Reads as: riskier than 12.8% 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
14
2025Q4 HPRD
This facility
GA median
National median
National p25–p75
Total nurse
2.92
3.02
3.28
2.90–3.77
RN
0.41
0.26
0.39
0.25–0.58
Weekend total
2.72
2.76
3.11
—
Weekday total
3.00
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
139.3
2.92
0.41
0.76
1.75
2.72
0.0%
2025Q3
92
135.2
2.93
0.40
0.79
1.75
2.69
0.0%
2025Q2
91
123.6
3.19
0.48
0.79
1.92
2.92
0.0%
2025Q1
90
135.8
2.95
0.53
0.57
1.86
2.77
0.0%
2024Q4
92
137.0
2.95
0.50
0.56
1.89
2.77
0.0%
2024Q3
92
139.2
3.02
0.57
0.54
1.91
2.82
0.0%
2024Q2
91
135.9
2.88
0.52
0.65
1.71
2.62
0.0%
2024Q1
91
143.2
2.81
0.47
0.70
1.64
2.64
0.0%
2023Q3
92
144.1
2.96
0.16
0.94
1.86
2.69
27.6%
2023Q2
91
141.4
3.06
0.18
0.94
1.94
2.67
43.8%
2023Q1
90
138.5
2.31
0.17
0.68
1.46
1.87
22.1%
2022Q4
92
125.7
3.13
0.17
1.02
1.94
2.91
33.6%
2022Q2
91
113.0
0.93
0.08
0.22
0.63
0.88
1.2%
2022Q1
90
110.6
2.97
0.26
0.70
2.00
2.68
12.8%
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.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
12
D × 10E × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-05
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
2026-03-26
2025-05-02
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-06-03
2025-05-02
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-06-03
2025-05-02
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-06-03
2023-10-13
Health · complaint
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
2023-11-10
2023-03-11
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-04-25
2023-03-11
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2023-04-25
2023-03-11
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
2023-04-25
2023-03-11
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2023-04-25
2023-03-11
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-04-25
2023-03-11
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
2023-04-25
2023-03-11
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-04-25
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
41
Owner
Role
Pct
From
Status
Source
EMPIRE GA 3 HOLDCO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-05-01
current
pecos_ownership
ENSH GA 3 LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2022-05-01
current
pecos_ownership
NMGA3 JV MEMBER LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2022-05-01
current
pecos_ownership
DONATH, BARRY
MANAGING CONTROL - GOVERNING BODY
—
2022-05-01
current
pecos_ownership
ELLIS, RENEE
ADP OF THE SNF
—
2022-05-01
current
pecos_ownership
EMPIRE CARE CENTERS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-05-01
current
pecos_ownership
EMPIRE CARE CENTERS LLC
ADP OF THE SNF
—
2025-12-31
current
pecos_ownership
GOMEYAC, MELCHOR
OPERATIONAL/MANAGERIAL CONTROL
—
2022-05-01
current
pecos_ownership
HARDY, LEANTHONY
ADP OF THE SNF
—
2022-05-01
current
pecos_ownership
HARWELL, DEBRA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-05-09
current
pecos_ownership
HELLER, SHLOMO
ADP OF THE SNF
—
2022-05-01
current
pecos_ownership
HELLER, SHLOMO
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-01-15
current
pecos_ownership
HOLMES, JEREMIAH
ADP OF THE SNF
—
2023-10-18
current
pecos_ownership
HORTON, NATASHA
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
KARANJA, ANTHONY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-11-01
current
pecos_ownership
MALONE, NIKKI
ADP OF THE SNF
—
2024-01-02
current
pecos_ownership
NUSSBAUM, EPHRAIM
OPERATIONAL/MANAGERIAL CONTROL
—
2022-05-01
current
pecos_ownership
OYEWUMI, OYEBOLA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-26
current
pecos_ownership
SONE-EBELOUE, GLADYS
ADP OF THE SNF
—
2022-05-01
current
pecos_ownership
SPIERS, ALGENUS
ADP OF THE SNF
—
2023-10-23
current
pecos_ownership
SWERDLOFF, ARYEH
ADP OF THE SNF
—
2022-05-01
current
pecos_ownership
TRAYNOR, ROXANNE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-15
current
pecos_ownership
WORKMAN, REBECCA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-12-11
current
pecos_ownership
NETANEL MYEROWITZ
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2022-05-01
ended 2026-05-18
pecos_ownership
EPHRAIM NUSSBAUM
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2022-05-01
ended 2026-05-18
pecos_ownership
SHLOMO HELLER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
25%
2022-05-01
ended 2026-05-18
pecos_ownership
ALGENUS SPIERS
ADP OF THE SNF
—
2023-10-23
ended 2026-05-18
pecos_ownership
ANTHONY KARANJA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-11-01
ended 2026-05-18
pecos_ownership
ARYEH SWERDLOFF
OPERATIONAL/MANAGERIAL CONTROL
—
2022-05-01
ended 2026-05-18
pecos_ownership
BARRY DONATH
MANAGING CONTROL - GOVERNING BODY
—
2022-05-01
ended 2026-05-18
pecos_ownership
DEBRA HARWELL
OPERATIONAL/MANAGERIAL CONTROL
—
2022-05-09
ended 2026-05-18
pecos_ownership
GLADYS SONE-EBELOUE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-05-01
ended 2026-05-18
pecos_ownership
JEREMIAH HOLMES
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-18
ended 2026-05-18
pecos_ownership
LEANTHONY HARDY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-05-01
ended 2026-05-18
pecos_ownership
MELCHOR GOMEYAC
ADP OF THE SNF
—
2022-05-01
ended 2026-05-18
pecos_ownership
NATASHA HORTON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
NIKKI MALONE
ADP OF THE SNF
—
2024-01-02
ended 2026-05-18
pecos_ownership
OYEBOLA OYEWUMI
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-26
ended 2026-05-18
pecos_ownership
REBECCA WORKMAN
ADP OF THE SNF
—
2023-12-11
ended 2026-05-18
pecos_ownership
RENEE ELLIS
ADP OF THE SNF
—
2022-05-01
ended 2026-05-18
pecos_ownership
ROXANNE TRAYNOR
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-15
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
7
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2025-06-30
$472,273
—
$17,664
—
—
2
—
2024-06-30
$446,542
—
$16,071
—
—
2
—
2023-06-30
$403,797
—
$9,768
—
—
2
—
2022-06-30
$68,606
—
$1,508
—
—
2
—
2022-04-30
$87,438
—
$87,438
—
—
2
—
2022-03-31
$762,365
—
$762,365
—
—
2
—
2021-03-31
$756,007
—
$756,007
—
—
2
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 13067
acs median gross
0
$1,580
2024-12-31
CENSUS_ACS5
county 13067
fmr
0
$1,585
2025-10-01
HUD_USER_FMR
county 13067
acs median gross
1
$1,525
2024-12-31
CENSUS_ACS5
county 13067
fmr
1
$1,660
2025-10-01
HUD_USER_FMR
county 13067
acs median gross
2
$1,712
2024-12-31
CENSUS_ACS5
county 13067
fmr
2
$1,820
2025-10-01
HUD_USER_FMR
county 13067
acs median gross
3
$1,919
2024-12-31
CENSUS_ACS5
county 13067
fmr
3
$2,182
2025-10-01
HUD_USER_FMR
county 13067
acs median gross
4
$2,230
2024-12-31
CENSUS_ACS5
county 13067
fmr
4
$2,605
2025-10-01
HUD_USER_FMR
county 13067
acs median gross
5
$2,231
2024-12-31
CENSUS_ACS5
county 13067
acs median gross
$1,730
2024-12-31
CENSUS_ACS5
county 13067
acs recent mover gross
$1,786
2024-12-31
CENSUS_ACS5
zcta 30106
acs median gross
0
$1,359
2024-12-31
CENSUS_ACS5
zcta 30106
acs median gross
1
$1,381
2024-12-31
CENSUS_ACS5
zcta 30106
acs median gross
2
$1,394
2024-12-31
CENSUS_ACS5
zcta 30106
acs median gross
3
$1,573
2024-12-31
CENSUS_ACS5
zcta 30106
acs median gross
4
$1,240
2024-12-31
CENSUS_ACS5
zcta 30106
acs median gross
5
$1,558
2024-12-31
CENSUS_ACS5
zcta 30106
acs median gross
$1,455
2024-12-31
CENSUS_ACS5
zcta 30106
acs recent mover gross
$1,671
2024-12-31
CENSUS_ACS5
zip 30106
payment standard 110
0
$1,595
2025-10-01
HUD_USER_SAFMR
zip 30106
payment standard 90
0
$1,305
2025-10-01
HUD_USER_SAFMR
zip 30106
safmr
0
$1,450
2025-10-01
HUD_USER_SAFMR
zip 30106
payment standard 110
1
$1,661
2025-10-01
HUD_USER_SAFMR
zip 30106
payment standard 90
1
$1,359
2025-10-01
HUD_USER_SAFMR
zip 30106
safmr
1
$1,510
2025-10-01
HUD_USER_SAFMR
zip 30106
payment standard 110
2
$1,826
2025-10-01
HUD_USER_SAFMR
zip 30106
payment standard 90
2
$1,494
2025-10-01
HUD_USER_SAFMR
zip 30106
safmr
2
$1,660
2025-10-01
HUD_USER_SAFMR
zip 30106
payment standard 110
3
$2,189
2025-10-01
HUD_USER_SAFMR
zip 30106
payment standard 90
3
$1,791
2025-10-01
HUD_USER_SAFMR
zip 30106
safmr
3
$1,990
2025-10-01
HUD_USER_SAFMR
zip 30106
payment standard 110
4
$2,618
2025-10-01
HUD_USER_SAFMR
zip 30106
payment standard 90
4
$2,142
2025-10-01
HUD_USER_SAFMR
zip 30106
safmr
4
$2,380
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.