Clinical data shown is representative sandbox data  ·  Live PCC connection established at go-live
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Cascadia Healthcare
Shaw Mountain
Facility Intelligence Briefing
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Licensed Beds
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Current Residents
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CMS Star Rating
Powered by JockiBox  ·  Built for Cascadia Healthcare
Cascadia Network
Portfolio Overview
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Buildings
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States
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Avg Occupancy
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Avg Star Rating
Cascadia Idaho Facilities
YOU ARE HERE
Shaw Mountain
Boise, ID
★★★★
120 beds
81% occupancy
Cascadia of Boise
Boise, ID
★★★★★
5-Star
Twin Falls TC
Twin Falls, ID
★★★★★
5-Star
Aspen Park
Moscow, ID
★★★★★
5-Star
Mountain Valley
Kellogg, ID
★★★★★
5-Star
+44
more buildings across WA, OR, MT, AZ
Shaw Mountain is one of 49 buildings in the Cascadia network. Intelligence from every building informs the benchmarks you see throughout this briefing.
Census & Occupancy
Occupancy Intelligence
0% Occupancy 0% 100%
Medicare 22% Medicaid 54% Private 24%
Current Census 97 of 120
Available Beds 23
Medicare Days Today 24
Weekly Avg Medicare Days 19.4
7-Day ADC Trend
Sun
Mon
Tue
Wed
Thu
Fri
Sat
HIPAA Certified
PCC HIPAA
Anthropic BAA
Clinical Performance
Quality Measures
Falls with Major Injury
1.2%
National avg: 2.8%
Above Benchmark
Pressure Ulcers
0.8%
National avg: 1.9%
Above Benchmark
UTI Rate
2.1%
National avg: 3.4%
Above Benchmark
Antipsychotic Use
14.2%
National avg: 14.8%
Watch
Rehospitalization Rate
16.8%
National avg: 19.2%
Above Benchmark
Functional Decline
22.1%
National avg: 28.4%
Coding Opportunity
HIPAA Certified
PCC HIPAA
Anthropic BAA
Revenue Optimization
PDPM Intelligence
1.18
Case Mix Index
Idaho State Median1.14
Shaw Mountain RankTop 35% Idaho SNFs
PDPM Component Capture
PT
PT
82%
OT
OT
79%
SLP
SLP
71%
NUR
NUR
88%
NTA
NTA
74%
HIPAA Certified
PCC HIPAA
Anthropic BAA
Documentation Gaps Identified This Week
Major Depression — Section E incomplete on 4 residents
Clinical evidence present in chart — MDS capture missing
+$340 / resident / mo
COPD exacerbation — therapy minutes under-documented (3 residents)
NTA complexity not reflected in current RUG
+$180 / resident / mo
Wound care complexity — RUG not reflecting acuity (2 residents)
RAP assessment overdue
+$210 / resident / mo
Total Documented but Uncaptured
$730 / month
Workforce Compliance
Staffing & CMS Compliance
3.71
NHPPD · Nursing Hours per Patient Day
2.5 3.48 min 4.0 4-star 5.0
CMS Minimum Met Below 4-Star Threshold
Gap to 4-Star Staffing
+0.29 NHPPD
~28 additional nursing hours/day · 1 part-time RN shift
HIPAA Certified
PCC HIPAA
7-Day Staffing (RN + CNA Hours)
Sun
RN
Mon
RN
Tue
RN
Wed
RN
Thu
RN
Fri
RN
Sat
RN
18.4
RN Hours Today
323
CNA Hours Today
0
Days Below Min This Qtr
3★
Staffing Star Component
Financial Performance
Revenue & Operating Metrics
Revenue Per Patient Day
Medicare RPPD $682
Budget: $695  ·  -1.9% below
Medicaid RPPD $228
Budget: $224  ·  +1.8% above
Private Pay RPPD $318
Budget: $305  ·  +4.3% above
Medicare RPPD 1.9% below budget — review census timing and level of care documentation
Operating Performance
Total Monthly Revenue
$847K
Budget: $862K · -$15K
Labor % of Revenue
58.2%
Budget: 57.0% · +1.2 pts over
EBITDA
$89K
Budget: $94K · -5.3% below
Primary Lever
Close the Medicare RPPD gap through improved level-of-care documentation and census timing optimization
Regulatory Compliance
Survey History & Readiness
Survey Timeline
March 2026
Standard Survey · 2 Citations
Both corrected and closed. No outstanding items.
Closed
September 2025
Standard Survey · 0 Citations
Clean survey.
Clean
March 2025
Standard Survey · 1 Citation
Corrected within window.
Closed
September–November 2026
Next Survey Window
Pre-survey readiness action recommended.
Upcoming
Open Citations Today
0
HIPAA Certified
Anthropic BAA
78/100
Pre-Survey Readiness Score
Action Recommended
Readiness Domains
Infection ControlPass
Medication ManagementPass
Resident RightsPass
Staffing DocumentationReview Needed
Care Plan CompliancePass
Discipline File Completeness2 Files Incomplete
Documentation Accuracy
MDS Quality
Section Accuracy
Section A — Patient Identification100%
Section B — Hearing & Vision96%
Section C — Cognition (BIMS)94%
Section E — Mood / Behavior87%
4 residents with clinical evidence not captured
Section GG — Functional Performance82%
Coding opportunity — avg score 14.2 vs national 13.8
91%
Overall MDS Accuracy
Section E Opportunity
4 residents have clinical documentation supporting depression diagnoses not yet captured in MDS. Affects both quality measures and PDPM reimbursement.
Assessments Due — Next 14 Days
6
90-day assessments pending
HIPAA Certified
PCC HIPAA
Anthropic BAA
Care Transitions
Discharge & Transition Intelligence
Discharge Destinations — 90-Day Rolling
Home + Home Health
34%
Assisted Living
22%
Hospital Return
16.8%
Deceased
12%
Long-Term Placement
7.2%
SNF Transfer
8%
HIPAA Certified
PCC HIPAA
Anthropic BAA
16.8%
Rehospitalization Rate
National avg: 19.2%
24.3
Avg Medicare Length of Stay (days)
87th
Short-Stay Quality Percentile · Idaho
Top Performer
Monitor
8% SNF-to-SNF transfer rate may reflect placement pressure. Review transfer reasons quarterly.
Daily Intelligence Platform
Meet Monty
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What's our census today?
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Census is 97 today — 81% occupancy. Medicare days at 24, trending up from the 19.4 weekly average. 23 beds available.
Any PDPM gaps this week?
Ask Monty anything...
Everything in this briefing is available on demand
Ask Monty anything — census, PDPM gaps, staffing risk, survey readiness. Answer in seconds.
Real-time answers
Census, staffing, survey — ask in plain language
5 new features this week
Building Brief, Survey Readiness, NHPPD, Employee Records, Exit Interviews
Action, not reports
Monty drafts documents, flags risks, identifies gaps
Open Monty Live
Market Intelligence
5-Mile Competitor Map
Boise, Idaho — 5-Mile Radius
2mi 3.5mi 5mi SM Shaw Mtn ★★★★ · 4-Star Boise Rehab ★★★ · 1.2mi Willow Creek ★★★ · 2.4mi Life Care Boise ★★★★ · 3.1mi Riverside Rehab ★★★ · 4.2mi Heritage Senior ★★★★ · 4.8mi
Shaw Mountain (4-star)
4-Star competitor
3-Star competitor
Shaw Mountain leads the 5-mile market
3 of 5 nearby competitors are 3-star. Families searching online for skilled nursing in Boise see the difference.
Boise Rehab & Nursing
89 beds · Est. 84% occ.
★★★
1.2 mi
Willow Creek Healthcare
60 beds · Est. 79% occ.
★★★
2.4 mi
Life Care of Boise
100 beds · Rehab focus
★★★★
3.1 mi
Riverside Rehabilitation
75 beds · Est. 76% occ.
★★★
4.2 mi
Heritage Senior Living
84 beds · Est. 88% occ.
★★★★
4.8 mi
Shaw Mountain Advantages
Quality measures — best in market
NHPPD — above all 3-star competitors
Length of stay — 24.3 days vs market avg 19.8
4-Star rating — a differentiator families notice
Idaho CMI Research
Case Mix Ranking
Top Idaho SNFs by CMI — 100+ Beds
#1
1.45
1.45
#2
1.42
1.42
#3
1.38
1.38
#4
1.35
1.35
#5
1.31
1.31
#6
1.28
1.28
#7
1.24
1.24
#8
1.21
1.21
#9
1.19
1.19
#10
Shaw Mtn 1.18
1.18
#11
1.17
1.17
avg
Idaho avg
1.14
Documentation Improvements
Capture Major Depression — Section E
+0.04 CMI improvement
+$12,400/year
Document COPD NTA Complexity
+0.03 CMI improvement
+$9,300/year
Wound Care RAP Completion
+0.02 CMI improvement
+$6,200/year
Full Capture Opportunity
$27,900/year
+0.09 CMI → rank #5 statewide
Human Capital
Workforce Intelligence
68%
Annual Turnover
Idaho avg: 74%
8.2%
Vacancy Rate
5 open positions
94%
Training Compliance
HIPAA, abuse prev, fire
2.4
Avg Tenure (years)
Above market avg
Exit Interview Data — Last 6 Months
Scheduling Conflicts
40%
40%
Better Pay Elsewhere
35%
35%
Management Issues
15%
15%
Personal Reasons
10%
10%
Competitive Advantage
Turnover at 68% — 8 points below the Idaho SNF average. In a tight labor market, this matters. Lower turnover means lower recruitment costs, higher care continuity, and stronger survey performance.
Risk Flag
1 RN vacancy open 47 days. At 60 days this affects the staffing quality score. Fill priority: high.
Open Positions
RN — Day Shift47 days open
CNA — Evening12 days open
CNA — Night8 days open
CNA — PRN3 days open
Dietary Aide18 days open
Shaw Mountain + JockiBox
What this looks like at scale
Shaw Mountain AI Agent
Monty is live
monty.jockivalet.com
Part of the Cascadia Network
49 Buildings · 5 States
Intelligent operations across the fleet
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Daily intelligence Every metric in this briefing, updated daily, available through Monty the moment you need it
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Fleet-wide vision All 49 Cascadia buildings connected — compare, benchmark, identify patterns across the portfolio
Questions
Owen Hammond
JockiBox New Ventures