Reads as: riskier than 32.3% 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
GA median
National median
National p25–p75
Total nurse
3.57
3.02
3.28
2.90–3.77
RN
0.66
0.26
0.39
0.25–0.58
Weekend total
3.30
2.76
3.11
—
Weekday total
3.68
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
84.5
3.57
0.66
0.80
2.12
3.30
0.0%
2025Q3
92
88.3
3.40
0.83
0.62
1.95
3.06
0.0%
2025Q2
91
86.5
3.30
0.79
0.45
2.06
2.86
0.0%
2025Q1
90
84.8
3.54
0.99
0.34
2.22
3.04
0.0%
2024Q4
92
87.6
3.21
0.79
0.46
1.95
2.74
0.0%
2024Q3
92
89.0
3.43
0.71
0.66
2.06
2.94
0.0%
2024Q2
91
88.9
3.51
0.59
0.69
2.23
3.01
0.0%
2024Q1
91
89.1
3.12
0.49
0.71
1.92
2.85
0.0%
2023Q4
92
87.9
3.09
0.44
0.75
1.89
2.88
0.0%
2023Q3
92
91.4
2.94
0.53
0.76
1.65
2.67
0.0%
2023Q2
91
86.1
2.97
0.51
0.76
1.71
2.60
0.0%
2023Q1
90
83.9
2.76
0.46
0.75
1.55
2.58
0.0%
2022Q4
92
78.8
2.90
0.41
0.82
1.66
2.69
0.0%
2022Q3
92
83.7
2.85
0.32
0.84
1.68
2.70
0.0%
2022Q2
91
84.5
2.91
0.29
0.88
1.75
2.81
0.0%
2022Q1
90
87.9
2.82
0.33
0.85
1.64
2.66
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
27
D × 21E × 4F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-11-01
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-12-16
2024-11-01
Health · complaint
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2024-12-16
2024-11-01
Health · complaint
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
2024-12-16
2024-11-01
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
2024-12-16
2024-11-01
Health · complaint
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
2024-12-16
2024-11-01
Health · complaint
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
E
2024-12-16
2024-11-01
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
2024-12-16
2024-11-01
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-12-16
2024-11-01
Health · complaint
F0685
Assist a resident in gaining access to vision and hearing services.
D
2024-12-16
2024-11-01
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
2024-12-16
2024-11-01
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-12-16
2024-11-01
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
E
2024-12-16
2024-11-01
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-12-16
2024-11-01
Health · complaint
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2024-12-16
2024-11-01
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-12-16
2024-11-01
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2024-12-16
2024-02-07
Health · complaint
F0568
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
D
2024-02-22
2024-02-07
Health · complaint
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
E
2024-02-22
2024-02-07
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2024-02-22
2024-02-07
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-02-22
2022-08-25
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
2022-10-09
2022-08-25
Health
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
2022-10-09
2022-08-25
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2022-10-09
2022-08-25
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-10-09
2019-06-20
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
2019-08-04
2019-06-20
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F
2019-08-04
2019-06-20
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2019-08-04
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
11
Owner
Role
Pct
From
Status
Source
BLACK, JONATHAN
W-2 MANAGING EMPLOYEE
—
2021-06-28
current
pecos_ownership
PRUITT, NEIL
CORPORATE DIRECTOR
—
2007-09-19
current
pecos_ownership
JONATHAN BLACK
W-2 MANAGING EMPLOYEE
100%
2021-06-28
ended 2026-05-18
pecos_ownership
NEIL PRUITT
CORPORATE OFFICER
100%
2007-09-19
ended 2026-05-18
pecos_ownership
UHS-PRUITT HOLDINGS, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2007-09-19
ended 2026-05-18
pecos_ownership
UNITED HEALTH SERVICES INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2007-09-19
ended 2026-05-18
pecos_ownership
UNITED HEALTH SERVICES OF GEORGIA, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
99%
2007-09-19
ended 2026-05-18
pecos_ownership
NEIL L PRUITT JR TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
35%
2007-09-19
ended 2026-05-18
pecos_ownership
J PAIGE PRUITT TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
29%
2007-09-19
ended 2026-05-18
pecos_ownership
LISA P HAMBY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
26%
2007-09-19
ended 2026-05-18
pecos_ownership
PRUITTHEALTH INC
OTHER
0%
2007-09-19
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
$2,591,204
$777,172
$297,629
$835,159
$279,802
9
—
2024-06-30
$3,162,565
$862,127
$313,745
$804,568
$240,548
9
—
2023-06-30
$2,960,890
$1,110,277
$279,222
$781,851
$330,327
9
—
2022-06-30
$2,339,605
$499,545
$328,279
$750,672
$437,735
9
—
2021-06-30
$1,998,511
$486,563
$270,194
$604,159
$274,271
8
—
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
32
Geo
Kind
BR
Amount
As of
Source
county 13071
acs median gross
0
$431
2024-12-31
CENSUS_ACS5
county 13071
fmr
0
$737
2025-10-01
HUD_USER_FMR
county 13071
acs median gross
1
$606
2024-12-31
CENSUS_ACS5
county 13071
fmr
1
$742
2025-10-01
HUD_USER_FMR
county 13071
acs median gross
2
$820
2024-12-31
CENSUS_ACS5
county 13071
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 13071
acs median gross
3
$881
2024-12-31
CENSUS_ACS5
county 13071
fmr
3
$1,167
2025-10-01
HUD_USER_FMR
county 13071
acs median gross
4
$1,137
2024-12-31
CENSUS_ACS5
county 13071
fmr
4
$1,591
2025-10-01
HUD_USER_FMR
county 13071
acs median gross
$818
2024-12-31
CENSUS_ACS5
county 13071
acs recent mover gross
$998
2024-12-31
CENSUS_ACS5
zcta 31788
acs median gross
1
$561
2024-12-31
CENSUS_ACS5
zcta 31788
acs median gross
2
$1,026
2024-12-31
CENSUS_ACS5
zcta 31788
acs median gross
3
$934
2024-12-31
CENSUS_ACS5
zcta 31788
acs median gross
4
$1,668
2024-12-31
CENSUS_ACS5
zcta 31788
acs median gross
$931
2024-12-31
CENSUS_ACS5
zip 31788
payment standard 110
0
$869
2025-10-01
HUD_USER_SAFMR
zip 31788
payment standard 90
0
$711
2025-10-01
HUD_USER_SAFMR
zip 31788
safmr
0
$790
2025-10-01
HUD_USER_SAFMR
zip 31788
payment standard 110
1
$880
2025-10-01
HUD_USER_SAFMR
zip 31788
payment standard 90
1
$720
2025-10-01
HUD_USER_SAFMR
zip 31788
safmr
1
$800
2025-10-01
HUD_USER_SAFMR
zip 31788
payment standard 110
2
$1,144
2025-10-01
HUD_USER_SAFMR
zip 31788
payment standard 90
2
$936
2025-10-01
HUD_USER_SAFMR
zip 31788
safmr
2
$1,040
2025-10-01
HUD_USER_SAFMR
zip 31788
payment standard 110
3
$1,518
2025-10-01
HUD_USER_SAFMR
zip 31788
payment standard 90
3
$1,242
2025-10-01
HUD_USER_SAFMR
zip 31788
safmr
3
$1,380
2025-10-01
HUD_USER_SAFMR
zip 31788
payment standard 110
4
$1,848
2025-10-01
HUD_USER_SAFMR
zip 31788
payment standard 90
4
$1,512
2025-10-01
HUD_USER_SAFMR
zip 31788
safmr
4
$1,680
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.