Reads as: riskier than 21.6% 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.
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
15
2025Q4 HPRD
This facility
FL median
National median
National p25–p75
Total nurse
4.06
3.42
3.28
2.90–3.77
RN
0.64
0.45
0.39
0.25–0.58
Weekend total
3.81
3.31
3.11
—
Weekday total
4.16
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
194.8
4.06
0.64
0.86
2.56
3.81
0.0%
2025Q3
92
196.5
3.96
0.68
0.79
2.49
3.64
0.0%
2025Q2
91
197.2
3.95
0.59
0.93
2.43
3.64
0.0%
2025Q1
90
202.2
3.78
0.53
0.95
2.30
3.49
0.0%
2024Q4
92
202.6
3.45
0.36
0.97
2.12
3.25
0.0%
2024Q3
92
197.8
3.51
0.35
0.93
2.23
3.41
0.0%
2024Q2
91
199.1
3.59
0.36
0.97
2.26
3.45
0.0%
2024Q1
91
200.2
3.55
0.34
0.96
2.24
3.42
0.0%
2023Q4
92
200.6
3.62
0.34
0.95
2.32
3.53
0.0%
2023Q3
92
202.3
3.58
0.35
0.98
2.25
3.50
0.0%
2023Q2
91
193.4
3.77
0.30
1.03
2.44
3.64
6.6%
2023Q1
90
184.4
3.76
0.31
0.99
2.46
3.61
4.5%
2022Q4
92
170.8
4.02
0.28
0.99
2.75
3.70
3.6%
2022Q2
91
157.7
4.08
0.41
0.99
2.68
3.59
0.0%
2022Q1
90
143.2
4.27
0.42
1.07
2.78
4.01
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
8
C × 1D × 4E × 1F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-04-25
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-05-10
2024-04-25
Health
F0732
Post nurse staffing information every day.
C
2024-05-10
2024-04-25
Health
F0802
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F
2024-05-10
2024-04-25
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2024-05-10
2024-04-25
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-05-10
2024-04-25
Health
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2024-05-10
2023-02-09
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-03-11
2023-02-09
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
2023-03-11
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
23
Owner
Role
Pct
From
Status
Source
OKEECHOBEE OPCO HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2021-09-30
current
pecos_ownership
OKEECHOBEE REALTY
Individual has financial interest in both related organization and provider
50%
2023-01-01
current
hcris_a_8_1
OKEECHOBEE REALTY
Individual has financial interest in both related organization and provider
50%
2024-01-01
current
hcris_a_8_1
AGRP 2011 TRUST
ADP OF THE SNF
—
2022-03-01
current
pecos_ownership
BENGIO, JACOB
OPERATIONAL/MANAGERIAL CONTROL
—
2022-03-01
current
pecos_ownership
DEBORAH PHILIPSON 2011 FAMILY TRUST
TRUSTEE OF THE SNF
—
2022-03-01
current
pecos_ownership
EBANKS, PATRICIA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-31
current
pecos_ownership
NAEEM, TAHIR
ADP OF THE SNF
—
2022-03-01
current
pecos_ownership
PARITZKY, JEREMIE
ADP OF THE SNF
—
2022-03-01
current
pecos_ownership
PHILIPSON FAMILY LIMITED LIABILITY COMPANY, LLC
ADP OF THE SNF
—
2022-03-01
current
pecos_ownership
PHILIPSON, BENT
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-13
current
pecos_ownership
PHILIPSON, GABRIELLE
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-13
current
pecos_ownership
PHILIPSON, RAQUEL
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-13
current
pecos_ownership
RICHARDS MITCHELL & CROSS PA
ADP OF THE SNF
—
2022-03-01
current
pecos_ownership
VENTURA SERVICES - FLORIDA, LLC
ADP OF THE SNF
—
2022-03-01
current
pecos_ownership
LIFESTYLES & HEALTHCARE
Individual has financial interest in both related organization and provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
JEREMIE PARITZKY
INDIRECT OWNERSHIP INTEREST
60%
2022-03-01
ended 2026-05-18
pecos_ownership
OKEECHOBEE REALTY
Individual has financial interest in both related organization and provider
50%
2022-03-01
ended 2022-12-31
hcris_a_8_1
JACOB BENGIO
OPERATIONAL/MANAGERIAL CONTROL
—
2022-03-01
ended 2026-05-18
pecos_ownership
LIFESTYLES & HEALTHCARE
Individual has financial interest in both related organization and provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
LIFESTYLES & HEALTHCARE
Individual has financial interest in both related organization and provider
—
2022-01-01
ended 2022-02-28
hcris_a_8_1
PATRICIA EBANKS
ADP OF THE SNF
—
2022-07-31
ended 2026-05-18
pecos_ownership
TAHIR NAEEM
ADP OF THE SNF
—
2022-03-01
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
$4,162,562
—
$506,641
—
—
2
propco
2023-12-31
$4,162,562
—
$506,641
—
—
2
propco
2022-12-31
$2,585,200
—
—
—
—
2
propco
2022-02-28
$1,398,223
—
—
—
$515
10
propco
2021-12-31
$2,336,705
—
—
—
$120,572
14
propco
2020-12-31
$2,489,785
—
—
—
$166,978
14
propco
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
32
Geo
Kind
BR
Amount
As of
Source
county 12093
acs median gross
0
$1,658
2024-12-31
CENSUS_ACS5
county 12093
fmr
0
$1,025
2025-10-01
HUD_USER_FMR
county 12093
acs median gross
1
$870
2024-12-31
CENSUS_ACS5
county 12093
fmr
1
$1,032
2025-10-01
HUD_USER_FMR
county 12093
acs median gross
2
$962
2024-12-31
CENSUS_ACS5
county 12093
fmr
2
$1,346
2025-10-01
HUD_USER_FMR
county 12093
acs median gross
3
$1,235
2024-12-31
CENSUS_ACS5
county 12093
fmr
3
$1,650
2025-10-01
HUD_USER_FMR
county 12093
acs median gross
4
$1,212
2024-12-31
CENSUS_ACS5
county 12093
fmr
4
$1,782
2025-10-01
HUD_USER_FMR
county 12093
acs median gross
$1,082
2024-12-31
CENSUS_ACS5
county 12093
acs recent mover gross
$1,652
2024-12-31
CENSUS_ACS5
zcta 34972
acs median gross
1
$1,076
2024-12-31
CENSUS_ACS5
zcta 34972
acs median gross
2
$860
2024-12-31
CENSUS_ACS5
zcta 34972
acs median gross
3
$1,167
2024-12-31
CENSUS_ACS5
zcta 34972
acs median gross
4
$1,378
2024-12-31
CENSUS_ACS5
zcta 34972
acs median gross
$1,063
2024-12-31
CENSUS_ACS5
zip 34972
payment standard 110
0
$1,397
2025-10-01
HUD_USER_SAFMR
zip 34972
payment standard 90
0
$1,143
2025-10-01
HUD_USER_SAFMR
zip 34972
safmr
0
$1,270
2025-10-01
HUD_USER_SAFMR
zip 34972
payment standard 110
1
$1,474
2025-10-01
HUD_USER_SAFMR
zip 34972
payment standard 90
1
$1,206
2025-10-01
HUD_USER_SAFMR
zip 34972
safmr
1
$1,340
2025-10-01
HUD_USER_SAFMR
zip 34972
payment standard 110
2
$1,672
2025-10-01
HUD_USER_SAFMR
zip 34972
payment standard 90
2
$1,368
2025-10-01
HUD_USER_SAFMR
zip 34972
safmr
2
$1,520
2025-10-01
HUD_USER_SAFMR
zip 34972
payment standard 110
3
$2,112
2025-10-01
HUD_USER_SAFMR
zip 34972
payment standard 90
3
$1,728
2025-10-01
HUD_USER_SAFMR
zip 34972
safmr
3
$1,920
2025-10-01
HUD_USER_SAFMR
zip 34972
payment standard 110
4
$2,552
2025-10-01
HUD_USER_SAFMR
zip 34972
payment standard 90
4
$2,088
2025-10-01
HUD_USER_SAFMR
zip 34972
safmr
4
$2,320
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.