Reads as: riskier than 92.2% 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
16
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+29.3 vs natl
SHASAM HOLDINGS LLC
12 facilities
connection
Owner fleet risk far above national
+28.5 vs natl
AJOJ HOLDINGS LLC
12 facilities
connection
Owner fleet risk far above national
+27.9 vs natl
SHASAM FAMILY TRUST
13 facilities
connection
Owner fleet risk far above national
+27.9 vs natl
BLUE OCEAN TRUST
13 facilities
connection
Owner fleet risk far above national
+27.9 vs natl
3 BEES HOLDINGS LLC
13 facilities
connection
Owner fleet risk far above national
+27.9 vs natl
BEES FAMILY IRREVOCABLE TRUST
13 facilities
connection
Owner fleet risk far above national
+25.8 vs natl
BILBO RICHARD
13 facilities
connection
Owner fleet risk far above national
+25.3 vs natl
OMARA JODY
9 facilities
connection
Owner fleet risk far above national
+25.3 vs natl
CONRAD CAMERON
9 facilities
connection
Owner fleet risk far above national
+25.3 vs natl
JONES ANTONIO
9 facilities
connection
Owner fleet risk far above national
+25.3 vs natl
JOURNEY OX GA MANAGEMENT LLC
9 facilities
connection
Owner fleet risk far above national
+25.3 vs natl
SILLINGS NIKKI
9 facilities
connection
Owner fleet risk far above national
+25.2 vs natl
JOURNEY OX GA HEALTHCARE HOLDINGS LLC
7 facilities
connection
Owner fleet risk far above national
+25.2 vs natl
JOURNEY OX OF GA LLC
7 facilities
connection
Owner fleet risk far above national
+24.6 vs natl
TRAMMELL MATTHEW
10 facilities
connection
Owner fleet risk far above national
+22.2 vs natl
MCGUINNESS BERNARD
22 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
GA median
National median
National p25–p75
Total nurse
2.88
3.02
3.28
2.90–3.77
RN
0.25
0.26
0.39
0.25–0.58
Weekend total
2.75
2.76
3.11
—
Weekday total
2.93
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
91.6
2.88
0.25
0.92
1.72
2.75
0.0%
2025Q3
92
90.0
3.00
0.26
0.95
1.79
2.80
0.0%
2025Q2
91
85.5
3.00
0.33
0.92
1.75
2.75
0.0%
2025Q1
90
82.9
2.74
0.30
0.75
1.68
2.67
0.5%
2024Q4
92
87.5
2.13
0.32
0.39
1.42
2.16
4.9%
2024Q3
92
89.3
3.16
0.33
0.83
2.00
2.90
89.0%
2024Q2
91
89.7
3.37
0.37
0.84
2.15
3.19
89.0%
2024Q1
91
92.4
3.27
0.46
0.77
2.04
3.08
87.3%
2023Q4
92
92.0
3.25
0.33
0.82
2.10
3.13
87.2%
2023Q3
92
92.4
3.27
0.26
0.79
2.22
3.05
82.5%
2023Q2
91
88.7
3.51
0.39
0.80
2.33
3.43
80.5%
2023Q1
90
92.2
3.20
0.20
0.73
2.27
3.01
76.1%
2022Q4
92
89.3
3.24
0.20
0.75
2.29
3.05
73.8%
2022Q3
92
87.0
3.30
0.11
0.79
2.41
3.12
75.3%
2022Q2
91
90.3
3.24
0.13
0.86
2.25
3.05
75.3%
2022Q1
90
89.1
3.45
0.24
0.98
2.23
3.20
74.4%
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.
Reasonably accommodate the needs and preferences of each resident.
D
2026-03-19
2026-01-14
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2026-03-19
2026-01-14
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-03-19
2026-01-14
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-03-19
2026-01-14
Health · complaint
F0880
Provide and implement an infection prevention and control program.
F
2026-03-19
2025-08-20
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
2025-10-01
2025-08-20
Health · complaint
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2025-10-01
2025-08-20
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-10-01
2025-03-07
Health · complaint
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
2025-04-02
2025-01-09
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-02-05
2025-01-09
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
2025-02-05
2025-01-09
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
D
2025-02-05
2025-01-09
Health · complaint
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2025-02-05
2025-01-09
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-02-05
2025-01-09
Health · complaint
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2025-02-05
2025-01-09
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
2025-02-05
2025-01-09
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-02-05
2025-01-09
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-02-05
2023-10-04
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2023-11-28
2023-10-04
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
2023-11-28
2023-10-04
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F
2023-11-28
2023-10-04
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
J
2023-11-28
2023-10-04
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F
2023-11-28
2023-10-04
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
2023-11-28
2023-10-04
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
J
2023-11-28
2023-10-04
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
2023-11-28
2023-10-04
Health
F0760
Ensure that residents are free from significant medication errors.
D
2023-11-28
2023-10-04
Health
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
J
2023-11-28
2023-10-04
Health
F0880
Provide and implement an infection prevention and control program.
F
2023-11-28
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
40
Owner
Role
Pct
From
Status
Source
3 BEES HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
AJOJ HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
BAKER, D'NAE
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
BEES FAMILY IRREVOCABLE TRUST
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
BILBO, RICHARD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-20
current
pecos_ownership
BLUE OCEAN TRUST
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
CONRAD, CAMERON
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
FORBES, GREGORY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
FRINKS, TERENCE
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
GAFFORD, DEXTER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
JOHNSON, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
JONES, ANTONIO
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-18
current
pecos_ownership
JOURNEY OX GA HEALTHCARE HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
JOURNEY OX GA MANAGEMENT LLC
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
JOURNEY OX OF GA LLC
DIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
KING, PAUL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
MCGUINNESS, BERNARD
MANAGING CONTROL - GOVERNING BODY
—
2024-11-01
current
pecos_ownership
OMARA, JODY
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
ROBINSON, TERENCE
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
SHASAM FAMILY TRUST
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
SHASAM HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
SILLINGS, NIKKI
ADP OF THE SNF
—
2025-01-13
current
pecos_ownership
SUMMIT DECATUR LLC
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
TRAMMELL, MATTHEW
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
GEORGIA 7 PROPCO HOLDINGS LLC
Corporation, partnership or other organization has financial interest in provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
GEORGIA 7 PROPCO HOLDINGS LLC
Corporation, partnership or other organization has financial interest in provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
BERNARD MCGUINNESS
INDIRECT OWNERSHIP INTEREST
2%
2024-11-01
ended 2026-05-18
pecos_ownership
ANTONIO JONES
ADP OF THE SNF
—
2024-11-18
ended 2026-05-18
pecos_ownership
CAMERON CONRAD
ADP OF THE SNF
—
2024-11-01
ended 2026-05-18
pecos_ownership
D'NAE BAKER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
DEXTER GAFFORD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
GREGORY FORBES
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
JENNIFER JOHNSON
ADP OF THE SNF
—
2024-11-01
ended 2026-05-18
pecos_ownership
JODY OMARA
ADP OF THE SNF
—
2024-11-01
ended 2026-05-18
pecos_ownership
MATTHEW TRAMMELL
ADP OF THE SNF
—
2024-11-01
ended 2026-05-18
pecos_ownership
NIKKI SILLINGS
ADP OF THE SNF
—
2025-01-13
ended 2026-05-18
pecos_ownership
PAUL KING
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
RICHARD BILBO
ADP OF THE SNF
—
2024-11-20
ended 2026-05-18
pecos_ownership
TERENCE FRINKS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
TERENCE ROBINSON
ADP OF THE SNF
—
2024-11-01
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
4
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2023-12-31
$243,791
—
—
—
—
2
—
2022-12-31
$361,852
—
—
—
—
2
—
2021-12-31
$339,503
—
—
—
—
4
propco
2020-12-31
$655,598
—
—
—
—
4
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
35
Geo
Kind
BR
Amount
As of
Source
county 13089
acs median gross
0
$1,461
2024-12-31
CENSUS_ACS5
county 13089
fmr
0
$1,585
2025-10-01
HUD_USER_FMR
county 13089
acs median gross
1
$1,530
2024-12-31
CENSUS_ACS5
county 13089
fmr
1
$1,660
2025-10-01
HUD_USER_FMR
county 13089
acs median gross
2
$1,708
2024-12-31
CENSUS_ACS5
county 13089
fmr
2
$1,820
2025-10-01
HUD_USER_FMR
county 13089
acs median gross
3
$1,811
2024-12-31
CENSUS_ACS5
county 13089
fmr
3
$2,182
2025-10-01
HUD_USER_FMR
county 13089
acs median gross
4
$2,008
2024-12-31
CENSUS_ACS5
county 13089
fmr
4
$2,605
2025-10-01
HUD_USER_FMR
county 13089
acs median gross
5
$2,258
2024-12-31
CENSUS_ACS5
county 13089
acs median gross
$1,692
2024-12-31
CENSUS_ACS5
county 13089
acs recent mover gross
$1,792
2024-12-31
CENSUS_ACS5
zcta 30030
acs median gross
0
$1,617
2024-12-31
CENSUS_ACS5
zcta 30030
acs median gross
1
$1,423
2024-12-31
CENSUS_ACS5
zcta 30030
acs median gross
2
$1,848
2024-12-31
CENSUS_ACS5
zcta 30030
acs median gross
3
$1,810
2024-12-31
CENSUS_ACS5
zcta 30030
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 30030
acs median gross
$1,655
2024-12-31
CENSUS_ACS5
zcta 30030
acs recent mover gross
$1,838
2024-12-31
CENSUS_ACS5
zip 30030
payment standard 110
0
$2,233
2025-10-01
HUD_USER_SAFMR
zip 30030
payment standard 90
0
$1,827
2025-10-01
HUD_USER_SAFMR
zip 30030
safmr
0
$2,030
2025-10-01
HUD_USER_SAFMR
zip 30030
payment standard 110
1
$2,343
2025-10-01
HUD_USER_SAFMR
zip 30030
payment standard 90
1
$1,917
2025-10-01
HUD_USER_SAFMR
zip 30030
safmr
1
$2,130
2025-10-01
HUD_USER_SAFMR
zip 30030
payment standard 110
2
$2,563
2025-10-01
HUD_USER_SAFMR
zip 30030
payment standard 90
2
$2,097
2025-10-01
HUD_USER_SAFMR
zip 30030
safmr
2
$2,330
2025-10-01
HUD_USER_SAFMR
zip 30030
payment standard 110
3
$3,069
2025-10-01
HUD_USER_SAFMR
zip 30030
payment standard 90
3
$2,511
2025-10-01
HUD_USER_SAFMR
zip 30030
safmr
3
$2,790
2025-10-01
HUD_USER_SAFMR
zip 30030
payment standard 110
4
$3,674
2025-10-01
HUD_USER_SAFMR
zip 30030
payment standard 90
4
$3,006
2025-10-01
HUD_USER_SAFMR
zip 30030
safmr
4
$3,340
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.