Reads as: riskier than 21.6% 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
4.35
3.02
3.28
2.90–3.77
RN
0.28
0.26
0.39
0.25–0.58
Weekend total
4.33
2.76
3.11
—
Weekday total
4.35
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
30.4
4.35
0.28
1.52
2.54
4.33
1.4%
2025Q3
92
26.1
4.75
0.35
1.69
2.71
4.41
0.9%
2025Q2
91
23.3
5.50
0.39
1.95
3.16
5.29
0.0%
2025Q1
90
23.9
5.76
0.38
2.04
3.34
5.55
0.0%
2024Q4
92
28.4
5.02
0.30
1.68
3.03
4.79
0.0%
2024Q3
92
30.2
4.68
0.31
1.56
2.80
4.49
7.2%
2024Q2
91
29.7
4.57
0.31
1.53
2.73
4.44
2.4%
2024Q1
91
27.1
5.06
0.36
1.65
3.05
4.98
9.5%
2023Q4
92
29.9
4.72
0.31
1.59
2.82
4.86
10.8%
2023Q3
92
28.0
5.07
0.33
1.70
3.04
5.21
9.1%
2023Q2
91
28.1
4.96
0.35
1.65
2.96
4.90
3.5%
2023Q1
90
26.8
5.49
0.42
1.72
3.34
5.23
16.2%
2022Q4
92
26.5
5.65
0.36
1.78
3.51
5.41
31.0%
2022Q3
92
30.5
4.87
0.29
1.51
3.07
4.70
35.5%
2022Q2
91
30.7
5.00
0.47
1.52
3.01
4.80
40.5%
2022Q1
90
27.2
5.40
0.42
1.66
3.32
5.26
30.9%
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.
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-11-04
2025-09-21
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-11-04
2024-08-25
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-09-16
2024-08-25
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-09-16
2024-04-19
Health · complaint
F0603
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
J
2024-06-07
2024-04-19
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
J
2024-06-07
2024-04-19
Health · complaint
F0610
Respond appropriately to all alleged violations.
J
2024-06-07
2024-04-19
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
K
2024-06-07
2024-04-19
Health · complaint
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
K
2024-06-07
2023-04-30
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2023-06-14
2023-04-30
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
2023-06-14
2023-04-30
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-06-14
2023-04-30
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
2023-06-14
2023-04-30
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-06-14
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
48
Owner
Role
Pct
From
Status
Source
NAVICENT HEALTH INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
—
current
pecos_ownership
ADVOCATE HEALTH INC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-12-02
current
pecos_ownership
ADVOCATE HEALTH INC
ADP OF THE SNF
—
2025-04-30
current
pecos_ownership
AH GEORGIA INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2020-12-01
current
pecos_ownership
ASSIST HEALTHCARE SERVICES, INC
TRUSTEE OF THE SNF
—
2024-09-19
current
pecos_ownership
ASSIST HEALTHCARE SERVICES, INC
ADP OF THE SNF
—
2025-04-30
current
pecos_ownership
ATRIUM HEALTH INC
ADP OF THE SNF
—
2025-04-30
current
pecos_ownership
ATRIUM HEALTH INC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-10-09
current
pecos_ownership
BARALATEI, FLORENCE
ADP OF THE SNF
—
2024-08-01
current
pecos_ownership
BIEK, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2023-01-01
current
pecos_ownership
BROAD RIVER REHABILITATION
ADP OF THE SNF
—
2025-05-05
current
pecos_ownership
BROAD RIVER REHABILITATION
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-01
current
pecos_ownership
CANNADAY, TROY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-16
current
pecos_ownership
CANNADAY, TROY
ADP OF THE SNF
—
2024-01-01
current
pecos_ownership
COLLIER, RONNIE
TRUSTEE OF THE SNF
—
2020-06-12
current
pecos_ownership
FINLEY, DELVECCHIO
CORPORATE OFFICER
—
2023-01-01
current
pecos_ownership
GAYCO, INC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-05-11
current
pecos_ownership
GAYCO, INC
ADP OF THE SNF
—
2025-04-30
current
pecos_ownership
GHEESLING, ANGIE
MANAGING CONTROL - GOVERNING BODY
—
2020-12-02
current
pecos_ownership
HABERSHAM, MYRTLE
CORPORATE OFFICER
—
2018-10-01
current
pecos_ownership
HABERSHAM, MYRTLE
MANAGING CONTROL - GOVERNING BODY
—
2016-10-16
current
pecos_ownership
KIMSEY, CAROL
MANAGING CONTROL - GOVERNING BODY
—
2022-05-01
current
pecos_ownership
KOPLIN, HENRY
MANAGING CONTROL - GOVERNING BODY
—
2018-10-01
current
pecos_ownership
NAVICENT HEALTH INC
TRUSTEE OF THE SNF
—
1997-05-02
current
pecos_ownership
NAVICENT HEALTH INC
ADP OF THE SNF
—
2025-04-30
current
pecos_ownership
PRO DIVERSITY PARTNERS, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-08-01
current
pecos_ownership
PRO DIVERSITY PARTNERS, LLC
ADP OF THE SNF
—
2025-04-30
current
pecos_ownership
PURDUE, ADRIENNE
CORPORATE OFFICER
—
2023-01-01
current
pecos_ownership
SCOTT, WADE
MANAGING CONTROL - GOVERNING BODY
—
2019-10-01
current
pecos_ownership
SIMPSON, THERON
TRUSTEE OF THE SNF
—
2023-01-01
current
pecos_ownership
SNYDER, ERIN
CORPORATE OFFICER
—
2023-10-18
current
pecos_ownership
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2019-01-01
current
pecos_ownership
WHEELER, PHILIP
CORPORATE OFFICER
—
2025-07-28
current
pecos_ownership
ADRIENNE PURDUE
CORPORATE OFFICER
—
2023-01-01
ended 2026-05-18
pecos_ownership
ANGIE GHEESLING
CORPORATE DIRECTOR
—
2020-12-02
ended 2026-05-18
pecos_ownership
CAROL KIMSEY
CORPORATE DIRECTOR
—
2022-05-01
ended 2026-05-18
pecos_ownership
DAVID BIEK
CORPORATE DIRECTOR
—
2023-01-01
ended 2026-05-18
pecos_ownership
DELVECCHIO FINLEY
CORPORATE OFFICER
—
2023-01-01
ended 2026-05-18
pecos_ownership
ERIN SNYDER
CORPORATE OFFICER
—
2023-10-18
ended 2026-05-18
pecos_ownership
FLORENCE BARALATEI
W-2 MANAGING EMPLOYEE
—
2024-08-01
ended 2026-05-18
pecos_ownership
HENRY KOPLIN
CORPORATE DIRECTOR
—
2018-10-01
ended 2026-05-18
pecos_ownership
KIMBERLY SHREWSBURY
CORPORATE OFFICER
—
2023-01-01
ended 2026-05-18
pecos_ownership
MYRTLE HABERSHAM
CORPORATE DIRECTOR
—
2016-10-01
ended 2026-05-18
pecos_ownership
MYRTLE HABERSHAM
CORPORATE OFFICER
—
2018-10-01
ended 2026-05-18
pecos_ownership
RONNIE COLLIER
CORPORATE DIRECTOR
—
2020-06-12
ended 2026-05-18
pecos_ownership
THERON SIMPSON
CORPORATE DIRECTOR
—
2023-01-01
ended 2026-05-18
pecos_ownership
TROY CANNADAY
W-2 MANAGING EMPLOYEE
—
2024-01-16
ended 2026-05-18
pecos_ownership
WADE SCOTT
CORPORATE DIRECTOR
—
2019-10-01
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
2024-12-31
$1,180,891
—
$365,151
—
—
2
—
2023-12-31
$449,030
—
$188,385
—
—
2
—
2022-12-31
$443,997
—
$62,405
—
—
2
—
2021-12-31
$681,338
—
$101,521
—
—
2
—
2020-12-31
$561,715
—
$39,753
—
—
2
—
2019-12-31
$79,515
—
—
—
—
1
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 13021
acs median gross
0
$828
2024-12-31
CENSUS_ACS5
county 13021
fmr
0
$1,085
2025-10-01
HUD_USER_FMR
county 13021
acs median gross
1
$911
2024-12-31
CENSUS_ACS5
county 13021
fmr
1
$1,158
2025-10-01
HUD_USER_FMR
county 13021
acs median gross
2
$1,074
2024-12-31
CENSUS_ACS5
county 13021
fmr
2
$1,307
2025-10-01
HUD_USER_FMR
county 13021
acs median gross
3
$1,118
2024-12-31
CENSUS_ACS5
county 13021
fmr
3
$1,567
2025-10-01
HUD_USER_FMR
county 13021
acs median gross
4
$1,269
2024-12-31
CENSUS_ACS5
county 13021
fmr
4
$1,731
2025-10-01
HUD_USER_FMR
county 13021
acs median gross
5
$1,418
2024-12-31
CENSUS_ACS5
county 13021
acs median gross
$1,066
2024-12-31
CENSUS_ACS5
county 13021
acs recent mover gross
$1,213
2024-12-31
CENSUS_ACS5
zcta 31210
acs median gross
0
$1,137
2024-12-31
CENSUS_ACS5
zcta 31210
acs median gross
1
$1,142
2024-12-31
CENSUS_ACS5
zcta 31210
acs median gross
2
$1,449
2024-12-31
CENSUS_ACS5
zcta 31210
acs median gross
3
$1,388
2024-12-31
CENSUS_ACS5
zcta 31210
acs median gross
4
$1,558
2024-12-31
CENSUS_ACS5
zcta 31210
acs median gross
$1,348
2024-12-31
CENSUS_ACS5
zcta 31210
acs recent mover gross
$1,510
2024-12-31
CENSUS_ACS5
zip 31210
payment standard 110
0
$1,540
2025-10-01
HUD_USER_SAFMR
zip 31210
payment standard 90
0
$1,260
2025-10-01
HUD_USER_SAFMR
zip 31210
safmr
0
$1,400
2025-10-01
HUD_USER_SAFMR
zip 31210
payment standard 110
1
$1,650
2025-10-01
HUD_USER_SAFMR
zip 31210
payment standard 90
1
$1,350
2025-10-01
HUD_USER_SAFMR
zip 31210
safmr
1
$1,500
2025-10-01
HUD_USER_SAFMR
zip 31210
payment standard 110
2
$1,859
2025-10-01
HUD_USER_SAFMR
zip 31210
payment standard 90
2
$1,521
2025-10-01
HUD_USER_SAFMR
zip 31210
safmr
2
$1,690
2025-10-01
HUD_USER_SAFMR
zip 31210
payment standard 110
3
$2,233
2025-10-01
HUD_USER_SAFMR
zip 31210
payment standard 90
3
$1,827
2025-10-01
HUD_USER_SAFMR
zip 31210
safmr
3
$2,030
2025-10-01
HUD_USER_SAFMR
zip 31210
payment standard 110
4
$2,464
2025-10-01
HUD_USER_SAFMR
zip 31210
payment standard 90
4
$2,016
2025-10-01
HUD_USER_SAFMR
zip 31210
safmr
4
$2,240
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.