Reads as: riskier than 36.4% 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
8
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+25.7 vs natl
KANE FINANCIAL SERVICES LLC
37 facilities
connection
Owner fleet risk far above national
+25.7 vs natl
FACILITY SUPPORT COMPANY LLC
37 facilities
connection
Owner fleet risk far above national
+25.7 vs natl
CONSULTING SUPPORT SERVICES LLC
37 facilities
connection
Owner fleet risk far above national
+25.4 vs natl
JAFFE HOWARD
37 facilities
connection
Owner fleet risk far above national
+23.6 vs natl
ROMBOLD LORI
11 facilities
connection
Owner fleet risk far above national
+23.6 vs natl
GARNER ALVIN
11 facilities
connection
Owner fleet risk far above national
+20.3 vs natl
MULLEN ANN
10 facilities
connection
Owner spans multiple chains
8 chains
SELECT REHABILITATION LLC
50 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
FL median
National median
National p25–p75
Total nurse
3.11
3.42
3.28
2.90–3.77
RN
0.64
0.45
0.39
0.25–0.58
Weekend total
3.04
3.31
3.11
—
Weekday total
3.13
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
82.8
3.11
0.64
0.44
2.03
3.04
0.1%
2025Q3
92
80.4
3.06
0.61
0.44
2.02
3.09
0.1%
2025Q2
91
83.6
3.04
0.68
0.37
1.99
3.03
0.1%
2025Q1
90
83.0
3.09
0.66
0.41
2.02
3.01
0.1%
2024Q4
92
80.5
3.02
0.62
0.36
2.05
3.03
0.1%
2024Q3
92
82.7
3.05
0.56
0.44
2.05
2.98
0.1%
2024Q2
91
83.8
3.09
0.63
0.38
2.08
3.03
0.0%
2024Q1
91
86.9
2.97
0.55
0.42
2.00
2.98
0.1%
2023Q4
92
83.4
3.03
0.54
0.47
2.02
3.01
0.0%
2023Q3
92
79.7
3.04
0.55
0.44
2.05
3.04
0.0%
2023Q2
91
81.1
3.11
0.50
0.52
2.10
3.11
0.0%
2023Q1
90
82.1
3.21
0.54
0.49
2.18
3.27
0.0%
2022Q4
92
83.1
3.08
0.54
0.45
2.08
3.02
0.1%
2022Q3
92
81.3
3.12
0.63
0.43
2.05
3.08
0.0%
2022Q2
91
80.4
3.19
0.63
0.46
2.10
3.17
0.4%
2022Q1
90
85.2
3.44
0.50
0.52
2.42
3.42
3.7%
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
21
D × 14E × 6F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-07-18
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
2025-08-18
2025-07-18
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
2025-08-18
2025-07-18
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2025-08-18
2025-07-18
Health
F0627
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
D
2025-08-18
2025-07-18
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-08-18
2025-07-18
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2025-08-18
2025-07-18
Health
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
2025-07-18
Health
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
D
2025-08-18
2025-07-18
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-08-18
2025-07-18
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F
2025-08-18
2025-05-09
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-06-09
2025-05-09
Health · complaint
F0908
Keep all essential equipment working safely.
E
2025-06-09
2024-06-05
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2024-07-05
2024-06-05
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2024-07-05
2024-06-05
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-07-05
2024-06-05
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2024-07-05
2024-06-05
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2024-07-05
2024-06-05
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-07-05
2024-06-05
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-07-05
2023-05-25
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.
D
2023-06-26
2023-05-25
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-06-26
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
24
Owner
Role
Pct
From
Status
Source
ORLANDO REHABILITATION GROUP , INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2010-11-15
current
pecos_ownership
ANU HEALTH MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2009-09-01
current
pecos_ownership
ANU HEALTH MANAGEMENT LLC
ADP OF THE SNF
—
2025-04-16
current
pecos_ownership
CONSULTING SUPPORT SERVICES, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2011-06-28
current
pecos_ownership
CONSULTING SUPPORT SERVICES, LLC
ADP OF THE SNF
—
2025-04-16
current
pecos_ownership
DUDLEY, NATE
CORPORATE OFFICER
—
2014-07-01
current
pecos_ownership
FACILITY SUPPORT COMPANY, LLC
ADP OF THE SNF
—
2025-03-25
current
pecos_ownership
FACILITY SUPPORT COMPANY, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2010-12-13
current
pecos_ownership
GARNER, ALVIN
CORPORATE OFFICER
—
2014-07-01
current
pecos_ownership
JAFFE, HOWARD
CORPORATE OFFICER
—
2014-07-01
current
pecos_ownership
KANE FINANCIAL SERVICES, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2012-06-06
current
pecos_ownership
KANE FINANCIAL SERVICES, LLC
ADP OF THE SNF
—
2025-03-25
current
pecos_ownership
MINES, MATTHEW
OPERATIONAL/MANAGERIAL CONTROL
—
2020-02-25
current
pecos_ownership
MULLEN, ANN
CORPORATE OFFICER
—
2014-07-01
current
pecos_ownership
ROMBOLD, LORI
CORPORATE OFFICER
—
2014-07-01
current
pecos_ownership
SELECT REHABILITATION, LLC
ADP OF THE SNF
—
2016-08-19
current
pecos_ownership
WILKERSON, JENNIFER
ADP OF THE SNF
—
2019-12-16
current
pecos_ownership
ALVIN GARNER
CORPORATE OFFICER
0%
2014-07-01
ended 2026-05-18
pecos_ownership
ANN MULLEN
CORPORATE OFFICER
0%
2014-07-01
ended 2026-05-18
pecos_ownership
HOWARD JAFFE
CORPORATE OFFICER
0%
2014-07-01
ended 2026-05-18
pecos_ownership
LORI ROMBOLD
CORPORATE OFFICER
0%
2014-07-01
ended 2026-05-18
pecos_ownership
NATE DUDLEY
CORPORATE OFFICER
0%
2014-07-01
ended 2026-05-18
pecos_ownership
JENNIFER WILKERSON
OPERATIONAL/MANAGERIAL CONTROL
—
2019-12-16
ended 2026-05-18
pecos_ownership
MATTHEW MINES
OPERATIONAL/MANAGERIAL CONTROL
—
2020-02-25
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
2025-01-31
$121,368
—
—
—
—
1
—
2024-01-31
$120,885
—
—
—
—
1
—
2023-01-31
$120,880
—
—
—
—
1
—
2022-01-31
$120,763
—
—
—
—
1
—
2021-01-31
$93,929
—
—
—
—
1
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 12095
acs median gross
0
$1,575
2024-12-31
CENSUS_ACS5
county 12095
fmr
0
$1,650
2025-10-01
HUD_USER_FMR
county 12095
acs median gross
1
$1,549
2024-12-31
CENSUS_ACS5
county 12095
fmr
1
$1,731
2025-10-01
HUD_USER_FMR
county 12095
acs median gross
2
$1,753
2024-12-31
CENSUS_ACS5
county 12095
fmr
2
$1,972
2025-10-01
HUD_USER_FMR
county 12095
acs median gross
3
$2,040
2024-12-31
CENSUS_ACS5
county 12095
fmr
3
$2,476
2025-10-01
HUD_USER_FMR
county 12095
acs median gross
4
$2,341
2024-12-31
CENSUS_ACS5
county 12095
fmr
4
$2,924
2025-10-01
HUD_USER_FMR
county 12095
acs median gross
5
$2,841
2024-12-31
CENSUS_ACS5
county 12095
acs median gross
$1,775
2024-12-31
CENSUS_ACS5
county 12095
acs recent mover gross
$1,956
2024-12-31
CENSUS_ACS5
zcta 32806
acs median gross
0
$1,369
2024-12-31
CENSUS_ACS5
zcta 32806
acs median gross
1
$1,379
2024-12-31
CENSUS_ACS5
zcta 32806
acs median gross
2
$1,707
2024-12-31
CENSUS_ACS5
zcta 32806
acs median gross
3
$1,912
2024-12-31
CENSUS_ACS5
zcta 32806
acs median gross
4
$1,898
2024-12-31
CENSUS_ACS5
zcta 32806
acs median gross
$1,552
2024-12-31
CENSUS_ACS5
zcta 32806
acs recent mover gross
$1,767
2024-12-31
CENSUS_ACS5
zip 32806
payment standard 110
0
$1,672
2025-10-01
HUD_USER_SAFMR
zip 32806
payment standard 90
0
$1,368
2025-10-01
HUD_USER_SAFMR
zip 32806
safmr
0
$1,520
2025-10-01
HUD_USER_SAFMR
zip 32806
payment standard 110
1
$1,760
2025-10-01
HUD_USER_SAFMR
zip 32806
payment standard 90
1
$1,440
2025-10-01
HUD_USER_SAFMR
zip 32806
safmr
1
$1,600
2025-10-01
HUD_USER_SAFMR
zip 32806
payment standard 110
2
$2,002
2025-10-01
HUD_USER_SAFMR
zip 32806
payment standard 90
2
$1,638
2025-10-01
HUD_USER_SAFMR
zip 32806
safmr
2
$1,820
2025-10-01
HUD_USER_SAFMR
zip 32806
payment standard 110
3
$2,508
2025-10-01
HUD_USER_SAFMR
zip 32806
payment standard 90
3
$2,052
2025-10-01
HUD_USER_SAFMR
zip 32806
safmr
3
$2,280
2025-10-01
HUD_USER_SAFMR
zip 32806
payment standard 110
4
$2,970
2025-10-01
HUD_USER_SAFMR
zip 32806
payment standard 90
4
$2,430
2025-10-01
HUD_USER_SAFMR
zip 32806
safmr
4
$2,700
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.