Composite
98.5 / 100 percentile
Screener / f9e1339a
F
ADVANCED NURSING SOLUTIONS
home healthFL
4670 LIPSCOMB ST NE STE 16, PALM BAY, FL 32905 · CCN — · chain INTRATHECAL CARE SOLUTIONS LLC
Peer group
home health n = 24,351
Evidence depth
moderate
Certified beds
—
Model
v1.2
Reads as: riskier than 98.5% of the 24,351 facilities in the home health 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 model3Components3Penalties0Deficiencies0Licensure2Ownership1Related party0Transactions0Market rent35
Composite explanation
3| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| state reg risk | 83.5 | 25.0 | 0.30 | 0.6667 | 55.67 | in index |
| chow risk | 87.8 | 51.6 | 0.15 | 0.3333 | 29.27 | in index |
| ownership opacity | 97.3 | 84.2 | excluded |
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
3| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 51.6 | C | v0.1-flahca | default · in composite | Recency of the AHCA reported change of controlling owner, owner chain scale, domicile and vehicle naming. |
| ownership opacity | 84.2 | F | v0.1-flahca | default · in composite | AHCA owner chain concentration, profit status, domicile and public web presence. |
| state reg risk | 25.0 | B | v0.1-flahca | default · in composite | AHCA licence status, expiry, tenure and out-of-state administration. |
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.
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
0No deficiencies on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
2| Date | Action | Agency | Detail |
|---|---|---|---|
| 2026-06-16 | renewal | — | — |
| 2020-03-10 | chow_application | — | — |
Ownership
1| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| INTRATHECAL CARE SOLUTIONS LLC | — | — | 2022-03-30 | current | fl_ahca_healthfinder |
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
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 12009 | acs median gross | 0 | $1,121 | 2024-12-31 | CENSUS_ACS5 |
| county 12009 | fmr | 0 | $1,266 | 2025-10-01 | HUD_USER_FMR |
| county 12009 | acs median gross | 1 | $1,268 | 2024-12-31 | CENSUS_ACS5 |
| county 12009 | fmr | 1 | $1,478 | 2025-10-01 | HUD_USER_FMR |
| county 12009 | acs median gross | 2 | $1,499 | 2024-12-31 | CENSUS_ACS5 |
| county 12009 | fmr | 2 | $1,709 | 2025-10-01 | HUD_USER_FMR |
| county 12009 | acs median gross | 3 | $1,800 | 2024-12-31 | CENSUS_ACS5 |
| county 12009 | fmr | 3 | $2,330 | 2025-10-01 | HUD_USER_FMR |
| county 12009 | acs median gross | 4 | $2,039 | 2024-12-31 | CENSUS_ACS5 |
| county 12009 | fmr | 4 | $2,645 | 2025-10-01 | HUD_USER_FMR |
| county 12009 | acs median gross | 5 | $2,172 | 2024-12-31 | CENSUS_ACS5 |
| county 12009 | acs median gross | $1,556 | 2024-12-31 | CENSUS_ACS5 | |
| county 12009 | acs recent mover gross | $1,809 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 32905 | acs median gross | 0 | $1,272 | 2024-12-31 | CENSUS_ACS5 |
| zcta 32905 | acs median gross | 1 | $1,297 | 2024-12-31 | CENSUS_ACS5 |
| zcta 32905 | acs median gross | 2 | $1,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 32905 | acs median gross | 3 | $1,702 | 2024-12-31 | CENSUS_ACS5 |
| zcta 32905 | acs median gross | 4 | $2,009 | 2024-12-31 | CENSUS_ACS5 |
| zcta 32905 | acs median gross | $1,474 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 32905 | acs recent mover gross | $1,587 | 2024-12-31 | CENSUS_ACS5 | |
| zip 32905 | payment standard 110 | 0 | $1,331 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32905 | payment standard 90 | 0 | $1,089 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32905 | safmr | 0 | $1,210 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32905 | payment standard 110 | 1 | $1,551 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32905 | payment standard 90 | 1 | $1,269 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32905 | safmr | 1 | $1,410 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32905 | payment standard 110 | 2 | $1,793 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32905 | payment standard 90 | 2 | $1,467 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32905 | safmr | 2 | $1,630 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32905 | payment standard 110 | 3 | $2,442 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32905 | payment standard 90 | 3 | $1,998 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32905 | safmr | 3 | $2,220 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32905 | payment standard 110 | 4 | $2,772 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32905 | payment standard 90 | 4 | $2,268 | 2025-10-01 | HUD_USER_SAFMR |
| zip 32905 | safmr | 4 | $2,520 | 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.