Reads as: riskier than 38.8% 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
2.14
3.02
3.28
2.90–3.77
RN
0.02
0.26
0.39
0.25–0.58
Weekend total
2.06
2.76
3.11
—
Weekday total
2.17
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
110.4
2.14
0.02
0.51
1.60
2.06
0.0%
2025Q3
92
108.4
2.17
0.03
0.55
1.59
2.03
0.0%
2025Q2
91
106.8
2.07
0.04
0.54
1.49
1.90
0.0%
2025Q1
90
106.1
2.11
0.07
0.53
1.51
1.91
0.0%
2024Q4
92
106.7
2.18
0.10
0.52
1.55
2.07
0.0%
2024Q3
92
103.2
2.25
0.13
0.57
1.54
2.10
0.0%
2024Q2
91
97.8
2.43
0.15
0.70
1.58
2.18
0.0%
2024Q1
91
92.1
2.90
0.15
0.83
1.92
2.71
0.0%
2023Q4
92
93.1
2.73
0.11
0.83
1.79
2.46
0.1%
2023Q3
92
88.0
2.84
0.12
0.89
1.83
2.64
4.3%
2023Q2
91
84.7
2.75
0.04
0.94
1.77
2.60
5.7%
2023Q1
90
75.6
2.86
0.10
0.92
1.83
2.65
6.8%
2022Q4
92
70.4
2.81
0.08
1.14
1.59
2.55
23.2%
2022Q3
92
74.1
2.97
0.14
1.10
1.74
2.66
18.4%
2022Q2
91
89.3
2.87
0.12
0.93
1.82
2.58
32.1%
2022Q1
90
86.6
2.92
0.15
0.91
1.87
2.61
31.3%
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
14
B × 2D × 11F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-04-10
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-05-25
2025-04-10
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-05-25
2024-02-15
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
2024-03-25
2024-02-15
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-03-25
2024-02-15
Health · complaint
F0637
Assess the resident when there is a significant change in condition
B
2024-03-25
2024-02-15
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
B
2024-03-25
2024-02-15
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-03-25
2023-02-23
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
2023-04-09
2023-02-23
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2023-04-09
2023-02-23
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2023-04-09
2023-02-23
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-04-09
2023-02-23
Health
F0610
Respond appropriately to all alleged violations.
D
2023-04-09
2023-02-23
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2023-04-09
2021-09-03
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.
D
2021-10-18
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
26
Owner
Role
Pct
From
Status
Source
HERITAGE INN OF BARNESVILLE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
—
current
pecos_ownership
CABLE, PAUL
MANAGING CONTROL - GOVERNING BODY
—
2003-03-14
current
pecos_ownership
CLINICAL SERVICES INC
OPERATIONAL/MANAGERIAL CONTROL
—
2003-10-01
current
pecos_ownership
CLINICAL SERVICES INC
ADP OF THE SNF
—
2025-06-20
current
pecos_ownership
CURTIS, RIKEAH
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-17
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
PARKER, COREY
ADP OF THE SNF
—
2026-02-09
current
pecos_ownership
PARKER, COREY
OPERATIONAL/MANAGERIAL CONTROL
—
2026-02-06
current
pecos_ownership
PITTMAN, JACQUELINE
OPERATIONAL/MANAGERIAL CONTROL
—
2026-01-01
current
pecos_ownership
ROLLINS, RONNIE
MANAGING CONTROL - GOVERNING BODY
—
2003-03-14
current
pecos_ownership
SHEFFIELD, KIMBERLY
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-06-11
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
COMMUNITY HEALTH SYSTEMS INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2003-10-01
ended 2026-05-18
pecos_ownership
HEALTH SYSTEMS FACILITIES INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2003-10-01
ended 2026-05-18
pecos_ownership
COREY PARKER
OPERATIONAL/MANAGERIAL CONTROL
—
2026-02-06
ended 2026-05-18
pecos_ownership
COREY PARKER
ADP OF THE SNF
—
2026-02-09
ended 2026-05-18
pecos_ownership
JACQUELINE PITTMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2026-01-01
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
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
RIKEAH CURTIS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-17
ended 2026-05-18
pecos_ownership
RONNIE ROLLINS
MANAGING CONTROL - GOVERNING BODY
—
2003-03-14
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
$1,690,391
—
—
$212,798
$26,160
0
—
2024-06-30
$1,604,612
$1,300
—
$237,912
$26,160
0
—
2023-06-30
$1,370,373
$1,768
—
$255,721
$26,160
0
—
2022-06-30
$1,338,235
$1,630
—
$253,454
$23,980
0
—
2021-06-30
$1,175,386
$1,333
—
$218,618
$26,160
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
29
Geo
Kind
BR
Amount
As of
Source
county 13171
fmr
0
$754
2025-10-01
HUD_USER_FMR
county 13171
acs median gross
1
$544
2024-12-31
CENSUS_ACS5
county 13171
fmr
1
$759
2025-10-01
HUD_USER_FMR
county 13171
acs median gross
2
$673
2024-12-31
CENSUS_ACS5
county 13171
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 13171
acs median gross
3
$1,046
2024-12-31
CENSUS_ACS5
county 13171
fmr
3
$1,353
2025-10-01
HUD_USER_FMR
county 13171
acs median gross
4
$1,035
2024-12-31
CENSUS_ACS5
county 13171
fmr
4
$1,476
2025-10-01
HUD_USER_FMR
county 13171
acs median gross
$878
2024-12-31
CENSUS_ACS5
zcta 30204
acs median gross
1
$544
2024-12-31
CENSUS_ACS5
zcta 30204
acs median gross
2
$679
2024-12-31
CENSUS_ACS5
zcta 30204
acs median gross
3
$1,113
2024-12-31
CENSUS_ACS5
zcta 30204
acs median gross
$865
2024-12-31
CENSUS_ACS5
zip 30204
payment standard 110
0
$891
2025-10-01
HUD_USER_SAFMR
zip 30204
payment standard 90
0
$729
2025-10-01
HUD_USER_SAFMR
zip 30204
safmr
0
$810
2025-10-01
HUD_USER_SAFMR
zip 30204
payment standard 110
1
$946
2025-10-01
HUD_USER_SAFMR
zip 30204
payment standard 90
1
$774
2025-10-01
HUD_USER_SAFMR
zip 30204
safmr
1
$860
2025-10-01
HUD_USER_SAFMR
zip 30204
payment standard 110
2
$1,089
2025-10-01
HUD_USER_SAFMR
zip 30204
payment standard 90
2
$891
2025-10-01
HUD_USER_SAFMR
zip 30204
safmr
2
$990
2025-10-01
HUD_USER_SAFMR
zip 30204
payment standard 110
3
$1,485
2025-10-01
HUD_USER_SAFMR
zip 30204
payment standard 90
3
$1,215
2025-10-01
HUD_USER_SAFMR
zip 30204
safmr
3
$1,350
2025-10-01
HUD_USER_SAFMR
zip 30204
payment standard 110
4
$1,837
2025-10-01
HUD_USER_SAFMR
zip 30204
payment standard 90
4
$1,503
2025-10-01
HUD_USER_SAFMR
zip 30204
safmr
4
$1,670
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.