Reads as: riskier than 49.0% 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
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
2.82
3.02
3.28
2.90–3.77
RN
0.17
0.26
0.39
0.25–0.58
Weekend total
2.74
2.76
3.11
—
Weekday total
2.85
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
95.4
2.82
0.17
0.73
1.91
2.74
0.0%
2025Q3
92
91.1
2.77
0.11
0.79
1.87
2.73
0.0%
2025Q2
91
89.1
2.85
0.13
0.95
1.77
2.76
0.0%
2025Q1
90
88.1
2.54
0.10
0.79
1.65
2.60
1.8%
2024Q4
92
90.4
2.10
0.07
0.58
1.45
2.03
17.2%
2024Q3
92
89.2
2.77
0.10
0.87
1.80
2.36
85.6%
2024Q2
91
91.8
3.07
0.10
1.04
1.93
2.63
85.0%
2024Q1
91
93.5
3.04
0.18
0.92
1.94
2.71
85.1%
2023Q4
92
91.9
2.90
0.15
0.82
1.93
2.73
85.5%
2023Q3
92
92.3
2.44
0.13
0.67
1.64
2.27
77.3%
2023Q2
91
92.2
3.01
0.12
0.81
2.09
2.90
81.6%
2023Q1
90
95.0
2.87
0.10
0.72
2.05
2.69
78.3%
2022Q4
92
95.3
2.39
0.09
0.68
1.62
2.18
72.9%
2022Q3
92
90.1
2.89
0.17
0.75
1.96
2.64
74.5%
2022Q2
91
92.5
2.89
0.11
0.69
2.10
2.69
63.9%
2022Q1
90
87.5
2.76
0.13
0.61
2.01
2.52
52.7%
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 × 19E × 7F × 5
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-01-16
Health
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2026-02-12
2026-01-16
Health
F0570
Assure the security of all personal funds of residents deposited with the facility.
F
2026-02-12
2026-01-16
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2026-02-12
2026-01-16
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2026-02-12
2026-01-16
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2026-02-12
2026-01-16
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-02-12
2026-01-16
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-02-12
2026-01-16
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2026-02-12
2025-07-03
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E
2025-07-30
2025-07-03
Health · complaint
F0610
Respond appropriately to all alleged violations.
E
2025-07-30
2025-07-03
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
D
2025-07-30
2025-07-03
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
2025-07-30
2025-07-03
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-07-30
2024-08-28
Health · complaint
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2024-10-10
2024-08-28
Health · complaint
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
2024-10-10
2024-08-28
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-10-10
2024-08-28
Health · complaint
F0947
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F
2024-10-10
2024-07-29
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-09-05
2022-11-06
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
2022-12-21
2022-11-06
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
2022-12-21
2022-11-06
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2022-12-21
2022-11-06
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
2022-12-21
2022-11-06
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
E
2022-12-21
2022-11-06
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-12-21
2022-11-06
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2022-12-21
2022-11-06
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2022-12-21
2022-11-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2022-12-21
2022-11-06
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
E
2022-12-21
2022-11-06
Health
F0814
Dispose of garbage and refuse properly.
F
2022-12-21
2022-11-06
Health
F0881
Implement a program that monitors antibiotic use.
E
2022-12-21
2022-11-06
Health
F0908
Keep all essential equipment working safely.
F
2022-12-21
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
37
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
CONRAD, CAMERON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
FRINKS, TERENCE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
JOHNSON, JENNIFER
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
JONES, ANTONIO
OPERATIONAL/MANAGERIAL CONTROL
—
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
LOONEY, MICAH
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
MCGUINNESS, BERNARD
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-10-07
current
pecos_ownership
MCGUINNESS, BERNARD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
NG, SCOTT
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
OMARA, JODY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
PARKER, YOLANDA
OPERATIONAL/MANAGERIAL CONTROL
—
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
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-13
current
pecos_ownership
SUMMIT FLOWERY BRANCH LLC
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
TRAMMELL, MATTHEW
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%
2019-12-01
ended 2020-12-31
hcris_a_8_1
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
BERNARD MCGUINNESS
INDIRECT OWNERSHIP INTEREST
2%
2024-11-01
ended 2026-05-18
pecos_ownership
ANTONIO JONES
ADP OF THE SNF
—
2024-11-18
ended 2026-05-18
pecos_ownership
CAMERON CONRAD
OPERATIONAL/MANAGERIAL CONTROL
—
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
MATTHEW TRAMMELL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
MICAH LOONEY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
NIKKI SILLINGS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-13
ended 2026-05-18
pecos_ownership
RICHARD BILBO
ADP OF THE SNF
—
2024-11-20
ended 2026-05-18
pecos_ownership
SCOTT NG
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
TERENCE FRINKS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
YOLANDA PARKER
OPERATIONAL/MANAGERIAL CONTROL
—
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
$250,654
—
—
—
—
2
—
2022-12-31
$371,656
—
—
—
—
2
—
2021-12-31
$845,594
—
—
—
—
4
propco
2020-12-31
$1,022,365
—
—
—
—
3
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 13139
acs median gross
0
$936
2024-12-31
CENSUS_ACS5
county 13139
fmr
0
$1,177
2025-10-01
HUD_USER_FMR
county 13139
acs median gross
1
$1,136
2024-12-31
CENSUS_ACS5
county 13139
fmr
1
$1,381
2025-10-01
HUD_USER_FMR
county 13139
acs median gross
2
$1,306
2024-12-31
CENSUS_ACS5
county 13139
fmr
2
$1,514
2025-10-01
HUD_USER_FMR
county 13139
acs median gross
3
$1,440
2024-12-31
CENSUS_ACS5
county 13139
fmr
3
$1,834
2025-10-01
HUD_USER_FMR
county 13139
acs median gross
4
$1,751
2024-12-31
CENSUS_ACS5
county 13139
fmr
4
$2,127
2025-10-01
HUD_USER_FMR
county 13139
acs median gross
5
$1,480
2024-12-31
CENSUS_ACS5
county 13139
acs median gross
$1,341
2024-12-31
CENSUS_ACS5
county 13139
acs recent mover gross
$1,613
2024-12-31
CENSUS_ACS5
zcta 30542
acs median gross
1
$1,629
2024-12-31
CENSUS_ACS5
zcta 30542
acs median gross
2
$1,643
2024-12-31
CENSUS_ACS5
zcta 30542
acs median gross
3
$1,731
2024-12-31
CENSUS_ACS5
zcta 30542
acs median gross
4
$2,379
2024-12-31
CENSUS_ACS5
zcta 30542
acs median gross
$1,713
2024-12-31
CENSUS_ACS5
zcta 30542
acs recent mover gross
$1,698
2024-12-31
CENSUS_ACS5
zip 30542
payment standard 110
0
$1,573
2025-10-01
HUD_USER_SAFMR
zip 30542
payment standard 90
0
$1,287
2025-10-01
HUD_USER_SAFMR
zip 30542
safmr
0
$1,430
2025-10-01
HUD_USER_SAFMR
zip 30542
payment standard 110
1
$1,848
2025-10-01
HUD_USER_SAFMR
zip 30542
payment standard 90
1
$1,512
2025-10-01
HUD_USER_SAFMR
zip 30542
safmr
1
$1,680
2025-10-01
HUD_USER_SAFMR
zip 30542
payment standard 110
2
$2,024
2025-10-01
HUD_USER_SAFMR
zip 30542
payment standard 90
2
$1,656
2025-10-01
HUD_USER_SAFMR
zip 30542
safmr
2
$1,840
2025-10-01
HUD_USER_SAFMR
zip 30542
payment standard 110
3
$2,453
2025-10-01
HUD_USER_SAFMR
zip 30542
payment standard 90
3
$2,007
2025-10-01
HUD_USER_SAFMR
zip 30542
safmr
3
$2,230
2025-10-01
HUD_USER_SAFMR
zip 30542
payment standard 110
4
$2,849
2025-10-01
HUD_USER_SAFMR
zip 30542
payment standard 90
4
$2,331
2025-10-01
HUD_USER_SAFMR
zip 30542
safmr
4
$2,590
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.