Composite
50.7 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 79.7 | 66.7 | 0.30 | 0.2308 | 18.39 | in index |
| regulatory risk | 42.6 | 31.4 | 0.30 | 0.2308 | 9.83 | in index |
| billing conduct | 35.4 | 34.0 | 0.30 | 0.2308 | 8.17 | in index |
| staffing risk | 41.8 | 41.9 | 0.25 | 0.1923 | 8.04 | in index |
| chow risk | 36.6 | 39.7 | 0.15 | 0.1154 | 4.22 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 34.0 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.4 | A | v0.1-pos | default · in composite | 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. |
| chow risk | 54.9 | C | v0.6 | default · in composite | |
| financial risk | 66.7 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.3 | — | v0.1 | default · in composite | 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. |
| p chow 12m | 0.0 | — | v0.1 | default · in 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. |
| regulatory risk | 31.4 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 41.9 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 78.6 | D | v0.1 | superseded | 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. |
| financial risk | 58.6 | C | v0.2 | superseded | 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. |
| financial risk | 59.9 | C | v0.3 | superseded | 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. |
| financial risk | 68.8 | D | v0.4 | superseded | 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. |
| regulatory risk | 31.3 | B | v0.1 | superseded | 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. |
| regulatory risk | 31.3 | B | v0.2 | superseded | 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. |
| staffing risk | 41.9 | B | v0.1 | superseded | 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. |
| staffing risk | 41.9 | B | v0.2 | superseded | 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. |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 3.41 | -1.51 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Occupancy | 0.83 | -0.37 | |
| Deficiencies, last 12 months | 0.00 | -0.17 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| Chain size (log) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.83 | -0.33 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 3.41 | -0.25 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
| 2025Q4 HPRD | This facility | FL median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.42 | 3.42 | 3.28 | 2.90–3.77 |
| RN | 0.63 | 0.45 | 0.39 | 0.25–0.58 |
| Weekend total | 3.36 | 3.31 | 3.11 | — |
| Weekday total | 3.45 | 3.48 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 99.2 | 3.42 | 0.63 | 0.46 | 2.34 | 3.36 | 0.0% |
| 2025Q3 | 92 | 105.2 | 3.09 | 0.64 | 0.33 | 2.12 | 3.02 | 0.0% |
| 2025Q2 | 91 | 101.7 | 3.44 | 0.68 | 0.43 | 2.34 | 3.20 | 0.0% |
| 2025Q1 | 90 | 97.9 | 3.47 | 0.71 | 0.43 | 2.32 | 3.23 | 0.0% |
| 2024Q4 | 92 | 91.2 | 3.47 | 0.77 | 0.51 | 2.18 | 3.32 | 0.0% |
| 2024Q3 | 92 | 86.2 | 3.50 | 0.82 | 0.49 | 2.18 | 3.33 | 0.0% |
| 2024Q2 | 91 | 77.1 | 3.95 | 1.14 | 0.45 | 2.36 | 3.67 | 0.0% |
| 2024Q1 | 91 | 82.2 | 3.87 | 1.04 | 0.38 | 2.45 | 3.69 | 0.0% |
| 2023Q1 | 90 | 75.4 | 3.37 | 0.55 | 0.61 | 2.20 | 3.17 | 2.3% |
| 2022Q4 | 92 | 65.5 | 3.42 | 0.60 | 0.53 | 2.29 | 3.04 | 2.0% |
| 2022Q3 | 92 | 65.4 | 3.56 | 0.53 | 0.60 | 2.43 | 3.34 | 8.3% |
| 2022Q2 | 91 | 64.8 | 3.44 | 0.53 | 0.70 | 2.21 | 3.43 | 5.7% |
| 2022Q1 | 90 | 68.3 | 3.84 | 0.65 | 0.81 | 2.38 | 3.78 | 4.0% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-04-26 | Fine | $6,857 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-01-14 | Health · complaint | 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 | 2025-02-14 |
| 2024-04-26 | Health · complaint | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2024-05-26 |
| 2024-04-26 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-05-26 |
| 2024-04-26 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-05-26 |
| 2024-04-26 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-05-26 |
| 2024-04-26 | Health · complaint | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2024-05-26 |
| 2024-04-26 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2024-05-26 |
| 2022-06-30 | 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 | 2022-08-01 |
| 2022-06-30 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2022-08-01 |
| 2022-06-30 | 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 | 2022-08-01 |
| 2022-06-30 | 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 | 2022-08-01 |
| 2022-06-30 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2022-08-01 |
| 2022-06-30 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2022-08-01 |
| 2022-06-30 | Health | F0680 | Ensure the activities program is directed by a qualified professional. | E | 2022-08-01 |
| 2022-06-30 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-08-01 |
| 2022-06-30 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2022-08-01 |
| 2022-06-30 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2022-08-01 |
| 2022-06-30 | Health | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2022-08-01 |
| 2022-06-30 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-08-01 |
| 2022-06-30 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2022-08-01 |
| 2022-06-30 | Health | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2022-08-01 |
| 2020-11-20 | Health | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2020-12-19 |
| 2020-11-20 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2020-12-19 |
| 2020-11-20 | 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 | 2020-12-19 |
| 2020-11-20 | Health | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | 2020-12-19 |
| 2020-11-20 | 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 | 2020-12-19 |
| 2020-11-20 | 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. | E | 2020-12-19 |
| 2020-11-20 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | H | 2020-12-19 |
| 2020-11-20 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2020-12-19 |
| 2020-11-20 | Health | F0880 | Provide and implement an infection prevention and control program. | K | 2020-12-19 |
| 2020-11-20 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2020-12-19 |
| 2020-11-20 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2020-12-19 |
| 2020-11-20 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2020-12-19 |
| 2020-11-20 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2020-12-19 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CRYSTAL HEALTH OPCO HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-03-01 | current | pecos_ownership |
| FRANKEL, JONATHAN | MANAGING CONTROL - GOVERNING BODY | — | 2023-03-01 | current | pecos_ownership |
| GOODMAN, JAMIE | ADP OF THE SNF | — | 2025-05-07 | current | pecos_ownership |
| HIRSCH, JOSEPH | CORPORATE DIRECTOR | — | 2023-03-01 | current | pecos_ownership |
| LAZO, LAZARO | ADP OF THE SNF | — | 2025-05-07 | current | pecos_ownership |
| LAZO, LAZARO | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-07 | current | pecos_ownership |
| SOSKIN, MOSHE | INDIRECT OWNERSHIP INTEREST | — | 2023-03-01 | current | pecos_ownership |
| JONATHAN FRANKEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | 2023-03-01 | ended 2026-05-18 | pecos_ownership |
| JOSEPH HIRSCH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | 2023-03-01 | ended 2026-05-18 | pecos_ownership |
| CRYSTAL HEALTH REALTY LLC | Individual has financial interest in both related organization and provider | 20% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| CRYSTAL HEALTH REALTY LLC | Individual has financial interest in both related organization and provider | 20% | 2023-01-01 | ended 2023-02-28 | hcris_a_8_1 |
| CRYSTAL HEALTH REALTY LLC | Individual has financial interest in both related organization and provider | 20% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| CRYSTAL HEALTH REALTY LLC | Individual has financial interest in both related organization and provider | 20% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| JAMIE GOODMAN | ADP OF THE SNF | — | 2025-05-07 | ended 2026-05-18 | pecos_ownership |
| LAZARO LAZO | ADP OF THE SNF | — | 2025-05-07 | ended 2026-05-18 | pecos_ownership |
| LAZARO LAZO | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-07 | ended 2026-05-18 | pecos_ownership |
| MOSHE SOSKIN | CORPORATE DIRECTOR | — | 2023-03-01 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2023-03-01 | — | CRYSTAL HEALTH FL OPCO LLC | CRYSTAL HEALTH AND REHAB CENTER LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-02-01 | MARIANNA HEALTH AND REHABILITATION | — | — | — | 180 | MARIANNA REHABILITATION CENTER, LLC |
| 2024-11-20 | SOLARIS HEALTHCARE LELY PALMS | — | — | — | 117 | LP SNF OPERATIONS LLC |
| 2024-11-01 | GULF COAST MEDICAL CENTER SKILLED NURSING UNIT | — | — | — | 75 | LEE HEALTH SYSTEM INC |
| 2024-09-19 | ARABELLA HEALTH & WELLNESS OF PENSACOLA | — | — | — | 118 | ARABELLA HEALTH & WELLNESS OF PENSACOLA OPCO LLC |
| 2024-08-01 | PENINSULA HEALTH CENTER BY HARBORVIEW | — | — | — | 120 | PENINSULA CARE AND REHABILITATION CENTER BY HARBORVIEW LLC |
| 2024-07-15 | BAYONET POINT HEALTH CENTER BY HARBORVIEW | — | — | — | 120 | LIVING CENTER OF BAYONET POINT BY HARBORVIEW LLC |
| 2024-07-15 | KISSIMMEE NURSING & REHABILITATION CENTER | — | — | — | 120 | KISSIMMEE NURSING AND REHABILITATION CENTER BY HARBORVIEW LLC |
| 2024-07-15 | HARBORVIEW HEALTH CENTER WEST ALTAMONTE | — | — | — | 116 | WEST ALTAMONTE NURSING AND REHABILITATION CENTER BY HARBORVIEW LLC |
| 2024-07-15 | HARBORVIEW SARASOTA | — | — | — | 81 | SARASOTA CENTER FOR NURSING AND REHABILITATION BY HARBORVIEW LLC |
| 2024-07-15 | NURSING & REHABILITATION CENTER OF MELBOURNE | — | — | — | 167 | NURSING AND REHABILITATION CENTER OF MELBOURNE BY HARBORVIEW LLC |
| 2024-07-09 | WATERS EDGE HEALTH AND REHABILITATION | — | — | — | 36 | SANDHILL COVE LLC |
| 2024-07-01 | RIVERWOOD HEALTHCARE & REHABILITATION CENTER | — | — | — | 120 | RIVERWOOD NURSING SNF LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 12087 | acs median gross | 0 | $1,268 | 2024-12-31 | CENSUS_ACS5 |
| county 12087 | fmr | 0 | $1,726 | 2025-10-01 | HUD_USER_FMR |
| county 12087 | acs median gross | 1 | $1,837 | 2024-12-31 | CENSUS_ACS5 |
| county 12087 | fmr | 1 | $2,211 | 2025-10-01 | HUD_USER_FMR |
| county 12087 | acs median gross | 2 | $2,072 | 2024-12-31 | CENSUS_ACS5 |
| county 12087 | fmr | 2 | $2,504 | 2025-10-01 | HUD_USER_FMR |
| county 12087 | acs median gross | 3 | $2,609 | 2024-12-31 | CENSUS_ACS5 |
| county 12087 | fmr | 3 | $3,303 | 2025-10-01 | HUD_USER_FMR |
| county 12087 | acs median gross | 4 | $2,303 | 2024-12-31 | CENSUS_ACS5 |
| county 12087 | fmr | 4 | $3,315 | 2025-10-01 | HUD_USER_FMR |
| county 12087 | acs median gross | 5 | $2,091 | 2024-12-31 | CENSUS_ACS5 |
| county 12087 | acs median gross | $1,999 | 2024-12-31 | CENSUS_ACS5 | |
| county 12087 | acs recent mover gross | $2,909 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 33070 | acs median gross | 1 | $1,962 | 2024-12-31 | CENSUS_ACS5 |
| zcta 33070 | acs median gross | 2 | $1,877 | 2024-12-31 | CENSUS_ACS5 |
| zcta 33070 | acs median gross | 3 | $2,233 | 2024-12-31 | CENSUS_ACS5 |
| zcta 33070 | acs median gross | $1,923 | 2024-12-31 | CENSUS_ACS5 | |
| zip 33070 | payment standard 110 | 0 | $1,771 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33070 | payment standard 90 | 0 | $1,449 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33070 | safmr | 0 | $1,610 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33070 | payment standard 110 | 1 | $2,266 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33070 | payment standard 90 | 1 | $1,854 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33070 | safmr | 1 | $2,060 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33070 | payment standard 110 | 2 | $2,563 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33070 | payment standard 90 | 2 | $2,097 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33070 | safmr | 2 | $2,330 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33070 | payment standard 110 | 3 | $3,377 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33070 | payment standard 90 | 3 | $2,763 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33070 | safmr | 3 | $3,070 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33070 | payment standard 110 | 4 | $3,388 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33070 | payment standard 90 | 4 | $2,772 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33070 | safmr | 4 | $3,080 | 2025-10-01 | HUD_USER_SAFMR |