Reads as: riskier than 98.0% 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
2.71
3.02
3.28
2.90–3.77
RN
0.09
0.26
0.39
0.25–0.58
Weekend total
2.53
2.76
3.11
—
Weekday total
2.78
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
52.8
2.71
0.09
0.75
1.88
2.53
0.0%
2025Q3
92
55.6
2.56
0.02
0.87
1.67
2.30
0.0%
2025Q2
91
53.8
2.90
0.03
1.05
1.82
2.60
0.3%
2025Q1
90
54.3
3.08
0.15
1.07
1.87
2.87
0.0%
2024Q4
92
53.9
3.25
0.13
1.12
2.01
2.96
0.0%
2024Q3
92
55.6
3.07
0.08
1.14
1.85
2.73
0.0%
2024Q2
91
58.3
2.86
0.07
1.07
1.72
2.63
0.0%
2024Q1
91
55.3
2.86
0.08
1.02
1.76
2.83
0.0%
2023Q4
92
55.9
2.84
0.08
1.09
1.67
2.65
0.0%
2023Q3
92
55.3
3.01
0.06
1.18
1.77
2.77
0.0%
2023Q2
91
51.6
2.98
0.05
1.21
1.72
2.75
0.0%
2023Q1
90
52.0
3.07
0.06
1.28
1.73
2.77
0.0%
2022Q4
92
51.8
3.09
0.05
1.31
1.72
2.80
0.0%
2022Q3
92
50.6
2.83
0.09
1.33
1.42
2.39
0.0%
2022Q2
91
49.1
2.30
0.09
1.07
1.14
1.89
0.0%
2022Q1
90
42.9
2.76
0.12
1.39
1.25
2.49
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.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
E
2025-07-08
2025-05-30
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2025-07-08
2025-05-30
Health
F0646
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
D
2025-07-08
2025-05-30
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-07-08
2025-05-30
Health
F0881
Implement a program that monitors antibiotic use.
D
2025-07-08
2024-11-18
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
K
2024-12-16
2024-11-18
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
K
2024-12-16
2024-11-18
Health · complaint
F0610
Respond appropriately to all alleged violations.
K
2024-12-16
2024-11-18
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
K
2024-12-16
2023-06-22
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-07-31
2023-06-22
Health
F0678
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
D
2023-07-31
2023-06-22
Health
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
2023-07-31
2023-06-22
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2023-07-31
2021-10-14
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
2021-11-28
2021-10-14
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
2021-11-28
2021-10-14
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.
E
2021-11-28
2021-10-14
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2021-11-28
2021-10-14
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.
E
2021-11-28
2021-10-14
Health
F0692
Provide enough food/fluids to maintain a resident's health.
E
2021-11-28
2021-10-14
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2021-11-28
2021-10-14
Health
F0880
Provide and implement an infection prevention and control program.
D
2021-11-28
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
19
Owner
Role
Pct
From
Status
Source
GBD LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2008-03-04
current
pecos_ownership
BARNES, MICHELLE
OPERATIONAL/MANAGERIAL CONTROL
—
2018-12-01
current
pecos_ownership
BARRES, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-01-01
current
pecos_ownership
CRINO, BRYAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-01-01
current
pecos_ownership
DELKER, MICHELLE
CORPORATE OFFICER
—
2018-07-01
current
pecos_ownership
FEUER, SCOTT
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-01-01
current
pecos_ownership
LINDEMAN, STUART
CORPORATE OFFICER
—
2015-01-01
current
pecos_ownership
MANE, MEAGAN
OPERATIONAL/MANAGERIAL CONTROL
—
2018-07-23
current
pecos_ownership
MISSION HEALTH OF GEORGIA, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2015-01-01
current
pecos_ownership
PASSERO, JOSEPH
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-01-01
current
pecos_ownership
T AND C CAPITAL ASSETS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-01-01
current
pecos_ownership
WINDWARD HEALTH PARTNERS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-01-01
current
pecos_ownership
MICHELLE DELKER
CORPORATE OFFICER
100%
2018-07-01
ended 2026-05-18
pecos_ownership
STUART LINDEMAN
CORPORATE OFFICER
100%
2015-01-01
ended 2026-05-18
pecos_ownership
BRYAN CRINO
5% OR GREATER INDIRECT OWNERSHIP INTEREST
45%
2015-01-01
ended 2026-05-18
pecos_ownership
SCOTT FEUER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
45%
2015-01-01
ended 2026-05-18
pecos_ownership
JOSEPH PASSERO
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2015-01-01
ended 2026-05-18
pecos_ownership
MEAGAN MANE
OPERATIONAL/MANAGERIAL CONTROL
—
2018-07-23
ended 2026-05-18
pecos_ownership
MICHELLE BARNES
OPERATIONAL/MANAGERIAL CONTROL
—
2018-12-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$377,742
—
—
—
—
1
—
2023-12-31
$334,325
—
—
—
—
1
—
2022-12-31
$356,357
—
—
—
—
1
—
2021-12-31
$333,516
—
—
—
—
1
—
2020-12-31
$254,666
—
—
—
—
1
—
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
30
Geo
Kind
BR
Amount
As of
Source
county 13305
fmr
0
$773
2025-10-01
HUD_USER_FMR
county 13305
acs median gross
1
$625
2024-12-31
CENSUS_ACS5
county 13305
fmr
1
$778
2025-10-01
HUD_USER_FMR
county 13305
acs median gross
2
$815
2024-12-31
CENSUS_ACS5
county 13305
fmr
2
$1,021
2025-10-01
HUD_USER_FMR
county 13305
acs median gross
3
$964
2024-12-31
CENSUS_ACS5
county 13305
fmr
3
$1,224
2025-10-01
HUD_USER_FMR
county 13305
acs median gross
4
$1,213
2024-12-31
CENSUS_ACS5
county 13305
fmr
4
$1,574
2025-10-01
HUD_USER_FMR
county 13305
acs median gross
$846
2024-12-31
CENSUS_ACS5
county 13305
acs recent mover gross
$1,107
2024-12-31
CENSUS_ACS5
zcta 31545
acs median gross
1
$714
2024-12-31
CENSUS_ACS5
zcta 31545
acs median gross
2
$845
2024-12-31
CENSUS_ACS5
zcta 31545
acs median gross
3
$983
2024-12-31
CENSUS_ACS5
zcta 31545
acs median gross
$873
2024-12-31
CENSUS_ACS5
zip 31545
payment standard 110
0
$847
2025-10-01
HUD_USER_SAFMR
zip 31545
payment standard 90
0
$693
2025-10-01
HUD_USER_SAFMR
zip 31545
safmr
0
$770
2025-10-01
HUD_USER_SAFMR
zip 31545
payment standard 110
1
$858
2025-10-01
HUD_USER_SAFMR
zip 31545
payment standard 90
1
$702
2025-10-01
HUD_USER_SAFMR
zip 31545
safmr
1
$780
2025-10-01
HUD_USER_SAFMR
zip 31545
payment standard 110
2
$1,122
2025-10-01
HUD_USER_SAFMR
zip 31545
payment standard 90
2
$918
2025-10-01
HUD_USER_SAFMR
zip 31545
safmr
2
$1,020
2025-10-01
HUD_USER_SAFMR
zip 31545
payment standard 110
3
$1,342
2025-10-01
HUD_USER_SAFMR
zip 31545
payment standard 90
3
$1,098
2025-10-01
HUD_USER_SAFMR
zip 31545
safmr
3
$1,220
2025-10-01
HUD_USER_SAFMR
zip 31545
payment standard 110
4
$1,727
2025-10-01
HUD_USER_SAFMR
zip 31545
payment standard 90
4
$1,413
2025-10-01
HUD_USER_SAFMR
zip 31545
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.