Reads as: riskier than 44.5% 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.
ML signals — parallel engine
11
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+29.4 vs natl
AEGIR HEALTH MANAGEMENT LLC
10 facilities
connection
Owner fleet risk far above national
+26.5 vs natl
RICHMOND PENNY
25 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
KANE FINANCIAL SERVICES 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
+24.5 vs natl
MULLARKEY JAMES
18 facilities
connection
Owner fleet risk far above national
+24.5 vs natl
KATZ HALL KATHY
18 facilities
connection
Owner fleet risk far above national
+23.9 vs natl
FLORIDA INSTITUTE FOR LONG TERM CARE LLC
17 facilities
connection
Owner spans multiple chains
8 chains
SELECT REHABILITATION LLC
50 facilities
connection
Owner spans multiple chains
7 chains
OMEGA HEALTHCARE INVESTORS INC
44 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
2.83
3.42
3.28
2.90–3.77
RN
0.51
0.45
0.39
0.25–0.58
Weekend total
2.89
3.31
3.11
—
Weekday total
2.81
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
107.0
2.83
0.51
0.32
2.00
2.89
0.0%
2025Q3
92
97.2
2.96
0.58
0.36
2.02
3.09
0.1%
2025Q2
91
107.4
2.93
0.55
0.32
2.05
3.02
0.1%
2025Q1
90
110.4
2.89
0.47
0.39
2.03
2.98
0.1%
2024Q4
92
108.6
2.96
0.49
0.39
2.08
3.04
0.0%
2024Q3
92
108.4
2.95
0.50
0.39
2.05
3.01
0.1%
2024Q2
91
108.2
2.88
0.48
0.38
2.01
2.91
0.0%
2024Q1
91
113.1
2.81
0.40
0.42
1.99
2.87
0.1%
2023Q4
92
114.2
2.88
0.42
0.47
1.99
2.90
0.1%
2023Q3
92
116.8
2.92
0.39
0.56
1.97
2.95
0.0%
2023Q2
91
116.9
2.85
0.39
0.57
1.89
2.84
0.1%
2023Q1
90
114.6
2.95
0.49
0.47
1.99
2.86
0.1%
2022Q4
92
101.5
2.65
0.34
0.46
1.84
2.50
4.0%
2022Q3
92
108.1
2.80
0.30
0.49
2.01
2.80
0.2%
2022Q2
91
112.6
2.82
0.24
0.54
2.04
2.83
1.3%
2022Q1
90
109.4
3.26
0.31
0.53
2.42
3.30
8.2%
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.
Reasonably accommodate the needs and preferences of each resident.
E
2025-06-13
2025-05-13
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
E
2025-06-13
2025-05-13
Health · complaint
F0825
Provide or get specialized rehabilitative services as required for a resident.
E
2025-06-13
2025-02-12
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-03-12
2025-02-12
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.
E
2025-03-12
2025-02-12
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
2025-03-12
2025-02-12
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2025-03-12
2025-02-12
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2025-06-13
2025-02-12
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
2025-03-12
2025-02-12
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
2025-03-12
2025-02-12
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
2025-03-12
2025-02-12
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2025-03-12
2025-02-12
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2025-03-12
2025-02-12
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-06-13
2024-05-08
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.
E
2024-06-07
2024-05-08
Health · complaint
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
2024-06-07
2024-05-08
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-06-07
2024-05-08
Health · complaint
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
2024-06-07
2023-06-08
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.
E
2023-07-08
2023-06-08
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2023-07-08
2023-06-08
Health · complaint
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
D
2023-07-08
2023-02-22
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2023-03-22
2023-02-22
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
2023-03-22
2023-02-22
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2023-03-22
2023-02-22
Health
F0732
Post nurse staffing information every day.
B
2023-03-22
2023-02-22
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
2023-03-22
2023-02-22
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.
E
2023-03-22
2021-07-15
Health
F0563
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
E
2021-08-16
2021-07-15
Health
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
E
2021-08-16
2021-07-15
Health
F0679
Provide activities to meet all resident's needs.
E
2021-08-16
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
16
Owner
Role
Pct
From
Status
Source
FLORIDA INSTITUTE FOR LONG TERM CARE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2002-12-23
current
pecos_ownership
AEGIR HEALTH MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2009-09-01
current
pecos_ownership
AEGIR HEALTH MANAGEMENT LLC
ADP OF THE SNF
—
2003-07-01
current
pecos_ownership
CONSULTING SUPPORT SERVICES, LLC
ADP OF THE SNF
—
2011-06-28
current
pecos_ownership
FACILITY SUPPORT COMPANY, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2010-12-13
current
pecos_ownership
FLORIDA INSTITUTE FOR LONG TERM CARE LLC
ADP OF THE SNF
—
2025-04-07
current
pecos_ownership
JAFFE, HOWARD
CORPORATE OFFICER
—
2003-07-01
current
pecos_ownership
JONES, MARTINA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-03-02
current
pecos_ownership
JONES, MARTINA
ADP OF THE SNF
—
2012-03-02
current
pecos_ownership
KANE FINANCIAL SERVICES, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2012-06-06
current
pecos_ownership
KATZ-HALL, KATHY
CORPORATE OFFICER
—
2003-07-01
current
pecos_ownership
MULLARKEY, JAMES
CORPORATE OFFICER
—
2003-07-01
current
pecos_ownership
OMEGA HEALTHCARE INVESTORS, INC
ADP OF THE SNF
—
2003-07-01
current
pecos_ownership
RICHMOND, PENNY
CORPORATE OFFICER
—
2003-07-01
current
pecos_ownership
SELECT REHABILITATION, LLC
ADP OF THE SNF
—
2016-08-19
current
pecos_ownership
WATSON, SASHA
ADP OF THE SNF
—
2022-06-22
current
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
2024-12-31
$126,228
—
—
—
—
1
—
2023-12-31
$146,786
—
—
—
—
1
—
2022-12-31
$146,783
—
—
—
—
1
—
2021-12-31
$146,723
—
—
—
—
1
—
2020-12-31
$117,204
—
—
—
—
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 12071
acs median gross
0
$1,630
2024-12-31
CENSUS_ACS5
county 12071
fmr
0
$1,629
2025-10-01
HUD_USER_FMR
county 12071
acs median gross
1
$1,475
2024-12-31
CENSUS_ACS5
county 12071
fmr
1
$1,638
2025-10-01
HUD_USER_FMR
county 12071
acs median gross
2
$1,617
2024-12-31
CENSUS_ACS5
county 12071
fmr
2
$1,961
2025-10-01
HUD_USER_FMR
county 12071
acs median gross
3
$1,874
2024-12-31
CENSUS_ACS5
county 12071
fmr
3
$2,560
2025-10-01
HUD_USER_FMR
county 12071
acs median gross
4
$2,133
2024-12-31
CENSUS_ACS5
county 12071
fmr
4
$2,836
2025-10-01
HUD_USER_FMR
county 12071
acs median gross
5
$2,648
2024-12-31
CENSUS_ACS5
county 12071
acs median gross
$1,712
2024-12-31
CENSUS_ACS5
county 12071
acs recent mover gross
$2,090
2024-12-31
CENSUS_ACS5
zcta 33904
acs median gross
0
$980
2024-12-31
CENSUS_ACS5
zcta 33904
acs median gross
1
$1,226
2024-12-31
CENSUS_ACS5
zcta 33904
acs median gross
2
$1,583
2024-12-31
CENSUS_ACS5
zcta 33904
acs median gross
3
$2,078
2024-12-31
CENSUS_ACS5
zcta 33904
acs median gross
4
$2,212
2024-12-31
CENSUS_ACS5
zcta 33904
acs median gross
$1,710
2024-12-31
CENSUS_ACS5
zcta 33904
acs recent mover gross
$2,158
2024-12-31
CENSUS_ACS5
zip 33904
payment standard 110
0
$1,848
2025-10-01
HUD_USER_SAFMR
zip 33904
payment standard 90
0
$1,512
2025-10-01
HUD_USER_SAFMR
zip 33904
safmr
0
$1,680
2025-10-01
HUD_USER_SAFMR
zip 33904
payment standard 110
1
$1,859
2025-10-01
HUD_USER_SAFMR
zip 33904
payment standard 90
1
$1,521
2025-10-01
HUD_USER_SAFMR
zip 33904
safmr
1
$1,690
2025-10-01
HUD_USER_SAFMR
zip 33904
payment standard 110
2
$2,222
2025-10-01
HUD_USER_SAFMR
zip 33904
payment standard 90
2
$1,818
2025-10-01
HUD_USER_SAFMR
zip 33904
safmr
2
$2,020
2025-10-01
HUD_USER_SAFMR
zip 33904
payment standard 110
3
$2,904
2025-10-01
HUD_USER_SAFMR
zip 33904
payment standard 90
3
$2,376
2025-10-01
HUD_USER_SAFMR
zip 33904
safmr
3
$2,640
2025-10-01
HUD_USER_SAFMR
zip 33904
payment standard 110
4
$3,212
2025-10-01
HUD_USER_SAFMR
zip 33904
payment standard 90
4
$2,628
2025-10-01
HUD_USER_SAFMR
zip 33904
safmr
4
$2,920
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.