4490 VIRGINIA LOOP ROAD, MONTGOMERY, AL 36116 · CCN 015228 · chain GNH IRRV TR
Composite
35.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
121
Model
v1.2
Reads as: riskier than 35.4% 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.
ML signals — parallel engine
7
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+23.4 vs natl
GNH IRRV TR
11 facilities
connection
Owner fleet risk far above national
+23.3 vs natl
ARCO KANO IRRV TR
11 facilities
connection
Owner fleet risk far above national
+23.3 vs natl
HWOOD PARTNERS LLC
11 facilities
connection
Owner fleet risk far above national
+22.7 vs natl
ZLOTOWITZ ELIYAHU
10 facilities
connection
Owner fleet risk far above national
+22.2 vs natl
ARABELLA HEALTHCARE MANAGEMENT LLC
11 facilities
connection
Owner fleet risk far above national
+22.1 vs natl
FEIN MIRIAM
11 facilities
connection
Owner fleet risk far above national
+22.1 vs natl
HERTZEL CHAIM
11 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
AL median
National median
National p25–p75
Total nurse
2.91
3.37
3.28
2.90–3.77
RN
0.60
0.43
0.39
0.25–0.58
Weekend total
2.74
3.04
3.11
—
Weekday total
2.98
3.50
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
106.5
2.91
0.60
0.55
1.76
2.74
0.0%
2025Q3
92
103.7
2.88
0.44
0.65
1.80
2.59
0.0%
2025Q2
91
105.2
2.83
0.36
0.67
1.79
2.62
0.0%
2025Q1
90
97.8
2.71
0.41
0.63
1.67
2.55
0.0%
2024Q4
92
89.9
3.08
0.48
0.75
1.85
2.93
0.0%
2024Q3
92
87.0
3.27
0.48
0.77
2.02
3.06
0.0%
2024Q2
91
86.4
3.14
0.35
0.70
2.08
2.78
0.0%
2024Q1
91
87.0
2.83
0.30
0.73
1.80
2.63
0.0%
2023Q4
92
88.8
3.25
0.38
0.56
2.31
3.15
0.0%
2023Q3
92
81.9
2.18
0.28
0.35
1.55
1.82
19.1%
2023Q2
91
90.0
2.71
0.39
0.52
1.80
2.26
61.7%
2023Q1
90
98.2
2.55
0.44
0.38
1.73
2.22
45.6%
2022Q4
92
104.0
2.12
0.33
0.28
1.51
1.67
8.1%
2022Q3
92
111.6
2.44
0.30
0.42
1.72
1.99
11.6%
2022Q2
91
115.1
2.52
0.45
0.41
1.66
1.87
2.4%
2022Q1
90
112.5
2.63
0.37
0.38
1.88
1.94
1.6%
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
34
C × 2D × 21E × 3F × 8
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-07-24
Health · complaint
F0583
Keep residents' personal and medical records private and confidential.
D
2025-09-05
2025-07-24
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-09-05
2025-07-24
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-09-05
2025-07-24
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
2025-09-05
2025-07-24
Health
F0679
Provide activities to meet all resident's needs.
D
2025-09-05
2025-07-24
Health · complaint
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2025-09-05
2025-07-24
Health
F0732
Post nurse staffing information every day.
C
2025-09-05
2025-07-24
Health · complaint
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2025-09-05
2025-07-24
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-09-05
2025-07-24
Health
F0814
Dispose of garbage and refuse properly.
F
2025-09-05
2023-08-30
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
E
2023-10-04
2023-08-30
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-10-04
2023-08-30
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2023-10-04
2023-08-30
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2023-10-04
2023-08-30
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-10-04
2023-01-11
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
C
2023-02-14
2023-01-11
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.
E
2023-02-14
2023-01-11
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-02-14
2023-01-11
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2023-02-14
2023-01-11
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
2023-02-14
2023-01-11
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2023-02-14
2023-01-11
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-02-14
2023-01-11
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-02-14
2023-01-11
Health
F0814
Dispose of garbage and refuse properly.
F
2023-02-14
2023-01-11
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F
2023-02-14
2023-01-11
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-02-14
2023-01-11
Health
F0914
Provide bedrooms that don't allow residents to see each other when privacy is needed.
D
2023-02-14
2021-09-23
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F
2021-10-15
2021-09-23
Health
F0638
Assure that each resident’s assessment is updated at least once every 3 months.
F
2021-10-15
2021-09-23
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
E
2021-10-15
2021-09-23
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
2021-10-15
2021-09-23
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2021-10-15
2021-09-23
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
D
2021-10-15
2021-09-23
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2021-10-15
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
22
Owner
Role
Pct
From
Status
Source
AL 6 PROPCO HOLDING LLC
Individual has financial interest in both related organization and provider
100%
2023-01-01
current
hcris_a_8_1
ARABELLA HEALTH & WELLNESS OF MONTGOMERY PROPCO LLC
5% OR GREATER MORTGAGE INTEREST
—
2023-08-25
current
pecos_ownership
ARABELLA HEALTHCARE MANAGEMENT LLC
ADP OF THE SNF
—
2025-03-17
current
pecos_ownership
ARABELLA HEALTHCARE MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-08-25
current
pecos_ownership
ARCO KANO IRRV TR
ADP OF THE SNF
—
2024-03-04
current
pecos_ownership
AZZAM, MOHANNAD
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-24
current
pecos_ownership
FEIN, MIRIAM
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-03-17
current
pecos_ownership
GNH IRRV TR
ADP OF THE SNF
—
2024-03-04
current
pecos_ownership
HAXTON, MEGHAN
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
HERTZEL, CHAIM
OPERATIONAL/MANAGERIAL CONTROL
—
2023-08-25
current
pecos_ownership
HWOOD PARTNERS LLC
ADP OF THE SNF
—
2024-03-04
current
pecos_ownership
ZLOTOWITZ, ELIYAHU
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-02
current
pecos_ownership
AL 6 PROPCO HOLDING LLC
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
AL 6 PROPCO HOLDING LLC
Individual has financial interest in both related organization and provider
100%
2019-12-16
ended 2020-12-31
hcris_a_8_1
AL 6 PROPCO HOLDING LLC
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
ARABELLA AL 600 OPCO LP
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-08-25
ended 2026-05-18
pecos_ownership
HWOOD PARTNERS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
87%
2023-08-25
ended 2026-05-18
pecos_ownership
ARCO KANO IRRV TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
43%
2023-08-25
ended 2026-05-18
pecos_ownership
GNH IRRV TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
43%
2023-08-25
ended 2026-05-18
pecos_ownership
CHAIM HERTZEL
OPERATIONAL/MANAGERIAL CONTROL
—
2023-08-25
ended 2026-05-18
pecos_ownership
MEGHAN HAXTON
ADP OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
MOHANNAD AZZAM
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-24
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
2023-08-24
$625,521
—
—
—
—
2
propco
2022-12-31
$586,420
—
—
—
—
2
propco
2021-12-31
$586,420
—
—
—
—
2
propco
2020-12-31
$530,188
—
—
—
—
2
propco
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
34
Geo
Kind
BR
Amount
As of
Source
county 01101
acs median gross
0
$865
2024-12-31
CENSUS_ACS5
county 01101
fmr
0
$860
2025-10-01
HUD_USER_FMR
county 01101
acs median gross
1
$890
2024-12-31
CENSUS_ACS5
county 01101
fmr
1
$870
2025-10-01
HUD_USER_FMR
county 01101
acs median gross
2
$1,030
2024-12-31
CENSUS_ACS5
county 01101
fmr
2
$1,016
2025-10-01
HUD_USER_FMR
county 01101
acs median gross
3
$1,204
2024-12-31
CENSUS_ACS5
county 01101
fmr
3
$1,304
2025-10-01
HUD_USER_FMR
county 01101
acs median gross
4
$1,448
2024-12-31
CENSUS_ACS5
county 01101
fmr
4
$1,537
2025-10-01
HUD_USER_FMR
county 01101
acs median gross
5
$1,459
2024-12-31
CENSUS_ACS5
county 01101
acs median gross
$1,092
2024-12-31
CENSUS_ACS5
county 01101
acs recent mover gross
$1,259
2024-12-31
CENSUS_ACS5
zcta 36116
acs median gross
1
$806
2024-12-31
CENSUS_ACS5
zcta 36116
acs median gross
2
$980
2024-12-31
CENSUS_ACS5
zcta 36116
acs median gross
3
$1,195
2024-12-31
CENSUS_ACS5
zcta 36116
acs median gross
4
$1,299
2024-12-31
CENSUS_ACS5
zcta 36116
acs median gross
$1,103
2024-12-31
CENSUS_ACS5
zcta 36116
acs recent mover gross
$1,258
2024-12-31
CENSUS_ACS5
zip 36116
payment standard 110
0
$968
2025-10-01
HUD_USER_SAFMR
zip 36116
payment standard 90
0
$792
2025-10-01
HUD_USER_SAFMR
zip 36116
safmr
0
$880
2025-10-01
HUD_USER_SAFMR
zip 36116
payment standard 110
1
$979
2025-10-01
HUD_USER_SAFMR
zip 36116
payment standard 90
1
$801
2025-10-01
HUD_USER_SAFMR
zip 36116
safmr
1
$890
2025-10-01
HUD_USER_SAFMR
zip 36116
payment standard 110
2
$1,144
2025-10-01
HUD_USER_SAFMR
zip 36116
payment standard 90
2
$936
2025-10-01
HUD_USER_SAFMR
zip 36116
safmr
2
$1,040
2025-10-01
HUD_USER_SAFMR
zip 36116
payment standard 110
3
$1,474
2025-10-01
HUD_USER_SAFMR
zip 36116
payment standard 90
3
$1,206
2025-10-01
HUD_USER_SAFMR
zip 36116
safmr
3
$1,340
2025-10-01
HUD_USER_SAFMR
zip 36116
payment standard 110
4
$1,727
2025-10-01
HUD_USER_SAFMR
zip 36116
payment standard 90
4
$1,413
2025-10-01
HUD_USER_SAFMR
zip 36116
safmr
4
$1,570
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.