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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
5 chains
BANK OF AMERICA NA
27 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 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 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
1.87
3.42
3.28
2.90–3.77
RN
0.91
0.45
0.39
0.25–0.58
Weekend total
1.59
3.31
3.11
—
Weekday total
1.98
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
57.0
1.87
0.91
0.17
0.79
1.59
0.0%
2025Q3
92
55.9
5.94
2.92
0.35
2.66
5.55
0.0%
2025Q2
91
49.1
5.00
2.45
0.36
2.18
4.28
0.0%
2025Q1
90
41.6
5.79
2.79
0.49
2.51
5.38
0.0%
2024Q4
92
39.2
6.07
3.12
0.44
2.50
5.67
0.0%
2024Q3
92
37.8
6.52
3.32
0.45
2.75
6.16
0.0%
2024Q2
91
36.4
6.55
3.17
0.49
2.89
6.27
0.0%
2024Q1
91
38.5
6.14
2.92
0.62
2.59
5.85
0.0%
2023Q4
92
36.7
6.28
2.96
0.60
2.72
5.95
0.0%
2023Q3
92
32.4
6.55
3.03
0.41
3.12
6.29
0.0%
2023Q2
91
35.2
5.96
2.59
0.34
3.03
5.51
0.0%
2023Q1
90
38.0
5.87
2.68
0.45
2.74
5.71
0.0%
2022Q4
92
40.2
5.78
2.73
0.41
2.64
5.62
0.0%
2022Q3
92
36.0
6.75
3.21
0.45
3.09
6.52
0.0%
2022Q2
91
33.2
4.69
2.14
0.40
2.15
4.46
0.0%
2022Q1
90
31.5
7.29
3.37
0.57
3.35
7.01
0.0%
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
0
No deficiencies on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
55
Owner
Role
Pct
From
Status
Source
SHANDS JACKSONVILLE HEALTHCARE INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
1999-10-01
current
pecos_ownership
SHANDS JACKSONVILLE MEDICAL CENTER INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
1999-10-01
current
pecos_ownership
BANK OF AMERICA, NA
5% OR GREATER SECURITY INTEREST
—
2025-02-07
current
pecos_ownership
BEEBE, EDMUND
CORPORATE DIRECTOR
—
2024-09-26
current
pecos_ownership
BYRD, ANDREA
ADP OF THE SNF
—
2010-10-25
current
pecos_ownership
COCCHI, DEAN
CORPORATE OFFICER
—
2018-03-01
current
pecos_ownership
COCCHI, DEAN
ADP OF THE SNF
—
2014-12-08
current
pecos_ownership
DA CRUZ, KERIN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-18
current
pecos_ownership
FUCHS, KENT
CORPORATE DIRECTOR
—
2024-09-26
current
pecos_ownership
FULLER, RYAN
CORPORATE DIRECTOR
—
2024-12-13
current
pecos_ownership
GAGADAM, VINAY
OPERATIONAL/MANAGERIAL CONTROL
—
2016-09-01
current
pecos_ownership
GREEN, PATRICK
ADP OF THE SNF
—
2023-07-01
current
pecos_ownership
GREEN, PATRICK
CORPORATE OFFICER
—
2023-07-10
current
pecos_ownership
GUNDERSON, CHENEY
ADP OF THE SNF
—
2016-02-01
current
pecos_ownership
HUNT, JENNIFER
CORPORATE DIRECTOR
—
2024-09-26
current
pecos_ownership
JOHNSON, BRITTANY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-05
current
pecos_ownership
LACHIUSA, ANDREA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-09-02
current
pecos_ownership
LEE, TYIKA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-19
current
pecos_ownership
LEWIS, GREGORY
CORPORATE DIRECTOR
—
2024-09-26
current
pecos_ownership
MANN, DAVID
CORPORATE DIRECTOR
—
2017-03-07
current
pecos_ownership
MEAD, BETSY
ADP OF THE SNF
—
2025-04-09
current
pecos_ownership
MEAD, BETSY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-05
current
pecos_ownership
METHODIST MEDICAL CENTER INC
ADP OF THE SNF
—
2005-04-21
current
pecos_ownership
MOTEW, STEPHEN
CORPORATE DIRECTOR
—
2024-09-26
current
pecos_ownership
NEVILLE, TODD
CORPORATE DIRECTOR
—
2024-09-26
current
pecos_ownership
POWERS, MARSHA
CORPORATE DIRECTOR
—
2024-09-26
current
pecos_ownership
RICHMOND, VANESSA
OPERATIONAL/MANAGERIAL CONTROL
—
2016-11-17
current
pecos_ownership
ROSARIO, MAYA
ADP OF THE SNF
—
2021-11-29
current
pecos_ownership
SHANDS JACKSONVILLE HEALTHCARE INC
ADP OF THE SNF
—
2005-04-21
current
pecos_ownership
STILLEY, ROBERT
CORPORATE DIRECTOR
—
2024-11-01
current
pecos_ownership
DAVID MANN
CORPORATE DIRECTOR
0%
2017-03-07
ended 2026-05-18
pecos_ownership
DEAN COCCHI
CORPORATE OFFICER
0%
2018-03-01
ended 2026-05-18
pecos_ownership
EDMUND BEEBE
CORPORATE DIRECTOR
0%
2024-09-26
ended 2026-05-18
pecos_ownership
GREGORY LEWIS
CORPORATE DIRECTOR
0%
2024-09-26
ended 2026-05-18
pecos_ownership
JENNIFER HUNT
CORPORATE DIRECTOR
0%
2024-09-26
ended 2026-05-18
pecos_ownership
KENT FUCHS
CORPORATE DIRECTOR
0%
2024-09-26
ended 2026-05-18
pecos_ownership
MARSHA POWERS
CORPORATE DIRECTOR
0%
2024-09-26
ended 2026-05-18
pecos_ownership
PATRICK GREEN
CORPORATE OFFICER
0%
2023-07-10
ended 2026-05-18
pecos_ownership
ROBERT STILLEY
CORPORATE DIRECTOR
0%
2024-11-01
ended 2026-05-18
pecos_ownership
RYAN FULLER
CORPORATE DIRECTOR
0%
2024-12-13
ended 2026-05-18
pecos_ownership
STEPHEN MOTEW
CORPORATE DIRECTOR
0%
2024-09-26
ended 2026-05-18
pecos_ownership
TODD NEVILLE
CORPORATE DIRECTOR
0%
2024-09-26
ended 2026-05-18
pecos_ownership
ANDREA BYRD
ADP OF THE SNF
—
2010-10-25
ended 2026-05-18
pecos_ownership
ANDREA LACHIUSA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-09-02
ended 2026-05-18
pecos_ownership
BETSY MEAD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-05
ended 2026-05-18
pecos_ownership
BETSY MEAD
ADP OF THE SNF
—
2025-04-09
ended 2026-05-18
pecos_ownership
BRITTANY JOHNSON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-05
ended 2026-05-18
pecos_ownership
CHENEY GUNDERSON
ADP OF THE SNF
—
2016-02-01
ended 2026-05-18
pecos_ownership
DEAN COCCHI
ADP OF THE SNF
—
2014-12-08
ended 2026-05-18
pecos_ownership
KERIN DA CRUZ
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-18
ended 2026-05-18
pecos_ownership
MAYA ROSARIO
OPERATIONAL/MANAGERIAL CONTROL
—
2021-11-29
ended 2026-05-18
pecos_ownership
PATRICK GREEN
ADP OF THE SNF
—
2023-07-01
ended 2026-05-18
pecos_ownership
TYIKA LEE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-19
ended 2026-05-18
pecos_ownership
VANESSA RICHMOND
OPERATIONAL/MANAGERIAL CONTROL
—
2016-11-17
ended 2026-05-18
pecos_ownership
VINAY GAGADAM
OPERATIONAL/MANAGERIAL CONTROL
—
2016-09-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 12031
acs median gross
0
$1,218
2024-12-31
CENSUS_ACS5
county 12031
fmr
0
$1,355
2025-10-01
HUD_USER_FMR
county 12031
acs median gross
1
$1,245
2024-12-31
CENSUS_ACS5
county 12031
fmr
1
$1,382
2025-10-01
HUD_USER_FMR
county 12031
acs median gross
2
$1,508
2024-12-31
CENSUS_ACS5
county 12031
fmr
2
$1,658
2025-10-01
HUD_USER_FMR
county 12031
acs median gross
3
$1,665
2024-12-31
CENSUS_ACS5
county 12031
fmr
3
$2,043
2025-10-01
HUD_USER_FMR
county 12031
acs median gross
4
$1,935
2024-12-31
CENSUS_ACS5
county 12031
fmr
4
$2,561
2025-10-01
HUD_USER_FMR
county 12031
acs median gross
5
$1,899
2024-12-31
CENSUS_ACS5
county 12031
acs median gross
$1,475
2024-12-31
CENSUS_ACS5
county 12031
acs recent mover gross
$1,642
2024-12-31
CENSUS_ACS5
zcta 32209
acs median gross
0
$794
2024-12-31
CENSUS_ACS5
zcta 32209
acs median gross
1
$330
2024-12-31
CENSUS_ACS5
zcta 32209
acs median gross
2
$943
2024-12-31
CENSUS_ACS5
zcta 32209
acs median gross
3
$1,246
2024-12-31
CENSUS_ACS5
zcta 32209
acs median gross
4
$1,351
2024-12-31
CENSUS_ACS5
zcta 32209
acs median gross
$1,062
2024-12-31
CENSUS_ACS5
zcta 32209
acs recent mover gross
$1,153
2024-12-31
CENSUS_ACS5
zip 32209
payment standard 110
0
$1,078
2025-10-01
HUD_USER_SAFMR
zip 32209
payment standard 90
0
$882
2025-10-01
HUD_USER_SAFMR
zip 32209
safmr
0
$980
2025-10-01
HUD_USER_SAFMR
zip 32209
payment standard 110
1
$1,100
2025-10-01
HUD_USER_SAFMR
zip 32209
payment standard 90
1
$900
2025-10-01
HUD_USER_SAFMR
zip 32209
safmr
1
$1,000
2025-10-01
HUD_USER_SAFMR
zip 32209
payment standard 110
2
$1,320
2025-10-01
HUD_USER_SAFMR
zip 32209
payment standard 90
2
$1,080
2025-10-01
HUD_USER_SAFMR
zip 32209
safmr
2
$1,200
2025-10-01
HUD_USER_SAFMR
zip 32209
payment standard 110
3
$1,628
2025-10-01
HUD_USER_SAFMR
zip 32209
payment standard 90
3
$1,332
2025-10-01
HUD_USER_SAFMR
zip 32209
safmr
3
$1,480
2025-10-01
HUD_USER_SAFMR
zip 32209
payment standard 110
4
$2,035
2025-10-01
HUD_USER_SAFMR
zip 32209
payment standard 90
4
$1,665
2025-10-01
HUD_USER_SAFMR
zip 32209
safmr
4
$1,850
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.