Reads as: riskier than 63.8% 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 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
2.44
3.02
3.28
2.90–3.77
RN
0.20
0.26
0.39
0.25–0.58
Weekend total
2.25
2.76
3.11
—
Weekday total
2.52
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
91.8
2.44
0.20
0.74
1.50
2.25
0.0%
2025Q3
92
93.3
2.35
0.28
0.58
1.49
2.09
0.0%
2025Q2
91
89.6
2.48
0.28
0.64
1.55
2.17
0.0%
2025Q1
90
90.6
2.42
0.28
0.71
1.44
2.18
0.0%
2024Q4
92
87.8
2.54
0.39
0.71
1.44
2.27
0.0%
2024Q3
92
90.1
2.52
0.30
0.65
1.56
2.06
0.0%
2024Q2
91
90.0
2.42
0.22
0.57
1.63
2.06
0.0%
2024Q1
91
88.6
2.57
0.21
0.63
1.73
2.14
0.0%
2023Q4
92
83.7
2.96
0.37
0.59
2.00
2.44
0.0%
2023Q3
92
79.6
3.04
0.35
0.59
2.09
2.43
0.0%
2023Q2
91
74.3
3.25
0.46
0.62
2.17
2.49
0.0%
2023Q1
90
79.4
3.04
0.31
0.60
2.12
2.55
0.0%
2022Q4
92
75.7
3.65
0.35
0.65
2.65
3.05
0.0%
2022Q3
92
74.4
3.43
0.40
0.56
2.47
2.82
0.0%
2022Q2
91
72.4
2.98
0.32
0.89
1.77
2.53
0.0%
2022Q1
90
73.6
3.19
0.26
1.06
1.86
2.65
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.
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
17
C × 1D × 11E × 3F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-06-13
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-07-25
2025-06-13
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2025-07-25
2025-06-13
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.
E
2025-07-25
2025-06-13
Health · complaint
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F
2025-07-25
2025-06-13
Health
F0732
Post nurse staffing information every day.
C
2025-07-25
2024-03-06
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.
D
2024-04-30
2023-09-15
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2023-10-31
2023-09-15
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-10-31
2023-09-15
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-10-31
2023-09-15
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2023-10-31
2023-09-15
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.
D
2023-10-31
2023-09-15
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-10-31
2023-09-15
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-10-31
2022-02-11
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2022-03-31
2022-02-11
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
2022-03-31
2022-02-11
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
2022-03-31
2022-02-11
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-03-31
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
13
Owner
Role
Pct
From
Status
Source
BROWN, GEORGE
W-2 MANAGING EMPLOYEE
—
2021-06-24
current
pecos_ownership
JACKSON, CHARLES
W-2 MANAGING EMPLOYEE
—
2021-03-01
current
pecos_ownership
PRUITT, NEIL
OPERATIONAL/MANAGERIAL CONTROL
—
2020-04-22
current
pecos_ownership
CHARLES JACKSON
W-2 MANAGING EMPLOYEE
100%
2021-03-01
ended 2026-05-18
pecos_ownership
GEORGE BROWN
W-2 MANAGING EMPLOYEE
100%
2021-06-24
ended 2026-05-18
pecos_ownership
NEIL PRUITT
CORPORATE DIRECTOR
100%
2020-04-22
ended 2026-05-18
pecos_ownership
PRUITTHEALTH INC
OTHER
100%
2020-08-01
ended 2026-05-18
pecos_ownership
UHS-PRUITT HOLDINGS, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2020-04-22
ended 2026-05-18
pecos_ownership
UNITED HEALTH SERVICES INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2020-04-22
ended 2026-05-18
pecos_ownership
UNITED HEALTH SERVICES OF GEORGIA, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
99%
2020-04-22
ended 2026-05-18
pecos_ownership
NEIL L PRUITT JR TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
38%
2020-04-22
ended 2026-05-18
pecos_ownership
LISA P HAMBY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
32%
2020-04-22
ended 2026-05-18
pecos_ownership
J PAIGE PRUITT TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
29%
2020-04-22
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2025-06-30
$1,549,460
$478,848
$237,942
$348,730
$213,622
9
—
2024-06-30
$1,812,453
$528,524
$239,480
$323,988
$158,803
9
—
2023-06-30
$1,673,187
$427,752
$294,464
$365,144
$253,378
9
—
2022-06-30
$1,354,960
$240,567
$255,894
$312,020
$291,302
9
—
2021-06-30
$1,060,050
$174,787
$183,728
$281,563
$217,433
8
—
2020-07-31
$113,695
$14,043
$21,780
$18,717
$39,731
9
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 13185
acs median gross
0
$837
2024-12-31
CENSUS_ACS5
county 13185
fmr
0
$915
2025-10-01
HUD_USER_FMR
county 13185
acs median gross
1
$758
2024-12-31
CENSUS_ACS5
county 13185
fmr
1
$921
2025-10-01
HUD_USER_FMR
county 13185
acs median gross
2
$956
2024-12-31
CENSUS_ACS5
county 13185
fmr
2
$1,192
2025-10-01
HUD_USER_FMR
county 13185
acs median gross
3
$1,224
2024-12-31
CENSUS_ACS5
county 13185
fmr
3
$1,583
2025-10-01
HUD_USER_FMR
county 13185
acs median gross
4
$1,485
2024-12-31
CENSUS_ACS5
county 13185
fmr
4
$1,915
2025-10-01
HUD_USER_FMR
county 13185
acs median gross
$1,052
2024-12-31
CENSUS_ACS5
county 13185
acs recent mover gross
$1,288
2024-12-31
CENSUS_ACS5
zcta 31602
acs median gross
0
$790
2024-12-31
CENSUS_ACS5
zcta 31602
acs median gross
1
$756
2024-12-31
CENSUS_ACS5
zcta 31602
acs median gross
2
$1,033
2024-12-31
CENSUS_ACS5
zcta 31602
acs median gross
3
$1,297
2024-12-31
CENSUS_ACS5
zcta 31602
acs median gross
4
$1,430
2024-12-31
CENSUS_ACS5
zcta 31602
acs median gross
$1,100
2024-12-31
CENSUS_ACS5
zcta 31602
acs recent mover gross
$1,208
2024-12-31
CENSUS_ACS5
zip 31602
payment standard 110
0
$1,111
2025-10-01
HUD_USER_SAFMR
zip 31602
payment standard 90
0
$909
2025-10-01
HUD_USER_SAFMR
zip 31602
safmr
0
$1,010
2025-10-01
HUD_USER_SAFMR
zip 31602
payment standard 110
1
$1,111
2025-10-01
HUD_USER_SAFMR
zip 31602
payment standard 90
1
$909
2025-10-01
HUD_USER_SAFMR
zip 31602
safmr
1
$1,010
2025-10-01
HUD_USER_SAFMR
zip 31602
payment standard 110
2
$1,441
2025-10-01
HUD_USER_SAFMR
zip 31602
payment standard 90
2
$1,179
2025-10-01
HUD_USER_SAFMR
zip 31602
safmr
2
$1,310
2025-10-01
HUD_USER_SAFMR
zip 31602
payment standard 110
3
$1,914
2025-10-01
HUD_USER_SAFMR
zip 31602
payment standard 90
3
$1,566
2025-10-01
HUD_USER_SAFMR
zip 31602
safmr
3
$1,740
2025-10-01
HUD_USER_SAFMR
zip 31602
payment standard 110
4
$2,310
2025-10-01
HUD_USER_SAFMR
zip 31602
payment standard 90
4
$1,890
2025-10-01
HUD_USER_SAFMR
zip 31602
safmr
4
$2,100
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.