Reads as: riskier than 19.3% 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 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
3.25
3.02
3.28
2.90–3.77
RN
0.60
0.26
0.39
0.25–0.58
Weekend total
3.03
2.76
3.11
—
Weekday total
3.33
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
59.0
3.25
0.60
0.66
1.98
3.03
0.0%
2025Q3
92
59.6
3.14
0.60
0.60
1.94
2.83
0.0%
2025Q2
91
59.5
3.06
0.69
0.45
1.92
2.81
0.0%
2025Q1
90
58.3
2.97
0.67
0.41
1.89
2.76
0.0%
2024Q4
92
61.1
3.16
0.49
0.59
2.08
3.03
0.0%
2024Q3
92
60.7
3.24
0.47
0.64
2.13
2.99
0.0%
2024Q2
91
60.4
3.24
0.59
0.59
2.05
2.89
0.0%
2024Q1
91
62.0
3.10
0.59
0.50
2.01
2.94
0.0%
2023Q4
92
62.7
3.10
0.57
0.51
2.02
2.80
0.0%
2023Q3
92
62.0
3.01
0.56
0.50
1.95
2.80
0.0%
2023Q2
91
62.0
2.90
0.61
0.43
1.87
2.67
0.0%
2023Q1
90
62.6
2.93
0.57
0.56
1.81
2.64
0.0%
2022Q4
92
60.2
3.24
0.57
0.64
2.03
2.95
0.0%
2022Q3
92
53.6
3.32
0.52
0.45
2.36
2.90
0.0%
2022Q2
91
54.7
3.43
0.55
0.69
2.19
3.29
0.0%
2022Q1
90
49.6
3.54
0.72
0.51
2.31
3.54
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
12
D × 10F × 1G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-13
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-05-04
2026-03-13
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2026-05-04
2026-03-13
Health
F0838
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F
2026-05-04
2025-07-17
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-08-07
2025-07-17
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-07-10
2025-01-15
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
2025-02-07
2025-01-15
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
2025-02-07
2025-01-15
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-02-07
2025-01-15
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-02-07
2025-01-15
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-02-07
2023-04-30
Health
F0638
Assure that each resident’s assessment is updated at least once every 3 months.
D
2023-06-14
2023-04-30
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2023-06-14
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
54
Owner
Role
Pct
From
Status
Source
BARRETT, PATRICIA
OPERATIONAL/MANAGERIAL CONTROL
—
1991-12-16
current
pecos_ownership
BRAMBLETT, KAREN
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
BURNETTE, JASON
CORPORATE OFFICER
—
2025-03-01
current
pecos_ownership
CARNLINE, JOE
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
CASON, ASHLEY
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
COLLINS, ANDREA
CORPORATE OFFICER
—
2025-02-25
current
pecos_ownership
CRAVEN, DARCY
CORPORATE OFFICER
—
2021-07-01
current
pecos_ownership
DANIELS, CHRISTOPHER
CORPORATE OFFICER
—
2025-03-01
current
pecos_ownership
DAWSON, MARVIN
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
GRIFFIN, JASON
ADP OF THE SNF
—
2025-04-10
current
pecos_ownership
GRIFFITH, SINA
CORPORATE DIRECTOR
—
2021-10-01
current
pecos_ownership
GURLEY, TAMMY
ADP OF THE SNF
—
2025-05-19
current
pecos_ownership
GURLEY, TAMMY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-03-13
current
pecos_ownership
HAMIL, WILLIAM
CORPORATE DIRECTOR
—
2023-01-28
current
pecos_ownership
HEMBREE, GREGORY
CORPORATE OFFICER
—
2016-12-05
current
pecos_ownership
JOHN D ARCHBOLD MEMORIAL HOSPITAL INC
ADP OF THE SNF
—
2025-04-11
current
pecos_ownership
JOHN D ARCHBOLD MEMORIAL HOSPITAL INC
OPERATIONAL/MANAGERIAL CONTROL
—
1994-07-01
current
pecos_ownership
NESMITH, JASON
CORPORATE DIRECTOR
—
2021-10-01
current
pecos_ownership
PEARCE, CARLA
CORPORATE OFFICER
—
2021-07-01
current
pecos_ownership
PORTER, JAMI
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
RIALS, LOREN
CORPORATE OFFICER
—
2025-08-18
current
pecos_ownership
SANTORO, JACQUELYN
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
SIMMONS, JOSH
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
STONE, HENRY
CORPORATE DIRECTOR
—
2021-10-01
current
pecos_ownership
SZWARC, BRIAN
CORPORATE DIRECTOR
—
2021-10-01
current
pecos_ownership
WARD, TIMOTHY
CORPORATE OFFICER
—
2025-02-25
current
pecos_ownership
WENTWORTH, CRAIG
CORPORATE DIRECTOR
—
2021-07-01
current
pecos_ownership
WOMACK, JAMES
CORPORATE OFFICER
—
2020-12-19
current
pecos_ownership
ANDREA COLLINS
CORPORATE OFFICER
0%
2025-02-25
ended 2026-05-18
pecos_ownership
ASHLEY CASON
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
BRIAN SZWARC
CORPORATE DIRECTOR
0%
2021-10-01
ended 2026-05-18
pecos_ownership
CARLA PEARCE
CORPORATE OFFICER
0%
2021-07-01
ended 2026-05-18
pecos_ownership
CHRISTOPHER DANIELS
CORPORATE OFFICER
0%
2025-03-01
ended 2026-05-18
pecos_ownership
CRAIG WENTWORTH
CORPORATE DIRECTOR
0%
2021-07-01
ended 2026-05-18
pecos_ownership
DARCY CRAVEN
CORPORATE OFFICER
0%
2021-07-01
ended 2026-05-18
pecos_ownership
GREGORY HEMBREE
CORPORATE OFFICER
0%
2016-12-05
ended 2026-05-18
pecos_ownership
HENRY STONE
CORPORATE DIRECTOR
0%
2021-10-01
ended 2026-05-18
pecos_ownership
JACQUELYN SANTORO
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
JAMES WOMACK
CORPORATE OFFICER
0%
2020-12-19
ended 2026-05-18
pecos_ownership
JAMI PORTER
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
JASON BURNETTE
CORPORATE OFFICER
0%
2025-03-01
ended 2026-05-18
pecos_ownership
JASON NESMITH
CORPORATE DIRECTOR
0%
2021-10-01
ended 2026-05-18
pecos_ownership
JOE CARNLINE
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
JOSH SIMMONS
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
KAREN BRAMBLETT
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
LOREN RIALS
CORPORATE OFFICER
0%
2025-08-18
ended 2026-05-18
pecos_ownership
MARVIN DAWSON
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
SINA GRIFFITH
CORPORATE DIRECTOR
0%
2021-10-01
ended 2026-05-18
pecos_ownership
TAMMY GURLEY
CORPORATE OFFICER
0%
2022-03-13
ended 2026-05-18
pecos_ownership
TIMOTHY WARD
CORPORATE OFFICER
0%
2025-02-25
ended 2026-05-18
pecos_ownership
WILLIAM HAMIL
CORPORATE DIRECTOR
0%
2023-01-28
ended 2026-05-18
pecos_ownership
JASON GRIFFIN
ADP OF THE SNF
—
2025-04-10
ended 2026-05-18
pecos_ownership
PATRICIA BARRETT
OPERATIONAL/MANAGERIAL CONTROL
—
1991-12-16
ended 2026-05-18
pecos_ownership
TAMMY GURLEY
ADP OF THE SNF
—
2025-05-19
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
36
Geo
Kind
BR
Amount
As of
Source
county 13275
acs median gross
0
$672
2024-12-31
CENSUS_ACS5
county 13275
fmr
0
$1,001
2025-10-01
HUD_USER_FMR
county 13275
acs median gross
1
$845
2024-12-31
CENSUS_ACS5
county 13275
fmr
1
$1,048
2025-10-01
HUD_USER_FMR
county 13275
acs median gross
2
$1,026
2024-12-31
CENSUS_ACS5
county 13275
fmr
2
$1,149
2025-10-01
HUD_USER_FMR
county 13275
acs median gross
3
$1,191
2024-12-31
CENSUS_ACS5
county 13275
fmr
3
$1,456
2025-10-01
HUD_USER_FMR
county 13275
acs median gross
4
$894
2024-12-31
CENSUS_ACS5
county 13275
fmr
4
$1,521
2025-10-01
HUD_USER_FMR
county 13275
acs median gross
5
$964
2024-12-31
CENSUS_ACS5
county 13275
acs median gross
$1,018
2024-12-31
CENSUS_ACS5
county 13275
acs recent mover gross
$1,011
2024-12-31
CENSUS_ACS5
zcta 31792
acs median gross
0
$672
2024-12-31
CENSUS_ACS5
zcta 31792
acs median gross
1
$839
2024-12-31
CENSUS_ACS5
zcta 31792
acs median gross
2
$1,082
2024-12-31
CENSUS_ACS5
zcta 31792
acs median gross
3
$1,311
2024-12-31
CENSUS_ACS5
zcta 31792
acs median gross
4
$940
2024-12-31
CENSUS_ACS5
zcta 31792
acs median gross
5
$964
2024-12-31
CENSUS_ACS5
zcta 31792
acs median gross
$1,065
2024-12-31
CENSUS_ACS5
zcta 31792
acs recent mover gross
$985
2024-12-31
CENSUS_ACS5
zip 31792
payment standard 110
0
$1,133
2025-10-01
HUD_USER_SAFMR
zip 31792
payment standard 90
0
$927
2025-10-01
HUD_USER_SAFMR
zip 31792
safmr
0
$1,030
2025-10-01
HUD_USER_SAFMR
zip 31792
payment standard 110
1
$1,177
2025-10-01
HUD_USER_SAFMR
zip 31792
payment standard 90
1
$963
2025-10-01
HUD_USER_SAFMR
zip 31792
safmr
1
$1,070
2025-10-01
HUD_USER_SAFMR
zip 31792
payment standard 110
2
$1,298
2025-10-01
HUD_USER_SAFMR
zip 31792
payment standard 90
2
$1,062
2025-10-01
HUD_USER_SAFMR
zip 31792
safmr
2
$1,180
2025-10-01
HUD_USER_SAFMR
zip 31792
payment standard 110
3
$1,650
2025-10-01
HUD_USER_SAFMR
zip 31792
payment standard 90
3
$1,350
2025-10-01
HUD_USER_SAFMR
zip 31792
safmr
3
$1,500
2025-10-01
HUD_USER_SAFMR
zip 31792
payment standard 110
4
$1,727
2025-10-01
HUD_USER_SAFMR
zip 31792
payment standard 90
4
$1,413
2025-10-01
HUD_USER_SAFMR
zip 31792
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.