Reads as: riskier than 36.2% 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
3.28
3.02
3.28
2.90–3.77
RN
0.26
0.26
0.39
0.25–0.58
Weekend total
3.06
2.76
3.11
—
Weekday total
3.37
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
137.1
3.28
0.26
1.00
2.03
3.06
12.2%
2025Q3
92
129.2
3.32
0.43
0.85
2.04
2.87
9.0%
2025Q2
91
133.1
2.82
0.39
0.85
1.57
2.43
6.6%
2025Q1
90
143.0
2.71
0.22
0.82
1.67
2.41
5.3%
2024Q4
92
118.7
3.40
0.29
1.08
2.03
2.90
6.9%
2024Q3
92
117.8
3.48
0.37
0.97
2.14
3.03
6.9%
2024Q2
91
121.7
3.53
0.31
1.18
2.05
3.10
0.0%
2024Q1
91
119.3
3.59
0.28
1.18
2.13
3.14
0.0%
2023Q4
92
122.7
3.36
0.33
1.06
1.96
2.94
0.0%
2023Q3
92
122.9
3.20
0.30
1.08
1.82
2.79
0.1%
2023Q2
91
123.6
3.13
0.23
1.15
1.75
2.71
0.0%
2023Q1
90
119.6
3.09
0.23
1.14
1.72
2.63
0.0%
2022Q4
92
119.0
3.29
0.22
1.20
1.87
2.83
0.0%
2022Q3
92
108.1
3.38
0.18
1.23
1.96
2.90
0.8%
2022Q2
91
106.5
3.20
0.10
1.26
1.83
2.91
2.1%
2022Q1
90
113.9
3.03
0.15
1.09
1.78
2.79
1.8%
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
20
D × 9E × 3F × 3J × 5
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-18
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2026-04-20
2026-03-18
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2026-04-20
2025-08-28
Health · complaint
F0570
Assure the security of all personal funds of residents deposited with the facility.
E
2025-10-07
2025-08-28
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
2025-10-07
2025-08-28
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-10-07
2025-08-28
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-10-07
2025-08-28
Health · complaint
F0814
Dispose of garbage and refuse properly.
F
2025-10-07
2024-05-16
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-06-30
2024-05-16
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-06-30
2024-05-16
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-06-30
2024-05-16
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
E
2024-06-30
2024-05-16
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.
D
2024-06-30
2024-05-16
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-06-30
2022-05-04
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2022-06-24
2022-05-04
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
J
2022-06-24
2022-05-04
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.
J
2022-06-24
2022-05-04
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
J
2022-06-24
2022-05-04
Health
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
J
2022-06-24
2022-05-04
Health
F0880
Provide and implement an infection prevention and control program.
F
2022-06-24
2022-05-04
Health
F0888
Ensure staff are vaccinated for COVID-19
F
2022-06-24
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
47
Owner
Role
Pct
From
Status
Source
COOPELAND, TANYA
ADP OF THE SNF
—
2025-05-12
current
pecos_ownership
DONATH, BARRY
ADP OF THE SNF
—
2025-05-05
current
pecos_ownership
DONATH, BARRY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-12
current
pecos_ownership
ELLIS, RENEE
ADP OF THE SNF
—
2025-05-12
current
pecos_ownership
EMPIRE CARE CENTERS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-12
current
pecos_ownership
ENSH CONSULTING LLC
ADP OF THE SNF
—
2012-05-12
current
pecos_ownership
FACYSON, MAURICE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-12
current
pecos_ownership
GILBERT, MICHAEL
ADP OF THE SNF
—
2025-05-12
current
pecos_ownership
GOODWIN, ANNETTE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-12
current
pecos_ownership
HANSEN, LISA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-12
current
pecos_ownership
HARDY, LEANTHONY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-12
current
pecos_ownership
HELLER, SHLOMO
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-12-04
current
pecos_ownership
HELLER, SHLOMO
MANAGING CONTROL - GOVERNING BODY
—
2025-05-12
current
pecos_ownership
HELLER, SHLOMO
ADP OF THE SNF
—
2025-05-05
current
pecos_ownership
MATHEW, SHEMILY
ADP OF THE SNF
—
2025-05-12
current
pecos_ownership
NUSSBAUM, EPHRAIM
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-12
current
pecos_ownership
SHIELD, KATRINA
ADP OF THE SNF
—
2025-05-12
current
pecos_ownership
SONE-EBELOUE, GLADYS
ADP OF THE SNF
—
2025-05-12
current
pecos_ownership
SWERDLOFF, ARYEH
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-12
current
pecos_ownership
SWERDLOFF, ARYEH
ADP OF THE SNF
—
2025-05-05
current
pecos_ownership
TIGGS, DORENDA
ADP OF THE SNF
—
2025-05-12
current
pecos_ownership
VASIL, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-12
current
pecos_ownership
WATERS, TENISHA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-12
current
pecos_ownership
WATTS, KRISTIN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-12
current
pecos_ownership
GA CY2 HOLDCO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2025-05-12
ended 2026-05-18
pecos_ownership
ENSH CONSULTING LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
94%
2025-05-12
ended 2026-05-18
pecos_ownership
EPHRAIM NUSSBAUM
5% OR GREATER INDIRECT OWNERSHIP INTEREST
47%
2025-05-12
ended 2026-05-18
pecos_ownership
SHLOMO HELLER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
47%
2025-05-12
ended 2026-05-18
pecos_ownership
ARYEH SWERDLOFF
5% OR GREATER INDIRECT OWNERSHIP INTEREST
4%
2025-05-12
ended 2026-05-18
pecos_ownership
BARRY DONATH
5% OR GREATER INDIRECT OWNERSHIP INTEREST
2%
2025-05-12
ended 2026-05-18
pecos_ownership
ANNETTE GOODWIN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-12
ended 2026-05-18
pecos_ownership
ARYEH SWERDLOFF
ADP OF THE SNF
—
2025-05-05
ended 2026-05-18
pecos_ownership
BARRY DONATH
ADP OF THE SNF
—
2025-05-05
ended 2026-05-18
pecos_ownership
DORENDA TIGGS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-12
ended 2026-05-18
pecos_ownership
GLADYS SONE-EBELOUE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-12
ended 2026-05-18
pecos_ownership
JENNIFER VASIL
ADP OF THE SNF
—
2025-05-12
ended 2026-05-18
pecos_ownership
KATRINA SHIELD
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-12
ended 2026-05-18
pecos_ownership
KRISTIN WATTS
ADP OF THE SNF
—
2025-05-12
ended 2026-05-18
pecos_ownership
LEANTHONY HARDY
ADP OF THE SNF
—
2025-05-12
ended 2026-05-18
pecos_ownership
LISA HANSEN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-12
ended 2026-05-18
pecos_ownership
MAURICE FACYSON
ADP OF THE SNF
—
2025-05-12
ended 2026-05-18
pecos_ownership
MICHAEL GILBERT
ADP OF THE SNF
—
2025-05-12
ended 2026-05-18
pecos_ownership
RENEE ELLIS
ADP OF THE SNF
—
2025-05-12
ended 2026-05-18
pecos_ownership
SHEMILY MATHEW
ADP OF THE SNF
—
2025-05-12
ended 2026-05-18
pecos_ownership
SHLOMO HELLER
ADP OF THE SNF
—
2025-05-05
ended 2026-05-18
pecos_ownership
TANYA COOPELAND
ADP OF THE SNF
—
2025-05-12
ended 2026-05-18
pecos_ownership
TENISHA WATERS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-12
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
$531,392
—
$6,319
—
—
0
—
2023-12-31
$651,824
—
$7,153
—
—
0
—
2022-12-31
$719,719
—
$13,844
—
—
0
—
2021-12-31
$736,994
—
$14,995
—
—
0
—
2020-12-31
$679,702
—
$15,534
—
—
0
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 13057
acs median gross
0
$1,429
2024-12-31
CENSUS_ACS5
county 13057
fmr
0
$1,585
2025-10-01
HUD_USER_FMR
county 13057
acs median gross
1
$1,549
2024-12-31
CENSUS_ACS5
county 13057
fmr
1
$1,660
2025-10-01
HUD_USER_FMR
county 13057
acs median gross
2
$1,658
2024-12-31
CENSUS_ACS5
county 13057
fmr
2
$1,820
2025-10-01
HUD_USER_FMR
county 13057
acs median gross
3
$2,069
2024-12-31
CENSUS_ACS5
county 13057
fmr
3
$2,182
2025-10-01
HUD_USER_FMR
county 13057
acs median gross
4
$2,240
2024-12-31
CENSUS_ACS5
county 13057
fmr
4
$2,605
2025-10-01
HUD_USER_FMR
county 13057
acs median gross
5
$2,633
2024-12-31
CENSUS_ACS5
county 13057
acs median gross
$1,799
2024-12-31
CENSUS_ACS5
county 13057
acs recent mover gross
$2,084
2024-12-31
CENSUS_ACS5
zcta 30188
acs median gross
0
$1,615
2024-12-31
CENSUS_ACS5
zcta 30188
acs median gross
1
$1,668
2024-12-31
CENSUS_ACS5
zcta 30188
acs median gross
2
$1,730
2024-12-31
CENSUS_ACS5
zcta 30188
acs median gross
3
$2,097
2024-12-31
CENSUS_ACS5
zcta 30188
acs median gross
4
$2,560
2024-12-31
CENSUS_ACS5
zcta 30188
acs median gross
5
$2,282
2024-12-31
CENSUS_ACS5
zcta 30188
acs median gross
$1,875
2024-12-31
CENSUS_ACS5
zcta 30188
acs recent mover gross
$2,081
2024-12-31
CENSUS_ACS5
zip 30188
payment standard 110
0
$1,969
2025-10-01
HUD_USER_SAFMR
zip 30188
payment standard 90
0
$1,611
2025-10-01
HUD_USER_SAFMR
zip 30188
safmr
0
$1,790
2025-10-01
HUD_USER_SAFMR
zip 30188
payment standard 110
1
$2,068
2025-10-01
HUD_USER_SAFMR
zip 30188
payment standard 90
1
$1,692
2025-10-01
HUD_USER_SAFMR
zip 30188
safmr
1
$1,880
2025-10-01
HUD_USER_SAFMR
zip 30188
payment standard 110
2
$2,266
2025-10-01
HUD_USER_SAFMR
zip 30188
payment standard 90
2
$1,854
2025-10-01
HUD_USER_SAFMR
zip 30188
safmr
2
$2,060
2025-10-01
HUD_USER_SAFMR
zip 30188
payment standard 110
3
$2,717
2025-10-01
HUD_USER_SAFMR
zip 30188
payment standard 90
3
$2,223
2025-10-01
HUD_USER_SAFMR
zip 30188
safmr
3
$2,470
2025-10-01
HUD_USER_SAFMR
zip 30188
payment standard 110
4
$3,245
2025-10-01
HUD_USER_SAFMR
zip 30188
payment standard 90
4
$2,655
2025-10-01
HUD_USER_SAFMR
zip 30188
safmr
4
$2,950
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.