Reads as: riskier than 85.4% 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
NC median
National median
National p25–p75
Total nurse
2.35
3.08
3.28
2.90–3.77
RN
0.15
0.30
0.39
0.25–0.58
Weekend total
2.12
2.93
3.11
—
Weekday total
2.45
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
109.3
2.35
0.15
0.43
1.77
2.12
0.0%
2025Q3
92
109.3
2.41
0.16
0.44
1.81
2.13
0.0%
2025Q2
91
106.6
2.42
0.11
0.39
1.93
2.01
0.0%
2025Q1
90
112.2
2.08
0.14
0.39
1.55
1.79
0.0%
2024Q4
92
112.3
2.11
0.14
0.36
1.60
1.88
0.3%
2024Q3
92
108.3
2.27
0.18
0.32
1.76
2.04
16.1%
2024Q2
91
108.8
2.48
0.31
0.48
1.69
2.28
44.9%
2024Q1
91
104.8
1.66
0.31
0.40
0.95
1.45
26.3%
2023Q4
92
100.3
1.84
0.26
0.39
1.20
1.55
33.2%
2023Q3
92
102.1
2.08
0.18
0.44
1.46
1.82
34.4%
2023Q2
91
99.5
2.46
0.26
0.60
1.60
2.42
39.9%
2023Q1
90
100.4
2.21
0.24
0.58
1.39
2.13
36.5%
2022Q4
92
89.4
1.89
0.30
0.49
1.11
1.67
4.7%
2022Q3
92
92.1
1.73
0.40
0.39
0.94
1.40
0.0%
2022Q2
91
88.2
2.02
0.44
0.39
1.19
1.66
0.0%
2022Q1
90
85.9
2.08
0.48
0.34
1.26
1.72
4.2%
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
2025-07-14
2025-06-11
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2025-07-14
2025-06-11
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-07-14
2025-06-11
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-07-14
2025-06-11
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-07-14
2024-03-27
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
G
2024-04-24
2024-03-27
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
2024-04-24
2024-03-27
Health
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
K
2024-04-24
2024-03-27
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-04-24
2024-03-27
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
K
2024-04-24
2024-03-27
Health · complaint
F0603
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
J
2024-04-24
2024-03-27
Health · complaint
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
J
2024-04-24
2024-03-27
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
K
2024-04-24
2024-03-27
Health
F0641
Ensure each resident receives an accurate assessment.
B
2024-04-24
2024-03-27
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-04-24
2024-03-27
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
2024-04-24
2024-03-27
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-04-24
2024-03-27
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
K
2024-04-24
2024-03-27
Health · complaint
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2024-04-24
2024-03-27
Health
F0732
Post nurse staffing information every day.
C
2024-04-24
2024-03-27
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
K
2024-04-24
2024-03-27
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2024-04-24
2024-03-27
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
2024-04-24
2024-03-27
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-04-24
2024-03-27
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F
2024-04-24
2024-03-27
Health
F0880
Provide and implement an infection prevention and control program.
K
2024-04-24
2022-12-01
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2022-12-26
2022-12-01
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2022-12-26
2022-12-01
Health
F0641
Ensure each resident receives an accurate assessment.
D
2022-12-26
2022-12-01
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2022-12-26
2022-12-01
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.
D
2022-12-26
2022-12-01
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2022-12-26
2022-12-01
Health
F0760
Ensure that residents are free from significant medication errors.
E
2022-12-26
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
9
Owner
Role
Pct
From
Status
Source
GA NC 14, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-03-01
current
pecos_ownership
ENGLANDER, DAVID
CORPORATE OFFICER
—
2022-03-01
current
pecos_ownership
HOWLETT, WANDA
W-2 MANAGING EMPLOYEE
—
2022-03-01
current
pecos_ownership
LEIBOWITZ, CHAIM
CORPORATE OFFICER
—
2022-03-01
current
pecos_ownership
CL 2022 IRRV TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2022-03-01
ended 2026-05-18
pecos_ownership
DE 2021 IRRV TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2022-03-01
ended 2026-05-18
pecos_ownership
CHAIM LEIBOWITZ
CORPORATE OFFICER
—
2022-03-01
ended 2026-05-18
pecos_ownership
DAVID ENGLANDER
CORPORATE OFFICER
—
2022-03-01
ended 2026-05-18
pecos_ownership
WANDA HOWLETT
W-2 MANAGING EMPLOYEE
—
2022-03-01
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
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$392,473
—
$392,473
—
—
2
—
2022-02-28
$573,553
—
$573,553
—
—
3
—
2021-06-30
$573,553
—
$573,553
—
—
3
—
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 37171
acs median gross
0
$752
2024-12-31
CENSUS_ACS5
county 37171
fmr
0
$700
2025-10-01
HUD_USER_FMR
county 37171
acs median gross
1
$542
2024-12-31
CENSUS_ACS5
county 37171
fmr
1
$705
2025-10-01
HUD_USER_FMR
county 37171
acs median gross
2
$760
2024-12-31
CENSUS_ACS5
county 37171
fmr
2
$925
2025-10-01
HUD_USER_FMR
county 37171
acs median gross
3
$818
2024-12-31
CENSUS_ACS5
county 37171
fmr
3
$1,109
2025-10-01
HUD_USER_FMR
county 37171
acs median gross
4
$808
2024-12-31
CENSUS_ACS5
county 37171
fmr
4
$1,406
2025-10-01
HUD_USER_FMR
county 37171
acs median gross
5
$1,222
2024-12-31
CENSUS_ACS5
county 37171
acs median gross
$761
2024-12-31
CENSUS_ACS5
county 37171
acs recent mover gross
$783
2024-12-31
CENSUS_ACS5
zcta 27030
acs median gross
0
$759
2024-12-31
CENSUS_ACS5
zcta 27030
acs median gross
1
$573
2024-12-31
CENSUS_ACS5
zcta 27030
acs median gross
2
$744
2024-12-31
CENSUS_ACS5
zcta 27030
acs median gross
3
$826
2024-12-31
CENSUS_ACS5
zcta 27030
acs median gross
4
$1,156
2024-12-31
CENSUS_ACS5
zcta 27030
acs median gross
$754
2024-12-31
CENSUS_ACS5
zcta 27030
acs recent mover gross
$762
2024-12-31
CENSUS_ACS5
zip 27030
payment standard 110
0
$803
2025-10-01
HUD_USER_SAFMR
zip 27030
payment standard 90
0
$657
2025-10-01
HUD_USER_SAFMR
zip 27030
safmr
0
$730
2025-10-01
HUD_USER_SAFMR
zip 27030
payment standard 110
1
$847
2025-10-01
HUD_USER_SAFMR
zip 27030
payment standard 90
1
$693
2025-10-01
HUD_USER_SAFMR
zip 27030
safmr
1
$770
2025-10-01
HUD_USER_SAFMR
zip 27030
payment standard 110
2
$1,023
2025-10-01
HUD_USER_SAFMR
zip 27030
payment standard 90
2
$837
2025-10-01
HUD_USER_SAFMR
zip 27030
safmr
2
$930
2025-10-01
HUD_USER_SAFMR
zip 27030
payment standard 110
3
$1,298
2025-10-01
HUD_USER_SAFMR
zip 27030
payment standard 90
3
$1,062
2025-10-01
HUD_USER_SAFMR
zip 27030
safmr
3
$1,180
2025-10-01
HUD_USER_SAFMR
zip 27030
payment standard 110
4
$1,551
2025-10-01
HUD_USER_SAFMR
zip 27030
payment standard 90
4
$1,269
2025-10-01
HUD_USER_SAFMR
zip 27030
safmr
4
$1,410
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.