Reads as: riskier than 37.0% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
4 chains
AMERGIS HEALTHCARE STAFFING INC
9 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
16
2025Q4 HPRD
This facility
NH median
National median
National p25–p75
Total nurse
3.21
3.28
3.28
2.90–3.77
RN
0.29
0.52
0.39
0.25–0.58
Weekend total
3.09
3.14
3.11
—
Weekday total
3.26
3.32
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
239.7
3.21
0.29
0.79
2.14
3.09
17.1%
2025Q3
92
238.2
3.15
0.28
0.74
2.13
2.96
16.8%
2025Q2
91
238.7
3.18
0.28
0.74
2.15
2.98
15.8%
2025Q1
90
236.8
3.22
0.30
0.76
2.16
3.00
15.7%
2024Q4
92
239.1
3.21
0.32
0.77
2.12
3.02
16.6%
2024Q3
92
240.6
3.19
0.34
0.71
2.14
3.04
22.1%
2024Q2
91
236.3
3.29
0.33
0.67
2.29
3.10
24.0%
2024Q1
91
236.5
3.23
0.34
0.66
2.23
3.02
26.8%
2023Q4
92
241.1
3.20
0.33
0.69
2.18
3.05
30.6%
2023Q3
92
241.6
3.10
0.33
0.67
2.10
2.82
30.4%
2023Q2
91
232.4
3.10
0.29
0.63
2.18
2.80
25.6%
2023Q1
90
234.0
3.08
0.34
0.59
2.15
2.82
22.6%
2022Q4
92
238.2
2.81
0.36
0.53
1.93
2.59
15.6%
2022Q3
92
238.1
2.69
0.36
0.51
1.81
2.48
5.0%
2022Q2
91
239.6
2.62
0.37
0.54
1.71
2.37
1.9%
2022Q1
90
229.6
2.76
0.38
0.56
1.81
2.56
3.3%
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.
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
8
D × 8
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-04-03
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-05-09
2025-04-03
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-05-09
2024-05-01
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2024-06-21
2024-05-01
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-06-24
2024-05-01
Health
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2024-06-21
2024-05-01
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2024-06-19
2023-04-06
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-05-29
2023-04-06
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
2023-05-29
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
45
Owner
Role
Pct
From
Status
Source
COUNTY OF HILLSBOROUGH
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
—
current
pecos_ownership
ADAMS, PAULA
ADP OF THE SNF
—
2016-02-28
current
pecos_ownership
AMERGIS HEALTHCARE STAFFING, INC
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
BATLIVALA, ZUBIN
ADP OF THE SNF
—
2009-08-04
current
pecos_ownership
BENNETT, CHRISTOPHER
OPERATIONAL/MANAGERIAL CONTROL
—
2006-07-19
current
pecos_ownership
BURT, PHYLLIS
ADP OF THE SNF
—
2006-10-22
current
pecos_ownership
CIMINESI, STEVEN
ADP OF THE SNF
—
2019-12-30
current
pecos_ownership
DUBOIS, TONYA
OPERATIONAL/MANAGERIAL CONTROL
—
2011-03-10
current
pecos_ownership
FUSION MEDICAL STAFFING LLC
ADP OF THE SNF
—
2024-07-01
current
pecos_ownership
GRADY, PATRICK
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-01
current
pecos_ownership
HOLT, KATHY
OPERATIONAL/MANAGERIAL CONTROL
—
2019-05-26
current
pecos_ownership
LAZZAR, LINDA
OPERATIONAL/MANAGERIAL CONTROL
—
2019-05-12
current
pecos_ownership
LOCKE, RACHEL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-12
current
pecos_ownership
MAS MEDICAL STAFFING LLC
ADP OF THE SNF
—
2006-12-12
current
pecos_ownership
MCALLISTER, GEOFFREY
ADP OF THE SNF
—
2022-04-04
current
pecos_ownership
MECARE STAFFING
ADP OF THE SNF
—
2025-07-01
current
pecos_ownership
PAPPAS, ANTONIE
MANAGING CONTROL - GOVERNING BODY
—
2001-01-03
current
pecos_ownership
RAMSAY, SHERYL
OPERATIONAL/MANAGERIAL CONTROL
—
2005-11-29
current
pecos_ownership
RICHARDSON, RONDA
OPERATIONAL/MANAGERIAL CONTROL
—
2020-11-16
current
pecos_ownership
ROSS, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2017-10-30
current
pecos_ownership
ROWE, ROBERT
MANAGING CONTROL - GOVERNING BODY
—
2016-06-02
current
pecos_ownership
SNOOK, HEIDI
ADP OF THE SNF
—
2024-07-29
current
pecos_ownership
SOUCY, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-06
current
pecos_ownership
TASH, LISA
ADP OF THE SNF
—
2016-10-17
current
pecos_ownership
VACHON & CLUKAY & CO, PC
OPERATIONAL/MANAGERIAL CONTROL
—
2018-07-01
current
pecos_ownership
VACHON & CLUKAY & CO, PC
ADP OF THE SNF
—
2025-06-26
current
pecos_ownership
ANTONIE PAPPAS
MANAGING CONTROL - GOVERNING BODY
—
2001-01-03
ended 2026-05-18
pecos_ownership
CHRISTOPHER BENNETT
OPERATIONAL/MANAGERIAL CONTROL
—
2006-07-19
ended 2026-05-18
pecos_ownership
DAVID ROSS
OPERATIONAL/MANAGERIAL CONTROL
—
2017-10-30
ended 2026-05-18
pecos_ownership
GEOFFREY MCALLISTER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-04-04
ended 2026-05-18
pecos_ownership
HEIDI SNOOK
ADP OF THE SNF
—
2024-07-29
ended 2026-05-18
pecos_ownership
KATHY HOLT
OPERATIONAL/MANAGERIAL CONTROL
—
2019-05-26
ended 2026-05-18
pecos_ownership
LINDA LAZZAR
OPERATIONAL/MANAGERIAL CONTROL
—
2019-05-12
ended 2026-05-18
pecos_ownership
LISA TASH
ADP OF THE SNF
—
2016-10-17
ended 2026-05-18
pecos_ownership
MICHAEL SOUCY
MANAGING CONTROL - GOVERNING BODY
—
2021-01-06
ended 2026-05-18
pecos_ownership
PATRICK GRADY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-01
ended 2026-05-18
pecos_ownership
PAULA ADAMS
OPERATIONAL/MANAGERIAL CONTROL
—
2016-02-28
ended 2026-05-18
pecos_ownership
PHYLLIS BURT
ADP OF THE SNF
—
2006-10-22
ended 2026-05-18
pecos_ownership
RACHEL LOCKE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-12
ended 2026-05-18
pecos_ownership
ROBERT ROWE
MANAGING CONTROL - GOVERNING BODY
—
2016-06-02
ended 2026-05-18
pecos_ownership
RONDA RICHARDSON
ADP OF THE SNF
—
2020-11-16
ended 2026-05-18
pecos_ownership
SHERYL RAMSAY
ADP OF THE SNF
—
2005-11-29
ended 2026-05-18
pecos_ownership
STEVEN CIMINESI
OPERATIONAL/MANAGERIAL CONTROL
—
2019-12-30
ended 2026-05-18
pecos_ownership
TONYA DUBOIS
OPERATIONAL/MANAGERIAL CONTROL
—
2011-03-10
ended 2026-05-18
pecos_ownership
ZUBIN BATLIVALA
ADP OF THE SNF
—
2009-08-04
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
29
Geo
Kind
BR
Amount
As of
Source
county 33011
acs median gross
0
$1,194
2024-12-31
CENSUS_ACS5
county 33011
acs median gross
1
$1,296
2024-12-31
CENSUS_ACS5
county 33011
acs median gross
2
$1,722
2024-12-31
CENSUS_ACS5
county 33011
acs median gross
3
$1,835
2024-12-31
CENSUS_ACS5
county 33011
acs median gross
4
$2,025
2024-12-31
CENSUS_ACS5
county 33011
acs median gross
5
$1,566
2024-12-31
CENSUS_ACS5
county 33011
acs median gross
$1,623
2024-12-31
CENSUS_ACS5
county 33011
acs recent mover gross
$1,932
2024-12-31
CENSUS_ACS5
zcta 03045
acs median gross
1
$1,245
2024-12-31
CENSUS_ACS5
zcta 03045
acs median gross
2
$1,702
2024-12-31
CENSUS_ACS5
zcta 03045
acs median gross
3
$1,675
2024-12-31
CENSUS_ACS5
zcta 03045
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 03045
acs median gross
$1,486
2024-12-31
CENSUS_ACS5
zcta 03045
acs recent mover gross
$1,228
2024-12-31
CENSUS_ACS5
zip 03045
payment standard 110
0
$1,628
2025-10-01
HUD_USER_SAFMR
zip 03045
payment standard 90
0
$1,332
2025-10-01
HUD_USER_SAFMR
zip 03045
safmr
0
$1,480
2025-10-01
HUD_USER_SAFMR
zip 03045
payment standard 110
1
$1,793
2025-10-01
HUD_USER_SAFMR
zip 03045
payment standard 90
1
$1,467
2025-10-01
HUD_USER_SAFMR
zip 03045
safmr
1
$1,630
2025-10-01
HUD_USER_SAFMR
zip 03045
payment standard 110
2
$2,354
2025-10-01
HUD_USER_SAFMR
zip 03045
payment standard 90
2
$1,926
2025-10-01
HUD_USER_SAFMR
zip 03045
safmr
2
$2,140
2025-10-01
HUD_USER_SAFMR
zip 03045
payment standard 110
3
$2,827
2025-10-01
HUD_USER_SAFMR
zip 03045
payment standard 90
3
$2,313
2025-10-01
HUD_USER_SAFMR
zip 03045
safmr
3
$2,570
2025-10-01
HUD_USER_SAFMR
zip 03045
payment standard 110
4
$3,124
2025-10-01
HUD_USER_SAFMR
zip 03045
payment standard 90
4
$2,556
2025-10-01
HUD_USER_SAFMR
zip 03045
safmr
4
$2,840
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.