1502 WEST EDGEWOOD, SPRINGFIELD, MO 65807 · CCN 265731 · chain RHC OPERATIONS INC
Composite
79.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 79.1% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+20.6 vs natl
DVORAK NORA
10 facilities
connection
Owner spans multiple chains
4 chains
PHARMACY CONSULTS LLC
35 facilities
connection
Owner spans multiple chains
4 chains
MCGINNIS LARRY
36 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
3.05
2.41
3.28
2.90–3.77
RN
0.16
0.25
0.39
0.25–0.58
Weekend total
2.38
2.24
3.11
—
Weekday total
3.31
2.49
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
93.2
3.05
0.16
0.72
2.17
2.38
0.0%
2025Q3
92
95.3
2.70
0.17
0.55
1.98
2.21
0.0%
2025Q2
91
94.1
2.75
0.34
0.49
1.92
2.23
0.0%
2025Q1
90
94.7
2.98
0.35
0.51
2.12
2.36
0.0%
2024Q4
92
98.4
2.81
0.34
0.46
2.01
2.23
0.0%
2024Q3
92
100.1
2.83
0.27
0.60
1.96
2.23
0.0%
2024Q2
91
101.9
2.80
0.19
0.68
1.93
2.03
0.0%
2024Q1
91
97.9
2.61
0.16
0.47
1.97
2.09
0.0%
2023Q4
92
95.8
2.34
0.20
0.43
1.71
1.92
0.0%
2023Q3
92
96.9
2.10
0.14
0.48
1.48
1.64
0.0%
2023Q2
91
94.2
2.13
0.18
0.49
1.46
1.76
0.0%
2023Q1
90
87.8
2.25
0.15
0.53
1.56
1.85
0.0%
2022Q4
92
84.1
2.10
0.16
0.54
1.41
1.79
0.0%
2022Q3
92
82.7
2.22
0.20
0.51
1.52
2.02
10.7%
2022Q2
91
83.2
2.21
0.23
0.54
1.44
1.95
25.8%
2022Q1
90
78.1
1.75
0.22
0.46
1.08
1.86
19.1%
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2026-03-02
2025-02-14
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K
2025-03-31
2025-02-14
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-03-31
2024-08-23
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-10-04
2023-12-14
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-01-28
2023-12-14
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2024-01-28
2021-06-25
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2021-08-10
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
41
Owner
Role
Pct
From
Status
Source
3B HOLDINGS, LLC
ADP OF THE SNF
—
2016-10-01
current
pecos_ownership
ADAMS, ANTHONY
ADP OF THE SNF
—
2016-10-01
current
pecos_ownership
ADAMS, BRYAN
ADP OF THE SNF
—
2016-10-01
current
pecos_ownership
ALUMNO, MARTIN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-08-28
current
pecos_ownership
CENTENNIAL BANK
ADP OF THE SNF
—
2016-10-01
current
pecos_ownership
DVORAK, NORA
ADP OF THE SNF
—
2017-01-01
current
pecos_ownership
ELLIS, JOHN
ADP OF THE SNF
—
2016-10-01
current
pecos_ownership
GREENECO RE WEST LLS
Other (financial or non-financial)
—
2023-01-01
current
hcris_a_8_1
GREENECO RE WEST LLS
Other (financial or non-financial)
—
2024-01-01
current
hcris_a_8_1
GREENECO RE WEST, LLC
ADP OF THE SNF
—
2016-10-01
current
pecos_ownership
HOME BANCSHARES
ADP OF THE SNF
—
2016-10-01
current
pecos_ownership
INCITE REHAB, LLC
ADP OF THE SNF
—
2016-10-01
current
pecos_ownership
KOEHLER, TOBEY
ADP OF THE SNF
—
2016-10-01
current
pecos_ownership
LTC SYSTEMS/RX, LLC
ADP OF THE SNF
—
2016-10-01
current
pecos_ownership
MAINORD, WILLIAM
ADP OF THE SNF
—
2016-10-01
current
pecos_ownership
MCGINNIS, LARRY
ADP OF THE SNF
—
2016-10-01
current
pecos_ownership
PARKER, SHANA
MANAGING CONTROL - GOVERNING BODY
—
2018-11-26
current
pecos_ownership
PEDIGO, RITA
ADP OF THE SNF
—
2016-10-01
current
pecos_ownership
PHARMACY CONSULTS, LLC
ADP OF THE SNF
—
2016-10-01
current
pecos_ownership
RELIANCE HEALTH CARE, INC.
ADP OF THE SNF
—
2016-10-01
current
pecos_ownership
RHC OPERATIONS INC
DIRECT OWNERSHIP INTEREST
—
2016-08-07
current
pecos_ownership
SCROGGINS, JESSE
MANAGING CONTROL - GOVERNING BODY
—
2024-08-28
current
pecos_ownership
THE HEARTLAND AGENCY
Corporation, partnership or other organization has financial interest in provider
—
2024-01-01
current
hcris_a_8_1
THE HEARTLAND AGENCY
Corporation, partnership or other organization has financial interest in provider
—
2023-01-01
current
hcris_a_8_1
SHANA PARKER
OPERATIONAL/MANAGERIAL CONTROL
100%
2018-11-26
ended 2026-05-18
pecos_ownership
ANTHONY ADAMS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2016-10-01
ended 2026-05-18
pecos_ownership
BRYAN ADAMS
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2016-10-01
ended 2026-05-18
pecos_ownership
MARTIN ALUMNO
OPERATIONAL/MANAGERIAL CONTROL
0%
2024-08-28
ended 2026-05-18
pecos_ownership
GREENECO RE WEST LLS
Other (financial or non-financial)
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
GREENECO RE WEST LLS
Other (financial or non-financial)
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
GREENECO RE WEST LLS
Other (financial or non-financial)
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
JESSE SCROGGINS
ADP OF THE SNF
—
2024-08-28
ended 2026-05-18
pecos_ownership
JOHN ELLIS
ADP OF THE SNF
—
2016-10-01
ended 2026-05-18
pecos_ownership
LARRY MCGINNIS
ADP OF THE SNF
—
2016-10-01
ended 2026-05-18
pecos_ownership
NORA DVORAK
ADP OF THE SNF
—
2017-01-01
ended 2026-05-18
pecos_ownership
RITA PEDIGO
ADP OF THE SNF
—
2016-10-01
ended 2026-05-18
pecos_ownership
THE HEARTLAND AGENCY
Corporation, partnership or other organization has financial interest in provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
THE HEARTLAND AGENCY
Corporation, partnership or other organization has financial interest in provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
THE HEARTLAND AGENCY
Corporation, partnership or other organization has financial interest in provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
TOBEY KOEHLER
ADP OF THE SNF
—
2016-10-01
ended 2026-05-18
pecos_ownership
WILLIAM MAINORD
ADP OF THE SNF
—
2016-10-01
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
$1,713,655
—
—
$281,755
$163,245
13
propco
2023-12-31
$1,606,948
—
—
$207,570
$113,515
14
propco
2022-12-31
$1,513,279
—
—
$211,661
$120,841
14
propco
2021-12-31
$1,569,424
—
—
$220,971
$103,055
14
propco
2020-12-31
$1,378,084
—
—
$226,018
$123,676
14
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
36
Geo
Kind
BR
Amount
As of
Source
county 29077
acs median gross
0
$769
2024-12-31
CENSUS_ACS5
county 29077
fmr
0
$877
2025-10-01
HUD_USER_FMR
county 29077
acs median gross
1
$807
2024-12-31
CENSUS_ACS5
county 29077
fmr
1
$883
2025-10-01
HUD_USER_FMR
county 29077
acs median gross
2
$985
2024-12-31
CENSUS_ACS5
county 29077
fmr
2
$1,095
2025-10-01
HUD_USER_FMR
county 29077
acs median gross
3
$1,252
2024-12-31
CENSUS_ACS5
county 29077
fmr
3
$1,498
2025-10-01
HUD_USER_FMR
county 29077
acs median gross
4
$1,436
2024-12-31
CENSUS_ACS5
county 29077
fmr
4
$1,701
2025-10-01
HUD_USER_FMR
county 29077
acs median gross
5
$1,116
2024-12-31
CENSUS_ACS5
county 29077
acs median gross
$989
2024-12-31
CENSUS_ACS5
county 29077
acs recent mover gross
$1,089
2024-12-31
CENSUS_ACS5
zcta 65807
acs median gross
0
$932
2024-12-31
CENSUS_ACS5
zcta 65807
acs median gross
1
$917
2024-12-31
CENSUS_ACS5
zcta 65807
acs median gross
2
$1,048
2024-12-31
CENSUS_ACS5
zcta 65807
acs median gross
3
$1,319
2024-12-31
CENSUS_ACS5
zcta 65807
acs median gross
4
$1,624
2024-12-31
CENSUS_ACS5
zcta 65807
acs median gross
5
$895
2024-12-31
CENSUS_ACS5
zcta 65807
acs median gross
$1,054
2024-12-31
CENSUS_ACS5
zcta 65807
acs recent mover gross
$1,157
2024-12-31
CENSUS_ACS5
zip 65807
payment standard 110
0
$1,056
2025-10-01
HUD_USER_SAFMR
zip 65807
payment standard 90
0
$864
2025-10-01
HUD_USER_SAFMR
zip 65807
safmr
0
$960
2025-10-01
HUD_USER_SAFMR
zip 65807
payment standard 110
1
$1,067
2025-10-01
HUD_USER_SAFMR
zip 65807
payment standard 90
1
$873
2025-10-01
HUD_USER_SAFMR
zip 65807
safmr
1
$970
2025-10-01
HUD_USER_SAFMR
zip 65807
payment standard 110
2
$1,320
2025-10-01
HUD_USER_SAFMR
zip 65807
payment standard 90
2
$1,080
2025-10-01
HUD_USER_SAFMR
zip 65807
safmr
2
$1,200
2025-10-01
HUD_USER_SAFMR
zip 65807
payment standard 110
3
$1,804
2025-10-01
HUD_USER_SAFMR
zip 65807
payment standard 90
3
$1,476
2025-10-01
HUD_USER_SAFMR
zip 65807
safmr
3
$1,640
2025-10-01
HUD_USER_SAFMR
zip 65807
payment standard 110
4
$2,046
2025-10-01
HUD_USER_SAFMR
zip 65807
payment standard 90
4
$1,674
2025-10-01
HUD_USER_SAFMR
zip 65807
safmr
4
$1,860
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.