Composite
23.5 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| staffing risk | 86.4 | 86.4 | 0.25 | 0.1923 | 16.62 | in index |
| regulatory risk | 52.8 | 42.4 | 0.30 | 0.2308 | 12.18 | in index |
| financial risk | 32.9 | 35.5 | 0.30 | 0.2308 | 7.59 | in index |
| chow risk | 12.8 | 12.6 | 0.15 | 0.1154 | 1.48 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.2308 | 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 | 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 | 0.3 | A | v0.6 | default · in composite | |
| financial risk | 35.5 | B | 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 | 0.1 | — | 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 | 42.4 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 86.4 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 51.8 | C | 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 | 31.8 | B | 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 | 39.1 | B | 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 | 41.2 | 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 | 42.3 | 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 | 42.3 | 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 | 86.4 | 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 | 86.4 | 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 | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 7.16 | -1.15 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.91 | -0.62 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Chain size (log) | 2.48 | +0.13 | |
| Contract staffing share | 0.13 | +0.10 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.91 | -0.68 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Deficiencies, last 12 months | 6.00 | +0.32 | |
| Never sold on record | 0.00 | -0.28 | |
| Chain size (log) | 2.48 | -0.24 | |
| Total nurse staffing (HPRD) | 2.65 | +0.24 | |
| Current owner tenure (years) | 7.16 | -0.18 |
| 2025Q4 HPRD | This facility | WI median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.65 | 3.60 | 3.28 | 2.90–3.77 |
| RN | 0.24 | 0.64 | 0.39 | 0.25–0.58 |
| Weekend total | 2.46 | 3.49 | 3.11 | — |
| Weekday total | 2.73 | 3.65 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 45.5 | 2.65 | 0.24 | 0.68 | 1.72 | 2.46 | 12.7% |
| 2025Q3 | 92 | 43.7 | 2.79 | 0.33 | 0.68 | 1.78 | 2.52 | 33.2% |
| 2025Q2 | 91 | 40.9 | 2.68 | 0.33 | 0.73 | 1.62 | 2.38 | 32.5% |
| 2025Q1 | 90 | 39.2 | 2.59 | 0.21 | 0.78 | 1.60 | 2.46 | 18.3% |
| 2024Q4 | 92 | 34.3 | 2.46 | 0.21 | 0.70 | 1.54 | 2.48 | 26.3% |
| 2024Q3 | 92 | 33.4 | 2.28 | 0.35 | 0.49 | 1.43 | 2.26 | 22.9% |
| 2024Q2 | 91 | 35.5 | 2.42 | 0.32 | 0.57 | 1.53 | 2.42 | 39.1% |
| 2024Q1 | 91 | 36.9 | 2.47 | 0.31 | 0.57 | 1.59 | 2.56 | 40.1% |
| 2023Q4 | 92 | 37.9 | 2.55 | 0.28 | 0.68 | 1.60 | 2.49 | 43.6% |
| 2023Q3 | 92 | 44.0 | 2.42 | 0.24 | 0.74 | 1.43 | 2.40 | 56.2% |
| 2023Q2 | 91 | 46.1 | 2.37 | 0.30 | 0.69 | 1.38 | 2.38 | 33.7% |
| 2023Q1 | 90 | 46.8 | 2.20 | 0.24 | 0.66 | 1.30 | 2.22 | 37.1% |
| 2022Q4 | 92 | 45.7 | 2.00 | 0.15 | 0.57 | 1.28 | 2.11 | 33.8% |
| 2022Q3 | 92 | 41.0 | 2.02 | 0.30 | 0.56 | 1.16 | 2.01 | 20.7% |
| 2022Q2 | 91 | 43.3 | 2.29 | 0.27 | 0.66 | 1.36 | 2.02 | 20.0% |
| 2022Q1 | 90 | 45.3 | 1.86 | 0.32 | 0.53 | 1.01 | 1.91 | 9.0% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-01 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-04-24 |
| 2026-04-01 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2026-05-01 |
| 2026-01-07 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2026-01-23 |
| 2026-01-07 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2026-01-23 |
| 2026-01-07 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2026-01-23 |
| 2025-09-15 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2025-09-16 |
| 2025-01-23 | 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 | 2025-02-14 |
| 2025-01-23 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-02-14 |
| 2024-12-17 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-12-25 |
| 2024-09-05 | Health | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2024-09-10 |
| 2024-09-05 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-09-12 |
| 2024-09-05 | 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 | 2024-09-12 |
| 2024-09-05 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-09-12 |
| 2024-09-05 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | 2024-09-13 |
| 2024-09-05 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-09-13 |
| 2024-09-05 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-09-12 |
| 2024-09-05 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-09-24 |
| 2024-01-03 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-01-08 |
| 2023-08-02 | 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 | 2023-08-04 |
| 2023-08-02 | Health · complaint | 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 | 2023-08-07 |
| 2023-08-02 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2023-08-04 |
| 2023-08-02 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2023-08-07 |
| 2023-08-02 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-08-03 |
| 2023-08-02 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-08-03 |
| 2023-08-02 | Health · complaint | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2023-08-03 |
| 2023-08-02 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-08-03 |
| 2022-08-10 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2022-08-15 |
| 2022-08-10 | 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 | 2022-08-11 |
| 2022-08-10 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2022-08-11 |
| 2022-08-10 | 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 | 2022-08-11 |
| 2022-08-10 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2022-09-02 |
| 2022-08-10 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2022-09-06 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CHAMPION WI REALTY LLC | Individual has financial interest in both related organization and provider | 50% | 2023-01-01 | current | hcris_a_8_1 |
| CHAMPION WI REALTY LLC | Individual has financial interest in both related organization and provider | 50% | 2024-01-01 | current | hcris_a_8_1 |
| RUVEL, MENACHEM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 48% | 2019-06-01 | current | pecos_ownership |
| WEINBERG, YISROEL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 48% | 2019-06-01 | current | pecos_ownership |
| CHAMPION CARE LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-06-01 | current | pecos_ownership |
| CHAMPION WI REALTY LLC | Individual has financial interest in both related organization and provider | 50% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| WOODLANDS PROPERTY | Individual has financial interest in both related organization and provider | 50% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| MENACHEM RUVEL | OPERATIONAL/MANAGERIAL CONTROL | 48% | 2019-06-01 | ended 2026-05-18 | pecos_ownership |
| YISROEL WEINBERG | OPERATIONAL/MANAGERIAL CONTROL | 48% | 2019-06-01 | ended 2026-05-18 | pecos_ownership |
| SURING PROPERTY | Individual has financial interest in both related organization and provider | 25% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2019-06-01 | — | BAY AT SURING HEALTH AND REHABILITATION CENTER LLC | WOODLAND VILLAGE, INC. | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-05-28 | Complete Care at Hales Corners | — | — | — | 62 | HALES CORNERS CARE AND REHAB CENTER LLC |
| 2025-05-28 | Complete Care at Care Age | — | — | — | 110 | CARE AGE OF BROOKFIELD CARE AND REHAB CENTER LLC |
| 2025-04-24 | Edenbrook Sheboygan | — | — | — | 121 | SHEBOYGAN SNF OPERATIONS, LLC |
| 2025-02-28 | Complete Care at Jefferson Meadows LLC | — | — | — | 102 | ST CLARE CARE AND REHAB CENTER LLC |
| 2025-02-28 | Complete Care at Christian Home LLC | — | — | — | 50 | CHRISTIAN HOME CARE AND REHAB CENTER LLC |
| 2025-02-01 | COLONIAL HEALTH SERVICES | — | — | — | 70 | NSH COLBY LLC |
| 2024-12-14 | CAREVIEW HEALTH AND REHAB OF MINOCQUA | — | — | — | 72 | CAREVIEW HEALTH AND REHAB OF MINOCQUA, LLC |
| 2024-11-01 | Wood Aven Health and Rehabilitation | — | — | — | 82 | RIVER HAWK HEALTHCARE LLC |
| 2024-07-01 | Samaritan Nursing and Rehab | — | — | — | 131 | SAMARITAN NURSING AND REHAB LLC |
| 2024-05-01 | DOVE HEALTHCARE - SPOONER | — | — | — | 50 | SPOONER REHABILITATION AND NURSING CENTER LLC |
| 2024-04-16 | MIDDLE RIVER HEALTH AND REHABILITATION CENTER | — | — | — | 86 | MIDDLE RIVER REHABILITATION LLC |
| 2024-01-25 | Serenity Spring Senior Living at Scandia Village | — | — | — | 50 | SISTER BAY SNF OPCO, LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 55083 | acs median gross | 0 | $607 | 2024-12-31 | CENSUS_ACS5 |
| county 55083 | fmr | 0 | $723 | 2025-10-01 | HUD_USER_FMR |
| county 55083 | acs median gross | 1 | $656 | 2024-12-31 | CENSUS_ACS5 |
| county 55083 | fmr | 1 | $793 | 2025-10-01 | HUD_USER_FMR |
| county 55083 | acs median gross | 2 | $793 | 2024-12-31 | CENSUS_ACS5 |
| county 55083 | fmr | 2 | $973 | 2025-10-01 | HUD_USER_FMR |
| county 55083 | acs median gross | 3 | $1,083 | 2024-12-31 | CENSUS_ACS5 |
| county 55083 | fmr | 3 | $1,272 | 2025-10-01 | HUD_USER_FMR |
| county 55083 | acs median gross | 4 | $988 | 2024-12-31 | CENSUS_ACS5 |
| county 55083 | fmr | 4 | $1,288 | 2025-10-01 | HUD_USER_FMR |
| county 55083 | acs median gross | 5 | $850 | 2024-12-31 | CENSUS_ACS5 |
| county 55083 | acs median gross | $791 | 2024-12-31 | CENSUS_ACS5 | |
| county 55083 | acs recent mover gross | $970 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 54174 | acs median gross | 1 | $550 | 2024-12-31 | CENSUS_ACS5 |
| zcta 54174 | acs median gross | 2 | $875 | 2024-12-31 | CENSUS_ACS5 |
| zcta 54174 | acs median gross | 3 | $950 | 2024-12-31 | CENSUS_ACS5 |
| zcta 54174 | acs median gross | 4 | $961 | 2024-12-31 | CENSUS_ACS5 |
| zcta 54174 | acs median gross | $840 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 54174 | acs recent mover gross | $1,078 | 2024-12-31 | CENSUS_ACS5 | |
| zip 54174 | payment standard 110 | 0 | $792 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54174 | payment standard 90 | 0 | $648 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54174 | safmr | 0 | $720 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54174 | payment standard 110 | 1 | $880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54174 | payment standard 90 | 1 | $720 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54174 | safmr | 1 | $800 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54174 | payment standard 110 | 2 | $1,078 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54174 | payment standard 90 | 2 | $882 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54174 | safmr | 2 | $980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54174 | payment standard 110 | 3 | $1,408 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54174 | payment standard 90 | 3 | $1,152 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54174 | safmr | 3 | $1,280 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54174 | payment standard 110 | 4 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54174 | payment standard 90 | 4 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 54174 | safmr | 4 | $1,300 | 2025-10-01 | HUD_USER_SAFMR |