510 W MEDCALF ROAD, DALE, IN 47523 · CCN 155270 · chain MAJOR HOSPITAL
Composite
100.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
52
Model
v1.2
Reads as: riskier than 100.0% 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.
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
15
2025Q4 HPRD
This facility
IN median
National median
National p25–p75
Total nurse
2.36
2.85
3.28
2.90–3.77
RN
0.27
0.40
0.39
0.25–0.58
Weekend total
2.12
2.71
3.11
—
Weekday total
2.45
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
45.2
2.36
0.27
0.44
1.65
2.12
24.4%
2025Q3
92
44.1
2.53
0.23
0.55
1.76
2.26
17.0%
2025Q2
91
43.2
2.60
0.20
0.58
1.81
2.38
21.7%
2025Q1
90
40.5
2.52
0.28
0.59
1.65
2.44
27.4%
2024Q4
92
39.2
2.81
0.39
0.44
1.98
2.65
7.3%
2024Q3
92
39.7
3.12
0.43
0.48
2.21
2.83
15.2%
2024Q2
91
36.2
3.11
0.42
0.53
2.16
2.99
11.1%
2024Q1
91
37.3
2.76
0.35
0.55
1.86
2.55
21.9%
2023Q4
92
38.3
2.49
0.34
0.59
1.56
2.31
30.5%
2023Q3
92
39.0
2.33
0.23
0.66
1.43
2.28
47.8%
2023Q1
90
39.3
2.19
0.14
0.70
1.34
2.21
29.2%
2022Q4
92
41.0
1.61
0.10
0.52
1.00
1.56
25.2%
2022Q3
92
41.9
1.73
0.27
0.53
0.94
1.71
18.1%
2022Q2
91
42.1
1.82
0.23
0.51
1.08
1.76
2.8%
2022Q1
90
39.3
2.00
0.22
0.69
1.08
1.99
6.6%
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.
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
C
2026-05-07
2026-04-07
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2026-05-07
2026-04-07
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2026-05-07
2026-04-07
Health
F0732
Post nurse staffing information every day.
C
2026-05-07
2026-04-07
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2026-05-07
2025-09-25
Health
F0576
Ensure residents have reasonable access to and privacy in their use of communication methods.
E
2025-10-30
2025-09-25
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-10-30
2025-09-25
Health
F0641
Ensure each resident receives an accurate assessment.
E
2025-10-30
2025-09-25
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.
E
2025-10-30
2025-09-25
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-10-30
2025-09-25
Health · complaint
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
2025-10-30
2025-09-25
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-10-30
2025-09-25
Health · complaint
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
E
2025-10-30
2025-05-19
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2025-05-30
2025-01-07
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2025-01-26
2024-08-21
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
2024-09-20
2024-08-21
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
2024-09-20
2024-08-21
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
E
2024-09-20
2024-08-21
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-09-20
2024-08-21
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2024-09-20
2024-08-21
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
2024-09-20
2024-08-21
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2024-09-20
2024-08-21
Health
F0741
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
D
2024-09-20
2024-08-21
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-09-20
2024-08-21
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-09-20
2024-03-08
Health · complaint
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2024-04-05
2024-02-15
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-02-29
2024-01-30
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-02-15
2023-11-27
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2023-12-08
2023-10-26
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-11-27
2023-08-02
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2023-09-28
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
21
Owner
Role
Pct
From
Status
Source
BLUE MANAGEMENT SERVICES LLC
ADP OF THE SNF
—
2020-05-01
current
pecos_ownership
BRAZZELL, CHARLES
ADP OF THE SNF
—
2002-09-23
current
pecos_ownership
CLAXTON, RYAN
CORPORATE OFFICER
—
2025-03-27
current
pecos_ownership
CORE AND ASSOCIATES LLC
ADP OF THE SNF
—
1997-11-01
current
pecos_ownership
CORE OF HUNTINGBURG INC
OPERATIONAL/MANAGERIAL CONTROL
—
2013-11-01
current
pecos_ownership
CORE OF HUNTINGBURG INC
ADP OF THE SNF
—
2025-12-07
current
pecos_ownership
HORTON, FRANCES
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-10-03
current
pecos_ownership
HSC MEDICAL BILLING & CONSULTING LLC
ADP OF THE SNF
—
1999-12-01
current
pecos_ownership
LACY BEYL & COMPANY INC
ADP OF THE SNF
—
2020-09-01
current
pecos_ownership
NEESE, KEVIN
ADP OF THE SNF
—
2022-06-01
current
pecos_ownership
RD DINING
ADP OF THE SNF
—
2025-07-09
current
pecos_ownership
RD DINING
OPERATIONAL/MANAGERIAL CONTROL
—
2024-10-01
current
pecos_ownership
WHEELER, WHITNEY
CORPORATE OFFICER
—
2023-09-28
current
pecos_ownership
WHEELER, WHITNEY
ADP OF THE SNF
—
2002-09-23
current
pecos_ownership
WILLIAMS BROS HEALTH CARE PHARMACY INC
ADP OF THE SNF
—
2008-04-01
current
pecos_ownership
MAJOR HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2013-11-01
ended 2026-05-18
pecos_ownership
CHARLES BRAZZELL
OPERATIONAL/MANAGERIAL CONTROL
—
2002-09-23
ended 2026-05-18
pecos_ownership
KEVIN NEESE
ADP OF THE SNF
—
2022-06-01
ended 2026-05-18
pecos_ownership
RYAN CLAXTON
CORPORATE OFFICER
—
2025-03-27
ended 2026-05-18
pecos_ownership
WHITNEY WHEELER
ADP OF THE SNF
—
2002-09-23
ended 2026-05-18
pecos_ownership
WHITNEY WHEELER
CORPORATE OFFICER
—
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 18147
acs median gross
0
$472
2024-12-31
CENSUS_ACS5
county 18147
fmr
0
$659
2025-10-01
HUD_USER_FMR
county 18147
acs median gross
1
$497
2024-12-31
CENSUS_ACS5
county 18147
fmr
1
$729
2025-10-01
HUD_USER_FMR
county 18147
acs median gross
2
$819
2024-12-31
CENSUS_ACS5
county 18147
fmr
2
$956
2025-10-01
HUD_USER_FMR
county 18147
acs median gross
3
$981
2024-12-31
CENSUS_ACS5
county 18147
fmr
3
$1,330
2025-10-01
HUD_USER_FMR
county 18147
acs median gross
4
$961
2024-12-31
CENSUS_ACS5
county 18147
fmr
4
$1,382
2025-10-01
HUD_USER_FMR
county 18147
acs median gross
$751
2024-12-31
CENSUS_ACS5
county 18147
acs recent mover gross
$1,191
2024-12-31
CENSUS_ACS5
zcta 47523
acs median gross
1
$653
2024-12-31
CENSUS_ACS5
zcta 47523
acs median gross
2
$901
2024-12-31
CENSUS_ACS5
zcta 47523
acs median gross
3
$1,188
2024-12-31
CENSUS_ACS5
zcta 47523
acs median gross
$858
2024-12-31
CENSUS_ACS5
zcta 47523
acs recent mover gross
$1,029
2024-12-31
CENSUS_ACS5
zip 47523
payment standard 110
0
$781
2025-10-01
HUD_USER_SAFMR
zip 47523
payment standard 90
0
$639
2025-10-01
HUD_USER_SAFMR
zip 47523
safmr
0
$710
2025-10-01
HUD_USER_SAFMR
zip 47523
payment standard 110
1
$825
2025-10-01
HUD_USER_SAFMR
zip 47523
payment standard 90
1
$675
2025-10-01
HUD_USER_SAFMR
zip 47523
safmr
1
$750
2025-10-01
HUD_USER_SAFMR
zip 47523
payment standard 110
2
$1,078
2025-10-01
HUD_USER_SAFMR
zip 47523
payment standard 90
2
$882
2025-10-01
HUD_USER_SAFMR
zip 47523
safmr
2
$980
2025-10-01
HUD_USER_SAFMR
zip 47523
payment standard 110
3
$1,463
2025-10-01
HUD_USER_SAFMR
zip 47523
payment standard 90
3
$1,197
2025-10-01
HUD_USER_SAFMR
zip 47523
safmr
3
$1,330
2025-10-01
HUD_USER_SAFMR
zip 47523
payment standard 110
4
$1,562
2025-10-01
HUD_USER_SAFMR
zip 47523
payment standard 90
4
$1,278
2025-10-01
HUD_USER_SAFMR
zip 47523
safmr
4
$1,420
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.