Composite
33.4 / 100 percentile
Screener / 405034
B
MULTY MEDICAL SKILLED NURSING FACILITY
snfPR
AMERICO MIRANDA AVE ENTRADA PRINCIPAL CENTRO, RIO PIEDRAS, PR 00935 · CCN 405034
Peer group
snf n = 14,684
Evidence depth
moderate
Certified beds
35
Model
v1.2
Reads as: riskier than 33.4% 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 model2Components6CHOW radar1Distress radar1Penalties0Deficiencies77Licensure0Ownership4Related party0Transactions0Market rent13
Composite explanation
2| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 62.9 | 54.8 | 0.30 | 0.6667 | 41.93 | in index |
| chow risk | 0.5 | 15.0 | 0.15 | 0.3333 | 0.17 | 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
6| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 15.0 | A | 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. |
| 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 | 0.9 | — | 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 | 54.8 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| regulatory risk | 54.7 | C | 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 | 54.7 | C | 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. |
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)
0.9%
model v0.1 · computed 2026-07-29
Percentile among SNFs
59.7
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| No PBJ staffing report | 1.00 | -3.61 | |
| Occupancy | 0.00 | +2.02 | |
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Total nurse staffing (HPRD) | 0.00 | +0.60 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Chain size (log) | 0.00 | -0.40 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
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
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| No PBJ staffing report | 1.00 | -7.43 | |
| Occupancy | 0.00 | +3.15 | |
| Total nurse staffing (HPRD) | 0.00 | +1.35 | |
| Chain size (log) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Facility size (log beds) | 3.58 | +0.16 | |
| Never sold on record | 1.00 | +0.12 |
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.
Penalties
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
77C × 19D × 3E × 1F × 54
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-26 | 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 | 2026-05-12 |
| 2026-03-26 | Health | F0732 | Post nurse staffing information every day. | C | 2026-05-12 |
| 2026-03-26 | 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. | F | 2026-05-12 |
| 2026-03-26 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2026-05-12 |
| 2026-03-26 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2026-05-12 |
| 2026-03-26 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2026-05-12 |
| 2026-03-26 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2026-05-12 |
| 2026-03-26 | Health | F0924 | Put firmly secured handrails on each side of hallways. | F | 2026-05-12 |
| 2024-09-25 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | F | 2024-09-30 |
| 2024-09-25 | Health | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | F | 2024-09-30 |
| 2024-09-25 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | F | 2024-09-30 |
| 2024-09-25 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | F | 2024-09-30 |
| 2024-09-25 | Health | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | F | 2024-09-30 |
| 2024-09-25 | Health | F0560 | Protect a residents' right to refuse some types of non-requested transfers within the nursing home. | F | 2024-09-30 |
| 2024-09-25 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | F | 2024-09-30 |
| 2024-09-25 | Health | F0562 | Provide immediate access to any resident. | F | 2024-09-30 |
| 2024-09-25 | Health | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | F | 2024-09-30 |
| 2024-09-25 | Health | F0564 | Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | F | 2024-09-30 |
| 2024-09-25 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | F | 2024-09-30 |
| 2024-09-25 | Health | F0566 | 1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to. | F | 2024-09-30 |
| 2024-09-25 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | F | 2024-09-30 |
| 2024-09-25 | Health | F0572 | Give residents a notice of rights, rules, services and charges. | F | 2024-09-30 |
| 2024-09-25 | Health | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | F | 2024-09-30 |
| 2024-09-25 | Health | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | F | 2024-09-30 |
| 2024-09-25 | Health | F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | F | 2024-09-30 |
| 2024-09-25 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | F | 2024-09-30 |
| 2024-09-25 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2024-10-03 |
| 2024-09-25 | Health | F0579 | Provide information about how to apply for and use Medicare and Medicaid benefits. | F | 2024-09-30 |
| 2024-09-25 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | F | 2024-09-30 |
| 2024-09-25 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | F | 2024-09-30 |
| 2024-09-25 | 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. | F | 2024-09-30 |
| 2024-09-25 | Health | F0586 | Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials. | F | 2024-09-30 |
| 2024-09-25 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | F | 2024-09-30 |
| 2024-09-25 | Health | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | F | 2024-09-30 |
| 2024-09-25 | Health | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | F | 2024-09-30 |
| 2024-09-25 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | F | 2024-09-30 |
| 2024-09-25 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | F | 2024-09-30 |
| 2024-09-25 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | F | 2024-09-30 |
| 2024-09-25 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | C | 2024-09-30 |
| 2024-09-25 | Health | F0610 | Respond appropriately to all alleged violations. | F | 2024-09-30 |
| 2024-09-25 | Health | F0620 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | F | 2024-09-30 |
| 2024-09-25 | Health | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | F | 2024-09-30 |
| 2024-09-25 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | F | 2024-09-30 |
| 2024-09-25 | Health | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | F | 2024-09-30 |
| 2024-09-25 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | F | 2024-09-30 |
| 2024-09-25 | Health | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | F | 2024-09-30 |
| 2024-09-25 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-09-25 |
| 2024-09-25 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | C | 2024-09-30 |
| 2024-09-25 | Health | F0687 | Provide appropriate foot care. | C | 2024-09-30 |
| 2024-09-25 | Health | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | C | 2024-09-30 |
| 2024-09-25 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | C | 2024-11-14 |
| 2024-09-25 | Health | F0696 | Provide appropriate care/assistance for a resident with a prosthesis. | C | 2024-09-30 |
| 2024-09-25 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | C | 2024-09-30 |
| 2024-09-25 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | C | 2024-09-30 |
| 2024-09-25 | 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. | C | 2024-09-30 |
| 2024-09-25 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | 2024-11-20 |
| 2024-09-25 | Health | F0732 | Post nurse staffing information every day. | C | 2024-09-30 |
| 2024-09-25 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | F | 2024-09-30 |
| 2024-09-25 | Health | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | F | 2024-09-30 |
| 2024-09-25 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | F | 2024-10-29 |
| 2024-09-25 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | C | 2024-10-29 |
| 2024-09-25 | Health | F0790 | Provide routine and 24-hour emergency dental care for each resident. | C | 2024-11-04 |
| 2024-09-25 | Health | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | F | 2024-11-04 |
| 2024-09-25 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | C | 2024-10-01 |
| 2024-09-25 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2024-10-26 |
| 2024-09-25 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-10-01 |
| 2024-09-25 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2024-09-30 |
| 2024-09-25 | 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. | C | 2024-10-31 |
| 2024-09-25 | Health | F0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | F | 2024-11-20 |
| 2024-09-25 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C | 2024-09-30 |
| 2024-09-25 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | C | 2024-10-01 |
| 2024-09-25 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-10-20 |
| 2024-09-25 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-10-25 |
| 2024-09-25 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | F | 2024-09-30 |
| 2024-09-25 | Health | F0895 | Have a Compliance and Ethics Program. | C | 2024-09-30 |
| 2024-09-25 | Health | F0908 | Keep all essential equipment working safely. | C | 2024-09-25 |
| 2024-09-25 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2024-11-09 |
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
0No 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
4| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CONDE STERLING, TANIA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2016-09-01 | current | pecos_ownership |
| SEPULVEDA-IRIZARRY, FERNANDO | CORPORATE DIRECTOR | — | 2018-10-28 | current | pecos_ownership |
| TANIA CONDE STERLING | CORPORATE OFFICER | 100% | 2016-09-01 | ended 2026-05-18 | pecos_ownership |
| FERNANDO SEPULVEDA-IRIZARRY | CORPORATE DIRECTOR | — | 2018-10-28 | 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.
Transactions
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Market rent context
13| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 72127 | acs median gross | 0 | $502 | 2024-12-31 | CENSUS_ACS5 |
| county 72127 | fmr | 0 | $559 | 2025-10-01 | HUD_USER_FMR |
| county 72127 | acs median gross | 1 | $448 | 2024-12-31 | CENSUS_ACS5 |
| county 72127 | fmr | 1 | $572 | 2025-10-01 | HUD_USER_FMR |
| county 72127 | acs median gross | 2 | $611 | 2024-12-31 | CENSUS_ACS5 |
| county 72127 | fmr | 2 | $663 | 2025-10-01 | HUD_USER_FMR |
| county 72127 | acs median gross | 3 | $718 | 2024-12-31 | CENSUS_ACS5 |
| county 72127 | fmr | 3 | $868 | 2025-10-01 | HUD_USER_FMR |
| county 72127 | acs median gross | 4 | $772 | 2024-12-31 | CENSUS_ACS5 |
| county 72127 | fmr | 4 | $1,046 | 2025-10-01 | HUD_USER_FMR |
| county 72127 | acs median gross | 5 | $580 | 2024-12-31 | CENSUS_ACS5 |
| county 72127 | acs median gross | $611 | 2024-12-31 | CENSUS_ACS5 | |
| county 72127 | acs recent mover gross | $803 | 2024-12-31 | CENSUS_ACS5 |
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.