Composite
78.1 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 67.6 | 57.5 | 0.30 | 0.2308 | 15.60 | in index |
| regulatory risk | 64.2 | 56.4 | 0.30 | 0.2308 | 14.82 | in index |
| billing conduct | 60.3 | 43.6 | 0.30 | 0.2308 | 13.92 | in index |
| staffing risk | 46.4 | 46.5 | 0.25 | 0.1923 | 8.92 | in index |
| chow risk | 54.6 | 52.8 | 0.15 | 0.1154 | 6.30 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 43.6 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | 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 | 80.7 | F | v0.6 | default · in composite | |
| financial risk | 57.5 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | 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 | 0.1 | — | 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 | 56.4 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 46.5 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 91.9 | F | 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 | 71.9 | D | 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 | 68.4 | D | 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 | 57.0 | C | 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 | 56.2 | C | 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 | 56.2 | C | 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 | 46.5 | C | 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 | 46.5 | C | 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) | 6.32 | -1.23 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.89 | -0.55 | |
| Chain size (log) | 4.23 | +0.50 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 3.00 | -0.10 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 4.23 | -1.26 | |
| Deficiencies, last 12 months | 3.00 | +0.87 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.89 | -0.58 | |
| Staffing trend, last 4 quarters | -0.84 | -0.42 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 6.32 | -0.20 |
| 2025Q4 HPRD | This facility | FL median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.34 | 3.42 | 3.28 | 2.90–3.77 |
| RN | 0.23 | 0.45 | 0.39 | 0.25–0.58 |
| Weekend total | 3.20 | 3.31 | 3.11 | — |
| Weekday total | 3.40 | 3.48 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 106.3 | 3.34 | 0.23 | 0.86 | 2.26 | 3.20 | 0.0% |
| 2025Q2 | 91 | 113.3 | 3.23 | 0.22 | 0.92 | 2.09 | 2.85 | 0.0% |
| 2025Q1 | 90 | 103.0 | 4.00 | 0.21 | 1.03 | 2.76 | 3.58 | 0.0% |
| 2024Q4 | 92 | 105.3 | 4.18 | 0.19 | 0.97 | 3.02 | 3.66 | 0.0% |
| 2024Q3 | 92 | 111.7 | 3.81 | 0.16 | 0.93 | 2.72 | 3.43 | 0.0% |
| 2024Q2 | 91 | 107.5 | 3.40 | 0.25 | 0.85 | 2.29 | 3.05 | 0.0% |
| 2024Q1 | 91 | 104.0 | 3.35 | 0.11 | 1.02 | 2.22 | 3.08 | 2.3% |
| 2023Q4 | 92 | 105.9 | 3.29 | 0.11 | 1.01 | 2.17 | 3.25 | 17.1% |
| 2023Q3 | 92 | 107.8 | 3.25 | 0.15 | 0.94 | 2.16 | 3.08 | 19.4% |
| 2023Q2 | 91 | 109.7 | 3.44 | 0.18 | 0.94 | 2.32 | 3.35 | 38.2% |
| 2023Q1 | 90 | 106.4 | 3.55 | 0.10 | 1.02 | 2.44 | 3.43 | 34.8% |
| 2022Q4 | 92 | 103.2 | 3.36 | 0.11 | 0.94 | 2.31 | 3.24 | 22.6% |
| 2022Q3 | 92 | 101.7 | 3.13 | 0.16 | 0.86 | 2.10 | 3.02 | 27.5% |
| 2022Q2 | 91 | 96.2 | 2.90 | 0.16 | 0.79 | 1.95 | 2.91 | 40.3% |
| 2022Q1 | 90 | 93.8 | 3.68 | 0.20 | 0.87 | 2.62 | 3.71 | 45.1% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-02-06 | Fine | $7,903 | CMS provider data |
| 2024-01-08 | Fine | $1,882 | CMS provider data |
| 2023-12-18 | Fine | $3,145 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-12 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2026-04-13 |
| 2026-03-12 | Health · complaint | 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. | D | 2026-04-13 |
| 2026-03-12 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2026-04-13 |
| 2025-04-03 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-04-25 |
| 2025-04-03 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2025-04-25 |
| 2025-04-03 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-04-25 |
| 2025-04-03 | 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 | 2025-04-25 |
| 2025-04-03 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-04-25 |
| 2024-11-19 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-12-26 |
| 2024-11-19 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-12-26 |
| 2024-10-01 | Health · complaint | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | 2024-10-30 |
| 2023-12-22 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-02-05 |
| 2023-12-22 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-02-05 |
| 2023-12-22 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-02-05 |
| 2023-12-22 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-02-05 |
| 2023-12-22 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-02-05 |
| 2023-12-22 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-02-05 |
| 2023-12-22 | 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 | 2024-02-05 |
| 2023-12-22 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-02-05 |
| 2023-12-22 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-02-05 |
| 2023-12-22 | Health | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | 2024-02-05 |
| 2023-09-06 | Health · complaint | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2023-10-19 |
| 2022-07-14 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | 2022-07-19 |
| 2022-07-14 | Health | F0583 | Keep residents' personal and medical records private and confidential. | E | 2022-08-15 |
| 2022-07-14 | 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 | 2022-07-19 |
| 2022-07-14 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2022-07-19 |
| 2022-07-14 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2022-07-19 |
| 2022-07-14 | Health | F0732 | Post nurse staffing information every day. | F | 2022-10-03 |
| 2022-07-14 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2022-10-03 |
| 2022-07-14 | 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. | E | 2022-08-15 |
| 2022-07-14 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2022-07-19 |
| 2022-07-14 | Health | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2022-08-15 |
| 2022-07-14 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2022-08-15 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| GAINESVILLE FL HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-11-01 | current | pecos_ownership |
| GAINESVILLE FL PROPCO LLC | Corporation, partnership or other organization has financial interest in provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| GAINESVILLE FL PROPCO LLC | Corporation, partnership or other organization has financial interest in provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| LILAC SNF HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2022-11-01 | current | pecos_ownership |
| GORELICK, BATYA | CORPORATE OFFICER | — | 2020-04-01 | current | pecos_ownership |
| ULYSSE, JEAN-MARC | W-2 MANAGING EMPLOYEE | — | 2020-04-01 | current | pecos_ownership |
| GAINESVILLE FL PROPCO LLC | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| GAINESVILLE FL PROPCO LLC | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| HC FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2022-11-01 | ended 2026-05-18 | pecos_ownership |
| ZANZIPER FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2022-11-01 | ended 2026-05-18 | pecos_ownership |
| BATYA GORELICK | CORPORATE OFFICER | — | 2020-04-01 | ended 2026-05-18 | pecos_ownership |
| JEAN-MARC ULYSSE | W-2 MANAGING EMPLOYEE | — | 2020-04-01 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2020-04-01 | — | GAINESVILLE FL OPCO LLC | LP GAINESVILLE 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 12001 | acs median gross | 0 | $1,271 | 2024-12-31 | CENSUS_ACS5 |
| county 12001 | fmr | 0 | $1,154 | 2025-10-01 | HUD_USER_FMR |
| county 12001 | acs median gross | 1 | $1,161 | 2024-12-31 | CENSUS_ACS5 |
| county 12001 | fmr | 1 | $1,246 | 2025-10-01 | HUD_USER_FMR |
| county 12001 | acs median gross | 2 | $1,390 | 2024-12-31 | CENSUS_ACS5 |
| county 12001 | fmr | 2 | $1,493 | 2025-10-01 | HUD_USER_FMR |
| county 12001 | acs median gross | 3 | $1,603 | 2024-12-31 | CENSUS_ACS5 |
| county 12001 | fmr | 3 | $1,868 | 2025-10-01 | HUD_USER_FMR |
| county 12001 | acs median gross | 4 | $1,524 | 2024-12-31 | CENSUS_ACS5 |
| county 12001 | fmr | 4 | $1,977 | 2025-10-01 | HUD_USER_FMR |
| county 12001 | acs median gross | 5 | $1,124 | 2024-12-31 | CENSUS_ACS5 |
| county 12001 | acs median gross | $1,339 | 2024-12-31 | CENSUS_ACS5 | |
| county 12001 | acs recent mover gross | $1,490 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 32607 | acs median gross | 0 | $1,233 | 2024-12-31 | CENSUS_ACS5 |
| zcta 32607 | acs median gross | 1 | $1,146 | 2024-12-31 | CENSUS_ACS5 |
| zcta 32607 | acs median gross | 2 | $1,375 | 2024-12-31 | CENSUS_ACS5 |
| zcta 32607 | acs median gross | 3 | $1,165 | 2024-12-31 | CENSUS_ACS5 |
| zcta 32607 | acs median gross | 4 | $2,283 | 2024-12-31 | CENSUS_ACS5 |
| zcta 32607 | acs median gross | $1,276 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 32607 | acs recent mover gross | $1,148 | 2024-12-31 | CENSUS_ACS5 | |
| zip 32607 | payment standard 110 | 0 | $1,331 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32607 | payment standard 90 | 0 | $1,089 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32607 | safmr | 0 | $1,210 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32607 | payment standard 110 | 1 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32607 | payment standard 90 | 1 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32607 | safmr | 1 | $1,300 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32607 | payment standard 110 | 2 | $1,716 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32607 | payment standard 90 | 2 | $1,404 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32607 | safmr | 2 | $1,560 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32607 | payment standard 110 | 3 | $2,145 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32607 | payment standard 90 | 3 | $1,755 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32607 | safmr | 3 | $1,950 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32607 | payment standard 110 | 4 | $2,277 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32607 | payment standard 90 | 4 | $1,863 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32607 | safmr | 4 | $2,070 | 2025-10-01 | HUD_USER_SAFMR |