95 SKIDAWAY ISLAND PARK ROAD, SAVANNAH, GA 31411 · CCN 115715 · chain LIFE CARE SERVICES LLC
Composite
9.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
23
Model
v1.2
Reads as: riskier than 9.2% 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
4 chains
LIFE CARE SERVICES LLC
58 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
4.93
3.02
3.28
2.90–3.77
RN
0.34
0.26
0.39
0.25–0.58
Weekend total
5.56
2.76
3.11
—
Weekday total
4.69
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
17.8
4.93
0.34
1.24
3.36
5.56
28.4%
2025Q3
92
12.9
5.46
0.41
1.68
3.38
6.17
5.7%
2025Q2
91
14.2
4.63
0.23
1.42
2.98
4.69
3.7%
2025Q1
90
13.0
4.91
0.47
1.31
3.14
5.24
0.0%
2024Q4
92
14.5
4.18
0.46
1.11
2.61
4.20
0.0%
2024Q3
92
12.5
4.71
0.45
1.24
3.03
4.55
0.0%
2024Q2
91
11.5
5.06
0.64
1.41
3.01
5.32
0.0%
2024Q1
91
11.3
5.19
0.68
1.28
3.23
5.30
0.0%
2023Q4
92
13.8
5.21
0.52
1.11
3.57
5.02
0.6%
2023Q3
92
13.8
5.10
0.53
1.25
3.32
5.45
7.9%
2023Q2
91
14.7
4.46
0.59
1.06
2.81
4.04
0.7%
2023Q1
90
18.3
3.16
0.24
1.16
1.76
3.28
0.0%
2022Q4
92
15.6
3.29
0.16
1.28
1.84
3.49
0.0%
2022Q3
92
13.5
4.30
0.23
1.73
2.34
4.79
0.0%
2022Q1
90
15.5
5.29
0.18
1.71
3.40
5.23
0.0%
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.
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-02-13
2025-01-19
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
2025-02-13
2025-01-19
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-02-13
2025-01-19
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-02-13
2025-01-19
Health · complaint
F0880
Provide and implement an infection prevention and control program.
F
2025-02-13
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
40
Owner
Role
Pct
From
Status
Source
SKIDAWAY HEALTH AND LIVING SERVICES, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
1999-09-21
current
pecos_ownership
COHEN, ADAM
CORPORATE OFFICER
—
2024-06-01
current
pecos_ownership
DARDEN, WILLIAM
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
DUDASKO, ERIC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-15
current
pecos_ownership
HELMS, SUSAN
CORPORATE DIRECTOR
—
2021-05-01
current
pecos_ownership
HELMS, SUSAN
CORPORATE OFFICER
—
2024-06-01
current
pecos_ownership
KEIGHTLEY, REBECCA
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
LAMAR, SARAH
CORPORATE DIRECTOR
—
2021-05-01
current
pecos_ownership
LANIER, MOLLY
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
LARSON, ERIC
CORPORATE DIRECTOR
—
2024-05-30
current
pecos_ownership
LASTNER, VIRGINIA
CORPORATE DIRECTOR
—
2024-01-06
current
pecos_ownership
LIFE CARE SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2003-11-19
current
pecos_ownership
LIFE CARE SERVICES LLC
ADP OF THE SNF
—
2025-04-11
current
pecos_ownership
MCDONALD, LOUISE
CORPORATE DIRECTOR
—
2024-06-01
current
pecos_ownership
MONTGOMERY, HANNAH
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-03
current
pecos_ownership
MONTGOMERY, HANNAH
ADP OF THE SNF
—
2025-04-14
current
pecos_ownership
PATEL, MAULIKKUMAR
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
PATEL, MAULIKKUMAR
ADP OF THE SNF
—
2025-04-14
current
pecos_ownership
RUBEN, JESSE
CORPORATE DIRECTOR
—
2022-06-01
current
pecos_ownership
SAVANNAH ECONOMIC DEVELOPMENT AUTHORITY
5% OR GREATER MORTGAGE INTEREST
—
2003-11-19
current
pecos_ownership
SOULS, THOMAS
CORPORATE DIRECTOR
—
2021-05-01
current
pecos_ownership
URNESS, KENT
CORPORATE OFFICER
—
2024-06-01
current
pecos_ownership
SARAH LAMAR
CORPORATE DIRECTOR
0%
2021-05-01
ended 2026-05-18
pecos_ownership
SUSAN HELMS
CORPORATE DIRECTOR
0%
2021-05-01
ended 2026-05-18
pecos_ownership
THOMAS SOULS
CORPORATE DIRECTOR
0%
2021-05-01
ended 2026-05-18
pecos_ownership
ADAM COHEN
CORPORATE OFFICER
—
2024-06-01
ended 2026-05-18
pecos_ownership
ERIC DUDASKO
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-15
ended 2026-05-18
pecos_ownership
ERIC LARSON
CORPORATE DIRECTOR
—
2024-05-30
ended 2026-05-18
pecos_ownership
HANNAH MONTGOMERY
ADP OF THE SNF
—
2025-04-14
ended 2026-05-18
pecos_ownership
HANNAH MONTGOMERY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-03
ended 2026-05-18
pecos_ownership
JESSE RUBEN
CORPORATE DIRECTOR
—
2022-06-01
ended 2026-05-18
pecos_ownership
KENT URNESS
CORPORATE OFFICER
—
2024-06-01
ended 2026-05-18
pecos_ownership
LOUISE MCDONALD
CORPORATE DIRECTOR
—
2024-06-01
ended 2026-05-18
pecos_ownership
MAULIKKUMAR PATEL
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
ended 2026-05-18
pecos_ownership
MAULIKKUMAR PATEL
ADP OF THE SNF
—
2025-04-14
ended 2026-05-18
pecos_ownership
MOLLY LANIER
CORPORATE DIRECTOR
—
2024-01-01
ended 2026-05-18
pecos_ownership
REBECCA KEIGHTLEY
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
SUSAN HELMS
CORPORATE OFFICER
—
2024-06-01
ended 2026-05-18
pecos_ownership
VIRGINIA LASTNER
CORPORATE DIRECTOR
—
2024-01-06
ended 2026-05-18
pecos_ownership
WILLIAM DARDEN
CORPORATE DIRECTOR
—
2022-01-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
30
Geo
Kind
BR
Amount
As of
Source
county 13051
acs median gross
0
$1,345
2024-12-31
CENSUS_ACS5
county 13051
fmr
0
$1,455
2025-10-01
HUD_USER_FMR
county 13051
acs median gross
1
$1,287
2024-12-31
CENSUS_ACS5
county 13051
fmr
1
$1,533
2025-10-01
HUD_USER_FMR
county 13051
acs median gross
2
$1,445
2024-12-31
CENSUS_ACS5
county 13051
fmr
2
$1,680
2025-10-01
HUD_USER_FMR
county 13051
acs median gross
3
$1,638
2024-12-31
CENSUS_ACS5
county 13051
fmr
3
$2,235
2025-10-01
HUD_USER_FMR
county 13051
acs median gross
4
$1,825
2024-12-31
CENSUS_ACS5
county 13051
fmr
4
$2,547
2025-10-01
HUD_USER_FMR
county 13051
acs median gross
5
$1,914
2024-12-31
CENSUS_ACS5
county 13051
acs median gross
$1,471
2024-12-31
CENSUS_ACS5
county 13051
acs recent mover gross
$1,705
2024-12-31
CENSUS_ACS5
zcta 31411
acs median gross
2
$3,501
2024-12-31
CENSUS_ACS5
zcta 31411
acs median gross
$3,501
2024-12-31
CENSUS_ACS5
zip 31411
payment standard 110
0
$1,980
2025-10-01
HUD_USER_SAFMR
zip 31411
payment standard 90
0
$1,620
2025-10-01
HUD_USER_SAFMR
zip 31411
safmr
0
$1,800
2025-10-01
HUD_USER_SAFMR
zip 31411
payment standard 110
1
$2,134
2025-10-01
HUD_USER_SAFMR
zip 31411
payment standard 90
1
$1,746
2025-10-01
HUD_USER_SAFMR
zip 31411
safmr
1
$1,940
2025-10-01
HUD_USER_SAFMR
zip 31411
payment standard 110
2
$2,365
2025-10-01
HUD_USER_SAFMR
zip 31411
payment standard 90
2
$1,935
2025-10-01
HUD_USER_SAFMR
zip 31411
safmr
2
$2,150
2025-10-01
HUD_USER_SAFMR
zip 31411
payment standard 110
3
$3,168
2025-10-01
HUD_USER_SAFMR
zip 31411
payment standard 90
3
$2,592
2025-10-01
HUD_USER_SAFMR
zip 31411
safmr
3
$2,880
2025-10-01
HUD_USER_SAFMR
zip 31411
payment standard 110
4
$3,663
2025-10-01
HUD_USER_SAFMR
zip 31411
payment standard 90
4
$2,997
2025-10-01
HUD_USER_SAFMR
zip 31411
safmr
4
$3,330
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.