Reads as: riskier than 21.9% 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
3.08
3.42
3.28
2.90–3.77
RN
0.52
0.45
0.39
0.25–0.58
Weekend total
3.05
3.31
3.11
—
Weekday total
3.09
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
175.3
3.08
0.52
0.50
2.06
3.05
0.0%
2025Q3
92
175.0
3.08
0.50
0.52
2.06
3.05
0.0%
2025Q2
91
171.9
3.05
0.53
0.49
2.03
3.02
0.0%
2025Q1
90
171.4
3.08
0.52
0.51
2.06
3.06
0.0%
2024Q4
92
174.7
3.06
0.56
0.45
2.05
3.00
0.0%
2024Q3
92
176.0
3.00
0.55
0.46
1.99
2.93
0.0%
2024Q2
91
174.6
2.98
0.56
0.44
1.98
2.93
0.0%
2024Q1
91
174.1
3.04
0.61
0.40
2.04
3.01
0.0%
2023Q4
92
173.4
3.03
0.61
0.39
2.03
3.01
0.0%
2023Q3
92
173.0
3.08
0.57
0.46
2.06
3.09
0.0%
2023Q2
91
175.1
3.08
0.56
0.47
2.05
3.04
0.0%
2023Q1
90
177.1
3.05
0.58
0.42
2.06
2.95
0.0%
2022Q4
92
174.1
3.02
0.60
0.38
2.04
3.04
0.3%
2022Q3
92
174.2
3.08
0.54
0.45
2.10
3.04
0.3%
2022Q2
91
172.0
3.12
0.59
0.42
2.10
3.10
1.7%
2022Q1
90
174.6
3.60
0.62
0.49
2.49
3.54
4.7%
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
14
D × 10E × 4
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-07
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2025-09-24
2025-08-07
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
2025-09-24
2025-08-07
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
2025-09-24
2025-08-07
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-09-24
2025-08-07
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-09-24
2024-05-02
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
2024-06-03
2024-05-02
Health
F0641
Ensure each resident receives an accurate assessment.
E
2024-06-03
2024-05-02
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2024-06-03
2024-05-02
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2024-06-03
2024-05-02
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2024-06-03
2024-05-02
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-06-03
2023-01-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-02-10
2023-01-06
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-02-10
2023-01-06
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-02-17
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 INDIRECT 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
—
2012-01-01
current
pecos_ownership
EDWARDS, LISA
ADP OF THE SNF
—
2018-07-10
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
—
2012-01-01
current
pecos_ownership
JAFFE, HOWARD
CORPORATE OFFICER
—
2012-01-01
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
LINGENFELTER, STACY
OPERATIONAL/MANAGERIAL CONTROL
—
2019-02-12
current
pecos_ownership
MULLEN, ANN
CORPORATE OFFICER
—
2012-01-01
current
pecos_ownership
ROMBOLD, LORI
CORPORATE OFFICER
—
2012-01-01
current
pecos_ownership
SELECT REHABILITATION, LLC
ADP OF THE SNF
—
2016-08-19
current
pecos_ownership
ALVIN GARNER
CORPORATE OFFICER
0%
2012-01-01
ended 2026-05-18
pecos_ownership
ANN MULLEN
CORPORATE OFFICER
0%
2012-01-01
ended 2026-05-18
pecos_ownership
LORI ROMBOLD
CORPORATE OFFICER
0%
2012-01-01
ended 2026-05-18
pecos_ownership
NATE DUDLEY
CORPORATE OFFICER
0%
2012-01-01
ended 2026-05-18
pecos_ownership
HOWARD JAFFE
CORPORATE OFFICER
—
2012-01-01
ended 2026-05-18
pecos_ownership
LISA EDWARDS
ADP OF THE SNF
—
2018-07-10
ended 2026-05-18
pecos_ownership
STACY LINGENFELTER
ADP OF THE SNF
—
2019-02-12
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
$248,191
—
—
—
—
1
—
2024-01-31
$247,203
—
—
—
—
1
—
2023-01-31
$247,192
—
—
—
—
1
—
2022-01-31
$246,954
—
—
—
—
1
—
2021-01-31
$192,080
—
—
—
—
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 12069
acs median gross
0
$1,169
2024-12-31
CENSUS_ACS5
county 12069
fmr
0
$1,650
2025-10-01
HUD_USER_FMR
county 12069
acs median gross
1
$1,142
2024-12-31
CENSUS_ACS5
county 12069
fmr
1
$1,731
2025-10-01
HUD_USER_FMR
county 12069
acs median gross
2
$1,523
2024-12-31
CENSUS_ACS5
county 12069
fmr
2
$1,972
2025-10-01
HUD_USER_FMR
county 12069
acs median gross
3
$1,856
2024-12-31
CENSUS_ACS5
county 12069
fmr
3
$2,476
2025-10-01
HUD_USER_FMR
county 12069
acs median gross
4
$2,250
2024-12-31
CENSUS_ACS5
county 12069
fmr
4
$2,924
2025-10-01
HUD_USER_FMR
county 12069
acs median gross
5
$2,133
2024-12-31
CENSUS_ACS5
county 12069
acs median gross
$1,586
2024-12-31
CENSUS_ACS5
county 12069
acs recent mover gross
$1,883
2024-12-31
CENSUS_ACS5
zcta 34711
acs median gross
0
$1,850
2024-12-31
CENSUS_ACS5
zcta 34711
acs median gross
1
$1,567
2024-12-31
CENSUS_ACS5
zcta 34711
acs median gross
2
$1,746
2024-12-31
CENSUS_ACS5
zcta 34711
acs median gross
3
$2,141
2024-12-31
CENSUS_ACS5
zcta 34711
acs median gross
4
$2,528
2024-12-31
CENSUS_ACS5
zcta 34711
acs median gross
$1,883
2024-12-31
CENSUS_ACS5
zcta 34711
acs recent mover gross
$2,124
2024-12-31
CENSUS_ACS5
zip 34711
payment standard 110
0
$2,068
2025-10-01
HUD_USER_SAFMR
zip 34711
payment standard 90
0
$1,692
2025-10-01
HUD_USER_SAFMR
zip 34711
safmr
0
$1,880
2025-10-01
HUD_USER_SAFMR
zip 34711
payment standard 110
1
$2,167
2025-10-01
HUD_USER_SAFMR
zip 34711
payment standard 90
1
$1,773
2025-10-01
HUD_USER_SAFMR
zip 34711
safmr
1
$1,970
2025-10-01
HUD_USER_SAFMR
zip 34711
payment standard 110
2
$2,475
2025-10-01
HUD_USER_SAFMR
zip 34711
payment standard 90
2
$2,025
2025-10-01
HUD_USER_SAFMR
zip 34711
safmr
2
$2,250
2025-10-01
HUD_USER_SAFMR
zip 34711
payment standard 110
3
$3,102
2025-10-01
HUD_USER_SAFMR
zip 34711
payment standard 90
3
$2,538
2025-10-01
HUD_USER_SAFMR
zip 34711
safmr
3
$2,820
2025-10-01
HUD_USER_SAFMR
zip 34711
payment standard 110
4
$3,674
2025-10-01
HUD_USER_SAFMR
zip 34711
payment standard 90
4
$3,006
2025-10-01
HUD_USER_SAFMR
zip 34711
safmr
4
$3,340
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.