4201 BESSEMER SUPER HIGHWAY, BESSEMER, AL 35020 · CCN 015060 · chain GNH IRRV TR
Composite
72.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
69
Model
v1.2
Reads as: riskier than 72.1% 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
7
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+23.4 vs natl
GNH IRRV TR
11 facilities
connection
Owner fleet risk far above national
+23.3 vs natl
ARCO KANO IRRV TR
11 facilities
connection
Owner fleet risk far above national
+23.3 vs natl
HWOOD PARTNERS LLC
11 facilities
connection
Owner fleet risk far above national
+22.7 vs natl
ZLOTOWITZ ELIYAHU
10 facilities
connection
Owner fleet risk far above national
+22.2 vs natl
ARABELLA HEALTHCARE MANAGEMENT LLC
11 facilities
connection
Owner fleet risk far above national
+22.1 vs natl
FEIN MIRIAM
11 facilities
connection
Owner fleet risk far above national
+22.1 vs natl
HERTZEL CHAIM
11 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
AL median
National median
National p25–p75
Total nurse
2.77
3.37
3.28
2.90–3.77
RN
0.63
0.43
0.39
0.25–0.58
Weekend total
2.58
3.04
3.11
—
Weekday total
2.85
3.50
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
53.6
2.77
0.63
0.54
1.60
2.58
0.0%
2025Q3
92
56.4
2.45
0.38
0.52
1.55
2.27
0.0%
2025Q2
91
58.2
2.42
0.21
0.72
1.49
2.23
0.0%
2025Q1
90
53.5
2.62
0.17
0.90
1.55
2.39
0.0%
2024Q4
92
56.1
2.80
0.26
0.81
1.74
2.54
0.0%
2024Q3
92
56.3
3.26
0.40
0.82
2.05
2.67
0.0%
2024Q2
91
56.3
3.04
0.36
0.63
2.05
2.77
0.0%
2024Q1
91
56.7
2.90
0.34
0.57
1.99
2.55
0.0%
2023Q4
92
56.8
3.06
0.26
0.80
2.01
2.67
0.0%
2023Q3
92
59.3
2.73
0.16
0.92
1.65
2.41
0.0%
2023Q2
91
55.1
2.82
0.16
0.95
1.71
2.50
0.0%
2023Q1
90
56.2
2.68
0.17
0.87
1.64
2.37
0.0%
2022Q4
92
48.4
3.04
0.28
1.00
1.76
2.89
3.1%
2022Q3
92
52.7
3.02
0.22
1.11
1.70
2.74
1.8%
2022Q2
91
54.3
2.77
0.17
0.94
1.66
2.38
1.2%
2022Q1
90
51.9
2.77
0.23
0.87
1.67
2.50
8.3%
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-06-20
2025-05-09
Health · complaint
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
2025-06-20
2025-05-09
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2025-06-20
2025-05-09
Health · complaint
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
J
2025-06-20
2025-05-09
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
D
2025-06-20
2025-05-09
Health · complaint
F0732
Post nurse staffing information every day.
C
2025-06-20
2025-05-09
Health · complaint
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
J
2025-06-20
2025-05-09
Health · complaint
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2025-06-20
2025-05-09
Health · complaint
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F
2025-06-20
2025-05-09
Health · complaint
F0908
Keep all essential equipment working safely.
D
2025-06-20
2025-05-09
Health · complaint
F0924
Put firmly secured handrails on each side of hallways.
E
2025-06-20
2025-01-09
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
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.
F
2025-02-13
2024-08-04
Health · complaint
F0557
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
D
2024-09-08
2024-08-04
Health · complaint
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
2024-09-08
2024-08-04
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
D
2024-09-08
2024-08-04
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-09-08
2024-08-04
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-09-08
2024-08-04
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-09-08
2024-08-04
Health · complaint
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F
2024-09-08
2021-05-06
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2021-06-09
2021-05-06
Health
F0880
Provide and implement an infection prevention and control program.
D
2021-06-09
2020-02-06
Health
F0880
Provide and implement an infection prevention and control program.
D
2020-02-29
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
17
Owner
Role
Pct
From
Status
Source
ARABELLA AL 600 OPCO LP
DIRECT OWNERSHIP INTEREST
—
2023-08-25
current
pecos_ownership
ARABELLA HEALTHCARE MANAGEMENT LLC
ADP OF THE SNF
—
2025-03-18
current
pecos_ownership
ARABELLA HEALTHCARE MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-05-01
current
pecos_ownership
ARCO KANO IRRV TR
INDIRECT OWNERSHIP INTEREST
—
2022-05-01
current
pecos_ownership
ARCO KANO IRRV TR
ADP OF THE SNF
—
2024-03-04
current
pecos_ownership
AZZAM, MOHANNAD
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-24
current
pecos_ownership
FEIN, MIRIAM
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-06-17
current
pecos_ownership
GNH IRRV TR
INDIRECT OWNERSHIP INTEREST
—
2022-05-01
current
pecos_ownership
HERTZEL, CHAIM
ADP OF THE SNF
—
2022-05-01
current
pecos_ownership
HWOOD PARTNERS LLC
ADP OF THE SNF
—
2024-03-04
current
pecos_ownership
HWOOD PARTNERS LLC
INDIRECT OWNERSHIP INTEREST
—
2022-05-01
current
pecos_ownership
MAGNOLIA RIDGE REHABILITATION & SENIOR LIVING PROPCO LLC
5% OR GREATER MORTGAGE INTEREST
—
2022-05-01
current
pecos_ownership
PATTERSON, LYCRECIA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-15
current
pecos_ownership
ZLOTOWITZ, ELIYAHU
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-06-17
current
pecos_ownership
CHAIM HERTZEL
MANAGING CONTROL - GOVERNING BODY
—
2022-05-01
ended 2026-05-18
pecos_ownership
LYCRECIA PATTERSON
ADP OF THE SNF
—
2024-07-15
ended 2026-05-18
pecos_ownership
MOHANNAD AZZAM
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-24
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
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2022-04-30
$79,510
—
$79,510
—
—
1
—
2021-12-31
$338,259
—
$326,303
—
$11,956
1
—
2020-12-31
$407,413
—
$383,089
—
$24,324
1
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
1
Close date
Price
Buyer
Seller
Evidence
2022-05-01
—
MAGNOLIA RIDGE REHABILITATION & SENIOR LIVING OPCO LLC
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
34
Geo
Kind
BR
Amount
As of
Source
county 01073
acs median gross
0
$1,009
2024-12-31
CENSUS_ACS5
county 01073
fmr
0
$1,024
2025-10-01
HUD_USER_FMR
county 01073
acs median gross
1
$1,085
2024-12-31
CENSUS_ACS5
county 01073
fmr
1
$1,155
2025-10-01
HUD_USER_FMR
county 01073
acs median gross
2
$1,155
2024-12-31
CENSUS_ACS5
county 01073
fmr
2
$1,266
2025-10-01
HUD_USER_FMR
county 01073
acs median gross
3
$1,330
2024-12-31
CENSUS_ACS5
county 01073
fmr
3
$1,583
2025-10-01
HUD_USER_FMR
county 01073
acs median gross
4
$1,429
2024-12-31
CENSUS_ACS5
county 01073
fmr
4
$1,801
2025-10-01
HUD_USER_FMR
county 01073
acs median gross
5
$1,496
2024-12-31
CENSUS_ACS5
county 01073
acs median gross
$1,193
2024-12-31
CENSUS_ACS5
county 01073
acs recent mover gross
$1,352
2024-12-31
CENSUS_ACS5
zcta 35020
acs median gross
1
$555
2024-12-31
CENSUS_ACS5
zcta 35020
acs median gross
2
$949
2024-12-31
CENSUS_ACS5
zcta 35020
acs median gross
3
$1,043
2024-12-31
CENSUS_ACS5
zcta 35020
acs median gross
4
$1,490
2024-12-31
CENSUS_ACS5
zcta 35020
acs median gross
$904
2024-12-31
CENSUS_ACS5
zcta 35020
acs recent mover gross
$1,328
2024-12-31
CENSUS_ACS5
zip 35020
payment standard 110
0
$924
2025-10-01
HUD_USER_SAFMR
zip 35020
payment standard 90
0
$756
2025-10-01
HUD_USER_SAFMR
zip 35020
safmr
0
$840
2025-10-01
HUD_USER_SAFMR
zip 35020
payment standard 110
1
$1,045
2025-10-01
HUD_USER_SAFMR
zip 35020
payment standard 90
1
$855
2025-10-01
HUD_USER_SAFMR
zip 35020
safmr
1
$950
2025-10-01
HUD_USER_SAFMR
zip 35020
payment standard 110
2
$1,144
2025-10-01
HUD_USER_SAFMR
zip 35020
payment standard 90
2
$936
2025-10-01
HUD_USER_SAFMR
zip 35020
safmr
2
$1,040
2025-10-01
HUD_USER_SAFMR
zip 35020
payment standard 110
3
$1,430
2025-10-01
HUD_USER_SAFMR
zip 35020
payment standard 90
3
$1,170
2025-10-01
HUD_USER_SAFMR
zip 35020
safmr
3
$1,300
2025-10-01
HUD_USER_SAFMR
zip 35020
payment standard 110
4
$1,628
2025-10-01
HUD_USER_SAFMR
zip 35020
payment standard 90
4
$1,332
2025-10-01
HUD_USER_SAFMR
zip 35020
safmr
4
$1,480
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.