Reads as: riskier than 32.8% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet enforcement cluster
41% fined
PINNACLE HEALTHCARE SOLUTIONS INC
17 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
0.32
0.45
0.39
0.25–0.58
Weekend total
3.11
3.31
3.11
—
Weekday total
3.10
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
76.8
3.11
0.32
0.75
2.03
3.11
0.0%
2025Q3
92
81.2
3.34
0.43
0.82
2.08
3.22
1.0%
2025Q2
91
88.1
3.17
0.35
0.71
2.10
3.14
0.0%
2025Q1
90
96.8
3.06
0.29
0.72
2.06
2.97
0.0%
2024Q4
92
84.5
3.37
0.41
0.80
2.17
3.06
0.0%
2024Q3
92
81.5
3.25
0.28
0.84
2.14
3.16
0.0%
2024Q2
91
85.1
3.39
0.30
0.86
2.23
3.17
0.0%
2024Q1
91
86.4
3.33
0.31
0.80
2.21
3.21
0.0%
2023Q4
92
83.4
3.26
0.25
0.81
2.20
3.12
4.3%
2023Q3
92
63.1
3.33
0.37
0.68
2.29
3.31
18.6%
2023Q2
91
56.9
3.24
0.27
0.81
2.15
2.88
13.1%
2023Q1
90
60.2
3.46
0.28
0.90
2.28
3.19
10.3%
2022Q4
92
57.4
3.56
0.25
0.97
2.34
3.28
7.8%
2022Q3
92
56.4
3.58
0.31
0.79
2.48
3.31
9.3%
2022Q2
91
52.8
3.74
0.48
0.77
2.49
3.45
4.5%
2022Q1
90
57.7
4.28
0.61
0.77
2.90
3.83
16.1%
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
11
C × 1D × 9E × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-08-01
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
E
2024-09-10
2024-08-01
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-09-10
2024-08-01
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-09-10
2024-08-01
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-09-10
2024-08-01
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-09-10
2022-07-21
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-08-31
2021-01-28
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
2021-02-27
2021-01-28
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
2021-02-27
2021-01-28
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2021-02-27
2021-01-28
Health
F0732
Post nurse staffing information every day.
C
2021-02-27
2021-01-28
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2021-02-27
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
26
Owner
Role
Pct
From
Status
Source
BP DELAND AND DAYTONA PROPCO LP
Corporation, partnership or other organization has financial interest in provider
100%
2023-06-01
current
hcris_a_8_1
DAYTONA FL HOLDINGS COMPANY LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-12-16
current
pecos_ownership
ALVAREZ, NORMA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-06-17
current
pecos_ownership
BIGGEST ROCK SNF IRREVOCABLE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-01
current
pecos_ownership
BP DELAND AND DAYTONA GENERAL PARTNER LLC
ADP OF THE SNF
—
2023-06-01
current
pecos_ownership
BP DELAND AND DAYTONA OPCO LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-01
current
pecos_ownership
BP DELAND AND DAYTONA PROPCO LP
Corporation, partnership or other organization has financial interest in provider
—
2024-01-01
current
hcris_a_8_1
BREDLEGS HOLDINGS LLC
ADP OF THE SNF
—
2023-06-01
current
pecos_ownership
CAMDEN WV LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-01
current
pecos_ownership
FRIED, BINYOMIN
CORPORATE OFFICER
—
2023-10-01
current
pecos_ownership
HEALTHCARE INVESTMENT HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-01
current
pecos_ownership
HEISE, DAVID
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
HENSLEY, CHRISTINE
ADP OF THE SNF
—
2023-10-01
current
pecos_ownership
HENSLEY, CHRISTINE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-25
current
pecos_ownership
JS FAMILY TRUST
INDIRECT OWNERSHIP INTEREST
—
2023-06-01
current
pecos_ownership
PINNACLE HEALTHCARE SOLUTIONS INC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-01
current
pecos_ownership
PINNACLE HEALTHCARE SOLUTIONS INC
ADP OF THE SNF
—
2025-06-27
current
pecos_ownership
STURM, JOSHUA
ADP OF THE SNF
—
2023-06-01
current
pecos_ownership
THE ADAM SASOUNESS FAMILY TRUST
ADP OF THE SNF
—
2023-06-01
current
pecos_ownership
THE DANA SASOUNESS FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-01
current
pecos_ownership
BINYOMIN FRIED
CORPORATE OFFICER
100%
2023-10-01
ended 2026-05-18
pecos_ownership
CHRISTINE HENSLEY
ADP OF THE SNF
—
2023-10-01
ended 2026-05-18
pecos_ownership
CHRISTINE HENSLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-25
ended 2026-05-18
pecos_ownership
DAVID HEISE
ADP OF THE SNF
—
2024-11-01
ended 2026-05-18
pecos_ownership
JOSHUA STURM
ADP OF THE SNF
—
2023-06-01
ended 2026-05-18
pecos_ownership
NORMA ALVAREZ
ADP OF THE SNF
—
2024-06-17
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$2,399,568
—
—
—
—
12
propco
2023-12-31
$641,667
$641,667
—
—
—
7
propco
2023-05-31
$480,275
—
—
—
$6,609
2
—
2022-12-31
$1,161,213
—
$401,454
$282
$70,650
15
—
2021-12-31
$1,309,216
—
$666,313
$192
$115,189
14
—
2020-12-31
$1,615,802
—
$274,149
—
$95,887
14
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 12127
acs median gross
0
$1,201
2024-12-31
CENSUS_ACS5
county 12127
fmr
0
$1,205
2025-10-01
HUD_USER_FMR
county 12127
acs median gross
1
$1,182
2024-12-31
CENSUS_ACS5
county 12127
fmr
1
$1,385
2025-10-01
HUD_USER_FMR
county 12127
acs median gross
2
$1,440
2024-12-31
CENSUS_ACS5
county 12127
fmr
2
$1,700
2025-10-01
HUD_USER_FMR
county 12127
acs median gross
3
$1,746
2024-12-31
CENSUS_ACS5
county 12127
fmr
3
$2,241
2025-10-01
HUD_USER_FMR
county 12127
acs median gross
4
$1,896
2024-12-31
CENSUS_ACS5
county 12127
fmr
4
$2,429
2025-10-01
HUD_USER_FMR
county 12127
acs median gross
5
$2,038
2024-12-31
CENSUS_ACS5
county 12127
acs median gross
$1,467
2024-12-31
CENSUS_ACS5
county 12127
acs recent mover gross
$1,745
2024-12-31
CENSUS_ACS5
zcta 32114
acs median gross
0
$834
2024-12-31
CENSUS_ACS5
zcta 32114
acs median gross
1
$1,124
2024-12-31
CENSUS_ACS5
zcta 32114
acs median gross
2
$1,364
2024-12-31
CENSUS_ACS5
zcta 32114
acs median gross
3
$1,395
2024-12-31
CENSUS_ACS5
zcta 32114
acs median gross
4
$1,241
2024-12-31
CENSUS_ACS5
zcta 32114
acs median gross
5
$1,652
2024-12-31
CENSUS_ACS5
zcta 32114
acs median gross
$1,227
2024-12-31
CENSUS_ACS5
zcta 32114
acs recent mover gross
$1,490
2024-12-31
CENSUS_ACS5
zip 32114
payment standard 110
0
$1,298
2025-10-01
HUD_USER_SAFMR
zip 32114
payment standard 90
0
$1,062
2025-10-01
HUD_USER_SAFMR
zip 32114
safmr
0
$1,180
2025-10-01
HUD_USER_SAFMR
zip 32114
payment standard 110
1
$1,496
2025-10-01
HUD_USER_SAFMR
zip 32114
payment standard 90
1
$1,224
2025-10-01
HUD_USER_SAFMR
zip 32114
safmr
1
$1,360
2025-10-01
HUD_USER_SAFMR
zip 32114
payment standard 110
2
$1,837
2025-10-01
HUD_USER_SAFMR
zip 32114
payment standard 90
2
$1,503
2025-10-01
HUD_USER_SAFMR
zip 32114
safmr
2
$1,670
2025-10-01
HUD_USER_SAFMR
zip 32114
payment standard 110
3
$2,420
2025-10-01
HUD_USER_SAFMR
zip 32114
payment standard 90
3
$1,980
2025-10-01
HUD_USER_SAFMR
zip 32114
safmr
3
$2,200
2025-10-01
HUD_USER_SAFMR
zip 32114
payment standard 110
4
$2,629
2025-10-01
HUD_USER_SAFMR
zip 32114
payment standard 90
4
$2,151
2025-10-01
HUD_USER_SAFMR
zip 32114
safmr
4
$2,390
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.