Product methodology
Nursing Home Outcome Surveillance
Source contract, normalization path, entity-graph join, refresh posture, and publication limits for this Branmoor product.
Status
In service. This product has a functional preview or paid engagement surface in the current site. The full licensed product may still include private exports, alerts, APIs, or buyer-specific diligence that are not exposed publicly.
Distribution Scope
Nationwide; TN SNF layer; Nashville SNF watch
Product Question
Tracks mortality, hospitalization, staffing, ownership, and inspection risk.
Primary Sources
- CMS Nursing Home Care Compare — Facility quality measures, staffing, deficiencies
- CMS Payroll-Based Journal — Direct care staffing hours by facility, day-level
- CMS Nursing Home Ownership data — Owners, related parties, management companies
- Medicare claims (CCW) — Resident deaths and discharge dispositions
- State inspection reports — State-specific deficiency findings
Entity-Graph Join
SNF `ccn`, owner `npi`/`irs_ein`, county, parent entity.
Publication Rule
Branmoor does not treat raw public records as the product. A surface is publishable only when the source record is dated, normalized, source-linked, and joined to the relevant Branmoor entity identifiers with enough confidence to state the limits of the result.
Current Methodology Note
v1 surfaces every Medicare-certified SNF with CMS-published risk-standardized readmissions, discharge-to-community, hospitalization, and MSPB efficiency, plus the Better/Same/Worse comparison against the national rate. v2 adds Payroll-Based Journal staffing-adjusted expected mortality, ownership-network overlay (to surface PE-roll-up cluster patterns), and Medicare claims-derived mortality (DUA-gated).
Limits
Coverage follows the underlying source. Missing state portals, gated APIs, PDF-only filings, suppressed fields, lagged agency refreshes, and entity-name ambiguity can all limit product completeness. Pending products are not marketed as live until those limits are documented on the product surface.