138 WEST THIGPEN AVE, LAKELAND, GA 31635 · CCN 115707
Composite
1.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
moderate
Certified beds
62
Model
v1.2
Reads as: riskier than 1.7% 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
4.07
3.02
3.28
2.90–3.77
RN
0.47
0.26
0.39
0.25–0.58
Weekend total
3.49
2.76
3.11
—
Weekday total
4.29
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
57.4
4.07
0.47
1.27
2.33
3.49
0.0%
2025Q3
92
58.4
4.07
0.52
1.28
2.27
3.36
0.0%
2025Q2
91
55.2
3.85
0.49
1.40
1.96
3.11
0.0%
2025Q1
90
50.2
4.00
0.55
1.53
1.92
3.48
0.0%
2024Q4
92
53.7
3.07
0.52
0.90
1.64
2.51
0.0%
2024Q3
92
54.4
3.18
0.56
0.87
1.75
2.56
0.0%
2024Q2
91
53.6
2.98
0.54
0.89
1.55
2.38
0.0%
2024Q1
91
57.0
2.20
0.37
0.30
1.53
1.83
0.0%
2023Q4
92
56.6
2.00
0.37
0.14
1.49
1.53
1.6%
2023Q3
92
53.3
2.04
0.36
0.19
1.48
1.78
4.5%
2023Q2
91
55.5
1.97
0.25
0.30
1.42
1.69
16.0%
2023Q1
90
57.6
2.50
0.39
0.69
1.42
1.86
1.1%
2022Q4
92
60.3
2.29
0.30
0.80
1.19
1.67
0.0%
2022Q3
92
60.8
2.54
0.33
0.87
1.34
2.02
0.0%
2022Q2
91
60.5
3.28
0.39
1.15
1.74
2.65
0.0%
2022Q1
90
59.4
3.25
0.32
1.22
1.70
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.
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
26
C × 1D × 14E × 4F × 4G × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-06-04
Health · complaint
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-07-19
2025-06-04
Health · complaint
F0576
Ensure residents have reasonable access to and privacy in their use of communication methods.
C
2025-07-19
2025-06-04
Health · complaint
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2025-07-19
2025-06-04
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
2025-07-19
2025-06-04
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-07-19
2024-10-22
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-12-06
2024-10-22
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-12-06
2023-02-12
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2023-03-29
2023-02-12
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2023-03-29
2023-02-12
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2023-03-29
2023-02-12
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-03-29
2023-02-12
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2023-03-29
2023-02-12
Health
F0791
Provide or obtain dental services for each resident.
D
2023-03-29
2023-02-12
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-03-29
2021-08-13
Health
F0637
Assess the resident when there is a significant change in condition
D
2021-09-24
2021-08-13
Health
F0641
Ensure each resident receives an accurate assessment.
D
2021-09-24
2021-08-13
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
2021-09-24
2021-08-13
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.
G
2021-09-24
2021-08-13
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2021-09-24
2021-08-13
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2021-09-24
2021-08-13
Health
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
G
2021-09-24
2021-08-13
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F
2021-09-24
2021-08-13
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
2021-09-24
2021-08-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2021-09-24
2021-08-13
Health
F0814
Dispose of garbage and refuse properly.
F
2021-09-24
2021-08-13
Health
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
F
2021-09-24
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
5
Owner
Role
Pct
From
Status
Source
SOUTH GEORGIA MEDICAL CENTER INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-11-01
current
pecos_ownership
HODGES, JULIE
W-2 MANAGING EMPLOYEE
—
2015-07-06
current
pecos_ownership
MOORE, JOHN
W-2 MANAGING EMPLOYEE
—
2021-07-19
current
pecos_ownership
JOHN MOORE
W-2 MANAGING EMPLOYEE
—
2021-07-19
ended 2026-05-18
pecos_ownership
JULIE HODGES
CORPORATE OFFICER
—
2015-07-06
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
1
Close date
Price
Buyer
Seller
Evidence
2023-11-01
—
SOUTH GEORGIA MEDICAL CENTER INC
HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY GEORGIA
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
29
Geo
Kind
BR
Amount
As of
Source
county 13173
fmr
0
$915
2025-10-01
HUD_USER_FMR
county 13173
fmr
1
$921
2025-10-01
HUD_USER_FMR
county 13173
acs median gross
2
$756
2024-12-31
CENSUS_ACS5
county 13173
fmr
2
$1,192
2025-10-01
HUD_USER_FMR
county 13173
acs median gross
3
$975
2024-12-31
CENSUS_ACS5
county 13173
fmr
3
$1,583
2025-10-01
HUD_USER_FMR
county 13173
acs median gross
4
$897
2024-12-31
CENSUS_ACS5
county 13173
fmr
4
$1,915
2025-10-01
HUD_USER_FMR
county 13173
acs median gross
$913
2024-12-31
CENSUS_ACS5
county 13173
acs recent mover gross
$959
2024-12-31
CENSUS_ACS5
zcta 31635
acs median gross
2
$755
2024-12-31
CENSUS_ACS5
zcta 31635
acs median gross
3
$930
2024-12-31
CENSUS_ACS5
zcta 31635
acs median gross
4
$897
2024-12-31
CENSUS_ACS5
zcta 31635
acs median gross
$875
2024-12-31
CENSUS_ACS5
zip 31635
payment standard 110
0
$891
2025-10-01
HUD_USER_SAFMR
zip 31635
payment standard 90
0
$729
2025-10-01
HUD_USER_SAFMR
zip 31635
safmr
0
$810
2025-10-01
HUD_USER_SAFMR
zip 31635
payment standard 110
1
$891
2025-10-01
HUD_USER_SAFMR
zip 31635
payment standard 90
1
$729
2025-10-01
HUD_USER_SAFMR
zip 31635
safmr
1
$810
2025-10-01
HUD_USER_SAFMR
zip 31635
payment standard 110
2
$1,155
2025-10-01
HUD_USER_SAFMR
zip 31635
payment standard 90
2
$945
2025-10-01
HUD_USER_SAFMR
zip 31635
safmr
2
$1,050
2025-10-01
HUD_USER_SAFMR
zip 31635
payment standard 110
3
$1,540
2025-10-01
HUD_USER_SAFMR
zip 31635
payment standard 90
3
$1,260
2025-10-01
HUD_USER_SAFMR
zip 31635
safmr
3
$1,400
2025-10-01
HUD_USER_SAFMR
zip 31635
payment standard 110
4
$1,859
2025-10-01
HUD_USER_SAFMR
zip 31635
payment standard 90
4
$1,521
2025-10-01
HUD_USER_SAFMR
zip 31635
safmr
4
$1,690
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.