240 HOSPITAL LANE PO BOX 300, JELLICO, TN 37762 · CCN 445292
Composite
89.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
110
Model
v1.2
Reads as: riskier than 89.3% 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.
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
TN median
National median
National p25–p75
Total nurse
3.14
3.28
3.28
2.90–3.77
RN
0.35
0.34
0.39
0.25–0.58
Weekend total
2.93
3.10
3.11
—
Weekday total
3.23
3.36
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
101.8
3.14
0.35
0.82
1.97
2.93
0.0%
2025Q3
92
98.7
3.31
0.38
0.95
1.98
3.16
0.0%
2025Q2
91
92.8
3.44
0.38
1.04
2.01
3.22
0.0%
2025Q1
90
93.5
3.36
0.40
0.97
2.00
3.06
0.0%
2024Q4
92
93.4
3.63
0.37
1.06
2.20
3.41
0.0%
2024Q3
92
98.4
2.82
0.24
0.66
1.92
2.66
0.6%
2024Q2
91
100.4
2.88
0.35
0.65
1.89
2.77
0.6%
2024Q1
91
98.0
2.83
0.32
0.77
1.75
2.68
0.0%
2023Q4
92
97.4
3.00
0.26
0.86
1.88
2.89
0.0%
2023Q3
92
97.9
2.88
0.28
0.80
1.80
2.68
0.0%
2023Q2
91
97.0
2.92
0.31
0.72
1.89
2.67
0.0%
2023Q1
90
96.1
2.66
0.42
0.59
1.65
2.48
0.0%
2022Q4
92
94.9
2.94
0.34
0.83
1.77
2.65
0.0%
2022Q3
92
99.0
2.82
0.30
0.74
1.78
2.72
0.0%
2022Q2
91
99.0
2.75
0.33
0.71
1.71
2.52
0.0%
2022Q1
90
99.9
2.56
0.31
0.64
1.62
2.37
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
—
2024-04-11
Health
F0568
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
F
2024-05-24
2024-04-11
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
K
2024-08-28
2024-04-11
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
K
2024-05-24
2024-04-11
Health
F0610
Respond appropriately to all alleged violations.
K
2024-05-24
2024-04-11
Health
F0641
Ensure each resident receives an accurate assessment.
E
2024-05-24
2024-04-11
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-05-24
2024-04-11
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
K
2024-05-24
2024-04-11
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-05-24
2024-04-11
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-05-24
2024-04-11
Health
F0732
Post nurse staffing information every day.
F
2024-05-24
2024-04-11
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2024-05-24
2024-04-11
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2024-05-24
2024-04-11
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-05-24
2024-04-11
Health
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
K
2024-05-24
2024-04-11
Health
F0837
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
K
2024-05-24
2024-04-11
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
K
2024-05-24
2024-04-11
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-05-24
2023-10-03
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-10-20
2021-11-16
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2021-12-20
2021-11-16
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2021-12-20
2019-03-20
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2019-05-03
2019-03-20
Health
F0880
Provide and implement an infection prevention and control program.
D
2019-05-03
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
13
Owner
Role
Pct
From
Status
Source
AREM, JEFFREY
INDIRECT OWNERSHIP INTEREST
—
2019-03-15
current
pecos_ownership
CHOUDHURY, RUHUL
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
current
pecos_ownership
HERSKOWITZ, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2019-03-15
current
pecos_ownership
JELLICO TN HOLDCO LLC
DIRECT OWNERSHIP INTEREST
—
2019-03-15
current
pecos_ownership
KASPER, AARON
INDIRECT OWNERSHIP INTEREST
—
2019-03-15
current
pecos_ownership
MOSKOWITZ, ISAAC
INDIRECT OWNERSHIP INTEREST
—
2019-03-15
current
pecos_ownership
WELSH, BENTON
ADP OF THE SNF
—
2024-06-24
current
pecos_ownership
ISAAC MOSKOWITZ
INDIRECT OWNERSHIP INTEREST
39%
2019-03-15
ended 2026-05-18
pecos_ownership
JEFFREY AREM
INDIRECT OWNERSHIP INTEREST
39%
2019-03-15
ended 2026-05-18
pecos_ownership
DAVID HERSKOWITZ
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2019-03-15
ended 2026-05-18
pecos_ownership
AARON KASPER
INDIRECT OWNERSHIP INTEREST
2%
2019-03-15
ended 2026-05-18
pecos_ownership
BENTON WELSH
OPERATIONAL/MANAGERIAL CONTROL
—
2024-06-24
ended 2026-05-18
pecos_ownership
RUHUL CHOUDHURY
ADP OF THE SNF
—
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
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$772,503
—
—
—
—
1
—
2023-12-31
$392,483
—
—
—
—
1
—
2022-12-31
$377,652
—
—
—
—
1
—
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
32
Geo
Kind
BR
Amount
As of
Source
county 47013
fmr
0
$717
2025-10-01
HUD_USER_FMR
county 47013
acs median gross
1
$425
2024-12-31
CENSUS_ACS5
county 47013
fmr
1
$722
2025-10-01
HUD_USER_FMR
county 47013
acs median gross
2
$717
2024-12-31
CENSUS_ACS5
county 47013
fmr
2
$947
2025-10-01
HUD_USER_FMR
county 47013
acs median gross
3
$966
2024-12-31
CENSUS_ACS5
county 47013
fmr
3
$1,249
2025-10-01
HUD_USER_FMR
county 47013
acs median gross
4
$739
2024-12-31
CENSUS_ACS5
county 47013
fmr
4
$1,254
2025-10-01
HUD_USER_FMR
county 47013
acs median gross
5
$1,070
2024-12-31
CENSUS_ACS5
county 47013
acs median gross
$716
2024-12-31
CENSUS_ACS5
county 47013
acs recent mover gross
$1,016
2024-12-31
CENSUS_ACS5
zcta 37762
acs median gross
1
$297
2024-12-31
CENSUS_ACS5
zcta 37762
acs median gross
2
$585
2024-12-31
CENSUS_ACS5
zcta 37762
acs median gross
3
$937
2024-12-31
CENSUS_ACS5
zcta 37762
acs median gross
$469
2024-12-31
CENSUS_ACS5
zcta 37762
acs recent mover gross
$725
2024-12-31
CENSUS_ACS5
zip 37762
payment standard 110
0
$770
2025-10-01
HUD_USER_SAFMR
zip 37762
payment standard 90
0
$630
2025-10-01
HUD_USER_SAFMR
zip 37762
safmr
0
$700
2025-10-01
HUD_USER_SAFMR
zip 37762
payment standard 110
1
$770
2025-10-01
HUD_USER_SAFMR
zip 37762
payment standard 90
1
$630
2025-10-01
HUD_USER_SAFMR
zip 37762
safmr
1
$700
2025-10-01
HUD_USER_SAFMR
zip 37762
payment standard 110
2
$1,023
2025-10-01
HUD_USER_SAFMR
zip 37762
payment standard 90
2
$837
2025-10-01
HUD_USER_SAFMR
zip 37762
safmr
2
$930
2025-10-01
HUD_USER_SAFMR
zip 37762
payment standard 110
3
$1,342
2025-10-01
HUD_USER_SAFMR
zip 37762
payment standard 90
3
$1,098
2025-10-01
HUD_USER_SAFMR
zip 37762
safmr
3
$1,220
2025-10-01
HUD_USER_SAFMR
zip 37762
payment standard 110
4
$1,342
2025-10-01
HUD_USER_SAFMR
zip 37762
payment standard 90
4
$1,098
2025-10-01
HUD_USER_SAFMR
zip 37762
safmr
4
$1,220
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.