Reads as: riskier than 36.5% 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
13
2025Q4 HPRD
This facility
GA median
National median
National p25–p75
Total nurse
2.75
3.02
3.28
2.90–3.77
RN
0.18
0.26
0.39
0.25–0.58
Weekend total
2.52
2.76
3.11
—
Weekday total
2.84
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
185.4
2.75
0.18
0.65
1.92
2.52
2.1%
2025Q3
92
189.1
2.77
0.16
0.64
1.97
2.59
1.9%
2025Q2
91
189.1
2.63
0.14
0.68
1.81
2.45
2.5%
2025Q1
90
182.0
2.72
0.16
0.72
1.85
2.52
2.4%
2024Q4
92
183.6
2.70
0.10
0.78
1.81
2.60
2.0%
2024Q3
92
179.3
2.64
0.11
0.77
1.76
2.50
2.1%
2024Q2
91
185.4
2.58
0.06
0.80
1.73
2.46
2.1%
2024Q1
91
180.4
2.67
0.11
0.90
1.66
2.48
2.3%
2023Q4
92
180.0
2.39
0.10
0.73
1.55
2.29
8.5%
2023Q3
92
180.7
2.65
0.10
0.79
1.77
2.58
38.8%
2023Q2
91
182.8
2.61
0.04
0.94
1.63
2.45
45.1%
2023Q1
90
181.1
2.47
0.04
0.90
1.54
2.34
43.1%
2022Q4
92
177.7
2.60
0.04
0.84
1.72
2.47
50.4%
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.
Provide and implement an infection prevention and control program.
D
2026-04-29
2025-02-06
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-03-23
2025-02-06
Health · complaint
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-03-23
2025-02-06
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
2025-03-23
2025-02-06
Health · complaint
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2025-03-23
2025-02-06
Health · complaint
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
2025-03-23
2025-02-06
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-03-23
2024-07-12
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2024-08-15
2024-07-12
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2024-08-15
2023-08-31
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-10-09
2023-08-31
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2023-10-09
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
30
Owner
Role
Pct
From
Status
Source
GA4 OPCO HOLDING LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2021-05-01
current
pecos_ownership
JACKSON GA PROPCO LLC
Individual has financial interest in both related organization and provider
40%
2023-07-01
current
hcris_a_8_1
JACKSON GA PROPCO LLC
Individual has financial interest in both related organization and provider
40%
2024-07-01
current
hcris_a_8_1
CHECK, PAUL
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-24
current
pecos_ownership
COLEMAN, ALLISON
ADP OF THE SNF
—
2021-05-19
current
pecos_ownership
COLLEY, STACEY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-06
current
pecos_ownership
DONATH, BARRY
OPERATIONAL/MANAGERIAL CONTROL
—
2021-06-07
current
pecos_ownership
ELLIS, RENEE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-01
current
pecos_ownership
EMPIRE CARE CENTERS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-01
current
pecos_ownership
EMPIRE CARE CENTERS LLC
ADP OF THE SNF
—
2026-01-06
current
pecos_ownership
ENSH CONSULTING LLC
ADP OF THE SNF
—
2021-05-01
current
pecos_ownership
FEARS, YOLANDA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-01
current
pecos_ownership
HARDY, LEANTHONY
ADP OF THE SNF
—
2021-05-01
current
pecos_ownership
HARDY, LEANTHONY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-05-01
current
pecos_ownership
HELLER, SHLOMO
ADP OF THE SNF
—
2021-05-01
current
pecos_ownership
LADSON, GWENDOLYN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-05
current
pecos_ownership
NUSSBAUM, EPHRAIM
MANAGING CONTROL - GOVERNING BODY
—
2021-05-01
current
pecos_ownership
REED, JOEL
OPERATIONAL/MANAGERIAL CONTROL
—
2023-03-01
current
pecos_ownership
RIDGEWAY, JULIA
OPERATIONAL/MANAGERIAL CONTROL
—
2021-12-13
current
pecos_ownership
RIDLEY, KIM
ADP OF THE SNF
—
2021-05-01
current
pecos_ownership
SONE-EBELOUE, GLADYS
ADP OF THE SNF
—
2021-05-01
current
pecos_ownership
STEPHENS, CARRIE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-09
current
pecos_ownership
SWERDLOFF, ARYEH
ADP OF THE SNF
—
2021-05-01
current
pecos_ownership
VALENTIN, LISSETTE
ADP OF THE SNF
—
2022-01-01
current
pecos_ownership
JACKSON GA PROPCO LLC
Individual has financial interest in both related organization and provider
40%
2021-05-01
ended 2021-06-30
hcris_a_8_1
JACKSON GA PROPCO LLC
Individual has financial interest in both related organization and provider
40%
2022-07-01
ended 2023-06-30
hcris_a_8_1
JACKSON GA PROPCO LLC
Individual has financial interest in both related organization and provider
40%
2021-07-01
ended 2022-06-30
hcris_a_8_1
EPHRAIM NUSSBAUM
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-01
ended 2026-05-18
pecos_ownership
JENNIFER VASIL
OPERATIONAL/MANAGERIAL CONTROL
—
2021-05-01
ended 2026-05-18
pecos_ownership
SHLOMO HELLER
CORPORATE OFFICER
—
2021-05-01
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2025-06-30
$4,219,742
—
$24,191
—
—
6
propco
2024-06-30
$3,963,225
—
$20,956
—
—
6
propco
2023-06-30
$3,917,077
—
$13,857
—
—
6
propco
2022-06-30
$1,867,311
—
$12,433
—
—
6
propco
2021-06-30
$237,961
—
$1,909
—
—
4
propco
2021-04-30
$333,100
—
—
—
—
0
—
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
29
Geo
Kind
BR
Amount
As of
Source
county 13035
fmr
0
$936
2025-10-01
HUD_USER_FMR
county 13035
fmr
1
$977
2025-10-01
HUD_USER_FMR
county 13035
acs median gross
2
$797
2024-12-31
CENSUS_ACS5
county 13035
fmr
2
$1,075
2025-10-01
HUD_USER_FMR
county 13035
acs median gross
3
$1,234
2024-12-31
CENSUS_ACS5
county 13035
fmr
3
$1,427
2025-10-01
HUD_USER_FMR
county 13035
acs median gross
4
$1,359
2024-12-31
CENSUS_ACS5
county 13035
fmr
4
$1,803
2025-10-01
HUD_USER_FMR
county 13035
acs median gross
$941
2024-12-31
CENSUS_ACS5
county 13035
acs recent mover gross
$1,114
2024-12-31
CENSUS_ACS5
zcta 30233
acs median gross
2
$774
2024-12-31
CENSUS_ACS5
zcta 30233
acs median gross
3
$1,119
2024-12-31
CENSUS_ACS5
zcta 30233
acs median gross
4
$1,351
2024-12-31
CENSUS_ACS5
zcta 30233
acs median gross
$942
2024-12-31
CENSUS_ACS5
zip 30233
payment standard 110
0
$1,067
2025-10-01
HUD_USER_SAFMR
zip 30233
payment standard 90
0
$873
2025-10-01
HUD_USER_SAFMR
zip 30233
safmr
0
$970
2025-10-01
HUD_USER_SAFMR
zip 30233
payment standard 110
1
$1,111
2025-10-01
HUD_USER_SAFMR
zip 30233
payment standard 90
1
$909
2025-10-01
HUD_USER_SAFMR
zip 30233
safmr
1
$1,010
2025-10-01
HUD_USER_SAFMR
zip 30233
payment standard 110
2
$1,232
2025-10-01
HUD_USER_SAFMR
zip 30233
payment standard 90
2
$1,008
2025-10-01
HUD_USER_SAFMR
zip 30233
safmr
2
$1,120
2025-10-01
HUD_USER_SAFMR
zip 30233
payment standard 110
3
$1,606
2025-10-01
HUD_USER_SAFMR
zip 30233
payment standard 90
3
$1,314
2025-10-01
HUD_USER_SAFMR
zip 30233
safmr
3
$1,460
2025-10-01
HUD_USER_SAFMR
zip 30233
payment standard 110
4
$1,991
2025-10-01
HUD_USER_SAFMR
zip 30233
payment standard 90
4
$1,629
2025-10-01
HUD_USER_SAFMR
zip 30233
safmr
4
$1,810
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.