320 N MITCHELL ST, KISSIMMEE, FL 34741 · CCN 105379
Composite
44.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
59
Model
v1.2
Reads as: riskier than 44.1% 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.
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
FL median
National median
National p25–p75
Total nurse
3.24
3.42
3.28
2.90–3.77
RN
0.84
0.45
0.39
0.25–0.58
Weekend total
3.15
3.31
3.11
—
Weekday total
3.28
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
55.9
3.24
0.84
0.33
2.07
3.15
0.0%
2025Q3
92
54.6
3.64
0.94
0.33
2.38
3.53
0.0%
2025Q2
91
53.4
3.33
0.98
0.15
2.19
3.30
0.0%
2025Q1
90
54.2
3.28
1.01
0.19
2.08
3.21
0.0%
2024Q4
92
55.1
3.24
0.91
0.26
2.08
3.19
0.0%
2024Q3
92
54.3
3.16
0.86
0.26
2.05
3.14
0.0%
2024Q2
91
54.5
3.18
0.90
0.24
2.04
3.18
0.0%
2024Q1
91
54.4
3.19
0.84
0.33
2.02
3.19
0.0%
2023Q4
92
54.6
3.13
0.56
0.47
2.09
3.07
0.0%
2023Q3
92
53.9
3.21
0.42
0.82
1.98
3.09
0.0%
2023Q2
91
55.5
3.21
0.39
0.84
1.98
3.08
0.0%
2023Q1
90
54.3
3.31
0.39
0.88
2.04
3.17
0.0%
2022Q4
92
53.0
3.46
0.36
0.91
2.19
3.31
0.0%
2022Q3
92
51.3
3.42
0.43
0.88
2.11
3.26
1.3%
2022Q2
91
49.8
3.36
0.38
0.71
2.27
3.30
5.1%
2022Q1
90
50.6
3.82
0.38
0.81
2.63
3.63
12.2%
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
22
D × 13E × 6F × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-05-29
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-06-29
2025-05-29
Health
F0732
Post nurse staffing information every day.
F
2025-06-29
2025-05-29
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F
2025-06-29
2025-05-29
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-06-29
2025-05-29
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-06-29
2025-05-29
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
2025-06-29
2024-04-30
Health · complaint
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
2024-05-30
2024-02-29
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-03-25
2024-02-29
Health · complaint
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2024-03-25
2024-02-29
Health
F0568
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
D
2024-03-25
2024-02-29
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.
D
2024-03-25
2024-02-29
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2024-03-25
2024-02-29
Health
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
2024-03-25
2024-02-29
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
E
2024-03-25
2024-02-29
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2024-03-25
2024-02-29
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2024-03-25
2024-02-29
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-03-25
2024-02-29
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
2024-03-25
2024-02-29
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
E
2024-03-25
2023-04-19
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
2023-05-19
2023-04-19
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
2023-05-19
2023-04-19
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2023-05-19
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
11
Owner
Role
Pct
From
Status
Source
KISSIMMEE FL PROPCO II LLC
Corporation, partnership or other organization has financial interest in provider
99%
2024-01-01
current
hcris_a_8_1
KISSIMMEE FL PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
50%
2023-01-01
current
hcris_a_8_1
GORELICK, BATYA
CORPORATE OFFICER
—
2021-05-01
current
pecos_ownership
MARQUEZ, SIMON
W-2 MANAGING EMPLOYEE
—
2020-11-03
current
pecos_ownership
NAFTALI ZANZIPER
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2020-11-03
ended 2026-05-18
pecos_ownership
SIMCHA HYMAN
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2020-11-03
ended 2026-05-18
pecos_ownership
KISSIMMEE FL PROPCO LLC
Individual has financial interest in both related organization and provider
50%
2020-11-03
ended 2021-12-31
hcris_a_8_1
KISSIMMEE FL PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
50%
2022-01-01
ended 2022-12-31
hcris_a_8_1
SIMON MARQUEZ
W-2 MANAGING EMPLOYEE
0%
2020-11-03
ended 2026-05-18
pecos_ownership
ARGENT PROPERTIES LLC
Corporation, partnership or other organization has financial interest in provider
—
2020-01-01
ended 2020-11-02
hcris_a_8_1
BATYA GORELICK
CORPORATE OFFICER
—
2021-05-01
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
$2,280,471
—
$233,819
$387,837
$37,061
15
propco
2023-12-31
$2,097,375
—
$211,712
$381,673
$29,958
14
propco
2022-12-31
$1,736,563
—
$234,322
$331,459
—
13
propco
2021-12-31
$1,732,143
—
$290,831
$319,663
—
13
propco
2020-11-02
$926,049
$282,083
—
$288,986
$27,589
24
propco
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 12097
acs median gross
0
$1,264
2024-12-31
CENSUS_ACS5
county 12097
fmr
0
$1,650
2025-10-01
HUD_USER_FMR
county 12097
acs median gross
1
$1,525
2024-12-31
CENSUS_ACS5
county 12097
fmr
1
$1,731
2025-10-01
HUD_USER_FMR
county 12097
acs median gross
2
$1,631
2024-12-31
CENSUS_ACS5
county 12097
fmr
2
$1,972
2025-10-01
HUD_USER_FMR
county 12097
acs median gross
3
$1,929
2024-12-31
CENSUS_ACS5
county 12097
fmr
3
$2,476
2025-10-01
HUD_USER_FMR
county 12097
acs median gross
4
$2,204
2024-12-31
CENSUS_ACS5
county 12097
fmr
4
$2,924
2025-10-01
HUD_USER_FMR
county 12097
acs median gross
5
$2,985
2024-12-31
CENSUS_ACS5
county 12097
acs median gross
$1,746
2024-12-31
CENSUS_ACS5
county 12097
acs recent mover gross
$1,975
2024-12-31
CENSUS_ACS5
zcta 34741
acs median gross
0
$1,248
2024-12-31
CENSUS_ACS5
zcta 34741
acs median gross
1
$1,458
2024-12-31
CENSUS_ACS5
zcta 34741
acs median gross
2
$1,646
2024-12-31
CENSUS_ACS5
zcta 34741
acs median gross
3
$1,974
2024-12-31
CENSUS_ACS5
zcta 34741
acs median gross
4
$1,845
2024-12-31
CENSUS_ACS5
zcta 34741
acs median gross
$1,661
2024-12-31
CENSUS_ACS5
zcta 34741
acs recent mover gross
$1,848
2024-12-31
CENSUS_ACS5
zip 34741
payment standard 110
0
$1,793
2025-10-01
HUD_USER_SAFMR
zip 34741
payment standard 90
0
$1,467
2025-10-01
HUD_USER_SAFMR
zip 34741
safmr
0
$1,630
2025-10-01
HUD_USER_SAFMR
zip 34741
payment standard 110
1
$1,881
2025-10-01
HUD_USER_SAFMR
zip 34741
payment standard 90
1
$1,539
2025-10-01
HUD_USER_SAFMR
zip 34741
safmr
1
$1,710
2025-10-01
HUD_USER_SAFMR
zip 34741
payment standard 110
2
$2,145
2025-10-01
HUD_USER_SAFMR
zip 34741
payment standard 90
2
$1,755
2025-10-01
HUD_USER_SAFMR
zip 34741
safmr
2
$1,950
2025-10-01
HUD_USER_SAFMR
zip 34741
payment standard 110
3
$2,695
2025-10-01
HUD_USER_SAFMR
zip 34741
payment standard 90
3
$2,205
2025-10-01
HUD_USER_SAFMR
zip 34741
safmr
3
$2,450
2025-10-01
HUD_USER_SAFMR
zip 34741
payment standard 110
4
$3,179
2025-10-01
HUD_USER_SAFMR
zip 34741
payment standard 90
4
$2,601
2025-10-01
HUD_USER_SAFMR
zip 34741
safmr
4
$2,890
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.