9221 HARMONY DRIVE, MIDWEST CITY, OK 73130 · CCN 375534
Composite
54.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
100
Model
v1.2
Reads as: riskier than 54.4% 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.
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
OK median
National median
National p25–p75
Total nurse
2.69
2.78
3.28
2.90–3.77
RN
0.08
0.18
0.39
0.25–0.58
Weekend total
2.39
2.72
3.11
—
Weekday total
2.80
2.80
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
82.5
2.69
0.08
1.01
1.60
2.39
0.0%
2025Q3
92
70.2
2.53
0.07
0.99
1.47
2.58
0.0%
2025Q2
91
64.4
2.61
0.09
0.95
1.57
2.58
0.0%
2024Q4
92
71.5
2.73
0.05
1.04
1.64
2.29
0.0%
2024Q3
92
73.5
2.89
0.03
1.04
1.82
2.49
0.0%
2024Q2
91
76.1
2.59
0.05
0.98
1.57
2.16
0.0%
2024Q1
91
75.3
2.66
0.11
0.96
1.59
2.38
0.0%
2023Q4
92
80.3
2.51
0.10
0.98
1.43
2.11
0.0%
2023Q3
92
80.2
2.53
0.07
0.94
1.53
2.21
0.0%
2023Q2
91
77.8
2.44
0.03
1.03
1.38
1.99
0.0%
2023Q1
90
76.5
3.03
0.04
1.05
1.94
3.35
0.0%
2022Q4
92
76.4
2.14
0.05
0.82
1.27
2.26
0.0%
2022Q3
92
70.9
2.08
0.02
0.89
1.16
3.02
0.0%
2022Q2
91
75.4
3.00
0.07
1.21
1.72
3.49
0.0%
2022Q1
90
78.4
2.14
0.06
1.18
0.91
1.83
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.
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
31
D × 12E × 16F × 1G × 1K × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-04-21
Health
F0570
Assure the security of all personal funds of residents deposited with the facility.
E
2025-05-30
2025-04-21
Health · complaint
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
F
2025-05-30
2025-04-21
Health
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
E
2025-05-30
2025-04-21
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-05-30
2025-04-21
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-05-30
2025-04-21
Health
F0641
Ensure each resident receives an accurate assessment.
E
2025-05-30
2025-04-21
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-05-30
2025-04-21
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-05-30
2025-04-21
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-05-30
2025-04-21
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.
D
2025-05-30
2025-04-21
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-05-30
2025-04-21
Health
F0943
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
D
2025-05-30
2024-02-08
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-02-29
2023-12-21
Health
F0641
Ensure each resident receives an accurate assessment.
E
2024-01-22
2023-12-21
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2024-01-22
2023-12-21
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-02-16
2023-12-21
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-01-22
2023-10-13
Health · complaint
F0568
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
E
2023-10-14
2023-10-13
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2023-10-14
2023-10-13
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2023-10-14
2023-01-10
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2023-02-13
2023-01-10
Health
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
K
2023-02-13
2023-01-10
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2023-02-13
2023-01-10
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-02-13
2023-01-10
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2023-02-13
2023-01-10
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2023-02-13
2023-01-10
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2023-02-13
2023-01-10
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
2023-02-13
2023-01-10
Health
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
E
2023-02-13
2023-01-10
Health
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
E
2023-02-13
2023-01-10
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-02-13
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
9
Owner
Role
Pct
From
Status
Source
MAHANEY, JULIE
ADP OF THE SNF
—
2025-04-29
current
pecos_ownership
MONTGOMERY, BOBBIE
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2009-08-11
current
pecos_ownership
MONTGOMERY, SCHUYLER
OPERATIONAL/MANAGERIAL CONTROL
—
2009-08-11
current
pecos_ownership
SIENNA EXTENDED CARE & REHAB LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2009-08-11
current
pecos_ownership
STEPHENS, ADAM
ADP OF THE SNF
—
2025-04-09
current
pecos_ownership
BOBBIE MONTGOMERY
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2009-08-11
ended 2026-05-18
pecos_ownership
SCHUYLER MONTGOMERY
CORPORATE DIRECTOR
100%
2009-08-11
ended 2026-05-18
pecos_ownership
ADAM STEPHENS
ADP OF THE SNF
—
2025-04-09
ended 2026-05-18
pecos_ownership
JULIE MAHANEY
ADP OF THE SNF
—
2025-04-29
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
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 40109
acs median gross
0
$816
2024-12-31
CENSUS_ACS5
county 40109
fmr
0
$939
2025-10-01
HUD_USER_FMR
county 40109
acs median gross
1
$901
2024-12-31
CENSUS_ACS5
county 40109
fmr
1
$1,017
2025-10-01
HUD_USER_FMR
county 40109
acs median gross
2
$1,110
2024-12-31
CENSUS_ACS5
county 40109
fmr
2
$1,244
2025-10-01
HUD_USER_FMR
county 40109
acs median gross
3
$1,363
2024-12-31
CENSUS_ACS5
county 40109
fmr
3
$1,675
2025-10-01
HUD_USER_FMR
county 40109
acs median gross
4
$1,574
2024-12-31
CENSUS_ACS5
county 40109
fmr
4
$1,857
2025-10-01
HUD_USER_FMR
county 40109
acs median gross
5
$1,648
2024-12-31
CENSUS_ACS5
county 40109
acs median gross
$1,116
2024-12-31
CENSUS_ACS5
county 40109
acs recent mover gross
$1,232
2024-12-31
CENSUS_ACS5
zcta 73130
acs median gross
1
$1,152
2024-12-31
CENSUS_ACS5
zcta 73130
acs median gross
2
$1,004
2024-12-31
CENSUS_ACS5
zcta 73130
acs median gross
3
$1,205
2024-12-31
CENSUS_ACS5
zcta 73130
acs median gross
4
$1,423
2024-12-31
CENSUS_ACS5
zcta 73130
acs median gross
$1,198
2024-12-31
CENSUS_ACS5
zcta 73130
acs recent mover gross
$1,348
2024-12-31
CENSUS_ACS5
zip 73130
payment standard 110
0
$1,100
2025-10-01
HUD_USER_SAFMR
zip 73130
payment standard 90
0
$900
2025-10-01
HUD_USER_SAFMR
zip 73130
safmr
0
$1,000
2025-10-01
HUD_USER_SAFMR
zip 73130
payment standard 110
1
$1,199
2025-10-01
HUD_USER_SAFMR
zip 73130
payment standard 90
1
$981
2025-10-01
HUD_USER_SAFMR
zip 73130
safmr
1
$1,090
2025-10-01
HUD_USER_SAFMR
zip 73130
payment standard 110
2
$1,463
2025-10-01
HUD_USER_SAFMR
zip 73130
payment standard 90
2
$1,197
2025-10-01
HUD_USER_SAFMR
zip 73130
safmr
2
$1,330
2025-10-01
HUD_USER_SAFMR
zip 73130
payment standard 110
3
$1,969
2025-10-01
HUD_USER_SAFMR
zip 73130
payment standard 90
3
$1,611
2025-10-01
HUD_USER_SAFMR
zip 73130
safmr
3
$1,790
2025-10-01
HUD_USER_SAFMR
zip 73130
payment standard 110
4
$2,189
2025-10-01
HUD_USER_SAFMR
zip 73130
payment standard 90
4
$1,791
2025-10-01
HUD_USER_SAFMR
zip 73130
safmr
4
$1,990
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.