Reads as: riskier than 90.5% 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
3.06
3.02
3.28
2.90–3.77
RN
0.12
0.26
0.39
0.25–0.58
Weekend total
2.78
2.76
3.11
—
Weekday total
3.18
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
112.4
3.06
0.12
0.82
2.13
2.78
0.0%
2025Q3
92
111.8
3.05
0.15
0.82
2.07
2.81
0.0%
2025Q2
91
111.0
3.01
0.12
0.83
2.06
2.69
0.0%
2025Q1
90
109.4
2.96
0.14
0.71
2.11
2.62
1.0%
2024Q4
92
111.5
2.11
0.07
0.48
1.56
2.00
2.4%
2024Q3
92
113.0
3.10
0.10
0.80
2.19
2.54
63.3%
2024Q2
91
113.9
3.06
0.10
0.80
2.16
2.83
56.6%
2024Q1
91
113.8
3.12
0.10
0.84
2.18
2.92
55.7%
2023Q4
92
112.0
3.15
0.08
0.85
2.23
2.71
51.6%
2023Q3
92
114.0
2.76
0.08
0.76
1.93
1.82
46.0%
2023Q2
91
108.6
3.30
0.08
0.90
2.32
2.98
54.1%
2023Q1
90
108.6
2.90
0.11
0.82
1.97
2.47
47.6%
2022Q4
92
107.0
2.91
0.10
0.83
1.98
2.41
44.9%
2022Q3
92
108.3
2.93
0.11
0.85
1.97
2.52
36.2%
2022Q2
91
111.5
2.59
0.18
0.64
1.77
2.13
20.1%
2022Q1
90
101.7
2.85
0.15
0.72
1.99
2.48
15.4%
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2026-03-26
2025-10-02
Health
F0557
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
D
2025-12-10
2025-10-02
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
2025-12-10
2025-10-02
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-12-10
2025-10-02
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-12-10
2025-10-02
Health
F0610
Respond appropriately to all alleged violations.
D
2025-12-10
2025-10-02
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-12-10
2025-10-02
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-12-10
2025-10-02
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-12-10
2025-10-02
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-12-10
2025-10-02
Health
F0679
Provide activities to meet all resident's needs.
E
2025-12-10
2025-10-02
Health
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
2025-12-10
2025-10-02
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F
2025-12-10
2025-10-02
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-12-10
2025-10-02
Health
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F
2025-12-10
2025-10-02
Health
F0908
Keep all essential equipment working safely.
F
2025-12-10
2024-05-30
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
2024-07-14
2024-05-30
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-07-14
2024-05-30
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F
2024-07-14
2024-05-30
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-07-14
2024-05-30
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F
2024-07-14
2024-05-30
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-07-14
2022-12-21
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-02-04
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
BEES FAMILY IRREVOCABLE TRUST
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
BILBO, RICHARD
ADP OF THE SNF
—
2024-11-20
current
pecos_ownership
BLACKWELL, HAILEY
ADP OF THE SNF
—
2025-08-08
current
pecos_ownership
BLUE OCEAN TRUST
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
CONRAD, CAMERON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
COOK, ROBERT
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
DODD, ANGELA
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
FERENTI, LEON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
JOHNSON, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
JONES, ANTONIO
ADP OF THE SNF
—
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
MCGUINNESS, BERNARD
MANAGING CONTROL - GOVERNING BODY
—
2024-11-01
current
pecos_ownership
MCGUINNESS, BERNARD
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-11-26
current
pecos_ownership
OMARA, JODY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
ROOPNAUTH, LLOYD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
SEGALL, SARAH
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-09-12
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 CHATSWORTH 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
ANGELA DODD
OPERATIONAL/MANAGERIAL CONTROL
—
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
HAILEY BLACKWELL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-08
ended 2026-05-18
pecos_ownership
JENNIFER JOHNSON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
JODY OMARA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
LEON FERENTI
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
LLOYD ROOPNAUTH
ADP OF THE SNF
—
2024-11-01
ended 2026-05-18
pecos_ownership
MATTHEW TRAMMELL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
NIKKI SILLINGS
ADP OF THE SNF
—
2025-01-13
ended 2026-05-18
pecos_ownership
RICHARD BILBO
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-20
ended 2026-05-18
pecos_ownership
ROBERT COOK
OPERATIONAL/MANAGERIAL CONTROL
—
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
$295,667
—
—
—
—
2
—
2022-12-31
$435,129
—
—
—
—
2
—
2021-12-31
$1,635,117
—
—
—
—
4
propco
2020-12-31
$1,877,889
—
—
—
—
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
32
Geo
Kind
BR
Amount
As of
Source
county 13213
fmr
0
$726
2025-10-01
HUD_USER_FMR
county 13213
acs median gross
1
$616
2024-12-31
CENSUS_ACS5
county 13213
fmr
1
$827
2025-10-01
HUD_USER_FMR
county 13213
acs median gross
2
$809
2024-12-31
CENSUS_ACS5
county 13213
fmr
2
$1,009
2025-10-01
HUD_USER_FMR
county 13213
acs median gross
3
$960
2024-12-31
CENSUS_ACS5
county 13213
fmr
3
$1,403
2025-10-01
HUD_USER_FMR
county 13213
acs median gross
4
$1,029
2024-12-31
CENSUS_ACS5
county 13213
fmr
4
$1,687
2025-10-01
HUD_USER_FMR
county 13213
acs median gross
$857
2024-12-31
CENSUS_ACS5
county 13213
acs recent mover gross
$1,076
2024-12-31
CENSUS_ACS5
zcta 30705
acs median gross
1
$625
2024-12-31
CENSUS_ACS5
zcta 30705
acs median gross
2
$776
2024-12-31
CENSUS_ACS5
zcta 30705
acs median gross
3
$994
2024-12-31
CENSUS_ACS5
zcta 30705
acs median gross
4
$1,039
2024-12-31
CENSUS_ACS5
zcta 30705
acs median gross
$860
2024-12-31
CENSUS_ACS5
zcta 30705
acs recent mover gross
$1,076
2024-12-31
CENSUS_ACS5
zip 30705
payment standard 110
0
$792
2025-10-01
HUD_USER_SAFMR
zip 30705
payment standard 90
0
$648
2025-10-01
HUD_USER_SAFMR
zip 30705
safmr
0
$720
2025-10-01
HUD_USER_SAFMR
zip 30705
payment standard 110
1
$902
2025-10-01
HUD_USER_SAFMR
zip 30705
payment standard 90
1
$738
2025-10-01
HUD_USER_SAFMR
zip 30705
safmr
1
$820
2025-10-01
HUD_USER_SAFMR
zip 30705
payment standard 110
2
$1,100
2025-10-01
HUD_USER_SAFMR
zip 30705
payment standard 90
2
$900
2025-10-01
HUD_USER_SAFMR
zip 30705
safmr
2
$1,000
2025-10-01
HUD_USER_SAFMR
zip 30705
payment standard 110
3
$1,529
2025-10-01
HUD_USER_SAFMR
zip 30705
payment standard 90
3
$1,251
2025-10-01
HUD_USER_SAFMR
zip 30705
safmr
3
$1,390
2025-10-01
HUD_USER_SAFMR
zip 30705
payment standard 110
4
$1,837
2025-10-01
HUD_USER_SAFMR
zip 30705
payment standard 90
4
$1,503
2025-10-01
HUD_USER_SAFMR
zip 30705
safmr
4
$1,670
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.