Screener / 105250

SUNRISE POINT HEALTH AND REHABILITATION CENTER

snfFL

1775 HUNTINGTON LANE, ROCKLEDGE, FL 32955 · CCN 105250

Composite

52.4 / 100 percentile

Peer group

snf n = 14,684

Evidence depth

deep

Certified beds

100

Model

v1.2

Reads as: riskier than 52.4% 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.

Score model6 Components17 CHOW radar1 Distress radar1 Staffing16 Penalties3 Deficiencies16 Licensure0 Ownership10 Related party5 Transactions1 Comps12 Market rent35

Composite explanation

Component	Percentile	Raw	Weight	Weight share	Contribution	Counts
regulatory risk	95.4	93.7	0.30	0.2069	19.74	in index
billing conduct	54.3	41.2	0.30	0.2069	11.23	in index
lease risk	53.9	53.6	0.15	0.1034	5.58	in index
chow risk	50.4	48.6	0.15	0.1034	5.21	in index
staffing risk	22.4	22.5	0.25	0.1724	3.86	in index
financial risk	17.6	25.3	0.30	0.2069	3.64	in index

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.

Component scores and registry models

Score type	Score	Grade	Model	Status	Registry model notes
billing conduct	41.2	B	v0.1-pacpuf-snf	default · in composite	R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk	25.0	B	v0.1-pos	default · in composite	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.
chow risk	72.1	D	v0.6	default · in composite
financial risk	25.3	B	v0.5	default · in composite	R18.
lease risk	53.6	C	v0.5	default · in composite
p adverse action 12m	0.0	—	v0.1	default · in composite	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.
p chow 12m	0.0	—	v0.1	default · in 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.
regulatory risk	93.7	F	v0.3	default · in composite	Deficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk	22.5	A	v0.3	default · in composite	Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk	96.2	F	v0.1	superseded	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.
financial risk	76.2	D	v0.2	superseded	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.
financial risk	45.8	C	v0.3	superseded	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.
financial risk	30.1	B	v0.4	superseded	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.
regulatory risk	93.7	F	v0.1	superseded	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.
regulatory risk	93.7	F	v0.2	superseded	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.
staffing risk	22.5	A	v0.1	superseded	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.
staffing risk	22.5	A	v0.2	superseded	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.

CHOW radar — 12-month sale probability

full board →

p(CHOW, 12m)

0.0%

model v0.1 · computed 2026-07-29

Percentile among SNFs

12.1

100 = most likely to sell

Holdout AUC

0.874

evaluated before shipping, never refit

Driver	Value	Pull on odds
Never sold on record	0.00	-1.62
Current owner tenure (years)	6.27	-1.24
Occupancy	0.97	-0.78
For-profit ownership	1.00	+0.69
No PBJ staffing report	0.00	+0.42
Chain size (log)	0.00	-0.40
Ownership changes, last 5 years	0.00	+0.20
Total nurse staffing (HPRD)	3.85	-0.16

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.

Distress radar — 12-month termination probability

full board →

p(termination, 12m)

0.0%

model v0.1 · computed 2026-07-29

Percentile among SNFs

27.7

100 = most likely to lose certification

Holdout AUC

0.971

top decile caught 95% of actual exits

Driver	Value	Pull on odds
Chain size (log)	0.00	+1.20
Deficiencies, last 12 months	2.00	+1.06
Occupancy	0.97	-0.91
For-profit ownership	1.00	-0.69
Fine amount, 12m (log)	11.14	-0.64
No PBJ staffing report	0.00	+0.39
Never sold on record	0.00	-0.28
Total nurse staffing (HPRD)	3.85	-0.27

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

2025Q4 HPRD	This facility	FL median	National median	National p25–p75
Total nurse	3.85	3.42	3.28	2.90–3.77
RN	0.43	0.45	0.39	0.25–0.58
Weekend total	3.69	3.31	3.11	—
Weekday total	3.91	3.48	3.35	—

Quarter	Days	Avg census	Total HPRD	RN	LPN	CNA	Weekend	Contract %
2025Q4	92	96.6	3.85	0.43	0.74	2.68	3.69	8.6%
2025Q3	92	97.1	3.68	0.51	0.73	2.44	3.45	8.3%
2025Q2	91	95.2	3.46	0.42	0.72	2.33	3.40	10.3%
2025Q1	90	93.3	3.72	0.41	0.77	2.54	3.72	11.1%
2024Q4	92	96.3	3.50	0.39	0.71	2.40	3.44	1.5%
2024Q3	92	96.7	3.79	0.36	0.74	2.69	3.64	8.7%
2024Q2	91	92.2	3.42	0.31	0.77	2.35	3.38	15.1%
2024Q1	91	93.8	3.25	0.24	0.79	2.22	3.25	6.5%
2023Q4	92	93.9	3.57	0.34	0.73	2.50	3.45	6.2%
2023Q3	92	96.5	3.05	0.27	0.69	2.08	3.09	8.1%
2023Q2	91	94.9	3.06	0.29	0.67	2.09	3.05	5.5%
2023Q1	90	93.1	3.14	0.27	0.68	2.19	3.10	3.5%
2022Q4	92	96.1	3.14	0.26	0.72	2.17	3.09	10.9%
2022Q3	92	93.7	3.23	0.28	0.74	2.21	3.12	45.8%
2022Q2	91	95.8	3.13	0.32	0.57	2.23	2.97	44.9%
2022Q1	90	84.9	3.66	0.43	0.63	2.60	3.61	40.1%

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

fines by year

Date	Type	Fine	Source
2025-10-30	Fine	$69,175	CMS provider data
2024-04-10	Fine	$16,801	CMS provider data
2023-09-02	Fine	$189,746	CMS provider data

Total fines on record: $275,722

Deficiencies

D × 9G × 1J × 6

deficiencies by survey year

Survey	Type	Tag	Deficiency	Scope	Corrected
2025-10-30	Health · complaint	F0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	J	2025-11-21
2025-10-30	Health · complaint	F0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	J	2025-11-21
2025-01-09	Health · complaint	F0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	2025-02-06
2024-08-09	Health	F0554	Allow residents to self-administer drugs if determined clinically appropriate.	D	2024-09-03
2024-08-09	Health	F0561	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	D	2024-09-03
2024-08-09	Health	F0645	PASARR screening for Mental disorders or Intellectual Disabilities	D	2024-09-03
2024-08-09	Health	F0880	Provide and implement an infection prevention and control program.	D	2024-09-03
2024-06-03	Health · complaint	F0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	2024-06-20
2024-04-10	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.	J	2024-04-04
2023-09-02	Health · complaint	F0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	J	2023-09-28
2023-09-02	Health · complaint	F0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	J	2023-09-28
2023-09-02	Health · complaint	F0777	Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.	J	2023-09-28
2021-04-08	Health	F0677	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	2021-05-10
2021-04-08	Health	F0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	G	2021-05-10
2021-04-08	Health	F0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	D	2021-05-10
2021-04-08	Health	F0908	Keep all essential equipment working safely.	D	2021-05-10

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

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

Owner	Role	Pct	From	Status	Source
ROCKLEDGE FL PROPCO LLC	Corporation, partnership or other organization has financial interest in provider	50%	2023-01-01	current	hcris_a_8_1
ROCKLEDGE FL PROPCO LLC	Corporation, partnership or other organization has financial interest in provider	50%	2024-01-01	current	hcris_a_8_1
GORELICK, BATYA	CORPORATE OFFICER	—	2020-04-20	current	pecos_ownership
MATHENY, CHESTER	W-2 MANAGING EMPLOYEE	—	2020-04-20	current	pecos_ownership
NAFTALI ZANZIPER	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	2020-04-20	ended 2026-05-18	pecos_ownership
ROCKLEDGE FL PROPCO LLC	Individual has financial interest in both related organization and provider	50%	2022-01-01	ended 2022-12-31	hcris_a_8_1
ROCKLEDGE FL PROPCO LLC	Individual has financial interest in both related organization and provider	50%	2021-01-01	ended 2021-12-31	hcris_a_8_1
SIMCHA HYMAN	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	2020-04-20	ended 2026-05-18	pecos_ownership
BATYA GORELICK	CORPORATE OFFICER	—	2020-04-20	ended 2026-05-18	pecos_ownership
CHESTER MATHENY	W-2 MANAGING EMPLOYEE	—	2020-04-20	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

FY end	Total allowable	Rent	Home office	Therapy	Staffing	Counterparties	PropCo
2024-12-31	$2,237,371	—	$407,754	$436,883	$64,629	18	propco
2023-12-31	$1,904,225	—	$378,320	$445,811	$53,534	15	propco
2022-12-31	$1,629,366	—	$427,093	$462,205	—	13	propco
2021-12-31	$1,602,458	—	$488,252	$434,827	—	13	propco
2020-12-31	$717,176	—	$268,863	$335,000	—	7	—

Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.

Transactions

Close date	Price	Buyer	Seller	Evidence
2020-04-20	—	ROCKLEDGE FL OPCO LLC	HUNTINGTON PLACE LIMITED PARTNERSHIP	chow

Comparable trades — FL snf

Close	Facility	Price	$/bed	Cap rate	Beds	Buyer
2025-02-01	MARIANNA HEALTH AND REHABILITATION	—	—	—	180	MARIANNA REHABILITATION CENTER, LLC
2024-11-20	SOLARIS HEALTHCARE LELY PALMS	—	—	—	117	LP SNF OPERATIONS LLC
2024-11-01	GULF COAST MEDICAL CENTER SKILLED NURSING UNIT	—	—	—	75	LEE HEALTH SYSTEM INC
2024-09-19	ARABELLA HEALTH & WELLNESS OF PENSACOLA	—	—	—	118	ARABELLA HEALTH & WELLNESS OF PENSACOLA OPCO LLC
2024-08-01	PENINSULA HEALTH CENTER BY HARBORVIEW	—	—	—	120	PENINSULA CARE AND REHABILITATION CENTER BY HARBORVIEW LLC
2024-07-15	BAYONET POINT HEALTH CENTER BY HARBORVIEW	—	—	—	120	LIVING CENTER OF BAYONET POINT BY HARBORVIEW LLC
2024-07-15	KISSIMMEE NURSING & REHABILITATION CENTER	—	—	—	120	KISSIMMEE NURSING AND REHABILITATION CENTER BY HARBORVIEW LLC
2024-07-15	HARBORVIEW HEALTH CENTER WEST ALTAMONTE	—	—	—	116	WEST ALTAMONTE NURSING AND REHABILITATION CENTER BY HARBORVIEW LLC
2024-07-15	HARBORVIEW SARASOTA	—	—	—	81	SARASOTA CENTER FOR NURSING AND REHABILITATION BY HARBORVIEW LLC
2024-07-15	NURSING & REHABILITATION CENTER OF MELBOURNE	—	—	—	167	NURSING AND REHABILITATION CENTER OF MELBOURNE BY HARBORVIEW LLC
2024-07-09	WATERS EDGE HEALTH AND REHABILITATION	—	—	—	36	SANDHILL COVE LLC
2024-07-01	RIVERWOOD HEALTHCARE & REHABILITATION CENTER	—	—	—	120	RIVERWOOD NURSING SNF LLC

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

Geo	Kind	BR	Amount	As of	Source
county 12009	acs median gross	0	$1,121	2024-12-31	CENSUS_ACS5
county 12009	fmr	0	$1,266	2025-10-01	HUD_USER_FMR
county 12009	acs median gross	1	$1,268	2024-12-31	CENSUS_ACS5
county 12009	fmr	1	$1,478	2025-10-01	HUD_USER_FMR
county 12009	acs median gross	2	$1,499	2024-12-31	CENSUS_ACS5
county 12009	fmr	2	$1,709	2025-10-01	HUD_USER_FMR
county 12009	acs median gross	3	$1,800	2024-12-31	CENSUS_ACS5
county 12009	fmr	3	$2,330	2025-10-01	HUD_USER_FMR
county 12009	acs median gross	4	$2,039	2024-12-31	CENSUS_ACS5
county 12009	fmr	4	$2,645	2025-10-01	HUD_USER_FMR
county 12009	acs median gross	5	$2,172	2024-12-31	CENSUS_ACS5
county 12009	acs median gross		$1,556	2024-12-31	CENSUS_ACS5
county 12009	acs recent mover gross		$1,809	2024-12-31	CENSUS_ACS5
zcta 32955	acs median gross	1	$1,632	2024-12-31	CENSUS_ACS5
zcta 32955	acs median gross	2	$1,609	2024-12-31	CENSUS_ACS5
zcta 32955	acs median gross	3	$1,847	2024-12-31	CENSUS_ACS5
zcta 32955	acs median gross	4	$1,808	2024-12-31	CENSUS_ACS5
zcta 32955	acs median gross	5	$1,823	2024-12-31	CENSUS_ACS5
zcta 32955	acs median gross		$1,755	2024-12-31	CENSUS_ACS5
zcta 32955	acs recent mover gross		$2,366	2024-12-31	CENSUS_ACS5
zip 32955	payment standard 110	0	$1,562	2025-10-01	HUD_USER_SAFMR
zip 32955	payment standard 90	0	$1,278	2025-10-01	HUD_USER_SAFMR
zip 32955	safmr	0	$1,420	2025-10-01	HUD_USER_SAFMR
zip 32955	payment standard 110	1	$1,826	2025-10-01	HUD_USER_SAFMR
zip 32955	payment standard 90	1	$1,494	2025-10-01	HUD_USER_SAFMR
zip 32955	safmr	1	$1,660	2025-10-01	HUD_USER_SAFMR
zip 32955	payment standard 110	2	$2,112	2025-10-01	HUD_USER_SAFMR
zip 32955	payment standard 90	2	$1,728	2025-10-01	HUD_USER_SAFMR
zip 32955	safmr	2	$1,920	2025-10-01	HUD_USER_SAFMR
zip 32955	payment standard 110	3	$2,882	2025-10-01	HUD_USER_SAFMR
zip 32955	payment standard 90	3	$2,358	2025-10-01	HUD_USER_SAFMR
zip 32955	safmr	3	$2,620	2025-10-01	HUD_USER_SAFMR
zip 32955	payment standard 110	4	$3,267	2025-10-01	HUD_USER_SAFMR
zip 32955	payment standard 90	4	$2,673	2025-10-01	HUD_USER_SAFMR
zip 32955	safmr	4	$2,970	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.