Composite
84.6 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 97.9 | 96.8 | 0.30 | 0.2069 | 20.26 | in index |
| financial risk | 78.7 | 65.9 | 0.30 | 0.2069 | 16.28 | in index |
| lease risk | 89.3 | 79.5 | 0.15 | 0.1034 | 9.24 | in index |
| staffing risk | 37.6 | 37.6 | 0.25 | 0.1724 | 6.48 | in index |
| chow risk | 55.7 | 53.9 | 0.15 | 0.1034 | 5.76 | in index |
| billing conduct | 24.0 | 28.4 | 0.30 | 0.2069 | 4.97 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 28.4 | 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 | 82.8 | F | v0.6 | default · in composite | |
| financial risk | 65.9 | D | v0.5 | default · in composite | R18. |
| lease risk | 79.5 | D | 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 | 2.6 | — | 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 | 96.8 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 37.6 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 78.0 | D | 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 | 58.0 | C | 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 | 70.1 | D | 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 | 65.0 | D | 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 | 96.8 | 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 | 96.8 | 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 | 37.6 | B | 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 | 37.6 | B | 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. |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Occupancy | 0.85 | -0.45 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| High-severity deficiencies, 12m | 3.00 | +0.14 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 11.30 | -0.65 | |
| Occupancy | 0.85 | -0.43 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| High-severity deficiencies, 12m | 3.00 | -0.20 | |
| Staffing trend, last 4 quarters | -0.26 | -0.15 | |
| Never sold on record | 1.00 | +0.12 |
| 2025Q4 HPRD | This facility | FL median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.49 | 3.42 | 3.28 | 2.90–3.77 |
| RN | 0.11 | 0.45 | 0.39 | 0.25–0.58 |
| Weekend total | 3.52 | 3.31 | 3.11 | — |
| Weekday total | 3.48 | 3.48 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 102.2 | 3.49 | 0.11 | 0.89 | 2.50 | 3.52 | 0.0% |
| 2025Q3 | 92 | 105.6 | 3.38 | 0.17 | 0.87 | 2.34 | 3.35 | 0.0% |
| 2025Q2 | 91 | 98.5 | 3.87 | 0.23 | 0.97 | 2.67 | 3.72 | 0.0% |
| 2025Q1 | 90 | 101.7 | 3.72 | 0.18 | 0.99 | 2.55 | 3.48 | 0.0% |
| 2024Q4 | 92 | 105.0 | 3.76 | 0.14 | 1.02 | 2.59 | 3.63 | 0.0% |
| 2024Q3 | 92 | 109.0 | 3.58 | 0.11 | 0.99 | 2.47 | 3.42 | 0.0% |
| 2024Q2 | 91 | 103.3 | 3.89 | 0.14 | 1.03 | 2.72 | 3.66 | 0.0% |
| 2024Q1 | 91 | 105.5 | 3.48 | 0.14 | 1.05 | 2.29 | 3.24 | 0.0% |
| 2023Q4 | 92 | 100.3 | 3.35 | 0.16 | 0.97 | 2.22 | 3.32 | 0.0% |
| 2023Q3 | 92 | 100.3 | 3.22 | 0.18 | 0.89 | 2.14 | 3.23 | 0.0% |
| 2023Q2 | 91 | 95.4 | 3.01 | 0.26 | 0.79 | 1.95 | 2.99 | 20.7% |
| 2023Q1 | 90 | 79.5 | 3.10 | 0.29 | 0.78 | 2.03 | 3.00 | 26.0% |
| 2022Q4 | 92 | 78.2 | 3.42 | 0.28 | 0.87 | 2.27 | 3.37 | 41.9% |
| 2022Q3 | 92 | 75.2 | 3.30 | 0.14 | 1.07 | 2.10 | 3.30 | 50.2% |
| 2022Q2 | 91 | 76.9 | 2.27 | 0.11 | 0.60 | 1.56 | 2.06 | 21.3% |
| 2022Q1 | 90 | 84.7 | 2.98 | 0.35 | 0.59 | 2.04 | 2.82 | 17.7% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-08-29 | Fine | $80,640 | CMS provider data |
| 2024-11-19 | Fine | $155,526 | CMS provider data |
| 2023-08-16 | Fine | $4,973 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-10-10 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-11-20 |
| 2025-10-10 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2025-11-20 |
| 2025-10-10 | Health · complaint | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2025-11-20 |
| 2025-10-10 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | K | 2025-11-20 |
| 2025-10-10 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-11-20 |
| 2025-10-10 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | J | 2025-11-20 |
| 2025-10-10 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-11-20 |
| 2025-08-29 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-10-19 |
| 2025-01-09 | 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 | 2025-02-13 |
| 2025-01-09 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-02-13 |
| 2025-01-09 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | 2025-02-13 |
| 2025-01-09 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-02-13 |
| 2025-01-09 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-02-13 |
| 2025-01-09 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2025-02-20 |
| 2025-01-09 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2025-02-13 |
| 2025-01-09 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2025-02-13 |
| 2025-01-09 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-02-13 |
| 2024-11-19 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2024-12-20 |
| 2024-11-19 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-12-20 |
| 2024-11-19 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2024-12-20 |
| 2024-11-19 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J | 2024-12-20 |
| 2024-11-19 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-12-20 |
| 2024-11-19 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | J | 2024-12-20 |
| 2023-08-16 | 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 | 2023-10-09 |
| 2023-08-16 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-10-09 |
| 2023-08-16 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-10-09 |
| 2023-08-16 | Health | F0732 | Post nurse staffing information every day. | C | 2023-10-09 |
| 2023-08-16 | 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 | 2023-10-09 |
| 2022-03-10 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2022-04-25 |
| 2022-03-10 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2022-04-29 |
| 2022-03-10 | 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. | E | 2022-04-25 |
| 2022-03-10 | 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 | 2022-04-25 |
| 2022-03-10 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2022-04-25 |
| 2022-03-10 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2022-04-29 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| GAINESVILLE HOLDCO LLC | INDIRECT OWNERSHIP INTEREST | 100% | 2023-09-01 | ended 2026-05-18 | pecos_ownership |
| NW 10TH PARENT LLC | DIRECT OWNERSHIP INTEREST | 100% | 2023-09-01 | ended 2026-05-18 | pecos_ownership |
| ASPIRE MGT LLC | ADP OF THE SNF | — | 2023-09-01 | ended 2026-05-18 | pecos_ownership |
| BRYCE KING | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-10-16 | ended 2026-05-18 | pecos_ownership |
| EPSILON HEALTH CARE PROPERTIES LLC | Other (financial or non-financial) | — | 2020-07-01 | ended 2021-06-30 | hcris_a_8_1 |
| NOCHUM FREUND | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-09-01 | ended 2026-05-18 | pecos_ownership |
| STEFAN MANN | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-12-21 | ended 2026-05-18 | pecos_ownership |
| 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 |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 12001 | acs median gross | 0 | $1,271 | 2024-12-31 | CENSUS_ACS5 |
| county 12001 | fmr | 0 | $1,154 | 2025-10-01 | HUD_USER_FMR |
| county 12001 | acs median gross | 1 | $1,161 | 2024-12-31 | CENSUS_ACS5 |
| county 12001 | fmr | 1 | $1,246 | 2025-10-01 | HUD_USER_FMR |
| county 12001 | acs median gross | 2 | $1,390 | 2024-12-31 | CENSUS_ACS5 |
| county 12001 | fmr | 2 | $1,493 | 2025-10-01 | HUD_USER_FMR |
| county 12001 | acs median gross | 3 | $1,603 | 2024-12-31 | CENSUS_ACS5 |
| county 12001 | fmr | 3 | $1,868 | 2025-10-01 | HUD_USER_FMR |
| county 12001 | acs median gross | 4 | $1,524 | 2024-12-31 | CENSUS_ACS5 |
| county 12001 | fmr | 4 | $1,977 | 2025-10-01 | HUD_USER_FMR |
| county 12001 | acs median gross | 5 | $1,124 | 2024-12-31 | CENSUS_ACS5 |
| county 12001 | acs median gross | $1,339 | 2024-12-31 | CENSUS_ACS5 | |
| county 12001 | acs recent mover gross | $1,490 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 32605 | acs median gross | 1 | $1,217 | 2024-12-31 | CENSUS_ACS5 |
| zcta 32605 | acs median gross | 2 | $1,465 | 2024-12-31 | CENSUS_ACS5 |
| zcta 32605 | acs median gross | 3 | $1,879 | 2024-12-31 | CENSUS_ACS5 |
| zcta 32605 | acs median gross | 4 | $1,871 | 2024-12-31 | CENSUS_ACS5 |
| zcta 32605 | acs median gross | $1,623 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 32605 | acs recent mover gross | $1,974 | 2024-12-31 | CENSUS_ACS5 | |
| zip 32605 | payment standard 110 | 0 | $1,485 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32605 | payment standard 90 | 0 | $1,215 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32605 | safmr | 0 | $1,350 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32605 | payment standard 110 | 1 | $1,606 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32605 | payment standard 90 | 1 | $1,314 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32605 | safmr | 1 | $1,460 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32605 | payment standard 110 | 2 | $1,925 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32605 | payment standard 90 | 2 | $1,575 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32605 | safmr | 2 | $1,750 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32605 | payment standard 110 | 3 | $2,409 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32605 | payment standard 90 | 3 | $1,971 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32605 | safmr | 3 | $2,190 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32605 | payment standard 110 | 4 | $2,552 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32605 | payment standard 90 | 4 | $2,088 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32605 | safmr | 4 | $2,320 | 2025-10-01 | HUD_USER_SAFMR |