Composite
21.5 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 49.4 | 38.5 | 0.30 | 0.2308 | 11.40 | in index |
| staffing risk | 40.8 | 40.9 | 0.25 | 0.1923 | 7.85 | in index |
| financial risk | 32.6 | 35.4 | 0.30 | 0.2308 | 7.52 | in index |
| chow risk | 58.8 | 58.3 | 0.15 | 0.1154 | 6.78 | in index |
| billing conduct | 14.1 | 16.0 | 0.30 | 0.2308 | 3.25 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 16.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.9 | A | 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 | 91.7 | F | v0.6 | default · in composite | |
| financial risk | 35.4 | B | 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 | 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 | 38.5 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 40.9 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 68.4 | 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 | 48.4 | 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 | 51.8 | 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 | 39.3 | 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 | 38.3 | 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 | 38.3 | 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. |
| staffing risk | 40.9 | B | 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 | 40.9 | B | 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) | 4.14 | -1.44 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.86 | -0.46 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Contract staffing share | 0.18 | +0.18 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| Deficiencies, last 12 months | 3.00 | +0.87 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.86 | -0.45 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 4.14 | -0.23 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
| 2025Q4 HPRD | This facility | RI median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.44 | 3.22 | 3.28 | 2.90–3.77 |
| RN | 0.57 | 0.53 | 0.39 | 0.25–0.58 |
| Weekend total | 3.33 | 3.04 | 3.11 | — |
| Weekday total | 3.48 | 3.28 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 82.2 | 3.44 | 0.57 | 0.51 | 2.36 | 3.33 | 17.7% |
| 2025Q3 | 92 | 85.0 | 3.30 | 0.55 | 0.51 | 2.24 | 3.06 | 24.8% |
| 2025Q2 | 91 | 82.0 | 3.45 | 0.50 | 0.60 | 2.35 | 3.21 | 22.7% |
| 2025Q1 | 90 | 82.2 | 3.39 | 0.52 | 0.61 | 2.26 | 3.23 | 26.7% |
| 2024Q4 | 92 | 87.6 | 3.15 | 0.45 | 0.56 | 2.13 | 2.98 | 33.9% |
| 2024Q3 | 92 | 86.5 | 3.14 | 0.50 | 0.52 | 2.13 | 3.03 | 41.2% |
| 2024Q2 | 91 | 86.7 | 3.23 | 0.51 | 0.55 | 2.17 | 3.01 | 38.7% |
| 2024Q1 | 91 | 87.0 | 2.85 | 0.58 | 0.54 | 1.72 | 2.71 | 14.4% |
| 2023Q4 | 92 | 88.8 | 2.67 | 0.59 | 0.45 | 1.64 | 2.50 | 12.9% |
| 2023Q3 | 92 | 87.3 | 2.77 | 0.54 | 0.55 | 1.67 | 2.58 | 17.9% |
| 2023Q2 | 91 | 89.0 | 2.71 | 0.55 | 0.53 | 1.63 | 2.53 | 12.6% |
| 2023Q1 | 90 | 88.7 | 2.49 | 0.50 | 0.58 | 1.41 | 2.37 | 10.6% |
| 2022Q4 | 92 | 79.9 | 2.82 | 0.50 | 0.74 | 1.58 | 2.72 | 13.1% |
| 2022Q3 | 92 | 74.9 | 2.99 | 0.65 | 0.69 | 1.66 | 2.70 | 13.2% |
| 2022Q2 | 91 | 78.3 | 2.62 | 0.57 | 0.68 | 1.37 | 2.45 | 1.0% |
| 2022Q1 | 90 | 75.0 | 2.65 | 0.65 | 0.58 | 1.42 | 2.51 | 0.0% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-21 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | — |
| 2026-04-21 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | — |
| 2025-11-19 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-12-19 |
| 2025-07-25 | 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 | 2025-08-24 |
| 2025-07-25 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-08-24 |
| 2025-07-25 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-08-24 |
| 2025-07-25 | 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 | 2025-08-24 |
| 2025-07-25 | 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 | 2025-08-24 |
| 2025-07-25 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-08-24 |
| 2025-07-25 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2025-08-24 |
| 2025-04-18 | 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. | E | 2025-05-18 |
| 2025-04-18 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-05-18 |
| 2024-10-10 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-11-09 |
| 2024-10-10 | Health · complaint | 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 | 2024-11-09 |
| 2024-07-11 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-08-10 |
| 2024-07-11 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | 2024-08-10 |
| 2024-07-11 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2024-08-10 |
| 2024-07-11 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2024-08-10 |
| 2024-07-11 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-08-10 |
| 2024-07-11 | 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 | 2024-08-10 |
| 2024-07-11 | Health | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | 2024-08-10 |
| 2024-07-11 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-08-10 |
| 2024-07-11 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2024-08-10 |
| 2024-07-11 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-08-10 |
| 2024-06-06 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-07-03 |
| 2023-10-16 | Health · complaint | 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 | 2023-11-15 |
| 2023-10-05 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-11-04 |
| 2023-05-22 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2023-06-21 |
| 2023-05-22 | 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 | 2023-06-21 |
| 2023-05-22 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | H | 2023-06-21 |
| 2023-05-22 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-06-21 |
| 2023-05-22 | Health | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | E | 2023-06-21 |
| 2023-05-22 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-06-21 |
| 2023-05-22 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2023-06-21 |
| 2023-05-22 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | 2023-06-21 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| 4000 POST ROAD EDEN REALTY LLC | Individual has financial interest in both related organization and provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| 4000 POST ROAD EDEN REALTY LLC | Individual has financial interest in both related organization and provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| GELLIS, LOUIS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-07-27 | current | pecos_ownership |
| POLLACK, JOSEPH | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-06-07 | current | pecos_ownership |
| 83 CORONA STREET EDEN REALTY LLC | Individual has financial interest in both related organization and provider | 100% | 2022-06-07 | ended 2022-12-31 | hcris_a_8_1 |
| JOSEPH POLLACK | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2022-06-07 | ended 2026-05-18 | pecos_ownership |
| LOUIS GELLIS | CORPORATE OFFICER | 100% | 2021-07-27 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2022-06-07 | — | 4000 POST ROAD EDEN OPERATIONS LLC | BRENTWOOD HEALTH CENTER, LTD | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-06-01 | Cedar Haven Operations LLC DBA Lake Forrest Health | — | — | — | 133 | CEDAR HAVEN OPERATIONS LLC |
| 2025-05-23 | Warren Operations RI, LLC DBA Warren Center | — | — | — | 63 | WARREN OPERATIONS RI LLC |
| 2025-02-01 | Adviniacare Providence Dodge Rehab Center, LLC | — | — | — | 161 | ADVINIACARE PROVIDENCE DODGE REHAB CENTER LLC |
| 2025-02-01 | Adviniacare Pawtucket Pleasant Rehab Center, LLC | — | — | — | 129 | ADVINIACARE PAWTUCKET PLEASANT REHAB CENTER LLC |
| 2024-01-31 | The Friendly Home | — | — | — | 126 | FRIENDLY EDEN OPERATIONS LLC |
| 2024-01-01 | Pawtucket Falls Healthcare Center | — | — | — | 154 | VIOLET SNF HOLDCO LLC |
| 2022-11-01 | Riverview Healthcare Community | — | — | — | 190 | RIVERVIEW OPERATOR LLC |
| 2022-11-01 | Morgan Health Center | — | — | — | 120 | MORGAN OPERATOR LLC |
| 2022-11-01 | Westerly Health Center | — | — | — | 120 | WESTERLY OPERATOR LLC |
| 2022-11-01 | Heritage Hills Nursing & Rehabilitation Center | — | — | — | 100 | HERITAGE HILLS OPERATOR LLC |
| 2022-08-19 | South County Eden Operations LLC DBA Lakeside Nurs | — | — | — | 120 | SOUTH COUNTY EDEN OPERATIONS LLC |
| 2022-06-07 | Brentwood Health Centerthis facility | — | — | — | 96 | 4000 POST ROAD EDEN OPERATIONS LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 44003 | acs median gross | 0 | $835 | 2024-12-31 | CENSUS_ACS5 |
| county 44003 | acs median gross | 1 | $1,037 | 2024-12-31 | CENSUS_ACS5 |
| county 44003 | acs median gross | 2 | $1,594 | 2024-12-31 | CENSUS_ACS5 |
| county 44003 | acs median gross | 3 | $1,688 | 2024-12-31 | CENSUS_ACS5 |
| county 44003 | acs median gross | 4 | $1,755 | 2024-12-31 | CENSUS_ACS5 |
| county 44003 | acs median gross | 5 | $1,785 | 2024-12-31 | CENSUS_ACS5 |
| county 44003 | acs median gross | $1,327 | 2024-12-31 | CENSUS_ACS5 | |
| county 44003 | acs recent mover gross | $1,709 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 02886 | acs median gross | 0 | $881 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02886 | acs median gross | 1 | $651 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02886 | acs median gross | 2 | $2,045 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02886 | acs median gross | 3 | $1,764 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02886 | acs median gross | 4 | $1,962 | 2024-12-31 | CENSUS_ACS5 |
| zcta 02886 | acs median gross | $1,390 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 02886 | acs recent mover gross | $1,735 | 2024-12-31 | CENSUS_ACS5 | |
| zip 02886 | payment standard 110 | 0 | $1,639 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02886 | payment standard 90 | 0 | $1,341 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02886 | safmr | 0 | $1,490 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02886 | payment standard 110 | 1 | $1,749 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02886 | payment standard 90 | 1 | $1,431 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02886 | safmr | 1 | $1,590 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02886 | payment standard 110 | 2 | $2,156 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02886 | payment standard 90 | 2 | $1,764 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02886 | safmr | 2 | $1,960 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02886 | payment standard 110 | 3 | $2,607 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02886 | payment standard 90 | 3 | $2,133 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02886 | safmr | 3 | $2,370 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02886 | payment standard 110 | 4 | $3,091 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02886 | payment standard 90 | 4 | $2,529 | 2025-10-01 | HUD_USER_SAFMR |
| zip 02886 | safmr | 4 | $2,810 | 2025-10-01 | HUD_USER_SAFMR |