Reads as: riskier than 70.7% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet enforcement cluster
40% fined
KARMEL JACOB
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 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
3.42
3.42
3.28
2.90–3.77
RN
0.38
0.45
0.39
0.25–0.58
Weekend total
3.25
3.31
3.11
—
Weekday total
3.48
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
109.1
3.42
0.38
0.81
2.23
3.25
0.0%
2025Q3
92
110.2
3.56
0.43
0.77
2.35
3.42
0.0%
2025Q2
91
108.3
3.48
0.35
0.84
2.29
3.37
0.0%
2025Q1
90
107.9
3.39
0.42
0.75
2.23
3.24
0.0%
2024Q4
92
107.2
3.28
0.33
0.74
2.22
3.25
0.0%
2024Q3
92
105.4
3.29
0.40
0.68
2.20
3.27
0.0%
2024Q2
91
101.8
3.25
0.36
0.68
2.21
3.23
0.0%
2024Q1
91
99.4
3.50
0.39
0.81
2.30
3.34
0.0%
2023Q4
92
97.4
3.55
0.42
0.76
2.37
3.37
0.0%
2023Q3
92
52.2
3.69
0.47
0.71
2.51
3.43
0.0%
2023Q2
91
77.2
3.44
0.39
0.77
2.27
3.45
24.6%
2023Q1
90
122.9
3.33
0.34
0.73
2.25
3.33
24.8%
2022Q4
92
122.7
3.56
0.22
0.88
2.47
3.57
23.9%
2022Q3
92
119.7
3.55
0.12
1.00
2.43
3.56
27.7%
2022Q2
91
114.2
3.29
0.08
0.91
2.29
3.16
26.8%
2022Q1
90
107.6
3.69
0.14
0.96
2.59
3.54
22.3%
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2025-05-01
2025-04-07
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-05-01
2024-04-11
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2024-05-05
2024-04-11
Health
F0638
Assure that each resident’s assessment is updated at least once every 3 months.
E
2024-05-05
2024-04-11
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2024-05-05
2024-04-11
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-05-05
2024-04-11
Health
F0679
Provide activities to meet all resident's needs.
E
2024-05-05
2024-04-11
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
2024-05-05
2024-04-11
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2024-05-05
2022-07-14
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
2022-08-13
2022-07-14
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2022-08-13
2022-07-14
Health
F0679
Provide activities to meet all resident's needs.
D
2022-08-13
2022-07-14
Health
F0680
Ensure the activities program is directed by a qualified professional.
D
2022-08-13
2022-07-14
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
2022-08-13
2022-07-14
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2022-08-13
2020-12-10
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2021-01-04
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
21
Owner
Role
Pct
From
Status
Source
CLEWISTON NURSING & REHABILITATION HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2019-12-01
current
pecos_ownership
PALM TERRACE J DEK OPERATIONS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2019-12-01
current
pecos_ownership
CLEWISTON CARE REALTY LLC
Individual has financial interest in both related organization and provider
10%
2023-01-01
current
hcris_a_8_1
CLEWISTON CARE REALTY LLC
Individual has financial interest in both related organization and provider
10%
2024-01-01
current
hcris_a_8_1
ALLEGIANT HEALTHCARE OF FLORIDA LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2017-11-16
current
pecos_ownership
ASMSY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2017-11-16
current
pecos_ownership
BREVIL, YVRONISE
W-2 MANAGING EMPLOYEE
—
2017-11-16
current
pecos_ownership
FEIN, ARIEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2017-11-16
current
pecos_ownership
GOLDNER, SAMUEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2017-11-16
current
pecos_ownership
IRVING LANGER 2014 FAMILY TRUST U/T/A
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2017-11-16
current
pecos_ownership
KARMEL, JACOB
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2017-11-16
current
pecos_ownership
PALM INVESTCO V LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2019-12-01
current
pecos_ownership
SOLOMON VIZCAYA HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2017-11-16
current
pecos_ownership
ZAIDYS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2017-11-16
current
pecos_ownership
YVRONISE BREVIL
W-2 MANAGING EMPLOYEE
100%
2017-11-16
ended 2026-05-18
pecos_ownership
SAMUEL GOLDNER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
30%
2017-11-16
ended 2026-05-18
pecos_ownership
ARIEL FEIN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
29%
2017-11-16
ended 2026-05-18
pecos_ownership
CLEWISTON CARE REALTY LLC
Individual has financial interest in both related organization and provider
10%
2020-01-01
ended 2020-12-31
hcris_a_8_1
CLEWISTON CARE REALTY LLC
Individual has financial interest in both related organization and provider
10%
2021-01-01
ended 2021-12-31
hcris_a_8_1
CLEWISTON CARE REALTY LLC
Individual has financial interest in both related organization and provider
10%
2022-01-01
ended 2022-12-31
hcris_a_8_1
JACOB KARMEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2017-11-16
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
$2,215,916
—
—
—
—
10
propco
2023-12-31
$1,796,357
—
—
—
—
9
propco
2022-12-31
$2,139,547
—
—
—
—
9
propco
2021-12-31
$1,793,210
—
—
—
—
9
propco
2020-12-31
$2,478,686
—
—
—
—
8
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 12051
acs median gross
0
$711
2024-12-31
CENSUS_ACS5
county 12051
fmr
0
$1,071
2025-10-01
HUD_USER_FMR
county 12051
acs median gross
1
$775
2024-12-31
CENSUS_ACS5
county 12051
fmr
1
$1,077
2025-10-01
HUD_USER_FMR
county 12051
acs median gross
2
$904
2024-12-31
CENSUS_ACS5
county 12051
fmr
2
$1,271
2025-10-01
HUD_USER_FMR
county 12051
acs median gross
3
$1,167
2024-12-31
CENSUS_ACS5
county 12051
fmr
3
$1,567
2025-10-01
HUD_USER_FMR
county 12051
acs median gross
4
$794
2024-12-31
CENSUS_ACS5
county 12051
fmr
4
$1,875
2025-10-01
HUD_USER_FMR
county 12051
acs median gross
$1,003
2024-12-31
CENSUS_ACS5
zcta 33440
acs median gross
0
$711
2024-12-31
CENSUS_ACS5
zcta 33440
acs median gross
1
$780
2024-12-31
CENSUS_ACS5
zcta 33440
acs median gross
2
$884
2024-12-31
CENSUS_ACS5
zcta 33440
acs median gross
3
$1,135
2024-12-31
CENSUS_ACS5
zcta 33440
acs median gross
$927
2024-12-31
CENSUS_ACS5
zcta 33440
acs recent mover gross
$2,030
2024-12-31
CENSUS_ACS5
zip 33440
payment standard 110
0
$1,111
2025-10-01
HUD_USER_SAFMR
zip 33440
payment standard 90
0
$909
2025-10-01
HUD_USER_SAFMR
zip 33440
safmr
0
$1,010
2025-10-01
HUD_USER_SAFMR
zip 33440
payment standard 110
1
$1,122
2025-10-01
HUD_USER_SAFMR
zip 33440
payment standard 90
1
$918
2025-10-01
HUD_USER_SAFMR
zip 33440
safmr
1
$1,020
2025-10-01
HUD_USER_SAFMR
zip 33440
payment standard 110
2
$1,320
2025-10-01
HUD_USER_SAFMR
zip 33440
payment standard 90
2
$1,080
2025-10-01
HUD_USER_SAFMR
zip 33440
safmr
2
$1,200
2025-10-01
HUD_USER_SAFMR
zip 33440
payment standard 110
3
$1,628
2025-10-01
HUD_USER_SAFMR
zip 33440
payment standard 90
3
$1,332
2025-10-01
HUD_USER_SAFMR
zip 33440
safmr
3
$1,480
2025-10-01
HUD_USER_SAFMR
zip 33440
payment standard 110
4
$1,947
2025-10-01
HUD_USER_SAFMR
zip 33440
payment standard 90
4
$1,593
2025-10-01
HUD_USER_SAFMR
zip 33440
safmr
4
$1,770
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.