2610 CEDAR CREEK DRIVE, ALTUS, OK 73521 · CCN 375505 · chain BRIDGES ESOP INC
Composite
68.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
158
Model
v1.2
Reads as: riskier than 68.2% 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
8
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+30.8 vs natl
AMITY CARE LLC
6 facilities
connection
Owner fleet risk far above national
+24.6 vs natl
LONG DENNIS
6 facilities
connection
Owner fleet risk far above national
+20.6 vs natl
DIMOND MICHAEL
5 facilities
connection
Owner spans multiple chains
9 chains
ORIX REAL ESTATE CAPITAL LLC
17 facilities
connection
Owner fleet enforcement cluster
67% fined
AMITY CARE LLC
6 facilities
connection
Owner fleet enforcement cluster
60% fined
DIMOND MICHAEL
5 facilities
connection
Owner fleet enforcement cluster
57% fined
DUNCAN ROBERT
7 facilities
connection
Owner fleet enforcement cluster
50% fined
LONG DENNIS
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
2.96
2.78
3.28
2.90–3.77
RN
0.35
0.18
0.39
0.25–0.58
Weekend total
2.74
2.72
3.11
—
Weekday total
3.04
2.80
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
75.8
2.96
0.35
0.88
1.72
2.74
2.6%
2025Q3
92
74.9
3.14
0.39
0.86
1.90
2.77
3.4%
2025Q2
91
76.4
2.81
0.32
0.99
1.49
2.50
3.0%
2025Q1
90
78.2
2.57
0.30
0.90
1.37
2.44
3.3%
2024Q4
92
73.8
2.50
0.26
0.82
1.42
2.48
4.4%
2024Q3
92
79.0
2.42
0.35
0.77
1.30
2.51
0.4%
2024Q2
91
77.7
2.57
0.37
0.74
1.46
2.54
2.0%
2024Q1
91
80.9
2.65
0.43
0.75
1.48
2.58
1.2%
2023Q4
92
88.0
2.40
0.32
0.72
1.36
2.31
4.7%
2023Q3
92
86.3
2.39
0.42
0.63
1.34
2.35
6.5%
2023Q2
91
84.8
2.24
0.21
0.87
1.16
2.11
0.7%
2023Q1
90
80.4
2.34
0.21
0.86
1.28
2.22
0.0%
2022Q4
92
83.0
2.42
0.21
0.73
1.48
2.23
0.0%
2022Q3
92
84.5
2.48
0.19
0.83
1.46
2.29
0.0%
2022Q2
91
82.5
2.50
0.18
0.88
1.43
2.30
0.0%
2022Q1
90
81.8
2.38
0.20
0.80
1.39
2.29
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
17
D × 10E × 7
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-01-28
Health
F0687
Provide appropriate foot care.
E
2026-02-17
2024-11-05
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-11-26
2024-11-05
Health · complaint
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2024-11-26
2024-09-10
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-10-15
2024-09-10
Health · complaint
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
D
2024-10-15
2024-09-10
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-10-15
2024-09-10
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-10-15
2024-06-21
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
E
2024-08-13
2024-06-21
Health
F0637
Assess the resident when there is a significant change in condition
D
2024-08-13
2024-06-21
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2024-08-13
2024-06-21
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2024-08-13
2024-06-21
Health · complaint
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2024-08-13
2024-06-21
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-08-13
2024-01-17
Health · complaint
F0626
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
D
2024-02-07
2023-05-04
Health
F0637
Assess the resident when there is a significant change in condition
D
2023-06-14
2023-05-04
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-06-14
2023-05-04
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2023-06-14
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
27
Owner
Role
Pct
From
Status
Source
BRIDGES EMPLOYEE STOCK OWNERSHIP TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2020-12-31
current
pecos_ownership
ALTUS REAL ESTATE, LLC
ADP OF THE SNF
—
2006-06-30
current
pecos_ownership
AMITY CARE, LLC
ADP OF THE SNF
—
2025-11-25
current
pecos_ownership
BAKER, KAREN
ADP OF THE SNF
—
2025-08-04
current
pecos_ownership
BOONE, MICHAEL
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
COBLE, WILLIAM
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
COBLE, WILLIAM
CORPORATE OFFICER
—
2020-04-01
current
pecos_ownership
DEROIN, KRISTY
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-01
current
pecos_ownership
DIMOND, MICHAEL
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-11-25
current
pecos_ownership
DUNCAN, ROBERT
ADP OF THE SNF
—
2022-12-13
current
pecos_ownership
FLP, L.L.C.
ADP OF THE SNF
—
2025-12-03
current
pecos_ownership
GRIFFIN, WILLIAM
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
KENNETH D. GREINER III REVOCABLE TRUST
5% OR GREATER SECURITY INTEREST
—
2020-12-31
current
pecos_ownership
LONG, DENNIS
ADP OF THE SNF
—
2021-01-01
current
pecos_ownership
MAHANEY, JULIE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-01
current
pecos_ownership
ORIX REAL ESTATE CAPITAL LLC
5% OR GREATER MORTGAGE INTEREST
—
2023-05-01
current
pecos_ownership
RENEW PROPERTIES, LLC
ADP OF THE SNF
—
2026-04-30
current
pecos_ownership
BRIDGES ESOP, INC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2020-12-31
ended 2026-05-18
pecos_ownership
WILLIAM COBLE
CORPORATE OFFICER
100%
2020-04-01
ended 2026-05-18
pecos_ownership
WILLIAM GRIFFIN
CORPORATE DIRECTOR
100%
2021-01-01
ended 2026-05-18
pecos_ownership
DENNIS LONG
ADP OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
JULIE MAHANEY
ADP OF THE SNF
—
2024-07-01
ended 2026-05-18
pecos_ownership
KAREN BAKER
ADP OF THE SNF
—
2025-08-04
ended 2026-05-18
pecos_ownership
KRISTY DEROIN
ADP OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
MICHAEL BOONE
ADP OF THE SNF
—
2021-01-01
ended 2026-05-18
pecos_ownership
ROBERT DUNCAN
ADP OF THE SNF
—
2022-12-13
ended 2026-05-18
pecos_ownership
WILLIAM COBLE
ADP OF THE SNF
—
2021-01-01
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
$632,609
—
—
—
—
1
—
2023-12-31
$655,782
—
—
—
—
1
—
2022-12-31
$657,607
—
—
—
—
2
—
2021-12-31
$613,100
—
—
—
—
2
—
2020-12-31
$1,426,360
—
—
$388,582
—
5
—
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 40065
acs median gross
0
$654
2024-12-31
CENSUS_ACS5
county 40065
fmr
0
$705
2025-10-01
HUD_USER_FMR
county 40065
acs median gross
1
$588
2024-12-31
CENSUS_ACS5
county 40065
fmr
1
$714
2025-10-01
HUD_USER_FMR
county 40065
acs median gross
2
$770
2024-12-31
CENSUS_ACS5
county 40065
fmr
2
$937
2025-10-01
HUD_USER_FMR
county 40065
acs median gross
3
$1,008
2024-12-31
CENSUS_ACS5
county 40065
fmr
3
$1,289
2025-10-01
HUD_USER_FMR
county 40065
acs median gross
4
$1,438
2024-12-31
CENSUS_ACS5
county 40065
fmr
4
$1,572
2025-10-01
HUD_USER_FMR
county 40065
acs median gross
$842
2024-12-31
CENSUS_ACS5
county 40065
acs recent mover gross
$760
2024-12-31
CENSUS_ACS5
zcta 73521
acs median gross
0
$657
2024-12-31
CENSUS_ACS5
zcta 73521
acs median gross
1
$592
2024-12-31
CENSUS_ACS5
zcta 73521
acs median gross
2
$813
2024-12-31
CENSUS_ACS5
zcta 73521
acs median gross
3
$1,025
2024-12-31
CENSUS_ACS5
zcta 73521
acs median gross
4
$1,468
2024-12-31
CENSUS_ACS5
zcta 73521
acs median gross
$861
2024-12-31
CENSUS_ACS5
zcta 73521
acs recent mover gross
$769
2024-12-31
CENSUS_ACS5
zip 73521
payment standard 110
0
$803
2025-10-01
HUD_USER_SAFMR
zip 73521
payment standard 90
0
$657
2025-10-01
HUD_USER_SAFMR
zip 73521
safmr
0
$730
2025-10-01
HUD_USER_SAFMR
zip 73521
payment standard 110
1
$814
2025-10-01
HUD_USER_SAFMR
zip 73521
payment standard 90
1
$666
2025-10-01
HUD_USER_SAFMR
zip 73521
safmr
1
$740
2025-10-01
HUD_USER_SAFMR
zip 73521
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 73521
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 73521
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 73521
payment standard 110
3
$1,463
2025-10-01
HUD_USER_SAFMR
zip 73521
payment standard 90
3
$1,197
2025-10-01
HUD_USER_SAFMR
zip 73521
safmr
3
$1,330
2025-10-01
HUD_USER_SAFMR
zip 73521
payment standard 110
4
$1,793
2025-10-01
HUD_USER_SAFMR
zip 73521
payment standard 90
4
$1,467
2025-10-01
HUD_USER_SAFMR
zip 73521
safmr
4
$1,630
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.