150 PERCY BROWN ROAD, THIBODAUX, LA 70301 · CCN 195319 · chain NEXION HEALTH INC
Composite
84.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
78
Model
v1.2
Reads as: riskier than 84.6% 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
18
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
+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
LA median
National median
National p25–p75
Total nurse
3.13
3.38
3.28
2.90–3.77
RN
0.18
0.10
0.39
0.25–0.58
Weekend total
3.09
3.09
3.11
—
Weekday total
3.15
3.48
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
70.8
3.13
0.18
0.94
2.02
3.09
0.0%
2025Q3
92
70.8
3.15
0.15
0.95
2.05
3.12
0.0%
2025Q2
91
71.3
3.14
0.19
0.89
2.06
3.03
0.0%
2025Q1
90
73.3
2.92
0.25
0.80
1.88
2.80
0.0%
2024Q4
92
72.0
2.78
0.19
0.78
1.81
2.65
0.0%
2024Q3
92
69.9
2.91
0.18
0.80
1.92
2.73
0.0%
2024Q2
91
68.6
2.99
0.28
0.80
1.91
2.61
0.0%
2024Q1
91
67.9
3.05
0.36
0.77
1.92
2.76
0.0%
2023Q4
92
71.2
2.97
0.35
0.72
1.90
2.71
0.0%
2023Q3
92
71.1
2.96
0.26
0.76
1.94
2.79
0.0%
2023Q2
91
70.7
2.92
0.29
0.77
1.86
2.64
0.0%
2023Q1
90
71.2
2.92
0.16
0.89
1.87
2.64
0.0%
2022Q4
92
67.9
3.10
0.13
1.02
1.95
2.79
0.0%
2022Q3
92
71.0
3.27
0.12
1.02
2.12
2.94
0.0%
2022Q2
91
72.3
3.08
0.11
0.91
2.06
2.75
0.0%
2022Q1
90
70.4
2.83
0.06
0.90
1.87
2.66
4.9%
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
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
18
B × 1D × 12E × 5
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-03-25
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
2025-04-21
2025-03-25
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-04-21
2025-03-25
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
2025-04-21
2025-03-25
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2025-04-21
2025-03-25
Health
F0836
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
E
2025-04-21
2025-03-25
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-04-21
2025-01-15
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-02-10
2024-09-10
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-10-11
2024-03-21
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
2024-03-22
2024-03-21
Health
F0583
Keep residents' personal and medical records private and confidential.
E
2024-04-05
2024-03-21
Health
F0732
Post nurse staffing information every day.
B
2024-03-22
2024-03-21
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2024-03-22
2024-03-21
Health
F0814
Dispose of garbage and refuse properly.
D
2024-04-05
2024-03-21
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2024-04-15
2024-03-21
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-04-15
2023-11-08
Health · complaint
F0606
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
D
2023-11-09
2023-11-08
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2023-11-09
2023-10-24
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
2023-10-25
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
15
Owner
Role
Pct
From
Status
Source
NEXION HEALTH OF OHI INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2005-09-14
current
pecos_ownership
BARBERA, BRADLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2012-09-05
current
pecos_ownership
BOLT, BRETTON
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2002-01-15
current
pecos_ownership
HERDRICH, WILLIAM
CORPORATE DIRECTOR
—
2012-02-01
current
pecos_ownership
KIRLEY, FRANCIS
CORPORATE OFFICER
—
2002-01-15
current
pecos_ownership
LEE, BRIAN
CORPORATE OFFICER
—
2012-02-01
current
pecos_ownership
NEXION HEALTH LEASING, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2002-01-15
current
pecos_ownership
NEXION HEALTH, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2002-01-15
current
pecos_ownership
RINER, MEERA
CORPORATE OFFICER
—
2012-02-01
current
pecos_ownership
FRANCIS KIRLEY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
61%
2002-01-15
ended 2026-05-18
pecos_ownership
BRETTON BOLT
5% OR GREATER INDIRECT OWNERSHIP INTEREST
35%
2002-01-15
ended 2026-05-18
pecos_ownership
BRADLEY BARBERA
OPERATIONAL/MANAGERIAL CONTROL
—
2012-09-05
ended 2026-05-18
pecos_ownership
BRIAN LEE
CORPORATE OFFICER
—
2012-02-01
ended 2026-05-18
pecos_ownership
MEERA RINER
CORPORATE OFFICER
—
2012-02-01
ended 2026-05-18
pecos_ownership
WILLIAM HERDRICH
CORPORATE DIRECTOR
—
2012-02-01
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
$572,347
—
$568,497
—
—
7
—
2023-12-31
$3,453,602
—
$3,452,947
—
—
7
—
2022-12-31
$468,962
—
$468,164
—
—
7
—
2021-12-31
$473,498
—
$469,266
—
—
7
—
2020-12-31
$354,013
—
$336,624
—
—
7
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 22057
acs median gross
0
$624
2024-12-31
CENSUS_ACS5
county 22057
fmr
0
$760
2025-10-01
HUD_USER_FMR
county 22057
acs median gross
1
$716
2024-12-31
CENSUS_ACS5
county 22057
fmr
1
$904
2025-10-01
HUD_USER_FMR
county 22057
acs median gross
2
$1,000
2024-12-31
CENSUS_ACS5
county 22057
fmr
2
$1,102
2025-10-01
HUD_USER_FMR
county 22057
acs median gross
3
$1,114
2024-12-31
CENSUS_ACS5
county 22057
fmr
3
$1,330
2025-10-01
HUD_USER_FMR
county 22057
acs median gross
4
$1,065
2024-12-31
CENSUS_ACS5
county 22057
fmr
4
$1,459
2025-10-01
HUD_USER_FMR
county 22057
acs median gross
5
$1,714
2024-12-31
CENSUS_ACS5
county 22057
acs median gross
$928
2024-12-31
CENSUS_ACS5
county 22057
acs recent mover gross
$961
2024-12-31
CENSUS_ACS5
zcta 70301
acs median gross
0
$501
2024-12-31
CENSUS_ACS5
zcta 70301
acs median gross
1
$703
2024-12-31
CENSUS_ACS5
zcta 70301
acs median gross
2
$1,070
2024-12-31
CENSUS_ACS5
zcta 70301
acs median gross
3
$1,330
2024-12-31
CENSUS_ACS5
zcta 70301
acs median gross
4
$760
2024-12-31
CENSUS_ACS5
zcta 70301
acs median gross
$1,013
2024-12-31
CENSUS_ACS5
zcta 70301
acs recent mover gross
$1,102
2024-12-31
CENSUS_ACS5
zip 70301
payment standard 110
0
$847
2025-10-01
HUD_USER_SAFMR
zip 70301
payment standard 90
0
$693
2025-10-01
HUD_USER_SAFMR
zip 70301
safmr
0
$770
2025-10-01
HUD_USER_SAFMR
zip 70301
payment standard 110
1
$1,001
2025-10-01
HUD_USER_SAFMR
zip 70301
payment standard 90
1
$819
2025-10-01
HUD_USER_SAFMR
zip 70301
safmr
1
$910
2025-10-01
HUD_USER_SAFMR
zip 70301
payment standard 110
2
$1,221
2025-10-01
HUD_USER_SAFMR
zip 70301
payment standard 90
2
$999
2025-10-01
HUD_USER_SAFMR
zip 70301
safmr
2
$1,110
2025-10-01
HUD_USER_SAFMR
zip 70301
payment standard 110
3
$1,474
2025-10-01
HUD_USER_SAFMR
zip 70301
payment standard 90
3
$1,206
2025-10-01
HUD_USER_SAFMR
zip 70301
safmr
3
$1,340
2025-10-01
HUD_USER_SAFMR
zip 70301
payment standard 110
4
$1,617
2025-10-01
HUD_USER_SAFMR
zip 70301
payment standard 90
4
$1,323
2025-10-01
HUD_USER_SAFMR
zip 70301
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.