1305 SOUTHEAST ADAMS, IDABEL, OK 74745 · CCN 375123
Composite
75.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
118
Model
v1.2
Reads as: riskier than 75.1% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
47 chains
FORVIS MAZARS LLP
251 facilities
connection
Owner fleet risk far above national
+23.9 vs natl
BOKF NA
13 facilities
connection
Owner spans multiple chains
4 chains
MOORE JENNIFER
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
1.89
2.78
3.28
2.90–3.77
RN
0.08
0.18
0.39
0.25–0.58
Weekend total
1.79
2.72
3.11
—
Weekday total
1.93
2.80
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
90.8
1.89
0.08
0.69
1.12
1.79
0.0%
2025Q3
92
83.1
2.24
0.06
0.77
1.41
2.07
0.0%
2025Q2
91
78.2
2.01
0.04
0.74
1.22
1.98
0.0%
2025Q1
90
83.7
1.98
0.06
0.73
1.19
1.93
0.0%
2024Q4
92
78.2
1.90
0.04
0.74
1.12
1.85
0.0%
2024Q3
92
73.6
1.93
0.06
0.81
1.06
1.84
0.0%
2024Q2
91
69.7
2.36
0.19
0.73
1.44
2.29
3.8%
2024Q1
91
60.0
2.77
0.09
0.75
1.93
2.68
0.7%
2023Q4
92
56.8
2.92
0.11
0.60
2.21
2.78
0.0%
2023Q3
92
55.9
3.06
0.07
0.81
2.17
2.98
0.0%
2023Q2
91
52.8
2.95
0.03
0.90
2.02
2.73
3.6%
2023Q1
90
55.2
2.71
0.09
0.77
1.84
2.63
0.9%
2022Q4
92
53.6
2.79
0.07
0.71
2.01
2.71
0.0%
2022Q3
92
52.2
2.92
0.18
0.67
2.07
2.73
0.0%
2022Q2
91
52.0
2.73
0.22
0.55
1.96
2.53
0.0%
2022Q1
90
53.0
2.40
0.08
0.60
1.72
2.43
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.
Reasonably accommodate the needs and preferences of each resident.
D
2026-05-22
2026-04-15
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.
E
2026-05-22
2026-04-15
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2026-05-22
2026-04-15
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
2026-05-22
2026-04-15
Health · complaint
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.
E
2026-05-22
2026-04-15
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
E
2026-05-22
2026-04-15
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.
D
2026-05-22
2026-04-15
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-05-22
2025-06-12
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-06-16
2025-06-12
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
E
2025-06-16
2025-06-12
Health
F0802
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
E
2025-06-16
2025-06-12
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-06-16
2025-06-12
Health
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F
2025-06-16
2025-02-12
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
2025-03-24
2025-02-12
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-03-24
2025-01-23
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2025-02-17
2025-01-23
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
E
2025-02-17
2025-01-23
Health · complaint
F0610
Respond appropriately to all alleged violations.
E
2025-02-17
2024-02-01
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
2024-02-29
2024-02-01
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
E
2024-02-29
2024-02-01
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
2024-02-29
2024-02-01
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
2024-02-29
2024-02-01
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
E
2024-02-29
2024-02-01
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-02-29
2024-02-01
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-02-29
2024-02-01
Health
F0881
Implement a program that monitors antibiotic use.
E
2024-02-29
2024-01-17
Health · complaint
F0583
Keep residents' personal and medical records private and confidential.
D
2023-09-25
2024-01-17
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2023-09-05
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
37
Owner
Role
Pct
From
Status
Source
HEARTWAY CORPORATION
Corporation, partnership or other organization has financial interest in provider
100%
2023-07-01
current
hcris_a_8_1
1305 SE ADAMS LLC
ADP OF THE SNF
—
2021-12-31
current
pecos_ownership
BARTON, BLAINE
MANAGING CONTROL - GOVERNING BODY
—
2023-03-15
current
pecos_ownership
BAUCOM, KATHY
CORPORATE OFFICER
—
2023-03-15
current
pecos_ownership
BAUCOM, KATHY
OPERATIONAL/MANAGERIAL CONTROL
—
2010-09-20
current
pecos_ownership
BLUE, RANDALL
CORPORATE DIRECTOR
—
2023-03-15
current
pecos_ownership
BOK FINANCIAL CORP
OPERATIONAL/MANAGERIAL CONTROL
—
2014-07-09
current
pecos_ownership
BOK FINANCIAL CORP
ADP OF THE SNF
—
2025-04-11
current
pecos_ownership
BOKF,NA
ADP OF THE SNF
—
2021-11-16
current
pecos_ownership
CANTRELL, MADISON
ADP OF THE SNF
—
2014-04-15
current
pecos_ownership
DARBY, JAN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-02-05
current
pecos_ownership
FORVIS MAZARS LLP
ADP OF THE SNF
—
2025-04-11
current
pecos_ownership
FORVIS MAZARS LLP
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-09
current
pecos_ownership
GREYSTONE FUNDING COMPANY LLC
5% OR GREATER MORTGAGE INTEREST
—
2021-12-30
current
pecos_ownership
HERMANCE, TERRY
ADP OF THE SNF
—
2022-09-22
current
pecos_ownership
HUGHES, LANA
OPERATIONAL/MANAGERIAL CONTROL
—
2020-06-25
current
pecos_ownership
JOHNSON, MILLISSA
ADP OF THE SNF
—
2025-11-01
current
pecos_ownership
KNAPP, THOMAS
ADP OF THE SNF
—
2021-09-11
current
pecos_ownership
MOORE, JENNIFER
ADP OF THE SNF
—
2013-05-21
current
pecos_ownership
NUTRITION MANAGEMENT SERVICES INC.
ADP OF THE SNF
—
2025-10-29
current
pecos_ownership
NUTRITION MANAGEMENT SERVICES INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2013-01-01
current
pecos_ownership
SALYER, THOMAS
CORPORATE OFFICER
—
2023-03-15
current
pecos_ownership
SANFORD, ANDREW
MANAGING CONTROL - GOVERNING BODY
—
2023-03-15
current
pecos_ownership
TNO HOLDINGS, LLC
5% OR GREATER MORTGAGE INTEREST
—
2021-11-30
current
pecos_ownership
ANDREW SANFORD
CORPORATE DIRECTOR
20%
2023-03-15
ended 2026-05-18
pecos_ownership
BLAINE BARTON
CORPORATE DIRECTOR
20%
2023-03-15
ended 2026-05-18
pecos_ownership
JAN DARBY
CORPORATE OFFICER
20%
2025-02-05
ended 2026-05-18
pecos_ownership
RANDALL BLUE
CORPORATE OFFICER
20%
2023-03-15
ended 2026-05-18
pecos_ownership
THOMAS SALYER
CORPORATE DIRECTOR
20%
2023-03-15
ended 2026-05-18
pecos_ownership
KATHY BAUCOM
CORPORATE OFFICER
0%
2023-03-15
ended 2026-05-18
pecos_ownership
JENNIFER MOORE
ADP OF THE SNF
—
2013-05-21
ended 2026-05-18
pecos_ownership
KATHY BAUCOM
OPERATIONAL/MANAGERIAL CONTROL
—
2010-09-20
ended 2026-05-18
pecos_ownership
LANA HUGHES
ADP OF THE SNF
—
2020-06-25
ended 2026-05-18
pecos_ownership
MADISON CANTRELL
ADP OF THE SNF
—
2014-04-15
ended 2026-05-18
pecos_ownership
MILLISSA JOHNSON
ADP OF THE SNF
—
2025-11-01
ended 2026-05-18
pecos_ownership
TERRY HERMANCE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-22
ended 2026-05-18
pecos_ownership
THOMAS KNAPP
ADP OF THE SNF
—
2021-09-11
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
2025-06-30
$460,247
$314,975
—
—
—
5
—
2024-06-30
$417,126
$294,979
—
—
—
5
—
2023-06-30
$262,701
$202,128
—
—
—
2
—
2022-06-30
$100
—
—
—
—
1
—
2021-06-30
$100
—
—
—
—
1
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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
33
Geo
Kind
BR
Amount
As of
Source
county 40089
acs median gross
0
$634
2024-12-31
CENSUS_ACS5
county 40089
fmr
0
$646
2025-10-01
HUD_USER_FMR
county 40089
acs median gross
1
$427
2024-12-31
CENSUS_ACS5
county 40089
fmr
1
$747
2025-10-01
HUD_USER_FMR
county 40089
acs median gross
2
$644
2024-12-31
CENSUS_ACS5
county 40089
fmr
2
$937
2025-10-01
HUD_USER_FMR
county 40089
acs median gross
3
$846
2024-12-31
CENSUS_ACS5
county 40089
fmr
3
$1,256
2025-10-01
HUD_USER_FMR
county 40089
acs median gross
4
$961
2024-12-31
CENSUS_ACS5
county 40089
fmr
4
$1,448
2025-10-01
HUD_USER_FMR
county 40089
acs median gross
$700
2024-12-31
CENSUS_ACS5
county 40089
acs recent mover gross
$930
2024-12-31
CENSUS_ACS5
zcta 74745
acs median gross
1
$363
2024-12-31
CENSUS_ACS5
zcta 74745
acs median gross
2
$752
2024-12-31
CENSUS_ACS5
zcta 74745
acs median gross
3
$913
2024-12-31
CENSUS_ACS5
zcta 74745
acs median gross
4
$906
2024-12-31
CENSUS_ACS5
zcta 74745
acs median gross
$723
2024-12-31
CENSUS_ACS5
zcta 74745
acs recent mover gross
$1,031
2024-12-31
CENSUS_ACS5
zip 74745
payment standard 110
0
$715
2025-10-01
HUD_USER_SAFMR
zip 74745
payment standard 90
0
$585
2025-10-01
HUD_USER_SAFMR
zip 74745
safmr
0
$650
2025-10-01
HUD_USER_SAFMR
zip 74745
payment standard 110
1
$836
2025-10-01
HUD_USER_SAFMR
zip 74745
payment standard 90
1
$684
2025-10-01
HUD_USER_SAFMR
zip 74745
safmr
1
$760
2025-10-01
HUD_USER_SAFMR
zip 74745
payment standard 110
2
$1,045
2025-10-01
HUD_USER_SAFMR
zip 74745
payment standard 90
2
$855
2025-10-01
HUD_USER_SAFMR
zip 74745
safmr
2
$950
2025-10-01
HUD_USER_SAFMR
zip 74745
payment standard 110
3
$1,397
2025-10-01
HUD_USER_SAFMR
zip 74745
payment standard 90
3
$1,143
2025-10-01
HUD_USER_SAFMR
zip 74745
safmr
3
$1,270
2025-10-01
HUD_USER_SAFMR
zip 74745
payment standard 110
4
$1,617
2025-10-01
HUD_USER_SAFMR
zip 74745
payment standard 90
4
$1,323
2025-10-01
HUD_USER_SAFMR
zip 74745
safmr
4
$1,470
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.