1210 South 6th Street, Blackwell, OK 74631 · CCN 375402
Composite
88.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
137
Model
v1.2
Reads as: riskier than 88.2% 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 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.
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
13
2025Q3 HPRD
This facility
OK median
National median
National p25–p75
Total nurse
1.82
2.78
3.28
2.90–3.77
RN
0.05
0.18
0.39
0.25–0.58
Weekend total
1.75
2.72
3.11
—
Weekday total
1.85
2.80
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q3
92
59.3
1.82
0.05
0.51
1.26
1.75
26.1%
2024Q4
92
56.6
2.24
0.28
0.40
1.56
2.14
7.0%
2024Q3
92
57.7
2.18
0.17
0.45
1.55
2.20
3.1%
2024Q2
91
54.2
2.63
0.15
0.53
1.96
2.56
0.3%
2024Q1
91
53.5
2.69
0.17
0.39
2.13
2.70
21.1%
2023Q4
92
54.0
1.62
0.09
0.26
1.27
1.65
34.0%
2023Q3
92
53.1
1.04
0.10
0.18
0.76
1.38
62.2%
2023Q2
91
53.9
1.03
0.10
0.22
0.71
1.23
59.2%
2023Q1
90
58.0
1.42
0.08
0.22
1.12
1.57
71.4%
2022Q4
92
51.3
1.56
0.09
0.29
1.18
1.63
72.1%
2022Q3
92
47.2
1.46
0.02
0.16
1.27
1.44
74.7%
2022Q2
91
43.2
1.35
0.00
0.25
1.09
1.23
67.5%
2022Q1
90
39.5
1.17
0.00
0.29
0.88
1.16
28.1%
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-06-13
2025-04-04
Health · complaint
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
F
2025-05-06
2025-04-04
Health · complaint
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
2025-05-06
2025-04-04
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2025-05-06
2025-04-04
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2025-05-06
2025-04-04
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.
G
2025-05-01
2025-04-04
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-05-06
2025-04-04
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-04-30
2025-04-04
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
2025-05-06
2025-04-04
Health · complaint
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2025-05-06
2025-04-04
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-05-06
2024-08-29
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-09-30
2023-12-14
Health
F0567
Honor the resident's right to manage his or her financial affairs.
E
2024-02-13
2023-12-14
Health
F0568
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
E
2024-02-13
2023-12-14
Health
F0570
Assure the security of all personal funds of residents deposited with the facility.
E
2024-02-13
2023-12-14
Health
F0760
Ensure that residents are free from significant medication errors.
E
2024-02-13
2023-12-14
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-02-13
2022-11-30
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
E
2023-01-16
2022-11-30
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2023-01-16
2022-11-30
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
E
2023-01-16
2022-11-30
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-01-16
2022-11-30
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
E
2023-01-16
2022-11-30
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-01-16
2022-11-30
Health
F0888
Ensure staff are vaccinated for COVID-19
D
2023-01-16
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
33
Owner
Role
Pct
From
Status
Source
GRANT RHODES REVOCABLE TRUST
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2017-01-01
current
pecos_ownership
JEFFREY W YOUNG REVOCABLE TRUST DATED JULY 27, 2017
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2017-01-01
current
pecos_ownership
RHODES, JONATHAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2017-01-01
current
pecos_ownership
YOUNG, JEFFREY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2017-01-01
current
pecos_ownership
BEDLAM PROPERTIES HO LLC
ADP OF THE SNF
—
2025-01-06
current
pecos_ownership
BEDLAM PROPERTIES HO LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-27
current
pecos_ownership
BLACK DIAMOND INVESTMENTS
Corporation, partnership or other organization has financial interest in provider
—
2024-01-01
current
hcris_a_8_1
BLACK DIAMOND INVESTMENTS
Corporation, partnership or other organization has financial interest in provider
—
2023-01-01
current
hcris_a_8_1
BLACK DIAMOND INVESTMENTS
ADP OF THE SNF
—
2024-12-27
current
pecos_ownership
CARSON, JONATHAN
ADP OF THE SNF
—
2024-12-27
current
pecos_ownership
GRANT RHODES REVOCABLE TRUST
ADP OF THE SNF
—
2025-01-06
current
pecos_ownership
JEFFREY W YOUNG REVOCABLE TRUST DATED JULY 27, 2017
ADP OF THE SNF
—
2025-01-06
current
pecos_ownership
LIETZKE, MARK
ADP OF THE SNF
—
2025-01-06
current
pecos_ownership
LIETZKE, MARK
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-27
current
pecos_ownership
MATRIX PROVIDER SOLUTIONS LLC
ADP OF THE SNF
—
2025-01-06
current
pecos_ownership
RHODES, JONATHAN
ADP OF THE SNF
—
2025-01-06
current
pecos_ownership
SNOW, LARRY
ADP OF THE SNF
—
2025-01-06
current
pecos_ownership
SNOW, LARRY
CORPORATE OFFICER
—
2020-03-01
current
pecos_ownership
SPILLARS, RODGER
ADP OF THE SNF
—
2025-01-06
current
pecos_ownership
YOUNG, JEFFREY
ADP OF THE SNF
—
2025-01-06
current
pecos_ownership
BLACK DIAMOND INVESTMENTS
Corporation, partnership or other organization has financial interest in provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
LARRY SNOW
CORPORATE OFFICER
100%
2020-03-01
ended 2026-05-18
pecos_ownership
JEFFREY YOUNG
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2017-01-01
ended 2026-05-18
pecos_ownership
JONATHAN RHODES
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2017-01-01
ended 2026-05-18
pecos_ownership
BLACK DIAMOND INVESTMENTS
Corporation, partnership or other organization has financial interest in provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
BLACK DIAMOND INVESTMENTS
Corporation, partnership or other organization has financial interest in provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
JEFFREY YOUNG
ADP OF THE SNF
—
2025-01-06
ended 2026-05-18
pecos_ownership
JONATHAN CARSON
ADP OF THE SNF
—
2024-12-27
ended 2026-05-18
pecos_ownership
JONATHAN RHODES
ADP OF THE SNF
—
2025-01-06
ended 2026-05-18
pecos_ownership
LARRY SNOW
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-06
ended 2026-05-18
pecos_ownership
MARK LIETZKE
ADP OF THE SNF
—
2025-01-06
ended 2026-05-18
pecos_ownership
MARK LIETZKE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-27
ended 2026-05-18
pecos_ownership
RODGER SPILLARS
ADP OF THE SNF
—
2025-01-06
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
$417,170
$67,610
—
—
—
3
propco
2023-12-31
$390,808
$87,878
—
—
—
3
propco
2022-12-31
$339,753
$103,329
—
—
—
3
propco
2021-12-31
$370,781
$112,567
—
—
—
3
propco
2020-12-31
$430,523
—
—
—
—
3
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
33
Geo
Kind
BR
Amount
As of
Source
county 40071
acs median gross
0
$403
2024-12-31
CENSUS_ACS5
county 40071
fmr
0
$646
2025-10-01
HUD_USER_FMR
county 40071
acs median gross
1
$558
2024-12-31
CENSUS_ACS5
county 40071
fmr
1
$714
2025-10-01
HUD_USER_FMR
county 40071
acs median gross
2
$813
2024-12-31
CENSUS_ACS5
county 40071
fmr
2
$937
2025-10-01
HUD_USER_FMR
county 40071
acs median gross
3
$1,029
2024-12-31
CENSUS_ACS5
county 40071
fmr
3
$1,250
2025-10-01
HUD_USER_FMR
county 40071
acs median gross
4
$960
2024-12-31
CENSUS_ACS5
county 40071
fmr
4
$1,255
2025-10-01
HUD_USER_FMR
county 40071
acs median gross
$842
2024-12-31
CENSUS_ACS5
county 40071
acs recent mover gross
$874
2024-12-31
CENSUS_ACS5
zcta 74631
acs median gross
1
$554
2024-12-31
CENSUS_ACS5
zcta 74631
acs median gross
2
$808
2024-12-31
CENSUS_ACS5
zcta 74631
acs median gross
3
$922
2024-12-31
CENSUS_ACS5
zcta 74631
acs median gross
4
$625
2024-12-31
CENSUS_ACS5
zcta 74631
acs median gross
$830
2024-12-31
CENSUS_ACS5
zcta 74631
acs recent mover gross
$853
2024-12-31
CENSUS_ACS5
zip 74631
payment standard 110
0
$748
2025-10-01
HUD_USER_SAFMR
zip 74631
payment standard 90
0
$612
2025-10-01
HUD_USER_SAFMR
zip 74631
safmr
0
$680
2025-10-01
HUD_USER_SAFMR
zip 74631
payment standard 110
1
$825
2025-10-01
HUD_USER_SAFMR
zip 74631
payment standard 90
1
$675
2025-10-01
HUD_USER_SAFMR
zip 74631
safmr
1
$750
2025-10-01
HUD_USER_SAFMR
zip 74631
payment standard 110
2
$1,078
2025-10-01
HUD_USER_SAFMR
zip 74631
payment standard 90
2
$882
2025-10-01
HUD_USER_SAFMR
zip 74631
safmr
2
$980
2025-10-01
HUD_USER_SAFMR
zip 74631
payment standard 110
3
$1,441
2025-10-01
HUD_USER_SAFMR
zip 74631
payment standard 90
3
$1,179
2025-10-01
HUD_USER_SAFMR
zip 74631
safmr
3
$1,310
2025-10-01
HUD_USER_SAFMR
zip 74631
payment standard 110
4
$1,441
2025-10-01
HUD_USER_SAFMR
zip 74631
payment standard 90
4
$1,179
2025-10-01
HUD_USER_SAFMR
zip 74631
safmr
4
$1,310
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.