Reads as: riskier than 24.1% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
9 chains
ASTON HEALTHCARE LLC
26 facilities
connection
Owner spans multiple chains
7 chains
WILDES DONNA
18 facilities
connection
Owner spans multiple chains
4 chains
DILELLA VINCENT
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
3.29
3.42
3.28
2.90–3.77
RN
0.41
0.45
0.39
0.25–0.58
Weekend total
3.16
3.31
3.11
—
Weekday total
3.35
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
106.4
3.29
0.41
0.78
2.11
3.16
0.0%
2025Q3
92
107.8
3.18
0.32
0.76
2.10
3.08
0.0%
2025Q2
91
109.0
3.17
0.35
0.75
2.07
3.09
0.4%
2025Q1
90
114.0
3.19
0.32
0.82
2.05
3.16
1.5%
2024Q4
92
110.1
3.19
0.15
0.98
2.06
3.12
3.5%
2024Q3
92
107.2
3.34
0.17
1.05
2.12
3.17
7.5%
2024Q2
91
108.4
3.35
0.21
0.95
2.19
3.17
9.5%
2024Q1
91
108.8
3.39
0.22
0.94
2.23
3.27
3.0%
2023Q4
92
107.2
3.39
0.20
0.81
2.38
3.36
0.0%
2023Q3
92
114.0
3.40
0.25
0.74
2.41
3.31
0.1%
2023Q2
91
108.4
3.60
0.31
0.77
2.53
3.57
0.6%
2023Q1
90
112.0
3.43
0.27
0.79
2.37
3.39
2.7%
2022Q4
92
112.3
3.58
0.36
0.74
2.48
3.50
3.9%
2022Q3
92
105.3
3.90
0.26
0.81
2.83
3.75
15.6%
2022Q2
91
99.9
3.35
0.26
0.73
2.36
3.28
39.4%
2022Q1
90
102.7
3.19
0.31
0.77
2.11
2.98
45.7%
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
20
D × 12E × 8
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-11-20
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
2025-12-20
2025-11-20
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-12-20
2025-11-20
Health · complaint
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
2025-12-20
2025-06-19
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-07-15
2024-12-05
Health
F0557
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
D
2025-01-03
2024-12-05
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
2025-01-03
2024-12-05
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2025-01-03
2024-12-05
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-01-03
2024-12-05
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
2025-01-03
2024-12-05
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
2025-01-03
2024-12-05
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
2025-01-03
2024-12-05
Health
F0847
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
E
2025-01-03
2024-12-05
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-01-03
2024-12-05
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2025-01-03
2023-04-13
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-05-04
2023-04-13
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-05-04
2023-04-13
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2023-05-04
2023-04-13
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
2023-05-04
2023-04-13
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2023-05-04
2023-04-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-05-04
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
29
Owner
Role
Pct
From
Status
Source
CREA NEW PORT RICHEY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2023-01-01
current
hcris_a_8_1
NEW PORT RICHEY MEMBER LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-04-01
current
pecos_ownership
CREA NEW PORT RICHEY LLC
Individual has financial interest in both related organization and provider
50%
2024-01-01
current
hcris_a_8_1
SH INDIGO CITADEL INVESTORS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
14%
2024-01-01
current
pecos_ownership
ORNSTEIN, MARTON
5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
2024-01-01
current
pecos_ownership
ASTON HEALTHCARE LLC
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
DILELLA, VINCENT
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-01
current
pecos_ownership
DILELLA, VINCENT
ADP OF THE SNF
—
2025-09-24
current
pecos_ownership
ST. JOHN, KEVIN
ADP OF THE SNF
—
2026-01-16
current
pecos_ownership
ST. JOHN, KEVIN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-30
current
pecos_ownership
STEINHILBER, DOLISABEL
OPERATIONAL/MANAGERIAL CONTROL
—
2026-01-15
current
pecos_ownership
WILDES, DONNA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-28
current
pecos_ownership
CREA NEW PORT RICHEY LLC
Corporation, partnership or other organization has financial interest in provider
100%
2022-04-01
ended 2022-12-31
hcris_a_8_1
LEOPOLD FRIEDMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2024-01-01
ended 2026-05-18
pecos_ownership
CHESKEL BERKOWITZ
5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
2024-01-01
ended 2026-05-18
pecos_ownership
JOEL LEIFER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
2024-01-01
ended 2026-05-18
pecos_ownership
JOEL ZUPNICK
5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
2024-01-01
ended 2026-05-18
pecos_ownership
JOSEPH ORGEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
2024-01-01
ended 2026-05-18
pecos_ownership
MARTON ORNSTEIN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
7%
2024-01-01
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
DOLISABEL STEINHILBER
OPERATIONAL/MANAGERIAL CONTROL
—
2026-01-15
ended 2026-05-18
pecos_ownership
DONNA WILDES
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-28
ended 2026-05-18
pecos_ownership
KEVIN ST. JOHN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-30
ended 2026-05-18
pecos_ownership
KEVIN ST. JOHN
ADP OF THE SNF
—
2026-01-16
ended 2026-05-18
pecos_ownership
RAYDIANT HEALTH CARE
Corporation, partnership or other organization has financial interest in provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
RAYDIANT HEALTH CARE
Corporation, partnership or other organization has financial interest in provider
—
2022-01-01
ended 2022-03-31
hcris_a_8_1
VINCENT DILELLA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-01
ended 2026-05-18
pecos_ownership
VINCENT DILELLA
ADP OF THE SNF
—
2025-09-24
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
$1,712,183
$1,712,183
—
—
—
2
propco
2023-12-31
$1,679,027
—
—
—
—
4
propco
2022-12-31
$105,231
—
—
—
—
4
propco
2022-03-31
$146,499
—
—
—
—
2
propco
2021-12-31
$658,967
—
—
—
—
4
propco
2020-12-31
$566,802
—
—
—
—
2
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
36
Geo
Kind
BR
Amount
As of
Source
county 12101
acs median gross
0
$1,298
2024-12-31
CENSUS_ACS5
county 12101
fmr
0
$1,593
2025-10-01
HUD_USER_FMR
county 12101
acs median gross
1
$1,182
2024-12-31
CENSUS_ACS5
county 12101
fmr
1
$1,696
2025-10-01
HUD_USER_FMR
county 12101
acs median gross
2
$1,371
2024-12-31
CENSUS_ACS5
county 12101
fmr
2
$1,977
2025-10-01
HUD_USER_FMR
county 12101
acs median gross
3
$1,768
2024-12-31
CENSUS_ACS5
county 12101
fmr
3
$2,527
2025-10-01
HUD_USER_FMR
county 12101
acs median gross
4
$2,544
2024-12-31
CENSUS_ACS5
county 12101
fmr
4
$3,077
2025-10-01
HUD_USER_FMR
county 12101
acs median gross
5
$2,709
2024-12-31
CENSUS_ACS5
county 12101
acs median gross
$1,505
2024-12-31
CENSUS_ACS5
county 12101
acs recent mover gross
$1,919
2024-12-31
CENSUS_ACS5
zcta 34653
acs median gross
0
$908
2024-12-31
CENSUS_ACS5
zcta 34653
acs median gross
1
$1,129
2024-12-31
CENSUS_ACS5
zcta 34653
acs median gross
2
$1,223
2024-12-31
CENSUS_ACS5
zcta 34653
acs median gross
3
$1,851
2024-12-31
CENSUS_ACS5
zcta 34653
acs median gross
4
$2,348
2024-12-31
CENSUS_ACS5
zcta 34653
acs median gross
5
$2,016
2024-12-31
CENSUS_ACS5
zcta 34653
acs median gross
$1,248
2024-12-31
CENSUS_ACS5
zcta 34653
acs recent mover gross
$1,671
2024-12-31
CENSUS_ACS5
zip 34653
payment standard 110
0
$1,485
2025-10-01
HUD_USER_SAFMR
zip 34653
payment standard 90
0
$1,215
2025-10-01
HUD_USER_SAFMR
zip 34653
safmr
0
$1,350
2025-10-01
HUD_USER_SAFMR
zip 34653
payment standard 110
1
$1,573
2025-10-01
HUD_USER_SAFMR
zip 34653
payment standard 90
1
$1,287
2025-10-01
HUD_USER_SAFMR
zip 34653
safmr
1
$1,430
2025-10-01
HUD_USER_SAFMR
zip 34653
payment standard 110
2
$1,837
2025-10-01
HUD_USER_SAFMR
zip 34653
payment standard 90
2
$1,503
2025-10-01
HUD_USER_SAFMR
zip 34653
safmr
2
$1,670
2025-10-01
HUD_USER_SAFMR
zip 34653
payment standard 110
3
$2,343
2025-10-01
HUD_USER_SAFMR
zip 34653
payment standard 90
3
$1,917
2025-10-01
HUD_USER_SAFMR
zip 34653
safmr
3
$2,130
2025-10-01
HUD_USER_SAFMR
zip 34653
payment standard 110
4
$2,860
2025-10-01
HUD_USER_SAFMR
zip 34653
payment standard 90
4
$2,340
2025-10-01
HUD_USER_SAFMR
zip 34653
safmr
4
$2,600
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.