Reads as: riskier than 82.4% 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.
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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
47 chains
FORVIS MAZARS LLP
251 facilities
connection
Owner spans multiple chains
6 chains
SUMMATION FINANCIAL SERVICES LLC
48 facilities
connection
Owner spans multiple chains
4 chains
PEASE BELL CPAS LLC
13 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
3.21
3.42
3.28
2.90–3.77
RN
0.23
0.45
0.39
0.25–0.58
Weekend total
3.19
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
81.8
3.21
0.23
0.90
2.08
3.19
0.0%
2025Q3
92
80.8
3.26
0.33
0.86
2.07
3.17
0.0%
2025Q2
91
80.3
3.21
0.37
0.80
2.04
3.18
0.0%
2025Q1
90
83.1
3.18
0.37
0.79
2.02
3.12
0.0%
2024Q4
92
77.3
3.31
0.42
0.80
2.10
3.24
0.0%
2024Q3
92
81.2
3.36
0.53
0.69
2.14
3.25
0.0%
2024Q2
91
76.0
3.29
0.42
0.74
2.12
3.27
0.0%
2024Q1
91
77.5
3.28
0.59
0.60
2.08
3.25
0.0%
2023Q4
92
71.4
2.88
0.53
0.56
1.80
2.88
0.2%
2023Q3
92
70.7
3.06
0.50
0.59
1.97
2.97
0.0%
2023Q2
91
79.6
3.04
0.35
0.80
1.88
2.95
0.9%
2023Q1
90
87.5
2.94
0.37
0.86
1.71
2.75
0.9%
2022Q4
92
88.2
3.40
0.41
0.90
2.09
3.25
2.6%
2022Q3
92
85.3
3.38
0.36
0.82
2.20
3.24
0.0%
2022Q2
91
88.9
2.85
0.37
0.81
1.68
2.69
0.0%
2022Q1
90
87.6
2.38
0.30
0.67
1.41
2.23
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.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
28
D × 20E × 7F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-14
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-05-14
2024-09-03
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-10-03
2024-05-20
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2024-06-20
2024-05-20
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-06-20
2024-05-20
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
E
2024-06-20
2024-05-20
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
2024-06-20
2024-05-20
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
2024-06-20
2024-05-20
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-06-20
2024-05-20
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.
D
2024-06-20
2024-05-20
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2024-06-20
2024-05-20
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
E
2024-06-20
2024-05-20
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-06-20
2024-05-20
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-06-20
2024-05-20
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2024-06-20
2024-02-13
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-03-13
2022-05-12
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
2022-06-05
2022-05-12
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2022-06-05
2022-05-12
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2022-06-05
2022-05-12
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
2022-06-05
2022-05-12
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2022-06-05
2022-05-12
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-06-05
2021-02-12
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2021-03-14
2021-02-12
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2021-03-14
2021-02-12
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.
E
2021-03-14
2021-02-12
Health
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
2021-03-14
2021-02-12
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2021-03-14
2021-02-12
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2021-03-14
2021-02-12
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
2021-03-14
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
SEBRING FL PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
100%
2023-01-01
current
hcris_a_8_1
BONNER, EDWARD
ADP OF THE SNF
—
2023-09-01
current
pecos_ownership
CUKIER, JOSEF
OPERATIONAL/MANAGERIAL CONTROL
—
2023-09-01
current
pecos_ownership
FORVIS MAZARS LLP
ADP OF THE SNF
—
2023-09-01
current
pecos_ownership
FRIEDLAND, SHALOM
INDIRECT OWNERSHIP INTEREST
—
2023-09-01
current
pecos_ownership
GLUCK, BENJAMIN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-09-01
current
pecos_ownership
JAKOBOVITS, NATHAN
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-05-29
current
pecos_ownership
JEK HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2023-09-01
current
pecos_ownership
JEK IRRV TR II
ADP OF THE SNF
—
2025-05-30
current
pecos_ownership
KAGAN, JEFFREY
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-05-30
current
pecos_ownership
MONTSDEOCA, GARY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-09-01
current
pecos_ownership
NMJ HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2023-09-01
current
pecos_ownership
NMJ IRRV TR II
TRUSTEE OF THE SNF
—
2023-09-01
current
pecos_ownership
PEASE BELL CPAS LLC
ADP OF THE SNF
—
2023-09-01
current
pecos_ownership
SEBRING HOLDCO LLC
DIRECT OWNERSHIP INTEREST
—
2023-09-01
current
pecos_ownership
SUMMATION FINANCIAL SERVICES LLC
ADP OF THE SNF
—
2023-09-01
current
pecos_ownership
VIVO HEALTHCARE CONSULTING LLC
ADP OF THE SNF
—
2023-09-01
current
pecos_ownership
SEBRING FL PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
SEBRING FL PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
100%
2021-08-01
ended 2021-12-31
hcris_a_8_1
JOSEF CUKIER
INDIRECT OWNERSHIP INTEREST
49%
2023-09-01
ended 2026-05-18
pecos_ownership
SHALOM FRIEDLAND
INDIRECT OWNERSHIP INTEREST
19%
2023-09-01
ended 2026-05-18
pecos_ownership
BENJAMIN GLUCK
OPERATIONAL/MANAGERIAL CONTROL
—
2023-09-01
ended 2026-05-18
pecos_ownership
EDWARD BONNER
ADP OF THE SNF
—
2023-09-01
ended 2026-05-18
pecos_ownership
GARY MONTSDEOCA
ADP OF THE SNF
—
2023-09-01
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
7
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$215,576
—
$183,467
—
$32,109
4
—
2023-12-31
$80,182
—
$65,991
—
$14,191
4
—
2023-08-31
$1,399,900
—
$393,328
—
—
11
propco
2022-12-31
$2,232,538
—
$542,039
—
—
9
propco
2021-12-31
$1,058,346
—
$282,451
—
—
9
propco
2021-07-31
$797,922
—
$314,679
$419,077
$11,341
20
—
2020-12-31
$1,390,896
—
$539,451
$727,429
$5,790
20
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 12055
acs median gross
0
$770
2024-12-31
CENSUS_ACS5
county 12055
fmr
0
$876
2025-10-01
HUD_USER_FMR
county 12055
acs median gross
1
$839
2024-12-31
CENSUS_ACS5
county 12055
fmr
1
$1,006
2025-10-01
HUD_USER_FMR
county 12055
acs median gross
2
$1,047
2024-12-31
CENSUS_ACS5
county 12055
fmr
2
$1,271
2025-10-01
HUD_USER_FMR
county 12055
acs median gross
3
$1,100
2024-12-31
CENSUS_ACS5
county 12055
fmr
3
$1,538
2025-10-01
HUD_USER_FMR
county 12055
acs median gross
4
$1,447
2024-12-31
CENSUS_ACS5
county 12055
fmr
4
$2,017
2025-10-01
HUD_USER_FMR
county 12055
acs median gross
5
$1,819
2024-12-31
CENSUS_ACS5
county 12055
acs median gross
$1,035
2024-12-31
CENSUS_ACS5
county 12055
acs recent mover gross
$1,605
2024-12-31
CENSUS_ACS5
zcta 33870
acs median gross
0
$2,018
2024-12-31
CENSUS_ACS5
zcta 33870
acs median gross
1
$849
2024-12-31
CENSUS_ACS5
zcta 33870
acs median gross
2
$1,057
2024-12-31
CENSUS_ACS5
zcta 33870
acs median gross
3
$1,026
2024-12-31
CENSUS_ACS5
zcta 33870
acs median gross
4
$1,642
2024-12-31
CENSUS_ACS5
zcta 33870
acs median gross
$1,030
2024-12-31
CENSUS_ACS5
zcta 33870
acs recent mover gross
$1,719
2024-12-31
CENSUS_ACS5
zip 33870
payment standard 110
0
$946
2025-10-01
HUD_USER_SAFMR
zip 33870
payment standard 90
0
$774
2025-10-01
HUD_USER_SAFMR
zip 33870
safmr
0
$860
2025-10-01
HUD_USER_SAFMR
zip 33870
payment standard 110
1
$1,089
2025-10-01
HUD_USER_SAFMR
zip 33870
payment standard 90
1
$891
2025-10-01
HUD_USER_SAFMR
zip 33870
safmr
1
$990
2025-10-01
HUD_USER_SAFMR
zip 33870
payment standard 110
2
$1,375
2025-10-01
HUD_USER_SAFMR
zip 33870
payment standard 90
2
$1,125
2025-10-01
HUD_USER_SAFMR
zip 33870
safmr
2
$1,250
2025-10-01
HUD_USER_SAFMR
zip 33870
payment standard 110
3
$1,661
2025-10-01
HUD_USER_SAFMR
zip 33870
payment standard 90
3
$1,359
2025-10-01
HUD_USER_SAFMR
zip 33870
safmr
3
$1,510
2025-10-01
HUD_USER_SAFMR
zip 33870
payment standard 110
4
$2,178
2025-10-01
HUD_USER_SAFMR
zip 33870
payment standard 90
4
$1,782
2025-10-01
HUD_USER_SAFMR
zip 33870
safmr
4
$1,980
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.