210 E PARK LANE, SCOTT CITY, KS 67871 · CCN 175525 · chain GRACE TEAM LLC
Composite
15.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
54
Model
v1.2
Reads as: riskier than 15.8% 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
KS median
National median
National p25–p75
Total nurse
3.34
3.03
3.28
2.90–3.77
RN
0.47
0.44
0.39
0.25–0.58
Weekend total
3.31
2.87
3.11
—
Weekday total
3.35
3.10
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
38.7
3.34
0.47
0.30
2.56
3.31
30.2%
2025Q3
92
37.0
3.02
0.44
0.31
2.26
2.93
13.2%
2025Q2
91
34.9
2.79
0.57
0.18
2.03
2.86
7.6%
2025Q1
90
36.9
2.72
0.65
0.16
1.91
2.75
15.7%
2024Q4
92
45.3
2.70
0.46
0.23
2.02
2.82
24.0%
2024Q3
92
46.0
2.21
0.48
0.20
1.52
2.38
9.4%
2024Q2
91
42.1
2.18
0.47
0.22
1.49
2.42
9.8%
2024Q1
91
39.7
2.64
0.53
0.32
1.79
2.68
13.5%
2023Q4
92
43.4
2.68
0.51
0.31
1.86
2.65
20.6%
2023Q3
92
44.8
2.70
0.48
0.47
1.75
2.61
21.7%
2023Q2
91
46.9
2.60
0.39
0.62
1.58
2.33
11.0%
2023Q1
90
43.0
2.76
0.52
0.61
1.63
2.43
8.5%
2022Q4
92
42.5
2.46
0.39
0.61
1.46
2.23
4.6%
2022Q3
92
38.8
2.68
0.46
0.51
1.72
2.40
5.7%
2022Q2
91
40.8
2.72
0.41
0.46
1.86
2.58
2.4%
2022Q1
90
40.6
2.54
0.41
0.47
1.65
2.55
0.1%
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.
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
K
2025-05-29
2025-03-05
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2025-04-21
2025-03-05
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2025-04-21
2025-03-05
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2025-04-21
2025-03-05
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.
D
2025-04-21
2025-03-05
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-04-21
2025-03-05
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.
D
2025-04-21
2025-03-05
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.
D
2025-04-21
2025-03-05
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2025-04-21
2023-05-15
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-06-14
2023-05-15
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-06-14
2023-05-15
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-06-14
2023-05-15
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-06-14
2023-05-15
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
2023-06-14
2023-05-15
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
2021-10-05
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.
E
2021-10-19
2021-10-05
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
2021-10-19
2021-10-05
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.
C
2021-10-19
2021-10-05
Health
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
F
2021-10-19
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
32
Owner
Role
Pct
From
Status
Source
SCOTT COUNTY REST HOME INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
—
current
pecos_ownership
COMPTON, STEVE
MANAGING CONTROL - GOVERNING BODY
—
2025-01-01
current
pecos_ownership
COUNTY OF SCOTT
ADP OF THE SNF
—
—
current
pecos_ownership
CUPP, CHRISTIAN
OPERATIONAL/MANAGERIAL CONTROL
—
2016-01-01
current
pecos_ownership
GRACE TEAM LLC
ADP OF THE SNF
—
2025-07-22
current
pecos_ownership
GRACE TEAM LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
GRACE, RYAN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
GT SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
GT SERVICES LLC
ADP OF THE SNF
—
2025-07-22
current
pecos_ownership
HENDRIX, KARYN
OPERATIONAL/MANAGERIAL CONTROL
—
2016-06-02
current
pecos_ownership
HOEME, ANITA
MANAGING CONTROL - GOVERNING BODY
—
2020-01-01
current
pecos_ownership
HUEBERT, ERIC
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
JAMES, STEPHANIE
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
LEWIS, HOOPER, AND DICK
OPERATIONAL/MANAGERIAL CONTROL
—
2022-01-01
current
pecos_ownership
LEWIS, HOOPER, AND DICK
ADP OF THE SNF
—
2025-07-22
current
pecos_ownership
OPENWORK HEALTH LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
OPENWORK HEALTH LLC
ADP OF THE SNF
—
2025-08-13
current
pecos_ownership
RAMSEY, SARA
CORPORATE DIRECTOR
—
2022-04-17
current
pecos_ownership
RINER, BILL
CORPORATE DIRECTOR
—
2023-02-01
current
pecos_ownership
TRINITY UNITED, LLC
ADP OF THE SNF
—
2025-07-22
current
pecos_ownership
TRINITY UNITED, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
TRISOURCE NURSING
ADP OF THE SNF
—
2025-07-22
current
pecos_ownership
TRISOURCE NURSING
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
current
pecos_ownership
ANITA HOEME
CORPORATE DIRECTOR
100%
2020-01-01
ended 2026-05-18
pecos_ownership
BILL RINER
CORPORATE DIRECTOR
100%
2023-02-01
ended 2026-05-18
pecos_ownership
SARA RAMSEY
CORPORATE DIRECTOR
100%
2022-04-17
ended 2026-05-18
pecos_ownership
STEPHANIE JAMES
CORPORATE DIRECTOR
100%
2024-01-01
ended 2026-05-18
pecos_ownership
STEVE COMPTON
CORPORATE DIRECTOR
100%
2025-01-01
ended 2026-05-18
pecos_ownership
KARYN HENDRIX
CORPORATE DIRECTOR
25%
2016-06-02
ended 2026-05-18
pecos_ownership
CHRISTIAN CUPP
OPERATIONAL/MANAGERIAL CONTROL
—
2016-01-01
ended 2026-05-18
pecos_ownership
ERIC HUEBERT
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
ended 2026-05-18
pecos_ownership
RYAN GRACE
ADP OF THE SNF
—
2023-01-01
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
28
Geo
Kind
BR
Amount
As of
Source
county 20171
fmr
0
$643
2025-10-01
HUD_USER_FMR
county 20171
acs median gross
1
$583
2024-12-31
CENSUS_ACS5
county 20171
fmr
1
$668
2025-10-01
HUD_USER_FMR
county 20171
acs median gross
2
$754
2024-12-31
CENSUS_ACS5
county 20171
fmr
2
$877
2025-10-01
HUD_USER_FMR
county 20171
acs median gross
3
$1,157
2024-12-31
CENSUS_ACS5
county 20171
fmr
3
$1,132
2025-10-01
HUD_USER_FMR
county 20171
fmr
4
$1,471
2025-10-01
HUD_USER_FMR
county 20171
acs median gross
$685
2024-12-31
CENSUS_ACS5
zcta 67871
acs median gross
1
$583
2024-12-31
CENSUS_ACS5
zcta 67871
acs median gross
2
$754
2024-12-31
CENSUS_ACS5
zcta 67871
acs median gross
3
$1,045
2024-12-31
CENSUS_ACS5
zcta 67871
acs median gross
$669
2024-12-31
CENSUS_ACS5
zip 67871
payment standard 110
0
$737
2025-10-01
HUD_USER_SAFMR
zip 67871
payment standard 90
0
$603
2025-10-01
HUD_USER_SAFMR
zip 67871
safmr
0
$670
2025-10-01
HUD_USER_SAFMR
zip 67871
payment standard 110
1
$781
2025-10-01
HUD_USER_SAFMR
zip 67871
payment standard 90
1
$639
2025-10-01
HUD_USER_SAFMR
zip 67871
safmr
1
$710
2025-10-01
HUD_USER_SAFMR
zip 67871
payment standard 110
2
$1,023
2025-10-01
HUD_USER_SAFMR
zip 67871
payment standard 90
2
$837
2025-10-01
HUD_USER_SAFMR
zip 67871
safmr
2
$930
2025-10-01
HUD_USER_SAFMR
zip 67871
payment standard 110
3
$1,375
2025-10-01
HUD_USER_SAFMR
zip 67871
payment standard 90
3
$1,125
2025-10-01
HUD_USER_SAFMR
zip 67871
safmr
3
$1,250
2025-10-01
HUD_USER_SAFMR
zip 67871
payment standard 110
4
$1,705
2025-10-01
HUD_USER_SAFMR
zip 67871
payment standard 90
4
$1,395
2025-10-01
HUD_USER_SAFMR
zip 67871
safmr
4
$1,550
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.