Composite
20.5 / 100 percentile
Screener / 375335
A
WINDRIDGE NURSING AND REHABILITATION CENTER
snfOK
2530 NORTH ELM STREET, MIAMI, OK 74354 · CCN 375335 · chain SANDRA CHEEK FARMER TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
100
Model
v1.2
Reads as: riskier than 20.5% 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.
Score model4Components13CHOW radar1Distress radar1Staffing13Penalties0Deficiencies17Licensure0Ownership15Related party0Transactions1Comps12Market rent36
Composite explanation
4| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 56.2 | 49.7 | 0.30 | 0.2857 | 16.06 | in index |
| regulatory risk | 34.8 | 24.4 | 0.30 | 0.2857 | 9.94 | in index |
| chow risk | 49.5 | 47.6 | 0.15 | 0.1429 | 7.07 | in index |
| billing conduct | 11.3 | 10.0 | 0.30 | 0.2857 | 3.23 | in index |
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.
Component scores and registry models
13| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 10.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | 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. |
| chow risk | 70.2 | D | v0.6 | default · in composite | |
| financial risk | 49.7 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.7 | — | v0.1 | default · in composite | 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. |
| p chow 12m | 0.2 | — | v0.1 | default · in 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. |
| regulatory risk | 24.4 | A | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| financial risk | 54.7 | C | v0.1 | superseded | 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. |
| financial risk | 34.7 | B | v0.2 | superseded | 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. |
| financial risk | 34.7 | B | v0.3 | superseded | 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. |
| financial risk | 55.8 | C | v0.4 | superseded | 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. |
| regulatory risk | 24.3 | A | v0.1 | superseded | 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. |
| regulatory risk | 24.3 | A | v0.2 | superseded | 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. |
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.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
42.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 7.41 | -1.13 | |
| Occupancy | 0.39 | +0.89 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 1.00 | -0.15 | |
| Total nurse staffing (HPRD) | 2.38 | +0.13 |
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.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.7%
model v0.1 · computed 2026-07-29
Percentile among SNFs
82.3
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.39 | +1.51 | |
| Deficiencies, last 12 months | 1.00 | +1.24 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 2.38 | +0.35 | |
| Never sold on record | 0.00 | -0.28 | |
| Staffing trend, last 4 quarters | 0.55 | +0.23 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
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
13| 2025Q1 HPRD | This facility | OK median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.38 | 2.78 | 3.28 | 2.90–3.77 |
| RN | 0.43 | 0.18 | 0.39 | 0.25–0.58 |
| Weekend total | 2.17 | 2.72 | 3.11 | — |
| Weekday total | 2.47 | 2.80 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q1 | 90 | 39.0 | 2.38 | 0.43 | 0.38 | 1.57 | 2.17 | 0.0% |
| 2024Q4 | 92 | 39.8 | 2.94 | 0.36 | 0.59 | 2.00 | 2.98 | 0.0% |
| 2024Q3 | 92 | 35.4 | 2.80 | 0.34 | 0.56 | 1.91 | 2.78 | 0.0% |
| 2024Q2 | 91 | 35.8 | 2.70 | 0.28 | 0.52 | 1.90 | 2.64 | 0.0% |
| 2024Q1 | 91 | 36.5 | 1.83 | 0.14 | 0.35 | 1.33 | 1.80 | 0.0% |
| 2023Q4 | 92 | 37.0 | 1.93 | 0.28 | 0.48 | 1.16 | 1.95 | 0.0% |
| 2023Q3 | 92 | 34.8 | 2.51 | 0.35 | 0.48 | 1.68 | 2.51 | 0.0% |
| 2023Q2 | 91 | 34.5 | 2.51 | 0.05 | 0.71 | 1.74 | 2.40 | 0.0% |
| 2023Q1 | 90 | 33.0 | 2.29 | 0.04 | 0.80 | 1.45 | 2.13 | 0.0% |
| 2022Q4 | 92 | 34.6 | 2.81 | 0.00 | 1.11 | 1.70 | 2.82 | 0.0% |
| 2022Q3 | 92 | 34.2 | 2.56 | 0.01 | 1.05 | 1.50 | 2.37 | 0.0% |
| 2022Q2 | 91 | 33.3 | 2.23 | 0.02 | 0.99 | 1.22 | 2.17 | 0.0% |
| 2022Q1 | 90 | 31.6 | 2.49 | 0.03 | 1.04 | 1.42 | 2.38 | 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
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
17D × 14E × 3
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-04 | 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 | 2026-01-31 |
| 2024-08-22 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-08-29 |
| 2024-08-22 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | 2024-08-26 |
| 2024-08-22 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2024-09-24 |
| 2024-08-22 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-10-11 |
| 2023-08-02 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-10-01 |
| 2023-08-02 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2023-10-01 |
| 2023-08-02 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-10-01 |
| 2023-08-02 | 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 | 2023-10-01 |
| 2023-08-02 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2023-10-01 |
| 2023-08-02 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-10-01 |
| 2023-08-02 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2023-10-01 |
| 2023-08-02 | Health | F0732 | Post nurse staffing information every day. | D | 2023-10-01 |
| 2023-08-02 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-10-01 |
| 2023-08-02 | 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 | 2023-10-01 |
| 2023-08-02 | 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 | 2023-10-01 |
| 2023-08-02 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-10-01 |
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
0No 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
15| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| STEVEN R. TUBBS REVOCABLE TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 14% | 2023-01-01 | current | pecos_ownership |
| CHEEK, BARNIE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 8% | 2019-03-01 | current | pecos_ownership |
| SANDRA CHEEK FARMER TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 8% | 2025-01-01 | current | pecos_ownership |
| ESTEP, PATSY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% | 2019-03-01 | current | pecos_ownership |
| HASKINS, LLOYD | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% | 2019-03-01 | current | pecos_ownership |
| MCGREW, JUSTIN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% | 2019-03-01 | current | pecos_ownership |
| CAROLYN D LEAVERTON REVOCABLE TRUST | TRUSTEE OF THE SNF | — | 2025-01-01 | current | pecos_ownership |
| MCGREW, JUSTIN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 | current | pecos_ownership |
| VANDELINDER, WILLIAM | ADP OF THE SNF | — | 2025-01-01 | current | pecos_ownership |
| BARNIE CHEEK | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 8% | 2019-03-01 | ended 2026-05-18 | pecos_ownership |
| LLOYD HASKINS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% | 2019-03-01 | ended 2026-05-18 | pecos_ownership |
| JUSTIN MCGREW | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% | 2019-03-01 | ended 2026-05-18 | pecos_ownership |
| PATSY ESTEP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% | 2019-03-01 | ended 2026-05-18 | pecos_ownership |
| JUSTIN MCGREW | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| WILLIAM VANDELINDER | ADP OF THE SNF | — | 2025-01-01 | 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.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2019-03-01 | — | MIAMI HEALTHCARE LLC | MIAMI HEALTH FACILITIES, L.P. | chow |
Comparable trades — OK snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-02-01 | IGNITE MEDICAL RESORT TULSA, LLC | — | — | — | 104 | IGNITE MEDICAL RESORT TULSA, LLC |
| 2025-01-01 | THE COMMONS | — | — | — | 138 | COMMONS OPERATIONS LLC |
| 2025-01-01 | BEADLES NEW BEGINNINGS | — | — | — | 80 | BEADLES OPERATIONS, LLC |
| 2024-11-01 | STIGLER NURSING & REHAB | — | — | — | 80 | HASKELL NURSING & REHAB LLC |
| 2024-07-01 | NOWATA NURSING CENTER | — | — | — | 65 | NOWATA LTC LLC |
| 2024-05-14 | EASTGATE VILLAGE CARE & REHAB CENTER | — | — | — | 110 | EASTGATE HEALTHCARE, LLC |
| 2024-05-14 | Broadway Care & Rehab Center | — | — | — | 105 | BROADWAY HEALTHCARE, LLC |
| 2024-05-14 | FORT GIBSON CARE & REHAB CENTER | — | — | — | 66 | FORT GIBSON HEALTHCARE LLC |
| 2024-04-01 | HERITAGE MANOR | — | — | — | 55 | HERITAGE MANOR MANAGEMENT LLC |
| 2024-04-01 | HERITAGE PARK | — | — | — | 55 | HERITAGE PARK MANAGEMENT, LLC |
| 2024-01-09 | COWETA CARE & REHAB CENTER | — | — | — | 100 | COWETA HEALTHCARE MANAGEMENT LLC |
| 2024-01-09 | MITCHELL CARE & REHAB CENTER | — | — | — | 100 | MITCHELL HEALTHCARE MANAGEMENT, LLC |
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
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 40115 | acs median gross | 0 | $601 | 2024-12-31 | CENSUS_ACS5 |
| county 40115 | fmr | 0 | $697 | 2025-10-01 | HUD_USER_FMR |
| county 40115 | acs median gross | 1 | $542 | 2024-12-31 | CENSUS_ACS5 |
| county 40115 | fmr | 1 | $714 | 2025-10-01 | HUD_USER_FMR |
| county 40115 | acs median gross | 2 | $796 | 2024-12-31 | CENSUS_ACS5 |
| county 40115 | fmr | 2 | $937 | 2025-10-01 | HUD_USER_FMR |
| county 40115 | acs median gross | 3 | $931 | 2024-12-31 | CENSUS_ACS5 |
| county 40115 | fmr | 3 | $1,183 | 2025-10-01 | HUD_USER_FMR |
| county 40115 | acs median gross | 4 | $914 | 2024-12-31 | CENSUS_ACS5 |
| county 40115 | fmr | 4 | $1,241 | 2025-10-01 | HUD_USER_FMR |
| county 40115 | acs median gross | 5 | $725 | 2024-12-31 | CENSUS_ACS5 |
| county 40115 | acs median gross | $788 | 2024-12-31 | CENSUS_ACS5 | |
| county 40115 | acs recent mover gross | $824 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 74354 | acs median gross | 0 | $650 | 2024-12-31 | CENSUS_ACS5 |
| zcta 74354 | acs median gross | 1 | $556 | 2024-12-31 | CENSUS_ACS5 |
| zcta 74354 | acs median gross | 2 | $849 | 2024-12-31 | CENSUS_ACS5 |
| zcta 74354 | acs median gross | 3 | $998 | 2024-12-31 | CENSUS_ACS5 |
| zcta 74354 | acs median gross | 4 | $1,012 | 2024-12-31 | CENSUS_ACS5 |
| zcta 74354 | acs median gross | 5 | $706 | 2024-12-31 | CENSUS_ACS5 |
| zcta 74354 | acs median gross | $830 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 74354 | acs recent mover gross | $934 | 2024-12-31 | CENSUS_ACS5 | |
| zip 74354 | payment standard 110 | 0 | $814 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74354 | payment standard 90 | 0 | $666 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74354 | safmr | 0 | $740 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74354 | payment standard 110 | 1 | $836 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74354 | payment standard 90 | 1 | $684 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74354 | safmr | 1 | $760 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74354 | payment standard 110 | 2 | $1,100 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74354 | payment standard 90 | 2 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74354 | safmr | 2 | $1,000 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74354 | payment standard 110 | 3 | $1,386 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74354 | payment standard 90 | 3 | $1,134 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74354 | safmr | 3 | $1,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74354 | payment standard 110 | 4 | $1,452 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74354 | payment standard 90 | 4 | $1,188 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74354 | safmr | 4 | $1,320 | 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.