CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-04 21:21 UTC
Screener / 195612
D

GOOD SAMARITAN LIVING CENTER

snfLA
605 HILLTOP AVENUE, FRANKLINTON, LA 70438 · CCN 195612
Composite
88.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
84
Model
v1.2
Reads as: riskier than 88.6% 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.

Composite explanation

4
ComponentPercentileRawWeightWeight shareContributionCounts
financial risk96.587.00.300.285727.57in index
regulatory risk84.881.90.300.285724.23in index
billing conduct24.828.90.300.28577.09in index
chow risk47.145.20.150.14296.73in index
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.

Component scores and registry models

13
Score typeScoreGradeModelStatusRegistry model notes
billing conduct28.9Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-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.
chow risk65.5Dv0.6default · in composite
financial risk87.0Fv0.5default · in compositeR18.
p adverse action 12m12.0v0.1default · in compositeR23/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.
p chow 12m0.6v0.1default · in compositeR22/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.
regulatory risk81.9Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
financial risk55.4Cv0.1supersededPre-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.
financial risk35.4Bv0.2supersededPre-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.
financial risk70.0Dv0.3supersededPre-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.
financial risk86.1Fv0.4supersededPre-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.
regulatory risk81.8Fv0.1supersededPre-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.
regulatory risk81.8Fv0.2supersededPre-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.
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.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
0.6%
model v0.1 · computed 2026-07-29
Percentile among SNFs
56.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership0.00-1.24
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
Occupancy0.53+0.50
No PBJ staffing report0.00+0.42
Chain size (log)0.00-0.40
Ownership changes, last 5 years0.00+0.20
Deficiencies, last 12 months1.00-0.15
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.

Distress radar — 12-month termination probability

full board →
p(termination, 12m)
12.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
99.4
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
For-profit ownership0.00+1.62
Deficiencies, last 12 months1.00+1.24
Chain size (log)0.00+1.20
Occupancy0.53+0.94
No PBJ staffing report0.00+0.39
Fine amount, 12m (log)0.00+0.18
Never sold on record1.00+0.12
Current owner tenure (years)25.00+0.11
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

12
2025Q3 HPRDThis facilityLA medianNational medianNational p25–p75
Total nurse3.443.383.282.90–3.77
RN0.080.100.390.25–0.58
Weekend total2.893.093.11
Weekday total3.653.483.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q39244.13.440.081.342.022.890.0%
2025Q19039.53.580.081.531.973.120.0%
2024Q49238.33.570.081.531.973.110.0%
2024Q19134.63.580.141.322.123.350.0%
2023Q49236.53.660.081.212.373.500.0%
2023Q39242.82.390.080.851.462.160.0%
2023Q29139.73.340.111.232.012.900.0%
2023Q19038.93.270.091.112.082.900.0%
2022Q49239.52.950.090.692.162.700.0%
2022Q39235.93.210.110.882.222.800.0%
2022Q29131.52.900.080.712.112.590.0%
2022Q19031.63.090.080.882.143.010.0%
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

1
DateTypeFineSource
2023-11-09Fine$168,630CMS provider data
Total fines on record: $168,630

Deficiencies

12
D × 5E × 3F × 1J × 3
deficiencies by survey year
5323242526
SurveyTypeTagDeficiencyScopeCorrected
2026-01-07Health · complaintF0641Ensure each resident receives an accurate assessment.D2026-02-13
2025-05-14HealthF0578Honor 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.D2025-06-13
2025-05-14HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2025-06-13
2025-05-14HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-06-13
2024-04-11HealthF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.D2024-05-17
2024-04-11HealthF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.D2024-05-17
2024-04-11HealthF0880Provide and implement an infection prevention and control program.E2024-05-17
2023-11-09Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.J2023-12-13
2023-11-09Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J2023-12-13
2023-11-09Health · complaintF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.J2023-12-13
2023-04-06HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-03-24
2023-04-06HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2023-05-18
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

11
OwnerRolePctFromStatusSource
HOME AWAY FROM HOME, INC.5% OR GREATER DIRECT OWNERSHIP INTEREST100%2001-10-02currentpecos_ownership
CAUSEY, JOHNNYCORPORATE DIRECTOR2019-09-26currentpecos_ownership
KNIGHT, JAMESCORPORATE DIRECTOR2018-07-27currentpecos_ownership
MAGEE, AYIESHACORPORATE OFFICER2025-09-25currentpecos_ownership
SHOWERS, BOBBYCORPORATE OFFICER2001-10-02currentpecos_ownership
SIMON, JOHNADP OF THE SNF2024-01-01currentpecos_ownership
SMITH, KENNETHADP OF THE SNF2022-06-17currentpecos_ownership
STEVENS, IDACORPORATE OFFICER2025-09-25currentpecos_ownership
STEVENS, IDACORPORATE DIRECTOR2001-10-02currentpecos_ownership
TALLEY, CLINTONCORPORATE DIRECTOR2014-09-25currentpecos_ownership
WILLIAMS, JOSHUACORPORATE DIRECTOR2011-10-17currentpecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

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.

Comparable trades — LA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-04-01Timber Springs Rehab and Retirement153PMG OPCO - SPRINGHILL LLC
2025-03-28Cornerstone Post Acute Care Of Bossier7CORNERSTONE POST ACUTE CARE OF BOSSIER LLC
2024-09-16REGENCY HOUSE OF ALEXANDRIA58REGENCY HOUSE SNF OPERATIONS LLC
2024-03-01Heritage Manor Health & Rehab642575 AIRLINE DRIVE OPCO LLC
2024-03-01FAIR CITY HEALTH AND REHAB1212000 FRANK SNF LLC
2024-03-01Adira Medical Resort774405 AIRLINE DRIVE OPCO LLC
2023-12-28Oak Haven Rehabilitation and Healthcare Center104OAK HAVEN SNF OPERATIONS LLC
2023-12-28The Columns Rehabilitation and Healthcare Center140COLUMNS SNF OPERATIONS LLC
2023-10-01MAISON D'ACADIENS CARE CENTER782907 BASILE SNF LLC
2023-10-01Riverview Care Center135BOSSIER RIVERVIEW, LLC
2023-10-01Flannery Oaks Guest House130FLANNERY OAKS GH BR
2023-08-01Legacy Nursing at St. Christina140ST CHRISTINA OPCO LLC
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

32
GeoKindBRAmountAs ofSource
county 22117acs median gross0$5452024-12-31CENSUS_ACS5
county 22117fmr0$7272025-10-01HUD_USER_FMR
county 22117acs median gross1$3002024-12-31CENSUS_ACS5
county 22117fmr1$7612025-10-01HUD_USER_FMR
county 22117acs median gross2$7632024-12-31CENSUS_ACS5
county 22117fmr2$8342025-10-01HUD_USER_FMR
county 22117acs median gross3$9262024-12-31CENSUS_ACS5
county 22117fmr3$1,1602025-10-01HUD_USER_FMR
county 22117acs median gross4$8282024-12-31CENSUS_ACS5
county 22117fmr4$1,3882025-10-01HUD_USER_FMR
county 22117acs median gross$7742024-12-31CENSUS_ACS5
county 22117acs recent mover gross$7932024-12-31CENSUS_ACS5
zcta 70438acs median gross0$6422024-12-31CENSUS_ACS5
zcta 70438acs median gross1$6372024-12-31CENSUS_ACS5
zcta 70438acs median gross2$8352024-12-31CENSUS_ACS5
zcta 70438acs median gross3$8922024-12-31CENSUS_ACS5
zcta 70438acs median gross$8242024-12-31CENSUS_ACS5
zip 70438payment standard 1100$1,0672025-10-01HUD_USER_SAFMR
zip 70438payment standard 900$8732025-10-01HUD_USER_SAFMR
zip 70438safmr0$9702025-10-01HUD_USER_SAFMR
zip 70438payment standard 1101$1,2322025-10-01HUD_USER_SAFMR
zip 70438payment standard 901$1,0082025-10-01HUD_USER_SAFMR
zip 70438safmr1$1,1202025-10-01HUD_USER_SAFMR
zip 70438payment standard 1102$1,4742025-10-01HUD_USER_SAFMR
zip 70438payment standard 902$1,2062025-10-01HUD_USER_SAFMR
zip 70438safmr2$1,3402025-10-01HUD_USER_SAFMR
zip 70438payment standard 1103$1,8812025-10-01HUD_USER_SAFMR
zip 70438payment standard 903$1,5392025-10-01HUD_USER_SAFMR
zip 70438safmr3$1,7102025-10-01HUD_USER_SAFMR
zip 70438payment standard 1104$2,2002025-10-01HUD_USER_SAFMR
zip 70438payment standard 904$1,8002025-10-01HUD_USER_SAFMR
zip 70438safmr4$2,0002025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.