2111 WEST POINT ROAD, LAGRANGE, GA 30240 · CCN 115354
Composite
37.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
138
Model
v1.2
Reads as: riskier than 37.1% 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
4
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+21.9 vs natl
SILBERSTEIN ARI
31 facilities
connection
Owner spans multiple chains
5 chains
SILBERSTEIN ARI
22 facilities
connection
Owner spans multiple chains
5 chains
RYTES COMPANY LLC
7 facilities
connection
Owner fleet enforcement cluster
52% fined
SILBERSTEIN ARI
31 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
3.84
3.02
3.28
2.90–3.77
RN
0.33
0.26
0.39
0.25–0.58
Weekend total
3.34
2.76
3.11
—
Weekday total
4.04
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
107.8
3.84
0.33
0.69
2.82
3.34
27.6%
2025Q3
92
108.1
3.93
0.29
0.81
2.83
3.40
25.7%
2025Q2
91
107.2
3.71
0.26
0.70
2.75
3.15
20.6%
2025Q1
90
108.9
3.19
0.18
0.55
2.46
2.91
17.1%
2024Q4
92
100.5
3.15
0.14
0.58
2.43
2.98
14.4%
2024Q3
92
85.9
2.79
0.12
0.44
2.23
2.53
2.1%
2024Q2
91
76.0
2.94
0.12
0.28
2.54
2.79
4.4%
2024Q1
91
76.1
2.34
0.05
0.27
2.01
2.10
6.8%
2023Q4
92
80.4
2.28
0.04
0.32
1.91
2.08
4.2%
2023Q3
92
80.0
2.66
0.03
0.35
2.27
2.37
3.5%
2023Q2
91
77.2
2.27
0.04
0.40
1.83
2.04
3.8%
2023Q1
90
80.3
2.12
0.01
0.54
1.56
1.84
4.0%
2022Q4
92
80.0
2.23
0.10
0.79
1.35
2.10
16.1%
2022Q3
92
80.1
2.17
0.13
0.86
1.18
1.99
12.6%
2022Q2
91
78.9
2.23
0.20
0.83
1.21
1.92
11.8%
2022Q1
90
72.8
2.76
0.18
0.97
1.61
2.54
28.8%
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
16
D × 14E × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-05-22
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-07-01
2025-05-22
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.
D
2025-07-01
2025-05-22
Health · complaint
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-07-01
2025-05-22
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-07-01
2025-05-22
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-07-01
2025-05-22
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-07-01
2025-05-22
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-07-01
2023-11-16
Health · complaint
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2024-01-11
2023-11-16
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-01-11
2023-01-05
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2023-02-27
2023-01-05
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.
D
2023-02-27
2023-01-05
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-02-27
2023-01-05
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2023-02-27
2023-01-05
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.
E
2023-02-27
2023-01-05
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-02-27
2023-01-05
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2023-02-27
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
44
Owner
Role
Pct
From
Status
Source
BRASS GA TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2024-04-01
current
pecos_ownership
GEM BSD GA TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2024-04-01
current
pecos_ownership
GOLD GA TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2024-04-01
current
pecos_ownership
SILVER GA TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2024-04-01
current
pecos_ownership
COPPER GA TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2024-04-01
current
pecos_ownership
ATLANTIS BUSINESS SOLUTIONS LLC
ADP OF THE SNF
—
2024-04-01
current
pecos_ownership
BAILEY, TAKECIONA
ADP OF THE SNF
—
2024-04-01
current
pecos_ownership
BUSSEY, LATISHA
ADP OF THE SNF
—
2024-04-01
current
pecos_ownership
CARE NETWORK HEALTH LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
current
pecos_ownership
DAUM, KARLA
ADP OF THE SNF
—
2024-04-01
current
pecos_ownership
FENSTERSZAUB, SIMON
ADP OF THE SNF
—
2024-04-01
current
pecos_ownership
HARRIS, SONIA
ADP OF THE SNF
—
2024-04-01
current
pecos_ownership
HHC HOLDCO LLC
ADP OF THE SNF
—
2024-04-01
current
pecos_ownership
KIRSCHNER, DEVORA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
current
pecos_ownership
MAZZOCHI, ANABELLE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
current
pecos_ownership
OBERLANDER, ZALMEN
ADP OF THE SNF
—
2024-04-01
current
pecos_ownership
PUGHSLEY, SONIA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
current
pecos_ownership
QUALITY REHAB MANAGEMENT
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
current
pecos_ownership
QUALITY REHAB MANAGEMENT
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
QUINCY, LATRON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
current
pecos_ownership
RYTES COMPANY LLC
ADP OF THE SNF
—
2024-04-01
current
pecos_ownership
SARJU, PAULA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
current
pecos_ownership
SARJU, PAULA
ADP OF THE SNF
—
2026-02-04
current
pecos_ownership
SILBERSTEIN, ARI
CORPORATE OFFICER
—
2024-04-01
current
pecos_ownership
VIRTUE CLINICAL SOLUTIONS
ADP OF THE SNF
—
2024-04-01
current
pecos_ownership
GA PCNH HOLDCO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-04-01
ended 2026-05-18
pecos_ownership
BRASS GA TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2024-04-01
ended 2026-04-01
pecos_ownership
GEM BSD GA TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2024-04-01
ended 2026-04-01
pecos_ownership
GOLD GA TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2024-04-01
ended 2026-04-01
pecos_ownership
SILVER GA TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2024-04-01
ended 2026-04-01
pecos_ownership
COOPER GA TR
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2024-04-01
ended 2026-04-01
pecos_ownership
ANABELLE MAZZOCHI
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
ended 2026-05-18
pecos_ownership
ARI SILBERSTEIN
CORPORATE OFFICER
—
2024-04-01
ended 2026-05-18
pecos_ownership
DEVORA KIRSCHNER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
ended 2026-05-18
pecos_ownership
KARLA DAUM
ADP OF THE SNF
—
2024-04-01
ended 2026-05-18
pecos_ownership
LATISHA BUSSEY
ADP OF THE SNF
—
2024-04-01
ended 2026-05-18
pecos_ownership
LATRON QUINCY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
ended 2026-05-18
pecos_ownership
PAULA SARJU
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
ended 2026-05-18
pecos_ownership
PAULA SARJU
ADP OF THE SNF
—
2026-02-04
ended 2026-05-18
pecos_ownership
SIMON FENSTERSZAUB
ADP OF THE SNF
—
2024-04-01
ended 2026-05-18
pecos_ownership
SONIA HARRIS
ADP OF THE SNF
—
2024-04-01
ended 2026-05-18
pecos_ownership
SONIA PUGHSLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-01
ended 2026-05-18
pecos_ownership
TAKECIONA BAILEY
ADP OF THE SNF
—
2024-04-01
ended 2026-05-18
pecos_ownership
ZALMEN OBERLANDER
TRUSTEE OF THE SNF
—
2024-04-01
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
2024-12-31
$84,247
—
$297
—
—
2
—
2023-12-31
$255,509
—
$1,113
—
—
2
—
2022-04-30
$387,101
—
—
—
—
1
—
2021-06-30
$397,332
—
—
—
—
1
—
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 13285
acs median gross
0
$1,131
2024-12-31
CENSUS_ACS5
county 13285
fmr
0
$805
2025-10-01
HUD_USER_FMR
county 13285
acs median gross
1
$880
2024-12-31
CENSUS_ACS5
county 13285
fmr
1
$947
2025-10-01
HUD_USER_FMR
county 13285
acs median gross
2
$1,048
2024-12-31
CENSUS_ACS5
county 13285
fmr
2
$1,167
2025-10-01
HUD_USER_FMR
county 13285
acs median gross
3
$1,168
2024-12-31
CENSUS_ACS5
county 13285
fmr
3
$1,459
2025-10-01
HUD_USER_FMR
county 13285
acs median gross
4
$1,703
2024-12-31
CENSUS_ACS5
county 13285
fmr
4
$1,781
2025-10-01
HUD_USER_FMR
county 13285
acs median gross
5
$2,330
2024-12-31
CENSUS_ACS5
county 13285
acs median gross
$1,087
2024-12-31
CENSUS_ACS5
county 13285
acs recent mover gross
$1,187
2024-12-31
CENSUS_ACS5
zcta 30240
acs median gross
0
$625
2024-12-31
CENSUS_ACS5
zcta 30240
acs median gross
1
$872
2024-12-31
CENSUS_ACS5
zcta 30240
acs median gross
2
$1,047
2024-12-31
CENSUS_ACS5
zcta 30240
acs median gross
3
$1,159
2024-12-31
CENSUS_ACS5
zcta 30240
acs median gross
4
$1,660
2024-12-31
CENSUS_ACS5
zcta 30240
acs median gross
$1,085
2024-12-31
CENSUS_ACS5
zcta 30240
acs recent mover gross
$1,172
2024-12-31
CENSUS_ACS5
zip 30240
payment standard 110
0
$957
2025-10-01
HUD_USER_SAFMR
zip 30240
payment standard 90
0
$783
2025-10-01
HUD_USER_SAFMR
zip 30240
safmr
0
$870
2025-10-01
HUD_USER_SAFMR
zip 30240
payment standard 110
1
$1,023
2025-10-01
HUD_USER_SAFMR
zip 30240
payment standard 90
1
$837
2025-10-01
HUD_USER_SAFMR
zip 30240
safmr
1
$930
2025-10-01
HUD_USER_SAFMR
zip 30240
payment standard 110
2
$1,254
2025-10-01
HUD_USER_SAFMR
zip 30240
payment standard 90
2
$1,026
2025-10-01
HUD_USER_SAFMR
zip 30240
safmr
2
$1,140
2025-10-01
HUD_USER_SAFMR
zip 30240
payment standard 110
3
$1,573
2025-10-01
HUD_USER_SAFMR
zip 30240
payment standard 90
3
$1,287
2025-10-01
HUD_USER_SAFMR
zip 30240
safmr
3
$1,430
2025-10-01
HUD_USER_SAFMR
zip 30240
payment standard 110
4
$1,914
2025-10-01
HUD_USER_SAFMR
zip 30240
payment standard 90
4
$1,566
2025-10-01
HUD_USER_SAFMR
zip 30240
safmr
4
$1,740
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.