Survey Posture Score, Methodology (sps-v1)
Status: canonical. This is THE facility survey score across every Credalyst product (Survey Command, Due Diligence, Organizational Capability). Its version, sources, weights, and absence rules are published below.
Principles
- Deterministic. Same inputs, same score, byte for byte. No wall clock (the caller supplies
asOf), no randomness, and no LLM anywhere in the path. - Explainable. Every component reports
basisstrings citing the exact values used and the arithmetic applied. There is no hidden weighting. - Traceable. Every component carries
EvidenceCoordinates ({source, snapshotId, recordId, field}) into immutable, dated CMS snapshots (dated evidence snapshots). A score can be reproduced as-of any snapshot set; thesnapshotIdson the score are the reproducibility anchor. - Honest about absence. A component whose evidence is not on record reports
observed: false, contributes 0 points, and says why. Missing evidence is never scored as safety or as risk.
Inputs (all public CMS data, zero PHI)
| Source | Dataset | Used for |
|---|---|---|
| Provider Information | PDC 4pq5-n9py | SFF standing, star ratings, reported staffing HPRD, turnover, peer cohort |
| Health Deficiencies | PDC r5ix-sfxw | F-tag signature, trajectory, cycle window |
| Penalties | PDC g6vv-u9sr | Financial exposure |
| Ownership | PDC y2hd-n93e | Operator fingerprint (§ below) |
| PBJ Daily Nurse Staffing | data-api 7e0d53ba… | Contract-labor share, HPRD from payroll data |
Components (total 100)
1. F-tag signature, 25 points
Severity/scope weight per deficiency from the CMS A, L grid: A, C = 1, D, F = 2, G, I = 3, J, L = 4 (severity band; scope rides within the band). Each citation is recency-decayed by survey age at asOf: ≤12 months ×1.0, ≤24 ×0.6, ≤36 ×0.3, older ×0.15. base = min(20, 0.8 × Σ weight × decay). Recurrence bonus (+1 each, max +3): the same F-tag cited on ≥2 distinct survey dates. Cluster bonus (+1 each, max +2): a CMS deficiency category with ≥3 citations.
2. Enforcement trajectory, 15 points
Deficiencies are grouped into survey cycles (CMS inspection_cycle when present, else by survey age: ≤12mo → cycle 1, ≤24 → 2, else 3) and severity-weighted per cycle. Current ≥1.5× prior cycle → +8; merely above prior → +5; strictly rising across three cycles → +3; complaint-survey share of the current cycle ≥30% → +4. Capped at 15. Fewer than two observed cycles → observed: false (no slope from one point).
3. SFF proximity, 15 points
Verbatim special_focus_status: SFF → 15; any non-empty candidate status → 12. Otherwise a published proxy for candidate-pool distance: 1-star health inspection rating → 8; 2-star → 4 (the SFF candidate list draws from the worst health-inspection scores). No profile on record → observed: false.
4. Financial exposure, 15 points
Realized CMP total (fact, from the Penalties dataset): ≥$250k → 8; ≥$100k → 6; ≥$25k → 4; >$0 → 2. Any payment-denial action → +4. Any penalty dated within 24 months of asOf → +3. Capped at 15. This component reports realized enforcement only; modeled forward exposure lives in the exposure engine, not the score.
5. Staffing signal, 10 points
Reported total-nurse HPRD below the published 3.48 federal minimum staffing standard (89 FR 40876) → +3; else at/below p25 of the state cohort → +2. Nursing turnover at/above p75 of the state cohort → +3. PBJ contract-labor share of nursing hours (Σ _ctr hours ÷ Σ hours over the observed days): ≥20% → +3; ≥10% → +1. Capped at 10. No staffing evidence at all → observed: false.
6. Peer context, 10 points
Percentile of health-inspection badness (6 − rating) within the latest ≥20-facility state cohort snapshot: ≥p90 → 10; ≥p75 → 7; ≥p50 → 4. No qualifying cohort snapshot → observed: false (never scored against a fabricated peer group).
7. Deficiency-cycle window, 10 points
Months from the latest standard (non-complaint) survey to asOf, against the statutory survey cadence (42 USC 1395i-3(g)(2)(A): ≤15.9 months between standard surveys): ≥15.9 → 10 (survey due); 12, 15.9 → 7 (inside the window); 9, 12 → 4; else 0. No standard survey on record → observed: false.
Bands
0, 19 low · 20, 39 guarded · 40, 59 elevated · 60, 79 high · 80, 100 critical
Bands are presentation over the transparent total; the components are the substance.
Operator fingerprint (sps-v1)
Entity resolution v1: exact normalized (trimmed, uppercased, whitespace-collapsed) owner_name equality across the latest Ownership snapshot per CCN. The fingerprint reports the portfolio CCN list, mean and worst Survey Posture totals, band distribution, and SFF / SFF-candidate counts, every edge carrying its ownership coordinates. Known limitation (stated, not hidden): name-variant owners (e.g. punctuation differences) resolve as distinct entities until a stronger resolution rule ships in a future version.
Versioning
Any change to weights, thresholds, decay, or inputs bumps methodologyVersion (sps-v1 → sps-v2) and this document. Scores are comparable only within a version.