Facility Intelligence Report • April 06, 2026
Sample Facility — Southwest Region
1234 Healthcare Blvd, Metro Area, AZ XXXXX
Metro County County (480) 759-0358 CCN: XXXXXX Certified: 2008-05 For profit - Corporation
89
Need Score
Data vintage
Staffing (PBJ)Q3 2025 (PBJ)
Health inspectionsthrough Apr 2026
Federal penaltiesthrough Apr 2026
Quality measuresthrough Apr 2026
Ownership recordsthrough Apr 2026
Fire safetythrough Apr 2026
Facility financialsFY2024 HCRIS
Local demographics2023 ACS 5-year estimates
Each layer refreshed at the fastest cadence CMS publishes. PBJ staffing is released quarterly approximately 45 days after each collection period; deficiencies, penalties, and ownership records update continuously as agencies post them.
1 Quality Ratings
CMS Five-Star Quality Rating System
2 / 5
★★☆☆☆
Overall
1 / 5
☆☆☆☆
Health Inspection
2 / 5
★★☆☆☆
Staffing
5 / 5
★★★★★
Quality Measures
2 Compliance Projection
Performance against industry staffing benchmarks
Total Nurse HPRD
3.17
Industry benchmark: 3.48 — Gap: 0.31
RN HPRD
0.208
Industry benchmark: 0.55 — Gap: 0.342
24/7 RN Presence
Yes
Zero-RN days this quarter ✓
Staffing Stability Score
88.5 / 100
National percentile: P96 · State percentile: P96
Sub-Metrics
Volatility86
Weekend99
Zero-RN100
Coverage89
Contract88
Turnover50
3 Revenue Source Profile
Patient days by payer type
Medicaid
0.0%
State avg: ~45%
Medicare
4.4%
State avg: ~18%
Private Pay
95.6%
State avg: ~37%
Payer Mix
4 Staffing Levels
Hours per resident per day by nursing category
0.21
RN Hours/Day
Natl avg: 0.61
1.14
LPN Hours/Day
Natl avg: 0.73
1.82
CNA Hours/Day
Natl avg: 2.04
3.17
Total Hours/Day
Natl avg: 3.62
5 Contract Dependency
Agency staffing utilization analysis
6.0%
Overall Contract %
0.0%
RN Contract %
10.5%
Weekend Contract %
MINIMAL
Dependency Tier
Workforce Signals
Agency Opportunity Score18.7
Weekend Premium6.3%
Contract SurgeNo
Perm Staff ErosionNo
Contract by Category
6 Violation History
Health inspection deficiencies
25
Total (3yr)
0
Immediate Jeopardy
0
Actual Harm
Annual Violation Trend
DateTagDescriptionSeverityFlags
2025-08-08628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E
2025-03-05607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D
2025-03-05609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2025-03-05610Respond appropriately to all alleged violations.D
2024-02-29580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) thaB
2024-02-29600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect bE
2024-02-29610Respond appropriately to all alleged violations.D
2024-02-29677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2024-02-29686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2024-02-29880Provide and implement an infection prevention and control program.D
2023-08-03558Reasonably accommodate the needs and preferences of each resident.D
2023-08-03658Ensure services provided by the nursing facility meet professional standards of quality.E
2023-08-03677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2023-08-03679Provide activities to meet all resident's needs.D
2023-08-03686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E
Showing 15 of 25 citations
7 Nearby Facilities
20 facilities within 15 miles
FacilityCityMilesRatingBedsRN HrsTotal Hrs
Nearby Facility 1TEMPE5.6★★★★★600.554.64
Nearby Facility 2Metro Area6.3☆☆☆☆1940.404.33
Nearby Facility 3CHANDLER6.4★★★★★1200.433.65
Nearby Facility 4CHANDLER6.4★★★★★700.564.74
Nearby Facility 5CHANDLER6.4★★★★★660.424.34
Nearby Facility 6CHANDLER6.4★★★★1200.693.98
Nearby Facility 7Metro Area6.6★★☆☆☆1150.743.20
Nearby Facility 8Metro Area6.7★★★★1240.444.01
Nearby Facility 9CHANDLER6.9★★☆☆☆1200.483.78
Nearby Facility 10TEMPE8.7★★★★★211.405.91
Nearby Facility 11TEMPE8.9★★☆☆☆1282.396.63
Nearby Facility 12Metro Area10.6★★☆☆☆1200.604.62
Nearby Facility 13Metro Area12.1★★★☆☆1080.623.59
Nearby Facility 14SCOTTSDALE12.3★★★★★1791.906.28
Nearby Facility 15Metro Area12.3☆☆☆☆1150.344.29
Nearby Facility 16SCOTTSDALE12.5★★☆☆☆1410.445.42
Nearby Facility 17MESA12.6★★★☆☆1910.413.20
Nearby Facility 18SCOTTSDALE13.2★★☆☆☆560.653.46
Nearby Facility 19SCOTTSDALE13.2★★★★★1300.614.21
Nearby Facility 20SCOTTSDALE13.3★★★★★1080.413.37
8 Active Alerts
Threshold-triggered alerts from most recent scoring cycle
12 additional alerts not shown
9 Facility Investment Profile
Key signals for institutional buyers, lenders, and staffing agencies
Ownership & Tenure
TypeFor profit - Corporation
Certified Since2008-05
Operating Tenure18 years
Chain AffiliatedYes (ID: 690)
Market Position
CountyMetro County
Beds Certified192
Special FocusNo
Nearby Facilities20 within 15 mi
Investment Signal
High private pay (95.6%) — strong revenue.
Low rating (2/5) — regulatory pressure.
Critically understaffed (RN 0.21 HPRD).
Large facility (192 beds) — volume opportunity.
10 Quality Measures
MDS and claims-based outcome measures (4-quarter average)
Long-Stay Residents
Falls with Injury7.5%
UTIs0.7%
Catheter Use10.1%
Depression Worsening0.0%
Short-Stay Residents
Emergency Visits20.3%
12 Ownership Structure
12 owners/managers on record
Organizational Owners
Name%%Since
Operating Group LLC100.0%2023-09-01
Parent Holdings LLC2023-09-01
Capital Partners Inc2023-09-01
Financial Services Corp2023-12-07
Individual Owners/Managers (8)
Individual Owner A
Individual Owner B
Individual Owner C
Individual Owner D
Individual Owner E
Individual Owner F
Individual Owner G
Individual Owner H
13 Investment Intelligence
Proprietary scoring based on compliance, staffing, penalties, and market position
30
Compliance Risk
Higher = riskier
75
Acquisition Score
Higher = more attractive
N/A
Turnaround Potential
Higher = more upside
Score Components
Deficiency Severity21.5
Penalty Burden0.0
14 Chain Affiliation
National Healthcare Group — 264 facilities
2.9
Avg Overall
2.6
Avg Health
2.4
Avg Staffing
4.2
Avg Quality
15 Fire Safety Record
CMS Fire Safety Inspection Data — Life Safety Code surveys
15
Total Fire Citations
0
Immediate Jeopardy
3
Deficiency Categories
Top Deficiency Categories:
CategoryCitations
Smoke Deficiencies7
Egress Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies4
Recent Fire Safety Citations:
DateCategorySeverityCorrected
2023-08-03Egress DeficienciesDDeficient, Provider has date of correction
2023-08-03Smoke DeficienciesEDeficient, Provider has date of correction
2023-08-03Smoke DeficienciesDDeficient, Provider has date of correction
2023-08-03Gas, Vacuum, and Electrical Systems DeficienciesDDeficient, Provider has date of correction
2022-06-10Egress DeficienciesDDeficient, Provider has date of correction
2022-06-10Smoke DeficienciesDDeficient, Provider has date of correction
2020-02-27Egress DeficienciesDDeficient, Provider has date of correction
2020-02-27Egress DeficienciesDDeficient, Provider has date of correction
2020-02-27Smoke DeficienciesDDeficient, Provider has date of correction
2020-02-27Smoke DeficienciesEDeficient, Provider has date of correction
Source: CMS Fire Safety Inspection Data
16 Financial Health
CMS HCRIS Cost Reports (Form 2540-10)
$15,716,447
Total Revenue (FY2024)
-22.9%
Operating Margin
$266
Revenue / Patient Day
$240
Cost / Patient Day
Year-over-Year Financial Trend:
FYRevenueExpensesNet IncomeMarginRev/DayCost/Day
2024$15,716,447$14,165,879$-3,592,228-22.9%$266$240
2023$4,705,235$4,036,683$-669,679-14.2%$394$338
Source: CMS Cost Report Filings (HCRIS, Form 2540-10)
17 Methodology & Data Sources
Report ID: FIR-XXXXXX-202604 • Generated April 06, 2026
This report is generated from the SeniorIndex.ai database, which aggregates multiple federal and state data sources into a unified intelligence platform. Primary data sources include federal provider data (facility profiles, star ratings, quality measures), CMS Payroll-Based Journal (PBJ) daily nurse staffing records (14.5 million records across 11 quarters), CMS HCRIS cost reports (payer mix, Form 2540-10), federal health inspection and enforcement records (419,452 deficiencies), and ownership/chain affiliation data (160,373 records).
Staffing Stability Score (0–100): Weighted composite of six sub-metrics — Staffing Volatility (25%), Weekend Drop-Off (20%), Zero-RN Days (20%), Coverage Gap (15%), Contract Dependency (10%), Turnover Velocity (10%). Each normalized to 0–100 scale.
Staffing Assessment: COMPLIANT = meets all 3 industry benchmarks (3.48 total HPRD, 0.55 RN HPRD, zero zero-RN days). AT_RISK = meets 2 of 3. NON_COMPLIANT = meets 0–1 with no positive trend. CRITICAL = fails all 3 or 10+ zero-RN days.
Staffing Need Score (0–100): Staffing Gap (30pts) + Revenue Quality (25pts) + Regulatory Pressure (20pts) + Facility Size (15pts) + Violation Signal (10pts).
Investment Scores: Compliance Risk (0–100, higher = riskier) combines deficiency severity, penalty history, staffing volatility, and inspection patterns. Acquisition Score (0–100) factors in star ratings, occupancy, demographics, and ownership stability. Turnaround Potential reflects the gap between current performance and market opportunity.
Limitations: PBJ data reflects paid hours only. Contract percentages are derived from aggregate data. Payer mix is based on most recent available cost report filing. The Staffing Stability Score and Staffing Need Score are proprietary analytical products and do not represent CMS endorsements or regulatory determinations. Compliance projections are estimates and should not be construed as legal advice.