900 N DIVISION ST, CLEVELAND, OK 74020 · CCN 375443 · chain JFB OK TRUST
Composite
72.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
90
Model
v1.2
Reads as: riskier than 72.2% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+22.5 vs natl
FRIEDMAN NAFTALI
7 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
OK median
National median
National p25–p75
Total nurse
2.48
2.78
3.28
2.90–3.77
RN
0.19
0.18
0.39
0.25–0.58
Weekend total
2.45
2.72
3.11
—
Weekday total
2.50
2.80
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
58.2
2.48
0.19
0.50
1.80
2.45
12.9%
2025Q3
92
53.7
2.91
0.12
0.80
1.98
2.66
8.0%
2025Q2
91
52.4
2.64
0.15
0.87
1.62
2.41
2.9%
2025Q1
90
56.0
2.81
0.28
0.73
1.80
2.58
0.0%
2024Q4
92
62.0
2.73
0.21
0.72
1.80
2.49
0.0%
2024Q3
92
59.7
2.38
0.16
0.65
1.57
2.10
0.0%
2024Q2
91
53.3
2.52
0.10
0.73
1.69
2.22
0.0%
2024Q1
91
49.0
2.61
0.10
0.67
1.84
2.34
1.5%
2023Q4
92
51.9
3.04
0.21
0.94
1.89
2.72
11.1%
2023Q3
92
53.2
2.73
0.03
0.86
1.84
2.31
23.0%
2023Q2
91
50.7
2.89
0.07
0.96
1.85
2.56
18.5%
2023Q1
90
51.4
2.90
0.09
0.95
1.86
2.82
11.7%
2022Q4
92
52.2
2.88
0.21
0.83
1.84
2.83
13.3%
2022Q3
92
49.0
2.98
0.33
0.87
1.78
2.94
23.0%
2022Q2
91
46.5
2.92
0.32
0.90
1.71
2.81
30.7%
2022Q1
90
44.6
3.11
0.22
0.95
1.94
3.21
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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-02-04
2025-12-08
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-02-04
2025-12-08
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
2026-02-04
2025-12-08
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-02-04
2025-08-21
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-09-04
2025-04-04
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-05-07
2025-04-04
Health · complaint
F0624
Prepare residents for a safe transfer or discharge from the nursing home.
J
2025-03-07
2025-03-19
Health · complaint
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2025-04-17
2024-04-05
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2024-05-08
2024-04-05
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
2024-05-08
2024-04-05
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2024-05-08
2024-04-05
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
2024-05-08
2024-04-05
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-05-08
2024-04-05
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2024-05-08
2024-04-05
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
2024-05-08
2023-12-06
Health · complaint
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
2024-01-10
2023-01-26
Health
F0567
Honor the resident's right to manage his or her financial affairs.
E
2023-03-24
2023-01-26
Health
F0568
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
E
2023-03-24
2023-01-26
Health
F0570
Assure the security of all personal funds of residents deposited with the facility.
E
2023-03-24
2023-01-26
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
2023-03-24
2023-01-26
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2023-03-24
2023-01-26
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
E
2023-03-24
2023-01-26
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
E
2023-03-24
2023-01-26
Health
F0641
Ensure each resident receives an accurate assessment.
E
2023-03-24
2023-01-26
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2023-03-24
2023-01-26
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-03-24
2023-01-26
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
2023-03-24
2023-01-26
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
2023-03-24
2023-01-26
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
E
2023-04-24
2023-01-26
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-03-24
2023-01-26
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-03-24
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
REALCO CLEVELAND OK LLC
Corporation, partnership or other organization has financial interest in provider
100%
2023-01-01
current
hcris_a_8_1
CLEVELAND REALTY LLC
Individual has financial interest in both related organization and provider
50%
2024-01-01
current
hcris_a_8_1
JFB OK TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2024-01-09
current
pecos_ownership
OK SNF HOLDINGS, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2024-01-09
current
pecos_ownership
OK SNF INVESTMENTS, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2024-01-09
current
pecos_ownership
SOUTHEAST VENTURES TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
48%
2024-01-09
current
pecos_ownership
FRIEDMAN, NAFTALI
CORPORATE OFFICER
—
2024-01-09
current
pecos_ownership
UPSHAW, BILLIE
W-2 MANAGING EMPLOYEE
—
2024-01-09
current
pecos_ownership
BILLIE UPSHAW
W-2 MANAGING EMPLOYEE
100%
2024-01-09
ended 2026-05-18
pecos_ownership
NAFTALI FRIEDMAN
CORPORATE OFFICER
100%
2024-01-09
ended 2026-05-18
pecos_ownership
REALCO CLEVELAND OK LLC
Corporation, partnership or other organization has financial interest in provider
100%
2021-11-24
ended 2021-12-31
hcris_a_8_1
REALCO CLEVELAND OK LLC
Corporation, partnership or other organization has financial interest in provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
ALLEN KOSS
OTHER
50%
2024-01-09
ended 2026-05-18
pecos_ownership
YAAKOV KLEIN
OTHER
48%
2024-01-09
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
4
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,011,466
$728,623
—
—
$20,443
4
propco
2024-01-08
$903,062
$569,257
—
$174,180
—
3
propco
2022-12-31
$781,446
$490,102
—
$141,695
—
3
propco
2021-12-31
$71,125
$45,878
—
$10,625
—
3
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
32
Geo
Kind
BR
Amount
As of
Source
county 40117
acs median gross
0
$759
2024-12-31
CENSUS_ACS5
county 40117
fmr
0
$774
2025-10-01
HUD_USER_FMR
county 40117
acs median gross
1
$672
2024-12-31
CENSUS_ACS5
county 40117
fmr
1
$818
2025-10-01
HUD_USER_FMR
county 40117
acs median gross
2
$783
2024-12-31
CENSUS_ACS5
county 40117
fmr
2
$1,006
2025-10-01
HUD_USER_FMR
county 40117
acs median gross
3
$971
2024-12-31
CENSUS_ACS5
county 40117
fmr
3
$1,336
2025-10-01
HUD_USER_FMR
county 40117
acs median gross
4
$1,550
2024-12-31
CENSUS_ACS5
county 40117
fmr
4
$1,688
2025-10-01
HUD_USER_FMR
county 40117
acs median gross
$864
2024-12-31
CENSUS_ACS5
county 40117
acs recent mover gross
$881
2024-12-31
CENSUS_ACS5
zcta 74020
acs median gross
1
$752
2024-12-31
CENSUS_ACS5
zcta 74020
acs median gross
2
$800
2024-12-31
CENSUS_ACS5
zcta 74020
acs median gross
3
$988
2024-12-31
CENSUS_ACS5
zcta 74020
acs median gross
$870
2024-12-31
CENSUS_ACS5
zcta 74020
acs recent mover gross
$839
2024-12-31
CENSUS_ACS5
zip 74020
payment standard 110
0
$858
2025-10-01
HUD_USER_SAFMR
zip 74020
payment standard 90
0
$702
2025-10-01
HUD_USER_SAFMR
zip 74020
safmr
0
$780
2025-10-01
HUD_USER_SAFMR
zip 74020
payment standard 110
1
$913
2025-10-01
HUD_USER_SAFMR
zip 74020
payment standard 90
1
$747
2025-10-01
HUD_USER_SAFMR
zip 74020
safmr
1
$830
2025-10-01
HUD_USER_SAFMR
zip 74020
payment standard 110
2
$1,122
2025-10-01
HUD_USER_SAFMR
zip 74020
payment standard 90
2
$918
2025-10-01
HUD_USER_SAFMR
zip 74020
safmr
2
$1,020
2025-10-01
HUD_USER_SAFMR
zip 74020
payment standard 110
3
$1,485
2025-10-01
HUD_USER_SAFMR
zip 74020
payment standard 90
3
$1,215
2025-10-01
HUD_USER_SAFMR
zip 74020
safmr
3
$1,350
2025-10-01
HUD_USER_SAFMR
zip 74020
payment standard 110
4
$1,881
2025-10-01
HUD_USER_SAFMR
zip 74020
payment standard 90
4
$1,539
2025-10-01
HUD_USER_SAFMR
zip 74020
safmr
4
$1,710
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.