Reads as: riskier than 61.7% 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.
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
3.33
3.02
3.28
2.90–3.77
RN
0.33
0.26
0.39
0.25–0.58
Weekend total
2.76
2.76
3.11
—
Weekday total
3.55
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
114.8
3.33
0.33
1.00
2.00
2.76
0.0%
2025Q3
92
112.3
3.33
0.40
1.04
1.89
2.74
0.0%
2025Q2
91
112.7
3.21
0.30
1.11
1.80
2.67
0.0%
2025Q1
90
117.8
3.10
0.28
1.06
1.75
2.60
0.0%
2024Q4
92
118.6
3.00
0.24
1.05
1.71
2.46
0.0%
2024Q3
92
118.4
3.14
0.26
1.01
1.87
2.65
0.0%
2024Q2
91
118.0
3.27
0.30
1.07
1.91
2.75
0.0%
2024Q1
91
115.0
3.43
0.32
1.10
2.01
2.99
0.0%
2023Q4
92
115.5
3.29
0.33
1.02
1.94
2.87
0.0%
2023Q3
92
117.0
3.29
0.38
1.01
1.90
2.85
0.0%
2023Q2
91
111.0
3.47
0.33
1.17
1.97
2.92
0.0%
2023Q1
90
116.9
3.03
0.30
1.11
1.62
2.45
0.0%
2022Q4
92
115.5
3.03
0.24
1.15
1.64
2.49
0.0%
2022Q3
92
113.8
3.05
0.24
1.19
1.62
2.51
0.0%
2022Q2
91
115.0
2.86
0.16
1.18
1.52
2.39
0.0%
2022Q1
90
108.1
2.64
0.09
1.17
1.38
2.11
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
2025-07-11
2025-06-12
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.
D
2025-07-11
2025-06-12
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.
G
2025-05-29
2025-06-12
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2025-05-29
2025-06-12
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-07-11
2024-01-04
Health · complaint
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2024-02-09
2024-01-04
Health · complaint
F0622
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
D
2024-02-09
2024-01-04
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
2024-02-09
2024-01-04
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
2024-02-09
2024-01-04
Health · complaint
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
2024-02-09
2024-01-04
Health · complaint
F0880
Provide and implement an infection prevention and control program.
F
2024-02-09
2022-06-16
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2022-07-31
2022-06-16
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.
L
2022-07-31
2022-06-16
Health
F0641
Ensure each resident receives an accurate assessment.
D
2022-07-31
2022-06-16
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
2022-07-31
2022-06-16
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-07-31
2022-06-16
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-07-31
2022-06-16
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2022-07-31
2022-06-16
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
L
2022-07-31
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
11
Owner
Role
Pct
From
Status
Source
GRANT, ANTHONY
W-2 MANAGING EMPLOYEE
—
2019-12-29
current
pecos_ownership
PRUITT, NEIL
CORPORATE DIRECTOR
—
2015-02-03
current
pecos_ownership
ANTHONY GRANT
W-2 MANAGING EMPLOYEE
100%
2019-12-29
ended 2026-05-18
pecos_ownership
PRUITTHEALTH INC
OTHER
100%
2015-02-03
ended 2026-05-18
pecos_ownership
UHS-PRUITT HOLDINGS, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2015-02-03
ended 2026-05-18
pecos_ownership
UNITED HEALTH SERVICES INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2015-02-03
ended 2026-05-18
pecos_ownership
UNITED HEALTH SERVICES OF GEORGIA, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
99%
2015-02-03
ended 2026-05-18
pecos_ownership
NEIL L PRUITT JR TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
35%
2015-02-03
ended 2026-05-18
pecos_ownership
LISA P HAMBY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
29%
2015-02-03
ended 2026-05-18
pecos_ownership
J PAIGE PRUITT TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
26%
2015-02-03
ended 2026-05-18
pecos_ownership
NEIL PRUITT
CORPORATE OFFICER
—
2015-02-03
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2025-06-30
$2,483,924
$385,744
$369,266
$686,813
$345,343
9
—
2024-06-30
$2,970,816
$585,003
$390,203
$687,917
$435,381
9
—
2023-06-30
$2,641,876
$572,160
$376,623
$640,842
$491,049
9
—
2022-06-30
$2,404,732
$372,161
$382,250
$583,218
$602,283
9
—
2021-06-30
$2,067,145
$355,304
$304,943
$648,643
$381,973
7
—
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
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 30306
acs median gross
0
$1,090
2024-12-31
CENSUS_ACS5
zcta 30306
acs median gross
1
$1,725
2024-12-31
CENSUS_ACS5
zcta 30306
acs median gross
2
$1,969
2024-12-31
CENSUS_ACS5
zcta 30306
acs median gross
3
$3,074
2024-12-31
CENSUS_ACS5
zcta 30306
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 30306
acs median gross
$1,833
2024-12-31
CENSUS_ACS5
zcta 30306
acs recent mover gross
$1,922
2024-12-31
CENSUS_ACS5
zip 30306
payment standard 110
0
$2,266
2025-10-01
HUD_USER_SAFMR
zip 30306
payment standard 90
0
$1,854
2025-10-01
HUD_USER_SAFMR
zip 30306
safmr
0
$2,060
2025-10-01
HUD_USER_SAFMR
zip 30306
payment standard 110
1
$2,365
2025-10-01
HUD_USER_SAFMR
zip 30306
payment standard 90
1
$1,935
2025-10-01
HUD_USER_SAFMR
zip 30306
safmr
1
$2,150
2025-10-01
HUD_USER_SAFMR
zip 30306
payment standard 110
2
$2,596
2025-10-01
HUD_USER_SAFMR
zip 30306
payment standard 90
2
$2,124
2025-10-01
HUD_USER_SAFMR
zip 30306
safmr
2
$2,360
2025-10-01
HUD_USER_SAFMR
zip 30306
payment standard 110
3
$3,113
2025-10-01
HUD_USER_SAFMR
zip 30306
payment standard 90
3
$2,547
2025-10-01
HUD_USER_SAFMR
zip 30306
safmr
3
$2,830
2025-10-01
HUD_USER_SAFMR
zip 30306
payment standard 110
4
$3,718
2025-10-01
HUD_USER_SAFMR
zip 30306
payment standard 90
4
$3,042
2025-10-01
HUD_USER_SAFMR
zip 30306
safmr
4
$3,380
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.