Composite
46.4 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 61.9 | 44.3 | 0.30 | 0.2308 | 14.28 | in index |
| regulatory risk | 55.2 | 45.3 | 0.30 | 0.2308 | 12.74 | in index |
| financial risk | 48.9 | 44.9 | 0.30 | 0.2308 | 11.28 | in index |
| staffing risk | 28.2 | 28.3 | 0.25 | 0.1923 | 5.42 | in index |
| chow risk | 29.5 | 28.3 | 0.15 | 0.1154 | 3.40 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 44.3 | 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 | 31.6 | B | v0.6 | default · in composite | |
| financial risk | 44.9 | B | v0.5 | default · in composite | R18. |
| 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 | 0.1 | — | 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 | 45.3 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 28.3 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 66.4 | 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 | 46.4 | 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 | 45.3 | C | 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 | 49.8 | C | 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 | 45.2 | C | 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 | 45.2 | C | 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 | 28.3 | 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 | 28.3 | 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 | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 8.49 | -1.02 | |
| For-profit ownership | 1.00 | +0.69 | |
| Chain size (log) | 4.37 | +0.53 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.81 | -0.32 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 14.00 | +0.17 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 4.37 | -1.34 | |
| Deficiencies, last 12 months | 14.00 | -1.17 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Occupancy | 0.81 | -0.25 | |
| Total nurse staffing (HPRD) | 3.69 | -0.20 | |
| Staffing trend, last 4 quarters | -0.38 | -0.20 |
| 2025Q4 HPRD | This facility | MI median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.69 | 3.52 | 3.28 | 2.90–3.77 |
| RN | 1.01 | 0.47 | 0.39 | 0.25–0.58 |
| Weekend total | 3.69 | 3.32 | 3.11 | — |
| Weekday total | 3.70 | 3.61 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 77.5 | 3.69 | 1.01 | 0.42 | 2.26 | 3.69 | 0.0% |
| 2025Q3 | 92 | 83.2 | 3.90 | 0.91 | 0.52 | 2.47 | 3.71 | 0.0% |
| 2025Q2 | 91 | 84.5 | 3.78 | 0.86 | 0.41 | 2.50 | 3.60 | 0.0% |
| 2025Q1 | 90 | 79.8 | 3.96 | 0.90 | 0.54 | 2.53 | 3.81 | 0.0% |
| 2024Q4 | 92 | 77.9 | 4.07 | 0.99 | 0.51 | 2.57 | 3.88 | 0.0% |
| 2024Q3 | 92 | 75.2 | 3.77 | 1.00 | 0.43 | 2.34 | 3.71 | 0.0% |
| 2024Q2 | 91 | 73.3 | 3.63 | 1.09 | 0.37 | 2.18 | 3.60 | 0.0% |
| 2024Q1 | 91 | 74.4 | 3.26 | 0.87 | 0.41 | 1.98 | 3.08 | 0.0% |
| 2023Q4 | 92 | 73.2 | 3.26 | 0.89 | 0.47 | 1.90 | 3.06 | 0.0% |
| 2023Q3 | 92 | 71.8 | 3.60 | 0.89 | 0.54 | 2.17 | 3.37 | 0.0% |
| 2023Q2 | 91 | 71.1 | 3.60 | 0.87 | 0.61 | 2.12 | 3.37 | 0.0% |
| 2023Q1 | 90 | 70.8 | 3.65 | 0.91 | 0.76 | 1.98 | 3.55 | 0.0% |
| 2022Q4 | 92 | 70.7 | 3.66 | 0.84 | 0.91 | 1.90 | 3.42 | 0.0% |
| 2022Q3 | 92 | 68.3 | 4.09 | 0.88 | 0.94 | 2.27 | 3.72 | 0.0% |
| 2022Q2 | 91 | 67.6 | 4.09 | 0.92 | 0.78 | 2.39 | 3.50 | 0.0% |
| 2022Q1 | 90 | 70.2 | 3.88 | 0.67 | 0.85 | 2.36 | 3.53 | 0.0% |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-19 | 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 | 2026-04-02 |
| 2026-03-19 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-04-02 |
| 2026-03-19 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2026-04-02 |
| 2026-03-19 | 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. | E | 2026-04-02 |
| 2026-03-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-04-02 |
| 2026-03-19 | Health | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | 2026-04-02 |
| 2026-03-19 | 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 | 2026-04-02 |
| 2026-03-19 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2026-04-02 |
| 2026-03-19 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2026-04-02 |
| 2026-03-19 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2026-04-02 |
| 2026-02-24 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-03-19 |
| 2026-02-24 | Health · complaint | F0685 | Assist a resident in gaining access to vision and hearing services. | G | 2026-03-19 |
| 2026-02-24 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2026-04-28 |
| 2025-08-06 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-08-22 |
| 2024-12-17 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2025-02-05 |
| 2024-12-17 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2025-02-05 |
| 2024-12-17 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | 2025-02-05 |
| 2024-12-17 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-02-05 |
| 2024-12-17 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-02-05 |
| 2024-12-17 | Health | F0732 | Post nurse staffing information every day. | C | 2025-02-05 |
| 2024-12-17 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-02-05 |
| 2024-12-17 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2025-02-05 |
| 2024-12-17 | 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. | F | 2025-02-05 |
| 2024-12-17 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-02-05 |
| 2024-12-17 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2025-02-05 |
| 2024-12-17 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2025-02-05 |
| 2024-08-15 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-09-18 |
| 2024-01-10 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2024-02-19 |
| 2024-01-10 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | 2024-02-19 |
| 2024-01-10 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-02-19 |
| 2024-01-10 | 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 | 2024-02-19 |
| 2024-01-10 | 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. | D | 2024-02-19 |
| 2024-01-10 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2024-02-19 |
| 2024-01-10 | 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 | 2024-02-19 |
| 2023-07-07 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2023-08-07 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| EVEREST OPCO GROUP LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2018-02-01 | current | pecos_ownership |
| B&Y HEALTHCARE S CORP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2018-02-01 | current | pecos_ownership |
| B&Y TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2018-02-01 | current | pecos_ownership |
| BLOSSOM HEALTHCARE MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-02-01 | current | pecos_ownership |
| CODY HEALTHCARE S CORP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2018-02-01 | current | pecos_ownership |
| CRAIG FLASHNER 2007 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2018-02-01 | current | pecos_ownership |
| FLASHNER, CRAIG | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-02-01 | current | pecos_ownership |
| KIRK, KRISTINE | W-2 MANAGING EMPLOYEE | — | 2018-02-01 | current | pecos_ownership |
| NORCROSS, ROBERT | CONTRACTED MANAGING EMPLOYEE | — | 2018-02-01 | current | pecos_ownership |
| PERLSTEIN, YITZCHOK | CORPORATE DIRECTOR | — | 2018-02-01 | current | pecos_ownership |
| PRESTIGE ADMINISTRATIVE SERVICES, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-02-01 | current | pecos_ownership |
| ROGERS, STACEY | CONTRACTED MANAGING EMPLOYEE | — | 2018-02-01 | current | pecos_ownership |
| CRAIG FLASHNER | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-02-01 | ended 2026-05-18 | pecos_ownership |
| KRISTINE KIRK | W-2 MANAGING EMPLOYEE | — | 2018-02-01 | ended 2026-05-18 | pecos_ownership |
| ROBERT NORCROSS | CONTRACTED MANAGING EMPLOYEE | — | 2018-02-01 | ended 2026-05-18 | pecos_ownership |
| STACEY ROGERS | CONTRACTED MANAGING EMPLOYEE | — | 2018-02-01 | ended 2026-05-18 | pecos_ownership |
| YITZCHOK PERLSTEIN | CORPORATE DIRECTOR | — | 2018-02-01 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2018-02-01 | — | GAYLORD OPCO LLC | FMG RANDOM LANE MICHIGAN LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-01 | Niles Care Center, LLC | — | — | — | 100 | NILES CARE CENTER LLC |
| 2025-07-01 | Medilodge of Zeeland | — | — | — | 138 | ZEELAND OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation of Muskegon | — | — | — | 107 | OPTALIS MUSKEGON OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation at Kent-Crossing | — | — | — | 182 | OPTALIS BELTLINE OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation at Leonard | — | — | — | 69 | OPTALIS LEONARD OPCO LLC |
| 2025-07-01 | Optalis Health & Rehabilitation of Ionia | — | — | — | 107 | OPTALIS IONIA OPCO LLC |
| 2025-04-01 | The Orchards at Big Rapids | — | — | — | 100 | BIG RAPIDS MI OPCO LLC |
| 2024-12-31 | The Orchards at Lapeer | — | — | — | 87 | LAPEER MI OPCO LLC |
| 2024-12-01 | Wexford Senior Care Center | — | — | — | 133 | WEXFORD SENIOR CARE CENTER, LLC |
| 2024-11-01 | The Orchards at Canterbury on the Lake | — | — | — | 128 | CANTERBURY MI OPCO LLC |
| 2024-09-03 | Villa at Borgess Place | — | — | — | 101 | VILLA AT BORGESS PLACE LLC |
| 2024-08-07 | Optalis Health and Rehabilitation of Grand Rapids | — | — | — | 120 | OPTALIS GRAND RAPIDS OPCO LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 26137 | acs median gross | 0 | $591 | 2024-12-31 | CENSUS_ACS5 |
| county 26137 | fmr | 0 | $852 | 2025-10-01 | HUD_USER_FMR |
| county 26137 | acs median gross | 1 | $804 | 2024-12-31 | CENSUS_ACS5 |
| county 26137 | fmr | 1 | $858 | 2025-10-01 | HUD_USER_FMR |
| county 26137 | acs median gross | 2 | $1,044 | 2024-12-31 | CENSUS_ACS5 |
| county 26137 | fmr | 2 | $1,100 | 2025-10-01 | HUD_USER_FMR |
| county 26137 | acs median gross | 3 | $1,157 | 2024-12-31 | CENSUS_ACS5 |
| county 26137 | fmr | 3 | $1,445 | 2025-10-01 | HUD_USER_FMR |
| county 26137 | fmr | 4 | $1,560 | 2025-10-01 | HUD_USER_FMR |
| county 26137 | acs median gross | $1,008 | 2024-12-31 | CENSUS_ACS5 | |
| county 26137 | acs recent mover gross | $1,449 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 49735 | acs median gross | 0 | $591 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49735 | acs median gross | 1 | $797 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49735 | acs median gross | 2 | $1,074 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49735 | acs median gross | 3 | $1,166 | 2024-12-31 | CENSUS_ACS5 |
| zcta 49735 | acs median gross | $1,020 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 49735 | acs recent mover gross | $1,494 | 2024-12-31 | CENSUS_ACS5 | |
| zip 49735 | payment standard 110 | 0 | $924 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49735 | payment standard 90 | 0 | $756 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49735 | safmr | 0 | $840 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49735 | payment standard 110 | 1 | $935 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49735 | payment standard 90 | 1 | $765 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49735 | safmr | 1 | $850 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49735 | payment standard 110 | 2 | $1,199 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49735 | payment standard 90 | 2 | $981 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49735 | safmr | 2 | $1,090 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49735 | payment standard 110 | 3 | $1,573 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49735 | payment standard 90 | 3 | $1,287 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49735 | safmr | 3 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49735 | payment standard 110 | 4 | $1,705 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49735 | payment standard 90 | 4 | $1,395 | 2025-10-01 | HUD_USER_SAFMR |
| zip 49735 | safmr | 4 | $1,550 | 2025-10-01 | HUD_USER_SAFMR |