Composite
96.8 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 90.8 | 88.5 | 0.30 | 0.2308 | 20.95 | in index |
| financial risk | 87.3 | 74.2 | 0.30 | 0.2308 | 20.15 | in index |
| staffing risk | 83.1 | 83.1 | 0.25 | 0.1923 | 15.98 | in index |
| billing conduct | 57.4 | 42.5 | 0.30 | 0.2308 | 13.25 | in index |
| chow risk | 32.9 | 31.6 | 0.15 | 0.1154 | 3.80 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 42.5 | 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 | 38.1 | B | v0.6 | default · in composite | |
| financial risk | 74.2 | D | 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 | 13.5 | — | 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 | 88.5 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 83.1 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 67.0 | 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 | 47.0 | 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 | 65.8 | 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 | 74.4 | 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 | 88.7 | F | 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 | 88.7 | F | 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 | 83.1 | 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 | 83.1 | 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 | |
|---|---|---|---|
| Contract staffing share | 0.55 | +0.76 | |
| 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) | 3.14 | +0.26 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Occupancy | 0.65 | +0.14 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 2.00 | +1.06 | |
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 3.14 | -0.62 | |
| Contract staffing share | 0.55 | +0.51 | |
| Occupancy | 0.65 | +0.42 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 2.73 | +0.20 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
| 2025Q4 HPRD | This facility | MN median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.73 | 3.49 | 3.28 | 2.90–3.77 |
| RN | 0.44 | 0.65 | 0.39 | 0.25–0.58 |
| Weekend total | 2.71 | 3.32 | 3.11 | — |
| Weekday total | 2.74 | 3.59 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 90.7 | 2.73 | 0.44 | 0.26 | 2.04 | 2.71 | 55.1% |
| 2025Q3 | 92 | 91.9 | 2.73 | 0.46 | 0.24 | 2.03 | 2.64 | 58.9% |
| 2025Q2 | 91 | 87.0 | 2.84 | 0.51 | 0.23 | 2.11 | 2.77 | 63.6% |
| 2025Q1 | 90 | 91.4 | 2.69 | 0.44 | 0.27 | 1.99 | 2.68 | 68.3% |
| 2024Q4 | 92 | 91.3 | 2.71 | 0.41 | 0.29 | 2.01 | 2.74 | 66.9% |
| 2024Q3 | 92 | 94.8 | 2.67 | 0.42 | 0.26 | 1.99 | 2.69 | 68.0% |
| 2024Q2 | 91 | 96.4 | 2.63 | 0.44 | 0.23 | 1.96 | 2.61 | 64.7% |
| 2024Q1 | 91 | 98.3 | 2.54 | 0.35 | 0.30 | 1.89 | 2.52 | 67.2% |
| 2023Q4 | 92 | 92.3 | 2.64 | 0.34 | 0.36 | 1.94 | 2.59 | 63.0% |
| 2023Q3 | 92 | 94.0 | 2.77 | 0.36 | 0.34 | 2.07 | 2.73 | 63.5% |
| 2023Q2 | 91 | 91.6 | 2.79 | 0.36 | 0.34 | 2.09 | 2.78 | 60.7% |
| 2023Q1 | 90 | 94.9 | 2.62 | 0.44 | 0.22 | 1.96 | 2.51 | 51.5% |
| 2022Q4 | 92 | 101.8 | 1.98 | 0.43 | 0.18 | 1.37 | 1.97 | 35.9% |
| 2022Q3 | 92 | 99.3 | 2.28 | 0.48 | 0.20 | 1.59 | 2.23 | 24.5% |
| 2022Q2 | 91 | 89.5 | 2.83 | 0.54 | 0.27 | 2.02 | 2.74 | 37.8% |
| 2022Q1 | 90 | 92.5 | 2.64 | 0.60 | 0.19 | 1.85 | 2.53 | 34.3% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-05-28 | Fine | $122,175 | CMS provider data |
| 2024-05-28 | Payment Denial | — | CMS provider data |
| 2024-04-20 | Fine | $10,223 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-04 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-12-16 |
| 2025-12-04 | Health · complaint | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | 2025-12-16 |
| 2025-04-17 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-05-20 |
| 2025-04-17 | Health | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2025-05-20 |
| 2025-04-17 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | 2025-05-20 |
| 2025-04-17 | 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. | D | 2025-05-20 |
| 2025-04-17 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-05-20 |
| 2025-04-17 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-05-20 |
| 2025-04-17 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-05-20 |
| 2025-04-17 | 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 | 2025-05-20 |
| 2025-04-17 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-05-20 |
| 2025-04-17 | 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 | 2025-05-20 |
| 2025-04-17 | 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. | E | 2025-05-20 |
| 2025-04-17 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-05-20 |
| 2025-04-17 | 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. | D | 2025-05-20 |
| 2024-06-27 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | 2024-07-06 |
| 2024-05-28 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | E | 2024-06-21 |
| 2024-05-28 | 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. | J | 2024-06-21 |
| 2024-05-28 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-06-21 |
| 2024-05-28 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-06-21 |
| 2024-05-28 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-06-21 |
| 2024-05-28 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-06-21 |
| 2024-05-28 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-06-21 |
| 2024-05-28 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-06-21 |
| 2024-05-28 | Health | 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 | 2024-06-21 |
| 2024-05-28 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-06-21 |
| 2024-04-20 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-04-16 |
| 2023-07-25 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-08-18 |
| 2023-06-23 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | E | 2023-08-18 |
| 2023-06-23 | 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 | 2023-08-18 |
| 2023-06-23 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-08-18 |
| 2023-06-23 | 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 | 2023-08-18 |
| 2023-06-23 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-08-18 |
| 2023-06-23 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2023-08-18 |
| 2023-06-23 | 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 | 2023-08-18 |
| 2023-06-23 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-08-18 |
| 2023-06-23 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-08-18 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| KATZ, ABE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 21% | 2016-03-31 | current | pecos_ownership |
| MB DULUTH HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 21% | 2016-03-31 | current | pecos_ownership |
| CBAY BAYSHORE HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 13% | 2016-03-31 | current | pecos_ownership |
| BABBITT, DON | W-2 MANAGING EMPLOYEE | — | 2016-03-31 | current | pecos_ownership |
| DON BABBITT | W-2 MANAGING EMPLOYEE | 100% | 2016-03-31 | ended 2026-05-18 | pecos_ownership |
| AKIKO IKE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 26% | 2019-06-01 | ended 2026-05-18 | pecos_ownership |
| ABE KATZ | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 21% | 2016-03-31 | ended 2026-05-18 | pecos_ownership |
| JOSHUA FARKOVITS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 21% | 2016-03-31 | ended 2026-05-18 | pecos_ownership |
| EPHRAM LAHASKY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2019-06-01 | ended 2026-05-18 | pecos_ownership |
| LME FAMILY HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2019-06-01 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-07-22 | CURA OF ONAMIA | — | — | — | 57 | CURA OF ONAMIA LLC |
| 2024-12-01 | SHAKOPEE FRIENDSHIP MANOR | — | — | — | 60 | SHAKOPEE CARE LLC |
| 2024-12-01 | EDENBROOK ROCHESTER WEST | — | — | — | 48 | EDENBROOK ROCHESTER WEST LLC |
| 2024-10-29 | Cura of Sauk Centre | — | — | — | 60 | CURA OF SAUK CENTRE LLC |
| 2024-10-15 | Heartwood | — | — | — | 54 | CROSBY SENIOR SERVICES CARE CENTER |
| 2024-02-13 | Cura of Monticello | — | — | — | 67 | CURA OF MONTICELLO LLC |
| 2023-12-31 | MAPLEWOOD REHABILITATION CENTER | — | — | — | 115 | MAPLEWOOD REHABILITATION CENTER LLC |
| 2023-12-31 | SLEEPY EYE REHABILITATI CENTER | — | — | — | 61 | SLEEPY EYE REHABILITATION CENTER LLC |
| 2023-12-15 | ST BENEDICTS CARE CENTER | — | — | — | 75 | ECUMEN SBC ST CLOUD PROPERTIES LLC |
| 2023-12-01 | Frazee Care Center | — | — | — | 42 | LEGACY SENIOR SERVICES |
| 2023-06-05 | CURA OF LE SUEUR | — | — | — | 50 | CURA OF LE SUEUR LLC |
| 2023-05-01 | LAKEHOUSE HEALTHCARE & REHABILITATION CENTER | — | — | — | 260 | LAKE HARRIET OPERATOR LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 27137 | acs median gross | 0 | $728 | 2024-12-31 | CENSUS_ACS5 |
| county 27137 | fmr | 0 | $849 | 2025-10-01 | HUD_USER_FMR |
| county 27137 | acs median gross | 1 | $803 | 2024-12-31 | CENSUS_ACS5 |
| county 27137 | fmr | 1 | $978 | 2025-10-01 | HUD_USER_FMR |
| county 27137 | acs median gross | 2 | $1,096 | 2024-12-31 | CENSUS_ACS5 |
| county 27137 | fmr | 2 | $1,232 | 2025-10-01 | HUD_USER_FMR |
| county 27137 | acs median gross | 3 | $1,306 | 2024-12-31 | CENSUS_ACS5 |
| county 27137 | fmr | 3 | $1,689 | 2025-10-01 | HUD_USER_FMR |
| county 27137 | acs median gross | 4 | $2,052 | 2024-12-31 | CENSUS_ACS5 |
| county 27137 | fmr | 4 | $2,067 | 2025-10-01 | HUD_USER_FMR |
| county 27137 | acs median gross | 5 | $2,114 | 2024-12-31 | CENSUS_ACS5 |
| county 27137 | acs median gross | $1,013 | 2024-12-31 | CENSUS_ACS5 | |
| county 27137 | acs recent mover gross | $1,111 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 55802 | acs median gross | 0 | $873 | 2024-12-31 | CENSUS_ACS5 |
| zcta 55802 | acs median gross | 1 | $417 | 2024-12-31 | CENSUS_ACS5 |
| zcta 55802 | acs median gross | 2 | $1,538 | 2024-12-31 | CENSUS_ACS5 |
| zcta 55802 | acs median gross | 3 | $1,277 | 2024-12-31 | CENSUS_ACS5 |
| zcta 55802 | acs median gross | $646 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 55802 | acs recent mover gross | $1,217 | 2024-12-31 | CENSUS_ACS5 | |
| zip 55802 | payment standard 110 | 0 | $1,012 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55802 | payment standard 90 | 0 | $828 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55802 | safmr | 0 | $920 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55802 | payment standard 110 | 1 | $1,166 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55802 | payment standard 90 | 1 | $954 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55802 | safmr | 1 | $1,060 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55802 | payment standard 110 | 2 | $1,463 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55802 | payment standard 90 | 2 | $1,197 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55802 | safmr | 2 | $1,330 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55802 | payment standard 110 | 3 | $2,002 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55802 | payment standard 90 | 3 | $1,638 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55802 | safmr | 3 | $1,820 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55802 | payment standard 110 | 4 | $2,453 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55802 | payment standard 90 | 4 | $2,007 | 2025-10-01 | HUD_USER_SAFMR |
| zip 55802 | safmr | 4 | $2,230 | 2025-10-01 | HUD_USER_SAFMR |