5500 WEST 123RD ST, OVERLAND PARK, KS 66209 · CCN 175441
Composite
78.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
66
Model
v1.2
Reads as: riskier than 78.6% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
47 chains
FORVIS MAZARS LLP
251 facilities
connection
Owner spans multiple chains
16 chains
BAKER TILLY ADVISORY GROUP LP
77 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
15
2025Q4 HPRD
This facility
KS median
National median
National p25–p75
Total nurse
5.15
3.03
3.28
2.90–3.77
RN
0.71
0.44
0.39
0.25–0.58
Weekend total
5.09
2.87
3.11
—
Weekday total
5.18
3.10
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
54.6
5.15
0.71
1.62
2.82
5.09
0.0%
2025Q3
92
58.1
5.15
0.71
1.50
2.95
5.06
0.0%
2025Q2
91
63.0
5.02
0.56
1.50
2.96
4.70
0.0%
2025Q1
90
71.5
4.32
0.54
1.35
2.44
4.18
0.1%
2024Q4
92
70.6
4.03
0.38
1.37
2.27
4.05
0.0%
2024Q3
92
69.1
4.17
0.51
1.21
2.45
4.03
5.2%
2024Q2
91
68.7
4.23
0.48
1.23
2.52
3.99
11.9%
2024Q1
91
65.0
3.86
0.41
1.19
2.26
3.70
22.3%
2023Q4
92
64.0
3.77
0.32
1.18
2.27
3.62
24.9%
2023Q3
92
65.2
4.00
0.34
1.20
2.46
4.09
21.9%
2023Q2
91
59.4
4.30
0.32
1.41
2.58
4.46
17.2%
2023Q1
90
62.2
3.85
0.46
1.12
2.28
3.88
18.4%
2022Q4
92
56.1
3.76
0.43
1.19
2.14
3.58
16.3%
2022Q2
91
54.4
4.38
0.39
1.36
2.63
4.42
21.8%
2022Q1
90
49.7
4.32
0.41
1.49
2.42
4.18
28.5%
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
2025-07-15
2025-06-04
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2025-07-15
2025-06-04
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2025-07-15
2025-06-04
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-07-15
2025-06-04
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-07-15
2025-06-04
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-07-15
2025-06-04
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2025-07-15
2025-06-04
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
2025-07-15
2025-06-04
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2025-07-15
2025-06-04
Health
F0760
Ensure that residents are free from significant medication errors.
D
2025-07-15
2025-06-04
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
2025-07-15
2025-06-04
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
2025-07-15
2025-06-04
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-07-15
2025-06-04
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-07-15
2025-06-04
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
2025-07-15
2023-10-19
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-11-20
2023-10-19
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2023-11-20
2023-10-19
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-11-20
2023-10-19
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-11-20
2023-10-19
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-11-20
2023-10-19
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2023-11-20
2023-10-19
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2023-11-20
2023-10-19
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
2023-11-20
2023-10-19
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
2023-11-20
2023-10-19
Health
F0851
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
2023-11-20
2023-10-19
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F
2023-11-20
2023-10-19
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2023-11-20
2023-08-03
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-08-29
2022-02-07
Health
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2022-03-07
2022-02-07
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2022-03-07
2022-02-07
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2022-03-07
2022-02-07
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2022-03-07
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
37
Owner
Role
Pct
From
Status
Source
ABRAHMS, SIMON
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-26
current
pecos_ownership
BAKER TILLY ADVISORY GROUP, LP
ADP OF THE SNF
—
2025-01-13
current
pecos_ownership
BETTINGER, IRENE
CORPORATE DIRECTOR
—
2018-07-18
current
pecos_ownership
CAMPBELL, MARK
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-26
current
pecos_ownership
CAMPBELL, MARK
ADP OF THE SNF
—
2023-09-11
current
pecos_ownership
FORVIS MAZARS LLP
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
GEDULDIG, STEVEN
CORPORATE DIRECTOR
—
2023-07-25
current
pecos_ownership
GERSHON, ROBERT
CORPORATE DIRECTOR
—
2022-07-26
current
pecos_ownership
HELZBERG, SHIRLEY
CORPORATE DIRECTOR
—
2006-02-08
current
pecos_ownership
KLEIN, JAMES
CORPORATE DIRECTOR
—
2008-01-14
current
pecos_ownership
KOFFMAN, BRADLEY
CORPORATE DIRECTOR
—
2024-09-24
current
pecos_ownership
KRANTZ, RACHEL
CORPORATE DIRECTOR
—
2022-07-26
current
pecos_ownership
KRASHIN, JEREMY
CORPORATE DIRECTOR
—
2021-08-02
current
pecos_ownership
LEE, JESSICA
ADP OF THE SNF
—
2024-03-01
current
pecos_ownership
LIPSMAN, FRANK
CORPORATE DIRECTOR
—
2015-07-22
current
pecos_ownership
NEXDINE LLC
ADP OF THE SNF
—
2023-03-01
current
pecos_ownership
RUBEN, STEVE
CORPORATE DIRECTOR
—
2023-06-26
current
pecos_ownership
SCHWARTZ, NEAL
CORPORATE DIRECTOR
—
2022-07-26
current
pecos_ownership
STEIN, STEWART
CORPORATE DIRECTOR
—
2019-07-25
current
pecos_ownership
VARNER PAREDES, JAMIE
CORPORATE OFFICER
—
2021-10-20
current
pecos_ownership
JAMES KLEIN
CORPORATE DIRECTOR
0%
2008-01-14
ended 2026-05-18
pecos_ownership
JAMIE VARNER PAREDES
CORPORATE OFFICER
0%
2021-10-20
ended 2026-05-18
pecos_ownership
MARK CAMPBELL
CORPORATE OFFICER
0%
2023-09-11
ended 2026-05-18
pecos_ownership
NEAL SCHWARTZ
CORPORATE DIRECTOR
0%
2022-07-26
ended 2026-05-18
pecos_ownership
RACHEL KRANTZ
CORPORATE DIRECTOR
0%
2022-07-26
ended 2026-05-18
pecos_ownership
ROBERT GERSHON
CORPORATE DIRECTOR
0%
2022-07-26
ended 2026-05-18
pecos_ownership
SHIRLEY HELZBERG
CORPORATE DIRECTOR
0%
2006-02-08
ended 2026-05-18
pecos_ownership
SIMON ABRAHMS
CORPORATE OFFICER
0%
2023-06-26
ended 2026-05-18
pecos_ownership
STEVE RUBEN
CORPORATE DIRECTOR
0%
2023-06-26
ended 2026-05-18
pecos_ownership
BRADLEY KOFFMAN
CORPORATE DIRECTOR
—
2024-09-24
ended 2026-05-18
pecos_ownership
FRANK LIPSMAN
CORPORATE DIRECTOR
—
2015-07-22
ended 2026-05-18
pecos_ownership
IRENE BETTINGER
CORPORATE DIRECTOR
—
2018-07-18
ended 2026-05-18
pecos_ownership
JEREMY KRASHIN
CORPORATE DIRECTOR
—
2021-08-02
ended 2026-05-18
pecos_ownership
JESSICA LEE
ADP OF THE SNF
—
2024-03-01
ended 2026-05-18
pecos_ownership
MARK CAMPBELL
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-26
ended 2026-05-18
pecos_ownership
STEVEN GEDULDIG
CORPORATE DIRECTOR
—
2023-07-25
ended 2026-05-18
pecos_ownership
STEWART STEIN
CORPORATE DIRECTOR
—
2019-07-25
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 20091
acs median gross
0
$1,209
2024-12-31
CENSUS_ACS5
county 20091
fmr
0
$1,095
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
1
$1,236
2024-12-31
CENSUS_ACS5
county 20091
fmr
1
$1,197
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
2
$1,485
2024-12-31
CENSUS_ACS5
county 20091
fmr
2
$1,358
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
3
$1,802
2024-12-31
CENSUS_ACS5
county 20091
fmr
3
$1,769
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
4
$2,110
2024-12-31
CENSUS_ACS5
county 20091
fmr
4
$2,103
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
5
$2,114
2024-12-31
CENSUS_ACS5
county 20091
acs median gross
$1,434
2024-12-31
CENSUS_ACS5
county 20091
acs recent mover gross
$1,509
2024-12-31
CENSUS_ACS5
zcta 66209
acs median gross
0
$1,228
2024-12-31
CENSUS_ACS5
zcta 66209
acs median gross
1
$1,363
2024-12-31
CENSUS_ACS5
zcta 66209
acs median gross
2
$1,763
2024-12-31
CENSUS_ACS5
zcta 66209
acs median gross
3
$2,178
2024-12-31
CENSUS_ACS5
zcta 66209
acs median gross
$1,577
2024-12-31
CENSUS_ACS5
zcta 66209
acs recent mover gross
$1,785
2024-12-31
CENSUS_ACS5
zip 66209
payment standard 110
0
$1,397
2025-10-01
HUD_USER_SAFMR
zip 66209
payment standard 90
0
$1,143
2025-10-01
HUD_USER_SAFMR
zip 66209
safmr
0
$1,270
2025-10-01
HUD_USER_SAFMR
zip 66209
payment standard 110
1
$1,529
2025-10-01
HUD_USER_SAFMR
zip 66209
payment standard 90
1
$1,251
2025-10-01
HUD_USER_SAFMR
zip 66209
safmr
1
$1,390
2025-10-01
HUD_USER_SAFMR
zip 66209
payment standard 110
2
$1,738
2025-10-01
HUD_USER_SAFMR
zip 66209
payment standard 90
2
$1,422
2025-10-01
HUD_USER_SAFMR
zip 66209
safmr
2
$1,580
2025-10-01
HUD_USER_SAFMR
zip 66209
payment standard 110
3
$2,266
2025-10-01
HUD_USER_SAFMR
zip 66209
payment standard 90
3
$1,854
2025-10-01
HUD_USER_SAFMR
zip 66209
safmr
3
$2,060
2025-10-01
HUD_USER_SAFMR
zip 66209
payment standard 110
4
$2,695
2025-10-01
HUD_USER_SAFMR
zip 66209
payment standard 90
4
$2,205
2025-10-01
HUD_USER_SAFMR
zip 66209
safmr
4
$2,450
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.