Composite
95.5 / 100 percentile
Screener / 375094
F
EMERALD CARE CENTER TULSA
snfOK
2425 SOUTH MEMORIAL, TULSA, OK 74129 · CCN 375094
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
118
Model
v1.2
Reads as: riskier than 95.5% 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 model5ML signals3Components16CHOW radar1Distress radar1Staffing16Penalties11Deficiencies67Licensure0Ownership21Related party5Transactions0Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 95.2 | 84.8 | 0.30 | 0.2308 | 21.97 | in index |
| regulatory risk | 87.1 | 84.4 | 0.30 | 0.2308 | 20.10 | in index |
| staffing risk | 86.2 | 86.2 | 0.25 | 0.1923 | 16.58 | in index |
| billing conduct | 38.6 | 35.1 | 0.30 | 0.2308 | 8.91 | in index |
| chow risk | 38.4 | 41.9 | 0.15 | 0.1154 | 4.43 | 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
3| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +25.8 vs natl | WALDEN JACOB | 10 facilities |
| connection | Owner fleet risk far above national | +24.0 vs natl | CHAFETZ YISROEL | 14 facilities |
| connection | Owner fleet risk far above national | +21.5 vs natl | GAMZEH DAVID | 15 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
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 35.1 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.3 | A | 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. |
| chow risk | 59.4 | C | v0.6 | default · in composite | |
| financial risk | 84.8 | F | v0.5 | default · in composite | R18. |
| p adverse action 12m | 1.1 | — | 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 | 5.5 | — | 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 | 84.4 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 86.2 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 52.8 | C | v0.1 | superseded | 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. |
| financial risk | 32.8 | B | v0.2 | superseded | 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. |
| financial risk | 69.7 | D | v0.3 | superseded | 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. |
| financial risk | 84.0 | F | v0.4 | superseded | 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. |
| regulatory risk | 84.4 | F | 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 | 84.4 | F | 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. |
| staffing risk | 86.2 | F | v0.1 | superseded | 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. |
| staffing risk | 86.2 | F | v0.2 | superseded | 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.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
5.5%
model v0.1 · computed 2026-07-29
Percentile among SNFs
91.2
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Occupancy | 0.49 | +0.59 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Contract staffing share | 0.00 | -0.10 |
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)
1.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
86.6
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| Occupancy | 0.49 | +1.07 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 4.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 2.65 | +0.24 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 |
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 | OK median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.65 | 2.78 | 3.28 | 2.90–3.77 |
| RN | 0.16 | 0.18 | 0.39 | 0.25–0.58 |
| Weekend total | 2.76 | 2.72 | 3.11 | — |
| Weekday total | 2.61 | 2.80 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 58.2 | 2.65 | 0.16 | 0.78 | 1.72 | 2.76 | 0.1% |
| 2025Q3 | 92 | 57.2 | 2.53 | 0.20 | 0.77 | 1.56 | 2.72 | 0.0% |
| 2025Q2 | 91 | 56.4 | 2.62 | 0.24 | 0.74 | 1.63 | 2.44 | 0.0% |
| 2025Q1 | 90 | 57.4 | 2.42 | 0.14 | 0.64 | 1.63 | 2.59 | 0.0% |
| 2024Q4 | 92 | 56.5 | 2.69 | 0.14 | 0.79 | 1.75 | 2.86 | 0.0% |
| 2024Q3 | 92 | 52.2 | 2.77 | 0.12 | 0.87 | 1.78 | 2.84 | 0.0% |
| 2024Q2 | 91 | 50.1 | 2.54 | 0.06 | 0.94 | 1.53 | 2.63 | 0.2% |
| 2024Q1 | 91 | 65.3 | 2.41 | 0.11 | 0.82 | 1.47 | 2.39 | 10.5% |
| 2023Q4 | 92 | 60.2 | 2.44 | 0.13 | 0.83 | 1.48 | 2.57 | 27.3% |
| 2023Q3 | 92 | 68.1 | 2.30 | 0.07 | 0.73 | 1.50 | 2.38 | 30.8% |
| 2023Q2 | 91 | 59.4 | 2.44 | 0.04 | 0.71 | 1.70 | 2.48 | 32.3% |
| 2023Q1 | 90 | 64.8 | 2.33 | 0.05 | 0.66 | 1.62 | 2.36 | 29.0% |
| 2022Q4 | 92 | 63.0 | 2.17 | 0.09 | 0.46 | 1.61 | 2.20 | 0.0% |
| 2022Q3 | 92 | 55.6 | 2.65 | 0.07 | 0.71 | 1.87 | 2.73 | 0.0% |
| 2022Q2 | 91 | 59.5 | 2.35 | 0.03 | 0.66 | 1.66 | 2.56 | 0.0% |
| 2022Q1 | 90 | 60.4 | 2.42 | 0.08 | 0.64 | 1.71 | 2.65 | 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.
Penalties
11fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-07-19 | Fine | $22,975 | CMS provider data |
| 2024-03-19 | Payment Denial | — | CMS provider data |
| 2023-11-06 | Fine | $13,762 | CMS provider data |
| 2023-10-17 | Fine | $4,587 | CMS provider data |
| 2023-09-25 | Fine | $13,762 | CMS provider data |
| 2023-09-05 | Fine | $4,587 | CMS provider data |
| 2023-08-28 | Fine | $4,587 | CMS provider data |
| 2023-08-21 | Fine | $4,587 | CMS provider data |
| 2023-08-14 | Fine | $4,587 | CMS provider data |
| 2023-08-07 | Fine | $4,587 | CMS provider data |
| 2023-07-17 | Fine | $13,762 | CMS provider data |
Total fines on record: $91,783
Deficiencies
67D × 32E × 33G × 1J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-11-25 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-12-24 |
| 2025-11-25 | 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 | 2025-12-24 |
| 2025-11-25 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-12-24 |
| 2025-11-25 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2025-12-24 |
| 2025-01-28 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-03-07 |
| 2025-01-28 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-03-07 |
| 2024-07-19 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | G | 2024-08-17 |
| 2024-04-11 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-06-06 |
| 2024-04-11 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | 2024-06-06 |
| 2024-04-11 | Health | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | 2024-06-06 |
| 2024-04-11 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2024-06-06 |
| 2024-04-11 | 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 | 2024-06-06 |
| 2024-04-11 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-06-21 |
| 2024-04-11 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-06-06 |
| 2024-04-11 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-06-06 |
| 2024-04-11 | Health | 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 | 2024-06-06 |
| 2024-04-11 | 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 | 2024-06-06 |
| 2024-04-11 | 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 | 2024-06-06 |
| 2024-04-11 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2024-06-06 |
| 2024-04-11 | Health | F0732 | Post nurse staffing information every day. | E | 2024-06-06 |
| 2024-04-11 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-06-06 |
| 2024-04-11 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2024-06-06 |
| 2024-04-11 | 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 | 2024-05-06 |
| 2024-04-11 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2024-06-06 |
| 2024-04-11 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-06-06 |
| 2024-04-11 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-06-06 |
| 2024-04-11 | Health | F0814 | Dispose of garbage and refuse properly. | E | 2024-06-06 |
| 2024-04-11 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-06-06 |
| 2024-04-11 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2024-06-06 |
| 2024-04-11 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | 2024-06-06 |
| 2024-04-11 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-06-06 |
| 2024-04-11 | Health | F0908 | Keep all essential equipment working safely. | E | 2024-06-06 |
| 2024-03-19 | Health · complaint | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2024-05-10 |
| 2024-03-19 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-05-10 |
| 2024-03-19 | 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. | D | 2024-05-10 |
| 2024-03-19 | Health · complaint | 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 | 2024-05-10 |
| 2024-03-19 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-05-10 |
| 2024-03-19 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2024-05-10 |
| 2024-02-08 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-03-15 |
| 2024-02-08 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-03-15 |
| 2024-02-08 | Health · complaint | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2024-03-15 |
| 2024-02-08 | 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 | 2024-03-15 |
| 2024-02-08 | Health · complaint | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2024-03-15 |
| 2024-02-08 | Health · complaint | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | 2024-03-15 |
| 2024-02-08 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-03-15 |
| 2023-02-27 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | 2023-05-06 |
| 2023-02-27 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | 2023-05-06 |
| 2023-02-27 | 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 | 2023-05-06 |
| 2023-02-27 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-05-06 |
| 2023-02-27 | 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 | 2023-05-06 |
| 2023-02-27 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-05-06 |
| 2023-02-27 | Health | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | 2023-05-06 |
| 2023-02-27 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-05-06 |
| 2023-02-27 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2023-05-06 |
| 2023-02-27 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2023-05-06 |
| 2023-02-27 | 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 | 2023-05-06 |
| 2023-02-27 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-05-06 |
| 2023-02-27 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2023-05-06 |
| 2023-02-27 | 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. | D | 2023-05-06 |
| 2023-02-27 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | 2023-05-06 |
| 2023-02-27 | 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. | D | 2023-05-06 |
| 2023-02-27 | Health | F0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D | 2023-05-06 |
| 2023-02-27 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-05-06 |
| 2023-02-27 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-05-06 |
| 2023-02-27 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2023-05-06 |
| 2023-02-27 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2023-05-06 |
| 2023-02-27 | Health | F0888 | Ensure staff are vaccinated for COVID-19 | E | 2023-05-06 |
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
21| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| GARDEN MANOR OF TULSA REAL ESTATE LL | Individual has financial interest in both related organization and provider | 22% | 2023-01-01 | current | hcris_a_8_1 |
| GARDEN MANOR OF TULSA REAL ESTATE LL | Individual has financial interest in both related organization and provider | 22% | 2024-01-01 | current | hcris_a_8_1 |
| CHAFETZ, YISROEL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2017-03-17 | current | pecos_ownership |
| GAMZEH, DAVID | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 19% | 2017-03-17 | current | pecos_ownership |
| GLATZER, AKIVA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 19% | 2017-03-17 | current | pecos_ownership |
| WALDEN, JACOB | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 17% | 2017-03-17 | current | pecos_ownership |
| CHICKIESTRONG TULSA LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | 2017-03-17 | current | pecos_ownership |
| BANKERS TRUST COMPANY | 5% OR GREATER SECURITY INTEREST | — | 2017-03-17 | current | pecos_ownership |
| BETTIS, MELISSA | W-2 MANAGING EMPLOYEE | — | 2017-03-17 | current | pecos_ownership |
| LAYTON, ALPHREDA | W-2 MANAGING EMPLOYEE | — | 2017-03-17 | current | pecos_ownership |
| GARDEN MANOR OF TULSA REAL ESTATE LL | Individual has financial interest in both related organization and provider | 22% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| GARDEN MANOR OF TULSA REAL ESTATE LL | Individual has financial interest in both related organization and provider | 22% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| GARDEN MANOR OF TULSA REAL ESTATE LL | Individual has financial interest in both related organization and provider | 22% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| YISROEL CHAFETZ | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2017-03-17 | ended 2026-05-18 | pecos_ownership |
| AKIVA GLATZER | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 19% | 2017-03-17 | ended 2026-05-18 | pecos_ownership |
| DAVID GAMZEH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 19% | 2017-03-17 | ended 2026-05-18 | pecos_ownership |
| EPHRAM LAHASKY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 19% | 2017-03-17 | ended 2026-05-18 | pecos_ownership |
| JOSHUA FARKOVITS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 19% | 2017-03-17 | ended 2026-05-18 | pecos_ownership |
| JACOB WALDEN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 17% | 2017-03-17 | ended 2026-05-18 | pecos_ownership |
| ALPHREDA LAYTON | W-2 MANAGING EMPLOYEE | — | 2017-03-17 | ended 2026-05-18 | pecos_ownership |
| MELISSA BETTIS | W-2 MANAGING EMPLOYEE | — | 2017-03-17 | 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 — OK snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-02-01 | IGNITE MEDICAL RESORT TULSA, LLC | — | — | — | 104 | IGNITE MEDICAL RESORT TULSA, LLC |
| 2025-01-01 | THE COMMONS | — | — | — | 138 | COMMONS OPERATIONS LLC |
| 2025-01-01 | BEADLES NEW BEGINNINGS | — | — | — | 80 | BEADLES OPERATIONS, LLC |
| 2024-11-01 | STIGLER NURSING & REHAB | — | — | — | 80 | HASKELL NURSING & REHAB LLC |
| 2024-07-01 | NOWATA NURSING CENTER | — | — | — | 65 | NOWATA LTC LLC |
| 2024-05-14 | EASTGATE VILLAGE CARE & REHAB CENTER | — | — | — | 110 | EASTGATE HEALTHCARE, LLC |
| 2024-05-14 | Broadway Care & Rehab Center | — | — | — | 105 | BROADWAY HEALTHCARE, LLC |
| 2024-05-14 | FORT GIBSON CARE & REHAB CENTER | — | — | — | 66 | FORT GIBSON HEALTHCARE LLC |
| 2024-04-01 | HERITAGE MANOR | — | — | — | 55 | HERITAGE MANOR MANAGEMENT LLC |
| 2024-04-01 | HERITAGE PARK | — | — | — | 55 | HERITAGE PARK MANAGEMENT, LLC |
| 2024-01-09 | COWETA CARE & REHAB CENTER | — | — | — | 100 | COWETA HEALTHCARE MANAGEMENT LLC |
| 2024-01-09 | MITCHELL CARE & REHAB CENTER | — | — | — | 100 | MITCHELL HEALTHCARE MANAGEMENT, 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
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 40143 | acs median gross | 0 | $840 | 2024-12-31 | CENSUS_ACS5 |
| county 40143 | fmr | 0 | $933 | 2025-10-01 | HUD_USER_FMR |
| county 40143 | acs median gross | 1 | $911 | 2024-12-31 | CENSUS_ACS5 |
| county 40143 | fmr | 1 | $987 | 2025-10-01 | HUD_USER_FMR |
| county 40143 | acs median gross | 2 | $1,128 | 2024-12-31 | CENSUS_ACS5 |
| county 40143 | fmr | 2 | $1,217 | 2025-10-01 | HUD_USER_FMR |
| county 40143 | acs median gross | 3 | $1,368 | 2024-12-31 | CENSUS_ACS5 |
| county 40143 | fmr | 3 | $1,602 | 2025-10-01 | HUD_USER_FMR |
| county 40143 | acs median gross | 4 | $1,716 | 2024-12-31 | CENSUS_ACS5 |
| county 40143 | fmr | 4 | $1,858 | 2025-10-01 | HUD_USER_FMR |
| county 40143 | acs median gross | 5 | $1,806 | 2024-12-31 | CENSUS_ACS5 |
| county 40143 | acs median gross | $1,110 | 2024-12-31 | CENSUS_ACS5 | |
| county 40143 | acs recent mover gross | $1,198 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 74129 | acs median gross | 0 | $828 | 2024-12-31 | CENSUS_ACS5 |
| zcta 74129 | acs median gross | 1 | $820 | 2024-12-31 | CENSUS_ACS5 |
| zcta 74129 | acs median gross | 2 | $989 | 2024-12-31 | CENSUS_ACS5 |
| zcta 74129 | acs median gross | 3 | $1,327 | 2024-12-31 | CENSUS_ACS5 |
| zcta 74129 | acs median gross | 4 | $1,323 | 2024-12-31 | CENSUS_ACS5 |
| zcta 74129 | acs median gross | $987 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 74129 | acs recent mover gross | $1,133 | 2024-12-31 | CENSUS_ACS5 | |
| zip 74129 | payment standard 110 | 0 | $913 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74129 | payment standard 90 | 0 | $747 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74129 | safmr | 0 | $830 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74129 | payment standard 110 | 1 | $968 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74129 | payment standard 90 | 1 | $792 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74129 | safmr | 1 | $880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74129 | payment standard 110 | 2 | $1,188 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74129 | payment standard 90 | 2 | $972 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74129 | safmr | 2 | $1,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74129 | payment standard 110 | 3 | $1,562 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74129 | payment standard 90 | 3 | $1,278 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74129 | safmr | 3 | $1,420 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74129 | payment standard 110 | 4 | $1,815 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74129 | payment standard 90 | 4 | $1,485 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74129 | safmr | 4 | $1,650 | 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.