Reads as: riskier than 86.6% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
47 chains
FORVIS MAZARS LLP
251 facilities
connection
Owner spans multiple chains
6 chains
SUMMATION FINANCIAL SERVICES LLC
48 facilities
connection
Owner spans multiple chains
4 chains
PEASE BELL CPAS LLC
13 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
3.38
3.42
3.28
2.90–3.77
RN
0.39
0.45
0.39
0.25–0.58
Weekend total
3.28
3.31
3.11
—
Weekday total
3.42
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
60.9
3.38
0.39
0.71
2.28
3.28
0.0%
2025Q3
92
62.3
3.33
0.35
0.71
2.27
3.25
0.0%
2025Q2
91
61.5
3.42
0.29
0.81
2.32
3.28
0.0%
2025Q1
90
67.5
3.35
0.31
0.76
2.29
3.24
0.0%
2024Q4
92
64.5
3.30
0.31
0.67
2.32
3.22
0.0%
2024Q3
92
66.2
3.32
0.31
0.72
2.28
3.22
0.0%
2024Q2
91
63.1
3.37
0.28
0.74
2.35
3.24
0.0%
2024Q1
91
64.5
3.36
0.36
0.71
2.28
3.28
0.0%
2023Q4
92
62.6
3.26
0.20
0.86
2.21
3.05
0.0%
2023Q3
92
64.8
3.13
0.11
0.90
2.12
2.85
0.0%
2023Q2
91
64.5
3.00
0.24
1.00
1.76
2.75
7.9%
2023Q1
90
66.9
3.06
0.17
0.90
2.00
2.87
7.5%
2022Q4
92
71.2
2.98
0.10
0.70
2.17
2.80
25.8%
2022Q3
92
68.7
3.23
0.33
0.84
2.06
2.85
18.0%
2022Q2
91
64.8
2.64
0.15
0.97
1.52
2.31
0.0%
2022Q1
90
65.1
2.05
0.22
0.71
1.12
2.04
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
23
D × 17E × 5F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-06-27
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-07-27
2024-06-27
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-07-27
2024-06-27
Health · complaint
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
2024-07-27
2024-06-27
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-07-27
2024-06-27
Health · complaint
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
2024-07-27
2024-06-27
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-07-27
2024-06-27
Health · complaint
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
2024-07-27
2024-06-27
Health · complaint
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2024-07-27
2024-06-27
Health · complaint
F0808
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
D
2024-07-27
2024-06-27
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-07-27
2024-06-27
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-07-27
2024-06-27
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-07-27
2022-11-15
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
2023-02-12
2022-11-15
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-02-12
2022-11-15
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
2022-12-09
2022-11-15
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2022-12-09
2022-11-15
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
2023-02-12
2021-03-26
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2021-04-26
2021-03-26
Health
F0679
Provide activities to meet all resident's needs.
E
2021-04-26
2021-03-26
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2021-04-26
2021-03-26
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.
E
2021-04-26
2021-03-26
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2021-04-26
2021-03-26
Health
F0761
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
2021-04-26
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
27
Owner
Role
Pct
From
Status
Source
HARDEE FL LAND PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
100%
2023-01-01
current
hcris_a_8_1
ST AMARO HOLDCO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-09-01
current
pecos_ownership
GLUCK, BENJAMIN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
12%
2023-09-01
current
pecos_ownership
NMJ IRRV TR II
5% OR GREATER INDIRECT OWNERSHIP INTEREST
6%
2023-09-01
current
pecos_ownership
BECKER, YITZCHOK
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-12-10
current
pecos_ownership
CUKIER, JOSEF
OPERATIONAL/MANAGERIAL CONTROL
—
2023-09-01
current
pecos_ownership
FORVIS MAZARS LLP
ADP OF THE SNF
—
2023-09-01
current
pecos_ownership
FRIEDLAND, SHALOM
OPERATIONAL/MANAGERIAL CONTROL
—
2023-09-01
current
pecos_ownership
GELDART, DONALD
ADP OF THE SNF
—
2023-09-01
current
pecos_ownership
JAKOBOVITS, NATHAN
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-12-10
current
pecos_ownership
JEK HOLDINGS LLC
DIRECT OWNERSHIP INTEREST
—
2023-09-01
current
pecos_ownership
JEK IRRV TR II
DIRECT OWNERSHIP INTEREST
—
2023-09-01
current
pecos_ownership
KAGAN, JEFFREY
DIRECT OWNERSHIP INTEREST
—
2023-09-01
current
pecos_ownership
MESSIER, AMY
ADP OF THE SNF
—
2023-09-01
current
pecos_ownership
NMJ HOLDINGS LLC
DIRECT OWNERSHIP INTEREST
—
2023-09-01
current
pecos_ownership
PEASE BELL CPAS LLC
ADP OF THE SNF
—
2023-09-01
current
pecos_ownership
SUMMATION FINANCIAL SERVICES LLC
ADP OF THE SNF
—
2023-09-01
current
pecos_ownership
VIVO HEALTHCARE CONSULTING LLC
ADP OF THE SNF
—
2023-09-01
current
pecos_ownership
HARDEE FL LAND PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
HARDEE FL PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
100%
2020-12-01
ended 2021-12-31
hcris_a_8_1
JOSEF CUKIER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
49%
2023-09-04
ended 2026-05-18
pecos_ownership
SHALOM FRIEDLAND
5% OR GREATER INDIRECT OWNERSHIP INTEREST
19%
2023-09-01
ended 2026-05-18
pecos_ownership
BENJAMIN GLUCK
5% OR GREATER INDIRECT OWNERSHIP INTEREST
12%
2023-09-01
ended 2026-05-18
pecos_ownership
JEFFREY KAGAN
DIRECT OWNERSHIP INTEREST
5%
2023-09-01
ended 2026-05-18
pecos_ownership
AMY MESSIER
ADP OF THE SNF
—
2023-09-01
ended 2026-05-18
pecos_ownership
DONALD GELDART
ADP OF THE SNF
—
2023-09-01
ended 2026-05-18
pecos_ownership
JOSEF CUKIER
OPERATIONAL/MANAGERIAL CONTROL
—
2023-09-01
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$175,087
—
$149,008
—
$26,079
4
—
2023-12-31
$64,604
—
—
—
$11,434
4
—
2023-08-31
$1,388,967
—
$329,162
—
—
11
propco
2022-12-31
$1,684,177
—
$439,605
—
—
9
propco
2021-12-31
$2,156,954
—
$619,834
—
—
7
propco
2020-11-30
$801,885
—
—
$357,954
—
4
—
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
30
Geo
Kind
BR
Amount
As of
Source
county 12049
fmr
0
$1,058
2025-10-01
HUD_USER_FMR
county 12049
acs median gross
1
$777
2024-12-31
CENSUS_ACS5
county 12049
fmr
1
$1,064
2025-10-01
HUD_USER_FMR
county 12049
acs median gross
2
$932
2024-12-31
CENSUS_ACS5
county 12049
fmr
2
$1,248
2025-10-01
HUD_USER_FMR
county 12049
acs median gross
3
$1,125
2024-12-31
CENSUS_ACS5
county 12049
fmr
3
$1,691
2025-10-01
HUD_USER_FMR
county 12049
acs median gross
4
$1,413
2024-12-31
CENSUS_ACS5
county 12049
fmr
4
$2,094
2025-10-01
HUD_USER_FMR
county 12049
acs median gross
$962
2024-12-31
CENSUS_ACS5
zcta 33873
acs median gross
1
$800
2024-12-31
CENSUS_ACS5
zcta 33873
acs median gross
2
$963
2024-12-31
CENSUS_ACS5
zcta 33873
acs median gross
3
$1,061
2024-12-31
CENSUS_ACS5
zcta 33873
acs median gross
4
$1,411
2024-12-31
CENSUS_ACS5
zcta 33873
acs median gross
$963
2024-12-31
CENSUS_ACS5
zip 33873
payment standard 110
0
$1,166
2025-10-01
HUD_USER_SAFMR
zip 33873
payment standard 90
0
$954
2025-10-01
HUD_USER_SAFMR
zip 33873
safmr
0
$1,060
2025-10-01
HUD_USER_SAFMR
zip 33873
payment standard 110
1
$1,177
2025-10-01
HUD_USER_SAFMR
zip 33873
payment standard 90
1
$963
2025-10-01
HUD_USER_SAFMR
zip 33873
safmr
1
$1,070
2025-10-01
HUD_USER_SAFMR
zip 33873
payment standard 110
2
$1,375
2025-10-01
HUD_USER_SAFMR
zip 33873
payment standard 90
2
$1,125
2025-10-01
HUD_USER_SAFMR
zip 33873
safmr
2
$1,250
2025-10-01
HUD_USER_SAFMR
zip 33873
payment standard 110
3
$1,859
2025-10-01
HUD_USER_SAFMR
zip 33873
payment standard 90
3
$1,521
2025-10-01
HUD_USER_SAFMR
zip 33873
safmr
3
$1,690
2025-10-01
HUD_USER_SAFMR
zip 33873
payment standard 110
4
$2,310
2025-10-01
HUD_USER_SAFMR
zip 33873
payment standard 90
4
$1,890
2025-10-01
HUD_USER_SAFMR
zip 33873
safmr
4
$2,100
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.