Reads as: riskier than 34.3% 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
GA median
National median
National p25–p75
Total nurse
3.39
3.02
3.28
2.90–3.77
RN
0.21
0.26
0.39
0.25–0.58
Weekend total
3.15
2.76
3.11
—
Weekday total
3.48
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
91.9
3.39
0.21
1.04
2.13
3.15
0.0%
2025Q3
92
95.6
3.43
0.40
1.13
1.91
3.01
0.0%
2025Q2
91
95.0
3.40
0.15
1.19
2.06
3.13
0.0%
2025Q1
90
93.3
3.60
0.46
1.18
1.96
3.20
0.0%
2024Q4
92
91.8
3.22
0.30
1.05
1.87
3.04
0.0%
2024Q3
92
92.9
3.19
0.24
1.08
1.88
2.96
0.0%
2024Q2
91
91.4
2.34
0.21
0.40
1.73
2.19
0.0%
2024Q1
91
93.1
3.28
0.30
1.06
1.91
3.03
0.0%
2023Q4
92
96.0
3.36
0.32
1.12
1.93
3.01
0.0%
2023Q3
92
94.0
3.31
0.37
1.04
1.89
2.93
0.0%
2023Q2
91
95.4
3.48
0.52
1.05
1.91
2.92
0.0%
2023Q1
90
97.1
3.29
0.57
0.91
1.81
2.76
0.0%
2022Q4
92
96.9
3.06
0.47
0.92
1.68
2.74
0.0%
2022Q3
92
94.3
3.09
0.37
0.97
1.75
2.74
0.0%
2022Q2
91
91.4
3.21
0.45
0.97
1.80
2.80
0.0%
2022Q1
90
83.2
3.24
0.31
0.94
1.99
2.90
2.4%
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.
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
11
D × 11
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-09-22
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.
D
2025-11-21
2025-04-25
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
D
2025-06-08
2025-04-25
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-06-08
2024-01-19
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-02-22
2024-01-19
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-02-22
2023-03-07
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2023-04-20
2023-03-07
Health
F0660
Plan the resident's discharge to meet the resident's goals and needs.
D
2023-04-20
2023-03-07
Health
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2023-04-20
2023-03-07
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-04-20
2023-03-07
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-04-20
2023-03-07
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-04-20
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%
2022-04-01
current
pecos_ownership
AKERS, BAREN
W-2 MANAGING EMPLOYEE
—
2022-04-01
current
pecos_ownership
ENGLANDER, DAVID
CORPORATE OFFICER
—
2022-04-01
current
pecos_ownership
LEIBOWITZ, CHAIM
CORPORATE OFFICER
—
2022-04-01
current
pecos_ownership
CL 2022 IRRV TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2022-04-01
ended 2026-05-18
pecos_ownership
DE 2021 IRRV TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2022-04-01
ended 2026-05-18
pecos_ownership
BAREN AKERS
W-2 MANAGING EMPLOYEE
—
2022-04-01
ended 2026-05-18
pecos_ownership
CHAIM LEIBOWITZ
CORPORATE OFFICER
—
2022-04-01
ended 2026-05-18
pecos_ownership
DAVID ENGLANDER
CORPORATE OFFICER
—
2022-04-01
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
$363,317
—
$363,317
—
—
2
—
2022-03-31
$434,869
—
$434,869
—
—
3
—
2021-06-30
$579,296
—
$579,296
—
—
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 13089
acs median gross
0
$1,461
2024-12-31
CENSUS_ACS5
county 13089
fmr
0
$1,585
2025-10-01
HUD_USER_FMR
county 13089
acs median gross
1
$1,530
2024-12-31
CENSUS_ACS5
county 13089
fmr
1
$1,660
2025-10-01
HUD_USER_FMR
county 13089
acs median gross
2
$1,708
2024-12-31
CENSUS_ACS5
county 13089
fmr
2
$1,820
2025-10-01
HUD_USER_FMR
county 13089
acs median gross
3
$1,811
2024-12-31
CENSUS_ACS5
county 13089
fmr
3
$2,182
2025-10-01
HUD_USER_FMR
county 13089
acs median gross
4
$2,008
2024-12-31
CENSUS_ACS5
county 13089
fmr
4
$2,605
2025-10-01
HUD_USER_FMR
county 13089
acs median gross
5
$2,258
2024-12-31
CENSUS_ACS5
county 13089
acs median gross
$1,692
2024-12-31
CENSUS_ACS5
county 13089
acs recent mover gross
$1,792
2024-12-31
CENSUS_ACS5
zcta 30084
acs median gross
1
$1,578
2024-12-31
CENSUS_ACS5
zcta 30084
acs median gross
2
$1,665
2024-12-31
CENSUS_ACS5
zcta 30084
acs median gross
3
$1,924
2024-12-31
CENSUS_ACS5
zcta 30084
acs median gross
4
$2,325
2024-12-31
CENSUS_ACS5
zcta 30084
acs median gross
5
$2,197
2024-12-31
CENSUS_ACS5
zcta 30084
acs median gross
$1,751
2024-12-31
CENSUS_ACS5
zcta 30084
acs recent mover gross
$1,842
2024-12-31
CENSUS_ACS5
zip 30084
payment standard 110
0
$1,793
2025-10-01
HUD_USER_SAFMR
zip 30084
payment standard 90
0
$1,467
2025-10-01
HUD_USER_SAFMR
zip 30084
safmr
0
$1,630
2025-10-01
HUD_USER_SAFMR
zip 30084
payment standard 110
1
$1,881
2025-10-01
HUD_USER_SAFMR
zip 30084
payment standard 90
1
$1,539
2025-10-01
HUD_USER_SAFMR
zip 30084
safmr
1
$1,710
2025-10-01
HUD_USER_SAFMR
zip 30084
payment standard 110
2
$2,057
2025-10-01
HUD_USER_SAFMR
zip 30084
payment standard 90
2
$1,683
2025-10-01
HUD_USER_SAFMR
zip 30084
safmr
2
$1,870
2025-10-01
HUD_USER_SAFMR
zip 30084
payment standard 110
3
$2,464
2025-10-01
HUD_USER_SAFMR
zip 30084
payment standard 90
3
$2,016
2025-10-01
HUD_USER_SAFMR
zip 30084
safmr
3
$2,240
2025-10-01
HUD_USER_SAFMR
zip 30084
payment standard 110
4
$2,948
2025-10-01
HUD_USER_SAFMR
zip 30084
payment standard 90
4
$2,412
2025-10-01
HUD_USER_SAFMR
zip 30084
safmr
4
$2,680
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.