Composite
2.7 / 100 percentile
Screener / 195185
A
TERREBONNE GENERAL MED CTR SNF
snfLA
8166 MAIN STREET, HOUMA, LA 70360 · CCN 195185
Peer group
snf n = 14,684
Evidence depth
moderate
Certified beds
6
Model
v1.2
Reads as: riskier than 2.7% 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 model3ML signals2Components7CHOW radar1Distress radar1Penalties0Deficiencies10Licensure0Ownership33Related party0Transactions0Comps12Market rent32
Composite explanation
3| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 20.6 | 13.5 | 0.30 | 0.4000 | 8.24 | in index |
| billing conduct | 15.3 | 20.0 | 0.30 | 0.4000 | 6.12 | in index |
| chow risk | 25.2 | 25.0 | 0.15 | 0.2000 | 5.04 | 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.
ML signals — parallel engine
2| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 5 chains | MORRISON JAMES | 5 facilities |
| connection | Owner fleet enforcement cluster | 43% fined | MORRISON JAMES | 7 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.
Component scores and registry models
7| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 20.0 | 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. |
| p adverse action 12m | 0.3 | — | 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 | 0.1 | — | 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 | 13.5 | A | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| regulatory risk | 13.4 | 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 | 13.4 | 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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
33.9
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| No PBJ staffing report | 1.00 | -3.61 | |
| Occupancy | 0.00 | +2.02 | |
| For-profit ownership | 0.00 | -1.24 | |
| Never sold on record | 1.00 | +0.62 | |
| Total nurse staffing (HPRD) | 0.00 | +0.60 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Chain size (log) | 0.00 | -0.40 | |
| Facility size (log beds) | 1.95 | +0.36 |
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)
0.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
67.6
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| No PBJ staffing report | 1.00 | -7.43 | |
| Occupancy | 0.00 | +3.15 | |
| For-profit ownership | 0.00 | +1.62 | |
| Total nurse staffing (HPRD) | 0.00 | +1.35 | |
| Chain size (log) | 0.00 | +1.20 | |
| Deficiencies, last 12 months | 2.00 | +1.06 | |
| Facility size (log beds) | 1.95 | +0.50 | |
| 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.
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
10B × 1D × 5E × 4
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-11 | 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. | E | 2026-03-28 |
| 2026-02-11 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2026-03-28 |
| 2025-02-05 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2025-02-19 |
| 2025-02-05 | Health | F0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D | 2025-02-07 |
| 2025-02-05 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | 2025-02-18 |
| 2024-02-15 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | B | 2024-03-31 |
| 2024-02-15 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-03-31 |
| 2024-02-15 | 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. | D | 2024-03-31 |
| 2024-02-15 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-03-31 |
| 2024-02-15 | Health | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | 2024-03-31 |
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
33| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ADAMS, BEN | CORPORATE DIRECTOR | — | 2020-08-12 | current | pecos_ownership |
| ALEXANDER, ROBERT | CORPORATE DIRECTOR | — | 2015-08-12 | current | pecos_ownership |
| BARKER, ANGELIQUE | CORPORATE DIRECTOR | — | 2013-10-02 | current | pecos_ownership |
| BERGERON, MICHAEL | CORPORATE DIRECTOR | — | 2016-07-29 | current | pecos_ownership |
| CHAUVIN, KERRY | CORPORATE DIRECTOR | — | 2020-08-12 | current | pecos_ownership |
| EUES, EARL | CORPORATE DIRECTOR | — | 2019-08-01 | current | pecos_ownership |
| FAKIER, MIKE | CORPORATE DIRECTOR | — | 2008-10-09 | current | pecos_ownership |
| MAGEE, TANNER | CORPORATE DIRECTOR | — | 2022-07-29 | current | pecos_ownership |
| MCKEE, NICOLE | ADP OF THE SNF | — | 2025-05-09 | current | pecos_ownership |
| MCKEE, NICOLE | CORPORATE OFFICER | — | 2018-04-01 | current | pecos_ownership |
| MORRISON, JAMES | CORPORATE DIRECTOR | — | 2024-05-15 | current | pecos_ownership |
| PEOPLES, PHYLLIS | CORPORATE OFFICER | — | 2003-04-24 | current | pecos_ownership |
| PEOPLES, PHYLLIS | ADP OF THE SNF | — | 2025-05-09 | current | pecos_ownership |
| PICKETT, BERNADETTE | CORPORATE DIRECTOR | — | 2015-07-28 | current | pecos_ownership |
| TERREBONNE PARISH HOSPITAL SERVICE DISTRICT #1 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | — | current | pecos_ownership |
| WILLIAMS, ARLANDA | CORPORATE DIRECTOR | — | 2022-07-29 | current | pecos_ownership |
| YEATES, FRANCES | CORPORATE OFFICER | — | 2008-10-09 | current | pecos_ownership |
| ARLANDA WILLIAMS | CORPORATE DIRECTOR | 0% | 2022-07-29 | ended 2026-05-18 | pecos_ownership |
| BEN ADAMS | CORPORATE DIRECTOR | 0% | 2020-08-12 | ended 2026-05-18 | pecos_ownership |
| EARL EUES | CORPORATE DIRECTOR | 0% | 2019-08-01 | ended 2026-05-18 | pecos_ownership |
| FRANCES YEATES | CORPORATE OFFICER | 0% | 2008-10-09 | ended 2026-05-18 | pecos_ownership |
| KERRY CHAUVIN | CORPORATE DIRECTOR | 0% | 2020-08-12 | ended 2026-05-18 | pecos_ownership |
| NICOLE MCKEE | CORPORATE OFFICER | 0% | 2018-04-01 | ended 2026-05-18 | pecos_ownership |
| PHYLLIS PEOPLES | CORPORATE OFFICER | 0% | 2003-04-24 | ended 2026-05-18 | pecos_ownership |
| TANNER MAGEE | CORPORATE DIRECTOR | 0% | 2022-07-29 | ended 2026-05-18 | pecos_ownership |
| ANGELIQUE BARKER | CORPORATE DIRECTOR | — | 2013-10-02 | ended 2026-05-18 | pecos_ownership |
| BERNADETTE PICKETT | CORPORATE DIRECTOR | — | 2015-07-28 | ended 2026-05-18 | pecos_ownership |
| JAMES MORRISON | CORPORATE DIRECTOR | — | 2024-05-15 | ended 2026-05-18 | pecos_ownership |
| MICHAEL BERGERON | CORPORATE DIRECTOR | — | 2016-07-29 | ended 2026-05-18 | pecos_ownership |
| MIKE FAKIER | CORPORATE DIRECTOR | — | 2008-10-09 | ended 2026-05-18 | pecos_ownership |
| NICOLE MCKEE | ADP OF THE SNF | — | 2025-05-09 | ended 2026-05-18 | pecos_ownership |
| PHYLLIS PEOPLES | ADP OF THE SNF | — | 2025-05-09 | ended 2026-05-18 | pecos_ownership |
| ROBERT ALEXANDER | CORPORATE DIRECTOR | — | 2015-08-12 | 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
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Comparable trades — LA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-04-01 | Timber Springs Rehab and Retirement | — | — | — | 153 | PMG OPCO - SPRINGHILL LLC |
| 2025-03-28 | Cornerstone Post Acute Care Of Bossier | — | — | — | 7 | CORNERSTONE POST ACUTE CARE OF BOSSIER LLC |
| 2024-09-16 | REGENCY HOUSE OF ALEXANDRIA | — | — | — | 58 | REGENCY HOUSE SNF OPERATIONS LLC |
| 2024-03-01 | Heritage Manor Health & Rehab | — | — | — | 64 | 2575 AIRLINE DRIVE OPCO LLC |
| 2024-03-01 | FAIR CITY HEALTH AND REHAB | — | — | — | 121 | 2000 FRANK SNF LLC |
| 2024-03-01 | Adira Medical Resort | — | — | — | 77 | 4405 AIRLINE DRIVE OPCO LLC |
| 2023-12-28 | Oak Haven Rehabilitation and Healthcare Center | — | — | — | 104 | OAK HAVEN SNF OPERATIONS LLC |
| 2023-12-28 | The Columns Rehabilitation and Healthcare Center | — | — | — | 140 | COLUMNS SNF OPERATIONS LLC |
| 2023-10-01 | MAISON D'ACADIENS CARE CENTER | — | — | — | 78 | 2907 BASILE SNF LLC |
| 2023-10-01 | Riverview Care Center | — | — | — | 135 | BOSSIER RIVERVIEW, LLC |
| 2023-10-01 | Flannery Oaks Guest House | — | — | — | 130 | FLANNERY OAKS GH BR |
| 2023-08-01 | Legacy Nursing at St. Christina | — | — | — | 140 | ST CHRISTINA OPCO 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
32| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 22109 | fmr | 0 | $760 | 2025-10-01 | HUD_USER_FMR |
| county 22109 | acs median gross | 1 | $885 | 2024-12-31 | CENSUS_ACS5 |
| county 22109 | fmr | 1 | $904 | 2025-10-01 | HUD_USER_FMR |
| county 22109 | acs median gross | 2 | $1,005 | 2024-12-31 | CENSUS_ACS5 |
| county 22109 | fmr | 2 | $1,102 | 2025-10-01 | HUD_USER_FMR |
| county 22109 | acs median gross | 3 | $1,168 | 2024-12-31 | CENSUS_ACS5 |
| county 22109 | fmr | 3 | $1,330 | 2025-10-01 | HUD_USER_FMR |
| county 22109 | acs median gross | 4 | $1,158 | 2024-12-31 | CENSUS_ACS5 |
| county 22109 | fmr | 4 | $1,459 | 2025-10-01 | HUD_USER_FMR |
| county 22109 | acs median gross | $1,065 | 2024-12-31 | CENSUS_ACS5 | |
| county 22109 | acs recent mover gross | $1,585 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 70360 | acs median gross | 0 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 70360 | acs median gross | 1 | $881 | 2024-12-31 | CENSUS_ACS5 |
| zcta 70360 | acs median gross | 2 | $1,263 | 2024-12-31 | CENSUS_ACS5 |
| zcta 70360 | acs median gross | 3 | $1,595 | 2024-12-31 | CENSUS_ACS5 |
| zcta 70360 | acs median gross | $1,167 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 70360 | acs recent mover gross | $1,762 | 2024-12-31 | CENSUS_ACS5 | |
| zip 70360 | payment standard 110 | 0 | $891 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70360 | payment standard 90 | 0 | $729 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70360 | safmr | 0 | $810 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70360 | payment standard 110 | 1 | $1,067 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70360 | payment standard 90 | 1 | $873 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70360 | safmr | 1 | $970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70360 | payment standard 110 | 2 | $1,298 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70360 | payment standard 90 | 2 | $1,062 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70360 | safmr | 2 | $1,180 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70360 | payment standard 110 | 3 | $1,562 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70360 | payment standard 90 | 3 | $1,278 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70360 | safmr | 3 | $1,420 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70360 | payment standard 110 | 4 | $1,716 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70360 | payment standard 90 | 4 | $1,404 | 2025-10-01 | HUD_USER_SAFMR |
| zip 70360 | safmr | 4 | $1,560 | 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.