Reads as: riskier than 30.6% 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.
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
2.40
3.02
3.28
2.90–3.77
RN
0.27
0.26
0.39
0.25–0.58
Weekend total
2.27
2.76
3.11
—
Weekday total
2.45
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
95.7
2.40
0.27
0.41
1.73
2.27
0.0%
2025Q3
92
89.8
2.48
0.20
0.48
1.80
2.31
0.0%
2025Q2
91
91.5
2.54
0.17
0.53
1.85
2.35
0.0%
2025Q1
90
94.1
2.43
0.13
0.50
1.79
2.30
0.0%
2024Q4
92
95.4
2.50
0.15
0.47
1.88
2.27
0.0%
2024Q3
92
90.2
2.56
0.12
0.54
1.91
2.39
0.0%
2024Q2
91
89.9
2.51
0.19
0.69
1.63
2.23
0.0%
2024Q1
91
91.5
2.67
0.18
0.76
1.73
2.38
0.0%
2023Q4
92
89.9
2.93
0.18
0.80
1.95
2.71
0.5%
2023Q3
92
88.7
2.74
0.14
0.74
1.86
2.52
9.5%
2023Q2
91
85.0
2.68
0.10
0.70
1.88
2.54
15.1%
2023Q1
90
78.1
2.83
0.05
0.85
1.92
2.58
22.8%
2022Q4
92
79.0
2.70
0.03
0.86
1.81
2.42
44.4%
2022Q3
92
78.7
2.96
0.08
0.93
1.94
2.77
40.1%
2022Q2
91
83.6
2.95
0.11
0.99
1.85
2.71
32.8%
2022Q1
90
84.6
3.17
0.09
0.97
2.12
3.01
18.9%
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 × 4E × 1F × 4J × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-01-16
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2026-02-18
2026-01-16
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2026-02-18
2026-01-16
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
J
2026-02-18
2025-12-11
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.
E
2026-02-18
2025-12-11
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
D
2026-02-18
2025-06-12
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-07-25
2024-08-25
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-09-26
2024-08-25
Health
F0814
Dispose of garbage and refuse properly.
F
2024-09-26
2023-02-26
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-04-10
2023-02-26
Health
F0814
Dispose of garbage and refuse properly.
F
2023-04-10
2021-09-02
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.
F
2021-09-30
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
31
Owner
Role
Pct
From
Status
Source
BUWEE-KWAH, PRISCILLA
ADP OF THE SNF
—
2025-04-30
current
pecos_ownership
BUWEE-KWAH, PRISCILLA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-05-01
current
pecos_ownership
CABLE, PAUL
CORPORATE DIRECTOR
—
2003-03-14
current
pecos_ownership
CLINICAL SERVICES INC
ADP OF THE SNF
—
2025-07-01
current
pecos_ownership
CLINICAL SERVICES INC
OPERATIONAL/MANAGERIAL CONTROL
—
2016-12-12
current
pecos_ownership
COBB, LESLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2018-06-29
current
pecos_ownership
COMMUNITY ANCILLARY SERVICES INC
ADP OF THE SNF
—
2016-12-12
current
pecos_ownership
DAVIS, GREGORY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-09-01
current
pecos_ownership
DENNIS, KATHRYN
CORPORATE DIRECTOR
—
2015-11-17
current
pecos_ownership
MEDLEY, MICHELLE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
NICHOLS, JOSEPH
CORPORATE DIRECTOR
—
2024-11-19
current
pecos_ownership
PATEL, MAULIKKUMAR
ADP OF THE SNF
—
2025-03-07
current
pecos_ownership
ROLLINS, RONNIE
CORPORATE DIRECTOR
—
2003-03-14
current
pecos_ownership
SHEFFIELD, KIMBERLY
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-04-10
current
pecos_ownership
SYSTEMS ADMINISTRATIVE SERVICES LLC
ADP OF THE SNF
—
2016-12-12
current
pecos_ownership
WALL, JOSEPH
CORPORATE DIRECTOR
—
2003-03-14
current
pecos_ownership
WARNOCK, RALPH
CORPORATE DIRECTOR
—
2020-06-23
current
pecos_ownership
COMMUNITY HEALTH SYSTEMS INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2016-12-12
ended 2026-05-18
pecos_ownership
HEALTH SCHOLARSHIPS INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2016-12-12
ended 2026-05-18
pecos_ownership
GREGORY DAVIS
OPERATIONAL/MANAGERIAL CONTROL
—
2023-09-01
ended 2026-05-18
pecos_ownership
JOSEPH NICHOLS
CORPORATE DIRECTOR
—
2024-11-19
ended 2026-05-18
pecos_ownership
JOSEPH WALL
CORPORATE DIRECTOR
—
2003-03-14
ended 2026-05-18
pecos_ownership
KATHRYN DENNIS
CORPORATE DIRECTOR
—
2015-11-17
ended 2026-05-18
pecos_ownership
LESLEY COBB
OPERATIONAL/MANAGERIAL CONTROL
—
2018-06-29
ended 2026-05-18
pecos_ownership
MAULIKKUMAR PATEL
ADP OF THE SNF
—
2025-03-07
ended 2026-05-18
pecos_ownership
MICHELLE MEDLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
PAUL CABLE
CORPORATE DIRECTOR
—
2003-03-14
ended 2026-05-18
pecos_ownership
PRISCILLA BUWEE-KWAH
ADP OF THE SNF
—
2025-04-30
ended 2026-05-18
pecos_ownership
PRISCILLA BUWEE-KWAH
OPERATIONAL/MANAGERIAL CONTROL
—
2023-05-01
ended 2026-05-18
pecos_ownership
RALPH WARNOCK
CORPORATE DIRECTOR
—
2020-06-23
ended 2026-05-18
pecos_ownership
RONNIE ROLLINS
CORPORATE DIRECTOR
—
2003-03-14
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
$1,667,697
$439
—
$113,462
$31,703
0
—
2024-06-30
$1,590,600
—
—
$177,911
$25,200
0
—
2023-06-30
$1,552,569
—
—
$241,140
$25,200
0
—
2022-06-30
$1,650,136
—
—
$236,703
$25,200
0
—
2021-06-30
$1,351,437
—
—
$172,365
$23,150
0
—
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 13021
acs median gross
0
$828
2024-12-31
CENSUS_ACS5
county 13021
fmr
0
$1,085
2025-10-01
HUD_USER_FMR
county 13021
acs median gross
1
$911
2024-12-31
CENSUS_ACS5
county 13021
fmr
1
$1,158
2025-10-01
HUD_USER_FMR
county 13021
acs median gross
2
$1,074
2024-12-31
CENSUS_ACS5
county 13021
fmr
2
$1,307
2025-10-01
HUD_USER_FMR
county 13021
acs median gross
3
$1,118
2024-12-31
CENSUS_ACS5
county 13021
fmr
3
$1,567
2025-10-01
HUD_USER_FMR
county 13021
acs median gross
4
$1,269
2024-12-31
CENSUS_ACS5
county 13021
fmr
4
$1,731
2025-10-01
HUD_USER_FMR
county 13021
acs median gross
5
$1,418
2024-12-31
CENSUS_ACS5
county 13021
acs median gross
$1,066
2024-12-31
CENSUS_ACS5
county 13021
acs recent mover gross
$1,213
2024-12-31
CENSUS_ACS5
zcta 31206
acs median gross
1
$565
2024-12-31
CENSUS_ACS5
zcta 31206
acs median gross
2
$686
2024-12-31
CENSUS_ACS5
zcta 31206
acs median gross
3
$1,022
2024-12-31
CENSUS_ACS5
zcta 31206
acs median gross
4
$1,173
2024-12-31
CENSUS_ACS5
zcta 31206
acs median gross
$923
2024-12-31
CENSUS_ACS5
zcta 31206
acs recent mover gross
$1,184
2024-12-31
CENSUS_ACS5
zip 31206
payment standard 110
0
$1,100
2025-10-01
HUD_USER_SAFMR
zip 31206
payment standard 90
0
$900
2025-10-01
HUD_USER_SAFMR
zip 31206
safmr
0
$1,000
2025-10-01
HUD_USER_SAFMR
zip 31206
payment standard 110
1
$1,177
2025-10-01
HUD_USER_SAFMR
zip 31206
payment standard 90
1
$963
2025-10-01
HUD_USER_SAFMR
zip 31206
safmr
1
$1,070
2025-10-01
HUD_USER_SAFMR
zip 31206
payment standard 110
2
$1,331
2025-10-01
HUD_USER_SAFMR
zip 31206
payment standard 90
2
$1,089
2025-10-01
HUD_USER_SAFMR
zip 31206
safmr
2
$1,210
2025-10-01
HUD_USER_SAFMR
zip 31206
payment standard 110
3
$1,595
2025-10-01
HUD_USER_SAFMR
zip 31206
payment standard 90
3
$1,305
2025-10-01
HUD_USER_SAFMR
zip 31206
safmr
3
$1,450
2025-10-01
HUD_USER_SAFMR
zip 31206
payment standard 110
4
$1,760
2025-10-01
HUD_USER_SAFMR
zip 31206
payment standard 90
4
$1,440
2025-10-01
HUD_USER_SAFMR
zip 31206
safmr
4
$1,600
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.