Reads as: riskier than 67.7% 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
5
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+27.6 vs natl
BRECHER HAL
5 facilities
connection
Owner fleet risk far above national
+23.4 vs natl
PLATSCHEK RICHARD
15 facilities
connection
Owner fleet risk far above national
+23.2 vs natl
ZBL 18 LLC
13 facilities
connection
Owner fleet risk far above national
+22.0 vs natl
LANDA JUDY
9 facilities
connection
Owner fleet enforcement cluster
40% fined
BRECHER HAL
5 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 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
3.37
3.42
3.28
2.90–3.77
RN
0.77
0.45
0.39
0.25–0.58
Weekend total
3.37
3.31
3.11
—
Weekday total
3.37
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
116.5
3.37
0.77
0.45
2.14
3.37
0.0%
2025Q3
92
117.2
3.45
0.72
0.57
2.17
3.47
0.0%
2025Q2
91
116.0
3.33
0.67
0.55
2.11
3.33
0.0%
2025Q1
90
116.9
3.33
0.72
0.47
2.14
3.29
0.0%
2024Q4
92
115.7
3.31
0.78
0.41
2.13
3.26
0.0%
2024Q3
92
117.0
3.33
0.74
0.46
2.13
3.26
0.0%
2024Q2
91
113.2
3.44
0.70
0.57
2.17
3.37
0.0%
2024Q1
91
114.6
3.60
0.90
0.55
2.15
3.57
0.0%
2023Q4
92
113.8
3.56
0.73
0.55
2.28
3.52
2.1%
2023Q3
92
116.4
3.38
0.64
0.59
2.15
3.37
0.0%
2023Q2
91
99.8
3.67
0.65
0.79
2.23
3.59
0.0%
2023Q1
90
86.5
3.66
0.66
0.68
2.32
3.57
0.0%
2022Q4
92
59.3
3.85
0.88
0.60
2.37
3.77
0.0%
2022Q3
92
59.4
3.53
0.81
0.63
2.09
3.47
0.1%
2022Q2
91
50.9
3.67
0.78
0.61
2.28
3.58
0.1%
2022Q1
90
49.7
3.66
0.58
0.61
2.46
3.68
0.2%
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.
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
D × 6E × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-01-15
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2026-02-23
2026-01-15
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2026-02-23
2026-01-15
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
E
2026-02-23
2026-01-15
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
2026-02-23
2026-01-15
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-02-23
2022-03-31
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2022-05-02
2022-03-31
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2022-05-02
2022-03-31
Health
F0839
Employ staff that are licensed, certified, or registered in accordance with state laws.
E
2022-05-02
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
28
Owner
Role
Pct
From
Status
Source
JACKSONVILLE 4 PROPCO PARTNERS LLC
Corporation, partnership or other organization has financial interest in provider
100%
2022-10-08
current
hcris_a_8_1
JACKSONVILLE 4 PROPCO PARTNERS LLC
Corporation, partnership or other organization has financial interest in provider
100%
2024-01-01
current
hcris_a_8_1
MIDDLEBURG REHABILITATION AND NURSING MEMBER, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-10-07
current
pecos_ownership
APJA OPCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
BRECHER, HAL
CORPORATE OFFICER
—
2022-10-07
current
pecos_ownership
FLNHO CAPITAL GROUP LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
GPJA OPCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
HENDERSON, ERICA
W-2 MANAGING EMPLOYEE
—
2022-10-08
current
pecos_ownership
JACKSONVILLE 4 MEMBER OPCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
JACKSONVILLE 4 OPCO PARTNERS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
JFLNHO CAPITAL GROUP, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
LANDA, JUDY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
LOWY, SHLOMO
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
MKJA OPCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
PLATSCHEK, ALEXANDER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
PLATSCHEK, RICHARD
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
RPJA OPCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
SLJA OPCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
ZBL-18 LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-10-07
current
pecos_ownership
ERICA HENDERSON
W-2 MANAGING EMPLOYEE
100%
2022-10-08
ended 2026-05-18
pecos_ownership
HAL BRECHER
CORPORATE OFFICER
100%
2022-10-07
ended 2026-05-18
pecos_ownership
ALEXANDER PLATSCHEK
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2022-10-07
ended 2026-05-18
pecos_ownership
GOLDIE PLATSCHEK
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2022-10-07
ended 2026-05-18
pecos_ownership
RICHARD PLATSCHEK
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2022-10-07
ended 2026-05-18
pecos_ownership
SHLOMO LOWY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
17%
2022-10-07
ended 2026-05-18
pecos_ownership
MOSHE KELMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
16%
2022-10-07
ended 2026-05-18
pecos_ownership
BENJAMIN LANDA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2022-10-08
ended 2026-05-18
pecos_ownership
JUDY LANDA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2022-10-07
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$2,761,348
—
—
—
—
5
propco
2023-12-31
$3,736,034
—
—
—
—
4
propco
2022-10-07
$1,115,254
—
$342,393
$632,771
$7,740
22
—
2021-12-31
$1,084,911
—
$446,334
$554,884
$13,809
29
—
2020-12-31
$251,517
—
$135,135
$109,232
—
12
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 12019
acs median gross
0
$1,289
2024-12-31
CENSUS_ACS5
county 12019
fmr
0
$1,355
2025-10-01
HUD_USER_FMR
county 12019
acs median gross
1
$1,303
2024-12-31
CENSUS_ACS5
county 12019
fmr
1
$1,382
2025-10-01
HUD_USER_FMR
county 12019
acs median gross
2
$1,394
2024-12-31
CENSUS_ACS5
county 12019
fmr
2
$1,658
2025-10-01
HUD_USER_FMR
county 12019
acs median gross
3
$1,647
2024-12-31
CENSUS_ACS5
county 12019
fmr
3
$2,043
2025-10-01
HUD_USER_FMR
county 12019
acs median gross
4
$2,132
2024-12-31
CENSUS_ACS5
county 12019
fmr
4
$2,561
2025-10-01
HUD_USER_FMR
county 12019
acs median gross
5
$2,526
2024-12-31
CENSUS_ACS5
county 12019
acs median gross
$1,551
2024-12-31
CENSUS_ACS5
county 12019
acs recent mover gross
$1,776
2024-12-31
CENSUS_ACS5
zcta 32068
acs median gross
1
$837
2024-12-31
CENSUS_ACS5
zcta 32068
acs median gross
2
$1,089
2024-12-31
CENSUS_ACS5
zcta 32068
acs median gross
3
$1,289
2024-12-31
CENSUS_ACS5
zcta 32068
acs median gross
4
$2,005
2024-12-31
CENSUS_ACS5
zcta 32068
acs median gross
$1,391
2024-12-31
CENSUS_ACS5
zcta 32068
acs recent mover gross
$1,644
2024-12-31
CENSUS_ACS5
zip 32068
payment standard 110
0
$1,496
2025-10-01
HUD_USER_SAFMR
zip 32068
payment standard 90
0
$1,224
2025-10-01
HUD_USER_SAFMR
zip 32068
safmr
0
$1,360
2025-10-01
HUD_USER_SAFMR
zip 32068
payment standard 110
1
$1,529
2025-10-01
HUD_USER_SAFMR
zip 32068
payment standard 90
1
$1,251
2025-10-01
HUD_USER_SAFMR
zip 32068
safmr
1
$1,390
2025-10-01
HUD_USER_SAFMR
zip 32068
payment standard 110
2
$1,837
2025-10-01
HUD_USER_SAFMR
zip 32068
payment standard 90
2
$1,503
2025-10-01
HUD_USER_SAFMR
zip 32068
safmr
2
$1,670
2025-10-01
HUD_USER_SAFMR
zip 32068
payment standard 110
3
$2,266
2025-10-01
HUD_USER_SAFMR
zip 32068
payment standard 90
3
$1,854
2025-10-01
HUD_USER_SAFMR
zip 32068
safmr
3
$2,060
2025-10-01
HUD_USER_SAFMR
zip 32068
payment standard 110
4
$2,838
2025-10-01
HUD_USER_SAFMR
zip 32068
payment standard 90
4
$2,322
2025-10-01
HUD_USER_SAFMR
zip 32068
safmr
4
$2,580
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.