1001 EAST NORTH STREET, ELDON, MO 65026 · CCN 265555
Composite
78.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
90
Model
v1.2
Reads as: riskier than 78.6% 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.
ML signals — parallel engine
8
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+28.6 vs natl
SYSTEMS LEASING INC
57 facilities
connection
Owner fleet risk far above national
+28.6 vs natl
ERGO MIDWEST INC
57 facilities
connection
Owner fleet risk far above national
+27.5 vs natl
LINCOLN JAMES
56 facilities
connection
Owner fleet risk far above national
+26.3 vs natl
CRANE GARY
18 facilities
connection
Owner fleet risk far above national
+26.3 vs natl
STUTTS CHARLOTTE
18 facilities
connection
Owner fleet risk far above national
+25.9 vs natl
BYSOR BRANDON
13 facilities
connection
Owner fleet risk far above national
+25.2 vs natl
DRAKE TIMOTHY
21 facilities
connection
Owner spans multiple chains
4 chains
ERGO MIDWEST INC
38 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
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
MO median
National median
National p25–p75
Total nurse
2.01
2.41
3.28
2.90–3.77
RN
0.53
0.25
0.39
0.25–0.58
Weekend total
1.70
2.24
3.11
—
Weekday total
2.13
2.49
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
60.9
2.01
0.53
0.36
1.12
1.70
17.8%
2025Q3
92
64.4
2.09
0.36
0.51
1.22
1.84
30.6%
2025Q2
91
65.5
2.08
0.28
0.41
1.38
1.72
21.8%
2025Q1
90
63.0
1.66
0.21
0.19
1.26
1.45
0.0%
2024Q4
92
65.4
1.43
0.19
0.18
1.05
1.20
0.6%
2024Q3
92
62.6
1.54
0.20
0.17
1.16
1.27
0.0%
2024Q2
91
63.6
1.67
0.24
0.18
1.26
1.47
0.0%
2024Q1
91
63.4
1.64
0.19
0.22
1.23
1.52
0.0%
2023Q4
92
63.6
1.32
0.18
0.24
0.89
1.27
0.0%
2023Q3
92
58.5
1.11
0.35
0.22
0.54
0.98
0.0%
2023Q2
91
57.9
1.07
0.40
0.25
0.42
0.91
0.0%
2023Q1
90
59.1
0.96
0.35
0.25
0.36
0.85
0.0%
2022Q4
92
57.0
1.08
0.37
0.24
0.47
0.90
0.0%
2022Q3
92
53.9
1.03
0.38
0.26
0.39
0.84
0.0%
2022Q2
91
56.7
1.01
0.41
0.24
0.36
0.89
0.0%
2022Q1
90
56.1
1.15
0.56
0.24
0.35
0.92
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.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
C
2026-04-09
2026-02-26
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2026-04-09
2026-02-26
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2026-04-09
2026-02-26
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2026-04-09
2026-02-26
Health
F0838
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
C
2026-04-09
2026-02-26
Health
F0880
Provide and implement an infection prevention and control program.
F
2026-04-09
2026-02-26
Health
F0881
Implement a program that monitors antibiotic use.
F
2026-04-09
2025-11-19
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-12-30
2025-11-19
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2025-12-30
2025-11-19
Health · complaint
F0791
Provide or obtain dental services for each resident.
D
2025-12-30
2025-07-02
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2025-08-12
2025-07-02
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-08-12
2025-07-02
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2025-08-12
2025-07-02
Health · complaint
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2025-08-12
2025-01-23
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2025-02-24
2025-01-23
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-02-24
2024-07-24
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-09-06
2024-07-24
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2024-09-06
2024-07-24
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
2024-09-06
2024-07-24
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-09-06
2024-05-20
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2024-06-27
2024-03-29
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
G
2024-04-23
2023-11-30
Health · complaint
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2024-01-15
2023-06-02
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
2023-07-12
2023-06-02
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2023-07-12
2023-06-02
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2023-07-12
2023-06-02
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2023-07-12
2023-06-02
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
E
2023-07-12
2023-06-02
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2023-07-12
2023-06-02
Health
F0728
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
E
2023-07-12
2023-06-02
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-07-12
2023-06-02
Health
F0909
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
E
2023-07-12
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
21
Owner
Role
Pct
From
Status
Source
ERGO MIDWEST INC
Individual has financial interest in both related organization and provider
100%
2023-01-01
current
hcris_a_8_1
ERGO MIDWEST INC
Individual has financial interest in both related organization and provider
100%
2024-01-01
current
hcris_a_8_1
SYSTEMS LEASING INC
Individual has financial interest in both related organization and provider
100%
2024-01-01
current
hcris_a_8_1
SYSTEMS LEASING INC
Individual has financial interest in both related organization and provider
100%
2023-01-01
current
hcris_a_8_1
LINCOLN, JAMES
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
1998-08-01
current
pecos_ownership
BYSOR, BRANDON
CORPORATE DIRECTOR
—
2022-04-25
current
pecos_ownership
CRANE, GARY
CORPORATE DIRECTOR
—
1998-08-01
current
pecos_ownership
DRAKE, TIMOTHY
CORPORATE OFFICER
—
2022-04-25
current
pecos_ownership
N & R OF ELDON, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
1998-08-01
current
pecos_ownership
STUTTS, CHARLOTTE
CORPORATE OFFICER
—
1998-08-01
current
pecos_ownership
ERGO MIDWEST INC
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
ERGO MIDWEST INC
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
ERGO MIDWEST INC
Individual has financial interest in both related organization and provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
SYSTEMS LEASING INC
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
SYSTEMS LEASING INC
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
SYSTEMS LEASING INC
Individual has financial interest in both related organization and provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
BRANDON BYSOR
CORPORATE DIRECTOR
50%
2022-04-25
ended 2026-05-18
pecos_ownership
CHARLOTTE STUTTS
CORPORATE OFFICER
50%
1998-08-01
ended 2026-05-18
pecos_ownership
GARY CRANE
CORPORATE DIRECTOR
50%
1998-08-01
ended 2026-05-18
pecos_ownership
JAMES LINCOLN
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
1998-08-01
ended 2026-05-18
pecos_ownership
TIMOTHY DRAKE
CORPORATE OFFICER
50%
2022-04-25
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
$807,200
—
—
$189,350
$208,341
13
propco
2023-12-31
$836,304
—
—
$226,071
$141,102
12
propco
2022-12-31
$833,266
—
—
$251,106
$146,296
12
propco
2021-12-31
$928,158
—
—
$276,607
$177,644
11
propco
2020-12-31
$996,240
—
—
$349,033
$160,500
12
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
32
Geo
Kind
BR
Amount
As of
Source
county 29131
acs median gross
0
$660
2024-12-31
CENSUS_ACS5
county 29131
fmr
0
$667
2025-10-01
HUD_USER_FMR
county 29131
acs median gross
1
$441
2024-12-31
CENSUS_ACS5
county 29131
fmr
1
$819
2025-10-01
HUD_USER_FMR
county 29131
acs median gross
2
$773
2024-12-31
CENSUS_ACS5
county 29131
fmr
2
$898
2025-10-01
HUD_USER_FMR
county 29131
acs median gross
3
$1,024
2024-12-31
CENSUS_ACS5
county 29131
fmr
3
$1,088
2025-10-01
HUD_USER_FMR
county 29131
acs median gross
4
$788
2024-12-31
CENSUS_ACS5
county 29131
fmr
4
$1,416
2025-10-01
HUD_USER_FMR
county 29131
acs median gross
$763
2024-12-31
CENSUS_ACS5
county 29131
acs recent mover gross
$1,006
2024-12-31
CENSUS_ACS5
zcta 65026
acs median gross
1
$519
2024-12-31
CENSUS_ACS5
zcta 65026
acs median gross
2
$834
2024-12-31
CENSUS_ACS5
zcta 65026
acs median gross
3
$856
2024-12-31
CENSUS_ACS5
zcta 65026
acs median gross
$799
2024-12-31
CENSUS_ACS5
zcta 65026
acs recent mover gross
$1,079
2024-12-31
CENSUS_ACS5
zip 65026
payment standard 110
0
$748
2025-10-01
HUD_USER_SAFMR
zip 65026
payment standard 90
0
$612
2025-10-01
HUD_USER_SAFMR
zip 65026
safmr
0
$680
2025-10-01
HUD_USER_SAFMR
zip 65026
payment standard 110
1
$913
2025-10-01
HUD_USER_SAFMR
zip 65026
payment standard 90
1
$747
2025-10-01
HUD_USER_SAFMR
zip 65026
safmr
1
$830
2025-10-01
HUD_USER_SAFMR
zip 65026
payment standard 110
2
$1,001
2025-10-01
HUD_USER_SAFMR
zip 65026
payment standard 90
2
$819
2025-10-01
HUD_USER_SAFMR
zip 65026
safmr
2
$910
2025-10-01
HUD_USER_SAFMR
zip 65026
payment standard 110
3
$1,210
2025-10-01
HUD_USER_SAFMR
zip 65026
payment standard 90
3
$990
2025-10-01
HUD_USER_SAFMR
zip 65026
safmr
3
$1,100
2025-10-01
HUD_USER_SAFMR
zip 65026
payment standard 110
4
$1,573
2025-10-01
HUD_USER_SAFMR
zip 65026
payment standard 90
4
$1,287
2025-10-01
HUD_USER_SAFMR
zip 65026
safmr
4
$1,430
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.