15600 WOODS CHAPEL ROAD, KANSAS CITY, MO 64139 · CCN 265850 · chain AMA HOLDINGS LLC
Composite
15.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
78
Model
v1.2
Reads as: riskier than 15.7% 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
4
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+21.2 vs natl
WOLF JACQUES
13 facilities
connection
Owner fleet risk far above national
+21.1 vs natl
AMA HOLDINGS LLC
13 facilities
connection
Owner fleet risk far above national
+21.1 vs natl
DEF HOLDINGS LLC
13 facilities
connection
Owner fleet risk far above national
+21.1 vs natl
MARX ASHER
13 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
MO median
National median
National p25–p75
Total nurse
2.73
2.41
3.28
2.90–3.77
RN
0.10
0.25
0.39
0.25–0.58
Weekend total
2.53
2.24
3.11
—
Weekday total
2.80
2.49
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
74.2
2.73
0.10
0.56
2.07
2.53
0.0%
2025Q3
92
75.1
2.58
0.12
0.52
1.94
2.49
0.0%
2025Q2
91
73.7
2.73
0.11
0.64
1.98
2.67
0.0%
2025Q1
90
76.8
2.76
0.18
0.63
1.96
2.69
0.0%
2024Q4
92
77.3
2.62
0.23
0.57
1.82
2.52
0.0%
2024Q3
92
76.3
2.73
0.23
0.49
2.01
2.68
0.0%
2024Q2
91
75.0
2.95
0.34
0.51
2.10
2.75
0.0%
2024Q1
91
72.4
2.84
0.19
0.60
2.05
2.68
0.1%
2023Q4
92
75.8
2.70
0.20
0.56
1.94
2.60
0.0%
2023Q3
92
75.6
2.74
0.27
0.52
1.96
2.73
0.0%
2023Q2
91
74.7
2.83
0.23
0.58
2.02
2.78
2.0%
2023Q1
90
72.1
2.98
0.28
0.62
2.07
2.97
19.4%
2022Q4
92
71.9
3.00
0.19
0.66
2.16
2.98
15.8%
2022Q3
92
69.4
2.83
0.18
0.54
2.11
2.92
17.8%
2022Q2
91
74.2
2.78
0.22
0.53
2.04
2.74
23.7%
2022Q1
90
72.9
2.99
0.17
0.71
2.11
2.81
26.3%
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
23
D × 13E × 7F × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-11
Health · complaint
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
E
2026-02-12
2026-02-11
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2026-03-12
2025-01-31
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2025-01-02
2025-01-31
Health
F0679
Provide activities to meet all resident's needs.
D
2025-03-12
2025-01-31
Health
F0732
Post nurse staffing information every day.
E
2025-03-12
2025-01-31
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
2025-03-12
2024-08-26
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-08-24
2023-05-23
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2023-07-06
2023-05-23
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-07-06
2023-05-23
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-07-06
2023-05-23
Health
F0825
Provide or get specialized rehabilitative services as required for a resident.
D
2023-07-06
2023-05-23
Health
F0880
Provide and implement an infection prevention and control program.
F
2023-07-06
2021-06-28
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2021-08-12
2021-06-28
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
2021-08-12
2021-06-28
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2021-08-12
2021-06-28
Health
F0606
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
E
2021-08-12
2021-06-28
Health
F0624
Prepare residents for a safe transfer or discharge from the nursing home.
D
2021-08-12
2021-06-28
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2021-08-12
2021-06-28
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2021-08-12
2021-06-28
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.
D
2021-08-12
2021-06-28
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
2021-08-12
2021-06-28
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2021-08-12
2021-06-28
Health
F0880
Provide and implement an infection prevention and control program.
F
2021-08-12
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
13
Owner
Role
Pct
From
Status
Source
MO OPERATION HOLDINGS DE SPE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
99%
2024-01-25
current
pecos_ownership
SEASONS PROPCO MO LLC
Individual has financial interest in both related organization and provider
24%
2024-01-01
current
hcris_a_8_1
SEASONS PROPCO MO LLC
Individual has financial interest in both related organization and provider
24%
2023-01-01
current
hcris_a_8_1
AMA HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-10-19
current
pecos_ownership
DEF HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-10-19
current
pecos_ownership
MARX, ASHER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-10-19
current
pecos_ownership
MOORE, ANGELA
W-2 MANAGING EMPLOYEE
—
2021-10-19
current
pecos_ownership
WOLF, JACQUES
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2021-10-19
current
pecos_ownership
ASHER MARX
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2021-10-19
ended 2026-05-18
pecos_ownership
JACQUES WOLF
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2021-10-19
ended 2026-05-18
pecos_ownership
SEASONS PROPCO MO LLC
Individual has financial interest in both related organization and provider
24%
2022-01-01
ended 2022-12-31
hcris_a_8_1
SEASONS PROPCO MO LLC
Individual has financial interest in both related organization and provider
24%
2021-10-19
ended 2021-12-31
hcris_a_8_1
ANGELA MOORE
W-2 MANAGING EMPLOYEE
—
2021-10-19
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,031,475
$749,047
—
—
$28,748
3
propco
2023-12-31
$754,654
$477,661
—
—
$29,127
3
propco
2022-12-31
$595,908
$362,799
—
—
—
2
propco
2021-12-31
$66,862
$66,862
—
—
—
2
propco
2021-10-18
$313,829
—
—
—
—
3
—
2020-12-31
$308,148
—
—
—
—
3
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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
31
Geo
Kind
BR
Amount
As of
Source
county 29095
acs median gross
0
$938
2024-12-31
CENSUS_ACS5
county 29095
fmr
0
$1,095
2025-10-01
HUD_USER_FMR
county 29095
acs median gross
1
$1,024
2024-12-31
CENSUS_ACS5
county 29095
fmr
1
$1,197
2025-10-01
HUD_USER_FMR
county 29095
acs median gross
2
$1,179
2024-12-31
CENSUS_ACS5
county 29095
fmr
2
$1,358
2025-10-01
HUD_USER_FMR
county 29095
acs median gross
3
$1,422
2024-12-31
CENSUS_ACS5
county 29095
fmr
3
$1,769
2025-10-01
HUD_USER_FMR
county 29095
acs median gross
4
$1,731
2024-12-31
CENSUS_ACS5
county 29095
fmr
4
$2,103
2025-10-01
HUD_USER_FMR
county 29095
acs median gross
5
$1,736
2024-12-31
CENSUS_ACS5
county 29095
acs median gross
$1,197
2024-12-31
CENSUS_ACS5
county 29095
acs recent mover gross
$1,373
2024-12-31
CENSUS_ACS5
zcta 64139
acs median gross
2
$1,705
2024-12-31
CENSUS_ACS5
zcta 64139
acs median gross
3
$1,858
2024-12-31
CENSUS_ACS5
zcta 64139
acs median gross
$1,711
2024-12-31
CENSUS_ACS5
zip 64139
payment standard 110
0
$1,573
2025-10-01
HUD_USER_SAFMR
zip 64139
payment standard 90
0
$1,287
2025-10-01
HUD_USER_SAFMR
zip 64139
safmr
0
$1,430
2025-10-01
HUD_USER_SAFMR
zip 64139
payment standard 110
1
$1,716
2025-10-01
HUD_USER_SAFMR
zip 64139
payment standard 90
1
$1,404
2025-10-01
HUD_USER_SAFMR
zip 64139
safmr
1
$1,560
2025-10-01
HUD_USER_SAFMR
zip 64139
payment standard 110
2
$1,947
2025-10-01
HUD_USER_SAFMR
zip 64139
payment standard 90
2
$1,593
2025-10-01
HUD_USER_SAFMR
zip 64139
safmr
2
$1,770
2025-10-01
HUD_USER_SAFMR
zip 64139
payment standard 110
3
$2,541
2025-10-01
HUD_USER_SAFMR
zip 64139
payment standard 90
3
$2,079
2025-10-01
HUD_USER_SAFMR
zip 64139
safmr
3
$2,310
2025-10-01
HUD_USER_SAFMR
zip 64139
payment standard 110
4
$3,014
2025-10-01
HUD_USER_SAFMR
zip 64139
payment standard 90
4
$2,466
2025-10-01
HUD_USER_SAFMR
zip 64139
safmr
4
$2,740
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.