22 MAPLE RIDGE DRIVE S.E., CARTERSVILLE, GA 30120 · CCN 115543 · chain AJOJ HOLDINGS LLC
Composite
70.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
74
Model
v1.2
Reads as: riskier than 70.6% 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
13
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
+27.9 vs natl
3 BEES HOLDINGS LLC
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
SHASAM FAMILY TRUST
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
JOURNEY OX GA MANAGEMENT LLC
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
OMARA JODY
9 facilities
connection
Owner fleet risk far above national
+25.3 vs natl
SILLINGS NIKKI
9 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
3.03
3.02
3.28
2.90–3.77
RN
0.34
0.26
0.39
0.25–0.58
Weekend total
2.62
2.76
3.11
—
Weekday total
3.19
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
71.9
3.03
0.34
0.84
1.85
2.62
0.0%
2025Q3
92
68.9
3.07
0.33
0.99
1.75
2.63
0.0%
2025Q2
91
62.9
3.36
0.29
1.02
2.05
2.94
0.0%
2025Q1
90
64.7
2.83
0.18
0.69
1.97
2.62
1.3%
2024Q4
92
63.1
2.38
0.12
0.45
1.81
2.30
17.0%
2024Q3
92
66.4
3.71
0.19
0.81
2.71
3.02
40.2%
2024Q2
91
67.5
3.48
0.14
0.86
2.47
3.01
40.9%
2024Q1
91
69.0
3.27
0.13
0.84
2.31
2.89
44.1%
2023Q4
92
67.7
3.41
0.27
0.85
2.30
3.29
45.6%
2023Q3
92
68.8
3.39
0.24
0.83
2.31
3.04
51.3%
2023Q2
91
68.4
3.38
0.16
0.86
2.35
3.03
66.9%
2023Q1
90
70.4
3.61
0.14
0.90
2.57
3.13
62.6%
2022Q4
92
68.8
3.51
0.12
0.96
2.44
3.04
47.3%
2022Q3
92
71.2
3.32
0.12
0.87
2.34
2.90
33.9%
2022Q2
91
70.2
3.34
0.10
0.88
2.35
2.95
28.4%
2022Q1
90
66.8
3.09
0.12
0.93
2.04
2.84
20.3%
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.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
E
2026-02-25
2026-01-08
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-02-25
2026-01-08
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F
2026-02-25
2026-01-08
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F
2026-02-25
2024-09-05
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2024-10-20
2024-09-05
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2024-10-20
2024-09-05
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-10-20
2024-09-05
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2024-10-20
2024-09-05
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-10-20
2023-01-08
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
2023-02-02
2023-01-08
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-02-02
2023-01-08
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2023-02-02
2023-01-08
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-02-02
2023-01-08
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-02-02
2023-01-08
Health
F0814
Dispose of garbage and refuse properly.
D
2023-02-02
2023-01-08
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-02-02
2023-01-08
Health
F0908
Keep all essential equipment working safely.
F
2023-02-02
2023-01-08
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
2023-02-02
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
43
Owner
Role
Pct
From
Status
Source
3 BEES HOLDINGS LLC
ADP OF THE SNF
—
2025-06-23
current
pecos_ownership
BEES FAMILY IRREVOCABLE TRUST
ADP OF THE SNF
—
2025-06-23
current
pecos_ownership
BILBO, RICHARD
ADP OF THE SNF
—
2024-11-20
current
pecos_ownership
BLANTON, THOMAS
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
BLUE OCEAN TRUST
ADP OF THE SNF
—
2025-06-23
current
pecos_ownership
CONRAD, CAMERON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
DAVIS, JOSHUA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
FRINKS, TERENCE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
JOHNSON, JENNIFER
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
JONES, ANTONIO
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-18
current
pecos_ownership
JOURNEY OX GA MANAGEMENT LLC
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
MCGUINNESS, BERNARD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
MCGUINNESS, BERNARD
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-09-02
current
pecos_ownership
MOODY, SARAH
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
OMARA, JODY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
SHASAM FAMILY TRUST
ADP OF THE SNF
—
2025-06-23
current
pecos_ownership
SHASAM HOLDINGS LLC
ADP OF THE SNF
—
2025-06-23
current
pecos_ownership
SILLINGS, NIKKI
ADP OF THE SNF
—
2025-01-13
current
pecos_ownership
TRAMMELL, MATTHEW
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
WILLIAMSON, TIM
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%
2021-01-01
ended 2021-12-31
hcris_a_8_1
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
JOURNEY OX GA HEALTHCARE HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2024-11-01
ended 2026-05-18
pecos_ownership
JOURNEY OX OF GA LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-11-01
ended 2026-05-18
pecos_ownership
AJOJ HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2024-11-01
ended 2026-05-18
pecos_ownership
SHASAM HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2024-11-01
ended 2026-05-18
pecos_ownership
3 BEES HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2024-11-01
ended 2026-05-18
pecos_ownership
SHASAM FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
32%
2024-11-01
ended 2026-05-18
pecos_ownership
BEES FAMILY IRREVOCABLE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
32%
2024-11-01
ended 2026-05-18
pecos_ownership
BLUE OCEAN TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
32%
2024-11-01
ended 2026-05-18
pecos_ownership
BERNARD MCGUINNESS
5% OR GREATER 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
CAMERON CONRAD
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
JOSHUA DAVIS
ADP OF THE SNF
—
2024-11-01
ended 2026-05-18
pecos_ownership
MATTHEW TRAMMELL
ADP OF THE SNF
—
2024-11-01
ended 2026-05-18
pecos_ownership
NIKKI SILLINGS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-13
ended 2026-05-18
pecos_ownership
RICHARD BILBO
ADP OF THE SNF
—
2024-11-20
ended 2026-05-18
pecos_ownership
SARAH MOODY
ADP OF THE SNF
—
2024-11-01
ended 2026-05-18
pecos_ownership
TERENCE FRINKS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
THOMAS BLANTON
ADP OF THE SNF
—
2024-11-01
ended 2026-05-18
pecos_ownership
TIM WILLIAMSON
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
$185,097
—
—
—
—
2
—
2022-12-31
$279,474
—
—
—
—
2
—
2021-12-31
$1,225,966
—
—
—
—
4
propco
2020-12-31
$1,620,844
—
—
—
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 13015
acs median gross
0
$955
2024-12-31
CENSUS_ACS5
county 13015
fmr
0
$1,585
2025-10-01
HUD_USER_FMR
county 13015
acs median gross
1
$1,329
2024-12-31
CENSUS_ACS5
county 13015
fmr
1
$1,660
2025-10-01
HUD_USER_FMR
county 13015
acs median gross
2
$1,156
2024-12-31
CENSUS_ACS5
county 13015
fmr
2
$1,820
2025-10-01
HUD_USER_FMR
county 13015
acs median gross
3
$1,369
2024-12-31
CENSUS_ACS5
county 13015
fmr
3
$2,182
2025-10-01
HUD_USER_FMR
county 13015
acs median gross
4
$1,811
2024-12-31
CENSUS_ACS5
county 13015
fmr
4
$2,605
2025-10-01
HUD_USER_FMR
county 13015
acs median gross
5
$2,694
2024-12-31
CENSUS_ACS5
county 13015
acs median gross
$1,268
2024-12-31
CENSUS_ACS5
county 13015
acs recent mover gross
$1,718
2024-12-31
CENSUS_ACS5
zcta 30120
acs median gross
0
$973
2024-12-31
CENSUS_ACS5
zcta 30120
acs median gross
1
$957
2024-12-31
CENSUS_ACS5
zcta 30120
acs median gross
2
$1,109
2024-12-31
CENSUS_ACS5
zcta 30120
acs median gross
3
$1,444
2024-12-31
CENSUS_ACS5
zcta 30120
acs median gross
4
$2,495
2024-12-31
CENSUS_ACS5
zcta 30120
acs median gross
$1,232
2024-12-31
CENSUS_ACS5
zcta 30120
acs recent mover gross
$1,927
2024-12-31
CENSUS_ACS5
zip 30120
payment standard 110
0
$1,309
2025-10-01
HUD_USER_SAFMR
zip 30120
payment standard 90
0
$1,071
2025-10-01
HUD_USER_SAFMR
zip 30120
safmr
0
$1,190
2025-10-01
HUD_USER_SAFMR
zip 30120
payment standard 110
1
$1,375
2025-10-01
HUD_USER_SAFMR
zip 30120
payment standard 90
1
$1,125
2025-10-01
HUD_USER_SAFMR
zip 30120
safmr
1
$1,250
2025-10-01
HUD_USER_SAFMR
zip 30120
payment standard 110
2
$1,507
2025-10-01
HUD_USER_SAFMR
zip 30120
payment standard 90
2
$1,233
2025-10-01
HUD_USER_SAFMR
zip 30120
safmr
2
$1,370
2025-10-01
HUD_USER_SAFMR
zip 30120
payment standard 110
3
$1,804
2025-10-01
HUD_USER_SAFMR
zip 30120
payment standard 90
3
$1,476
2025-10-01
HUD_USER_SAFMR
zip 30120
safmr
3
$1,640
2025-10-01
HUD_USER_SAFMR
zip 30120
payment standard 110
4
$2,156
2025-10-01
HUD_USER_SAFMR
zip 30120
payment standard 90
4
$1,764
2025-10-01
HUD_USER_SAFMR
zip 30120
safmr
4
$1,960
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.