Reads as: riskier than 32.7% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
4 chains
NURIEL GABRIEL
4 facilities
connection
Owner fleet enforcement cluster
41% fined
PINNACLE HEALTHCARE SOLUTIONS INC
17 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
3.15
3.42
3.28
2.90–3.77
RN
0.51
0.45
0.39
0.25–0.58
Weekend total
3.23
3.31
3.11
—
Weekday total
3.12
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
56.6
3.15
0.51
0.51
2.13
3.23
0.0%
2025Q3
92
56.7
3.40
0.48
0.82
2.10
3.17
0.0%
2025Q2
91
53.3
3.11
0.41
0.49
2.20
3.10
0.0%
2025Q1
90
59.1
3.08
0.39
0.61
2.08
3.26
0.0%
2024Q4
92
57.0
3.49
0.47
0.95
2.08
3.21
0.8%
2024Q3
92
54.2
3.14
0.35
0.72
2.07
3.10
0.0%
2024Q2
91
53.9
3.49
0.44
0.73
2.32
3.44
0.0%
2024Q1
91
53.3
3.44
0.48
0.66
2.31
3.31
0.0%
2023Q4
92
56.0
3.27
0.46
0.56
2.25
3.08
0.0%
2023Q3
92
57.5
3.09
0.52
0.43
2.14
2.85
3.5%
2023Q2
91
53.8
2.63
0.30
0.44
1.89
2.52
0.7%
2023Q1
90
51.2
3.17
0.55
0.69
1.93
2.98
14.8%
2022Q4
92
51.6
3.23
0.61
0.47
2.15
2.89
4.6%
2022Q3
92
50.7
3.54
0.63
0.39
2.53
3.30
7.3%
2022Q2
91
52.0
3.89
0.72
0.45
2.72
3.55
17.0%
2022Q1
90
53.4
4.37
0.61
0.61
3.15
4.10
27.1%
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.
PASARR screening for Mental disorders or Intellectual Disabilities
D
2025-05-07
2025-04-02
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
2025-05-07
2025-04-02
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-05-07
2025-04-02
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-05-07
2023-06-22
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-07-22
2023-06-22
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-07-17
2021-09-23
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
2021-10-23
2021-09-23
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2021-10-23
2021-09-23
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
2021-10-23
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
25
Owner
Role
Pct
From
Status
Source
BP DELAND AND DAYTONA OPCO LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2023-06-01
current
pecos_ownership
BP DELAND AND DAYTONA PROPCO LP
Corporation, partnership or other organization has financial interest in provider
100%
2023-06-01
current
hcris_a_8_1
DELAND FL HOLDCO, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-12-20
current
pecos_ownership
ALVAREZ, NORMA
MANAGING CONTROL - GOVERNING BODY
—
2024-06-17
current
pecos_ownership
BECKMAN, ROBERT
ADP OF THE SNF
—
2024-09-11
current
pecos_ownership
BIGGEST ROCK SNF IRREVOCABLE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-01
current
pecos_ownership
BP DELAND AND DAYTONA GENERAL PARTNER LLC
ADP OF THE SNF
—
2023-06-01
current
pecos_ownership
BP DELAND AND DAYTONA PROPCO LP
Corporation, partnership or other organization has financial interest in provider
—
2024-01-01
current
hcris_a_8_1
BREDLEGS HOLDINGS LLC
ADP OF THE SNF
—
2023-06-01
current
pecos_ownership
CAMDEN WV LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-01
current
pecos_ownership
FRIED, BINYOMIN
CORPORATE OFFICER
—
2023-10-01
current
pecos_ownership
HEALTHCARE INVESTMENT HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-01
current
pecos_ownership
JS FAMILY TRUST
ADP OF THE SNF
—
2025-06-26
current
pecos_ownership
JS FAMILY TRUST
INDIRECT OWNERSHIP INTEREST
—
2023-06-01
current
pecos_ownership
NURIEL, GABRIEL
ADP OF THE SNF
—
2025-01-18
current
pecos_ownership
PINNACLE HEALTHCARE SOLUTIONS INC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-01
current
pecos_ownership
PINNACLE HEALTHCARE SOLUTIONS INC
ADP OF THE SNF
—
2025-06-26
current
pecos_ownership
STURM, JOSHUA
ADP OF THE SNF
—
2023-06-01
current
pecos_ownership
THE ADAM SASOUNESS FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-01
current
pecos_ownership
THE DANA SASOUNESS FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-06-01
current
pecos_ownership
BINYOMIN FRIED
CORPORATE OFFICER
100%
2023-10-01
ended 2026-05-18
pecos_ownership
GABRIEL NURIEL
ADP OF THE SNF
—
2025-01-18
ended 2026-05-18
pecos_ownership
JOSHUA STURM
ADP OF THE SNF
—
2023-06-01
ended 2026-05-18
pecos_ownership
NORMA ALVAREZ
MANAGING CONTROL - GOVERNING BODY
—
2024-06-17
ended 2026-05-18
pecos_ownership
ROBERT BECKMAN
ADP OF THE SNF
—
2024-09-11
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
$956,876
—
—
—
—
10
propco
2023-12-31
$2,008,454
—
—
—
—
6
propco
2023-05-31
$620,807
—
—
—
$796
2
—
2022-12-31
$1,501,461
—
$592,623
$529
$95,263
16
—
2021-12-31
$1,486,554
—
$848,042
$263
$96,496
15
—
2020-12-31
$1,502,704
—
$300,442
—
$95,137
14
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 12127
acs median gross
0
$1,201
2024-12-31
CENSUS_ACS5
county 12127
fmr
0
$1,205
2025-10-01
HUD_USER_FMR
county 12127
acs median gross
1
$1,182
2024-12-31
CENSUS_ACS5
county 12127
fmr
1
$1,385
2025-10-01
HUD_USER_FMR
county 12127
acs median gross
2
$1,440
2024-12-31
CENSUS_ACS5
county 12127
fmr
2
$1,700
2025-10-01
HUD_USER_FMR
county 12127
acs median gross
3
$1,746
2024-12-31
CENSUS_ACS5
county 12127
fmr
3
$2,241
2025-10-01
HUD_USER_FMR
county 12127
acs median gross
4
$1,896
2024-12-31
CENSUS_ACS5
county 12127
fmr
4
$2,429
2025-10-01
HUD_USER_FMR
county 12127
acs median gross
5
$2,038
2024-12-31
CENSUS_ACS5
county 12127
acs median gross
$1,467
2024-12-31
CENSUS_ACS5
county 12127
acs recent mover gross
$1,745
2024-12-31
CENSUS_ACS5
zcta 32724
acs median gross
0
$530
2024-12-31
CENSUS_ACS5
zcta 32724
acs median gross
1
$1,049
2024-12-31
CENSUS_ACS5
zcta 32724
acs median gross
2
$1,407
2024-12-31
CENSUS_ACS5
zcta 32724
acs median gross
3
$1,558
2024-12-31
CENSUS_ACS5
zcta 32724
acs median gross
4
$2,570
2024-12-31
CENSUS_ACS5
zcta 32724
acs median gross
5
$2,117
2024-12-31
CENSUS_ACS5
zcta 32724
acs median gross
$1,327
2024-12-31
CENSUS_ACS5
zcta 32724
acs recent mover gross
$1,488
2024-12-31
CENSUS_ACS5
zip 32724
payment standard 110
0
$1,221
2025-10-01
HUD_USER_SAFMR
zip 32724
payment standard 90
0
$999
2025-10-01
HUD_USER_SAFMR
zip 32724
safmr
0
$1,110
2025-10-01
HUD_USER_SAFMR
zip 32724
payment standard 110
1
$1,397
2025-10-01
HUD_USER_SAFMR
zip 32724
payment standard 90
1
$1,143
2025-10-01
HUD_USER_SAFMR
zip 32724
safmr
1
$1,270
2025-10-01
HUD_USER_SAFMR
zip 32724
payment standard 110
2
$1,716
2025-10-01
HUD_USER_SAFMR
zip 32724
payment standard 90
2
$1,404
2025-10-01
HUD_USER_SAFMR
zip 32724
safmr
2
$1,560
2025-10-01
HUD_USER_SAFMR
zip 32724
payment standard 110
3
$2,266
2025-10-01
HUD_USER_SAFMR
zip 32724
payment standard 90
3
$1,854
2025-10-01
HUD_USER_SAFMR
zip 32724
safmr
3
$2,060
2025-10-01
HUD_USER_SAFMR
zip 32724
payment standard 110
4
$2,453
2025-10-01
HUD_USER_SAFMR
zip 32724
payment standard 90
4
$2,007
2025-10-01
HUD_USER_SAFMR
zip 32724
safmr
4
$2,230
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.