1099 WEST TOWN PARKWAY, ALTAMONTE SPRINGS, FL 32714 · CCN 105843 · chain CL 2022 IRRV TR
Composite
77.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
116
Model
v1.2
Reads as: riskier than 77.9% 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
4 chains
NURIEL GABRIEL
4 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
3.30
3.42
3.28
2.90–3.77
RN
0.54
0.45
0.39
0.25–0.58
Weekend total
3.26
3.31
3.11
—
Weekday total
3.31
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
110.6
3.30
0.54
0.67
2.09
3.26
0.0%
2025Q3
92
111.6
3.37
0.53
0.73
2.11
3.32
0.0%
2025Q2
91
111.3
3.46
0.55
0.74
2.17
3.32
0.0%
2025Q1
90
112.2
3.29
0.54
0.65
2.10
3.10
0.0%
2024Q4
92
109.1
3.35
0.48
0.70
2.18
3.17
0.0%
2024Q3
92
112.7
3.35
0.43
0.73
2.18
3.16
0.0%
2024Q2
91
102.1
3.29
0.51
0.64
2.15
3.18
0.0%
2024Q1
91
108.2
3.13
0.40
0.66
2.07
3.11
0.0%
2023Q4
92
107.6
3.16
0.40
0.61
2.15
3.07
0.0%
2023Q3
92
104.5
3.25
0.43
0.63
2.19
3.06
0.2%
2023Q2
91
95.7
3.27
0.37
0.64
2.26
3.12
0.3%
2023Q1
90
103.7
2.98
0.19
0.62
2.17
2.92
0.6%
2022Q4
92
101.6
3.17
0.19
0.71
2.27
3.17
3.1%
2022Q3
92
89.7
3.31
0.13
0.88
2.31
3.32
25.9%
2022Q2
91
99.1
3.19
0.11
0.86
2.22
3.14
37.0%
2022Q1
90
105.8
3.58
0.16
0.90
2.52
3.55
31.4%
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2026-05-01
2026-04-08
Health · complaint
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2026-05-01
2026-04-08
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2026-05-01
2026-04-08
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-05-01
2026-04-08
Health · complaint
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F
2026-05-01
2024-10-17
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-11-17
2024-10-17
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-11-17
2024-10-17
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2024-11-17
2024-10-17
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-11-17
2024-10-17
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-11-17
2024-10-17
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-11-17
2024-10-17
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
E
2024-11-17
2024-10-17
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-11-17
2024-10-17
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2024-11-17
2024-05-29
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-06-22
2023-03-09
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2023-04-14
2023-03-09
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-04-14
2023-03-09
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-04-14
2023-03-09
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
2023-04-14
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
26
Owner
Role
Pct
From
Status
Source
CREA WEST ALTAMONTE LLC
Corporation, partnership or other organization has financial interest in provider
100%
2023-01-01
current
hcris_a_8_1
HARBORVIEW WEST ALTAMONTE HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-07-15
current
pecos_ownership
DAHAN, MICHELLE
TRUSTEE OF THE SNF
—
2024-07-15
current
pecos_ownership
ENGLANDER, SHMUEL
TRUSTEE OF THE SNF
—
2024-07-15
current
pecos_ownership
GRIFFIN, MARIA
MANAGING CONTROL - GOVERNING BODY
—
2024-07-15
current
pecos_ownership
KLEIN, JOSEPH
TRUSTEE OF THE SNF
—
2024-07-15
current
pecos_ownership
LEIBOWITZ, CHAIM
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-15
current
pecos_ownership
LEIBOWITZ, ELIYAHU
TRUSTEE OF THE SNF
—
2024-07-15
current
pecos_ownership
NURIEL, GABRIEL
ADP OF THE SNF
—
2024-07-15
current
pecos_ownership
SOKOLOFF, RIVKA
TRUSTEE OF THE SNF
—
2024-07-15
current
pecos_ownership
CREA WEST ALTAMONTE LLC
Corporation, partnership or other organization has financial interest in provider
100%
2022-05-03
ended 2022-12-31
hcris_a_8_1
FL 7 NURSING AND REHAB HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2024-07-15
ended 2026-05-18
pecos_ownership
CL 2022 IRRV TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2024-07-15
ended 2026-05-18
pecos_ownership
DE 2021 IRRV TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2024-07-15
ended 2026-05-18
pecos_ownership
CHAIM LEIBOWITZ
ADP OF THE SNF
—
2024-07-15
ended 2026-05-18
pecos_ownership
CMC II
Corporation, partnership or other organization has financial interest in provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
CMC II
Corporation, partnership or other organization has financial interest in provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
ELIYAHU LEIBOWITZ
TRUSTEE OF THE SNF
—
2024-07-15
ended 2026-05-18
pecos_ownership
GABRIEL NURIEL
MANAGING CONTROL - GOVERNING BODY
—
2024-07-15
ended 2026-05-18
pecos_ownership
INDEPENDENCE LIVING CENTERS
Corporation, partnership or other organization has financial interest in provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
INDEPENDENCE LIVING CENTERS
Corporation, partnership or other organization has financial interest in provider
—
2022-01-01
ended 2022-05-02
hcris_a_8_1
JOSEPH KLEIN
TRUSTEE OF THE SNF
—
2024-07-15
ended 2026-05-18
pecos_ownership
MARIA GRIFFIN
ADP OF THE SNF
—
2024-07-15
ended 2026-05-18
pecos_ownership
MICHELLE DAHAN
TRUSTEE OF THE SNF
—
2024-07-15
ended 2026-05-18
pecos_ownership
RIVKA SOKOLOFF
TRUSTEE OF THE SNF
—
2024-07-15
ended 2026-05-18
pecos_ownership
SHMUEL ENGLANDER
TRUSTEE OF THE SNF
—
2024-07-15
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
$257,166
—
$257,166
—
—
2
—
2023-12-31
$1,063,812
—
—
—
—
5
propco
2022-12-31
$667,989
—
—
—
—
4
propco
2022-05-02
$171,970
—
—
—
—
2
propco
2021-12-31
$579,515
—
—
—
—
4
propco
2020-12-31
$582,343
—
—
—
—
2
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
1
Close date
Price
Buyer
Seller
Evidence
2024-07-15
—
WEST ALTAMONTE NURSING AND REHABILITATION CENTER BY HARBORVIEW LLC
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 12117
acs median gross
0
$1,494
2024-12-31
CENSUS_ACS5
county 12117
fmr
0
$1,650
2025-10-01
HUD_USER_FMR
county 12117
acs median gross
1
$1,617
2024-12-31
CENSUS_ACS5
county 12117
fmr
1
$1,731
2025-10-01
HUD_USER_FMR
county 12117
acs median gross
2
$1,764
2024-12-31
CENSUS_ACS5
county 12117
fmr
2
$1,972
2025-10-01
HUD_USER_FMR
county 12117
acs median gross
3
$1,991
2024-12-31
CENSUS_ACS5
county 12117
fmr
3
$2,476
2025-10-01
HUD_USER_FMR
county 12117
acs median gross
4
$2,284
2024-12-31
CENSUS_ACS5
county 12117
fmr
4
$2,924
2025-10-01
HUD_USER_FMR
county 12117
acs median gross
5
$3,252
2024-12-31
CENSUS_ACS5
county 12117
acs median gross
$1,783
2024-12-31
CENSUS_ACS5
county 12117
acs recent mover gross
$1,922
2024-12-31
CENSUS_ACS5
zcta 32714
acs median gross
0
$1,482
2024-12-31
CENSUS_ACS5
zcta 32714
acs median gross
1
$1,563
2024-12-31
CENSUS_ACS5
zcta 32714
acs median gross
2
$1,782
2024-12-31
CENSUS_ACS5
zcta 32714
acs median gross
3
$2,009
2024-12-31
CENSUS_ACS5
zcta 32714
acs median gross
4
$2,213
2024-12-31
CENSUS_ACS5
zcta 32714
acs median gross
5
$2,286
2024-12-31
CENSUS_ACS5
zcta 32714
acs median gross
$1,755
2024-12-31
CENSUS_ACS5
zcta 32714
acs recent mover gross
$1,758
2024-12-31
CENSUS_ACS5
zip 32714
payment standard 110
0
$1,936
2025-10-01
HUD_USER_SAFMR
zip 32714
payment standard 90
0
$1,584
2025-10-01
HUD_USER_SAFMR
zip 32714
safmr
0
$1,760
2025-10-01
HUD_USER_SAFMR
zip 32714
payment standard 110
1
$2,024
2025-10-01
HUD_USER_SAFMR
zip 32714
payment standard 90
1
$1,656
2025-10-01
HUD_USER_SAFMR
zip 32714
safmr
1
$1,840
2025-10-01
HUD_USER_SAFMR
zip 32714
payment standard 110
2
$2,310
2025-10-01
HUD_USER_SAFMR
zip 32714
payment standard 90
2
$1,890
2025-10-01
HUD_USER_SAFMR
zip 32714
safmr
2
$2,100
2025-10-01
HUD_USER_SAFMR
zip 32714
payment standard 110
3
$2,904
2025-10-01
HUD_USER_SAFMR
zip 32714
payment standard 90
3
$2,376
2025-10-01
HUD_USER_SAFMR
zip 32714
safmr
3
$2,640
2025-10-01
HUD_USER_SAFMR
zip 32714
payment standard 110
4
$3,421
2025-10-01
HUD_USER_SAFMR
zip 32714
payment standard 90
4
$2,799
2025-10-01
HUD_USER_SAFMR
zip 32714
safmr
4
$3,110
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.