105 Harmon Heights, Stanford, KY 40484 · CCN 185244 · chain AJOJ HOLDINGS LLC
Composite
75.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
128
Model
v1.2
Reads as: riskier than 75.3% 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.
ML signals — parallel engine
8
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+29.3 vs natl
SHASAM HOLDINGS LLC
12 facilities
connection
Owner fleet risk far above national
+28.5 vs natl
AJOJ HOLDINGS LLC
12 facilities
connection
Owner fleet risk far above national
+27.9 vs natl
BLUE OCEAN TRUST
13 facilities
connection
Owner fleet risk far above national
+27.9 vs natl
3 BEES HOLDINGS LLC
13 facilities
connection
Owner fleet risk far above national
+27.9 vs natl
BEES FAMILY IRREVOCABLE TRUST
13 facilities
connection
Owner fleet risk far above national
+27.9 vs natl
SHASAM FAMILY TRUST
13 facilities
connection
Owner fleet risk far above national
+23.5 vs natl
JOURNEY CZ MANAGEMENT LLC
10 facilities
connection
Owner fleet risk far above national
+22.2 vs natl
MCGUINNESS BERNARD
22 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
KY median
National median
National p25–p75
Total nurse
2.50
3.11
3.28
2.90–3.77
RN
0.23
0.41
0.39
0.25–0.58
Weekend total
2.38
3.01
3.11
—
Weekday total
2.54
3.16
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
119.7
2.50
0.23
0.71
1.55
2.38
0.0%
2025Q3
92
120.1
2.70
0.27
0.68
1.75
2.54
0.0%
2025Q2
91
113.3
2.67
0.21
0.78
1.69
2.63
0.0%
2025Q1
90
109.8
2.53
0.17
0.65
1.72
2.53
0.0%
2024Q4
92
99.8
2.63
0.18
0.66
1.79
2.73
0.0%
2024Q3
92
105.2
1.11
0.07
0.29
0.74
1.04
1.3%
2024Q2
91
107.5
3.04
0.21
0.79
2.05
3.05
1.9%
2024Q1
91
108.5
2.92
0.22
0.74
1.95
2.94
5.9%
2023Q4
92
101.6
3.34
0.28
0.72
2.35
3.39
14.3%
2023Q3
92
104.5
4.75
0.30
0.84
3.60
4.47
30.9%
2023Q2
91
117.1
2.91
0.25
0.74
1.93
2.81
7.1%
2022Q4
92
113.8
2.83
0.31
0.70
1.82
2.68
9.4%
2022Q3
92
114.1
2.98
0.28
0.88
1.81
2.77
20.8%
2022Q2
91
108.8
3.27
0.32
0.94
2.01
3.16
40.1%
2022Q1
90
112.8
2.69
0.23
0.86
1.60
2.61
37.8%
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.
Ensure that residents are free from significant medication errors.
D
2025-02-27
2023-09-07
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.
J
2023-07-22
2023-09-07
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2023-07-22
2023-09-07
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-07-01
2023-06-10
Health · complaint
F0583
Keep residents' personal and medical records private and confidential.
E
2023-07-20
2023-06-10
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
E
2023-07-20
2023-06-10
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2023-07-20
2023-06-10
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.
K
2023-07-22
2023-06-10
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K
2023-07-22
2023-06-10
Health · complaint
F0761
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
E
2023-07-20
2023-06-10
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
K
2023-07-20
2023-06-10
Health · complaint
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
2023-07-20
2023-06-10
Health · complaint
F0841
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
K
2023-07-20
2023-06-10
Health · complaint
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
K
2023-07-20
2021-07-09
Health
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
2021-07-27
2021-07-09
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
2021-07-27
2021-07-09
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
2021-07-27
2020-03-05
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
J
2020-03-30
2020-03-05
Health
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
2020-03-30
2020-03-05
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
E
2020-03-30
2020-03-05
Health
F0641
Ensure each resident receives an accurate assessment.
D
2020-03-30
2020-03-05
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
J
2020-04-03
2020-03-05
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.
G
2020-03-30
2020-03-05
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2020-03-30
2020-03-05
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2020-03-30
2020-03-05
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2020-03-30
2020-03-05
Health
F0732
Post nurse staffing information every day.
C
2020-03-30
2020-03-05
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.
J
2020-03-30
2020-03-05
Health
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.
E
2020-03-30
2020-03-05
Health
F0761
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
2020-03-30
2020-03-05
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2020-03-30
2020-03-05
Health
F0880
Provide and implement an infection prevention and control program.
D
2020-03-30
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
29
Owner
Role
Pct
From
Status
Source
JOURNEY CZ KY HEALTHCARE HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2024-08-01
current
pecos_ownership
JOURNEY CZ OF KY LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-08-01
current
pecos_ownership
3 BEES HOLDINGS LLC
ADP OF THE SNF
—
2024-12-13
current
pecos_ownership
AJOJ HOLDINGS LLC
ADP OF THE SNF
—
2024-12-13
current
pecos_ownership
BEES FAMILY IRREVOCABLE TRUST
ADP OF THE SNF
—
2024-12-13
current
pecos_ownership
BLUE OCEAN TRUST
ADP OF THE SNF
—
2024-12-13
current
pecos_ownership
DOODNAUTH, DAVANAND
ADP OF THE SNF
—
2024-12-13
current
pecos_ownership
GPH STANFORD LLC
Corporation, partnership or other organization has financial interest in provider
—
2023-01-01
current
hcris_a_8_1
GPH STANFORD LLC
Corporation, partnership or other organization has financial interest in provider
—
2023-08-01
current
hcris_a_8_1
JOURNEY CZ MANAGEMENT LLC
ADP OF THE SNF
—
2024-12-13
current
pecos_ownership
MCGUINNESS, BERNARD
CORPORATE OFFICER
—
2024-08-01
current
pecos_ownership
SHASAM FAMILY TRUST
ADP OF THE SNF
—
2024-12-13
current
pecos_ownership
SHASAM HOLDINGS LLC
ADP OF THE SNF
—
2024-12-13
current
pecos_ownership
WOODS, MICHELLE
ADP OF THE SNF
—
2026-01-09
current
pecos_ownership
WOODS, MICHELLE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-01
current
pecos_ownership
BEES FAMILY IRREVOCABLE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
38%
2024-08-01
ended 2026-05-18
pecos_ownership
3 BEES HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2024-08-01
ended 2026-05-18
pecos_ownership
AJOJ HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2024-08-01
ended 2026-05-18
pecos_ownership
SHASAM HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2024-08-01
ended 2026-05-18
pecos_ownership
BLUE OCEAN TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
32%
2024-08-01
ended 2026-05-18
pecos_ownership
SHASAM FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
32%
2024-08-01
ended 2026-05-18
pecos_ownership
BERNARD MCGUINNESS
CORPORATE OFFICER
—
2024-08-01
ended 2026-05-18
pecos_ownership
DAVANAND DOODNAUTH
ADP OF THE SNF
—
2024-12-13
ended 2026-05-18
pecos_ownership
GPH STANFORD LLC
Corporation, partnership or other organization has financial interest in provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
GPH STANFORD LLC
Corporation, partnership or other organization has financial interest in provider
—
2019-11-01
ended 2019-12-31
hcris_a_8_1
GPH STANFORD LLC
Corporation, partnership or other organization has financial interest in provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
GPH STANFORD LLC
Corporation, partnership or other organization has financial interest in provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
MICHELLE WOODS
ADP OF THE SNF
—
2026-01-09
ended 2026-05-18
pecos_ownership
MICHELLE WOODS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-01
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
7
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$2,751,904
—
—
$301,946
$2,300,618
18
—
2024-07-31
$563,145
—
—
$563,145
—
3
propco
2023-12-31
$1,511,064
—
—
$896,889
—
3
propco
2022-12-31
$1,340,756
—
—
$836,468
—
3
propco
2021-12-31
$1,458,502
—
—
$1,038,922
—
3
propco
2020-12-31
$619,726
—
—
$619,726
—
3
propco
2019-12-31
$72,766
—
—
$72,766
—
3
propco
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
31
Geo
Kind
BR
Amount
As of
Source
county 21137
fmr
0
$619
2025-10-01
HUD_USER_FMR
county 21137
acs median gross
1
$471
2024-12-31
CENSUS_ACS5
county 21137
fmr
1
$753
2025-10-01
HUD_USER_FMR
county 21137
acs median gross
2
$706
2024-12-31
CENSUS_ACS5
county 21137
fmr
2
$866
2025-10-01
HUD_USER_FMR
county 21137
acs median gross
3
$781
2024-12-31
CENSUS_ACS5
county 21137
fmr
3
$1,038
2025-10-01
HUD_USER_FMR
county 21137
acs median gross
4
$1,048
2024-12-31
CENSUS_ACS5
county 21137
fmr
4
$1,147
2025-10-01
HUD_USER_FMR
county 21137
acs median gross
$698
2024-12-31
CENSUS_ACS5
county 21137
acs recent mover gross
$788
2024-12-31
CENSUS_ACS5
zcta 40484
acs median gross
1
$601
2024-12-31
CENSUS_ACS5
zcta 40484
acs median gross
2
$646
2024-12-31
CENSUS_ACS5
zcta 40484
acs median gross
3
$696
2024-12-31
CENSUS_ACS5
zcta 40484
acs median gross
$666
2024-12-31
CENSUS_ACS5
zcta 40484
acs recent mover gross
$554
2024-12-31
CENSUS_ACS5
zip 40484
payment standard 110
0
$682
2025-10-01
HUD_USER_SAFMR
zip 40484
payment standard 90
0
$558
2025-10-01
HUD_USER_SAFMR
zip 40484
safmr
0
$620
2025-10-01
HUD_USER_SAFMR
zip 40484
payment standard 110
1
$825
2025-10-01
HUD_USER_SAFMR
zip 40484
payment standard 90
1
$675
2025-10-01
HUD_USER_SAFMR
zip 40484
safmr
1
$750
2025-10-01
HUD_USER_SAFMR
zip 40484
payment standard 110
2
$957
2025-10-01
HUD_USER_SAFMR
zip 40484
payment standard 90
2
$783
2025-10-01
HUD_USER_SAFMR
zip 40484
safmr
2
$870
2025-10-01
HUD_USER_SAFMR
zip 40484
payment standard 110
3
$1,144
2025-10-01
HUD_USER_SAFMR
zip 40484
payment standard 90
3
$936
2025-10-01
HUD_USER_SAFMR
zip 40484
safmr
3
$1,040
2025-10-01
HUD_USER_SAFMR
zip 40484
payment standard 110
4
$1,353
2025-10-01
HUD_USER_SAFMR
zip 40484
payment standard 90
4
$1,107
2025-10-01
HUD_USER_SAFMR
zip 40484
safmr
4
$1,230
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.