |
| Chain size (log) | 1.39 | -0.11 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | -0.69 | |
| Total nurse staffing (HPRD) | 4.60 | -0.58 | |
| Staffing trend, last 4 quarters | 1.29 | +0.57 | |
| Chain size (log) | 1.39 | +0.39 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 3.49 | -0.24 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
| 2025Q4 HPRD | This facility | HI median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 4.60 | 4.00 | 3.28 | 2.90–3.77 |
| RN | 1.24 | 1.24 | 0.39 | 0.25–0.58 |
| Weekend total | 4.35 | 3.78 | 3.11 | — |
| Weekday total | 4.70 | 4.04 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 58.7 | 4.60 | 1.24 | 0.46 | 2.90 | 4.35 | 20.8% |
| 2025Q3 | 92 | 77.5 | 4.20 | 1.44 | 0.36 | 2.39 | 3.99 | 29.1% |
| 2025Q2 | 91 | 76.7 | 3.90 | 1.19 | 0.44 | 2.27 | 3.67 | 23.9% |
| 2025Q1 | 90 | 79.3 | 3.52 | 1.22 | 0.24 | 2.06 | 3.32 | 18.3% |
| 2024Q4 | 92 | 77.8 | 3.31 | 1.13 | 0.26 | 1.93 | 3.16 | 19.0% |
| 2024Q3 | 92 | 77.0 | 3.45 | 1.45 | 0.00 | 2.00 | 3.27 | 24.5% |
| 2024Q2 | 91 | 76.0 | 3.46 | 1.47 | 0.00 | 1.99 | 3.35 | 24.9% |
| 2024Q1 | 91 | 74.8 | 3.67 | 1.35 | 0.06 | 2.26 | 3.61 | 30.6% |
| 2023Q4 | 92 | 71.7 | 3.69 | 1.19 | 0.17 | 2.34 | 3.56 | 32.5% |
| 2023Q3 | 92 | 63.1 | 3.78 | 1.37 | 0.07 | 2.35 | 3.69 | 35.8% |
| 2023Q2 | 91 | 73.8 | 3.06 | 1.06 | 0.00 | 2.00 | 3.00 | 10.2% |
| 2023Q1 | 90 | 69.7 | 3.37 | 1.27 | 0.00 | 2.10 | 3.32 | 12.7% |
| 2022Q4 | 92 | 63.6 | 4.01 | 1.35 | 0.00 | 2.65 | 3.86 | 20.4% |
| 2022Q3 | 92 | 64.0 | 3.98 | 1.34 | 0.02 | 2.61 | 3.75 | 20.5% |
| 2022Q2 | 91 | 63.8 | 4.18 | 1.40 | 0.06 | 2.72 | 3.97 | 18.1% |
| 2022Q1 | 90 | 61.2 | 4.36 | 1.22 | 0.14 | 3.01 | 3.98 | 21.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-03-25 | Fine | $8,278 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-11-18 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-11-26 |
| 2025-11-18 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-11-26 |
| 2025-11-18 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-11-26 |
| 2025-11-18 | 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 | 2025-11-26 |
| 2025-11-18 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-11-26 |
| 2025-11-18 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-11-26 |
| 2025-11-18 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-11-26 |
| 2025-11-18 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-11-26 |
| 2025-03-25 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2025-04-16 |
| 2025-03-25 | 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 | 2025-04-16 |
| 2025-03-25 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2025-04-16 |
| 2025-03-25 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-02-10 |
| 2024-08-29 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2024-09-30 |
| 2024-08-29 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2024-09-30 |
| 2024-08-29 | 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. | D | 2024-09-30 |
| 2024-08-29 | 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 | 2024-09-30 |
| 2024-08-29 | Health | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2024-09-30 |
| 2024-08-29 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2024-09-30 |
| 2024-08-29 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-09-30 |
| 2024-08-29 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-09-30 |
| 2024-08-29 | 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 | 2024-09-30 |
| 2024-08-29 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-09-30 |
| 2024-08-29 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-09-30 |
| 2023-10-17 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-11-17 |
| 2023-10-17 | 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 | 2023-11-17 |
| 2023-10-17 | Health | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2023-11-17 |
| 2023-10-17 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2023-11-17 |
| 2023-10-17 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-11-17 |
| 2023-10-17 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2023-11-17 |
| 2023-10-17 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-11-17 |
| 2023-10-17 | 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 | 2023-11-17 |
| 2023-10-17 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2023-11-17 |
| 2023-10-17 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-11-17 |
| 2023-10-17 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-11-17 |
| 2023-10-17 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-11-17 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| PACIFIC SKILLED HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-06-30 | current | pecos_ownership |
| OLSEN, SPENCER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 73% | 2022-06-30 | current | pecos_ownership |
| SORENSEN, KRISTEN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13% | 2022-06-30 | current | pecos_ownership |
| KIM, OLIVIA | W-2 MANAGING EMPLOYEE | — | 2023-02-01 | current | pecos_ownership |
| LEFLER, TYRUS | CORPORATE OFFICER | — | 2022-09-23 | current | pecos_ownership |
| OLSEN, SPENCER | CORPORATE OFFICER | — | 2022-09-23 | current | pecos_ownership |
| PANG, BRIAN | CORPORATE OFFICER | — | 2023-02-01 | current | pecos_ownership |
| YOSHIDA, CYNTHIA | CORPORATE OFFICER | — | 2023-02-01 | current | pecos_ownership |
| OLIVIA KIM | W-2 MANAGING EMPLOYEE | 100% | 2023-02-01 | ended 2026-05-18 | pecos_ownership |
| SPENCER OLSEN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 73% | 2022-06-30 | ended 2026-05-18 | pecos_ownership |
| AARON MAYER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% | 2022-06-30 | ended 2026-05-18 | pecos_ownership |
| KRISTEN SORENSEN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13% | 2022-06-30 | ended 2026-05-18 | pecos_ownership |
| BRIAN PANG | CORPORATE OFFICER | 0% | 2023-02-01 | ended 2026-05-18 | pecos_ownership |
| CYNTHIA YOSHIDA | CORPORATE OFFICER | 0% | 2023-02-01 | ended 2026-05-18 | pecos_ownership |
| SPENCER OLSEN | CORPORATE OFFICER | 0% | 2022-09-23 | ended 2026-05-18 | pecos_ownership |
| TYRUS LEFLER | CORPORATE OFFICER | 0% | 2022-09-23 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2023-02-01 | — | PSH OAHU LLC | OCF PARTNERS | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2023-03-01 | HALE NANI REHABILITATION AND NURSING CENTER | — | — | — | 288 | HALE NANI REHAB & NURSING CENTER LLC |
| 2023-02-01 | PEARL CITY POST ACUTE | — | — | — | 122 | PSH PEARL CITY LLC |
| 2023-02-01 | Kulana Malama | — | — | — | 33 | PSH KM LLC |
| 2023-02-01 | OAHU CARE FACILITYthis facility | — | — | — | 82 | PSH OAHU LLC |
| 2020-12-18 | NUUANU HALE | — | — | — | 75 | NUUANU HALE, INC |
| 2019-12-31 | LEGACY HILO REHABILITATION & NURSING CENTER | — | — | — | 100 | HILO SNF LLC |
| 2017-07-01 | LANAI COMMUNITY HOSPITAL | — | — | — | 10 | MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC |
| 2017-07-01 | KULA HOSPITAL | — | — | — | 105 | MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 15003 | acs median gross | 0 | $1,458 | 2024-12-31 | CENSUS_ACS5 |
| county 15003 | fmr | 0 | $1,877 | 2025-10-01 | HUD_USER_FMR |
| county 15003 | acs median gross | 1 | $1,605 | 2024-12-31 | CENSUS_ACS5 |
| county 15003 | fmr | 1 | $2,016 | 2025-10-01 | HUD_USER_FMR |
| county 15003 | acs median gross | 2 | $2,086 | 2024-12-31 | CENSUS_ACS5 |
| county 15003 | fmr | 2 | $2,642 | 2025-10-01 | HUD_USER_FMR |
| county 15003 | acs median gross | 3 | $2,948 | 2024-12-31 | CENSUS_ACS5 |
| county 15003 | fmr | 3 | $3,674 | 2025-10-01 | HUD_USER_FMR |
| county 15003 | acs median gross | 4 | $3,443 | 2024-12-31 | CENSUS_ACS5 |
| county 15003 | fmr | 4 | $4,432 | 2025-10-01 | HUD_USER_FMR |
| county 15003 | acs median gross | 5 | $3,057 | 2024-12-31 | CENSUS_ACS5 |
| county 15003 | acs median gross | $2,083 | 2024-12-31 | CENSUS_ACS5 | |
| county 15003 | acs recent mover gross | $2,457 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 96826 | acs median gross | 0 | $1,469 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96826 | acs median gross | 1 | $1,423 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96826 | acs median gross | 2 | $1,844 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96826 | acs median gross | 3 | $2,006 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96826 | acs median gross | 4 | $3,106 | 2024-12-31 | CENSUS_ACS5 |
| zcta 96826 | acs median gross | $1,606 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 96826 | acs recent mover gross | $1,814 | 2024-12-31 | CENSUS_ACS5 | |
| zip 96826 | payment standard 110 | 0 | $1,870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96826 | payment standard 90 | 0 | $1,530 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96826 | safmr | 0 | $1,700 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96826 | payment standard 110 | 1 | $2,013 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96826 | payment standard 90 | 1 | $1,647 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96826 | safmr | 1 | $1,830 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96826 | payment standard 110 | 2 | $2,640 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96826 | payment standard 90 | 2 | $2,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96826 | safmr | 2 | $2,400 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96826 | payment standard 110 | 3 | $3,674 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96826 | payment standard 90 | 3 | $3,006 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96826 | safmr | 3 | $3,340 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96826 | payment standard 110 | 4 | $4,433 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96826 | payment standard 90 | 4 | $3,627 | 2025-10-01 | HUD_USER_SAFMR |
| zip 96826 | safmr | 4 | $4,030 | 2025-10-01 | HUD_USER_SAFMR |