Reads as: riskier than 80.7% 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
2.68
3.02
3.28
2.90–3.77
RN
0.43
0.26
0.39
0.25–0.58
Weekend total
2.37
2.76
3.11
—
Weekday total
2.80
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
54.6
2.68
0.43
0.43
1.81
2.37
0.0%
2025Q3
92
53.7
2.83
0.40
0.65
1.78
2.60
0.0%
2025Q2
91
55.1
2.91
0.26
0.83
1.82
2.64
0.0%
2025Q1
90
56.0
2.70
0.22
0.72
1.77
2.55
18.0%
2024Q4
92
54.2
1.80
0.14
0.46
1.21
1.53
18.7%
2024Q3
92
53.0
1.45
0.25
0.21
0.99
1.03
34.7%
2024Q2
91
57.7
2.90
0.40
0.35
2.15
2.47
65.5%
2024Q1
91
58.5
2.71
0.39
0.56
1.75
2.26
73.3%
2023Q4
92
50.8
2.63
0.28
0.54
1.82
1.92
73.9%
2023Q3
92
52.8
2.39
0.28
0.50
1.61
2.02
85.5%
2023Q2
91
54.0
3.29
0.35
0.62
2.31
2.97
91.6%
2023Q1
90
53.4
2.84
0.44
0.48
1.92
2.51
88.7%
2022Q4
92
48.3
2.69
0.49
0.58
1.63
1.85
86.4%
2022Q3
92
52.0
3.65
0.50
0.86
2.29
3.22
89.1%
2022Q2
91
55.1
3.34
0.24
0.89
2.22
2.94
62.5%
2022Q1
90
53.2
3.98
0.21
1.21
2.56
3.43
56.5%
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.
Keep residents' personal and medical records private and confidential.
D
2026-01-14
2025-11-21
Health
F0627
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
D
2026-01-14
2025-11-21
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2026-01-14
2025-11-21
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-01-14
2025-11-21
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
2026-01-14
2025-11-21
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-01-14
2025-11-21
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-01-14
2025-11-21
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-01-14
2025-11-21
Health
F0880
Provide and implement an infection prevention and control program.
F
2026-01-14
2025-11-21
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2026-01-14
2024-11-27
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2025-01-10
2024-07-21
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-09-04
2024-07-21
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
2024-09-04
2024-07-21
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-09-04
2024-07-21
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.
F
2024-09-04
2024-07-21
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
2024-09-04
2024-07-21
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
2024-09-04
2024-07-21
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
E
2024-09-04
2024-07-21
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-09-04
2024-07-21
Health
F0908
Keep all essential equipment working safely.
F
2024-09-04
2024-01-29
Health · complaint
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
2024-03-26
2024-01-29
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-03-26
2024-01-29
Health · complaint
F0742
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
D
2024-03-26
2022-05-22
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2022-06-24
2022-05-22
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
B
2022-06-24
2022-05-22
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
G
2022-06-24
2022-05-22
Health
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
2022-06-24
2022-05-22
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
G
2022-06-24
2022-05-22
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-06-24
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
37
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
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-20
current
pecos_ownership
BLUE OCEAN TRUST
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
CLARKE, BO
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
CONRAD, CAMERON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
DYKES, MICHAEL
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
FRINKS, TERENCE
ADP OF THE SNF
—
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
MCGUINNESS, BERNARD
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-10-01
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
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
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-13
current
pecos_ownership
SPRINGS, ERICA
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
SUMMIT JASPER LLC
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
TRAMMELL, MATTHEW
ADP OF THE SNF
—
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
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-18
ended 2026-05-18
pecos_ownership
BO CLARKE
ADP OF THE SNF
—
2024-11-01
ended 2026-05-18
pecos_ownership
CAMERON CONRAD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
ERICA SPRINGS
ADP OF THE SNF
—
2024-11-01
ended 2026-05-18
pecos_ownership
JENNIFER JOHNSON
OPERATIONAL/MANAGERIAL CONTROL
—
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
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
MICHAEL DYKES
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
RICHARD BILBO
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-20
ended 2026-05-18
pecos_ownership
TERENCE FRINKS
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
$142,701
—
—
—
—
2
—
2022-12-31
$210,757
—
—
—
—
2
—
2021-12-31
$946,085
—
—
—
—
4
propco
2020-12-31
$1,014,430
—
—
—
—
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
31
Geo
Kind
BR
Amount
As of
Source
county 13227
fmr
0
$1,585
2025-10-01
HUD_USER_FMR
county 13227
acs median gross
1
$846
2024-12-31
CENSUS_ACS5
county 13227
fmr
1
$1,660
2025-10-01
HUD_USER_FMR
county 13227
acs median gross
2
$966
2024-12-31
CENSUS_ACS5
county 13227
fmr
2
$1,820
2025-10-01
HUD_USER_FMR
county 13227
acs median gross
3
$1,244
2024-12-31
CENSUS_ACS5
county 13227
fmr
3
$2,182
2025-10-01
HUD_USER_FMR
county 13227
acs median gross
4
$1,566
2024-12-31
CENSUS_ACS5
county 13227
fmr
4
$2,605
2025-10-01
HUD_USER_FMR
county 13227
acs median gross
5
$3,042
2024-12-31
CENSUS_ACS5
county 13227
acs median gross
$1,136
2024-12-31
CENSUS_ACS5
zcta 30143
acs median gross
1
$826
2024-12-31
CENSUS_ACS5
zcta 30143
acs median gross
2
$954
2024-12-31
CENSUS_ACS5
zcta 30143
acs median gross
3
$1,538
2024-12-31
CENSUS_ACS5
zcta 30143
acs median gross
4
$1,687
2024-12-31
CENSUS_ACS5
zcta 30143
acs median gross
$1,152
2024-12-31
CENSUS_ACS5
zip 30143
payment standard 110
0
$1,221
2025-10-01
HUD_USER_SAFMR
zip 30143
payment standard 90
0
$999
2025-10-01
HUD_USER_SAFMR
zip 30143
safmr
0
$1,110
2025-10-01
HUD_USER_SAFMR
zip 30143
payment standard 110
1
$1,276
2025-10-01
HUD_USER_SAFMR
zip 30143
payment standard 90
1
$1,044
2025-10-01
HUD_USER_SAFMR
zip 30143
safmr
1
$1,160
2025-10-01
HUD_USER_SAFMR
zip 30143
payment standard 110
2
$1,397
2025-10-01
HUD_USER_SAFMR
zip 30143
payment standard 90
2
$1,143
2025-10-01
HUD_USER_SAFMR
zip 30143
safmr
2
$1,270
2025-10-01
HUD_USER_SAFMR
zip 30143
payment standard 110
3
$1,672
2025-10-01
HUD_USER_SAFMR
zip 30143
payment standard 90
3
$1,368
2025-10-01
HUD_USER_SAFMR
zip 30143
safmr
3
$1,520
2025-10-01
HUD_USER_SAFMR
zip 30143
payment standard 110
4
$2,002
2025-10-01
HUD_USER_SAFMR
zip 30143
payment standard 90
4
$1,638
2025-10-01
HUD_USER_SAFMR
zip 30143
safmr
4
$1,820
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.