Reads as: riskier than 37.5% 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 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
3.64
3.42
3.28
2.90–3.77
RN
0.78
0.45
0.39
0.25–0.58
Weekend total
3.60
3.31
3.11
—
Weekday total
3.65
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
193.3
3.64
0.78
0.34
2.52
3.60
8.0%
2025Q3
92
194.4
3.66
0.74
0.39
2.54
3.61
5.6%
2025Q2
91
186.5
3.61
0.63
0.46
2.52
3.58
2.0%
2025Q1
90
193.9
3.61
0.59
0.50
2.52
3.62
2.1%
2024Q4
92
190.8
3.62
0.58
0.49
2.54
3.61
1.5%
2024Q3
92
194.4
3.62
0.57
0.54
2.52
3.57
2.6%
2024Q2
91
194.4
3.56
0.56
0.52
2.48
3.54
2.1%
2024Q1
91
195.1
4.10
0.58
0.53
3.00
4.01
2.9%
2023Q4
92
190.3
3.72
0.49
0.58
2.65
3.59
5.9%
2023Q3
92
185.6
3.81
0.37
0.70
2.73
3.77
14.6%
2023Q2
91
185.9
3.35
0.32
0.72
2.31
3.17
6.6%
2023Q1
90
186.9
3.38
0.31
0.74
2.33
3.29
7.1%
2022Q4
92
188.6
3.32
0.39
0.66
2.27
3.27
5.0%
2022Q3
92
177.4
3.46
0.41
0.65
2.40
3.54
0.9%
2022Q2
91
179.7
3.56
0.42
0.66
2.47
3.54
2.4%
2022Q1
90
180.4
3.64
0.38
0.70
2.56
3.63
0.5%
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.
G
2026-01-19
2025-11-13
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2026-01-13
2025-09-18
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.
E
2025-11-10
2025-09-18
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-11-10
2025-04-10
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-05-16
2025-04-10
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2025-05-16
2025-04-10
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
2025-05-16
2025-04-10
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
2025-05-16
2025-04-10
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-05-16
2025-04-10
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
2025-05-16
2025-04-10
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-05-16
2023-11-09
Health · complaint
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
2023-12-27
2023-11-09
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2023-12-27
2022-10-28
Health
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
2022-11-23
2022-10-28
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.
E
2022-11-23
2022-10-28
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2022-11-23
2022-10-28
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
2022-11-23
2022-10-28
Health
F0908
Keep all essential equipment working safely.
E
2022-11-23
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
18
Owner
Role
Pct
From
Status
Source
ARCHDIOCESE OF MIAMI INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
—
current
pecos_ownership
ST. ANNE'S NURSING CENTER, ST ANNE'S RESIDENCE INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
—
current
pecos_ownership
CABEZAS, SANDRA
ADP OF THE SNF
—
2026-03-03
current
pecos_ownership
CABEZAS, SANDRA
OPERATIONAL/MANAGERIAL CONTROL
—
2019-05-17
current
pecos_ownership
CATHOLIC CEMETERIES
Other (financial or non-financial)
—
2023-10-01
current
hcris_a_8_1
CATHOLIC CEMETERIES
Other (financial or non-financial)
—
2022-10-01
current
hcris_a_8_1
FERNANDEZ, HERIBERTO
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
current
pecos_ownership
FERNANDEZ, HERIBERTO
ADP OF THE SNF
—
2026-03-03
current
pecos_ownership
FRICK, MARY
CORPORATE OFFICER
—
2024-04-01
current
pecos_ownership
WILSON, LAURA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
current
pecos_ownership
CATHOLIC CEMETERIES
Other (financial or non-financial)
—
2021-10-01
ended 2022-09-30
hcris_a_8_1
CATHOLIC CEMETERIES
Other (financial or non-financial)
—
2020-10-01
ended 2021-09-30
hcris_a_8_1
HERIBERTO FERNANDEZ
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-01
ended 2026-05-18
pecos_ownership
HERIBERTO FERNANDEZ
ADP OF THE SNF
—
2026-03-03
ended 2026-05-18
pecos_ownership
LAURA WILSON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
ended 2026-05-18
pecos_ownership
MARY FRICK
CORPORATE OFFICER
—
2024-04-01
ended 2026-05-18
pecos_ownership
SANDRA CABEZAS
ADP OF THE SNF
—
2026-03-03
ended 2026-05-18
pecos_ownership
SANDRA CABEZAS
OPERATIONAL/MANAGERIAL CONTROL
—
2019-05-17
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-09-30
$5,657,873
—
$3,882,319
—
$527,536
11
—
2023-09-30
$4,752,363
—
$3,228,644
—
$438,072
10
—
2022-09-30
$4,056,802
—
$2,426,624
$14,188
$468,367
14
—
2021-09-30
$4,280,228
—
$2,387,183
$4,722
$487,829
14
—
2020-09-30
$4,418,007
—
$2,537,774
$62,423
$497,920
14
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 12086
acs median gross
0
$1,408
2024-12-31
CENSUS_ACS5
county 12086
fmr
0
$1,828
2025-10-01
HUD_USER_FMR
county 12086
acs median gross
1
$1,554
2024-12-31
CENSUS_ACS5
county 12086
fmr
1
$1,995
2025-10-01
HUD_USER_FMR
county 12086
acs median gross
2
$1,890
2024-12-31
CENSUS_ACS5
county 12086
fmr
2
$2,436
2025-10-01
HUD_USER_FMR
county 12086
acs median gross
3
$2,234
2024-12-31
CENSUS_ACS5
county 12086
fmr
3
$3,127
2025-10-01
HUD_USER_FMR
county 12086
acs median gross
4
$2,645
2024-12-31
CENSUS_ACS5
county 12086
fmr
4
$3,613
2025-10-01
HUD_USER_FMR
county 12086
acs median gross
5
$2,979
2024-12-31
CENSUS_ACS5
county 12086
acs median gross
$1,829
2024-12-31
CENSUS_ACS5
county 12086
acs recent mover gross
$2,305
2024-12-31
CENSUS_ACS5
zcta 33177
acs median gross
1
$1,854
2024-12-31
CENSUS_ACS5
zcta 33177
acs median gross
2
$2,168
2024-12-31
CENSUS_ACS5
zcta 33177
acs median gross
3
$2,134
2024-12-31
CENSUS_ACS5
zcta 33177
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 33177
acs median gross
$2,174
2024-12-31
CENSUS_ACS5
zcta 33177
acs recent mover gross
$2,510
2024-12-31
CENSUS_ACS5
zip 33177
payment standard 110
0
$2,398
2025-10-01
HUD_USER_SAFMR
zip 33177
payment standard 90
0
$1,962
2025-10-01
HUD_USER_SAFMR
zip 33177
safmr
0
$2,180
2025-10-01
HUD_USER_SAFMR
zip 33177
payment standard 110
1
$2,607
2025-10-01
HUD_USER_SAFMR
zip 33177
payment standard 90
1
$2,133
2025-10-01
HUD_USER_SAFMR
zip 33177
safmr
1
$2,370
2025-10-01
HUD_USER_SAFMR
zip 33177
payment standard 110
2
$3,190
2025-10-01
HUD_USER_SAFMR
zip 33177
payment standard 90
2
$2,610
2025-10-01
HUD_USER_SAFMR
zip 33177
safmr
2
$2,900
2025-10-01
HUD_USER_SAFMR
zip 33177
payment standard 110
3
$4,092
2025-10-01
HUD_USER_SAFMR
zip 33177
payment standard 90
3
$3,348
2025-10-01
HUD_USER_SAFMR
zip 33177
safmr
3
$3,720
2025-10-01
HUD_USER_SAFMR
zip 33177
payment standard 110
4
$4,730
2025-10-01
HUD_USER_SAFMR
zip 33177
payment standard 90
4
$3,870
2025-10-01
HUD_USER_SAFMR
zip 33177
safmr
4
$4,300
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.