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 23:50 UTC
Screener / 115668
A

PRUITTHEALTH - SUNRISE

snfGA
2709 S MAIN STREET, MOULTRIE, GA 31768 · CCN 115668 · chain UHS PRUITT HOLDINGS INC
Composite
13.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
60
Model
v1.2
Reads as: riskier than 13.1% 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

5
ComponentPercentileRawWeightWeight shareContributionCounts
staffing risk92.392.30.250.192317.75in index
financial risk29.333.40.300.23086.76in index
chow risk42.540.70.150.11544.90in index
regulatory risk10.66.80.300.23082.45in index
billing conduct0.00.00.300.23080.00in 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

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct0.0Av0.1-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 risk56.4Cv0.6default · in composite
financial risk33.4Bv0.5default · in compositeR18.
p adverse action 12m0.0v0.1default · 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 12m4.2v0.1default · 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 risk6.8Av0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk92.3Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk90.0Fv0.1supersededPre-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 risk70.0Dv0.2supersededPre-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 risk42.2Bv0.3supersededPre-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 risk38.9Bv0.4supersededPre-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 risk6.7Av0.1supersededPre-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 risk6.7Av0.2supersededPre-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.
staffing risk92.3Fv0.1supersededPre-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.
staffing risk92.3Fv0.2supersededPre-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.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
4.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
85.7
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Occupancy0.96-0.78
For-profit ownership1.00+0.69
Chain size (log)4.82+0.62
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
No PBJ staffing report0.00+0.42
Ownership changes, last 5 years0.00+0.20
Deficiencies, last 12 months0.00-0.17
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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
20.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Chain size (log)4.82-1.60
Deficiencies, last 12 months0.00+1.43
Occupancy0.96-0.91
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)2.45+0.32
Staffing trend, last 4 quarters-0.37-0.20
Fine amount, 12m (log)0.00+0.18
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 HPRDThis facilityGA medianNational medianNational p25–p75
Total nurse2.453.023.282.90–3.77
RN0.240.260.390.25–0.58
Weekend total2.302.763.11
Weekday total2.513.093.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49257.92.450.240.771.442.300.0%
2025Q39256.92.680.340.741.612.400.0%
2025Q29153.63.180.290.832.052.770.0%
2025Q19055.02.960.260.761.952.690.0%
2024Q49255.82.820.250.761.812.640.0%
2024Q39251.93.160.270.882.012.880.0%
2024Q29148.33.210.300.892.022.880.0%
2024Q19150.02.840.380.791.672.600.0%
2023Q49249.82.850.320.791.742.600.0%
2023Q39251.82.730.330.781.622.540.0%
2023Q29149.13.100.310.931.862.730.0%
2023Q19053.82.830.280.861.692.580.0%
2022Q49252.12.880.260.911.712.760.0%
2022Q39249.92.830.300.881.652.570.0%
2022Q29147.43.090.321.001.772.900.0%
2022Q19037.13.600.431.301.873.190.0%
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

12
D × 11F × 1
deficiencies by survey year
6322232425
SurveyTypeTagDeficiencyScopeCorrected
2025-06-05Health · complaintF0610Respond appropriately to all alleged violations.D2025-07-09
2025-06-05HealthF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D2025-07-09
2024-02-08HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-03-24
2024-02-08HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-03-24
2024-02-08HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-03-24
2024-02-08HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-03-24
2022-04-14HealthF0584Honor 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.D2022-05-29
2022-04-14HealthF0641Ensure each resident receives an accurate assessment.D2022-05-29
2022-04-14HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2022-05-29
2022-04-14HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2022-05-29
2022-04-14HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2022-05-29
2022-04-14HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2022-05-29
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
PRUITT, NEILOPERATIONAL/MANAGERIAL CONTROL2007-09-25currentpecos_ownership
RATHEL, SANDRAW-2 MANAGING EMPLOYEE2021-12-27currentpecos_ownership
NEIL PRUITTCORPORATE DIRECTOR100%2007-09-25ended 2026-05-18pecos_ownership
SANDRA RATHELW-2 MANAGING EMPLOYEE100%2021-12-27ended 2026-05-18pecos_ownership
UHS-PRUITT HOLDINGS, INC.5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2007-09-25ended 2026-05-18pecos_ownership
UNITED HEALTH SERVICES INC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2007-09-25ended 2026-05-18pecos_ownership
UNITED HEALTH SERVICES OF GEORGIA, INC.5% OR GREATER DIRECT OWNERSHIP INTEREST99%2007-09-27ended 2026-05-18pecos_ownership
NEIL L PRUITT JR TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST35%2007-09-25ended 2026-05-18pecos_ownership
J PAIGE PRUITT TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST29%2007-09-25ended 2026-05-18pecos_ownership
LISA P HAMBY TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST26%2007-09-25ended 2026-05-18pecos_ownership
PRUITTHEALTH INCOTHER0%2007-09-25ended 2026-05-18pecos_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 — GA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-05-12ROSWELL CENTER FOR NURSING AND HEALING LLC268ROSWELL CENTER FOR NURSING AND HEALING LLC
2025-05-12Woodstock Center for Nursing and Healing LLC171WOODSTOCK CENTER FOR NURSING AND HEALING LLC
2025-05-01Pinewood Health and Rehabilitation142WHIGHAM OPCO LLC
2025-05-01Glenwood Health and Rehabilitation62GLENWOOD OPCO LLC
2025-05-01Harmony Health and Rehabilitation167FITZGERALD OPCO LLC
2025-04-01SOUTHLAND HEALTHCARE AND REHAB CENTER126SOUTHLAND OPERATIONS LLC
2024-11-01CALHOUN CROSSING OF JOURNEY LLC100CALHOUN CROSSING OF JOURNEY LLC
2024-11-01JASPER POINT OF JOURNEY LLC60JASPER POINT OF JOURNEY LLC
2024-11-01CARTERSVILLE CROSSING OF JOURNEY LLC74CARTERSVILLE CROSSING OF JOURNEY LLC
2024-11-01FAIRBURN HEIGHTS OF JOURNEY LLC120FAIRBURN HEIGHTS OF JOURNEY LLC
2024-11-01STONE MOUNTAIN RUN OF JOURNEY LLC149STONE MOUNTAIN RUN OF JOURNEY LLC
2024-11-01MURRAY WOODS OF JOURNEY LLC120MURRAY WOODS OF JOURNEY 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

34
GeoKindBRAmountAs ofSource
county 13071acs median gross0$4312024-12-31CENSUS_ACS5
county 13071fmr0$7372025-10-01HUD_USER_FMR
county 13071acs median gross1$6062024-12-31CENSUS_ACS5
county 13071fmr1$7422025-10-01HUD_USER_FMR
county 13071acs median gross2$8202024-12-31CENSUS_ACS5
county 13071fmr2$9732025-10-01HUD_USER_FMR
county 13071acs median gross3$8812024-12-31CENSUS_ACS5
county 13071fmr3$1,1672025-10-01HUD_USER_FMR
county 13071acs median gross4$1,1372024-12-31CENSUS_ACS5
county 13071fmr4$1,5912025-10-01HUD_USER_FMR
county 13071acs median gross$8182024-12-31CENSUS_ACS5
county 13071acs recent mover gross$9982024-12-31CENSUS_ACS5
zcta 31768acs median gross0$4332024-12-31CENSUS_ACS5
zcta 31768acs median gross1$6262024-12-31CENSUS_ACS5
zcta 31768acs median gross2$8082024-12-31CENSUS_ACS5
zcta 31768acs median gross3$7922024-12-31CENSUS_ACS5
zcta 31768acs median gross4$1,1972024-12-31CENSUS_ACS5
zcta 31768acs median gross$7732024-12-31CENSUS_ACS5
zcta 31768acs recent mover gross$8962024-12-31CENSUS_ACS5
zip 31768payment standard 1100$9242025-10-01HUD_USER_SAFMR
zip 31768payment standard 900$7562025-10-01HUD_USER_SAFMR
zip 31768safmr0$8402025-10-01HUD_USER_SAFMR
zip 31768payment standard 1101$9462025-10-01HUD_USER_SAFMR
zip 31768payment standard 901$7742025-10-01HUD_USER_SAFMR
zip 31768safmr1$8602025-10-01HUD_USER_SAFMR
zip 31768payment standard 1102$1,0782025-10-01HUD_USER_SAFMR
zip 31768payment standard 902$8822025-10-01HUD_USER_SAFMR
zip 31768safmr2$9802025-10-01HUD_USER_SAFMR
zip 31768payment standard 1103$1,4522025-10-01HUD_USER_SAFMR
zip 31768payment standard 903$1,1882025-10-01HUD_USER_SAFMR
zip 31768safmr3$1,3202025-10-01HUD_USER_SAFMR
zip 31768payment standard 1104$1,7492025-10-01HUD_USER_SAFMR
zip 31768payment standard 904$1,4312025-10-01HUD_USER_SAFMR
zip 31768safmr4$1,5902025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.