Reads as: riskier than 75.7% 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
2.71
3.02
3.28
2.90–3.77
RN
0.20
0.26
0.39
0.25–0.58
Weekend total
2.56
2.76
3.11
—
Weekday total
2.77
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
79.4
2.71
0.20
0.97
1.54
2.56
6.0%
2025Q3
92
79.5
2.65
0.12
0.94
1.58
2.35
0.4%
2025Q2
91
76.3
2.67
0.09
0.86
1.73
2.31
2.3%
2025Q1
90
80.4
2.66
0.07
0.85
1.74
2.41
2.0%
2024Q4
92
82.0
2.40
0.04
0.80
1.55
2.13
4.2%
2024Q3
92
81.3
2.69
0.06
0.82
1.81
2.41
3.8%
2024Q2
91
81.3
2.67
0.08
0.82
1.77
2.48
5.9%
2024Q1
91
79.9
2.67
0.17
0.77
1.74
2.52
3.2%
2023Q4
92
81.6
2.46
0.14
0.78
1.54
2.32
6.6%
2023Q3
92
82.9
2.47
0.09
0.82
1.56
2.17
3.3%
2023Q2
91
82.1
2.55
0.16
0.72
1.67
2.25
1.0%
2023Q1
90
75.8
2.51
0.18
0.72
1.60
2.32
8.2%
2022Q4
92
71.1
2.44
0.16
0.81
1.48
2.21
9.6%
2022Q3
92
65.1
2.77
0.19
0.98
1.60
2.41
6.1%
2022Q2
91
67.2
2.92
0.18
1.08
1.66
2.49
9.4%
2022Q1
90
66.4
3.05
0.10
1.09
1.85
2.66
16.6%
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
2026-02-25
2026-01-08
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2026-02-25
2026-01-08
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2026-02-25
2026-01-08
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
2026-02-25
2026-01-08
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2026-02-25
2026-01-08
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2026-02-25
2026-01-08
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.
D
2026-02-25
2026-01-08
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.
E
2026-02-25
2026-01-08
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-02-25
2026-01-08
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-02-25
2024-10-03
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2024-11-11
2024-10-03
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2024-11-11
2024-10-03
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.
E
2024-11-11
2024-10-03
Health
F0940
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
F
2024-11-11
2023-07-16
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-08-30
2023-07-16
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2023-08-30
2023-07-16
Health
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
2023-08-30
2023-07-16
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.
E
2023-08-30
2023-07-16
Health · complaint
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.
B
2023-08-30
2023-07-16
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
2023-08-30
2023-07-16
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2023-08-30
2023-07-16
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-08-30
2023-07-16
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-08-30
2023-06-28
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
2023-08-12
2023-06-28
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-08-12
2023-06-28
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-08-12
2023-06-28
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2023-08-12
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
20
Owner
Role
Pct
From
Status
Source
MACON HOLDINGS GROUP LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2017-08-01
current
pecos_ownership
BRECHER, MENDEL
5% OR GREATER INDIRECT OWNERSHIP INTEREST
26%
2017-08-01
current
pecos_ownership
MACON REALTY
Individual has financial interest in both related organization and provider
26%
2024-01-01
current
hcris_a_8_1
MACON REALTY
Individual has financial interest in both related organization and provider
26%
2023-01-01
current
hcris_a_8_1
LICHTMAN, CHANA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
14%
2017-08-01
current
pecos_ownership
LICHTMAN, SARA
5% OR GREATER INDIRECT OWNERSHIP INTEREST
12%
2017-08-01
current
pecos_ownership
ZIMMERMAN, JACOB
5% OR GREATER INDIRECT OWNERSHIP INTEREST
12%
2017-08-01
current
pecos_ownership
BRECHER, LIBBY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2017-08-01
current
pecos_ownership
JILES, RENEE
W-2 MANAGING EMPLOYEE
—
2017-08-01
current
pecos_ownership
SERVISFIRST BANK
5% OR GREATER SECURITY INTEREST
—
2017-08-01
current
pecos_ownership
MACON REALTY
Individual has financial interest in both related organization and provider
26%
2021-01-01
ended 2021-12-31
hcris_a_8_1
MACON REALTY
Individual has financial interest in both related organization and provider
26%
2022-01-01
ended 2022-12-31
hcris_a_8_1
MACON REALTY
Individual has financial interest in both related organization and provider
26%
2020-01-01
ended 2020-12-31
hcris_a_8_1
MENDEL BRECHER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
26%
2017-08-01
ended 2026-05-18
pecos_ownership
CHANA LICHTMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
14%
2017-08-01
ended 2026-05-18
pecos_ownership
JACOB ZIMMERMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
12%
2017-08-01
ended 2026-05-18
pecos_ownership
SARA LICHTMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
12%
2017-08-01
ended 2026-05-18
pecos_ownership
ANSHEL NIEDERMAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2017-08-01
ended 2026-05-18
pecos_ownership
LIBBY BRECHER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2017-08-01
ended 2026-05-18
pecos_ownership
RENEE JILES
W-2 MANAGING EMPLOYEE
—
2017-08-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$583,818
$1,779
—
—
—
6
propco
2023-12-31
$544,491
$37,282
—
—
—
6
propco
2022-12-31
$521,560
$2,119
—
—
—
6
propco
2021-12-31
$500,163
$500,163
—
—
—
6
propco
2020-12-31
$467,638
$467,638
—
—
—
6
propco
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
34
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 31216
acs median gross
1
$1,065
2024-12-31
CENSUS_ACS5
zcta 31216
acs median gross
2
$977
2024-12-31
CENSUS_ACS5
zcta 31216
acs median gross
3
$1,042
2024-12-31
CENSUS_ACS5
zcta 31216
acs median gross
4
$1,313
2024-12-31
CENSUS_ACS5
zcta 31216
acs median gross
$1,041
2024-12-31
CENSUS_ACS5
zcta 31216
acs recent mover gross
$1,141
2024-12-31
CENSUS_ACS5
zip 31216
payment standard 110
0
$1,309
2025-10-01
HUD_USER_SAFMR
zip 31216
payment standard 90
0
$1,071
2025-10-01
HUD_USER_SAFMR
zip 31216
safmr
0
$1,190
2025-10-01
HUD_USER_SAFMR
zip 31216
payment standard 110
1
$1,397
2025-10-01
HUD_USER_SAFMR
zip 31216
payment standard 90
1
$1,143
2025-10-01
HUD_USER_SAFMR
zip 31216
safmr
1
$1,270
2025-10-01
HUD_USER_SAFMR
zip 31216
payment standard 110
2
$1,573
2025-10-01
HUD_USER_SAFMR
zip 31216
payment standard 90
2
$1,287
2025-10-01
HUD_USER_SAFMR
zip 31216
safmr
2
$1,430
2025-10-01
HUD_USER_SAFMR
zip 31216
payment standard 110
3
$1,881
2025-10-01
HUD_USER_SAFMR
zip 31216
payment standard 90
3
$1,539
2025-10-01
HUD_USER_SAFMR
zip 31216
safmr
3
$1,710
2025-10-01
HUD_USER_SAFMR
zip 31216
payment standard 110
4
$2,079
2025-10-01
HUD_USER_SAFMR
zip 31216
payment standard 90
4
$1,701
2025-10-01
HUD_USER_SAFMR
zip 31216
safmr
4
$1,890
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.