Reads as: riskier than 53.6% 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.
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
6
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+29.5 vs natl
FUNK KENNETH
5 facilities
connection
Owner fleet risk far above national
+28.2 vs natl
EASON SHEREE
5 facilities
connection
Owner fleet risk far above national
+28.2 vs natl
ELEVATION HEALTHCARE LLC
5 facilities
connection
Owner fleet risk far above national
+28.2 vs natl
FUNK DANIEL
5 facilities
connection
Owner fleet risk far above national
+28.2 vs natl
FUNK MATTHEW
5 facilities
connection
Owner fleet risk far above national
+28.2 vs natl
ROMERO PATRICA
5 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
15
2025Q4 HPRD
This facility
GA median
National median
National p25–p75
Total nurse
2.95
3.02
3.28
2.90–3.77
RN
0.15
0.26
0.39
0.25–0.58
Weekend total
2.76
2.76
3.11
—
Weekday total
3.02
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
128.6
2.95
0.15
1.10
1.70
2.76
0.0%
2025Q3
92
131.3
3.32
0.17
1.14
2.02
3.04
2.8%
2025Q2
91
132.5
3.26
0.14
1.05
2.06
2.98
3.2%
2025Q1
90
129.9
3.20
0.18
1.04
1.99
2.88
0.3%
2024Q4
92
136.3
3.07
0.11
1.08
1.88
2.63
0.0%
2024Q3
92
135.7
3.12
0.12
0.97
2.02
2.81
16.3%
2024Q2
91
139.3
2.96
0.08
0.93
1.95
2.77
21.1%
2024Q1
91
123.0
3.37
0.04
1.07
2.27
3.29
16.9%
2023Q4
92
137.3
2.93
0.03
0.82
2.07
2.63
0.0%
2023Q3
92
139.7
3.16
0.00
1.04
2.12
2.95
5.4%
2023Q2
91
129.7
3.19
0.03
0.98
2.18
2.92
54.7%
2023Q1
90
132.6
2.92
0.04
1.07
1.81
2.76
68.6%
2022Q4
92
131.0
3.16
0.03
1.00
2.14
2.95
69.4%
2022Q3
92
124.5
3.73
0.03
1.47
2.23
3.56
66.0%
2022Q2
91
117.0
2.74
0.08
0.93
1.73
2.36
45.7%
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
31
D × 22E × 4F × 5
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-19
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2026-05-14
2026-03-19
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2026-05-14
2026-03-19
Health
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2026-05-14
2026-03-19
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
2026-05-14
2026-03-19
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
2026-05-14
2026-03-19
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-05-14
2026-03-19
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
2026-05-14
2026-03-19
Health · complaint
F0880
Provide and implement an infection prevention and control program.
F
2026-05-14
2025-02-17
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-04-02
2025-02-17
Health · complaint
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-04-02
2025-02-17
Health · complaint
F0570
Assure the security of all personal funds of residents deposited with the facility.
F
2025-04-02
2025-02-17
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2025-04-02
2025-02-17
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.
D
2025-04-02
2025-02-17
Health · complaint
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2025-04-02
2025-02-17
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-04-02
2025-02-17
Health · complaint
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.
F
2025-04-02
2025-02-17
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-04-02
2024-12-11
Health · complaint
F0568
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
D
2025-01-24
2024-12-11
Health · complaint
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
2025-01-24
2024-12-11
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.
F
2025-01-24
2024-12-11
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2025-01-24
2023-11-02
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
2023-12-17
2023-11-02
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2023-12-17
2023-11-02
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-12-17
2023-11-02
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-12-17
2023-11-02
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2023-12-17
2023-11-02
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-12-17
2023-11-02
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2023-12-17
2023-11-02
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
2023-12-17
2023-11-02
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-12-17
2023-11-02
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-12-17
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
43
Owner
Role
Pct
From
Status
Source
ELEVATION HOLDINGS GEORGIA LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-05-01
current
pecos_ownership
ANDERSON-DUNKLEY, CHRISTINE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-18
current
pecos_ownership
CARTER, ASHLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-07
current
pecos_ownership
EASON, SHEREE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-12
current
pecos_ownership
ELEVATION HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-05-01
current
pecos_ownership
ELEVATION HEALTHCARE LLC
ADP OF THE SNF
—
2025-10-07
current
pecos_ownership
FUNK, DANIEL
CORPORATE OFFICER
—
2023-05-01
current
pecos_ownership
FUNK, KENNETH
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-05-01
current
pecos_ownership
FUNK, MATTHEW
ADP OF THE SNF
—
2023-05-01
current
pecos_ownership
HALE, JEFFEREY
ADP OF THE SNF
—
2024-01-08
current
pecos_ownership
KANAGALA, VAMSI
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-01
current
pecos_ownership
LEDOUX, TONIA
ADP OF THE SNF
—
2023-10-17
current
pecos_ownership
LINDSEY, JACOB
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-01
current
pecos_ownership
MORGAN, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-22
current
pecos_ownership
REVELL, MELISSA
ADP OF THE SNF
—
2023-05-30
current
pecos_ownership
ROBINSON, PATRICIA
OPERATIONAL/MANAGERIAL CONTROL
—
2020-12-01
current
pecos_ownership
ROMERO, PATRICA
ADP OF THE SNF
—
2025-03-01
current
pecos_ownership
SANTANGELO, MICHELLE
ADP OF THE SNF
—
2023-05-01
current
pecos_ownership
SMITH, STERLING
CORPORATE OFFICER
—
2024-07-19
current
pecos_ownership
SOLOMON, JAMILLA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-05-15
current
pecos_ownership
STARRETT, NATASHA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-08-02
current
pecos_ownership
KENNETH FUNK
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2023-05-01
ended 2026-05-18
pecos_ownership
KMOM LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2023-05-01
ended 2026-05-18
pecos_ownership
YYES PROPCO LLC
Individual has financial interest in both related organization and provider
40%
2021-07-01
ended 2022-06-30
hcris_a_8_1
YYES PROPCO LLC
Individual has financial interest in both related organization and provider
40%
2020-07-01
ended 2021-06-30
hcris_a_8_1
YYES PROPCO LLC
Individual has financial interest in both related organization and provider
40%
2022-07-01
ended 2023-04-30
hcris_a_8_1
ASHLEY CARTER
ADP OF THE SNF
—
2023-02-07
ended 2026-05-18
pecos_ownership
CHRISTINE ANDERSON-DUNKLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-03-18
ended 2026-05-18
pecos_ownership
DANIEL FUNK
OPERATIONAL/MANAGERIAL CONTROL
—
2023-05-01
ended 2026-05-18
pecos_ownership
JACOB LINDSEY
CORPORATE OFFICER
—
2025-07-01
ended 2026-05-18
pecos_ownership
JAMILLA SOLOMON
ADP OF THE SNF
—
2023-05-15
ended 2026-05-18
pecos_ownership
JEFFEREY HALE
ADP OF THE SNF
—
2024-01-08
ended 2026-05-18
pecos_ownership
JENNIFER MORGAN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-02-22
ended 2026-05-18
pecos_ownership
MATTHEW FUNK
OPERATIONAL/MANAGERIAL CONTROL
—
2023-05-01
ended 2026-05-18
pecos_ownership
MELISSA REVELL
ADP OF THE SNF
—
2023-05-30
ended 2026-05-18
pecos_ownership
MICHELLE SANTANGELO
ADP OF THE SNF
—
2023-05-01
ended 2026-05-18
pecos_ownership
NATASHA STARRETT
ADP OF THE SNF
—
2022-08-02
ended 2026-05-18
pecos_ownership
PATRICA ROMERO
ADP OF THE SNF
—
2025-03-01
ended 2026-05-18
pecos_ownership
PATRICIA ROBINSON
ADP OF THE SNF
—
2020-12-01
ended 2026-05-18
pecos_ownership
SHEREE EASON
ADP OF THE SNF
—
2025-05-12
ended 2026-05-18
pecos_ownership
STERLING SMITH
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-19
ended 2026-05-18
pecos_ownership
TONIA LEDOUX
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-17
ended 2026-05-18
pecos_ownership
VAMSI KANAGALA
ADP OF THE SNF
—
2024-05-01
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
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2023-04-30
$1,285,829
—
$8,146
—
—
6
propco
2022-06-30
$1,636,773
—
$8,409
—
—
6
propco
2021-06-30
$1,523,459
—
$9,608
—
—
6
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
33
Geo
Kind
BR
Amount
As of
Source
county 13255
acs median gross
0
$857
2024-12-31
CENSUS_ACS5
county 13255
fmr
0
$1,585
2025-10-01
HUD_USER_FMR
county 13255
acs median gross
1
$807
2024-12-31
CENSUS_ACS5
county 13255
fmr
1
$1,660
2025-10-01
HUD_USER_FMR
county 13255
acs median gross
2
$1,080
2024-12-31
CENSUS_ACS5
county 13255
fmr
2
$1,820
2025-10-01
HUD_USER_FMR
county 13255
acs median gross
3
$1,261
2024-12-31
CENSUS_ACS5
county 13255
fmr
3
$2,182
2025-10-01
HUD_USER_FMR
county 13255
acs median gross
4
$1,301
2024-12-31
CENSUS_ACS5
county 13255
fmr
4
$2,605
2025-10-01
HUD_USER_FMR
county 13255
acs median gross
5
$2,091
2024-12-31
CENSUS_ACS5
county 13255
acs median gross
$1,113
2024-12-31
CENSUS_ACS5
county 13255
acs recent mover gross
$978
2024-12-31
CENSUS_ACS5
zcta 30224
acs median gross
1
$786
2024-12-31
CENSUS_ACS5
zcta 30224
acs median gross
2
$1,145
2024-12-31
CENSUS_ACS5
zcta 30224
acs median gross
3
$1,359
2024-12-31
CENSUS_ACS5
zcta 30224
acs median gross
4
$1,847
2024-12-31
CENSUS_ACS5
zcta 30224
acs median gross
$1,166
2024-12-31
CENSUS_ACS5
zip 30224
payment standard 110
0
$1,298
2025-10-01
HUD_USER_SAFMR
zip 30224
payment standard 90
0
$1,062
2025-10-01
HUD_USER_SAFMR
zip 30224
safmr
0
$1,180
2025-10-01
HUD_USER_SAFMR
zip 30224
payment standard 110
1
$1,353
2025-10-01
HUD_USER_SAFMR
zip 30224
payment standard 90
1
$1,107
2025-10-01
HUD_USER_SAFMR
zip 30224
safmr
1
$1,230
2025-10-01
HUD_USER_SAFMR
zip 30224
payment standard 110
2
$1,496
2025-10-01
HUD_USER_SAFMR
zip 30224
payment standard 90
2
$1,224
2025-10-01
HUD_USER_SAFMR
zip 30224
safmr
2
$1,360
2025-10-01
HUD_USER_SAFMR
zip 30224
payment standard 110
3
$1,793
2025-10-01
HUD_USER_SAFMR
zip 30224
payment standard 90
3
$1,467
2025-10-01
HUD_USER_SAFMR
zip 30224
safmr
3
$1,630
2025-10-01
HUD_USER_SAFMR
zip 30224
payment standard 110
4
$2,134
2025-10-01
HUD_USER_SAFMR
zip 30224
payment standard 90
4
$1,746
2025-10-01
HUD_USER_SAFMR
zip 30224
safmr
4
$1,940
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.