Reads as: riskier than 71.0% 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
3.05
3.02
3.28
2.90–3.77
RN
0.33
0.26
0.39
0.25–0.58
Weekend total
2.96
2.76
3.11
—
Weekday total
3.08
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
125.1
3.05
0.33
0.74
1.97
2.96
0.0%
2025Q3
92
120.3
3.18
0.26
0.75
2.16
3.04
0.0%
2025Q2
91
123.7
3.07
0.18
0.77
2.13
2.81
0.0%
2025Q1
90
123.1
3.06
0.20
0.73
2.13
2.80
0.0%
2024Q4
92
123.5
3.09
0.22
0.77
2.10
2.79
0.0%
2024Q3
92
111.4
3.21
0.22
0.80
2.19
3.02
0.0%
2024Q2
91
118.4
3.38
0.30
0.81
2.27
3.03
0.0%
2024Q1
91
115.4
3.23
0.18
0.86
2.18
2.92
0.0%
2023Q4
92
126.6
3.00
0.24
0.82
1.95
2.58
0.0%
2023Q3
92
118.8
2.88
0.24
0.82
1.82
2.58
0.0%
2023Q2
91
121.4
2.82
0.23
0.84
1.75
2.48
0.0%
2023Q1
90
120.7
2.60
0.28
0.84
1.49
2.28
0.0%
2022Q4
92
112.1
3.17
0.26
0.97
1.93
2.77
0.0%
2022Q3
92
104.8
3.33
0.26
1.08
1.99
2.82
0.0%
2022Q2
91
103.8
3.38
0.31
1.03
2.03
2.85
0.0%
2022Q1
90
102.6
3.48
0.32
0.99
2.16
3.05
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.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2026-02-13
2025-06-20
Health · complaint
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
E
2025-07-28
2025-06-20
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
2025-07-28
2025-06-20
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
E
2025-07-28
2024-01-18
Health · complaint
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2024-03-03
2024-01-18
Health · complaint
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2024-03-03
2024-01-18
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2024-03-03
2024-01-18
Health · complaint
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2024-03-03
2024-01-18
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-03-03
2024-01-18
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-03-03
2024-01-18
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-03-03
2024-01-18
Health · complaint
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
2024-03-03
2024-01-18
Health · complaint
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2024-03-03
2024-01-18
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
D
2024-03-03
2024-01-18
Health · complaint
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2024-03-03
2024-01-18
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
2024-03-03
2024-01-18
Health · complaint
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
2024-03-03
2024-01-18
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-03-03
2024-01-18
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-03-03
2024-01-18
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-03-03
2024-01-18
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-03-03
2024-01-18
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-03-03
2024-01-18
Health · complaint
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2024-03-03
2024-01-18
Health · complaint
F0732
Post nurse staffing information every day.
C
2024-03-03
2024-01-18
Health · complaint
F0808
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
D
2024-03-03
2024-01-18
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-03-03
2024-01-18
Health · complaint
F0880
Provide and implement an infection prevention and control program.
F
2024-03-03
2023-10-26
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-12-10
2022-07-07
Health
F0885
Report COVID19 data to residents and families.
D
2022-08-21
2022-07-07
Health
F0886
Perform COVID19 testing on residents and staff.
E
2022-08-21
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
13
Owner
Role
Pct
From
Status
Source
MURRAY, CHRIS
W-2 MANAGING EMPLOYEE
—
2021-04-05
current
pecos_ownership
PRUITT, NANCY
CORPORATE OFFICER
—
2007-09-24
current
pecos_ownership
PRUITT, NEIL
OPERATIONAL/MANAGERIAL CONTROL
—
2007-09-24
current
pecos_ownership
PRUITTHEALTH INC
OPERATIONAL/MANAGERIAL CONTROL
—
2007-09-24
current
pecos_ownership
CHRIS MURRAY
W-2 MANAGING EMPLOYEE
100%
2021-04-05
ended 2026-05-18
pecos_ownership
NEIL PRUITT
CORPORATE OFFICER
100%
2007-09-24
ended 2026-05-18
pecos_ownership
UHS-PRUITT HOLDINGS, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
99%
2007-09-24
ended 2026-05-18
pecos_ownership
UNITED HEALTH SERVICES INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
99%
2007-09-25
ended 2026-05-18
pecos_ownership
UNITED HEALTH SERVICES OF GEORGIA, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
99%
2007-09-24
ended 2026-05-18
pecos_ownership
NEIL L PRUITT JR TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
37%
2007-09-24
ended 2026-05-18
pecos_ownership
LISA P HAMBY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
32%
2007-09-24
ended 2026-05-18
pecos_ownership
J PAIGE PRUITT TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
29%
2007-09-24
ended 2026-05-18
pecos_ownership
NANCY PRUITT
CORPORATE OFFICER
0%
2007-09-24
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
$4,637,848
$2,150,875
$451,070
$1,071,979
$455,900
9
—
2024-06-30
$4,834,896
$2,373,754
$416,642
$920,579
$401,902
9
—
2023-06-30
$3,761,674
$1,566,952
$377,069
$995,629
$414,045
9
—
2022-06-30
$3,220,131
$975,577
$450,548
$1,026,704
$416,236
9
—
2021-06-30
$2,989,233
$793,100
$387,214
$1,175,944
$348,502
8
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 13051
acs median gross
0
$1,345
2024-12-31
CENSUS_ACS5
county 13051
fmr
0
$1,455
2025-10-01
HUD_USER_FMR
county 13051
acs median gross
1
$1,287
2024-12-31
CENSUS_ACS5
county 13051
fmr
1
$1,533
2025-10-01
HUD_USER_FMR
county 13051
acs median gross
2
$1,445
2024-12-31
CENSUS_ACS5
county 13051
fmr
2
$1,680
2025-10-01
HUD_USER_FMR
county 13051
acs median gross
3
$1,638
2024-12-31
CENSUS_ACS5
county 13051
fmr
3
$2,235
2025-10-01
HUD_USER_FMR
county 13051
acs median gross
4
$1,825
2024-12-31
CENSUS_ACS5
county 13051
fmr
4
$2,547
2025-10-01
HUD_USER_FMR
county 13051
acs median gross
5
$1,914
2024-12-31
CENSUS_ACS5
county 13051
acs median gross
$1,471
2024-12-31
CENSUS_ACS5
county 13051
acs recent mover gross
$1,705
2024-12-31
CENSUS_ACS5
zcta 31419
acs median gross
0
$1,188
2024-12-31
CENSUS_ACS5
zcta 31419
acs median gross
1
$1,145
2024-12-31
CENSUS_ACS5
zcta 31419
acs median gross
2
$1,418
2024-12-31
CENSUS_ACS5
zcta 31419
acs median gross
3
$1,544
2024-12-31
CENSUS_ACS5
zcta 31419
acs median gross
4
$1,835
2024-12-31
CENSUS_ACS5
zcta 31419
acs median gross
$1,403
2024-12-31
CENSUS_ACS5
zcta 31419
acs recent mover gross
$1,696
2024-12-31
CENSUS_ACS5
zip 31419
payment standard 110
0
$1,716
2025-10-01
HUD_USER_SAFMR
zip 31419
payment standard 90
0
$1,404
2025-10-01
HUD_USER_SAFMR
zip 31419
safmr
0
$1,560
2025-10-01
HUD_USER_SAFMR
zip 31419
payment standard 110
1
$1,804
2025-10-01
HUD_USER_SAFMR
zip 31419
payment standard 90
1
$1,476
2025-10-01
HUD_USER_SAFMR
zip 31419
safmr
1
$1,640
2025-10-01
HUD_USER_SAFMR
zip 31419
payment standard 110
2
$1,980
2025-10-01
HUD_USER_SAFMR
zip 31419
payment standard 90
2
$1,620
2025-10-01
HUD_USER_SAFMR
zip 31419
safmr
2
$1,800
2025-10-01
HUD_USER_SAFMR
zip 31419
payment standard 110
3
$2,629
2025-10-01
HUD_USER_SAFMR
zip 31419
payment standard 90
3
$2,151
2025-10-01
HUD_USER_SAFMR
zip 31419
safmr
3
$2,390
2025-10-01
HUD_USER_SAFMR
zip 31419
payment standard 110
4
$3,003
2025-10-01
HUD_USER_SAFMR
zip 31419
payment standard 90
4
$2,457
2025-10-01
HUD_USER_SAFMR
zip 31419
safmr
4
$2,730
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.