215 LACKEY LANE PO BOX 186, RIPLEY, TN 38063 · CCN 445354
Composite
74.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
71
Model
v1.2
Reads as: riskier than 74.6% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet enforcement cluster
46% fined
WRIGHT DOUGLAS
13 facilities
connection
Owner fleet enforcement cluster
41% fined
COMMUNITY ELDERCARE SERVICES LLC
17 facilities
connection
Owner fleet enforcement cluster
41% fined
COMMUNITY LIVING CENTERS LLC
17 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
TN median
National median
National p25–p75
Total nurse
3.10
3.28
3.28
2.90–3.77
RN
0.36
0.34
0.39
0.25–0.58
Weekend total
3.21
3.10
3.11
—
Weekday total
3.05
3.36
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
32.8
3.10
0.36
1.01
1.72
3.21
0.0%
2025Q3
92
34.0
3.22
0.33
0.96
1.94
3.19
0.0%
2025Q2
91
35.4
2.87
0.28
0.90
1.70
2.72
0.0%
2025Q1
90
34.1
2.82
0.35
0.78
1.69
2.73
0.0%
2024Q4
92
35.0
3.26
0.29
0.91
2.06
3.06
0.0%
2024Q3
92
38.2
3.03
0.27
0.89
1.88
2.85
0.0%
2024Q2
91
35.1
3.31
0.32
0.97
2.03
2.98
0.0%
2024Q1
91
34.3
3.45
0.30
1.08
2.06
3.12
0.0%
2023Q4
92
32.0
6.00
0.80
1.19
4.01
5.64
0.0%
2023Q3
92
30.6
3.29
0.22
0.98
2.09
3.15
0.0%
2023Q2
91
26.6
3.22
0.07
0.88
2.27
3.44
0.0%
2023Q1
90
29.9
3.55
0.20
1.22
2.13
3.53
0.0%
2022Q4
92
36.4
2.66
0.19
0.97
1.50
2.58
0.0%
2022Q3
92
40.8
2.35
0.27
0.72
1.36
2.32
0.0%
2022Q2
91
36.9
2.59
0.35
0.78
1.46
2.53
1.8%
2022Q1
90
33.8
3.00
0.15
1.04
1.81
2.86
2.6%
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 and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-09-10
2025-08-14
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.
D
2025-09-10
2025-08-14
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-09-22
2025-08-14
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-09-22
2025-08-14
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
2025-09-22
2025-08-14
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.
E
2025-09-22
2025-08-14
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.
E
2025-09-22
2025-08-14
Health
F0732
Post nurse staffing information every day.
E
2025-10-02
2025-08-14
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
2025-09-22
2025-08-14
Health
F0802
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
E
2025-09-10
2025-08-14
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
E
2025-09-10
2025-08-14
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-09-10
2025-08-14
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
2025-09-22
2025-08-14
Health
F0880
Provide and implement an infection prevention and control program.
J
2025-09-22
2025-08-14
Health
F0949
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
D
2025-09-01
2025-05-01
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-05-15
2024-06-12
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-06-29
2024-06-12
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
2024-06-29
2024-06-12
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-06-29
2024-06-12
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-06-29
2024-03-07
Health · complaint
F0687
Provide appropriate foot care.
D
2024-03-14
2024-03-07
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-03-14
2023-03-23
Health
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2023-05-04
2023-03-23
Health
F0569
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
D
2023-05-04
2023-03-23
Health
F0606
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
D
2023-05-04
2023-03-23
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-05-04
2023-03-23
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
2023-05-04
2023-03-23
Health
F0732
Post nurse staffing information every day.
D
2023-05-04
2023-03-23
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-05-04
2023-03-23
Health
F0947
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
D
2023-05-04
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
14
Owner
Role
Pct
From
Status
Source
COMMUNITY LIVING CENTERS
Individual has financial interest in both related organization and provider
100%
2024-01-01
current
hcris_a_8_1
COMMUNITY LIVING CENTERS
Individual has financial interest in both related organization and provider
100%
2023-01-01
current
hcris_a_8_1
ASLAM, TANVEER
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
ASLAM, TANVEER
ADP OF THE SNF
—
2026-01-01
current
pecos_ownership
COMMUNITY ELDERCARE SERVICES, LLC
ADP OF THE SNF
—
2026-01-01
current
pecos_ownership
COMMUNITY ELDERCARE SERVICES, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2000-04-01
current
pecos_ownership
COMMUNITY LIVING CENTERS, LLC
ADP OF THE SNF
—
2026-01-01
current
pecos_ownership
EDWARDS, BETTY
ADP OF THE SNF
—
2025-06-16
current
pecos_ownership
WRIGHT, DOUGLAS
OPERATIONAL/MANAGERIAL CONTROL
—
2000-04-01
current
pecos_ownership
COMMUNITY LIVING CENTERS
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
COMMUNITY LIVING CENTERS
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
RENITA NANCE
W-2 MANAGING EMPLOYEE
95%
2022-05-01
ended 2026-05-18
pecos_ownership
COMMUNITY LIVING CENTERS
Individual has financial interest in both related organization and provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
DOUGLAS WRIGHT
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2000-11-01
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.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$806,867
$504,919
—
—
$40,163
3
propco
2023-12-31
$723,529
$493,106
—
—
$26,759
3
propco
2022-12-31
$709,009
$483,071
—
—
$29,975
3
propco
2021-12-31
$708,869
$471,244
—
—
$33,435
3
propco
2020-12-31
$1,198,372
—
—
$270,620
$22,420
6
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
34
Geo
Kind
BR
Amount
As of
Source
county 47097
acs median gross
0
$863
2024-12-31
CENSUS_ACS5
county 47097
fmr
0
$706
2025-10-01
HUD_USER_FMR
county 47097
acs median gross
1
$430
2024-12-31
CENSUS_ACS5
county 47097
fmr
1
$710
2025-10-01
HUD_USER_FMR
county 47097
acs median gross
2
$731
2024-12-31
CENSUS_ACS5
county 47097
fmr
2
$925
2025-10-01
HUD_USER_FMR
county 47097
acs median gross
3
$884
2024-12-31
CENSUS_ACS5
county 47097
fmr
3
$1,239
2025-10-01
HUD_USER_FMR
county 47097
acs median gross
4
$973
2024-12-31
CENSUS_ACS5
county 47097
fmr
4
$1,474
2025-10-01
HUD_USER_FMR
county 47097
acs median gross
$774
2024-12-31
CENSUS_ACS5
county 47097
acs recent mover gross
$1,013
2024-12-31
CENSUS_ACS5
zcta 38063
acs median gross
0
$872
2024-12-31
CENSUS_ACS5
zcta 38063
acs median gross
1
$405
2024-12-31
CENSUS_ACS5
zcta 38063
acs median gross
2
$754
2024-12-31
CENSUS_ACS5
zcta 38063
acs median gross
3
$853
2024-12-31
CENSUS_ACS5
zcta 38063
acs median gross
4
$966
2024-12-31
CENSUS_ACS5
zcta 38063
acs median gross
$782
2024-12-31
CENSUS_ACS5
zcta 38063
acs recent mover gross
$1,087
2024-12-31
CENSUS_ACS5
zip 38063
payment standard 110
0
$781
2025-10-01
HUD_USER_SAFMR
zip 38063
payment standard 90
0
$639
2025-10-01
HUD_USER_SAFMR
zip 38063
safmr
0
$710
2025-10-01
HUD_USER_SAFMR
zip 38063
payment standard 110
1
$781
2025-10-01
HUD_USER_SAFMR
zip 38063
payment standard 90
1
$639
2025-10-01
HUD_USER_SAFMR
zip 38063
safmr
1
$710
2025-10-01
HUD_USER_SAFMR
zip 38063
payment standard 110
2
$1,023
2025-10-01
HUD_USER_SAFMR
zip 38063
payment standard 90
2
$837
2025-10-01
HUD_USER_SAFMR
zip 38063
safmr
2
$930
2025-10-01
HUD_USER_SAFMR
zip 38063
payment standard 110
3
$1,364
2025-10-01
HUD_USER_SAFMR
zip 38063
payment standard 90
3
$1,116
2025-10-01
HUD_USER_SAFMR
zip 38063
safmr
3
$1,240
2025-10-01
HUD_USER_SAFMR
zip 38063
payment standard 110
4
$1,617
2025-10-01
HUD_USER_SAFMR
zip 38063
payment standard 90
4
$1,323
2025-10-01
HUD_USER_SAFMR
zip 38063
safmr
4
$1,470
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.