350 SOUTH JOHN YOUNG PARKWAY, ORLANDO, FL 32805 · CCN 105797
Composite
41.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 41.0% 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 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
14
2025Q4 HPRD
This facility
FL median
National median
National p25–p75
Total nurse
3.22
3.42
3.28
2.90–3.77
RN
0.63
0.45
0.39
0.25–0.58
Weekend total
3.22
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
89.9
3.22
0.63
0.34
2.25
3.22
0.7%
2025Q3
92
92.4
3.23
0.61
0.29
2.32
3.25
0.0%
2025Q2
91
93.5
3.26
0.58
0.36
2.32
3.29
0.6%
2025Q1
90
93.9
3.90
0.79
0.30
2.81
3.71
0.3%
2024Q4
92
94.4
3.41
0.64
0.36
2.42
3.18
0.7%
2024Q2
91
98.1
0.71
0.11
0.00
0.59
0.59
0.0%
2024Q1
91
91.6
0.63
0.20
0.11
0.32
0.54
0.0%
2023Q4
92
94.6
3.34
0.56
0.57
2.21
3.25
0.0%
2023Q3
92
94.1
3.45
0.41
0.76
2.28
3.37
0.0%
2023Q2
91
94.7
0.04
0.00
0.04
0.00
0.06
0.0%
2022Q4
92
93.8
0.09
0.00
0.09
0.00
0.10
100.0%
2022Q3
92
91.6
0.28
0.00
0.28
0.00
0.37
100.0%
2022Q2
91
85.7
5.50
0.45
1.20
3.85
5.31
5.5%
2022Q1
90
80.7
3.73
0.15
0.94
2.64
3.66
2.5%
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-04-12
2025-03-12
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
E
2025-04-12
2025-03-12
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2025-04-12
2025-03-12
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-04-12
2025-03-12
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2025-04-12
2025-03-12
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2025-04-12
2025-03-12
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-04-12
2025-03-12
Health
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2025-04-12
2025-03-12
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2025-04-12
2025-03-12
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
2025-04-12
2025-03-12
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-04-12
2025-03-12
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2025-04-12
2023-07-29
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2023-09-01
2023-07-29
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2023-09-01
2022-02-17
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2022-03-17
2022-02-17
Health
F0641
Ensure each resident receives an accurate assessment.
D
2022-03-17
2022-02-17
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2022-03-17
2022-02-17
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
2022-03-17
2022-02-17
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-03-17
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
16
Owner
Role
Pct
From
Status
Source
GUARDIAN CARE DEVELOPMENT CO
Provider has financial interest in corporation, partnership or other organization
100%
2024-07-01
current
hcris_a_8_1
GUARDIAN CARE DEVELOPMENT CO
Provider has financial interest in corporation, partnership or other organization
100%
2023-07-01
current
hcris_a_8_1
ABRAHAMS, ELOISE
W-2 MANAGING EMPLOYEE
—
2012-12-10
current
pecos_ownership
GARRETT, MARK
CORPORATE OFFICER
—
2011-12-07
current
pecos_ownership
REDDICK, ALZO
CORPORATE OFFICER
—
2011-12-07
current
pecos_ownership
RICHARDSON, JOHNNY
CORPORATE OFFICER
—
2011-12-07
current
pecos_ownership
RICKS, JIM
CORPORATE OFFICER
—
2011-12-07
current
pecos_ownership
ELOISE ABRAHAMS
CORPORATE DIRECTOR
100%
2012-12-10
ended 2026-05-18
pecos_ownership
GUARDIAN CARE DEVELOPMENT CO
Provider has financial interest in corporation, partnership or other organization
100%
2022-07-01
ended 2023-06-30
hcris_a_8_1
GUARDIAN CARE DEVELOPMENT CO
Individual is director, officer, administrator or key person of provider and related organization
100%
2020-07-01
ended 2021-06-30
hcris_a_8_1
ALZO REDDICK
CORPORATE OFFICER
17%
2011-12-07
ended 2026-05-18
pecos_ownership
JIM RICKS
CORPORATE OFFICER
17%
2011-12-07
ended 2026-05-18
pecos_ownership
JOHNNY RICHARDSON
CORPORATE OFFICER
17%
2011-12-07
ended 2026-05-18
pecos_ownership
MARK GARRETT
CORPORATE OFFICER
17%
2011-12-07
ended 2026-05-18
pecos_ownership
GUARDIAN CARE DEVELOPMENT CO
Individual is director, officer, administrator or key person of provider and related organization
—
2021-07-01
ended 2022-06-30
hcris_a_8_1
KATIE RUSSELL
OTHER
—
2015-09-17
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
2025-06-30
$1,296,550
—
—
—
—
7
propco
2024-06-30
$1,277,075
—
—
—
—
7
propco
2023-06-30
$1,309,484
—
—
—
—
7
propco
2022-06-30
$1,307,420
—
—
—
—
6
propco
2021-06-30
$386,832
—
—
—
—
6
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 12095
acs median gross
0
$1,575
2024-12-31
CENSUS_ACS5
county 12095
fmr
0
$1,650
2025-10-01
HUD_USER_FMR
county 12095
acs median gross
1
$1,549
2024-12-31
CENSUS_ACS5
county 12095
fmr
1
$1,731
2025-10-01
HUD_USER_FMR
county 12095
acs median gross
2
$1,753
2024-12-31
CENSUS_ACS5
county 12095
fmr
2
$1,972
2025-10-01
HUD_USER_FMR
county 12095
acs median gross
3
$2,040
2024-12-31
CENSUS_ACS5
county 12095
fmr
3
$2,476
2025-10-01
HUD_USER_FMR
county 12095
acs median gross
4
$2,341
2024-12-31
CENSUS_ACS5
county 12095
fmr
4
$2,924
2025-10-01
HUD_USER_FMR
county 12095
acs median gross
5
$2,841
2024-12-31
CENSUS_ACS5
county 12095
acs median gross
$1,775
2024-12-31
CENSUS_ACS5
county 12095
acs recent mover gross
$1,956
2024-12-31
CENSUS_ACS5
zcta 32805
acs median gross
0
$1,340
2024-12-31
CENSUS_ACS5
zcta 32805
acs median gross
1
$784
2024-12-31
CENSUS_ACS5
zcta 32805
acs median gross
2
$1,243
2024-12-31
CENSUS_ACS5
zcta 32805
acs median gross
3
$1,733
2024-12-31
CENSUS_ACS5
zcta 32805
acs median gross
4
$1,434
2024-12-31
CENSUS_ACS5
zcta 32805
acs median gross
$1,204
2024-12-31
CENSUS_ACS5
zcta 32805
acs recent mover gross
$1,662
2024-12-31
CENSUS_ACS5
zip 32805
payment standard 110
0
$1,397
2025-10-01
HUD_USER_SAFMR
zip 32805
payment standard 90
0
$1,143
2025-10-01
HUD_USER_SAFMR
zip 32805
safmr
0
$1,270
2025-10-01
HUD_USER_SAFMR
zip 32805
payment standard 110
1
$1,474
2025-10-01
HUD_USER_SAFMR
zip 32805
payment standard 90
1
$1,206
2025-10-01
HUD_USER_SAFMR
zip 32805
safmr
1
$1,340
2025-10-01
HUD_USER_SAFMR
zip 32805
payment standard 110
2
$1,672
2025-10-01
HUD_USER_SAFMR
zip 32805
payment standard 90
2
$1,368
2025-10-01
HUD_USER_SAFMR
zip 32805
safmr
2
$1,520
2025-10-01
HUD_USER_SAFMR
zip 32805
payment standard 110
3
$2,112
2025-10-01
HUD_USER_SAFMR
zip 32805
payment standard 90
3
$1,728
2025-10-01
HUD_USER_SAFMR
zip 32805
safmr
3
$1,920
2025-10-01
HUD_USER_SAFMR
zip 32805
payment standard 110
4
$2,552
2025-10-01
HUD_USER_SAFMR
zip 32805
payment standard 90
4
$2,088
2025-10-01
HUD_USER_SAFMR
zip 32805
safmr
4
$2,320
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.