Reads as: riskier than 11.2% 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 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
8
2025Q4 HPRD
This facility
GA median
National median
National p25–p75
Total nurse
3.07
3.02
3.28
2.90–3.77
RN
0.54
0.26
0.39
0.25–0.58
Weekend total
2.84
2.76
3.11
—
Weekday total
3.16
3.09
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
77.2
3.07
0.54
0.88
1.65
2.84
0.0%
2025Q3
92
69.0
3.44
0.57
1.01
1.86
3.27
0.0%
2025Q2
91
69.7
3.08
0.55
1.00
1.52
2.81
0.0%
2025Q1
90
70.7
3.17
0.68
1.03
1.46
2.93
0.0%
2024Q4
92
68.9
3.67
0.57
1.22
1.88
3.27
0.0%
2024Q3
92
58.2
3.93
0.52
1.28
2.13
3.27
1.9%
2024Q2
91
45.6
4.29
0.71
1.43
2.14
3.70
3.3%
2024Q1
91
21.2
6.73
1.40
1.79
3.54
5.58
1.1%
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
9
D × 6E × 2F × 1
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-07
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-09-21
2025-08-07
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2025-09-21
2025-08-07
Health
F0638
Assure that each resident’s assessment is updated at least once every 3 months.
D
2025-09-21
2025-08-07
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
E
2025-09-21
2025-08-07
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
2025-09-21
2025-08-07
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2025-09-21
2025-08-07
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-09-21
2025-08-07
Health
F0880
Provide and implement an infection prevention and control program.
F
2025-09-21
2025-08-07
Health
F0881
Implement a program that monitors antibiotic use.
D
2025-09-21
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
56
Owner
Role
Pct
From
Status
Source
BARRETT, PATRICIA
ADP OF THE SNF
—
2023-12-01
current
pecos_ownership
BARRETT, PATRICIA
CORPORATE DIRECTOR
—
1991-12-16
current
pecos_ownership
BRAMBLETT, KAREN
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
BURNETTE, JASON
CORPORATE DIRECTOR
—
2025-03-01
current
pecos_ownership
CARNLINE, JOE
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
CASON, ASHLEY
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
COLLINS, ANDREA
CORPORATE DIRECTOR
—
2025-02-25
current
pecos_ownership
CRAVEN, DARCY
CORPORATE OFFICER
—
2020-08-24
current
pecos_ownership
DANIELS, CHRISTOPHER
CORPORATE DIRECTOR
—
2025-03-01
current
pecos_ownership
DAWSON, MARVIN
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
GRIFFITH, SINA
CORPORATE DIRECTOR
—
2021-10-01
current
pecos_ownership
HAMIL, WILLIAM
CORPORATE DIRECTOR
—
2023-01-28
current
pecos_ownership
HEMBREE, GREGORY
CORPORATE OFFICER
—
2016-12-15
current
pecos_ownership
JOHN D ARCHBOLD MEMORIAL HOSPITAL INC
INDIRECT OWNERSHIP INTEREST
—
2023-09-26
current
pecos_ownership
JOHN D ARCHBOLD MEMORIAL HOSPITAL INC
ADP OF THE SNF
—
2025-06-19
current
pecos_ownership
NESMITH, JASON
CORPORATE DIRECTOR
—
2021-10-01
current
pecos_ownership
NESMITH, JASON
ADP OF THE SNF
—
2025-06-19
current
pecos_ownership
PEARCE, CARLA
CORPORATE OFFICER
—
2008-03-30
current
pecos_ownership
PORTER, JAMI
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
RIALS, LOREN
CORPORATE OFFICER
—
2025-08-18
current
pecos_ownership
SANTORO, JACQUELYN
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
SIMMONS, JOSH
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
STONE, HENRY
CORPORATE DIRECTOR
—
2021-10-01
current
pecos_ownership
SZWARC, BRIAN
CORPORATE DIRECTOR
—
2021-10-01
current
pecos_ownership
WARD, TIMOTHY
CORPORATE DIRECTOR
—
2025-02-25
current
pecos_ownership
WENTWORTH, CRAIG
CORPORATE DIRECTOR
—
2021-07-01
current
pecos_ownership
WOMACK, JAMES
CORPORATE OFFICER
—
2020-12-19
current
pecos_ownership
WOMACK, JAMES
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-27
current
pecos_ownership
WOMACK, JAMES
ADP OF THE SNF
—
2026-01-13
current
pecos_ownership
ANDREA COLLINS
CORPORATE DIRECTOR
0%
2025-02-25
ended 2026-05-18
pecos_ownership
ASHLEY CASON
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
BRIAN SZWARC
CORPORATE DIRECTOR
0%
2021-10-01
ended 2026-05-18
pecos_ownership
CARLA PEARCE
CORPORATE OFFICER
0%
2008-03-30
ended 2026-05-18
pecos_ownership
CHRISTOPHER DANIELS
CORPORATE DIRECTOR
0%
2025-03-01
ended 2026-05-18
pecos_ownership
CRAIG WENTWORTH
CORPORATE DIRECTOR
0%
2021-07-01
ended 2026-05-18
pecos_ownership
DARCY CRAVEN
CORPORATE OFFICER
0%
2020-08-24
ended 2026-05-18
pecos_ownership
GREGORY HEMBREE
CORPORATE OFFICER
0%
2016-12-15
ended 2026-05-18
pecos_ownership
HENRY STONE
CORPORATE DIRECTOR
0%
2021-10-01
ended 2026-05-18
pecos_ownership
JACQUELYN SANTORO
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
JAMES WOMACK
CORPORATE OFFICER
0%
2020-12-19
ended 2026-05-18
pecos_ownership
JAMI PORTER
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
JASON BURNETTE
CORPORATE DIRECTOR
0%
2025-03-01
ended 2026-05-18
pecos_ownership
JASON NESMITH
CORPORATE DIRECTOR
0%
2021-10-01
ended 2026-05-18
pecos_ownership
JOE CARNLINE
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
JOSH SIMMONS
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
KAREN BRAMBLETT
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
LOREN RIALS
CORPORATE OFFICER
0%
2025-08-18
ended 2026-05-18
pecos_ownership
MARVIN DAWSON
CORPORATE DIRECTOR
0%
2023-01-01
ended 2026-05-18
pecos_ownership
SINA GRIFFITH
CORPORATE DIRECTOR
0%
2021-10-01
ended 2026-05-18
pecos_ownership
TIMOTHY WARD
CORPORATE DIRECTOR
0%
2025-02-25
ended 2026-05-18
pecos_ownership
WILLIAM HAMIL
CORPORATE DIRECTOR
0%
2023-01-28
ended 2026-05-18
pecos_ownership
JAMES WOMACK
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-27
ended 2026-05-18
pecos_ownership
JAMES WOMACK
ADP OF THE SNF
—
2026-01-13
ended 2026-05-18
pecos_ownership
JASON NESMITH
ADP OF THE SNF
—
2025-06-19
ended 2026-05-18
pecos_ownership
PATRICIA BARRETT
CORPORATE DIRECTOR
—
1991-12-16
ended 2026-05-18
pecos_ownership
PATRICIA BARRETT
ADP OF THE SNF
—
2023-12-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 13131
fmr
0
$737
2025-10-01
HUD_USER_FMR
county 13131
acs median gross
1
$517
2024-12-31
CENSUS_ACS5
county 13131
fmr
1
$742
2025-10-01
HUD_USER_FMR
county 13131
acs median gross
2
$732
2024-12-31
CENSUS_ACS5
county 13131
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 13131
acs median gross
3
$959
2024-12-31
CENSUS_ACS5
county 13131
fmr
3
$1,343
2025-10-01
HUD_USER_FMR
county 13131
acs median gross
4
$1,093
2024-12-31
CENSUS_ACS5
county 13131
fmr
4
$1,490
2025-10-01
HUD_USER_FMR
county 13131
acs median gross
$779
2024-12-31
CENSUS_ACS5
county 13131
acs recent mover gross
$585
2024-12-31
CENSUS_ACS5
zcta 39828
acs median gross
1
$462
2024-12-31
CENSUS_ACS5
zcta 39828
acs median gross
2
$726
2024-12-31
CENSUS_ACS5
zcta 39828
acs median gross
3
$969
2024-12-31
CENSUS_ACS5
zcta 39828
acs median gross
4
$1,163
2024-12-31
CENSUS_ACS5
zcta 39828
acs median gross
$776
2024-12-31
CENSUS_ACS5
zcta 39828
acs recent mover gross
$737
2024-12-31
CENSUS_ACS5
zip 39828
payment standard 110
0
$990
2025-10-01
HUD_USER_SAFMR
zip 39828
payment standard 90
0
$810
2025-10-01
HUD_USER_SAFMR
zip 39828
safmr
0
$900
2025-10-01
HUD_USER_SAFMR
zip 39828
payment standard 110
1
$1,034
2025-10-01
HUD_USER_SAFMR
zip 39828
payment standard 90
1
$846
2025-10-01
HUD_USER_SAFMR
zip 39828
safmr
1
$940
2025-10-01
HUD_USER_SAFMR
zip 39828
payment standard 110
2
$1,144
2025-10-01
HUD_USER_SAFMR
zip 39828
payment standard 90
2
$936
2025-10-01
HUD_USER_SAFMR
zip 39828
safmr
2
$1,040
2025-10-01
HUD_USER_SAFMR
zip 39828
payment standard 110
3
$1,474
2025-10-01
HUD_USER_SAFMR
zip 39828
payment standard 90
3
$1,206
2025-10-01
HUD_USER_SAFMR
zip 39828
safmr
3
$1,340
2025-10-01
HUD_USER_SAFMR
zip 39828
payment standard 110
4
$1,639
2025-10-01
HUD_USER_SAFMR
zip 39828
payment standard 90
4
$1,341
2025-10-01
HUD_USER_SAFMR
zip 39828
safmr
4
$1,490
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.