Reads as: riskier than 35.8% 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
3.30
3.02
3.28
2.90–3.77
RN
0.26
0.26
0.39
0.25–0.58
Weekend total
2.86
2.76
3.11
—
Weekday total
3.47
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
126.3
3.30
0.26
1.26
1.77
2.86
0.0%
2025Q3
92
129.7
3.14
0.18
1.30
1.67
2.71
0.0%
2025Q2
91
124.7
3.15
0.15
1.32
1.69
2.79
0.0%
2025Q1
90
131.8
2.86
0.17
1.26
1.43
2.49
0.0%
2024Q4
92
134.3
2.94
0.17
1.21
1.56
2.65
0.0%
2024Q3
92
127.2
3.44
0.18
1.31
1.94
3.19
0.0%
2024Q2
91
130.1
3.96
0.23
1.47
2.26
3.75
0.0%
2024Q1
91
129.2
3.24
0.21
1.23
1.79
2.88
0.0%
2023Q4
92
112.9
4.43
0.21
1.65
2.58
4.11
0.0%
2023Q3
92
113.4
0.80
0.07
0.42
0.30
0.56
0.0%
2023Q2
91
107.6
4.48
0.20
1.53
2.75
4.05
67.3%
2023Q1
90
110.3
4.44
0.21
1.57
2.66
4.02
60.4%
2022Q4
92
119.8
4.41
0.23
1.52
2.66
3.97
62.9%
2022Q3
92
124.6
3.21
0.11
1.20
1.91
2.77
51.0%
2022Q2
91
124.6
3.33
0.13
1.28
1.92
3.00
46.7%
2022Q1
90
120.2
1.97
0.07
0.81
1.10
1.81
29.0%
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
13
D × 6E × 1F × 1J × 1K × 4
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-05-21
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
2025-07-10
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
F0583
Keep residents' personal and medical records private and confidential.
D
2024-03-03
2024-01-18
Health · complaint
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
2024-03-03
2024-01-18
Health · complaint
F0791
Provide or obtain dental services for each resident.
D
2024-03-03
2024-01-18
Health · complaint
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
E
2024-03-03
2024-01-18
Health · complaint
F0880
Provide and implement an infection prevention and control program.
F
2024-03-03
2022-08-21
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2022-10-12
2022-08-21
Health
F0608
Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.
K
2022-10-12
2022-08-21
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
K
2022-10-12
2022-08-21
Health
F0610
Respond appropriately to all alleged violations.
K
2022-10-12
2022-08-21
Health
F0660
Plan the resident's discharge to meet the resident's goals and needs.
D
2022-10-12
2022-08-21
Health
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
K
2022-10-12
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
PRUITT, NANCY
CORPORATE OFFICER
—
2023-10-01
current
pecos_ownership
PRUITT, NEIL
CORPORATE DIRECTOR
—
2023-10-01
current
pecos_ownership
ROBERTS, ERICA
W-2 MANAGING EMPLOYEE
—
2023-10-01
current
pecos_ownership
UHS-PRUITT HOLDINGS, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2023-10-01
ended 2026-05-18
pecos_ownership
UNITED HEALTH SERVICES INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2023-10-01
ended 2026-05-18
pecos_ownership
UNITED HEALTH SERVICES OF GEORGIA, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
99%
2023-10-01
ended 2026-05-18
pecos_ownership
NEIL PRUITT
5% OR GREATER DIRECT OWNERSHIP INTEREST
1%
2023-10-01
ended 2026-05-18
pecos_ownership
ERICA ROBERTS
W-2 MANAGING EMPLOYEE
—
2023-10-01
ended 2026-05-18
pecos_ownership
J PAIGE PRUITT TRUST
OTHER
—
2023-10-01
ended 2026-05-18
pecos_ownership
LISA P HAMBY TRUST
OTHER
—
2023-10-01
ended 2026-05-18
pecos_ownership
NANCY PRUITT
CORPORATE OFFICER
—
2023-10-01
ended 2026-05-18
pecos_ownership
NEIL L PRUITT JR TRUST
OTHER
—
2023-10-01
ended 2026-05-18
pecos_ownership
PRUITTHEALTH INC
OTHER
—
2023-10-01
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2025-06-30
$3,419,097
$1,423,702
$403,398
$679,726
$331,734
9
—
2024-06-30
$2,766,789
$943,260
$334,744
$484,435
$342,391
9
—
2023-09-30
$140,287
$50,341
—
—
—
2
—
2023-06-30
$957,636
$201,364
—
—
—
2
—
2022-06-30
$856,331
$201,364
—
—
—
2
—
2021-06-30
$716,080
$173,950
—
—
—
2
—
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 13073
acs median gross
0
$1,198
2024-12-31
CENSUS_ACS5
county 13073
fmr
0
$939
2025-10-01
HUD_USER_FMR
county 13073
acs median gross
1
$1,099
2024-12-31
CENSUS_ACS5
county 13073
fmr
1
$1,114
2025-10-01
HUD_USER_FMR
county 13073
acs median gross
2
$1,285
2024-12-31
CENSUS_ACS5
county 13073
fmr
2
$1,261
2025-10-01
HUD_USER_FMR
county 13073
acs median gross
3
$1,527
2024-12-31
CENSUS_ACS5
county 13073
fmr
3
$1,627
2025-10-01
HUD_USER_FMR
county 13073
acs median gross
4
$2,152
2024-12-31
CENSUS_ACS5
county 13073
fmr
4
$1,984
2025-10-01
HUD_USER_FMR
county 13073
acs median gross
5
$2,448
2024-12-31
CENSUS_ACS5
county 13073
acs median gross
$1,409
2024-12-31
CENSUS_ACS5
county 13073
acs recent mover gross
$1,727
2024-12-31
CENSUS_ACS5
zcta 30809
acs median gross
0
$1,136
2024-12-31
CENSUS_ACS5
zcta 30809
acs median gross
1
$1,208
2024-12-31
CENSUS_ACS5
zcta 30809
acs median gross
2
$1,422
2024-12-31
CENSUS_ACS5
zcta 30809
acs median gross
3
$1,820
2024-12-31
CENSUS_ACS5
zcta 30809
acs median gross
4
$2,211
2024-12-31
CENSUS_ACS5
zcta 30809
acs median gross
5
$2,625
2024-12-31
CENSUS_ACS5
zcta 30809
acs median gross
$1,714
2024-12-31
CENSUS_ACS5
zcta 30809
acs recent mover gross
$2,482
2024-12-31
CENSUS_ACS5
zip 30809
payment standard 110
0
$1,551
2025-10-01
HUD_USER_SAFMR
zip 30809
payment standard 90
0
$1,269
2025-10-01
HUD_USER_SAFMR
zip 30809
safmr
0
$1,410
2025-10-01
HUD_USER_SAFMR
zip 30809
payment standard 110
1
$1,837
2025-10-01
HUD_USER_SAFMR
zip 30809
payment standard 90
1
$1,503
2025-10-01
HUD_USER_SAFMR
zip 30809
safmr
1
$1,670
2025-10-01
HUD_USER_SAFMR
zip 30809
payment standard 110
2
$2,079
2025-10-01
HUD_USER_SAFMR
zip 30809
payment standard 90
2
$1,701
2025-10-01
HUD_USER_SAFMR
zip 30809
safmr
2
$1,890
2025-10-01
HUD_USER_SAFMR
zip 30809
payment standard 110
3
$2,684
2025-10-01
HUD_USER_SAFMR
zip 30809
payment standard 90
3
$2,196
2025-10-01
HUD_USER_SAFMR
zip 30809
safmr
3
$2,440
2025-10-01
HUD_USER_SAFMR
zip 30809
payment standard 110
4
$3,267
2025-10-01
HUD_USER_SAFMR
zip 30809
payment standard 90
4
$2,673
2025-10-01
HUD_USER_SAFMR
zip 30809
safmr
4
$2,970
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.