514 E 16TH ST, BEDFORD, IN 47421 · CCN 155388 · chain MAJOR HOSPITAL
Composite
61.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
37
Model
v1.2
Reads as: riskier than 61.1% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+24.2 vs natl
CLAXTON RYAN
23 facilities
connection
Owner spans multiple chains
10 chains
NEESE KEVIN
12 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
IN median
National median
National p25–p75
Total nurse
2.50
2.85
3.28
2.90–3.77
RN
0.16
0.40
0.39
0.25–0.58
Weekend total
2.43
2.71
3.11
—
Weekday total
2.53
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
33.8
2.50
0.16
0.57
1.77
2.43
7.2%
2025Q3
92
32.4
2.67
0.16
0.60
1.91
2.57
7.3%
2025Q2
91
32.0
2.78
0.19
0.60
1.99
2.74
2.1%
2025Q1
90
29.4
3.00
0.20
0.70
2.10
2.84
5.5%
2024Q4
92
31.5
2.96
0.17
0.68
2.11
2.80
4.8%
2024Q3
92
30.9
2.86
0.19
0.66
2.01
2.82
3.6%
2024Q2
91
32.7
2.62
0.19
0.61
1.82
2.40
0.2%
2024Q1
91
31.5
2.88
0.21
0.67
1.99
2.67
0.2%
2023Q4
92
34.5
2.51
0.21
0.57
1.73
2.36
0.2%
2023Q3
92
34.7
2.34
0.21
0.55
1.57
2.32
0.0%
2023Q2
91
34.4
2.36
0.31
0.50
1.56
2.31
0.0%
2023Q1
90
33.0
2.29
0.34
0.44
1.51
2.32
0.6%
2022Q4
92
32.2
2.10
0.23
0.54
1.33
1.90
6.6%
2022Q3
92
33.6
2.04
0.26
0.45
1.33
1.90
1.5%
2022Q2
91
32.3
1.92
0.28
0.49
1.16
1.70
0.0%
2022Q1
90
32.4
2.02
0.30
0.42
1.30
1.89
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
13
D × 9E × 3G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-03-19
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
E
2026-04-10
2026-03-19
Health
F0912
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
D
—
2026-03-19
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2026-04-10
2025-10-24
Health · complaint
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.
G
2025-11-07
2025-03-06
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-03-21
2025-03-06
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-03-21
2025-02-20
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
2025-03-14
2025-02-20
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-03-14
2025-02-20
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-03-14
2025-02-20
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-03-14
2025-02-20
Health
F0912
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
D
2025-03-14
2025-01-17
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-01-31
2024-04-26
Health
F0912
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
D
2024-05-14
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
20
Owner
Role
Pct
From
Status
Source
BLUE MANAGEMENT SERVICES LLC
ADP OF THE SNF
—
2020-05-01
current
pecos_ownership
BRAZZELL, CHARLES
OPERATIONAL/MANAGERIAL CONTROL
—
2002-09-23
current
pecos_ownership
CLAXTON, RYAN
CORPORATE OFFICER
—
2025-03-27
current
pecos_ownership
CORE AND ASSOCIATES LLC
ADP OF THE SNF
—
2013-11-01
current
pecos_ownership
CORE OF BEDFORD INC
ADP OF THE SNF
—
2025-10-03
current
pecos_ownership
CORE OF BEDFORD INC
OPERATIONAL/MANAGERIAL CONTROL
—
2013-11-01
current
pecos_ownership
FIRST HARRISON BANK
ADP OF THE SNF
—
2000-01-01
current
pecos_ownership
HORTON, FRANCES
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-10-06
current
pecos_ownership
HSC MEDICAL BILLING & CONSULTING LLC
ADP OF THE SNF
—
2000-01-01
current
pecos_ownership
JORDAN, SUSAN
ADP OF THE SNF
—
2015-09-23
current
pecos_ownership
NEESE, KEVIN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-04
current
pecos_ownership
RD DINING
ADP OF THE SNF
—
2024-10-01
current
pecos_ownership
WHEELER, WHITNEY
CORPORATE OFFICER
—
2023-09-28
current
pecos_ownership
WILLIAMS BROS HEALTH CARE PHARMACY INC
ADP OF THE SNF
—
2008-04-01
current
pecos_ownership
CHARLES BRAZZELL
OPERATIONAL/MANAGERIAL CONTROL
100%
2002-09-23
ended 2026-05-18
pecos_ownership
MAJOR HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2013-11-01
ended 2026-05-18
pecos_ownership
KEVIN NEESE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-04
ended 2026-05-18
pecos_ownership
RYAN CLAXTON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-27
ended 2026-05-18
pecos_ownership
SUSAN JORDAN
ADP OF THE SNF
—
2015-09-23
ended 2026-05-18
pecos_ownership
WHITNEY WHEELER
ADP OF THE SNF
—
2023-09-28
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
32
Geo
Kind
BR
Amount
As of
Source
county 18093
acs median gross
0
$552
2024-12-31
CENSUS_ACS5
county 18093
fmr
0
$685
2025-10-01
HUD_USER_FMR
county 18093
acs median gross
1
$569
2024-12-31
CENSUS_ACS5
county 18093
fmr
1
$729
2025-10-01
HUD_USER_FMR
county 18093
acs median gross
2
$880
2024-12-31
CENSUS_ACS5
county 18093
fmr
2
$956
2025-10-01
HUD_USER_FMR
county 18093
acs median gross
3
$942
2024-12-31
CENSUS_ACS5
county 18093
fmr
3
$1,146
2025-10-01
HUD_USER_FMR
county 18093
acs median gross
4
$1,194
2024-12-31
CENSUS_ACS5
county 18093
fmr
4
$1,447
2025-10-01
HUD_USER_FMR
county 18093
acs median gross
$845
2024-12-31
CENSUS_ACS5
county 18093
acs recent mover gross
$868
2024-12-31
CENSUS_ACS5
zcta 47421
acs median gross
1
$572
2024-12-31
CENSUS_ACS5
zcta 47421
acs median gross
2
$890
2024-12-31
CENSUS_ACS5
zcta 47421
acs median gross
3
$920
2024-12-31
CENSUS_ACS5
zcta 47421
acs median gross
$835
2024-12-31
CENSUS_ACS5
zcta 47421
acs recent mover gross
$833
2024-12-31
CENSUS_ACS5
zip 47421
payment standard 110
0
$781
2025-10-01
HUD_USER_SAFMR
zip 47421
payment standard 90
0
$639
2025-10-01
HUD_USER_SAFMR
zip 47421
safmr
0
$710
2025-10-01
HUD_USER_SAFMR
zip 47421
payment standard 110
1
$891
2025-10-01
HUD_USER_SAFMR
zip 47421
payment standard 90
1
$729
2025-10-01
HUD_USER_SAFMR
zip 47421
safmr
1
$810
2025-10-01
HUD_USER_SAFMR
zip 47421
payment standard 110
2
$1,089
2025-10-01
HUD_USER_SAFMR
zip 47421
payment standard 90
2
$891
2025-10-01
HUD_USER_SAFMR
zip 47421
safmr
2
$990
2025-10-01
HUD_USER_SAFMR
zip 47421
payment standard 110
3
$1,386
2025-10-01
HUD_USER_SAFMR
zip 47421
payment standard 90
3
$1,134
2025-10-01
HUD_USER_SAFMR
zip 47421
safmr
3
$1,260
2025-10-01
HUD_USER_SAFMR
zip 47421
payment standard 110
4
$1,650
2025-10-01
HUD_USER_SAFMR
zip 47421
payment standard 90
4
$1,350
2025-10-01
HUD_USER_SAFMR
zip 47421
safmr
4
$1,500
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.