Reads as: riskier than 21.1% 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
3.30
3.02
3.28
2.90–3.77
RN
0.33
0.26
0.39
0.25–0.58
Weekend total
2.73
2.76
3.11
—
Weekday total
3.53
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
55.8
3.30
0.33
1.16
1.81
2.73
0.0%
2025Q3
92
54.5
2.93
0.29
1.18
1.46
2.51
0.0%
2025Q2
91
51.0
3.17
0.23
1.43
1.51
2.61
0.0%
2025Q1
90
49.3
3.08
0.19
1.44
1.45
2.47
0.0%
2024Q4
92
51.8
3.01
0.17
1.31
1.53
2.40
0.0%
2024Q3
92
51.1
3.17
0.19
1.30
1.69
2.55
0.0%
2024Q2
91
55.3
2.74
0.19
1.34
1.21
2.11
0.0%
2024Q1
91
52.0
2.96
0.20
1.51
1.25
2.40
0.0%
2023Q4
92
53.2
3.14
0.20
1.34
1.61
2.46
0.0%
2023Q3
92
57.1
2.84
0.20
1.28
1.36
2.23
0.0%
2023Q2
91
51.8
3.21
0.20
1.36
1.66
2.63
0.0%
2023Q1
90
49.8
2.57
0.21
1.34
1.02
1.79
0.0%
2022Q4
92
51.1
2.63
0.20
1.35
1.08
2.06
0.0%
2022Q3
92
48.0
2.49
0.20
1.25
1.04
1.90
0.0%
2022Q2
91
47.6
2.66
0.22
1.18
1.26
2.06
0.0%
2022Q1
90
45.4
2.96
0.23
1.25
1.48
2.36
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
16
C × 1D × 8E × 2F × 5
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-05-08
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.
D
2025-06-06
2025-05-08
Health · complaint
F0880
Provide and implement an infection prevention and control program.
F
2025-06-06
2024-04-14
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
2024-05-09
2024-04-14
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
2024-05-09
2024-04-14
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-05-09
2022-12-18
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-02-01
2022-12-18
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-02-01
2022-12-18
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.
F
2023-02-01
2022-12-18
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.
D
2023-02-01
2022-12-18
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.
E
2023-02-01
2022-12-18
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2023-02-01
2022-12-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-02-14
2022-12-18
Health
F0838
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
C
2023-02-01
2022-12-18
Health
F0880
Provide and implement an infection prevention and control program.
F
2023-02-01
2022-12-18
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F
2023-02-01
2022-12-18
Health
F0908
Keep all essential equipment working safely.
E
2023-02-01
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
12
Owner
Role
Pct
From
Status
Source
FALLAW, CHARLES
W-2 MANAGING EMPLOYEE
—
2015-06-08
current
pecos_ownership
PRUITT, NEIL
CORPORATE OFFICER
—
2007-09-25
current
pecos_ownership
PRUITTHEALTH INC
OPERATIONAL/MANAGERIAL CONTROL
—
2007-09-25
current
pecos_ownership
CHARLES FALLAW
W-2 MANAGING EMPLOYEE
100%
2015-06-08
ended 2026-05-18
pecos_ownership
NEIL PRUITT
CORPORATE OFFICER
100%
2007-09-25
ended 2026-05-18
pecos_ownership
UHS-PRUITT HOLDINGS, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
99%
2007-09-25
ended 2026-05-18
pecos_ownership
UNITED HEALTH SERVICES INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
99%
2007-09-25
ended 2026-05-18
pecos_ownership
UNITED HEALTH SERVICES OF GEORGIA, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
99%
2007-09-25
ended 2026-05-18
pecos_ownership
NEIL L PRUITT JR TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
37%
2007-09-25
ended 2026-05-18
pecos_ownership
LISA P HAMBY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
32%
2007-09-25
ended 2026-05-18
pecos_ownership
J PAIGE PRUITT TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
29%
2007-09-25
ended 2026-05-18
pecos_ownership
PRUITTHEALTH INC
OTHER
—
2007-01-12
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
$1,251,656
$214,568
$171,729
$372,500
$221,971
9
—
2024-06-30
$1,200,532
$160,889
$176,026
$307,768
$220,244
9
—
2023-06-30
$1,028,163
$177,360
$161,384
$183,055
$256,842
9
—
2022-06-30
$963,249
$111,491
$175,928
$202,573
$251,398
9
—
2021-06-30
$1,157,577
$211,992
$156,539
$276,675
$352,265
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
31
Geo
Kind
BR
Amount
As of
Source
county 13227
fmr
0
$1,585
2025-10-01
HUD_USER_FMR
county 13227
acs median gross
1
$846
2024-12-31
CENSUS_ACS5
county 13227
fmr
1
$1,660
2025-10-01
HUD_USER_FMR
county 13227
acs median gross
2
$966
2024-12-31
CENSUS_ACS5
county 13227
fmr
2
$1,820
2025-10-01
HUD_USER_FMR
county 13227
acs median gross
3
$1,244
2024-12-31
CENSUS_ACS5
county 13227
fmr
3
$2,182
2025-10-01
HUD_USER_FMR
county 13227
acs median gross
4
$1,566
2024-12-31
CENSUS_ACS5
county 13227
fmr
4
$2,605
2025-10-01
HUD_USER_FMR
county 13227
acs median gross
5
$3,042
2024-12-31
CENSUS_ACS5
county 13227
acs median gross
$1,136
2024-12-31
CENSUS_ACS5
zcta 30143
acs median gross
1
$826
2024-12-31
CENSUS_ACS5
zcta 30143
acs median gross
2
$954
2024-12-31
CENSUS_ACS5
zcta 30143
acs median gross
3
$1,538
2024-12-31
CENSUS_ACS5
zcta 30143
acs median gross
4
$1,687
2024-12-31
CENSUS_ACS5
zcta 30143
acs median gross
$1,152
2024-12-31
CENSUS_ACS5
zip 30143
payment standard 110
0
$1,221
2025-10-01
HUD_USER_SAFMR
zip 30143
payment standard 90
0
$999
2025-10-01
HUD_USER_SAFMR
zip 30143
safmr
0
$1,110
2025-10-01
HUD_USER_SAFMR
zip 30143
payment standard 110
1
$1,276
2025-10-01
HUD_USER_SAFMR
zip 30143
payment standard 90
1
$1,044
2025-10-01
HUD_USER_SAFMR
zip 30143
safmr
1
$1,160
2025-10-01
HUD_USER_SAFMR
zip 30143
payment standard 110
2
$1,397
2025-10-01
HUD_USER_SAFMR
zip 30143
payment standard 90
2
$1,143
2025-10-01
HUD_USER_SAFMR
zip 30143
safmr
2
$1,270
2025-10-01
HUD_USER_SAFMR
zip 30143
payment standard 110
3
$1,672
2025-10-01
HUD_USER_SAFMR
zip 30143
payment standard 90
3
$1,368
2025-10-01
HUD_USER_SAFMR
zip 30143
safmr
3
$1,520
2025-10-01
HUD_USER_SAFMR
zip 30143
payment standard 110
4
$2,002
2025-10-01
HUD_USER_SAFMR
zip 30143
payment standard 90
4
$1,638
2025-10-01
HUD_USER_SAFMR
zip 30143
safmr
4
$1,820
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.