4600 MIDDLETON PARK CIR E, JACKSONVILLE, FL 32224 · CCN 105745 · chain LIFE CARE SERVICES LLC
Composite
28.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
100
Model
v1.2
Reads as: riskier than 28.0% 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
LIFE CARE SERVICES LLC
58 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 lease_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
4.44
3.42
3.28
2.90–3.77
RN
0.77
0.45
0.39
0.25–0.58
Weekend total
4.24
3.31
3.11
—
Weekday total
4.52
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
87.7
4.44
0.77
0.92
2.75
4.24
0.0%
2025Q3
92
87.0
4.50
0.71
0.91
2.88
4.22
0.0%
2025Q2
91
87.1
4.48
0.57
1.09
2.82
4.17
0.0%
2025Q1
90
82.6
4.42
0.60
1.08
2.73
4.20
0.0%
2024Q4
92
84.3
4.35
0.51
1.12
2.72
4.14
0.0%
2024Q3
92
86.5
4.35
0.58
1.03
2.73
4.16
0.0%
2024Q2
91
89.5
4.13
0.63
0.93
2.56
3.88
0.0%
2024Q1
91
88.8
4.41
0.73
0.99
2.69
4.22
10.0%
2023Q4
92
84.3
4.42
0.57
1.22
2.63
4.33
15.5%
2023Q3
92
91.1
4.22
0.46
1.23
2.53
4.10
15.9%
2023Q2
91
89.9
4.50
0.52
1.34
2.64
4.20
13.8%
2023Q1
90
93.4
4.47
0.46
1.47
2.54
4.06
10.1%
2022Q4
92
91.2
4.62
0.40
1.59
2.63
4.37
22.3%
2022Q3
92
88.8
4.47
0.41
1.50
2.56
4.22
31.2%
2022Q2
91
86.4
4.79
0.46
1.46
2.87
4.43
41.6%
2022Q1
90
89.3
4.37
0.57
1.39
2.41
3.87
34.9%
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.
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2023-09-23
2023-05-25
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-06-25
2023-05-25
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-06-25
2021-09-10
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2021-10-15
2021-09-10
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2021-10-15
2021-09-10
Health
F0732
Post nurse staffing information every day.
D
2021-10-15
2021-09-10
Health
F0908
Keep all essential equipment working safely.
F
2021-10-15
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
24
Owner
Role
Pct
From
Status
Source
BROWNING, ARTHUR
ADP OF THE SNF
—
2025-04-10
current
pecos_ownership
BROWNING, ARTHUR
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-24
current
pecos_ownership
CCRC OPCO - CYPRESS VILLAGE, LLC
5% OR GREATER SECURITY INTEREST
—
2020-02-01
current
pecos_ownership
CCRC PROPCO VENTURES, LLC
5% OR GREATER SECURITY INTEREST
—
2020-02-01
current
pecos_ownership
CHENG, PATRICK
MANAGING CONTROL - GOVERNING BODY
—
2022-01-31
current
pecos_ownership
HEALTHPEAK OP LLC
ADP OF THE SNF
—
2025-07-01
current
pecos_ownership
LIFE CARE SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-02-01
current
pecos_ownership
LIFE CARE SERVICES LLC
ADP OF THE SNF
—
2025-04-07
current
pecos_ownership
MARKOSKI, STEPHANIE
ADP OF THE SNF
—
2025-04-04
current
pecos_ownership
MARKOSKI, STEPHANIE
OPERATIONAL/MANAGERIAL CONTROL
—
2016-04-20
current
pecos_ownership
MORGAN, TY
OPERATIONAL/MANAGERIAL CONTROL
—
2008-12-01
current
pecos_ownership
RUSSO, FRANK
MANAGING CONTROL - GOVERNING BODY
—
2022-01-31
current
pecos_ownership
CCRC OPCO VENTURES LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2014-08-29
ended 2026-05-18
pecos_ownership
HEALTHPEAK OP LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2023-02-10
ended 2026-05-18
pecos_ownership
HEALTHPEAK PROPERTIES INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2020-02-01
ended 2026-05-18
pecos_ownership
S-H 2014 OPCO TRS INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2020-02-01
ended 2026-05-18
pecos_ownership
HCP S-H 2014 MEMBER LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
49%
2020-02-01
ended 2026-05-18
pecos_ownership
ARTHUR BROWNING
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-24
ended 2026-05-18
pecos_ownership
ARTHUR BROWNING
ADP OF THE SNF
—
2025-04-10
ended 2026-05-18
pecos_ownership
FRANK RUSSO
MANAGING CONTROL - GOVERNING BODY
—
2022-01-31
ended 2026-05-18
pecos_ownership
PATRICK CHENG
MANAGING CONTROL - GOVERNING BODY
—
2022-01-31
ended 2026-05-18
pecos_ownership
STEPHANIE MARKOSKI
ADP OF THE SNF
—
2025-04-04
ended 2026-05-18
pecos_ownership
STEPHANIE MARKOSKI
OPERATIONAL/MANAGERIAL CONTROL
—
2016-04-20
ended 2026-05-18
pecos_ownership
TY MORGAN
OPERATIONAL/MANAGERIAL CONTROL
—
2008-12-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
34
Geo
Kind
BR
Amount
As of
Source
county 12031
acs median gross
0
$1,218
2024-12-31
CENSUS_ACS5
county 12031
fmr
0
$1,355
2025-10-01
HUD_USER_FMR
county 12031
acs median gross
1
$1,245
2024-12-31
CENSUS_ACS5
county 12031
fmr
1
$1,382
2025-10-01
HUD_USER_FMR
county 12031
acs median gross
2
$1,508
2024-12-31
CENSUS_ACS5
county 12031
fmr
2
$1,658
2025-10-01
HUD_USER_FMR
county 12031
acs median gross
3
$1,665
2024-12-31
CENSUS_ACS5
county 12031
fmr
3
$2,043
2025-10-01
HUD_USER_FMR
county 12031
acs median gross
4
$1,935
2024-12-31
CENSUS_ACS5
county 12031
fmr
4
$2,561
2025-10-01
HUD_USER_FMR
county 12031
acs median gross
5
$1,899
2024-12-31
CENSUS_ACS5
county 12031
acs median gross
$1,475
2024-12-31
CENSUS_ACS5
county 12031
acs recent mover gross
$1,642
2024-12-31
CENSUS_ACS5
zcta 32224
acs median gross
0
$1,264
2024-12-31
CENSUS_ACS5
zcta 32224
acs median gross
1
$1,592
2024-12-31
CENSUS_ACS5
zcta 32224
acs median gross
2
$1,774
2024-12-31
CENSUS_ACS5
zcta 32224
acs median gross
3
$2,252
2024-12-31
CENSUS_ACS5
zcta 32224
acs median gross
$1,764
2024-12-31
CENSUS_ACS5
zcta 32224
acs recent mover gross
$1,755
2024-12-31
CENSUS_ACS5
zip 32224
payment standard 110
0
$1,738
2025-10-01
HUD_USER_SAFMR
zip 32224
payment standard 90
0
$1,422
2025-10-01
HUD_USER_SAFMR
zip 32224
safmr
0
$1,580
2025-10-01
HUD_USER_SAFMR
zip 32224
payment standard 110
1
$1,771
2025-10-01
HUD_USER_SAFMR
zip 32224
payment standard 90
1
$1,449
2025-10-01
HUD_USER_SAFMR
zip 32224
safmr
1
$1,610
2025-10-01
HUD_USER_SAFMR
zip 32224
payment standard 110
2
$2,123
2025-10-01
HUD_USER_SAFMR
zip 32224
payment standard 90
2
$1,737
2025-10-01
HUD_USER_SAFMR
zip 32224
safmr
2
$1,930
2025-10-01
HUD_USER_SAFMR
zip 32224
payment standard 110
3
$2,618
2025-10-01
HUD_USER_SAFMR
zip 32224
payment standard 90
3
$2,142
2025-10-01
HUD_USER_SAFMR
zip 32224
safmr
3
$2,380
2025-10-01
HUD_USER_SAFMR
zip 32224
payment standard 110
4
$3,278
2025-10-01
HUD_USER_SAFMR
zip 32224
payment standard 90
4
$2,682
2025-10-01
HUD_USER_SAFMR
zip 32224
safmr
4
$2,980
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.