205 SOUTH COLLEGE,, MARIONVILLE, MO 65705 · CCN 265594
Composite
21.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
78
Model
v1.2
Reads as: riskier than 21.0% 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.
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
2.25
2.41
3.28
2.90–3.77
RN
0.26
0.25
0.39
0.25–0.58
Weekend total
2.22
2.24
3.11
—
Weekday total
2.27
2.49
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
62.4
2.25
0.26
0.42
1.58
2.22
0.0%
2025Q3
92
61.7
2.22
0.23
0.43
1.56
2.10
0.0%
2025Q2
91
59.7
2.26
0.28
0.43
1.55
2.07
0.0%
2025Q1
90
58.5
2.35
0.27
0.47
1.60
2.23
0.0%
2024Q4
92
58.0
2.23
0.27
0.40
1.56
2.14
0.0%
2024Q3
92
57.7
2.27
0.16
0.52
1.59
2.10
0.0%
2024Q2
91
57.0
2.44
0.15
0.52
1.76
2.13
0.0%
2024Q1
91
57.5
2.42
0.15
0.51
1.76
2.14
0.0%
2023Q4
92
56.1
2.60
0.15
0.52
1.92
2.56
0.0%
2023Q3
92
55.0
2.58
0.16
0.53
1.89
2.56
0.0%
2023Q2
91
59.0
2.34
0.22
0.43
1.69
2.36
0.0%
2023Q1
90
55.1
2.52
0.24
0.45
1.84
2.54
0.0%
2022Q4
92
54.1
2.64
0.23
0.46
1.94
2.63
0.0%
2022Q3
92
53.5
2.50
0.26
0.42
1.83
2.45
0.0%
2022Q2
91
54.7
2.46
0.23
0.43
1.80
2.24
0.0%
2022Q1
90
53.3
2.50
0.12
0.54
1.85
2.26
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
37
C × 2D × 17E × 10F × 7G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-02
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2026-03-03
2025-04-30
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2025-05-28
2025-01-09
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2025-02-20
2025-01-09
Health
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
2025-02-20
2025-01-09
Health
F0637
Assess the resident when there is a significant change in condition
D
2025-02-20
2025-01-09
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
E
2025-02-20
2025-01-09
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
2025-02-20
2025-01-09
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.
E
2025-02-20
2025-01-09
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-02-20
2025-01-09
Health
F0692
Provide enough food/fluids to maintain a resident's health.
G
2025-02-20
2025-01-09
Health
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F
2025-02-20
2025-01-09
Health
F0732
Post nurse staffing information every day.
C
2025-02-20
2025-01-09
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F
2025-02-20
2025-01-09
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-02-20
2025-01-09
Health
F0880
Provide and implement an infection prevention and control program.
F
2025-02-20
2025-01-09
Health
F0881
Implement a program that monitors antibiotic use.
D
2025-02-20
2023-07-12
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-07-28
2023-05-18
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-07-27
2023-05-18
Health
F0610
Respond appropriately to all alleged violations.
D
2023-07-02
2023-05-18
Health
F0678
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
E
2023-07-02
2023-05-18
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-07-28
2023-05-18
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
2023-07-02
2023-05-18
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2023-07-02
2023-05-18
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F
2023-07-05
2023-05-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-07-02
2023-05-18
Health
F0814
Dispose of garbage and refuse properly.
F
2023-07-02
2023-05-18
Health
F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
D
2023-07-02
2023-05-18
Health
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F
2023-07-02
2020-01-23
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
E
2020-01-24
2020-01-23
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
C
2020-02-11
2020-01-23
Health
F0638
Assure that each resident’s assessment is updated at least once every 3 months.
E
2020-02-17
2020-01-23
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
E
2020-02-17
2020-01-23
Health
F0642
Ensure a qualified health professional conducts resident assessments.
E
2020-02-17
2020-01-23
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
2020-02-17
2020-01-23
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2020-02-17
2020-01-23
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2020-02-17
2020-01-23
Health
F0923
Have enough outside ventilation via a window or mechanical ventilation, or both.
E
2020-02-21
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
31
Owner
Role
Pct
From
Status
Source
CRANDALL, STANLEY
CORPORATE DIRECTOR
—
2023-11-17
current
pecos_ownership
DAVIDSON, ARLEN
CORPORATE DIRECTOR
—
2020-08-01
current
pecos_ownership
DIAZ, JOSE
CORPORATE DIRECTOR
—
2015-01-01
current
pecos_ownership
FREEMAN, MELISSA
CORPORATE DIRECTOR
—
2019-05-31
current
pecos_ownership
JENKINS, JAMIE
ADP OF THE SNF
—
2021-07-01
current
pecos_ownership
JENKINS, PAMALA
CORPORATE DIRECTOR
—
2020-08-01
current
pecos_ownership
PARRIGON, DARLENE
CORPORATE DIRECTOR
—
2023-02-10
current
pecos_ownership
POWERS, ROBERT
OPERATIONAL/MANAGERIAL CONTROL
—
2020-02-14
current
pecos_ownership
RAINEY, HAROLD
ADP OF THE SNF
—
2021-07-19
current
pecos_ownership
SMART, RANDAL
CORPORATE DIRECTOR
—
2015-01-01
current
pecos_ownership
SNYDER, GARY
CORPORATE DIRECTOR
—
2022-06-08
current
pecos_ownership
THE OZARKS METHODIST MANOR
ADP OF THE SNF
—
—
current
pecos_ownership
THOMPSON, KYLE
CORPORATE DIRECTOR
—
2021-01-06
current
pecos_ownership
TONJUK, JOHN
CORPORATE DIRECTOR
—
2018-05-14
current
pecos_ownership
WEBER, SARAH
CORPORATE DIRECTOR
—
2020-11-20
current
pecos_ownership
WHITE, TEREASA
CORPORATE DIRECTOR
—
2023-11-17
current
pecos_ownership
ARLEN DAVIDSON
CORPORATE DIRECTOR
0%
2020-08-01
ended 2026-05-18
pecos_ownership
DARLENE PARRIGON
CORPORATE DIRECTOR
0%
2023-02-10
ended 2026-05-18
pecos_ownership
GARY SNYDER
CORPORATE DIRECTOR
0%
2022-06-08
ended 2026-05-18
pecos_ownership
JOHN TONJUK
CORPORATE DIRECTOR
0%
2018-05-14
ended 2026-05-18
pecos_ownership
JOSE DIAZ
CORPORATE DIRECTOR
0%
2015-01-01
ended 2026-05-18
pecos_ownership
KYLE THOMPSON
CORPORATE DIRECTOR
0%
2021-01-06
ended 2026-05-18
pecos_ownership
MELISSA FREEMAN
CORPORATE DIRECTOR
0%
2019-05-31
ended 2026-05-18
pecos_ownership
PAMALA JENKINS
CORPORATE DIRECTOR
0%
2020-08-01
ended 2026-05-18
pecos_ownership
RANDAL SMART
CORPORATE DIRECTOR
0%
2015-01-01
ended 2026-05-18
pecos_ownership
SARAH WEBER
CORPORATE DIRECTOR
0%
2020-11-20
ended 2026-05-18
pecos_ownership
STANLEY CRANDALL
CORPORATE DIRECTOR
0%
2023-11-17
ended 2026-05-18
pecos_ownership
TEREASA WHITE
CORPORATE DIRECTOR
0%
2023-11-17
ended 2026-05-18
pecos_ownership
HAROLD RAINEY
OPERATIONAL/MANAGERIAL CONTROL
—
2021-07-19
ended 2026-05-18
pecos_ownership
JAMIE JENKINS
ADP OF THE SNF
—
2021-07-01
ended 2026-05-18
pecos_ownership
ROBERT POWERS
OPERATIONAL/MANAGERIAL CONTROL
—
2020-02-14
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 29109
acs median gross
0
$458
2024-12-31
CENSUS_ACS5
county 29109
fmr
0
$660
2025-10-01
HUD_USER_FMR
county 29109
acs median gross
1
$508
2024-12-31
CENSUS_ACS5
county 29109
fmr
1
$677
2025-10-01
HUD_USER_FMR
county 29109
acs median gross
2
$803
2024-12-31
CENSUS_ACS5
county 29109
fmr
2
$888
2025-10-01
HUD_USER_FMR
county 29109
acs median gross
3
$988
2024-12-31
CENSUS_ACS5
county 29109
fmr
3
$1,169
2025-10-01
HUD_USER_FMR
county 29109
acs median gross
4
$1,061
2024-12-31
CENSUS_ACS5
county 29109
fmr
4
$1,337
2025-10-01
HUD_USER_FMR
county 29109
acs median gross
$800
2024-12-31
CENSUS_ACS5
county 29109
acs recent mover gross
$1,071
2024-12-31
CENSUS_ACS5
zcta 65705
acs median gross
1
$472
2024-12-31
CENSUS_ACS5
zcta 65705
acs median gross
2
$875
2024-12-31
CENSUS_ACS5
zcta 65705
acs median gross
3
$950
2024-12-31
CENSUS_ACS5
zcta 65705
acs median gross
$923
2024-12-31
CENSUS_ACS5
zcta 65705
acs recent mover gross
$1,096
2024-12-31
CENSUS_ACS5
zip 65705
payment standard 110
0
$792
2025-10-01
HUD_USER_SAFMR
zip 65705
payment standard 90
0
$648
2025-10-01
HUD_USER_SAFMR
zip 65705
safmr
0
$720
2025-10-01
HUD_USER_SAFMR
zip 65705
payment standard 110
1
$792
2025-10-01
HUD_USER_SAFMR
zip 65705
payment standard 90
1
$648
2025-10-01
HUD_USER_SAFMR
zip 65705
safmr
1
$720
2025-10-01
HUD_USER_SAFMR
zip 65705
payment standard 110
2
$1,001
2025-10-01
HUD_USER_SAFMR
zip 65705
payment standard 90
2
$819
2025-10-01
HUD_USER_SAFMR
zip 65705
safmr
2
$910
2025-10-01
HUD_USER_SAFMR
zip 65705
payment standard 110
3
$1,364
2025-10-01
HUD_USER_SAFMR
zip 65705
payment standard 90
3
$1,116
2025-10-01
HUD_USER_SAFMR
zip 65705
safmr
3
$1,240
2025-10-01
HUD_USER_SAFMR
zip 65705
payment standard 110
4
$1,529
2025-10-01
HUD_USER_SAFMR
zip 65705
payment standard 90
4
$1,251
2025-10-01
HUD_USER_SAFMR
zip 65705
safmr
4
$1,390
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.