Reads as: riskier than 63.3% 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 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
2.52
3.02
3.28
2.90–3.77
RN
0.04
0.26
0.39
0.25–0.58
Weekend total
2.56
2.76
3.11
—
Weekday total
2.50
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
85.4
2.52
0.04
0.78
1.69
2.56
0.0%
2025Q3
92
87.0
2.57
0.09
0.64
1.84
2.42
0.0%
2025Q2
91
88.4
2.36
0.09
0.63
1.64
2.22
0.0%
2025Q1
90
84.9
2.40
0.13
0.60
1.67
2.16
0.0%
2024Q4
92
85.3
2.25
0.15
0.54
1.56
1.97
0.0%
2024Q3
92
83.9
2.25
0.17
0.60
1.48
1.98
0.0%
2024Q2
91
83.4
2.21
0.16
0.65
1.40
1.96
0.0%
2024Q1
91
80.8
2.48
0.24
0.62
1.61
2.16
0.0%
2023Q4
92
82.4
2.39
0.19
0.74
1.46
2.06
6.9%
2023Q3
92
79.0
2.46
0.16
0.76
1.53
2.25
16.0%
2023Q2
91
75.9
2.46
0.20
0.78
1.49
2.11
34.3%
2023Q1
90
71.8
2.17
0.21
0.80
1.16
1.93
37.9%
2022Q4
92
68.4
2.01
0.21
0.80
1.00
1.70
41.4%
2022Q3
92
68.7
2.69
0.19
0.78
1.72
2.37
32.3%
2022Q2
91
72.3
2.78
0.14
0.78
1.87
2.44
40.2%
2022Q1
90
74.0
2.93
0.13
0.96
1.84
2.64
40.9%
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.
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
2025-07-20
2025-06-05
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-07-20
2025-06-05
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-07-20
2025-06-05
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-07-20
2023-09-17
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
2023-10-16
2023-09-17
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-10-16
2023-09-17
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
G
2023-10-16
2023-09-17
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-10-16
2023-09-17
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2023-10-16
2023-09-17
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-10-16
2022-05-26
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.
E
2022-06-20
2022-05-26
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2022-06-20
2022-05-26
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-06-20
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
29
Owner
Role
Pct
From
Status
Source
CABLE, PAUL
MANAGING CONTROL - GOVERNING BODY
—
2003-03-14
current
pecos_ownership
CLINICAL SERVICES INC
ADP OF THE SNF
—
2025-04-16
current
pecos_ownership
CLINICAL SERVICES INC
OPERATIONAL/MANAGERIAL CONTROL
—
2009-05-04
current
pecos_ownership
COMMUNITY ANCILLARY SERVICES INC
ADP OF THE SNF
—
2009-05-04
current
pecos_ownership
DAVIS, GREGORY
MANAGING CONTROL - GOVERNING BODY
—
2023-09-01
current
pecos_ownership
DENNIS, KATHRYN
MANAGING CONTROL - GOVERNING BODY
—
2015-11-17
current
pecos_ownership
NICHOLS, JOSEPH
MANAGING CONTROL - GOVERNING BODY
—
2024-11-19
current
pecos_ownership
RINGER, DAVE
ADP OF THE SNF
—
2025-03-01
current
pecos_ownership
ROLLINS, RONNIE
MANAGING CONTROL - GOVERNING BODY
—
2003-03-14
current
pecos_ownership
SANDERS, KAITLIN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-17
current
pecos_ownership
SHEFFIELD, KIMBERLY
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-08-05
current
pecos_ownership
SYSTEMS ADMINISTRATIVE SERVICES LLC
ADP OF THE SNF
—
2003-03-13
current
pecos_ownership
WALL, JOSEPH
MANAGING CONTROL - GOVERNING BODY
—
2003-03-14
current
pecos_ownership
WARNOCK, RALPH
MANAGING CONTROL - GOVERNING BODY
—
2020-06-23
current
pecos_ownership
WILDER, SHANNETHA
OPERATIONAL/MANAGERIAL CONTROL
—
2020-07-26
current
pecos_ownership
WILDER, SHANNETHA
ADP OF THE SNF
—
2025-04-17
current
pecos_ownership
COMMUNITY HEALTH SYSTEMS INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2009-05-04
ended 2026-05-18
pecos_ownership
HEALTH SCHOLARSHIPS INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2003-03-13
ended 2026-05-18
pecos_ownership
DAVE RINGER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-01
ended 2026-05-18
pecos_ownership
GREGORY DAVIS
MANAGING CONTROL - GOVERNING BODY
—
2023-09-01
ended 2026-05-18
pecos_ownership
JOSEPH NICHOLS
MANAGING CONTROL - GOVERNING BODY
—
2024-11-19
ended 2026-05-18
pecos_ownership
JOSEPH WALL
MANAGING CONTROL - GOVERNING BODY
—
2003-03-14
ended 2026-05-18
pecos_ownership
KAITLIN SANDERS
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-17
ended 2026-05-18
pecos_ownership
KATHRYN DENNIS
MANAGING CONTROL - GOVERNING BODY
—
2015-11-17
ended 2026-05-18
pecos_ownership
PAUL CABLE
MANAGING CONTROL - GOVERNING BODY
—
2003-03-14
ended 2026-05-18
pecos_ownership
RALPH WARNOCK
MANAGING CONTROL - GOVERNING BODY
—
2020-06-23
ended 2026-05-18
pecos_ownership
RONNIE ROLLINS
MANAGING CONTROL - GOVERNING BODY
—
2003-03-14
ended 2026-05-18
pecos_ownership
SHANNETHA WILDER
OPERATIONAL/MANAGERIAL CONTROL
—
2020-07-26
ended 2026-05-18
pecos_ownership
SHANNETHA WILDER
ADP OF THE SNF
—
2025-04-17
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
2025-06-30
$1,540,434
—
—
$142,921
$19,500
0
—
2024-06-30
$1,571,405
$354
—
$163,826
$19,500
0
—
2023-06-30
$1,391,261
$482
—
$177,029
$19,500
0
—
2022-06-30
$1,451,396
—
—
$190,045
$4,875
0
—
2021-06-30
$1,364,703
—
—
$143,614
$206,886
0
—
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 13009
acs median gross
0
$625
2024-12-31
CENSUS_ACS5
county 13009
fmr
0
$783
2025-10-01
HUD_USER_FMR
county 13009
acs median gross
1
$687
2024-12-31
CENSUS_ACS5
county 13009
fmr
1
$894
2025-10-01
HUD_USER_FMR
county 13009
acs median gross
2
$947
2024-12-31
CENSUS_ACS5
county 13009
fmr
2
$1,073
2025-10-01
HUD_USER_FMR
county 13009
acs median gross
3
$907
2024-12-31
CENSUS_ACS5
county 13009
fmr
3
$1,287
2025-10-01
HUD_USER_FMR
county 13009
acs median gross
4
$1,188
2024-12-31
CENSUS_ACS5
county 13009
fmr
4
$1,476
2025-10-01
HUD_USER_FMR
county 13009
acs median gross
5
$1,169
2024-12-31
CENSUS_ACS5
county 13009
acs median gross
$923
2024-12-31
CENSUS_ACS5
county 13009
acs recent mover gross
$991
2024-12-31
CENSUS_ACS5
zcta 31061
acs median gross
0
$625
2024-12-31
CENSUS_ACS5
zcta 31061
acs median gross
1
$688
2024-12-31
CENSUS_ACS5
zcta 31061
acs median gross
2
$946
2024-12-31
CENSUS_ACS5
zcta 31061
acs median gross
3
$898
2024-12-31
CENSUS_ACS5
zcta 31061
acs median gross
4
$1,204
2024-12-31
CENSUS_ACS5
zcta 31061
acs median gross
5
$1,169
2024-12-31
CENSUS_ACS5
zcta 31061
acs median gross
$921
2024-12-31
CENSUS_ACS5
zcta 31061
acs recent mover gross
$991
2024-12-31
CENSUS_ACS5
zip 31061
payment standard 110
0
$1,012
2025-10-01
HUD_USER_SAFMR
zip 31061
payment standard 90
0
$828
2025-10-01
HUD_USER_SAFMR
zip 31061
safmr
0
$920
2025-10-01
HUD_USER_SAFMR
zip 31061
payment standard 110
1
$1,078
2025-10-01
HUD_USER_SAFMR
zip 31061
payment standard 90
1
$882
2025-10-01
HUD_USER_SAFMR
zip 31061
safmr
1
$980
2025-10-01
HUD_USER_SAFMR
zip 31061
payment standard 110
2
$1,243
2025-10-01
HUD_USER_SAFMR
zip 31061
payment standard 90
2
$1,017
2025-10-01
HUD_USER_SAFMR
zip 31061
safmr
2
$1,130
2025-10-01
HUD_USER_SAFMR
zip 31061
payment standard 110
3
$1,496
2025-10-01
HUD_USER_SAFMR
zip 31061
payment standard 90
3
$1,224
2025-10-01
HUD_USER_SAFMR
zip 31061
safmr
3
$1,360
2025-10-01
HUD_USER_SAFMR
zip 31061
payment standard 110
4
$1,738
2025-10-01
HUD_USER_SAFMR
zip 31061
payment standard 90
4
$1,422
2025-10-01
HUD_USER_SAFMR
zip 31061
safmr
4
$1,580
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.