Reads as: riskier than 22.6% 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.
ML signals — parallel engine
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
47 chains
FORVIS MAZARS LLP
251 facilities
connection
Owner spans multiple chains
6 chains
SUMMATION FINANCIAL SERVICES LLC
48 facilities
connection
Owner spans multiple chains
4 chains
PEASE BELL CPAS LLC
13 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
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 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
14
2025Q4 HPRD
This facility
FL median
National median
National p25–p75
Total nurse
3.30
3.42
3.28
2.90–3.77
RN
0.29
0.45
0.39
0.25–0.58
Weekend total
3.26
3.31
3.11
—
Weekday total
3.32
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
111.4
3.30
0.29
0.88
2.13
3.26
0.0%
2025Q3
92
113.8
3.27
0.30
0.85
2.13
3.20
0.0%
2025Q2
91
106.9
3.22
0.22
0.89
2.11
3.21
0.0%
2025Q1
90
107.1
3.21
0.18
0.94
2.08
3.21
0.0%
2024Q4
92
108.8
3.23
0.25
0.88
2.10
3.20
0.0%
2024Q3
92
107.1
3.20
0.17
0.92
2.11
3.18
0.0%
2024Q2
91
108.5
3.19
0.20
0.92
2.07
3.08
0.0%
2024Q1
91
108.5
3.15
0.21
0.89
2.05
3.11
0.0%
2023Q4
92
104.5
3.19
0.21
0.87
2.11
3.10
0.0%
2023Q3
92
95.7
3.17
0.21
0.89
2.07
3.16
0.0%
2023Q2
91
89.6
3.23
0.36
0.79
2.09
3.22
0.0%
2023Q1
90
96.6
3.20
0.39
0.71
2.10
2.97
2.4%
2022Q4
92
93.5
3.05
0.32
0.64
2.10
2.73
4.2%
2022Q3
92
91.9
2.83
0.23
0.77
1.83
2.28
39.9%
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.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
19
D × 15E × 1F × 2G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-11-21
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-12-16
2023-01-06
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2023-02-06
2023-01-06
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2023-02-06
2023-01-06
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-02-06
2023-01-06
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-02-06
2023-01-06
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-02-06
2023-01-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-02-28
2023-01-06
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-03-06
2023-01-06
Health
F0908
Keep all essential equipment working safely.
F
2023-02-28
2021-05-27
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2021-07-05
2021-05-27
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2021-07-06
2021-05-27
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2021-07-07
2021-05-27
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2021-07-06
2021-05-27
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2021-07-05
2021-05-27
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2021-07-05
2021-05-27
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
E
2021-07-05
2021-05-27
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2021-07-12
2021-05-27
Health
F0760
Ensure that residents are free from significant medication errors.
D
2021-07-07
2021-05-27
Health
F0761
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
2021-07-06
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
34
Owner
Role
Pct
From
Status
Source
JACKSONVILLE 3 ORANGE PARK OPCO HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-09-09
current
pecos_ownership
JACKSONVILLE ORANGE PARK OPCO HOLDIN
Corporation, partnership or other organization has financial interest in provider
100%
2023-01-01
current
hcris_a_8_1
ORANGE PARK PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
JEK IRRV TR II
5% OR GREATER INDIRECT OWNERSHIP INTEREST
13%
2022-09-09
current
pecos_ownership
NMJ IRRV TR II
5% OR GREATER INDIRECT OWNERSHIP INTEREST
13%
2022-09-09
current
pecos_ownership
CUKIER, BROCHA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2022-09-09
current
pecos_ownership
AB MARBEC REALTY GROUP
5% OR GREATER INDIRECT OWNERSHIP INTEREST
9%
2022-09-09
current
pecos_ownership
GLUCK, BENJAMIN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2022-09-09
current
pecos_ownership
JACOBOWITZ, JUDAH
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2022-09-09
current
pecos_ownership
CUKIER, JOSEF
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-09
current
pecos_ownership
FORVIS MAZARS LLP
ADP OF THE SNF
—
2022-09-09
current
pecos_ownership
FOSTER-JACKSON, TRINITY
ADP OF THE SNF
—
2023-01-30
current
pecos_ownership
FRIEDLAND, SHALOM
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-09
current
pecos_ownership
JACKSONVILLE 3 PROPCO HOLDINGS LLC
5% OR GREATER MORTGAGE INTEREST
—
2022-09-09
current
pecos_ownership
JAKOBOVITS, NATHAN
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-10-07
current
pecos_ownership
JEK HOLDINGS LLC
ADP OF THE SNF
—
2022-09-09
current
pecos_ownership
KAGAN, JEFFREY
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-10-07
current
pecos_ownership
NMJ HOLDINGS LLC
ADP OF THE SNF
—
2022-09-09
current
pecos_ownership
ORANGE PARK PROPCO LLC
5% OR GREATER MORTGAGE INTEREST
—
2022-09-09
current
pecos_ownership
PEASE BELL CPAS LLC
ADP OF THE SNF
—
2022-09-09
current
pecos_ownership
SF IRREVOCABLE TRUST
TRUSTEE OF THE SNF
—
2022-09-09
current
pecos_ownership
SUMMATION FINANCIAL SERVICES LLC
ADP OF THE SNF
—
2022-09-09
current
pecos_ownership
VISHEN, RAJESH
ADP OF THE SNF
—
2024-04-01
current
pecos_ownership
VIVO HEALTHCARE CONSULTING LLC
ADP OF THE SNF
—
2022-09-09
current
pecos_ownership
JACKSONVILLE FL PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
100%
2021-08-01
ended 2021-12-31
hcris_a_8_1
ORANGE PARK FL PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
100%
2022-01-01
ended 2022-09-08
hcris_a_8_1
ORANGE PARK PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
100%
2022-09-09
ended 2022-12-31
hcris_a_8_1
BROCHA CUKIER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2022-09-09
ended 2026-05-18
pecos_ownership
JOSEF CUKIER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2022-09-09
ended 2026-05-18
pecos_ownership
BENJAMIN GLUCK
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2022-09-09
ended 2026-05-18
pecos_ownership
JUDAH JACOBOWITZ
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2022-09-09
ended 2026-05-18
pecos_ownership
RAJESH VISHEN
ADP OF THE SNF
—
2024-04-01
ended 2026-05-18
pecos_ownership
SHALOM FRIEDLAND
ADP OF THE SNF
—
2022-09-09
ended 2026-05-18
pecos_ownership
TRINITY FOSTER-JACKSON
ADP OF THE SNF
—
2023-01-30
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
7
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$2,948,195
—
$3,030
—
$44,454
9
propco
2023-12-31
$2,442,410
—
$747
—
$58,005
9
propco
2022-12-31
$739,528
—
—
—
—
5
propco
2022-09-08
$1,333,896
—
$347,276
—
—
8
propco
2021-12-31
$648,609
—
—
—
—
6
propco
2021-07-31
$249,383
—
$249,383
—
—
2
—
2020-12-31
$429,362
—
$429,362
—
—
2
—
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 12019
acs median gross
0
$1,289
2024-12-31
CENSUS_ACS5
county 12019
fmr
0
$1,355
2025-10-01
HUD_USER_FMR
county 12019
acs median gross
1
$1,303
2024-12-31
CENSUS_ACS5
county 12019
fmr
1
$1,382
2025-10-01
HUD_USER_FMR
county 12019
acs median gross
2
$1,394
2024-12-31
CENSUS_ACS5
county 12019
fmr
2
$1,658
2025-10-01
HUD_USER_FMR
county 12019
acs median gross
3
$1,647
2024-12-31
CENSUS_ACS5
county 12019
fmr
3
$2,043
2025-10-01
HUD_USER_FMR
county 12019
acs median gross
4
$2,132
2024-12-31
CENSUS_ACS5
county 12019
fmr
4
$2,561
2025-10-01
HUD_USER_FMR
county 12019
acs median gross
5
$2,526
2024-12-31
CENSUS_ACS5
county 12019
acs median gross
$1,551
2024-12-31
CENSUS_ACS5
county 12019
acs recent mover gross
$1,776
2024-12-31
CENSUS_ACS5
zcta 32073
acs median gross
0
$1,346
2024-12-31
CENSUS_ACS5
zcta 32073
acs median gross
1
$1,269
2024-12-31
CENSUS_ACS5
zcta 32073
acs median gross
2
$1,476
2024-12-31
CENSUS_ACS5
zcta 32073
acs median gross
3
$1,751
2024-12-31
CENSUS_ACS5
zcta 32073
acs median gross
4
$1,847
2024-12-31
CENSUS_ACS5
zcta 32073
acs median gross
$1,472
2024-12-31
CENSUS_ACS5
zcta 32073
acs recent mover gross
$1,721
2024-12-31
CENSUS_ACS5
zip 32073
payment standard 110
0
$1,474
2025-10-01
HUD_USER_SAFMR
zip 32073
payment standard 90
0
$1,206
2025-10-01
HUD_USER_SAFMR
zip 32073
safmr
0
$1,340
2025-10-01
HUD_USER_SAFMR
zip 32073
payment standard 110
1
$1,507
2025-10-01
HUD_USER_SAFMR
zip 32073
payment standard 90
1
$1,233
2025-10-01
HUD_USER_SAFMR
zip 32073
safmr
1
$1,370
2025-10-01
HUD_USER_SAFMR
zip 32073
payment standard 110
2
$1,804
2025-10-01
HUD_USER_SAFMR
zip 32073
payment standard 90
2
$1,476
2025-10-01
HUD_USER_SAFMR
zip 32073
safmr
2
$1,640
2025-10-01
HUD_USER_SAFMR
zip 32073
payment standard 110
3
$2,222
2025-10-01
HUD_USER_SAFMR
zip 32073
payment standard 90
3
$1,818
2025-10-01
HUD_USER_SAFMR
zip 32073
safmr
3
$2,020
2025-10-01
HUD_USER_SAFMR
zip 32073
payment standard 110
4
$2,783
2025-10-01
HUD_USER_SAFMR
zip 32073
payment standard 90
4
$2,277
2025-10-01
HUD_USER_SAFMR
zip 32073
safmr
4
$2,530
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.