1600 MATTHEW DRIVE, FORT MYERS, FL 33907 · CCN 105723
Composite
80.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 80.1% 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
2
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
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
3.19
3.42
3.28
2.90–3.77
RN
0.50
0.45
0.39
0.25–0.58
Weekend total
3.12
3.31
3.11
—
Weekday total
3.21
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
107.9
3.19
0.50
0.64
2.05
3.12
0.0%
2025Q3
92
99.0
3.17
0.59
0.54
2.03
3.07
0.0%
2025Q2
91
105.1
3.20
0.65
0.50
2.05
3.10
0.0%
2025Q1
90
112.7
3.30
0.70
0.54
2.07
3.13
1.5%
2024Q4
92
113.4
3.24
0.73
0.45
2.07
3.09
0.5%
2024Q3
92
108.6
3.26
0.69
0.49
2.08
3.16
0.0%
2024Q2
91
103.6
3.36
0.71
0.52
2.12
3.19
0.3%
2024Q1
91
104.5
3.40
0.74
0.51
2.15
3.23
0.4%
2023Q4
92
102.2
3.24
0.60
0.54
2.09
3.18
0.4%
2023Q3
92
99.8
3.20
0.56
0.53
2.10
3.18
0.0%
2023Q2
91
101.4
3.34
0.64
0.56
2.14
3.25
0.6%
2023Q1
90
100.9
3.33
0.56
0.64
2.14
3.29
2.6%
2022Q4
92
98.6
3.27
0.56
0.61
2.11
3.24
0.2%
2022Q3
92
88.8
3.28
0.57
0.55
2.16
3.27
4.0%
2022Q2
91
95.4
3.24
0.52
0.58
2.15
3.24
4.4%
2022Q1
90
93.0
3.56
0.53
0.55
2.48
3.56
6.3%
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2024-12-14
2024-11-15
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
2024-12-14
2024-11-15
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2024-12-14
2024-11-15
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-12-14
2024-11-15
Health
F0679
Provide activities to meet all resident's needs.
D
2024-12-14
2024-11-15
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
2024-12-14
2024-11-15
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2024-12-14
2024-11-15
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-12-14
2024-11-15
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
G
2024-12-14
2024-11-15
Health · complaint
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2024-12-14
2024-11-15
Health
F0800
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
D
2024-12-14
2023-02-09
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2023-03-17
2023-02-09
Health
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.
D
2023-03-28
2023-02-09
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
2023-03-17
2023-02-09
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2023-03-17
2023-02-09
Health
F0679
Provide activities to meet all resident's needs.
E
2023-03-17
2023-02-09
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-03-17
2023-02-09
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
2023-03-17
2023-02-09
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
2023-03-17
2023-02-09
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-03-17
2023-02-09
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2023-03-17
2023-02-09
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2023-03-17
2021-06-10
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2021-07-10
2021-06-10
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
D
2021-07-10
2021-06-10
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2021-07-10
2021-06-10
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2021-07-10
2021-06-10
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
2021-07-10
2021-06-10
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2021-07-10
2021-06-10
Health
F0908
Keep all essential equipment working safely.
F
2021-07-10
2021-06-10
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
2021-07-10
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
19
Owner
Role
Pct
From
Status
Source
CEDARBROOK REHAB HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-05-05
current
pecos_ownership
BF CEDARBROOK TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2023-05-05
current
pecos_ownership
LF CEDARBROOK TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2023-05-05
current
pecos_ownership
ASTON HEALTHCARE LLC
ADP OF THE SNF
—
2023-05-05
current
pecos_ownership
ATKINSTALL, ALICIA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-24
current
pecos_ownership
AVILES, URSULA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-05-05
current
pecos_ownership
FRIEDMAN, LEOPOLD
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-10-16
current
pecos_ownership
MARTINEZ IRIZARRY, ALFONSO
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-01
current
pecos_ownership
MARTINEZ IRIZARRY, ALFONSO
ADP OF THE SNF
—
2025-10-16
current
pecos_ownership
SOLTIS, ERIN
ADP OF THE SNF
—
2025-10-16
current
pecos_ownership
SOLTIS, ERIN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-06-24
current
pecos_ownership
WILDES, DONNA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-28
current
pecos_ownership
ALFONSO MARTINEZ IRIZARRY
ADP OF THE SNF
—
2025-10-16
ended 2026-05-18
pecos_ownership
ALFONSO MARTINEZ IRIZARRY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-01
ended 2026-05-18
pecos_ownership
ALICIA ATKINSTALL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-24
ended 2026-05-18
pecos_ownership
DONNA WILDES
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-28
ended 2026-05-18
pecos_ownership
ERIN SOLTIS
ADP OF THE SNF
—
2025-10-16
ended 2026-05-18
pecos_ownership
ERIN SOLTIS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-06-24
ended 2026-05-18
pecos_ownership
URSULA AVILES
OPERATIONAL/MANAGERIAL CONTROL
—
2023-05-05
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
4
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2023-05-04
$155,064
—
$155,064
—
—
2
—
2022-12-31
$456,439
—
$456,439
—
—
2
—
2021-12-31
$432,039
—
$432,039
—
—
2
—
2020-12-31
$456,292
—
$456,292
—
—
2
—
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 12071
acs median gross
0
$1,630
2024-12-31
CENSUS_ACS5
county 12071
fmr
0
$1,629
2025-10-01
HUD_USER_FMR
county 12071
acs median gross
1
$1,475
2024-12-31
CENSUS_ACS5
county 12071
fmr
1
$1,638
2025-10-01
HUD_USER_FMR
county 12071
acs median gross
2
$1,617
2024-12-31
CENSUS_ACS5
county 12071
fmr
2
$1,961
2025-10-01
HUD_USER_FMR
county 12071
acs median gross
3
$1,874
2024-12-31
CENSUS_ACS5
county 12071
fmr
3
$2,560
2025-10-01
HUD_USER_FMR
county 12071
acs median gross
4
$2,133
2024-12-31
CENSUS_ACS5
county 12071
fmr
4
$2,836
2025-10-01
HUD_USER_FMR
county 12071
acs median gross
5
$2,648
2024-12-31
CENSUS_ACS5
county 12071
acs median gross
$1,712
2024-12-31
CENSUS_ACS5
county 12071
acs recent mover gross
$2,090
2024-12-31
CENSUS_ACS5
zcta 33907
acs median gross
0
$1,705
2024-12-31
CENSUS_ACS5
zcta 33907
acs median gross
1
$1,526
2024-12-31
CENSUS_ACS5
zcta 33907
acs median gross
2
$1,604
2024-12-31
CENSUS_ACS5
zcta 33907
acs median gross
3
$1,723
2024-12-31
CENSUS_ACS5
zcta 33907
acs median gross
$1,614
2024-12-31
CENSUS_ACS5
zcta 33907
acs recent mover gross
$1,906
2024-12-31
CENSUS_ACS5
zip 33907
payment standard 110
0
$1,837
2025-10-01
HUD_USER_SAFMR
zip 33907
payment standard 90
0
$1,503
2025-10-01
HUD_USER_SAFMR
zip 33907
safmr
0
$1,670
2025-10-01
HUD_USER_SAFMR
zip 33907
payment standard 110
1
$1,848
2025-10-01
HUD_USER_SAFMR
zip 33907
payment standard 90
1
$1,512
2025-10-01
HUD_USER_SAFMR
zip 33907
safmr
1
$1,680
2025-10-01
HUD_USER_SAFMR
zip 33907
payment standard 110
2
$2,211
2025-10-01
HUD_USER_SAFMR
zip 33907
payment standard 90
2
$1,809
2025-10-01
HUD_USER_SAFMR
zip 33907
safmr
2
$2,010
2025-10-01
HUD_USER_SAFMR
zip 33907
payment standard 110
3
$2,882
2025-10-01
HUD_USER_SAFMR
zip 33907
payment standard 90
3
$2,358
2025-10-01
HUD_USER_SAFMR
zip 33907
safmr
3
$2,620
2025-10-01
HUD_USER_SAFMR
zip 33907
payment standard 110
4
$3,201
2025-10-01
HUD_USER_SAFMR
zip 33907
payment standard 90
4
$2,619
2025-10-01
HUD_USER_SAFMR
zip 33907
safmr
4
$2,910
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.