Reads as: riskier than 88.1% 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
5
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+27.6 vs natl
BRECHER HAL
5 facilities
connection
Owner fleet risk far above national
+23.4 vs natl
PLATSCHEK RICHARD
15 facilities
connection
Owner fleet risk far above national
+23.2 vs natl
ZBL 18 LLC
13 facilities
connection
Owner fleet risk far above national
+22.0 vs natl
LANDA JUDY
9 facilities
connection
Owner fleet enforcement cluster
40% fined
BRECHER HAL
5 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 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
3.35
3.42
3.28
2.90–3.77
RN
0.41
0.45
0.39
0.25–0.58
Weekend total
3.19
3.31
3.11
—
Weekday total
3.41
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
169.6
3.35
0.41
0.76
2.18
3.19
0.0%
2025Q3
92
167.4
3.45
0.38
0.78
2.29
3.27
0.0%
2025Q2
91
171.5
3.40
0.36
0.76
2.28
3.13
0.7%
2025Q1
90
171.6
3.22
0.37
0.62
2.23
3.00
0.0%
2024Q4
92
170.0
3.33
0.48
0.61
2.24
3.14
0.0%
2024Q3
92
167.4
3.46
0.50
0.55
2.40
3.26
0.0%
2024Q2
91
166.7
3.42
0.52
0.51
2.39
3.19
0.0%
2024Q1
91
162.3
3.34
0.53
0.51
2.30
3.17
0.0%
2023Q4
92
163.7
3.34
0.41
0.55
2.38
3.15
0.0%
2023Q3
92
155.2
3.15
0.44
0.51
2.21
2.83
0.0%
2023Q2
91
129.2
3.35
0.39
0.62
2.35
3.02
0.0%
2023Q1
90
105.0
3.33
0.50
0.56
2.27
3.07
0.0%
2022Q4
92
100.7
3.50
0.52
0.55
2.44
3.27
0.0%
2022Q3
92
103.3
3.44
0.50
0.55
2.39
3.22
0.1%
2022Q2
91
105.7
3.64
0.54
0.48
2.62
3.38
1.9%
2022Q1
90
107.3
3.76
0.47
0.60
2.70
3.38
1.5%
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
K
2026-04-23
2026-04-01
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2026-04-23
2026-04-01
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K
2026-04-23
2026-04-01
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
L
2026-04-23
2026-04-01
Health · complaint
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
L
2026-04-23
2026-03-05
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.
D
2026-04-23
2026-03-05
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
E
2026-04-23
2026-03-05
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2026-04-23
2026-03-05
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-04-23
2026-03-05
Health
F0850
Hire a qualified full-time social worker in a facility with more than 120 beds.
E
2026-04-23
2026-03-05
Health
F0914
Provide bedrooms that don't allow residents to see each other when privacy is needed.
D
2026-04-23
2026-03-05
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2026-04-23
2026-03-05
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2026-04-23
2025-07-02
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2025-08-18
2025-07-02
Health · complaint
F0610
Respond appropriately to all alleged violations.
J
2025-08-18
2025-07-02
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-08-18
2025-07-02
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
J
2025-08-18
2025-07-02
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-08-18
2025-07-02
Health · complaint
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
J
2025-08-18
2024-04-18
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2024-05-18
2024-04-18
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-05-18
2024-04-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-05-18
2024-04-18
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2024-05-31
2022-06-09
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2022-06-30
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
28
Owner
Role
Pct
From
Status
Source
JACKSONVILLE 4 PROPCO PARTNERS LLC
Corporation, partnership or other organization has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
JACKSONVILLE 4 PROPCO PARTNERS LLC
Corporation, partnership or other organization has financial interest in provider
100%
2022-10-08
current
hcris_a_8_1
JACKSONVILLE REHABILITATION AND NURSING MEMBER LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-10-07
current
pecos_ownership
APJA OPCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
BRECHER, HAL
CORPORATE OFFICER
—
2022-10-07
current
pecos_ownership
FLNHO CAPITAL GROUP LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
GPJA OPCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
HARVEY, DEWAYNE
W-2 MANAGING EMPLOYEE
—
2022-10-07
current
pecos_ownership
JACKSONVILLE 4 MEMBER OPCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
JACKSONVILLE 4 OPCO PARTNERS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
JFLNHO CAPITAL GROUP, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
LANDA, JUDY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
LOWY, SHLOMO
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
MKJA OPCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
PLATSCHEK, ALEXANDER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
PLATSCHEK, RICHARD
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
RPJA OPCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
SLJA OPCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
ZBL-18 LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
ALEXANDER PLATSCHEK
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2022-10-07
ended 2026-05-18
pecos_ownership
GOLDIE PLATSCHEK
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2022-10-07
ended 2026-05-18
pecos_ownership
RICHARD PLATSCHEK
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2022-10-07
ended 2026-05-18
pecos_ownership
SHLOMO LOWY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
17%
2022-10-07
ended 2026-05-18
pecos_ownership
MOSHE KELMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
16%
2022-10-07
ended 2026-05-18
pecos_ownership
BENJAMIN LANDA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2022-10-07
ended 2026-05-18
pecos_ownership
JUDY LANDA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2022-10-07
ended 2026-05-18
pecos_ownership
HAL BRECHER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
2%
2022-10-07
ended 2026-05-18
pecos_ownership
DEWAYNE HARVEY
W-2 MANAGING EMPLOYEE
—
2022-10-07
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
$3,327,889
—
—
—
—
4
propco
2023-12-31
$4,654,042
—
—
—
—
4
propco
2022-10-07
$1,049,958
—
$456,233
$343,852
$11,323
26
—
2021-12-31
$1,411,399
—
$594,733
$463,754
$18,067
29
—
2020-12-31
$1,327,973
—
$710,580
$473,785
$5,402
22
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
1
Close date
Price
Buyer
Seller
Evidence
2022-10-08
—
JACKSONVILLE REHABILITATION AND NURSING CENTER LLC
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 12031
acs median gross
0
$1,218
2024-12-31
CENSUS_ACS5
county 12031
fmr
0
$1,355
2025-10-01
HUD_USER_FMR
county 12031
acs median gross
1
$1,245
2024-12-31
CENSUS_ACS5
county 12031
fmr
1
$1,382
2025-10-01
HUD_USER_FMR
county 12031
acs median gross
2
$1,508
2024-12-31
CENSUS_ACS5
county 12031
fmr
2
$1,658
2025-10-01
HUD_USER_FMR
county 12031
acs median gross
3
$1,665
2024-12-31
CENSUS_ACS5
county 12031
fmr
3
$2,043
2025-10-01
HUD_USER_FMR
county 12031
acs median gross
4
$1,935
2024-12-31
CENSUS_ACS5
county 12031
fmr
4
$2,561
2025-10-01
HUD_USER_FMR
county 12031
acs median gross
5
$1,899
2024-12-31
CENSUS_ACS5
county 12031
acs median gross
$1,475
2024-12-31
CENSUS_ACS5
county 12031
acs recent mover gross
$1,642
2024-12-31
CENSUS_ACS5
zcta 32210
acs median gross
0
$953
2024-12-31
CENSUS_ACS5
zcta 32210
acs median gross
1
$1,099
2024-12-31
CENSUS_ACS5
zcta 32210
acs median gross
2
$1,228
2024-12-31
CENSUS_ACS5
zcta 32210
acs median gross
3
$1,547
2024-12-31
CENSUS_ACS5
zcta 32210
acs median gross
4
$1,707
2024-12-31
CENSUS_ACS5
zcta 32210
acs median gross
$1,293
2024-12-31
CENSUS_ACS5
zcta 32210
acs recent mover gross
$1,420
2024-12-31
CENSUS_ACS5
zip 32210
payment standard 110
0
$1,265
2025-10-01
HUD_USER_SAFMR
zip 32210
payment standard 90
0
$1,035
2025-10-01
HUD_USER_SAFMR
zip 32210
safmr
0
$1,150
2025-10-01
HUD_USER_SAFMR
zip 32210
payment standard 110
1
$1,287
2025-10-01
HUD_USER_SAFMR
zip 32210
payment standard 90
1
$1,053
2025-10-01
HUD_USER_SAFMR
zip 32210
safmr
1
$1,170
2025-10-01
HUD_USER_SAFMR
zip 32210
payment standard 110
2
$1,551
2025-10-01
HUD_USER_SAFMR
zip 32210
payment standard 90
2
$1,269
2025-10-01
HUD_USER_SAFMR
zip 32210
safmr
2
$1,410
2025-10-01
HUD_USER_SAFMR
zip 32210
payment standard 110
3
$1,914
2025-10-01
HUD_USER_SAFMR
zip 32210
payment standard 90
3
$1,566
2025-10-01
HUD_USER_SAFMR
zip 32210
safmr
3
$1,740
2025-10-01
HUD_USER_SAFMR
zip 32210
payment standard 110
4
$2,398
2025-10-01
HUD_USER_SAFMR
zip 32210
payment standard 90
4
$1,962
2025-10-01
HUD_USER_SAFMR
zip 32210
safmr
4
$2,180
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.