Composite
87.7 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 78.3 | 74.8 | 0.30 | 0.2308 | 18.07 | in index |
| financial risk | 64.6 | 55.4 | 0.30 | 0.2308 | 14.91 | in index |
| billing conduct | 56.0 | 41.9 | 0.30 | 0.2308 | 12.92 | in index |
| chow risk | 86.1 | 67.1 | 0.15 | 0.1154 | 9.93 | in index |
| staffing risk | 47.9 | 47.9 | 0.25 | 0.1923 | 9.21 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 41.9 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 54.2 | C | v0.1-pos | default · in composite | 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. |
| chow risk | 79.9 | D | v0.6 | default · in composite | |
| financial risk | 55.4 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | 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. |
| p chow 12m | 0.0 | — | v0.1 | default · in 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. |
| regulatory risk | 74.8 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 47.9 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 72.8 | D | v0.1 | superseded | 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. |
| financial risk | 52.8 | C | v0.2 | superseded | 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. |
| financial risk | 62.9 | C | v0.3 | superseded | 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. |
| financial risk | 56.5 | C | v0.4 | superseded | 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. |
| regulatory risk | 74.7 | D | v0.1 | superseded | 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. |
| regulatory risk | 74.7 | D | v0.2 | superseded | 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. |
| staffing risk | 47.9 | C | v0.1 | superseded | 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. |
| staffing risk | 47.9 | C | v0.2 | superseded | 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. |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 4.33 | -1.43 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.80 | -0.29 | |
| Chain size (log) | 3.00 | +0.23 | |
| Deficiencies, last 12 months | 16.00 | +0.22 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 16.00 | -1.54 | |
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 3.00 | -0.54 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Ownership changes, last 5 years | 1.00 | +0.23 | |
| Current owner tenure (years) | 4.33 | -0.23 | |
| Occupancy | 0.80 | -0.20 |
| 2025Q4 HPRD | This facility | GA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.32 | 3.02 | 3.28 | 2.90–3.77 |
| RN | 0.51 | 0.26 | 0.39 | 0.25–0.58 |
| Weekend total | 2.75 | 2.76 | 3.11 | — |
| Weekday total | 3.54 | 3.09 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 79.7 | 3.32 | 0.51 | 1.23 | 1.57 | 2.75 | 0.0% |
| 2025Q3 | 92 | 75.0 | 3.40 | 0.52 | 1.11 | 1.77 | 2.74 | 0.0% |
| 2025Q2 | 91 | 77.9 | 3.02 | 0.35 | 0.94 | 1.73 | 2.43 | 0.0% |
| 2025Q1 | 90 | 83.7 | 2.97 | 0.29 | 0.92 | 1.75 | 2.41 | 0.0% |
| 2024Q4 | 92 | 88.1 | 2.87 | 0.18 | 0.95 | 1.74 | 2.35 | 0.0% |
| 2024Q3 | 92 | 89.6 | 2.49 | 0.27 | 0.64 | 1.57 | 2.19 | 3.6% |
| 2024Q2 | 91 | 81.6 | 2.98 | 0.35 | 0.78 | 1.85 | 2.48 | 6.3% |
| 2024Q1 | 91 | 84.1 | 2.79 | 0.24 | 0.66 | 1.90 | 2.33 | 5.2% |
| 2023Q4 | 92 | 82.5 | 3.00 | 0.29 | 0.63 | 2.08 | 2.64 | 8.0% |
| 2023Q3 | 92 | 89.6 | 2.85 | 0.41 | 0.62 | 1.82 | 2.63 | 10.1% |
| 2023Q2 | 91 | 95.0 | 2.65 | 0.49 | 0.66 | 1.50 | 2.63 | 13.7% |
| 2023Q1 | 90 | 90.1 | 2.69 | 0.51 | 0.69 | 1.49 | 2.50 | 19.6% |
| 2022Q4 | 92 | 85.7 | 2.96 | 0.57 | 0.73 | 1.65 | 2.68 | 36.1% |
| 2022Q3 | 92 | 82.6 | 2.55 | 0.58 | 0.96 | 1.00 | 2.67 | 2.4% |
| 2022Q2 | 91 | 84.6 | 2.42 | 0.24 | 0.81 | 1.38 | 2.12 | 8.4% |
| 2022Q1 | 90 | 81.6 | 2.51 | 0.24 | 0.85 | 1.42 | 2.31 | 22.1% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-03-12 | Fine | $13,520 | CMS provider data |
| 2024-07-02 | Fine | $4,256 | CMS provider data |
| 2024-07-02 | Fine | $4,256 | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-03 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2026-01-28 |
| 2025-12-03 | Health | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | 2026-01-28 |
| 2025-12-03 | Health | 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 | 2026-01-28 |
| 2025-12-03 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-01-28 |
| 2025-12-03 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2026-01-28 |
| 2025-12-03 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2026-01-28 |
| 2025-12-03 | 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 | 2026-01-28 |
| 2025-12-03 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2026-01-28 |
| 2025-12-03 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-01-28 |
| 2025-12-03 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2026-01-28 |
| 2025-12-03 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2026-01-28 |
| 2025-08-05 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2025-09-19 |
| 2025-08-05 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2025-09-19 |
| 2025-08-05 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-09-19 |
| 2025-08-05 | 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 | 2025-09-19 |
| 2025-08-05 | Health · complaint | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2025-09-19 |
| 2025-03-12 | 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 | 2025-04-16 |
| 2025-03-12 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2025-04-16 |
| 2025-03-12 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-04-16 |
| 2024-07-02 | 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 | 2024-06-25 |
| 2024-07-02 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-06-25 |
| 2024-04-02 | Health · complaint | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-05-10 |
| 2024-04-02 | 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 | 2024-05-10 |
| 2024-04-02 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-05-10 |
| 2024-04-02 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-05-10 |
| 2024-04-02 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-05-10 |
| 2024-04-02 | 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. | E | 2024-05-10 |
| 2024-04-02 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-05-10 |
| 2024-04-02 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-05-10 |
| 2023-01-15 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2023-02-28 |
| 2023-01-15 | 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 | 2023-02-28 |
| 2023-01-15 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-02-28 |
| 2023-01-15 | 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. | D | 2023-02-28 |
| 2023-01-15 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-02-28 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| GA NC 14, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-04-01 | current | pecos_ownership |
| ENGLANDER, DAVID | CORPORATE OFFICER | — | 2022-04-01 | current | pecos_ownership |
| FAULK, MARY | W-2 MANAGING EMPLOYEE | — | 2022-04-01 | current | pecos_ownership |
| LEIBOWITZ, CHAIM | CORPORATE OFFICER | — | 2022-04-01 | current | pecos_ownership |
| CL 2022 IRRV TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2022-04-01 | ended 2026-05-18 | pecos_ownership |
| DE 2021 IRRV TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2022-04-01 | ended 2026-05-18 | pecos_ownership |
| CHAIM LEIBOWITZ | CORPORATE OFFICER | — | 2022-04-01 | ended 2026-05-18 | pecos_ownership |
| DAVID ENGLANDER | CORPORATE OFFICER | — | 2022-04-01 | ended 2026-05-18 | pecos_ownership |
| MARY FAULK | W-2 MANAGING EMPLOYEE | — | 2022-04-01 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2022-04-01 | — | HARBORVIEW TIFTON, LLC | TIFTON OPERATING COMPANY LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-05-12 | ROSWELL CENTER FOR NURSING AND HEALING LLC | — | — | — | 268 | ROSWELL CENTER FOR NURSING AND HEALING LLC |
| 2025-05-12 | Woodstock Center for Nursing and Healing LLC | — | — | — | 171 | WOODSTOCK CENTER FOR NURSING AND HEALING LLC |
| 2025-05-01 | Pinewood Health and Rehabilitation | — | — | — | 142 | WHIGHAM OPCO LLC |
| 2025-05-01 | Glenwood Health and Rehabilitation | — | — | — | 62 | GLENWOOD OPCO LLC |
| 2025-05-01 | Harmony Health and Rehabilitation | — | — | — | 167 | FITZGERALD OPCO LLC |
| 2025-04-01 | SOUTHLAND HEALTHCARE AND REHAB CENTER | — | — | — | 126 | SOUTHLAND OPERATIONS LLC |
| 2024-11-01 | CALHOUN CROSSING OF JOURNEY LLC | — | — | — | 100 | CALHOUN CROSSING OF JOURNEY LLC |
| 2024-11-01 | JASPER POINT OF JOURNEY LLC | — | — | — | 60 | JASPER POINT OF JOURNEY LLC |
| 2024-11-01 | CARTERSVILLE CROSSING OF JOURNEY LLC | — | — | — | 74 | CARTERSVILLE CROSSING OF JOURNEY LLC |
| 2024-11-01 | FAIRBURN HEIGHTS OF JOURNEY LLC | — | — | — | 120 | FAIRBURN HEIGHTS OF JOURNEY LLC |
| 2024-11-01 | STONE MOUNTAIN RUN OF JOURNEY LLC | — | — | — | 149 | STONE MOUNTAIN RUN OF JOURNEY LLC |
| 2024-11-01 | MURRAY WOODS OF JOURNEY LLC | — | — | — | 120 | MURRAY WOODS OF JOURNEY LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 13277 | acs median gross | 0 | $690 | 2024-12-31 | CENSUS_ACS5 |
| county 13277 | fmr | 0 | $766 | 2025-10-01 | HUD_USER_FMR |
| county 13277 | acs median gross | 1 | $540 | 2024-12-31 | CENSUS_ACS5 |
| county 13277 | fmr | 1 | $821 | 2025-10-01 | HUD_USER_FMR |
| county 13277 | acs median gross | 2 | $742 | 2024-12-31 | CENSUS_ACS5 |
| county 13277 | fmr | 2 | $973 | 2025-10-01 | HUD_USER_FMR |
| county 13277 | acs median gross | 3 | $912 | 2024-12-31 | CENSUS_ACS5 |
| county 13277 | fmr | 3 | $1,174 | 2025-10-01 | HUD_USER_FMR |
| county 13277 | acs median gross | 4 | $997 | 2024-12-31 | CENSUS_ACS5 |
| county 13277 | fmr | 4 | $1,462 | 2025-10-01 | HUD_USER_FMR |
| county 13277 | acs median gross | $777 | 2024-12-31 | CENSUS_ACS5 | |
| county 13277 | acs recent mover gross | $932 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 31794 | acs median gross | 0 | $671 | 2024-12-31 | CENSUS_ACS5 |
| zcta 31794 | acs median gross | 1 | $558 | 2024-12-31 | CENSUS_ACS5 |
| zcta 31794 | acs median gross | 2 | $738 | 2024-12-31 | CENSUS_ACS5 |
| zcta 31794 | acs median gross | 3 | $928 | 2024-12-31 | CENSUS_ACS5 |
| zcta 31794 | acs median gross | 4 | $1,069 | 2024-12-31 | CENSUS_ACS5 |
| zcta 31794 | acs median gross | $766 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 31794 | acs recent mover gross | $893 | 2024-12-31 | CENSUS_ACS5 | |
| zip 31794 | payment standard 110 | 0 | $858 | 2025-10-01 | HUD_USER_SAFMR |
| zip 31794 | payment standard 90 | 0 | $702 | 2025-10-01 | HUD_USER_SAFMR |
| zip 31794 | safmr | 0 | $780 | 2025-10-01 | HUD_USER_SAFMR |
| zip 31794 | payment standard 110 | 1 | $913 | 2025-10-01 | HUD_USER_SAFMR |
| zip 31794 | payment standard 90 | 1 | $747 | 2025-10-01 | HUD_USER_SAFMR |
| zip 31794 | safmr | 1 | $830 | 2025-10-01 | HUD_USER_SAFMR |
| zip 31794 | payment standard 110 | 2 | $1,089 | 2025-10-01 | HUD_USER_SAFMR |
| zip 31794 | payment standard 90 | 2 | $891 | 2025-10-01 | HUD_USER_SAFMR |
| zip 31794 | safmr | 2 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 31794 | payment standard 110 | 3 | $1,320 | 2025-10-01 | HUD_USER_SAFMR |
| zip 31794 | payment standard 90 | 3 | $1,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 31794 | safmr | 3 | $1,200 | 2025-10-01 | HUD_USER_SAFMR |
| zip 31794 | payment standard 110 | 4 | $1,639 | 2025-10-01 | HUD_USER_SAFMR |
| zip 31794 | payment standard 90 | 4 | $1,341 | 2025-10-01 | HUD_USER_SAFMR |
| zip 31794 | safmr | 4 | $1,490 | 2025-10-01 | HUD_USER_SAFMR |