17110 East 51St Street, Broken Arrow, OK 74012 · CCN 375525 · chain DIAKONOS GROUP LLC
Composite
38.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
110
Model
v1.2
Reads as: riskier than 38.7% 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
9
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+24.3 vs natl
KRAVETZ AVROHOM
6 facilities
connection
Owner fleet risk far above national
+23.1 vs natl
GANZ DAVID
15 facilities
connection
Owner fleet risk far above national
+22.6 vs natl
RETTER S ARYEH
5 facilities
connection
Owner fleet risk far above national
+22.4 vs natl
SKYBLUE HEALTHCARE MANAGEMENT LLC
6 facilities
connection
Owner spans multiple chains
6 chains
GANZ DAVID
14 facilities
connection
Owner fleet enforcement cluster
67% fined
KRAVETZ AVROHOM
6 facilities
connection
Owner fleet enforcement cluster
60% fined
RETTER S ARYEH
5 facilities
connection
Owner fleet enforcement cluster
53% fined
GANZ DAVID
15 facilities
connection
Owner fleet enforcement cluster
50% fined
SKYBLUE HEALTHCARE MANAGEMENT LLC
6 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
2.88
2.78
3.28
2.90–3.77
RN
0.08
0.18
0.39
0.25–0.58
Weekend total
2.83
2.72
3.11
—
Weekday total
2.91
2.80
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
92.6
2.88
0.08
1.09
1.72
2.83
7.0%
2025Q3
92
83.4
2.24
0.06
0.82
1.37
2.33
12.0%
2025Q2
91
91.9
2.73
0.10
1.10
1.53
2.46
4.6%
2025Q1
90
93.7
2.56
0.21
0.95
1.40
2.29
4.2%
2024Q4
92
89.9
2.67
0.23
0.94
1.50
2.45
2.9%
2024Q3
92
90.6
2.69
0.22
0.97
1.50
2.50
2.3%
2024Q2
91
88.3
2.87
0.17
1.05
1.64
2.61
1.8%
2024Q1
91
86.7
2.84
0.10
1.08
1.66
2.58
1.7%
2023Q4
92
84.3
2.90
0.18
1.15
1.58
2.55
0.1%
2023Q3
92
84.0
3.33
0.11
1.16
2.06
2.99
2.7%
2023Q2
91
80.6
3.22
0.07
1.14
2.00
2.77
7.9%
2023Q1
90
86.6
3.36
0.03
1.36
1.96
2.96
7.9%
2022Q4
92
90.3
3.20
0.10
1.12
1.98
2.95
21.0%
2022Q3
92
88.4
3.60
0.10
1.33
2.17
3.36
42.9%
2022Q2
91
82.1
3.79
0.11
1.24
2.43
3.38
52.6%
2022Q1
90
73.3
3.63
0.23
1.10
2.31
3.57
45.5%
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.
Allow residents to self-administer drugs if determined clinically appropriate.
D
2026-04-30
2026-03-11
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2026-03-12
2024-12-23
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
2025-01-20
2024-12-23
Health · complaint
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2025-01-20
2022-07-20
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2022-08-18
2022-07-20
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
2022-08-18
2022-07-20
Health
F0692
Provide enough food/fluids to maintain a resident's health.
G
2022-08-17
2022-07-20
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
2022-08-17
2022-07-20
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2022-08-17
2022-07-20
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-08-17
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
16
Owner
Role
Pct
From
Status
Source
BEARER, RUBEN
ADP OF THE SNF
—
2025-06-01
current
pecos_ownership
FRANCISCAN VILLA SNF REALTY LLC
ADP OF THE SNF
—
2025-06-01
current
pecos_ownership
GANZ, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2025-06-01
current
pecos_ownership
HANOVER, YAACOV
INDIRECT OWNERSHIP INTEREST
—
2025-06-01
current
pecos_ownership
KRAVETZ, AVROHOM
INDIRECT OWNERSHIP INTEREST
—
2025-06-01
current
pecos_ownership
MOORE, JOSEPH
ADP OF THE SNF
—
2025-06-01
current
pecos_ownership
RETTER, S. ARYEH
ADP OF THE SNF
—
2025-06-01
current
pecos_ownership
RIVERS EDGE OPERATIONS III LLC
DIRECT OWNERSHIP INTEREST
—
2025-06-01
current
pecos_ownership
RIVERS EDGE PARTNERS II LLC
INDIRECT OWNERSHIP INTEREST
—
2025-06-01
current
pecos_ownership
RIVERS EDGE PROPERTY HOLDINGS III LLC
ADP OF THE SNF
—
2025-06-01
current
pecos_ownership
SKYBLUE HEALTHCARE MANAGEMENT LLC
ADP OF THE SNF
—
2026-01-26
current
pecos_ownership
SKYBLUE HEALTHCARE MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-01
current
pecos_ownership
DIAKONOS GROUP, LLC
DIRECT OWNERSHIP INTEREST
100%
2015-06-01
ended 2026-05-18
pecos_ownership
SCOTT PILGRIM
CORPORATE OFFICER
100%
2015-06-01
ended 2026-05-18
pecos_ownership
CRYSTAL REEVE
ADP OF THE SNF
—
2023-07-24
ended 2026-05-18
pecos_ownership
WILLIAM BUSH
ADP OF THE SNF
—
2020-10-10
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
36
Geo
Kind
BR
Amount
As of
Source
county 40143
acs median gross
0
$840
2024-12-31
CENSUS_ACS5
county 40143
fmr
0
$933
2025-10-01
HUD_USER_FMR
county 40143
acs median gross
1
$911
2024-12-31
CENSUS_ACS5
county 40143
fmr
1
$987
2025-10-01
HUD_USER_FMR
county 40143
acs median gross
2
$1,128
2024-12-31
CENSUS_ACS5
county 40143
fmr
2
$1,217
2025-10-01
HUD_USER_FMR
county 40143
acs median gross
3
$1,368
2024-12-31
CENSUS_ACS5
county 40143
fmr
3
$1,602
2025-10-01
HUD_USER_FMR
county 40143
acs median gross
4
$1,716
2024-12-31
CENSUS_ACS5
county 40143
fmr
4
$1,858
2025-10-01
HUD_USER_FMR
county 40143
acs median gross
5
$1,806
2024-12-31
CENSUS_ACS5
county 40143
acs median gross
$1,110
2024-12-31
CENSUS_ACS5
county 40143
acs recent mover gross
$1,198
2024-12-31
CENSUS_ACS5
zcta 74012
acs median gross
0
$1,170
2024-12-31
CENSUS_ACS5
zcta 74012
acs median gross
1
$1,045
2024-12-31
CENSUS_ACS5
zcta 74012
acs median gross
2
$1,268
2024-12-31
CENSUS_ACS5
zcta 74012
acs median gross
3
$1,519
2024-12-31
CENSUS_ACS5
zcta 74012
acs median gross
4
$2,087
2024-12-31
CENSUS_ACS5
zcta 74012
acs median gross
5
$2,083
2024-12-31
CENSUS_ACS5
zcta 74012
acs median gross
$1,297
2024-12-31
CENSUS_ACS5
zcta 74012
acs recent mover gross
$1,431
2024-12-31
CENSUS_ACS5
zip 74012
payment standard 110
0
$1,199
2025-10-01
HUD_USER_SAFMR
zip 74012
payment standard 90
0
$981
2025-10-01
HUD_USER_SAFMR
zip 74012
safmr
0
$1,090
2025-10-01
HUD_USER_SAFMR
zip 74012
payment standard 110
1
$1,265
2025-10-01
HUD_USER_SAFMR
zip 74012
payment standard 90
1
$1,035
2025-10-01
HUD_USER_SAFMR
zip 74012
safmr
1
$1,150
2025-10-01
HUD_USER_SAFMR
zip 74012
payment standard 110
2
$1,562
2025-10-01
HUD_USER_SAFMR
zip 74012
payment standard 90
2
$1,278
2025-10-01
HUD_USER_SAFMR
zip 74012
safmr
2
$1,420
2025-10-01
HUD_USER_SAFMR
zip 74012
payment standard 110
3
$2,057
2025-10-01
HUD_USER_SAFMR
zip 74012
payment standard 90
3
$1,683
2025-10-01
HUD_USER_SAFMR
zip 74012
safmr
3
$1,870
2025-10-01
HUD_USER_SAFMR
zip 74012
payment standard 110
4
$2,387
2025-10-01
HUD_USER_SAFMR
zip 74012
payment standard 90
4
$1,953
2025-10-01
HUD_USER_SAFMR
zip 74012
safmr
4
$2,170
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.