Reads as: riskier than 93.7% 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
16
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+29.3 vs natl
SHASAM HOLDINGS LLC
12 facilities
connection
Owner fleet risk far above national
+28.5 vs natl
AJOJ HOLDINGS LLC
12 facilities
connection
Owner fleet risk far above national
+27.9 vs natl
SHASAM FAMILY TRUST
13 facilities
connection
Owner fleet risk far above national
+27.9 vs natl
BLUE OCEAN TRUST
13 facilities
connection
Owner fleet risk far above national
+27.9 vs natl
3 BEES HOLDINGS LLC
13 facilities
connection
Owner fleet risk far above national
+27.9 vs natl
BEES FAMILY IRREVOCABLE TRUST
13 facilities
connection
Owner fleet risk far above national
+25.8 vs natl
BILBO RICHARD
13 facilities
connection
Owner fleet risk far above national
+25.3 vs natl
OMARA JODY
9 facilities
connection
Owner fleet risk far above national
+25.3 vs natl
CONRAD CAMERON
9 facilities
connection
Owner fleet risk far above national
+25.3 vs natl
JONES ANTONIO
9 facilities
connection
Owner fleet risk far above national
+25.3 vs natl
JOURNEY OX GA MANAGEMENT LLC
9 facilities
connection
Owner fleet risk far above national
+25.3 vs natl
SILLINGS NIKKI
9 facilities
connection
Owner fleet risk far above national
+25.2 vs natl
JOURNEY OX GA HEALTHCARE HOLDINGS LLC
7 facilities
connection
Owner fleet risk far above national
+25.2 vs natl
JOURNEY OX OF GA LLC
7 facilities
connection
Owner fleet risk far above national
+24.6 vs natl
TRAMMELL MATTHEW
10 facilities
connection
Owner fleet risk far above national
+22.2 vs natl
MCGUINNESS BERNARD
22 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
2.70
3.02
3.28
2.90–3.77
RN
0.18
0.26
0.39
0.25–0.58
Weekend total
2.60
2.76
3.11
—
Weekday total
2.74
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
85.7
2.70
0.18
0.69
1.82
2.60
0.0%
2025Q3
92
85.7
2.69
0.13
0.70
1.86
2.57
0.0%
2025Q2
91
81.7
2.93
0.07
0.98
1.89
2.53
0.0%
2025Q1
90
87.6
2.27
0.05
0.75
1.47
2.04
1.2%
2024Q4
92
89.8
1.97
0.04
0.56
1.37
1.66
6.4%
2024Q3
92
92.3
2.71
0.09
0.67
1.95
1.94
84.5%
2024Q2
91
90.1
3.27
0.11
0.85
2.31
2.91
85.3%
2024Q1
91
94.9
3.08
0.11
0.85
2.12
2.82
83.6%
2023Q4
92
94.8
3.23
0.08
0.86
2.29
2.86
83.7%
2023Q3
92
88.2
2.50
0.10
0.82
1.59
1.97
65.5%
2023Q2
91
88.3
3.48
0.09
0.96
2.44
3.32
69.7%
2023Q1
90
91.3
3.30
0.10
0.73
2.47
2.99
72.9%
2022Q4
92
86.4
3.37
0.15
0.86
2.36
2.89
66.2%
2022Q3
92
75.3
2.89
0.19
0.95
1.75
2.73
41.0%
2022Q2
91
22.1
6.63
0.23
2.59
3.81
6.79
10.2%
2022Q1
90
78.3
2.74
0.10
1.02
1.62
2.85
15.3%
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.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2026-05-07
2024-08-28
Health · complaint
F0567
Honor the resident's right to manage his or her financial affairs.
D
2024-10-17
2024-08-28
Health · complaint
F0568
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
D
2024-10-17
2024-08-28
Health · complaint
F0569
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
D
2024-10-17
2024-08-28
Health · complaint
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
E
2024-10-17
2024-08-28
Health · complaint
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
2024-10-17
2024-08-28
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
2024-10-17
2024-08-28
Health · complaint
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-10-17
2024-08-28
Health · complaint
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
E
2024-10-17
2024-08-28
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.
G
2024-10-17
2024-08-28
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2024-10-17
2024-08-28
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2024-10-17
2024-08-28
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-10-17
2024-08-28
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-10-17
2024-08-28
Health · complaint
F0847
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
E
2024-10-17
2024-08-28
Health · complaint
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
F
2024-10-17
2024-08-28
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-10-17
2024-08-28
Health · complaint
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2024-10-17
2023-03-16
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2023-04-11
2023-03-16
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2023-04-11
2023-03-16
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-04-11
2023-03-16
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2023-04-11
2023-03-16
Health
F0626
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
D
2023-04-11
2023-03-16
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-04-11
2023-03-16
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2023-04-11
2023-03-16
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
2023-04-11
2023-03-16
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-04-11
2023-03-16
Health
F0761
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
2023-04-11
2023-03-16
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2023-04-11
2023-03-16
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-04-11
2023-03-16
Health
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
F
2023-04-11
2023-03-16
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-04-11
2023-03-16
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2023-04-11
2023-03-16
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2023-04-11
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
41
Owner
Role
Pct
From
Status
Source
3 BEES HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
AJOJ HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
BEES FAMILY IRREVOCABLE TRUST
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
BILBO, RICHARD
ADP OF THE SNF
—
2024-11-20
current
pecos_ownership
BLUE OCEAN TRUST
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
BROWN, KIMBERLY
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
CONRAD, CAMERON
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
FOCO, ANDREA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
FRINKS, TERENCE
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
JOHNSON, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
JONES, ANTONIO
ADP OF THE SNF
—
2024-11-18
current
pecos_ownership
JOURNEY OX GA HEALTHCARE HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
JOURNEY OX GA MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
JOURNEY OX OF GA LLC
DIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
MCGUINNESS, BERNARD
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-08-28
current
pecos_ownership
MCGUINNESS, BERNARD
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
OMARA, JODY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
PRICE, HEATHER
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
SHASAM FAMILY TRUST
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
SHASAM HOLDINGS LLC
INDIRECT OWNERSHIP INTEREST
—
2024-11-01
current
pecos_ownership
SILLINGS, NIKKI
ADP OF THE SNF
—
2025-01-13
current
pecos_ownership
SUMMIT CALHOUN LLC
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
TRAMMELL, MATTHEW
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
WASHINGTON, RICHARD
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
WILLIAMS, DANIEL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
GEORGIA 7 PROPCO HOLDINGS LLC
Corporation, partnership or other organization has financial interest in provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
GEORGIA 7 PROPCO HOLDINGS LLC
Corporation, partnership or other organization has financial interest in provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
BERNARD MCGUINNESS
INDIRECT OWNERSHIP INTEREST
2%
2024-11-01
ended 2026-05-18
pecos_ownership
ANDREA FOCO
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
ANTONIO JONES
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-18
ended 2026-05-18
pecos_ownership
CAMERON CONRAD
ADP OF THE SNF
—
2024-11-01
ended 2026-05-18
pecos_ownership
DANIEL WILLIAMS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
HEATHER PRICE
ADP OF THE SNF
—
2024-11-01
ended 2026-05-18
pecos_ownership
JENNIFER JOHNSON
ADP OF THE SNF
—
2024-11-01
ended 2026-05-18
pecos_ownership
JODY OMARA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
KIMBERLY BROWN
ADP OF THE SNF
—
2024-11-01
ended 2026-05-18
pecos_ownership
MATTHEW TRAMMELL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
NIKKI SILLINGS
ADP OF THE SNF
—
2025-01-13
ended 2026-05-18
pecos_ownership
RICHARD BILBO
ADP OF THE SNF
—
2024-11-20
ended 2026-05-18
pecos_ownership
RICHARD WASHINGTON
ADP OF THE SNF
—
2024-11-01
ended 2026-05-18
pecos_ownership
TERENCE FRINKS
ADP OF THE SNF
—
2024-11-01
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
4
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2023-12-31
$241,712
—
—
—
—
2
—
2022-12-31
$270,707
—
—
—
—
2
—
2021-12-31
$677,573
—
—
—
—
4
propco
2020-12-31
$863,494
—
—
—
—
4
propco
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
34
Geo
Kind
BR
Amount
As of
Source
county 13129
acs median gross
0
$529
2024-12-31
CENSUS_ACS5
county 13129
fmr
0
$703
2025-10-01
HUD_USER_FMR
county 13129
acs median gross
1
$719
2024-12-31
CENSUS_ACS5
county 13129
fmr
1
$833
2025-10-01
HUD_USER_FMR
county 13129
acs median gross
2
$861
2024-12-31
CENSUS_ACS5
county 13129
fmr
2
$1,011
2025-10-01
HUD_USER_FMR
county 13129
acs median gross
3
$1,090
2024-12-31
CENSUS_ACS5
county 13129
fmr
3
$1,406
2025-10-01
HUD_USER_FMR
county 13129
acs median gross
4
$1,326
2024-12-31
CENSUS_ACS5
county 13129
fmr
4
$1,590
2025-10-01
HUD_USER_FMR
county 13129
acs median gross
$937
2024-12-31
CENSUS_ACS5
county 13129
acs recent mover gross
$1,201
2024-12-31
CENSUS_ACS5
zcta 30701
acs median gross
0
$526
2024-12-31
CENSUS_ACS5
zcta 30701
acs median gross
1
$720
2024-12-31
CENSUS_ACS5
zcta 30701
acs median gross
2
$854
2024-12-31
CENSUS_ACS5
zcta 30701
acs median gross
3
$1,123
2024-12-31
CENSUS_ACS5
zcta 30701
acs median gross
4
$1,385
2024-12-31
CENSUS_ACS5
zcta 30701
acs median gross
$925
2024-12-31
CENSUS_ACS5
zcta 30701
acs recent mover gross
$1,200
2024-12-31
CENSUS_ACS5
zip 30701
payment standard 110
0
$825
2025-10-01
HUD_USER_SAFMR
zip 30701
payment standard 90
0
$675
2025-10-01
HUD_USER_SAFMR
zip 30701
safmr
0
$750
2025-10-01
HUD_USER_SAFMR
zip 30701
payment standard 110
1
$902
2025-10-01
HUD_USER_SAFMR
zip 30701
payment standard 90
1
$738
2025-10-01
HUD_USER_SAFMR
zip 30701
safmr
1
$820
2025-10-01
HUD_USER_SAFMR
zip 30701
payment standard 110
2
$1,188
2025-10-01
HUD_USER_SAFMR
zip 30701
payment standard 90
2
$972
2025-10-01
HUD_USER_SAFMR
zip 30701
safmr
2
$1,080
2025-10-01
HUD_USER_SAFMR
zip 30701
payment standard 110
3
$1,518
2025-10-01
HUD_USER_SAFMR
zip 30701
payment standard 90
3
$1,242
2025-10-01
HUD_USER_SAFMR
zip 30701
safmr
3
$1,380
2025-10-01
HUD_USER_SAFMR
zip 30701
payment standard 110
4
$1,716
2025-10-01
HUD_USER_SAFMR
zip 30701
payment standard 90
4
$1,404
2025-10-01
HUD_USER_SAFMR
zip 30701
safmr
4
$1,560
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.