102 WOODCHASE PARK DRIVE, CLINTON, MS 39056 · CCN 255148 · chain NEXION HEALTH INC
Composite
74.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
145
Model
v1.2
Reads as: riskier than 74.1% 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
19
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+27.5 vs natl
RINER MEERA
46 facilities
connection
Owner fleet risk far above national
+27.2 vs natl
REID JOHN
18 facilities
connection
Owner fleet risk far above national
+26.4 vs natl
LEE BRIAN
46 facilities
connection
Owner fleet risk far above national
+25.4 vs natl
NEXION HEALTH INC
33 facilities
connection
Owner fleet risk far above national
+24.8 vs natl
NEXION HEALTH LEASING INC
33 facilities
connection
Owner fleet risk far above national
+24.6 vs natl
HERDRICH WILLIAM
33 facilities
connection
Owner fleet risk far above national
+23.7 vs natl
NEXION HEALTH OF OHI INC
31 facilities
connection
Owner fleet risk far above national
+23.5 vs natl
BOLT BRETTON
30 facilities
connection
Owner fleet risk far above national
+23.4 vs natl
KIRLEY FRANCIS
50 facilities
connection
Owner spans multiple chains
10 chains
KIRLEY FRANCIS
49 facilities
connection
Owner spans multiple chains
8 chains
RINER MEERA
46 facilities
connection
Owner spans multiple chains
7 chains
LEE BRIAN
46 facilities
connection
Owner fleet enforcement cluster
46% fined
RINER MEERA
46 facilities
connection
Owner fleet enforcement cluster
44% fined
KIRLEY FRANCIS
50 facilities
connection
Owner fleet enforcement cluster
44% fined
LEE BRIAN
46 facilities
connection
Owner fleet enforcement cluster
42% fined
NEXION HEALTH INC
33 facilities
connection
Owner fleet enforcement cluster
42% fined
NEXION HEALTH LEASING INC
33 facilities
connection
Owner fleet enforcement cluster
42% fined
NEXION HEALTH OF OHI INC
31 facilities
connection
Owner fleet enforcement cluster
40% fined
BOLT BRETTON
30 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
MS median
National median
National p25–p75
Total nurse
3.15
3.68
3.28
2.90–3.77
RN
0.04
0.34
0.39
0.25–0.58
Weekend total
2.79
3.30
3.11
—
Weekday total
3.30
3.82
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
132.3
3.15
0.04
1.04
2.07
2.79
0.4%
2025Q3
92
132.2
3.06
0.07
1.00
1.99
2.80
0.6%
2025Q2
91
131.2
3.24
0.09
1.00
2.15
2.94
0.1%
2025Q1
90
134.7
3.14
0.09
0.87
2.18
2.84
0.3%
2024Q4
92
135.8
3.15
0.08
0.88
2.19
2.84
1.6%
2024Q3
92
134.5
3.28
0.07
0.95
2.27
2.99
0.5%
2024Q2
91
136.3
3.10
0.10
0.89
2.11
2.80
4.2%
2024Q1
91
134.7
2.97
0.10
0.92
1.95
2.54
3.9%
2023Q4
92
133.9
3.01
0.05
0.92
2.03
2.61
1.1%
2023Q3
92
135.7
3.27
0.08
0.94
2.25
3.00
15.5%
2023Q2
91
134.8
3.30
0.08
0.96
2.27
3.06
22.4%
2023Q1
90
132.0
3.48
0.08
0.99
2.42
3.15
33.7%
2022Q4
92
132.1
3.21
0.07
0.95
2.19
2.96
29.7%
2022Q3
92
129.0
3.08
0.09
0.95
2.04
2.76
36.3%
2022Q2
91
128.2
3.73
0.10
1.00
2.63
3.36
49.4%
2022Q1
90
122.7
3.33
0.14
0.89
2.30
2.82
38.1%
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2026-05-29
2026-04-29
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2026-05-29
2026-04-29
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
2026-05-29
2025-08-15
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.
D
2025-09-09
2025-08-15
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
2025-09-09
2025-08-15
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-09-09
2025-08-15
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2025-09-09
2025-08-15
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2025-09-09
2025-08-15
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
2025-09-09
2025-08-15
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-09-09
2025-08-15
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
D
2025-09-09
2025-08-15
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-09-09
2025-03-28
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2025-03-26
2025-02-03
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2025-01-01
2025-02-03
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
J
2025-01-01
2024-09-25
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
2024-10-25
2024-09-25
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2024-10-25
2024-09-25
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-10-25
2024-09-25
Health · complaint
F0908
Keep all essential equipment working safely.
D
2024-10-25
2024-06-06
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.
G
2024-06-19
2024-06-06
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
G
2024-06-19
2024-04-11
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-06-19
2024-04-11
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-06-19
2024-04-11
Health · complaint
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
2024-06-19
2024-04-11
Health · complaint
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2024-06-19
2024-04-11
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-06-19
2024-04-11
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-06-19
2023-06-30
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2023-08-11
2023-06-30
Health · complaint
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2023-08-11
2022-07-14
Health
F0641
Ensure each resident receives an accurate assessment.
D
2022-08-15
2022-07-14
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2022-08-15
2022-07-14
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2022-08-15
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
17
Owner
Role
Pct
From
Status
Source
NEXION HEALTH OF OHI INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2018-03-29
current
pecos_ownership
BOLT, BRETTON
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2018-03-29
current
pecos_ownership
HERDRICH, WILLIAM
CORPORATE DIRECTOR
—
2018-03-29
current
pecos_ownership
KIRLEY, FRANCIS
CORPORATE OFFICER
—
2018-03-29
current
pecos_ownership
LEE, BRIAN
CORPORATE DIRECTOR
—
2018-03-29
current
pecos_ownership
NEXION HEALTH LEASING, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2018-03-29
current
pecos_ownership
NEXION HEALTH, INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2018-03-29
current
pecos_ownership
POPE, JENNIFER
W-2 MANAGING EMPLOYEE
—
2020-11-09
current
pecos_ownership
REID, JOHN
CORPORATE DIRECTOR
—
2018-12-18
current
pecos_ownership
RINER, MEERA
CORPORATE OFFICER
—
2018-03-29
current
pecos_ownership
BRETTON BOLT
5% OR GREATER INDIRECT OWNERSHIP INTEREST
35%
2018-03-29
ended 2026-05-18
pecos_ownership
BRIAN LEE
CORPORATE DIRECTOR
—
2018-03-29
ended 2026-05-18
pecos_ownership
FRANCIS KIRLEY
CORPORATE DIRECTOR
—
2018-03-29
ended 2026-05-18
pecos_ownership
JENNIFER POPE
W-2 MANAGING EMPLOYEE
—
2020-11-09
ended 2026-05-18
pecos_ownership
JOHN REID
CORPORATE DIRECTOR
—
2018-12-18
ended 2026-05-18
pecos_ownership
MEERA RINER
CORPORATE DIRECTOR
—
2018-03-29
ended 2026-05-18
pecos_ownership
WILLIAM HERDRICH
CORPORATE DIRECTOR
—
2018-03-29
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
$879,058
—
—
—
$143,052
0
—
2023-12-31
$832,176
—
—
—
$134,061
0
—
2022-12-31
$758,058
—
—
—
$133,546
0
—
2021-12-31
$828,258
—
—
—
$109,184
0
—
2020-12-31
$844,960
—
—
—
$124,124
0
—
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 28049
acs median gross
0
$1,097
2024-12-31
CENSUS_ACS5
county 28049
fmr
0
$1,091
2025-10-01
HUD_USER_FMR
county 28049
acs median gross
1
$871
2024-12-31
CENSUS_ACS5
county 28049
fmr
1
$1,097
2025-10-01
HUD_USER_FMR
county 28049
acs median gross
2
$1,027
2024-12-31
CENSUS_ACS5
county 28049
fmr
2
$1,288
2025-10-01
HUD_USER_FMR
county 28049
acs median gross
3
$1,165
2024-12-31
CENSUS_ACS5
county 28049
fmr
3
$1,544
2025-10-01
HUD_USER_FMR
county 28049
acs median gross
4
$1,347
2024-12-31
CENSUS_ACS5
county 28049
fmr
4
$1,705
2025-10-01
HUD_USER_FMR
county 28049
acs median gross
5
$1,441
2024-12-31
CENSUS_ACS5
county 28049
acs median gross
$1,061
2024-12-31
CENSUS_ACS5
county 28049
acs recent mover gross
$1,218
2024-12-31
CENSUS_ACS5
zcta 39056
acs median gross
1
$945
2024-12-31
CENSUS_ACS5
zcta 39056
acs median gross
2
$1,065
2024-12-31
CENSUS_ACS5
zcta 39056
acs median gross
3
$1,378
2024-12-31
CENSUS_ACS5
zcta 39056
acs median gross
4
$1,779
2024-12-31
CENSUS_ACS5
zcta 39056
acs median gross
$1,120
2024-12-31
CENSUS_ACS5
zcta 39056
acs recent mover gross
$1,186
2024-12-31
CENSUS_ACS5
zip 39056
payment standard 110
0
$1,309
2025-10-01
HUD_USER_SAFMR
zip 39056
payment standard 90
0
$1,071
2025-10-01
HUD_USER_SAFMR
zip 39056
safmr
0
$1,190
2025-10-01
HUD_USER_SAFMR
zip 39056
payment standard 110
1
$1,309
2025-10-01
HUD_USER_SAFMR
zip 39056
payment standard 90
1
$1,071
2025-10-01
HUD_USER_SAFMR
zip 39056
safmr
1
$1,190
2025-10-01
HUD_USER_SAFMR
zip 39056
payment standard 110
2
$1,540
2025-10-01
HUD_USER_SAFMR
zip 39056
payment standard 90
2
$1,260
2025-10-01
HUD_USER_SAFMR
zip 39056
safmr
2
$1,400
2025-10-01
HUD_USER_SAFMR
zip 39056
payment standard 110
3
$1,848
2025-10-01
HUD_USER_SAFMR
zip 39056
payment standard 90
3
$1,512
2025-10-01
HUD_USER_SAFMR
zip 39056
safmr
3
$1,680
2025-10-01
HUD_USER_SAFMR
zip 39056
payment standard 110
4
$2,035
2025-10-01
HUD_USER_SAFMR
zip 39056
payment standard 90
4
$1,665
2025-10-01
HUD_USER_SAFMR
zip 39056
safmr
4
$1,850
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.