Reads as: riskier than 35.2% 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
4.33
3.02
3.28
2.90–3.77
RN
0.32
0.26
0.39
0.25–0.58
Weekend total
4.10
2.76
3.11
—
Weekday total
4.42
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
126.2
4.33
0.32
1.23
2.78
4.10
0.9%
2025Q3
92
128.7
4.20
0.33
1.18
2.69
3.97
1.2%
2025Q2
91
131.3
4.14
0.32
1.17
2.64
3.86
0.9%
2025Q1
90
128.0
4.53
0.39
1.19
2.95
4.32
0.9%
2024Q4
92
133.1
4.50
0.33
1.16
3.01
4.33
0.0%
2024Q3
92
132.8
4.36
0.30
1.18
2.88
4.15
3.3%
2024Q2
91
133.4
4.90
0.43
1.35
3.12
4.43
7.1%
2024Q1
91
130.8
4.55
0.34
1.29
2.92
4.28
8.7%
2023Q4
92
134.9
3.88
0.40
0.99
2.49
3.60
10.0%
2023Q3
92
130.2
3.92
0.40
1.04
2.48
3.70
16.5%
2023Q2
91
129.0
3.85
0.43
0.94
2.48
3.58
8.9%
2023Q1
90
130.3
4.00
0.47
1.05
2.48
3.83
14.0%
2022Q4
92
128.5
3.93
0.32
1.12
2.49
3.81
15.4%
2022Q3
92
121.0
4.05
0.39
1.17
2.49
3.86
6.8%
2022Q2
91
117.2
4.02
0.27
1.16
2.60
3.56
2.1%
2022Q1
90
117.1
3.83
0.00
1.35
2.48
3.45
6.1%
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.
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-10-25
2025-09-11
Health
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
2025-10-25
2025-09-11
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
2025-10-25
2025-09-11
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-10-25
2025-09-11
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-10-25
2024-04-07
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2024-05-05
2024-04-07
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-05-05
2024-04-07
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2024-05-05
2024-04-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-05-05
2022-05-19
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2022-07-01
2022-05-19
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2022-07-01
2022-05-19
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2022-07-01
2022-05-19
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-07-01
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
46
Owner
Role
Pct
From
Status
Source
AEGIS THERAPIES, INC.
ADP OF THE SNF
—
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
BARRINGTON, LISA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-04
current
pecos_ownership
BROWN, NICOLE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-08-30
current
pecos_ownership
CARE SOLUTIONS
GENERAL PARTNERSHIP INTEREST
—
2022-09-15
current
pecos_ownership
CATEAU, DEKE
CORPORATE OFFICER
—
2018-02-01
current
pecos_ownership
EMORY UNIVERSITY
ADP OF THE SNF
—
2007-10-01
current
pecos_ownership
EP WEALTH ADVISORS LLC
ADP OF THE SNF
—
2003-01-01
current
pecos_ownership
FORTUNE, ROCHELLE
OPERATIONAL/MANAGERIAL CONTROL
—
1999-10-22
current
pecos_ownership
HARMON PHYSICAL PLANT CONSULTING LLC
ADP OF THE SNF
—
2021-09-13
current
pecos_ownership
HELTON, MARY
CORPORATE OFFICER
—
2019-07-01
current
pecos_ownership
HILL, VINCENT
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-23
current
pecos_ownership
JEROME, FARRAH
OPERATIONAL/MANAGERIAL CONTROL
—
2017-12-07
current
pecos_ownership
LENNING, JUSTIN
ADP OF THE SNF
—
2014-08-01
current
pecos_ownership
LUTHER, TAMMY
ADP OF THE SNF
—
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
MITCHELL, DAPHNE
ADP OF THE SNF
—
2024-10-09
current
pecos_ownership
OH, HYUNG SEOK
ADP OF THE SNF
—
2007-10-01
current
pecos_ownership
PHANGESTU, CHRISTINA
ADP OF THE SNF
—
2023-06-26
current
pecos_ownership
PRICE, CRYSTAL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-08
current
pecos_ownership
PRUITTHEALTH INC
ADP OF THE SNF
—
2007-12-01
current
pecos_ownership
UNIDINE CORPORATION
OPERATIONAL/MANAGERIAL CONTROL
—
2017-11-17
current
pecos_ownership
UNIDINE CORPORATION
ADP OF THE SNF
—
2025-04-10
current
pecos_ownership
WARD, LATASHA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-11
current
pecos_ownership
WASHBURNE DIALYSIS LLC
ADP OF THE SNF
—
2023-09-01
current
pecos_ownership
WEBSTER, SEAN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-13
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
ARIANA MINOR
ADP OF THE SNF
—
2023-02-07
ended 2026-05-18
pecos_ownership
CRYSTAL PRICE
ADP OF THE SNF
—
2024-08-08
ended 2026-05-18
pecos_ownership
DAPHNE MITCHELL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-09
ended 2026-05-18
pecos_ownership
DEKE CATEAU
ADP OF THE SNF
—
2018-02-01
ended 2026-05-18
pecos_ownership
FARRAH JEROME
OPERATIONAL/MANAGERIAL CONTROL
—
2017-12-07
ended 2026-05-18
pecos_ownership
HYUNG SEOK OH
ADP OF THE SNF
—
2007-10-01
ended 2026-05-18
pecos_ownership
JUSTIN LENNING
CORPORATE DIRECTOR
—
2014-08-01
ended 2026-05-18
pecos_ownership
KEITH WILSON
CORPORATE OFFICER
—
2019-08-01
ended 2026-05-18
pecos_ownership
LATASHA WARD
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-11
ended 2026-05-18
pecos_ownership
LISA BARRINGTON
ADP OF THE SNF
—
2021-05-04
ended 2026-05-18
pecos_ownership
MARY HELTON
ADP OF THE SNF
—
2019-07-01
ended 2026-05-18
pecos_ownership
NICOLE BROWN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-08-30
ended 2026-05-18
pecos_ownership
ROCHELLE FORTUNE
OPERATIONAL/MANAGERIAL CONTROL
—
1999-10-22
ended 2026-05-18
pecos_ownership
SEAN WEBSTER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-13
ended 2026-05-18
pecos_ownership
TAMMY LUTHER
CORPORATE DIRECTOR
—
2020-01-01
ended 2026-05-18
pecos_ownership
VINCENT HILL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-23
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
$1,200,987
—
—
—
—
0
—
2024-06-30
$1,157,562
—
—
—
—
0
—
2023-06-30
$1,209,343
—
—
—
—
0
—
2022-06-30
$1,139,832
—
—
—
—
0
—
2021-06-30
$1,233,974
—
—
—
—
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 13089
acs median gross
0
$1,461
2024-12-31
CENSUS_ACS5
county 13089
fmr
0
$1,585
2025-10-01
HUD_USER_FMR
county 13089
acs median gross
1
$1,530
2024-12-31
CENSUS_ACS5
county 13089
fmr
1
$1,660
2025-10-01
HUD_USER_FMR
county 13089
acs median gross
2
$1,708
2024-12-31
CENSUS_ACS5
county 13089
fmr
2
$1,820
2025-10-01
HUD_USER_FMR
county 13089
acs median gross
3
$1,811
2024-12-31
CENSUS_ACS5
county 13089
fmr
3
$2,182
2025-10-01
HUD_USER_FMR
county 13089
acs median gross
4
$2,008
2024-12-31
CENSUS_ACS5
county 13089
fmr
4
$2,605
2025-10-01
HUD_USER_FMR
county 13089
acs median gross
5
$2,258
2024-12-31
CENSUS_ACS5
county 13089
acs median gross
$1,692
2024-12-31
CENSUS_ACS5
county 13089
acs recent mover gross
$1,792
2024-12-31
CENSUS_ACS5
zcta 30329
acs median gross
0
$1,463
2024-12-31
CENSUS_ACS5
zcta 30329
acs median gross
1
$1,721
2024-12-31
CENSUS_ACS5
zcta 30329
acs median gross
2
$1,939
2024-12-31
CENSUS_ACS5
zcta 30329
acs median gross
3
$2,193
2024-12-31
CENSUS_ACS5
zcta 30329
acs median gross
4
$2,583
2024-12-31
CENSUS_ACS5
zcta 30329
acs median gross
$1,834
2024-12-31
CENSUS_ACS5
zcta 30329
acs recent mover gross
$1,840
2024-12-31
CENSUS_ACS5
zip 30329
payment standard 110
0
$2,255
2025-10-01
HUD_USER_SAFMR
zip 30329
payment standard 90
0
$1,845
2025-10-01
HUD_USER_SAFMR
zip 30329
safmr
0
$2,050
2025-10-01
HUD_USER_SAFMR
zip 30329
payment standard 110
1
$2,354
2025-10-01
HUD_USER_SAFMR
zip 30329
payment standard 90
1
$1,926
2025-10-01
HUD_USER_SAFMR
zip 30329
safmr
1
$2,140
2025-10-01
HUD_USER_SAFMR
zip 30329
payment standard 110
2
$2,585
2025-10-01
HUD_USER_SAFMR
zip 30329
payment standard 90
2
$2,115
2025-10-01
HUD_USER_SAFMR
zip 30329
safmr
2
$2,350
2025-10-01
HUD_USER_SAFMR
zip 30329
payment standard 110
3
$3,102
2025-10-01
HUD_USER_SAFMR
zip 30329
payment standard 90
3
$2,538
2025-10-01
HUD_USER_SAFMR
zip 30329
safmr
3
$2,820
2025-10-01
HUD_USER_SAFMR
zip 30329
payment standard 110
4
$3,696
2025-10-01
HUD_USER_SAFMR
zip 30329
payment standard 90
4
$3,024
2025-10-01
HUD_USER_SAFMR
zip 30329
safmr
4
$3,360
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.