386 BELAIRE DRIVE, HIAWASSEE, GA 30546 · CCN 115701
Composite
97.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
112
Model
v1.2
Reads as: riskier than 97.8% 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 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
2.62
3.02
3.28
2.90–3.77
RN
0.30
0.26
0.39
0.25–0.58
Weekend total
2.69
2.76
3.11
—
Weekday total
2.60
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
90.3
2.62
0.30
0.71
1.61
2.69
0.0%
2025Q3
92
88.8
2.80
0.34
0.65
1.81
2.83
0.0%
2025Q2
91
85.8
2.81
0.30
0.76
1.75
2.68
0.0%
2025Q1
90
88.0
2.73
0.30
0.77
1.65
2.65
0.0%
2024Q4
92
90.1
2.76
0.28
0.70
1.78
2.71
0.0%
2024Q3
92
95.0
2.92
0.34
0.58
2.00
3.00
0.0%
2024Q2
91
104.6
2.90
0.29
0.60
2.02
2.95
0.0%
2024Q1
91
99.6
2.86
0.18
0.72
1.96
2.77
0.0%
2023Q4
92
93.3
2.98
0.26
0.72
1.99
2.81
0.0%
2023Q3
92
91.7
2.93
0.26
0.81
1.85
2.69
0.0%
2023Q2
91
85.5
2.99
0.28
0.90
1.81
2.83
0.0%
2023Q1
90
84.1
2.87
0.20
0.91
1.76
2.68
0.0%
2022Q4
92
78.2
3.22
0.26
1.01
1.95
3.04
0.0%
2022Q3
92
74.5
3.29
0.18
1.09
2.02
3.04
0.0%
2022Q2
91
78.5
2.85
0.14
0.93
1.77
2.76
0.0%
2022Q1
90
82.1
2.90
0.18
0.91
1.81
2.85
0.0%
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.
Allow residents to self-administer drugs if determined clinically appropriate.
D
2026-01-28
2025-12-04
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2026-01-28
2025-12-04
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2026-01-28
2025-12-04
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2026-01-28
2025-12-04
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2026-01-28
2025-12-04
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2026-01-28
2024-06-08
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-07-24
2024-06-08
Health · complaint
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.
F
2024-07-24
2024-06-08
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2024-07-24
2024-06-08
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
J
2024-07-24
2024-06-08
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
J
2024-07-24
2024-06-08
Health · complaint
F0610
Respond appropriately to all alleged violations.
J
2024-07-24
2024-06-08
Health · complaint
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2024-07-24
2024-06-08
Health · complaint
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2024-07-24
2024-06-08
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
2024-07-24
2024-06-08
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-07-24
2024-06-08
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-07-24
2024-06-08
Health · complaint
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
E
2024-07-24
2024-06-08
Health · complaint
F0732
Post nurse staffing information every day.
C
2024-07-24
2024-06-08
Health · complaint
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2024-07-24
2024-06-08
Health · complaint
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
2024-07-24
2024-06-08
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.
E
2024-07-24
2024-06-08
Health · complaint
F0809
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
E
2024-07-24
2024-06-08
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
L
2024-07-24
2024-06-08
Health · complaint
F0909
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
E
2024-07-24
2022-12-15
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-01-29
2022-12-15
Health
F0610
Respond appropriately to all alleged violations.
D
2023-01-29
2022-12-15
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2023-01-29
2022-12-15
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
2023-01-29
2022-12-15
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-01-29
2022-12-15
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
2023-01-29
2022-12-15
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-01-29
2022-12-15
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.
D
2023-01-29
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
20
Owner
Role
Pct
From
Status
Source
BIERSCHENK, KEVIN
ADP OF THE SNF
—
2019-02-25
current
pecos_ownership
DAVENPORT, RICK
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
GARY, THOMAS
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
KEPHART, MICHAEL
TRUSTEE OF THE SNF
—
2016-01-11
current
pecos_ownership
OWENBY, GREG
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
PARIS, DINAH
CORPORATE DIRECTOR
—
2010-05-18
current
pecos_ownership
ROWE, STEVEN
CORPORATE DIRECTOR
—
2015-08-01
current
pecos_ownership
STAHLKUPPE, ROBERT
ADP OF THE SNF
—
2025-02-21
current
pecos_ownership
TOWNSEND, NICHOLAS
TRUSTEE OF THE SNF
—
2016-06-01
current
pecos_ownership
UNION COUNTY HOSPITAL AUTHORITY
ADP OF THE SNF
—
2025-03-03
current
pecos_ownership
UNION COUNTY HOSPITAL AUTHORITY
TRUSTEE OF THE SNF
—
1999-11-01
current
pecos_ownership
NICHOLAS TOWNSEND
CORPORATE DIRECTOR
100%
2016-06-01
ended 2026-05-18
pecos_ownership
DINAH PARIS
CORPORATE DIRECTOR
—
2010-05-18
ended 2026-05-18
pecos_ownership
GREG OWENBY
CORPORATE DIRECTOR
—
2019-01-01
ended 2026-05-18
pecos_ownership
KEVIN BIERSCHENK
ADP OF THE SNF
—
2019-02-25
ended 2026-05-18
pecos_ownership
MICHAEL KEPHART
ADP OF THE SNF
—
2016-01-11
ended 2026-05-18
pecos_ownership
RICK DAVENPORT
CORPORATE DIRECTOR
—
2019-01-01
ended 2026-05-18
pecos_ownership
ROBERT STAHLKUPPE
ADP OF THE SNF
—
2025-02-21
ended 2026-05-18
pecos_ownership
STEVEN ROWE
CORPORATE DIRECTOR
—
2015-08-01
ended 2026-05-18
pecos_ownership
THOMAS GARY
CORPORATE DIRECTOR
—
2019-01-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
29
Geo
Kind
BR
Amount
As of
Source
county 13281
fmr
0
$828
2025-10-01
HUD_USER_FMR
county 13281
acs median gross
1
$730
2024-12-31
CENSUS_ACS5
county 13281
fmr
1
$888
2025-10-01
HUD_USER_FMR
county 13281
acs median gross
2
$688
2024-12-31
CENSUS_ACS5
county 13281
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 13281
acs median gross
3
$831
2024-12-31
CENSUS_ACS5
county 13281
fmr
3
$1,353
2025-10-01
HUD_USER_FMR
county 13281
fmr
4
$1,632
2025-10-01
HUD_USER_FMR
county 13281
acs median gross
$808
2024-12-31
CENSUS_ACS5
county 13281
acs recent mover gross
$820
2024-12-31
CENSUS_ACS5
zcta 30546
acs median gross
1
$767
2024-12-31
CENSUS_ACS5
zcta 30546
acs median gross
2
$961
2024-12-31
CENSUS_ACS5
zcta 30546
acs median gross
3
$836
2024-12-31
CENSUS_ACS5
zcta 30546
acs median gross
$919
2024-12-31
CENSUS_ACS5
zip 30546
payment standard 110
0
$957
2025-10-01
HUD_USER_SAFMR
zip 30546
payment standard 90
0
$783
2025-10-01
HUD_USER_SAFMR
zip 30546
safmr
0
$870
2025-10-01
HUD_USER_SAFMR
zip 30546
payment standard 110
1
$1,023
2025-10-01
HUD_USER_SAFMR
zip 30546
payment standard 90
1
$837
2025-10-01
HUD_USER_SAFMR
zip 30546
safmr
1
$930
2025-10-01
HUD_USER_SAFMR
zip 30546
payment standard 110
2
$1,122
2025-10-01
HUD_USER_SAFMR
zip 30546
payment standard 90
2
$918
2025-10-01
HUD_USER_SAFMR
zip 30546
safmr
2
$1,020
2025-10-01
HUD_USER_SAFMR
zip 30546
payment standard 110
3
$1,562
2025-10-01
HUD_USER_SAFMR
zip 30546
payment standard 90
3
$1,278
2025-10-01
HUD_USER_SAFMR
zip 30546
safmr
3
$1,420
2025-10-01
HUD_USER_SAFMR
zip 30546
payment standard 110
4
$1,881
2025-10-01
HUD_USER_SAFMR
zip 30546
payment standard 90
4
$1,539
2025-10-01
HUD_USER_SAFMR
zip 30546
safmr
4
$1,710
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.