Reads as: riskier than 41.9% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
6 chains
REGIONS BANK
63 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 lease_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
3.46
3.42
3.28
2.90–3.77
RN
0.73
0.45
0.39
0.25–0.58
Weekend total
3.37
3.31
3.11
—
Weekday total
3.50
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
114.9
3.46
0.73
0.53
2.20
3.37
0.0%
2025Q3
92
113.1
3.41
0.72
0.48
2.21
3.28
0.0%
2025Q2
91
107.4
3.46
0.78
0.45
2.22
3.36
0.0%
2025Q1
90
112.4
3.42
0.69
0.51
2.22
3.39
0.0%
2024Q4
92
109.6
3.44
0.76
0.51
2.18
3.33
0.0%
2024Q3
92
106.6
3.61
0.75
0.57
2.29
3.56
0.0%
2024Q2
91
111.3
3.53
0.63
0.60
2.30
3.36
0.0%
2024Q1
91
110.1
3.40
0.59
0.63
2.19
3.32
0.0%
2023Q4
92
106.7
3.38
0.59
0.62
2.18
3.33
0.0%
2023Q3
92
111.6
3.32
0.54
0.60
2.18
3.24
2.9%
2023Q2
91
104.1
3.35
0.38
0.77
2.20
3.26
7.8%
2023Q1
90
109.7
3.21
0.37
0.72
2.12
3.10
3.3%
2022Q4
92
106.4
3.40
0.55
0.65
2.20
3.30
2.5%
2022Q3
92
103.6
3.56
0.44
0.81
2.31
3.39
1.4%
2022Q2
91
102.7
3.64
0.40
0.83
2.42
3.44
1.3%
2022Q1
90
100.6
3.58
0.36
0.76
2.45
3.45
0.2%
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.
Provide and implement an infection prevention and control program.
D
2025-08-10
2025-04-17
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
2025-05-21
2025-04-17
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-05-21
2024-11-25
Health · complaint
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.
J
2024-12-17
2024-08-08
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-09-17
2023-11-16
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-12-28
2022-10-28
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2022-11-28
2022-10-28
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
2022-11-28
2022-10-28
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2022-11-28
2022-10-28
Health
F0692
Provide enough food/fluids to maintain a resident's health.
G
2022-11-28
2022-10-28
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2022-11-28
2022-10-28
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
2022-11-28
2022-10-28
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
2022-11-28
2022-10-28
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
2022-11-28
2022-10-28
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2022-11-28
2022-10-28
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2022-11-28
2022-10-28
Health
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
D
2022-11-28
2022-10-28
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-11-28
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
29
Owner
Role
Pct
From
Status
Source
FL CONV. CENTER
Individual has financial interest in both related organization and provider
100%
2023-11-01
current
hcris_a_8_1
FL CONV. CENTER
Individual has financial interest in both related organization and provider
100%
2022-11-01
current
hcris_a_8_1
MCCARVER, PATSY
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2013-11-01
current
pecos_ownership
PALM GARDEN HEALTHCARE HOLDINGS, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2013-11-01
current
pecos_ownership
PATSY E. MCCARVER TRUST U/A DATED JUNE 22, 2001 AS AMENDED, PATSY E
5% OR GREATER INDIRECT OWNERSHIP INTEREST
48%
2013-11-01
current
pecos_ownership
JAMES O. MCCARVER QTIP BUSINESS MARITAL TRUST U/A DATED JUNE 22, 2001,
5% OR GREATER INDIRECT OWNERSHIP INTEREST
38%
2014-12-23
current
pecos_ownership
JAMES O. MCCARVER RESIDUARY TRUST SHARE U/A DATED 06/22/2001
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2014-12-23
current
pecos_ownership
BOMBERGER, JEFFREY
CORPORATE OFFICER
—
2014-10-01
current
pecos_ownership
CHALMERS, JAMES
CORPORATE OFFICER
—
2015-01-01
current
pecos_ownership
GREENE, ROBERT
CORPORATE OFFICER
—
2015-01-01
current
pecos_ownership
JAMES O. MCCARVER QTIP BUSINESS MARITAL TRUST U/A DATED JUNE 22, 2001,
ADP OF THE SNF
—
2013-11-01
current
pecos_ownership
PALM HEALTHCARE MANAGEMENT, LLC
ADP OF THE SNF
—
2025-02-21
current
pecos_ownership
PGAVE RE, LLC
ADP OF THE SNF
—
2024-06-20
current
pecos_ownership
PIANKO, LEONARD
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-20
current
pecos_ownership
PIANKO, LEONARD
ADP OF THE SNF
—
2025-02-21
current
pecos_ownership
PIERRE, KADIA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
PIERRE, KADIA
ADP OF THE SNF
—
2025-02-21
current
pecos_ownership
REGIONS BANK
5% OR GREATER MORTGAGE INTEREST
—
2013-11-01
current
pecos_ownership
FL CONV. CENTER
Individual has financial interest in both related organization and provider
100%
2019-11-01
ended 2020-10-31
hcris_a_8_1
FL CONV. CENTER
Individual has financial interest in both related organization and provider
100%
2021-11-01
ended 2022-10-31
hcris_a_8_1
FL CONV. CENTER
Individual has financial interest in both related organization and provider
100%
2020-11-01
ended 2021-10-31
hcris_a_8_1
PATSY MCCARVER
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2013-11-01
ended 2026-05-18
pecos_ownership
JAMES CHALMERS
CORPORATE OFFICER
—
2015-01-01
ended 2026-05-18
pecos_ownership
JEFFREY BOMBERGER
CORPORATE OFFICER
—
2014-10-01
ended 2026-05-18
pecos_ownership
KADIA PIERRE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
KADIA PIERRE
ADP OF THE SNF
—
2025-02-21
ended 2026-05-18
pecos_ownership
LEONARD PIANKO
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-20
ended 2026-05-18
pecos_ownership
LEONARD PIANKO
ADP OF THE SNF
—
2025-02-21
ended 2026-05-18
pecos_ownership
ROBERT GREENE
CORPORATE OFFICER
—
2015-01-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-10-31
$2,131,356
—
$582,729
$951,739
—
4
propco
2023-10-31
$2,013,797
—
$578,136
$894,135
—
4
propco
2022-10-31
$1,895,057
—
$566,804
$926,352
—
4
propco
2021-10-31
$2,353,833
—
$607,247
$1,040,828
—
4
propco
2020-10-31
$2,125,936
—
$555,916
$1,073,788
—
4
propco
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
35
Geo
Kind
BR
Amount
As of
Source
county 12086
acs median gross
0
$1,408
2024-12-31
CENSUS_ACS5
county 12086
fmr
0
$1,828
2025-10-01
HUD_USER_FMR
county 12086
acs median gross
1
$1,554
2024-12-31
CENSUS_ACS5
county 12086
fmr
1
$1,995
2025-10-01
HUD_USER_FMR
county 12086
acs median gross
2
$1,890
2024-12-31
CENSUS_ACS5
county 12086
fmr
2
$2,436
2025-10-01
HUD_USER_FMR
county 12086
acs median gross
3
$2,234
2024-12-31
CENSUS_ACS5
county 12086
fmr
3
$3,127
2025-10-01
HUD_USER_FMR
county 12086
acs median gross
4
$2,645
2024-12-31
CENSUS_ACS5
county 12086
fmr
4
$3,613
2025-10-01
HUD_USER_FMR
county 12086
acs median gross
5
$2,979
2024-12-31
CENSUS_ACS5
county 12086
acs median gross
$1,829
2024-12-31
CENSUS_ACS5
county 12086
acs recent mover gross
$2,305
2024-12-31
CENSUS_ACS5
zcta 33180
acs median gross
0
$2,382
2024-12-31
CENSUS_ACS5
zcta 33180
acs median gross
1
$2,185
2024-12-31
CENSUS_ACS5
zcta 33180
acs median gross
2
$2,713
2024-12-31
CENSUS_ACS5
zcta 33180
acs median gross
3
$3,374
2024-12-31
CENSUS_ACS5
zcta 33180
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 33180
acs median gross
$2,563
2024-12-31
CENSUS_ACS5
zcta 33180
acs recent mover gross
$3,095
2024-12-31
CENSUS_ACS5
zip 33180
payment standard 110
0
$3,014
2025-10-01
HUD_USER_SAFMR
zip 33180
payment standard 90
0
$2,466
2025-10-01
HUD_USER_SAFMR
zip 33180
safmr
0
$2,740
2025-10-01
HUD_USER_SAFMR
zip 33180
payment standard 110
1
$3,289
2025-10-01
HUD_USER_SAFMR
zip 33180
payment standard 90
1
$2,691
2025-10-01
HUD_USER_SAFMR
zip 33180
safmr
1
$2,990
2025-10-01
HUD_USER_SAFMR
zip 33180
payment standard 110
2
$4,015
2025-10-01
HUD_USER_SAFMR
zip 33180
payment standard 90
2
$3,285
2025-10-01
HUD_USER_SAFMR
zip 33180
safmr
2
$3,650
2025-10-01
HUD_USER_SAFMR
zip 33180
payment standard 110
3
$5,148
2025-10-01
HUD_USER_SAFMR
zip 33180
payment standard 90
3
$4,212
2025-10-01
HUD_USER_SAFMR
zip 33180
safmr
3
$4,680
2025-10-01
HUD_USER_SAFMR
zip 33180
payment standard 110
4
$5,951
2025-10-01
HUD_USER_SAFMR
zip 33180
payment standard 90
4
$4,869
2025-10-01
HUD_USER_SAFMR
zip 33180
safmr
4
$5,410
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.