Reads as: riskier than 41.5% 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
16
2025Q4 HPRD
This facility
GA median
National median
National p25–p75
Total nurse
3.15
3.02
3.28
2.90–3.77
RN
0.28
0.26
0.39
0.25–0.58
Weekend total
2.96
2.76
3.11
—
Weekday total
3.23
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
88.3
3.15
0.28
1.02
1.85
2.96
0.0%
2025Q3
92
85.5
3.16
0.32
0.94
1.90
3.04
0.0%
2025Q2
91
87.5
2.99
0.38
0.77
1.84
2.81
0.0%
2025Q1
90
86.9
3.18
0.37
0.75
2.06
3.12
0.0%
2024Q4
92
90.9
3.30
0.38
0.76
2.15
3.15
0.0%
2024Q3
92
92.8
3.06
0.39
0.71
1.97
2.88
0.0%
2024Q2
91
91.7
2.95
0.46
0.62
1.87
2.86
0.0%
2024Q1
91
91.7
2.94
0.33
0.70
1.91
2.89
0.0%
2023Q4
92
92.2
2.80
0.26
0.72
1.82
2.66
0.0%
2023Q3
92
91.9
2.75
0.24
0.70
1.81
2.59
0.0%
2023Q2
91
94.4
2.71
0.22
0.64
1.85
2.58
0.0%
2023Q1
90
88.4
2.84
0.30
0.68
1.85
2.64
0.0%
2022Q4
92
82.5
2.89
0.28
0.68
1.94
2.66
0.0%
2022Q3
92
76.3
3.12
0.34
0.63
2.15
2.89
0.0%
2022Q2
91
80.1
2.79
0.22
0.67
1.90
2.69
0.0%
2022Q1
90
77.7
2.87
0.22
0.76
1.89
2.73
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.
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
8
D × 5E × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-04-10
Health · complaint
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
E
2025-05-25
2025-04-10
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
2025-05-25
2025-04-10
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
E
2025-05-25
2023-09-14
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
2023-10-25
2023-09-14
Health · complaint
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2023-10-25
2023-09-14
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
2023-10-25
2023-09-14
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-10-25
2023-09-14
Health · complaint
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
2023-10-25
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
42
Owner
Role
Pct
From
Status
Source
BLOOMER, VIRGINIA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-18
current
pecos_ownership
CASON, CHRISTOPHER
ADP OF THE SNF
—
2025-02-27
current
pecos_ownership
CASON, CHRISTOPHER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
current
pecos_ownership
CROSS, CINDY
CORPORATE OFFICER
—
1994-04-21
current
pecos_ownership
FLETCHER, TODD
CORPORATE DIRECTOR
—
2021-05-01
current
pecos_ownership
FLETCHER, TODD
CORPORATE OFFICER
—
2020-11-02
current
pecos_ownership
HENRY, TERRY
CORPORATE OFFICER
—
1999-08-16
current
pecos_ownership
JOSEPH, KIRPICH
ADP OF THE SNF
—
2025-02-27
current
pecos_ownership
JOSEPH, KIRPICH
OPERATIONAL/MANAGERIAL CONTROL
—
2012-03-27
current
pecos_ownership
LAY, LISA
CORPORATE OFFICER
—
2018-02-09
current
pecos_ownership
LAY, LISA
OPERATIONAL/MANAGERIAL CONTROL
—
2017-04-24
current
pecos_ownership
LIFE CARE CENTERS OF AMERICA, INC.
ADP OF THE SNF
—
2001-11-29
current
pecos_ownership
LIFE CARE CENTERS OF AMERICA, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
1991-10-31
current
pecos_ownership
PRESTON, AUBREY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-27
current
pecos_ownership
PRESTON, FORREST
ADP OF THE SNF
—
2001-11-29
current
pecos_ownership
PRESTON, FORREST
OPERATIONAL/MANAGERIAL CONTROL
—
—
current
pecos_ownership
SOLOMON, JENNIFER
OPERATIONAL/MANAGERIAL CONTROL
—
2019-05-01
current
pecos_ownership
SWANKER, RICHARD
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
current
pecos_ownership
SWANKER, RICHARD
CORPORATE OFFICER
—
2011-04-01
current
pecos_ownership
THURMOND, JOAN
CORPORATE OFFICER
—
2000-09-22
current
pecos_ownership
ZIEGLER, JAMES
OPERATIONAL/MANAGERIAL CONTROL
—
2001-09-18
current
pecos_ownership
ZIEGLER, JAMES
CORPORATE OFFICER
—
1999-08-16
current
pecos_ownership
FORREST PRESTON
DIRECT OWNERSHIP INTEREST
100%
—
ended 2026-05-18
pecos_ownership
AUBREY PRESTON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-27
ended 2026-05-18
pecos_ownership
CHRISTOPHER CASON
MANAGING CONTROL - GOVERNING BODY
—
2024-07-01
ended 2026-05-18
pecos_ownership
CHRISTOPHER CASON
ADP OF THE SNF
—
2025-02-27
ended 2026-05-18
pecos_ownership
CINDY CROSS
CORPORATE OFFICER
—
1994-04-21
ended 2026-05-18
pecos_ownership
FORREST PRESTON
ADP OF THE SNF
—
2001-11-29
ended 2026-05-18
pecos_ownership
JAMES ZIEGLER
CORPORATE OFFICER
—
1999-08-16
ended 2026-05-18
pecos_ownership
JAMES ZIEGLER
CORPORATE DIRECTOR
—
2001-09-18
ended 2026-05-18
pecos_ownership
JENNIFER SOLOMON
OPERATIONAL/MANAGERIAL CONTROL
—
2019-05-01
ended 2026-05-18
pecos_ownership
JOAN THURMOND
CORPORATE OFFICER
—
2000-09-22
ended 2026-05-18
pecos_ownership
KIRPICH JOSEPH
OPERATIONAL/MANAGERIAL CONTROL
—
2012-03-27
ended 2026-05-18
pecos_ownership
KIRPICH JOSEPH
ADP OF THE SNF
—
2025-02-27
ended 2026-05-18
pecos_ownership
LISA LAY
CORPORATE DIRECTOR
—
2017-04-24
ended 2026-05-18
pecos_ownership
LISA LAY
CORPORATE OFFICER
—
2018-02-09
ended 2026-05-18
pecos_ownership
RICHARD SWANKER
CORPORATE OFFICER
—
2011-04-01
ended 2026-05-18
pecos_ownership
RICHARD SWANKER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
ended 2026-05-18
pecos_ownership
TERRY HENRY
CORPORATE OFFICER
—
1999-08-16
ended 2026-05-18
pecos_ownership
TODD FLETCHER
CORPORATE OFFICER
—
2020-11-02
ended 2026-05-18
pecos_ownership
TODD FLETCHER
CORPORATE DIRECTOR
—
2021-05-01
ended 2026-05-18
pecos_ownership
VIRGINIA BLOOMER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-18
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2025-06-30
$1,352,039
$157,876
—
—
—
6
—
2024-06-30
$1,341,026
$157,868
—
—
—
5
—
2023-06-30
$1,256,156
$157,865
—
—
—
5
—
2022-06-30
$1,287,644
$163,228
—
—
—
5
—
2021-06-30
$1,665,715
$166,522
—
—
$729,446
5
—
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
36
Geo
Kind
BR
Amount
As of
Source
county 13135
acs median gross
0
$1,627
2024-12-31
CENSUS_ACS5
county 13135
fmr
0
$1,585
2025-10-01
HUD_USER_FMR
county 13135
acs median gross
1
$1,514
2024-12-31
CENSUS_ACS5
county 13135
fmr
1
$1,660
2025-10-01
HUD_USER_FMR
county 13135
acs median gross
2
$1,739
2024-12-31
CENSUS_ACS5
county 13135
fmr
2
$1,820
2025-10-01
HUD_USER_FMR
county 13135
acs median gross
3
$1,976
2024-12-31
CENSUS_ACS5
county 13135
fmr
3
$2,182
2025-10-01
HUD_USER_FMR
county 13135
acs median gross
4
$2,398
2024-12-31
CENSUS_ACS5
county 13135
fmr
4
$2,605
2025-10-01
HUD_USER_FMR
county 13135
acs median gross
5
$2,544
2024-12-31
CENSUS_ACS5
county 13135
acs median gross
$1,810
2024-12-31
CENSUS_ACS5
county 13135
acs recent mover gross
$1,926
2024-12-31
CENSUS_ACS5
zcta 30044
acs median gross
0
$1,683
2024-12-31
CENSUS_ACS5
zcta 30044
acs median gross
1
$1,540
2024-12-31
CENSUS_ACS5
zcta 30044
acs median gross
2
$1,784
2024-12-31
CENSUS_ACS5
zcta 30044
acs median gross
3
$2,066
2024-12-31
CENSUS_ACS5
zcta 30044
acs median gross
4
$2,143
2024-12-31
CENSUS_ACS5
zcta 30044
acs median gross
5
$2,061
2024-12-31
CENSUS_ACS5
zcta 30044
acs median gross
$1,826
2024-12-31
CENSUS_ACS5
zcta 30044
acs recent mover gross
$1,889
2024-12-31
CENSUS_ACS5
zip 30044
payment standard 110
0
$2,024
2025-10-01
HUD_USER_SAFMR
zip 30044
payment standard 90
0
$1,656
2025-10-01
HUD_USER_SAFMR
zip 30044
safmr
0
$1,840
2025-10-01
HUD_USER_SAFMR
zip 30044
payment standard 110
1
$2,112
2025-10-01
HUD_USER_SAFMR
zip 30044
payment standard 90
1
$1,728
2025-10-01
HUD_USER_SAFMR
zip 30044
safmr
1
$1,920
2025-10-01
HUD_USER_SAFMR
zip 30044
payment standard 110
2
$2,321
2025-10-01
HUD_USER_SAFMR
zip 30044
payment standard 90
2
$1,899
2025-10-01
HUD_USER_SAFMR
zip 30044
safmr
2
$2,110
2025-10-01
HUD_USER_SAFMR
zip 30044
payment standard 110
3
$2,783
2025-10-01
HUD_USER_SAFMR
zip 30044
payment standard 90
3
$2,277
2025-10-01
HUD_USER_SAFMR
zip 30044
safmr
3
$2,530
2025-10-01
HUD_USER_SAFMR
zip 30044
payment standard 110
4
$3,322
2025-10-01
HUD_USER_SAFMR
zip 30044
payment standard 90
4
$2,718
2025-10-01
HUD_USER_SAFMR
zip 30044
safmr
4
$3,020
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.