1194 N CHESTER ST, MONTICELLO, AR 71655 · CCN 045176 · chain SRI NIGHTINGALE LLC
Composite
62.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
122
Model
v1.2
Reads as: riskier than 62.6% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet enforcement cluster
40% fined
SRI FAMILY IRREVOCABLE TRUST
5 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
AR median
National median
National p25–p75
Total nurse
3.44
3.38
3.28
2.90–3.77
RN
0.14
0.15
0.39
0.25–0.58
Weekend total
3.35
3.09
3.11
—
Weekday total
3.48
3.46
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
83.1
3.44
0.14
0.84
2.47
3.35
0.0%
2025Q3
92
86.0
3.31
0.20
0.75
2.37
2.89
0.0%
2025Q2
91
76.5
3.50
0.19
0.85
2.46
3.13
0.0%
2025Q1
90
69.6
3.72
0.13
1.06
2.53
3.42
0.0%
2024Q4
92
67.1
3.73
0.06
1.06
2.61
3.55
0.0%
2024Q3
92
66.5
3.83
0.09
1.01
2.73
3.68
0.0%
2024Q2
91
69.4
3.81
0.05
0.99
2.77
3.60
0.0%
2024Q1
91
71.3
3.66
0.18
0.73
2.74
3.57
0.0%
2023Q4
92
74.0
3.62
0.15
0.59
2.88
3.32
0.0%
2023Q3
92
66.3
3.42
0.10
1.05
2.27
3.26
1.3%
2023Q2
91
67.2
3.66
0.14
0.90
2.63
3.33
0.0%
2023Q1
90
63.7
3.88
0.13
1.00
2.75
3.57
0.0%
2022Q4
92
58.8
3.65
0.07
0.90
2.69
3.28
0.0%
2022Q3
92
50.5
3.74
0.12
0.86
2.76
3.55
0.0%
2022Q2
91
40.9
4.30
0.14
1.20
2.96
3.88
0.0%
2022Q1
90
47.0
3.85
0.12
1.02
2.71
3.50
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2025-07-07
2025-07-03
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
D
2025-07-07
2025-07-03
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
2025-07-07
2025-07-03
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-07-07
2025-07-03
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
2025-07-07
2025-07-03
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2025-07-07
2025-07-03
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-07-07
2025-07-03
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-07-07
2025-03-21
Health · complaint
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
2025-04-04
2025-03-21
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-04-04
2024-09-26
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.
D
2024-10-25
2024-09-26
Health · complaint
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2024-10-25
2024-09-26
Health · complaint
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.
E
2024-10-25
2024-09-26
Health · complaint
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
2024-10-25
2024-09-26
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2024-10-25
2024-04-04
Health
F0567
Honor the resident's right to manage his or her financial affairs.
C
2024-04-04
2024-04-04
Health
F0568
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
C
2024-04-04
2024-04-04
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-05-03
2024-04-04
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2024-05-03
2024-04-04
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-05-03
2024-04-04
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
D
2024-05-03
2023-03-30
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
E
2023-04-28
2023-03-30
Health
F0637
Assess the resident when there is a significant change in condition
D
2023-04-28
2023-03-30
Health
F0641
Ensure each resident receives an accurate assessment.
E
2023-04-28
2023-03-30
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2023-04-28
2023-03-30
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
2023-04-28
2023-03-30
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2023-04-28
2023-03-30
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-04-26
2023-03-30
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2023-04-28
2023-03-30
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2023-04-28
2023-03-30
Health
F0808
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
D
2023-04-26
2023-03-30
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-04-28
2023-03-30
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-04-28
2023-03-30
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
E
2023-04-28
2023-03-30
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2023-04-28
2023-03-30
Health
F0885
Report COVID19 data to residents and families.
F
2023-04-28
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
25
Owner
Role
Pct
From
Status
Source
MONTICELLO REALTY HOLDINGS LLC
Individual has financial interest in both related organization and provider
100%
2024-07-01
current
hcris_a_8_1
MONTICELLO REALTY HOLDINGS LLC
Individual has financial interest in both related organization and provider
46%
2023-07-01
current
hcris_a_8_1
ARDJ LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
33%
2022-07-01
current
pecos_ownership
BRAUN, DOV
5% OR GREATER INDIRECT OWNERSHIP INTEREST
23%
2022-07-01
current
pecos_ownership
CUTLASS OP FAMILY TRUST II
5% OR GREATER INDIRECT OWNERSHIP INTEREST
23%
2022-07-01
current
pecos_ownership
ISAAC, STEVEN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
22%
2022-07-01
current
pecos_ownership
SRI FAMILY IRREVOCABLE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
11%
2022-07-01
current
pecos_ownership
DONALDSON, VICKIE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-09-18
current
pecos_ownership
INDEPENDENCE ARKANSAS HCM LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-01
current
pecos_ownership
INDEPENDENCE ARKANSAS HCM LLC
ADP OF THE SNF
—
2026-01-20
current
pecos_ownership
JAKOBOWITCH, DAVID
ADP OF THE SNF
—
2022-07-01
current
pecos_ownership
MONTICELLO REALTY HOLDINGS, LLC
ADP OF THE SNF
—
2026-01-20
current
pecos_ownership
PORTNOY, RIKI
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-01
current
pecos_ownership
SIMON, TIM
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-01
current
pecos_ownership
ARKADELPHIA REALTY HOLDINGS LLC
Individual has financial interest in both related organization and provider
46%
2022-07-01
ended 2023-06-30
hcris_a_8_1
CUTLASS OP HOLDINGS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
45%
2022-07-01
ended 2026-05-18
pecos_ownership
DAVID JAKOBOWITCH
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2022-07-01
ended 2026-05-18
pecos_ownership
AVIVA BRAUN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
23%
2022-07-01
ended 2026-05-18
pecos_ownership
CUTLASS OP FAMILY TRUST I
5% OR GREATER INDIRECT OWNERSHIP INTEREST
23%
2022-07-01
ended 2026-05-18
pecos_ownership
DOV BRAUN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
23%
2022-07-01
ended 2026-05-18
pecos_ownership
SRI NIGHTINGALE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
22%
2022-07-01
ended 2026-05-18
pecos_ownership
STEVEN ISAAC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
22%
2022-07-01
ended 2026-05-18
pecos_ownership
RIKI PORTNOY
ADP OF THE SNF
—
2022-07-01
ended 2026-05-18
pecos_ownership
TIM SIMON
ADP OF THE SNF
—
2022-07-01
ended 2026-05-18
pecos_ownership
VICKIE DONALDSON
ADP OF THE SNF
—
2023-09-18
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
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2025-06-30
$2,285,029
$1,921,261
—
—
—
6
propco
2024-06-30
$2,021,508
$1,688,888
—
—
—
6
propco
2023-06-30
$2,251,957
$1,999,333
—
—
$15,600
6
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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
29
Geo
Kind
BR
Amount
As of
Source
county 05043
acs median gross
0
$592
2024-12-31
CENSUS_ACS5
county 05043
fmr
0
$664
2025-10-01
HUD_USER_FMR
county 05043
fmr
1
$706
2025-10-01
HUD_USER_FMR
county 05043
acs median gross
2
$734
2024-12-31
CENSUS_ACS5
county 05043
fmr
2
$927
2025-10-01
HUD_USER_FMR
county 05043
acs median gross
3
$975
2024-12-31
CENSUS_ACS5
county 05043
fmr
3
$1,224
2025-10-01
HUD_USER_FMR
county 05043
fmr
4
$1,227
2025-10-01
HUD_USER_FMR
county 05043
acs median gross
$725
2024-12-31
CENSUS_ACS5
county 05043
acs recent mover gross
$809
2024-12-31
CENSUS_ACS5
zcta 71655
acs median gross
2
$731
2024-12-31
CENSUS_ACS5
zcta 71655
acs median gross
3
$982
2024-12-31
CENSUS_ACS5
zcta 71655
acs median gross
$724
2024-12-31
CENSUS_ACS5
zcta 71655
acs recent mover gross
$821
2024-12-31
CENSUS_ACS5
zip 71655
payment standard 110
0
$726
2025-10-01
HUD_USER_SAFMR
zip 71655
payment standard 90
0
$594
2025-10-01
HUD_USER_SAFMR
zip 71655
safmr
0
$660
2025-10-01
HUD_USER_SAFMR
zip 71655
payment standard 110
1
$770
2025-10-01
HUD_USER_SAFMR
zip 71655
payment standard 90
1
$630
2025-10-01
HUD_USER_SAFMR
zip 71655
safmr
1
$700
2025-10-01
HUD_USER_SAFMR
zip 71655
payment standard 110
2
$1,012
2025-10-01
HUD_USER_SAFMR
zip 71655
payment standard 90
2
$828
2025-10-01
HUD_USER_SAFMR
zip 71655
safmr
2
$920
2025-10-01
HUD_USER_SAFMR
zip 71655
payment standard 110
3
$1,331
2025-10-01
HUD_USER_SAFMR
zip 71655
payment standard 90
3
$1,089
2025-10-01
HUD_USER_SAFMR
zip 71655
safmr
3
$1,210
2025-10-01
HUD_USER_SAFMR
zip 71655
payment standard 110
4
$1,342
2025-10-01
HUD_USER_SAFMR
zip 71655
payment standard 90
4
$1,098
2025-10-01
HUD_USER_SAFMR
zip 71655
safmr
4
$1,220
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.