Screener / 375535

LATIMER NURSING HOME

snfOK

103 SOUTHWEST 9TH STREET, WILBURTON, OK 74578 · CCN 375535

Composite

78.3 / 100 percentile

Peer group

snf n = 14,684

Evidence depth

deep

Certified beds

Model

v1.2

Reads as: riskier than 78.3% 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.

Score model5 ML signals2 Components16 CHOW radar1 Distress radar1 Staffing16 Penalties23 Deficiencies21 Licensure0 Ownership8 Related party1 Transactions1 Comps12 Market rent32

Composite explanation

Component	Percentile	Raw	Weight	Weight share	Contribution	Counts
financial risk	94.1	83.2	0.30	0.2308	21.72	in index
regulatory risk	68.2	62.2	0.30	0.2308	15.74	in index
staffing risk	80.8	80.8	0.25	0.1923	15.54	in index
chow risk	58.1	56.5	0.15	0.1154	6.70	in index
billing conduct	0.0	0.0	0.30	0.2308	0.00	in index

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

Kind	Finding	Signal	Subject	First seen
anomaly	Quarter-over-quarter staffing cliff	−79% QoQ	this facility	2026-07-29
anomaly	Staffing collapse vs state peers	3.6σ below	this facility	2026-07-29

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.

Component scores and registry models

Score type	Score	Grade	Model	Status	Registry model notes
billing conduct	0.0	A	v0.1-pacpuf-snf	default · in composite	R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk	25.0	B	v0.1-pos	default · in composite	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.
chow risk	87.9	F	v0.6	default · in composite
financial risk	83.2	F	v0.5	default · in composite	R18.
p adverse action 12m	0.6	—	v0.1	default · in composite	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.
p chow 12m	0.0	—	v0.1	default · in 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.
regulatory risk	62.2	C	v0.3	default · in composite	Deficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk	80.8	F	v0.3	default · in composite	Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk	55.0	C	v0.1	superseded	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.
financial risk	35.0	B	v0.2	superseded	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.
financial risk	67.1	D	v0.3	superseded	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.
financial risk	83.1	F	v0.4	superseded	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.
regulatory risk	62.0	C	v0.1	superseded	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.
regulatory risk	62.0	C	v0.2	superseded	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.
staffing risk	80.8	F	v0.1	superseded	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.
staffing risk	80.8	F	v0.2	superseded	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.

CHOW radar — 12-month sale probability

full board →

p(CHOW, 12m)

0.0%

model v0.1 · computed 2026-07-29

Percentile among SNFs

7.0

100 = most likely to sell

Holdout AUC

0.874

evaluated before shipping, never refit

Driver	Value	Pull on odds
Never sold on record	0.00	-1.62
Current owner tenure (years)	2.74	-1.58
Ownership changes, last 5 years	1.00	-0.87
For-profit ownership	1.00	+0.69
No PBJ staffing report	0.00	+0.42
Chain size (log)	0.00	-0.40
Occupancy	0.57	+0.35
Deficiencies, last 12 months	0.00	-0.17

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.

Distress radar — 12-month termination probability

full board →

p(termination, 12m)

0.5%

model v0.1 · computed 2026-07-29

Percentile among SNFs

76.0

100 = most likely to lose certification

Holdout AUC

0.971

top decile caught 95% of actual exits

Driver	Value	Pull on odds
Deficiencies, last 12 months	0.00	+1.43
Chain size (log)	0.00	+1.20
Staffing trend, last 4 quarters	-1.72	-0.83
Occupancy	0.57	+0.73
For-profit ownership	1.00	-0.69
No PBJ staffing report	0.00	+0.39
Never sold on record	0.00	-0.28
Current owner tenure (years)	2.74	-0.26

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

2025Q4 HPRD	This facility	OK median	National median	National p25–p75
Total nurse	2.78	2.78	3.28	2.90–3.77
RN	0.28	0.18	0.39	0.25–0.58
Weekend total	3.15	2.72	3.11	—
Weekday total	2.63	2.80	3.35	—

Quarter	Days	Avg census	Total HPRD	RN	LPN	CNA	Weekend	Contract %
2025Q4	92	27.6	2.78	0.28	0.92	1.58	3.15	0.0%
2025Q3	92	28.5	0.71	0.22	0.37	0.12	0.70	0.0%
2025Q2	91	27.7	3.34	0.15	1.24	1.94	3.02	0.0%
2025Q1	90	27.6	2.71	0.14	0.92	1.65	2.30	0.0%
2024Q4	92	22.3	4.50	0.39	1.39	2.71	3.57	0.0%
2024Q3	92	22.7	2.83	0.22	0.50	2.10	2.39	0.0%
2024Q2	91	23.2	3.34	0.31	0.95	2.08	3.01	0.0%
2024Q1	91	23.4	3.24	0.45	0.77	2.03	3.02	0.0%
2023Q4	92	24.2	3.02	0.64	0.51	1.86	2.81	0.0%
2023Q3	92	25.3	3.02	0.61	0.60	1.81	2.83	0.0%
2023Q2	91	26.8	2.74	0.42	0.48	1.84	2.72	0.0%
2023Q1	90	25.5	2.73	0.40	0.59	1.74	2.69	0.0%
2022Q4	92	22.3	3.10	0.49	0.60	2.01	3.05	0.0%
2022Q3	92	23.6	1.13	0.14	0.21	0.77	1.14	0.0%
2022Q2	91	25.2	3.20	0.42	0.61	2.17	3.09	0.0%
2022Q1	90	27.7	2.86	0.27	0.66	1.93	2.86	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

fines by year

Date	Type	Fine	Source
2024-01-22	Fine	$14,679	CMS provider data
2024-01-08	Fine	$4,893	CMS provider data
2024-01-02	Fine	$4,545	CMS provider data
2023-12-11	Fine	$13,635	CMS provider data
2023-11-20	Fine	$4,587	CMS provider data
2023-11-13	Fine	$4,587	CMS provider data
2023-11-06	Fine	$4,587	CMS provider data
2023-10-30	Fine	$4,587	CMS provider data
2023-10-23	Fine	$4,587	CMS provider data
2023-10-17	Fine	$4,587	CMS provider data
2023-10-10	Fine	$4,587	CMS provider data
2023-10-02	Fine	$4,587	CMS provider data
2023-09-25	Fine	$4,587	CMS provider data
2023-09-18	Fine	$4,587	CMS provider data
2023-09-11	Fine	$4,587	CMS provider data
2023-09-05	Fine	$4,587	CMS provider data
2023-08-28	Fine	$4,587	CMS provider data
2023-08-21	Fine	$4,587	CMS provider data
2023-08-14	Fine	$4,587	CMS provider data
2023-08-07	Fine	$4,587	CMS provider data
2023-07-17	Fine	$13,762	CMS provider data
2023-06-26	Fine	$4,587	CMS provider data
2023-06-20	Fine	$4,587	CMS provider data

Total fines on record: $134,080

Deficiencies

D × 8E × 11F × 2

deficiencies by survey year

Survey	Type	Tag	Deficiency	Scope	Corrected
2025-05-13	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.	E	2025-07-01
2025-05-13	Health	F0636	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.	D	2025-07-01
2025-05-13	Health · complaint	F0677	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	2025-07-01
2025-05-13	Health · complaint	F0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	2025-07-01
2025-05-13	Health	F0880	Provide and implement an infection prevention and control program.	E	2025-07-01
2024-05-03	Health	F0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	2024-06-24
2024-05-03	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.	E	2024-06-24
2024-05-03	Health	F0641	Ensure each resident receives an accurate assessment.	E	2024-06-24
2024-05-03	Health	F0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	E	2024-06-24
2024-05-03	Health	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	2024-06-24
2024-05-03	Health	F0661	Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.	D	2024-06-24
2024-05-03	Health	F0695	Provide safe and appropriate respiratory care for a resident when needed.	D	2024-06-24
2024-05-03	Health	F0700	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	E	2024-06-24
2024-05-03	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	2024-06-24
2024-05-03	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	2024-06-24
2024-05-03	Health	F0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	2024-06-24
2024-05-03	Health	F0880	Provide and implement an infection prevention and control program.	F	2024-06-24
2024-05-03	Health	F0909	Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.	E	2024-06-24
2023-03-23	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.	F	2023-06-01
2023-03-23	Health	F0641	Ensure each resident receives an accurate assessment.	D	2023-06-01
2023-03-23	Health	F0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	2023-06-01

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

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

Owner	Role	Pct	From	Status	Source
TIDWELL, DARREN	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	2023-07-11	current	pecos_ownership
TIDWELL, MELISSA	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	2023-11-01	current	pecos_ownership
TIDWELL, DARREN	ADP OF THE SNF	—	2025-01-22	current	pecos_ownership
TIDWELL, PARKER	W-2 MANAGING EMPLOYEE	—	2023-07-11	current	pecos_ownership
DARREN TIDWELL	CORPORATE OFFICER	100%	2023-07-11	ended 2026-05-18	pecos_ownership
PARKER TIDWELL	W-2 MANAGING EMPLOYEE	100%	2023-07-11	ended 2026-05-18	pecos_ownership
MELISSA TIDWELL	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	2023-11-01	ended 2026-05-18	pecos_ownership
DARREN TIDWELL	OPERATIONAL/MANAGERIAL CONTROL	—	2025-01-22	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

FY end	Total allowable	Rent	Home office	Therapy	Staffing	Counterparties	PropCo
2024-12-31	$23,593	—	—	—	—	1	—

Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.

Transactions

Close date	Price	Buyer	Seller	Evidence
2023-11-01	—	LATIMER LONG TERM CARE LLC	EASTERN OKLAHOMA NURSING HOMES, INC.	chow

Comparable trades — OK snf

Close	Facility	Price	$/bed	Cap rate	Beds	Buyer
2025-02-01	IGNITE MEDICAL RESORT TULSA, LLC	—	—	—	104	IGNITE MEDICAL RESORT TULSA, LLC
2025-01-01	THE COMMONS	—	—	—	138	COMMONS OPERATIONS LLC
2025-01-01	BEADLES NEW BEGINNINGS	—	—	—	80	BEADLES OPERATIONS, LLC
2024-11-01	STIGLER NURSING & REHAB	—	—	—	80	HASKELL NURSING & REHAB LLC
2024-07-01	NOWATA NURSING CENTER	—	—	—	65	NOWATA LTC LLC
2024-05-14	EASTGATE VILLAGE CARE & REHAB CENTER	—	—	—	110	EASTGATE HEALTHCARE, LLC
2024-05-14	Broadway Care & Rehab Center	—	—	—	105	BROADWAY HEALTHCARE, LLC
2024-05-14	FORT GIBSON CARE & REHAB CENTER	—	—	—	66	FORT GIBSON HEALTHCARE LLC
2024-04-01	HERITAGE MANOR	—	—	—	55	HERITAGE MANOR MANAGEMENT LLC
2024-04-01	HERITAGE PARK	—	—	—	55	HERITAGE PARK MANAGEMENT, LLC
2024-01-09	COWETA CARE & REHAB CENTER	—	—	—	100	COWETA HEALTHCARE MANAGEMENT LLC
2024-01-09	MITCHELL CARE & REHAB CENTER	—	—	—	100	MITCHELL HEALTHCARE MANAGEMENT, LLC

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

Geo	Kind	BR	Amount	As of	Source
county 40077	fmr	0	$705	2025-10-01	HUD_USER_FMR
county 40077	acs median gross	1	$376	2024-12-31	CENSUS_ACS5
county 40077	fmr	1	$714	2025-10-01	HUD_USER_FMR
county 40077	acs median gross	2	$634	2024-12-31	CENSUS_ACS5
county 40077	fmr	2	$937	2025-10-01	HUD_USER_FMR
county 40077	acs median gross	3	$773	2024-12-31	CENSUS_ACS5
county 40077	fmr	3	$1,165	2025-10-01	HUD_USER_FMR
county 40077	acs median gross	4	$575	2024-12-31	CENSUS_ACS5
county 40077	fmr	4	$1,429	2025-10-01	HUD_USER_FMR
county 40077	acs median gross		$646	2024-12-31	CENSUS_ACS5
county 40077	acs recent mover gross		$628	2024-12-31	CENSUS_ACS5
zcta 74578	acs median gross	1	$492	2024-12-31	CENSUS_ACS5
zcta 74578	acs median gross	2	$627	2024-12-31	CENSUS_ACS5
zcta 74578	acs median gross	3	$792	2024-12-31	CENSUS_ACS5
zcta 74578	acs median gross	4	$392	2024-12-31	CENSUS_ACS5
zcta 74578	acs median gross		$641	2024-12-31	CENSUS_ACS5
zcta 74578	acs recent mover gross		$580	2024-12-31	CENSUS_ACS5
zip 74578	payment standard 110	0	$781	2025-10-01	HUD_USER_SAFMR
zip 74578	payment standard 90	0	$639	2025-10-01	HUD_USER_SAFMR
zip 74578	safmr	0	$710	2025-10-01	HUD_USER_SAFMR
zip 74578	payment standard 110	1	$792	2025-10-01	HUD_USER_SAFMR
zip 74578	payment standard 90	1	$648	2025-10-01	HUD_USER_SAFMR
zip 74578	safmr	1	$720	2025-10-01	HUD_USER_SAFMR
zip 74578	payment standard 110	2	$1,045	2025-10-01	HUD_USER_SAFMR
zip 74578	payment standard 90	2	$855	2025-10-01	HUD_USER_SAFMR
zip 74578	safmr	2	$950	2025-10-01	HUD_USER_SAFMR
zip 74578	payment standard 110	3	$1,298	2025-10-01	HUD_USER_SAFMR
zip 74578	payment standard 90	3	$1,062	2025-10-01	HUD_USER_SAFMR
zip 74578	safmr	3	$1,180	2025-10-01	HUD_USER_SAFMR
zip 74578	payment standard 110	4	$1,595	2025-10-01	HUD_USER_SAFMR
zip 74578	payment standard 90	4	$1,305	2025-10-01	HUD_USER_SAFMR
zip 74578	safmr	4	$1,450	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.