Reads as: riskier than 20.0% 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.
ML signals — parallel engine
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
15 chains
AEGIS THERAPIES INC
32 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
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
4.06
3.02
3.28
2.90–3.77
RN
0.21
0.26
0.39
0.25–0.58
Weekend total
3.92
2.76
3.11
—
Weekday total
4.11
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
126.3
4.06
0.21
1.15
2.70
3.92
0.9%
2025Q3
92
125.5
3.85
0.19
1.08
2.58
3.55
1.4%
2025Q2
91
123.5
4.16
0.24
1.18
2.75
3.71
1.0%
2025Q1
90
127.5
3.88
0.21
1.11
2.56
3.81
1.1%
2024Q4
92
126.7
4.16
0.20
1.21
2.75
3.84
1.8%
2024Q3
92
120.6
4.13
0.21
1.31
2.61
3.72
2.8%
2024Q2
91
112.8
4.42
0.24
1.40
2.78
3.98
4.0%
2024Q1
91
113.6
4.61
0.28
1.56
2.77
4.35
8.7%
2023Q4
92
115.1
4.61
0.32
1.40
2.90
4.24
11.4%
2023Q3
92
113.3
4.58
0.24
1.39
2.95
4.25
20.5%
2023Q2
91
115.0
4.15
0.23
1.35
2.56
3.87
19.3%
2023Q1
90
116.5
3.84
0.15
1.38
2.32
3.60
17.2%
2022Q4
92
117.1
3.51
0.21
1.25
2.05
3.22
3.6%
2022Q3
92
114.1
3.51
0.25
1.24
2.02
3.22
1.1%
2022Q2
91
109.3
3.82
0.31
1.29
2.23
3.35
0.0%
2022Q1
90
106.4
4.01
0.26
1.42
2.33
3.60
2.1%
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
15
D × 11E × 1F × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-12-04
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2026-01-01
2025-12-04
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-01-01
2025-12-04
Health · complaint
F0814
Dispose of garbage and refuse properly.
F
2026-01-01
2025-12-04
Health · complaint
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2026-01-01
2025-03-21
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-04-30
2024-08-15
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-09-20
2024-08-15
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
D
2024-09-20
2024-08-15
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
2024-09-20
2024-08-15
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-09-20
2024-08-15
Health · complaint
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F
2024-09-20
2023-08-30
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-10-10
2022-06-16
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2022-07-31
2022-06-16
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2022-07-31
2022-06-16
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2022-07-31
2022-06-16
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2022-07-31
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
45
Owner
Role
Pct
From
Status
Source
AEGIS THERAPIES, INC.
ADP OF THE SNF
—
2025-04-28
current
pecos_ownership
AEGIS THERAPIES, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2018-06-01
current
pecos_ownership
AG RHODES HEALTH AND REHAB MGT INC
ADP OF THE SNF
—
2012-07-01
current
pecos_ownership
AMERIS BANK
ADP OF THE SNF
—
2023-07-01
current
pecos_ownership
BARNES, LORETTA
ADP OF THE SNF
—
2024-04-16
current
pecos_ownership
CARE SOLUTIONS
ADP OF THE SNF
—
2022-09-15
current
pecos_ownership
CATEAU, DEKE
ADP OF THE SNF
—
2018-02-01
current
pecos_ownership
CHAFFIN, KIMBERLY
ADP OF THE SNF
—
2008-05-01
current
pecos_ownership
DILONE, FERNANDO
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-27
current
pecos_ownership
EP WEALTH ADVISORS LLC
ADP OF THE SNF
—
2003-01-01
current
pecos_ownership
FRINKS, TERENCE
ADP OF THE SNF
—
2009-06-01
current
pecos_ownership
HARMON PHYSICAL PLANT CONSULTING LLC
ADP OF THE SNF
—
2021-09-13
current
pecos_ownership
HELTON, MARY
CORPORATE OFFICER
—
2021-08-16
current
pecos_ownership
JOHNSON, VANISSA
OPERATIONAL/MANAGERIAL CONTROL
—
2002-07-11
current
pecos_ownership
JOSEPH, FLORENCE
OPERATIONAL/MANAGERIAL CONTROL
—
2017-10-24
current
pecos_ownership
KEARNEY, NATASHIA
ADP OF THE SNF
—
2003-10-06
current
pecos_ownership
LENNING, JUSTIN
ADP OF THE SNF
—
2014-08-01
current
pecos_ownership
LUTHER, TAMMY
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
MAULDIN & JENKINS LLC
ADP OF THE SNF
—
2011-07-01
current
pecos_ownership
MINOR, ARIANA
ADP OF THE SNF
—
2023-02-07
current
pecos_ownership
PHANGESTU, CHRISTINA
ADP OF THE SNF
—
2023-06-26
current
pecos_ownership
PRUITTHEALTH INC
ADP OF THE SNF
—
2007-12-01
current
pecos_ownership
ROBINSON, PATRICE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-08
current
pecos_ownership
THOMPSON, KELLONEY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-02
current
pecos_ownership
UNIDINE CORPORATION
ADP OF THE SNF
—
2025-04-09
current
pecos_ownership
UNIDINE CORPORATION
OPERATIONAL/MANAGERIAL CONTROL
—
2017-11-17
current
pecos_ownership
VISION MEDICAL CONSULTING, P.C.
ADP OF THE SNF
—
2009-06-01
current
pecos_ownership
WASHBURNE DIALYSIS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-01
current
pecos_ownership
WILSON, KEITH
CORPORATE OFFICER
—
2019-08-01
current
pecos_ownership
CHRISTINA PHANGESTU
CORPORATE OFFICER
0%
2023-06-26
ended 2026-05-18
pecos_ownership
KEITH WILSON
CORPORATE OFFICER
0%
2019-08-01
ended 2026-05-18
pecos_ownership
ARIANA MINOR
CORPORATE DIRECTOR
—
2023-02-07
ended 2026-05-18
pecos_ownership
DEKE CATEAU
ADP OF THE SNF
—
2018-02-01
ended 2026-05-18
pecos_ownership
FERNANDO DILONE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-27
ended 2026-05-18
pecos_ownership
FLORENCE JOSEPH
OPERATIONAL/MANAGERIAL CONTROL
—
2017-10-24
ended 2026-05-18
pecos_ownership
JUSTIN LENNING
CORPORATE DIRECTOR
—
2014-08-01
ended 2026-05-18
pecos_ownership
KELLONEY THOMPSON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-02
ended 2026-05-18
pecos_ownership
KIMBERLY CHAFFIN
ADP OF THE SNF
—
2008-05-01
ended 2026-05-18
pecos_ownership
LORETTA BARNES
ADP OF THE SNF
—
2024-04-16
ended 2026-05-18
pecos_ownership
MARY HELTON
CORPORATE OFFICER
—
2021-08-16
ended 2026-05-18
pecos_ownership
NATASHIA KEARNEY
ADP OF THE SNF
—
2003-10-06
ended 2026-05-18
pecos_ownership
PATRICE ROBINSON
ADP OF THE SNF
—
2024-08-08
ended 2026-05-18
pecos_ownership
TAMMY LUTHER
CORPORATE DIRECTOR
—
2020-01-01
ended 2026-05-18
pecos_ownership
TERENCE FRINKS
ADP OF THE SNF
—
2009-06-01
ended 2026-05-18
pecos_ownership
VANISSA JOHNSON
OPERATIONAL/MANAGERIAL CONTROL
—
2002-07-11
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
$1,141,206
—
—
—
—
0
—
2024-06-30
$1,001,583
—
—
—
—
0
—
2023-06-30
$1,114,514
—
—
—
—
0
—
2022-06-30
$1,051,616
—
—
—
—
0
—
2021-06-30
$1,169,426
—
—
—
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 13121
acs median gross
0
$1,680
2024-12-31
CENSUS_ACS5
county 13121
fmr
0
$1,585
2025-10-01
HUD_USER_FMR
county 13121
acs median gross
1
$1,638
2024-12-31
CENSUS_ACS5
county 13121
fmr
1
$1,660
2025-10-01
HUD_USER_FMR
county 13121
acs median gross
2
$1,764
2024-12-31
CENSUS_ACS5
county 13121
fmr
2
$1,820
2025-10-01
HUD_USER_FMR
county 13121
acs median gross
3
$1,879
2024-12-31
CENSUS_ACS5
county 13121
fmr
3
$2,182
2025-10-01
HUD_USER_FMR
county 13121
acs median gross
4
$2,089
2024-12-31
CENSUS_ACS5
county 13121
fmr
4
$2,605
2025-10-01
HUD_USER_FMR
county 13121
acs median gross
5
$2,325
2024-12-31
CENSUS_ACS5
county 13121
acs median gross
$1,732
2024-12-31
CENSUS_ACS5
county 13121
acs recent mover gross
$1,905
2024-12-31
CENSUS_ACS5
zcta 30312
acs median gross
0
$1,621
2024-12-31
CENSUS_ACS5
zcta 30312
acs median gross
1
$1,529
2024-12-31
CENSUS_ACS5
zcta 30312
acs median gross
2
$2,096
2024-12-31
CENSUS_ACS5
zcta 30312
acs median gross
3
$1,191
2024-12-31
CENSUS_ACS5
zcta 30312
acs median gross
4
$3,442
2024-12-31
CENSUS_ACS5
zcta 30312
acs median gross
$1,673
2024-12-31
CENSUS_ACS5
zcta 30312
acs recent mover gross
$1,999
2024-12-31
CENSUS_ACS5
zip 30312
payment standard 110
0
$2,057
2025-10-01
HUD_USER_SAFMR
zip 30312
payment standard 90
0
$1,683
2025-10-01
HUD_USER_SAFMR
zip 30312
safmr
0
$1,870
2025-10-01
HUD_USER_SAFMR
zip 30312
payment standard 110
1
$2,156
2025-10-01
HUD_USER_SAFMR
zip 30312
payment standard 90
1
$1,764
2025-10-01
HUD_USER_SAFMR
zip 30312
safmr
1
$1,960
2025-10-01
HUD_USER_SAFMR
zip 30312
payment standard 110
2
$2,365
2025-10-01
HUD_USER_SAFMR
zip 30312
payment standard 90
2
$1,935
2025-10-01
HUD_USER_SAFMR
zip 30312
safmr
2
$2,150
2025-10-01
HUD_USER_SAFMR
zip 30312
payment standard 110
3
$2,838
2025-10-01
HUD_USER_SAFMR
zip 30312
payment standard 90
3
$2,322
2025-10-01
HUD_USER_SAFMR
zip 30312
safmr
3
$2,580
2025-10-01
HUD_USER_SAFMR
zip 30312
payment standard 110
4
$3,388
2025-10-01
HUD_USER_SAFMR
zip 30312
payment standard 90
4
$2,772
2025-10-01
HUD_USER_SAFMR
zip 30312
safmr
4
$3,080
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.