600 BUSINESS PARK WAY, ROYAL PALM BEACH, FL 33411 · CCN 105494
Composite
45.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 45.8% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
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.
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.
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.
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.
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.
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.
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.
Pre-registry model iteration, superseded by a later lease_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.
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.
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.
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.
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.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16
2025Q4 HPRD
This facility
FL median
National median
National p25–p75
Total nurse
3.15
3.42
3.28
2.90–3.77
RN
0.56
0.45
0.39
0.25–0.58
Weekend total
3.11
3.31
3.11
—
Weekday total
3.17
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
106.0
3.15
0.56
0.56
2.03
3.11
0.0%
2025Q3
92
103.8
3.18
0.56
0.56
2.07
3.14
0.0%
2025Q2
91
97.8
3.11
0.60
0.43
2.08
3.10
0.0%
2025Q1
90
107.0
3.05
0.51
0.51
2.03
3.04
0.0%
2024Q4
92
103.7
3.11
0.60
0.44
2.07
3.08
0.0%
2024Q3
92
107.0
3.15
0.60
0.44
2.11
3.10
0.0%
2024Q2
91
107.4
3.11
0.53
0.50
2.08
3.07
0.6%
2024Q1
91
101.7
3.08
0.43
0.59
2.06
3.02
2.5%
2023Q4
92
94.1
3.05
0.46
0.57
2.02
2.96
2.6%
2023Q3
92
97.7
3.08
0.41
0.63
2.04
2.99
4.9%
2023Q2
91
100.5
3.19
0.51
0.55
2.13
3.08
6.9%
2023Q1
90
96.3
3.24
0.55
0.54
2.15
3.10
14.5%
2022Q4
92
102.4
3.22
0.59
0.47
2.16
3.17
8.1%
2022Q3
92
92.1
3.19
0.59
0.47
2.12
3.12
12.2%
2022Q2
91
88.9
3.33
0.32
0.76
2.26
3.38
4.8%
2022Q1
90
93.2
3.61
0.29
0.78
2.54
3.41
0.3%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2025-06-20
2025-05-22
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-06-20
2025-05-22
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2025-06-20
2025-05-22
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-06-20
2025-05-22
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2025-06-20
2025-05-22
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2025-06-20
2025-05-22
Health
F0810
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
D
2025-06-20
2025-05-22
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-06-20
2025-05-22
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2025-06-20
2024-02-08
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-03-01
2024-02-08
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-03-01
2024-02-08
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-03-01
2024-02-08
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2024-03-01
2024-02-08
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.
D
2024-03-01
2024-02-08
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2024-03-01
2024-02-08
Health
F0917
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
D
2024-03-01
2022-09-23
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
E
2022-10-23
2022-09-23
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2022-10-23
2022-09-23
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2022-10-23
2022-09-23
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2022-10-23
2022-09-23
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2022-10-23
2022-09-23
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-10-23
2022-09-23
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2022-10-23
2022-09-23
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2022-10-23
2022-09-23
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.
D
2022-10-23
2022-09-23
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2022-10-23
2022-09-23
Health
F0885
Report COVID19 data to residents and families.
C
2022-10-23
2022-09-23
Health
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
D
2022-10-23
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
11
Owner
Role
Pct
From
Status
Source
ROYAL PALM BEACH FL PROPCO II LLC
Corporation, partnership or other organization has financial interest in provider
99%
2024-01-01
current
hcris_a_8_1
ROYAL PALM BEACH FL PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
50%
2023-01-01
current
hcris_a_8_1
ACHILLE, DIEUDEGRACE
W-2 MANAGING EMPLOYEE
—
2020-11-03
current
pecos_ownership
GORELICK, BATYA
CORPORATE OFFICER
—
2021-05-01
current
pecos_ownership
NAFTALI ZANZIPER
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2020-11-03
ended 2026-05-18
pecos_ownership
SIMCHA HYMAN
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2020-11-03
ended 2026-05-18
pecos_ownership
ROYAL PALM BEACH FL PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
50%
2022-01-01
ended 2022-12-31
hcris_a_8_1
ROYAL PALM BEACH FL PROPCO LLC
Individual has financial interest in both related organization and provider
50%
2020-11-03
ended 2021-12-31
hcris_a_8_1
ARGENT PROPERTIES LLC
Corporation, partnership or other organization has financial interest in provider
—
2020-01-01
ended 2020-11-02
hcris_a_8_1
BATYA GORELICK
CORPORATE OFFICER
—
2021-05-01
ended 2026-05-18
pecos_ownership
DIEUDEGRACE ACHILLE
W-2 MANAGING EMPLOYEE
—
2020-11-03
ended 2026-05-18
pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$4,196,103
—
$643,316
$678,838
$70,312
15
propco
2023-12-31
$3,870,226
—
$412,926
$483,484
$54,255
14
propco
2022-12-31
$3,413,134
—
$416,763
$563,220
—
13
propco
2021-12-31
$3,345,654
—
$526,975
$540,659
—
13
propco
2020-11-02
$1,836,623
$612,810
—
$613,105
$43,770
24
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
35
Geo
Kind
BR
Amount
As of
Source
county 12099
acs median gross
0
$1,584
2024-12-31
CENSUS_ACS5
county 12099
fmr
0
$1,788
2025-10-01
HUD_USER_FMR
county 12099
acs median gross
1
$1,688
2024-12-31
CENSUS_ACS5
county 12099
fmr
1
$1,901
2025-10-01
HUD_USER_FMR
county 12099
acs median gross
2
$1,878
2024-12-31
CENSUS_ACS5
county 12099
fmr
2
$2,254
2025-10-01
HUD_USER_FMR
county 12099
acs median gross
3
$2,281
2024-12-31
CENSUS_ACS5
county 12099
fmr
3
$2,920
2025-10-01
HUD_USER_FMR
county 12099
acs median gross
4
$2,678
2024-12-31
CENSUS_ACS5
county 12099
fmr
4
$3,388
2025-10-01
HUD_USER_FMR
county 12099
acs median gross
5
$3,061
2024-12-31
CENSUS_ACS5
county 12099
acs median gross
$1,916
2024-12-31
CENSUS_ACS5
county 12099
acs recent mover gross
$2,333
2024-12-31
CENSUS_ACS5
zcta 33411
acs median gross
1
$1,654
2024-12-31
CENSUS_ACS5
zcta 33411
acs median gross
2
$1,842
2024-12-31
CENSUS_ACS5
zcta 33411
acs median gross
3
$2,456
2024-12-31
CENSUS_ACS5
zcta 33411
acs median gross
4
$2,513
2024-12-31
CENSUS_ACS5
zcta 33411
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
zcta 33411
acs median gross
$2,002
2024-12-31
CENSUS_ACS5
zcta 33411
acs recent mover gross
$2,303
2024-12-31
CENSUS_ACS5
zip 33411
payment standard 110
0
$2,057
2025-10-01
HUD_USER_SAFMR
zip 33411
payment standard 90
0
$1,683
2025-10-01
HUD_USER_SAFMR
zip 33411
safmr
0
$1,870
2025-10-01
HUD_USER_SAFMR
zip 33411
payment standard 110
1
$2,189
2025-10-01
HUD_USER_SAFMR
zip 33411
payment standard 90
1
$1,791
2025-10-01
HUD_USER_SAFMR
zip 33411
safmr
1
$1,990
2025-10-01
HUD_USER_SAFMR
zip 33411
payment standard 110
2
$2,596
2025-10-01
HUD_USER_SAFMR
zip 33411
payment standard 90
2
$2,124
2025-10-01
HUD_USER_SAFMR
zip 33411
safmr
2
$2,360
2025-10-01
HUD_USER_SAFMR
zip 33411
payment standard 110
3
$3,366
2025-10-01
HUD_USER_SAFMR
zip 33411
payment standard 90
3
$2,754
2025-10-01
HUD_USER_SAFMR
zip 33411
safmr
3
$3,060
2025-10-01
HUD_USER_SAFMR
zip 33411
payment standard 110
4
$3,905
2025-10-01
HUD_USER_SAFMR
zip 33411
payment standard 90
4
$3,195
2025-10-01
HUD_USER_SAFMR
zip 33411
safmr
4
$3,550
2025-10-01
HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.