Reads as: riskier than 70.7% 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
16
2025Q4 HPRD
This facility
GA median
National median
National p25–p75
Total nurse
3.91
3.02
3.28
2.90–3.77
RN
0.64
0.26
0.39
0.25–0.58
Weekend total
3.48
2.76
3.11
—
Weekday total
4.08
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
132.2
3.91
0.64
0.82
2.46
3.48
68.7%
2025Q3
92
138.8
3.61
0.69
0.78
2.13
3.26
38.1%
2025Q2
91
134.8
3.78
0.66
0.88
2.24
3.25
31.2%
2025Q1
90
137.7
3.46
0.61
0.82
2.03
3.04
19.3%
2024Q4
92
133.6
3.77
0.62
0.88
2.27
3.25
16.7%
2024Q3
92
134.4
3.84
0.48
1.02
2.34
3.30
13.0%
2024Q2
91
137.4
3.87
0.45
0.99
2.42
3.37
5.9%
2024Q1
91
133.6
3.77
0.31
1.13
2.33
3.27
0.0%
2023Q4
92
137.8
3.77
0.28
1.09
2.40
3.24
0.0%
2023Q3
92
135.0
3.85
0.38
1.12
2.34
3.26
58.4%
2023Q2
91
137.7
3.87
0.51
1.01
2.35
3.16
54.9%
2023Q1
90
139.2
4.04
0.51
0.95
2.58
3.42
50.4%
2022Q4
92
137.2
3.79
0.38
1.01
2.41
3.13
46.0%
2022Q3
92
143.3
3.69
0.41
0.96
2.32
3.05
43.8%
2022Q2
91
144.6
3.25
0.35
0.86
2.04
2.71
36.7%
2022Q1
90
139.8
3.12
0.20
0.88
2.04
2.61
21.5%
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.
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2026-05-27
2026-04-01
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
2026-05-27
2026-04-01
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-05-28
2026-04-01
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-05-28
2025-04-24
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-05-23
2025-04-24
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-05-23
2025-04-24
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-05-23
2025-04-24
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2025-05-23
2025-04-24
Health · complaint
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
2025-05-23
2025-04-24
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-05-23
2025-04-24
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-05-23
2024-02-14
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2024-03-05
2024-02-14
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-03-05
2024-02-14
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-03-05
2023-10-12
Health · complaint
F0557
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
D
2023-11-20
2023-10-12
Health · complaint
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2023-11-20
2023-10-12
Health · complaint
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2023-11-20
2023-10-12
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-11-20
2023-10-12
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-11-20
2023-10-12
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-11-20
2023-10-12
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-11-20
2023-10-12
Health · complaint
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2023-11-20
2023-10-12
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
J
2023-11-20
2023-10-12
Health · complaint
F0880
Provide and implement an infection prevention and control program.
J
2023-11-20
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
42
Owner
Role
Pct
From
Status
Source
5131 REALTY LLC
Individual has financial interest in both related organization and provider
100%
2023-01-01
current
hcris_a_8_1
5131 REALTY LLC
Individual has financial interest in both related organization and provider
100%
2024-01-01
current
hcris_a_8_1
GEORGIA PYRAMID VENTURE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2017-10-01
current
pecos_ownership
FISCHMAN, ARNOLD
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2017-10-01
current
pecos_ownership
FISCHMAN, ISAAC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2017-10-01
current
pecos_ownership
5131 REALTY LLC
ADP OF THE SNF
—
2017-10-01
current
pecos_ownership
BROWERS, PATRICIA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-15
current
pecos_ownership
DUNN, JEFFREY
ADP OF THE SNF
—
2021-02-12
current
pecos_ownership
DWIGHT CAPITAL LLC
5% OR GREATER SECURITY INTEREST
—
2024-01-30
current
pecos_ownership
GROSSMAN, GERSHON
ADP OF THE SNF
—
2018-01-01
current
pecos_ownership
GUY, ADRIENNE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-03-17
current
pecos_ownership
HENDERSON, JOHN
ADP OF THE SNF
—
2018-10-31
current
pecos_ownership
HILLIARD, RAVEN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-12
current
pecos_ownership
LEWIS, IYSHA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-29
current
pecos_ownership
ONEAL, GARY
ADP OF THE SNF
—
2024-02-09
current
pecos_ownership
PARKER, CRAIG
OPERATIONAL/MANAGERIAL CONTROL
—
2021-03-25
current
pecos_ownership
PARKER, TASHIKA
ADP OF THE SNF
—
2021-03-01
current
pecos_ownership
PYRAMID HEALTHCARE MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2017-10-02
current
pecos_ownership
PYRAMID HEALTHCARE MANAGEMENT LLC
ADP OF THE SNF
—
2025-12-04
current
pecos_ownership
RICHMAN, JOSEPH
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-17
current
pecos_ownership
ROCO CARE LLC
5% OR GREATER SECURITY INTEREST
—
2024-01-30
current
pecos_ownership
ROCO CARE LLC
ADP OF THE SNF
—
2025-12-03
current
pecos_ownership
WHITEAD, SARA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-12
current
pecos_ownership
WILKINSON, BRIAN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-07-28
current
pecos_ownership
5131 REALTY LLC
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
5131 REALTY LLC
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
5131 REALTY LLC
Individual has financial interest in both related organization and provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
ARNOLD FISCHMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2017-10-01
ended 2026-05-18
pecos_ownership
ISAAC FISCHMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2017-10-01
ended 2026-05-18
pecos_ownership
ADRIENNE GUY
OPERATIONAL/MANAGERIAL CONTROL
—
2021-03-17
ended 2026-05-18
pecos_ownership
BRIAN WILKINSON
OPERATIONAL/MANAGERIAL CONTROL
—
2021-07-28
ended 2026-05-18
pecos_ownership
CRAIG PARKER
OPERATIONAL/MANAGERIAL CONTROL
—
2021-03-25
ended 2026-05-18
pecos_ownership
GARY ONEAL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-09
ended 2026-05-18
pecos_ownership
GERSHON GROSSMAN
ADP OF THE SNF
—
2018-01-01
ended 2026-05-18
pecos_ownership
IYSHA LEWIS
ADP OF THE SNF
—
2024-07-29
ended 2026-05-18
pecos_ownership
JEFFREY DUNN
ADP OF THE SNF
—
2021-02-12
ended 2026-05-18
pecos_ownership
JOHN HENDERSON
OPERATIONAL/MANAGERIAL CONTROL
—
2018-10-31
ended 2026-05-18
pecos_ownership
JOSEPH RICHMAN
ADP OF THE SNF
—
2023-04-17
ended 2026-05-18
pecos_ownership
PATRICIA BROWERS
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-15
ended 2026-05-18
pecos_ownership
RAVEN HILLIARD
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-12
ended 2026-05-18
pecos_ownership
SARA WHITEAD
ADP OF THE SNF
—
2025-08-12
ended 2026-05-18
pecos_ownership
TASHIKA PARKER
ADP OF THE SNF
—
2021-03-01
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
2024-12-31
$2,037,655
—
—
—
—
2
propco
2023-12-31
$2,370,498
—
—
—
—
2
propco
2022-12-31
$1,282,362
—
—
—
—
1
propco
2021-12-31
$1,282,362
—
—
—
—
1
propco
2020-12-31
$881,724
—
—
—
—
1
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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 13215
acs median gross
0
$847
2024-12-31
CENSUS_ACS5
county 13215
fmr
0
$895
2025-10-01
HUD_USER_FMR
county 13215
acs median gross
1
$893
2024-12-31
CENSUS_ACS5
county 13215
fmr
1
$939
2025-10-01
HUD_USER_FMR
county 13215
acs median gross
2
$1,061
2024-12-31
CENSUS_ACS5
county 13215
fmr
2
$1,088
2025-10-01
HUD_USER_FMR
county 13215
acs median gross
3
$1,228
2024-12-31
CENSUS_ACS5
county 13215
fmr
3
$1,445
2025-10-01
HUD_USER_FMR
county 13215
acs median gross
4
$1,618
2024-12-31
CENSUS_ACS5
county 13215
fmr
4
$1,703
2025-10-01
HUD_USER_FMR
county 13215
acs median gross
5
$1,841
2024-12-31
CENSUS_ACS5
county 13215
acs median gross
$1,106
2024-12-31
CENSUS_ACS5
county 13215
acs recent mover gross
$1,249
2024-12-31
CENSUS_ACS5
zcta 31909
acs median gross
1
$1,142
2024-12-31
CENSUS_ACS5
zcta 31909
acs median gross
2
$1,328
2024-12-31
CENSUS_ACS5
zcta 31909
acs median gross
3
$1,462
2024-12-31
CENSUS_ACS5
zcta 31909
acs median gross
4
$1,623
2024-12-31
CENSUS_ACS5
zcta 31909
acs median gross
$1,316
2024-12-31
CENSUS_ACS5
zcta 31909
acs recent mover gross
$1,433
2024-12-31
CENSUS_ACS5
zip 31909
payment standard 110
0
$1,353
2025-10-01
HUD_USER_SAFMR
zip 31909
payment standard 90
0
$1,107
2025-10-01
HUD_USER_SAFMR
zip 31909
safmr
0
$1,230
2025-10-01
HUD_USER_SAFMR
zip 31909
payment standard 110
1
$1,419
2025-10-01
HUD_USER_SAFMR
zip 31909
payment standard 90
1
$1,161
2025-10-01
HUD_USER_SAFMR
zip 31909
safmr
1
$1,290
2025-10-01
HUD_USER_SAFMR
zip 31909
payment standard 110
2
$1,650
2025-10-01
HUD_USER_SAFMR
zip 31909
payment standard 90
2
$1,350
2025-10-01
HUD_USER_SAFMR
zip 31909
safmr
2
$1,500
2025-10-01
HUD_USER_SAFMR
zip 31909
payment standard 110
3
$2,189
2025-10-01
HUD_USER_SAFMR
zip 31909
payment standard 90
3
$1,791
2025-10-01
HUD_USER_SAFMR
zip 31909
safmr
3
$1,990
2025-10-01
HUD_USER_SAFMR
zip 31909
payment standard 110
4
$2,585
2025-10-01
HUD_USER_SAFMR
zip 31909
payment standard 90
4
$2,115
2025-10-01
HUD_USER_SAFMR
zip 31909
safmr
4
$2,350
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.