1145 W. REDONDO BEACH, GARDENA, CA 90247 · CCN 555441 · chain AVANTI HOSPITALS LLC
Composite
10.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
69
Model
v1.2
Reads as: riskier than 10.8% 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.
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 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
CA median
National median
National p25–p75
Total nurse
8.57
3.95
3.28
2.90–3.77
RN
2.28
0.38
0.39
0.25–0.58
Weekend total
8.15
3.79
3.11
—
Weekday total
8.73
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
65.1
8.57
2.28
2.91
3.38
8.15
4.6%
2025Q3
92
63.6
9.07
2.38
3.06
3.63
8.63
5.3%
2025Q2
91
63.2
9.22
2.48
3.43
3.31
8.67
9.6%
2025Q1
90
64.5
8.26
1.86
3.17
3.24
7.75
3.8%
2024Q4
92
63.0
8.74
2.01
3.04
3.69
8.20
1.9%
2024Q3
92
62.9
7.96
2.10
2.74
3.13
7.61
7.5%
2024Q2
91
62.4
7.10
1.39
2.78
2.93
6.80
0.0%
2024Q1
91
58.5
7.50
1.27
2.98
3.24
7.05
0.0%
2023Q4
92
55.5
7.75
1.41
3.03
3.30
7.36
0.0%
2023Q3
92
53.1
8.26
1.65
3.25
3.36
7.89
0.0%
2023Q2
91
54.7
7.89
1.73
3.00
3.16
7.61
0.0%
2023Q1
90
55.7
7.91
1.78
2.86
3.26
7.69
0.0%
2022Q4
92
54.9
8.15
1.81
3.12
3.23
7.99
0.0%
2022Q3
92
58.5
7.68
1.64
2.91
3.13
7.64
0.0%
2022Q2
91
56.5
7.87
1.65
2.88
3.33
7.75
0.0%
2022Q1
90
53.3
8.31
1.89
2.97
3.45
8.16
0.0%
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 each resident receives an accurate assessment.
D
2026-04-28
2026-04-10
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2026-04-28
2026-04-10
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2026-04-28
2026-04-10
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2026-04-28
2026-04-10
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2026-04-28
2026-04-10
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
2026-04-28
2026-04-10
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-04-28
2026-04-10
Health
F0838
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
D
2026-04-28
2026-04-10
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-04-28
2025-02-16
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-03-06
2025-02-16
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-03-06
2025-02-16
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2025-03-06
2025-02-16
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
2025-03-06
2025-02-16
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-03-06
2025-02-16
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-03-06
2025-02-16
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2025-03-06
2024-02-09
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2024-03-09
2024-02-09
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2024-03-09
2024-02-09
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-03-09
2024-02-09
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2024-03-09
2024-02-09
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2024-03-09
2024-02-09
Health
F0679
Provide activities to meet all resident's needs.
D
2024-03-09
2024-02-09
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2024-03-09
2024-02-09
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2024-03-09
2024-02-09
Health
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2024-03-09
2024-02-09
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-03-09
2024-02-09
Health
F0760
Ensure that residents are free from significant medication errors.
D
2024-03-09
2024-02-09
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
2024-03-09
2024-02-09
Health
F0790
Provide routine and 24-hour emergency dental care for each resident.
D
2024-03-09
2024-02-09
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2024-03-09
2024-02-09
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-03-09
2024-02-09
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
2024-03-09
2023-07-07
Health · complaint
F0678
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
E
2023-08-01
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
23
Owner
Role
Pct
From
Status
Source
AVANTI HEALTHCARE HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2011-05-17
current
pecos_ownership
AVANTI HOSPITAL HOLDINGS I LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2011-05-17
current
pecos_ownership
AVANTI HOSPITALS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2011-05-17
current
pecos_ownership
BELL, MARK
CORPORATE OFFICER
—
2019-01-28
current
pecos_ownership
BELL, MARK
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2008-12-31
current
pecos_ownership
DEERFIELD PRIVATE DESIGN FUND IV, LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2019-01-28
current
pecos_ownership
DFP OPCO, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2019-01-28
current
pecos_ownership
EDWARDS, IRV
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2008-12-31
current
pecos_ownership
GARDENA HOSPITAL MANAGEMENT, LLC
GENERAL PARTNERSHIP INTEREST
—
1999-01-29
current
pecos_ownership
HEALTHPLUS HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2006-12-13
current
pecos_ownership
HOLLISTER HEALTH HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2019-01-28
current
pecos_ownership
JPM PROPERTY HOLDINGS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2019-01-28
current
pecos_ownership
MACPHERSON, JAMES
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2008-12-31
current
pecos_ownership
METCALFE, ROBERT
CONTRACTED MANAGING EMPLOYEE
—
2020-02-26
current
pecos_ownership
NLO PROPERTY HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2019-01-28
current
pecos_ownership
PIPELINE HEALTH SYSTEM HOLDINGS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2019-01-28
current
pecos_ownership
PIPELINE HEALTH SYSTEM, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2019-01-28
current
pecos_ownership
PIPELINE HOSPITAL HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2019-01-28
current
pecos_ownership
IRV EDWARDS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
6%
2008-12-31
ended 2026-05-18
pecos_ownership
MARK BELL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
6%
2008-12-31
ended 2026-05-18
pecos_ownership
JAMES MACPHERSON
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2008-12-31
ended 2026-05-18
pecos_ownership
MARK BELL
CORPORATE OFFICER
—
2019-01-28
ended 2026-05-18
pecos_ownership
ROBERT METCALFE
CONTRACTED MANAGING EMPLOYEE
—
2020-02-26
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
36
Geo
Kind
BR
Amount
As of
Source
county 06037
acs median gross
0
$1,523
2024-12-31
CENSUS_ACS5
county 06037
fmr
0
$1,863
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
1
$1,724
2024-12-31
CENSUS_ACS5
county 06037
fmr
1
$2,085
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
2
$2,127
2024-12-31
CENSUS_ACS5
county 06037
fmr
2
$2,601
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
3
$2,484
2024-12-31
CENSUS_ACS5
county 06037
fmr
3
$3,298
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
4
$2,866
2024-12-31
CENSUS_ACS5
county 06037
fmr
4
$3,672
2025-10-01
HUD_USER_FMR
county 06037
acs median gross
5
$2,767
2024-12-31
CENSUS_ACS5
county 06037
acs median gross
$1,954
2024-12-31
CENSUS_ACS5
county 06037
acs recent mover gross
$2,358
2024-12-31
CENSUS_ACS5
zcta 90247
acs median gross
0
$1,399
2024-12-31
CENSUS_ACS5
zcta 90247
acs median gross
1
$1,449
2024-12-31
CENSUS_ACS5
zcta 90247
acs median gross
2
$1,878
2024-12-31
CENSUS_ACS5
zcta 90247
acs median gross
3
$2,327
2024-12-31
CENSUS_ACS5
zcta 90247
acs median gross
4
$3,027
2024-12-31
CENSUS_ACS5
zcta 90247
acs median gross
5
$3,102
2024-12-31
CENSUS_ACS5
zcta 90247
acs median gross
$1,805
2024-12-31
CENSUS_ACS5
zcta 90247
acs recent mover gross
$1,790
2024-12-31
CENSUS_ACS5
zip 90247
payment standard 110
0
$2,068
2025-10-01
HUD_USER_SAFMR
zip 90247
payment standard 90
0
$1,692
2025-10-01
HUD_USER_SAFMR
zip 90247
safmr
0
$1,880
2025-10-01
HUD_USER_SAFMR
zip 90247
payment standard 110
1
$2,321
2025-10-01
HUD_USER_SAFMR
zip 90247
payment standard 90
1
$1,899
2025-10-01
HUD_USER_SAFMR
zip 90247
safmr
1
$2,110
2025-10-01
HUD_USER_SAFMR
zip 90247
payment standard 110
2
$2,893
2025-10-01
HUD_USER_SAFMR
zip 90247
payment standard 90
2
$2,367
2025-10-01
HUD_USER_SAFMR
zip 90247
safmr
2
$2,630
2025-10-01
HUD_USER_SAFMR
zip 90247
payment standard 110
3
$3,663
2025-10-01
HUD_USER_SAFMR
zip 90247
payment standard 90
3
$2,997
2025-10-01
HUD_USER_SAFMR
zip 90247
safmr
3
$3,330
2025-10-01
HUD_USER_SAFMR
zip 90247
payment standard 110
4
$4,081
2025-10-01
HUD_USER_SAFMR
zip 90247
payment standard 90
4
$3,339
2025-10-01
HUD_USER_SAFMR
zip 90247
safmr
4
$3,710
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.