1003 MEADOWLARK LANE, EXCELSIOR SPRINGS, MO 64024 · CCN 265821 · chain CHP SNFCO LLC
Composite
83.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
108
Model
v1.2
Reads as: riskier than 83.0% 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
3
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+21.7 vs natl
CALVERT GREGG
8 facilities
connection
Owner fleet risk far above national
+20.3 vs natl
STEELE SHERI
8 facilities
connection
Owner spans multiple chains
5 chains
BROWN DANIELLE
15 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
MO median
National median
National p25–p75
Total nurse
2.36
2.41
3.28
2.90–3.77
RN
0.23
0.25
0.39
0.25–0.58
Weekend total
2.31
2.24
3.11
—
Weekday total
2.37
2.49
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
78.3
2.36
0.23
0.47
1.65
2.31
4.3%
2025Q3
92
73.8
2.11
0.28
0.46
1.37
1.84
0.0%
2025Q2
91
72.8
2.08
0.36
0.38
1.34
1.77
0.0%
2025Q1
90
79.0
3.19
0.41
0.70
2.08
3.03
4.1%
2024Q4
92
77.3
1.91
0.26
0.41
1.25
1.80
0.0%
2024Q3
92
73.5
2.01
0.38
0.43
1.20
1.77
0.0%
2024Q2
91
73.8
1.67
0.27
0.54
0.87
1.30
0.0%
2024Q1
91
69.8
2.37
0.24
0.59
1.53
1.95
9.0%
2023Q4
92
73.1
2.08
0.28
0.42
1.38
1.74
2.8%
2023Q3
92
71.5
2.04
0.28
0.39
1.37
1.69
1.9%
2023Q2
91
69.6
2.06
0.28
0.45
1.33
1.69
17.0%
2023Q1
90
68.3
1.75
0.26
0.58
0.91
1.51
50.4%
2022Q4
92
64.8
1.72
0.23
0.46
1.03
1.28
49.4%
2022Q3
92
59.8
1.55
0.25
0.49
0.81
1.09
45.1%
2022Q2
91
52.9
1.95
0.37
0.41
1.18
1.57
61.4%
2022Q1
90
50.4
1.95
0.29
0.43
1.24
1.67
64.0%
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
34
C × 1D × 9E × 18F × 6
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-01-08
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
E
2026-02-02
2026-01-08
Health
F0569
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
E
2026-02-02
2026-01-08
Health
F0583
Keep residents' personal and medical records private and confidential.
E
2026-02-02
2026-01-08
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
E
2026-02-02
2026-01-08
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
E
2026-02-02
2026-01-08
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
E
2026-02-02
2026-01-08
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2026-02-02
2026-01-08
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
2026-02-02
2026-01-08
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
2026-02-02
2026-01-08
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-02-02
2026-01-08
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
2026-02-02
2024-12-04
Health · complaint
F0839
Employ staff that are licensed, certified, or registered in accordance with state laws.
D
2024-12-19
2024-07-25
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
2024-07-29
2024-07-25
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-07-29
2024-07-25
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-07-29
2024-07-25
Health
F0881
Implement a program that monitors antibiotic use.
D
2024-07-29
2022-06-23
Health
F0568
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
D
2022-08-18
2022-06-23
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2022-08-18
2022-06-23
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2022-08-18
2022-06-23
Health
F0660
Plan the resident's discharge to meet the resident's goals and needs.
D
2022-08-18
2022-06-23
Health
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2022-08-18
2022-06-23
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.
E
2022-08-18
2022-06-23
Health
F0730
Observe each nurse aide's job performance and give regular training.
E
2022-08-18
2022-06-23
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
2022-08-18
2022-06-23
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2022-08-18
2022-06-23
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2022-08-18
2022-06-23
Health
F0838
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F
2022-08-18
2022-06-23
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F
2022-08-18
2022-06-23
Health
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
F
2022-08-18
2022-06-23
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F
2022-08-18
2022-06-23
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F
2022-08-18
2022-06-23
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2022-08-18
2022-06-23
Health
F0888
Ensure staff are vaccinated for COVID-19
C
2022-08-18
2022-06-23
Health
F0923
Have enough outside ventilation via a window or mechanical ventilation, or both.
E
2022-08-18
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
20
Owner
Role
Pct
From
Status
Source
CALVERT, GREGG
5% OR GREATER INDIRECT OWNERSHIP INTEREST
12%
2022-06-01
current
pecos_ownership
STEELE, SHERI
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2022-06-01
current
pecos_ownership
BROWN, DANIEL
CORPORATE OFFICER
—
2022-06-01
current
pecos_ownership
CALVERT, GREGG
W-2 MANAGING EMPLOYEE
—
2022-05-01
current
pecos_ownership
CHP SNF OPCO HOLDINGS 2, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-06-01
ended 2026-05-18
pecos_ownership
CHP SNFCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2022-06-01
ended 2026-05-18
pecos_ownership
ERGO MIDWEST INC
Individual has financial interest in both related organization and provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
ERGO MIDWEST INC
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
ERGO MIDWEST INC
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-05-31
hcris_a_8_1
SYSTEMS LEASING INC
Individual has financial interest in both related organization and provider
100%
2021-01-01
ended 2021-12-31
hcris_a_8_1
SYSTEMS LEASING INC
Individual has financial interest in both related organization and provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
SYSTEMS LEASING INC
Individual has financial interest in both related organization and provider
100%
2022-01-01
ended 2022-05-31
hcris_a_8_1
CHP SNF HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
80%
2022-06-01
ended 2026-05-18
pecos_ownership
DANIEL BROWN
CORPORATE OFFICER
50%
2022-06-01
ended 2026-05-18
pecos_ownership
GREGG CALVERT
W-2 MANAGING EMPLOYEE
50%
2022-05-01
ended 2026-05-18
pecos_ownership
GREGG CALVERT
CORPORATE OFFICER
50%
2022-06-01
ended 2026-05-18
pecos_ownership
MICHAEL BRODY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
28%
2022-06-01
ended 2026-05-18
pecos_ownership
BARBARA BROWN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
21%
2022-06-01
ended 2026-05-18
pecos_ownership
VICTOR SHEVLYAGIN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2022-06-01
ended 2026-05-18
pecos_ownership
SHERI STEELE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2022-06-01
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$412,816
—
$412,816
—
—
0
—
2023-12-31
$361,669
—
$361,669
—
—
0
—
2022-12-31
$251,124
—
$251,124
—
—
2
—
2022-05-31
$335,489
—
—
$143,711
$56,526
10
propco
2021-12-31
$812,902
—
—
$347,601
$135,660
11
propco
2020-12-31
$1,232,522
—
—
$590,402
$210,242
11
propco
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
34
Geo
Kind
BR
Amount
As of
Source
county 29047
acs median gross
0
$866
2024-12-31
CENSUS_ACS5
county 29047
fmr
0
$1,095
2025-10-01
HUD_USER_FMR
county 29047
acs median gross
1
$994
2024-12-31
CENSUS_ACS5
county 29047
fmr
1
$1,197
2025-10-01
HUD_USER_FMR
county 29047
acs median gross
2
$1,204
2024-12-31
CENSUS_ACS5
county 29047
fmr
2
$1,358
2025-10-01
HUD_USER_FMR
county 29047
acs median gross
3
$1,593
2024-12-31
CENSUS_ACS5
county 29047
fmr
3
$1,769
2025-10-01
HUD_USER_FMR
county 29047
acs median gross
4
$2,033
2024-12-31
CENSUS_ACS5
county 29047
fmr
4
$2,103
2025-10-01
HUD_USER_FMR
county 29047
acs median gross
5
$2,081
2024-12-31
CENSUS_ACS5
county 29047
acs median gross
$1,243
2024-12-31
CENSUS_ACS5
county 29047
acs recent mover gross
$1,307
2024-12-31
CENSUS_ACS5
zcta 64024
acs median gross
1
$630
2024-12-31
CENSUS_ACS5
zcta 64024
acs median gross
2
$1,068
2024-12-31
CENSUS_ACS5
zcta 64024
acs median gross
3
$1,300
2024-12-31
CENSUS_ACS5
zcta 64024
acs median gross
4
$2,114
2024-12-31
CENSUS_ACS5
zcta 64024
acs median gross
$995
2024-12-31
CENSUS_ACS5
zcta 64024
acs recent mover gross
$749
2024-12-31
CENSUS_ACS5
zip 64024
payment standard 110
0
$968
2025-10-01
HUD_USER_SAFMR
zip 64024
payment standard 90
0
$792
2025-10-01
HUD_USER_SAFMR
zip 64024
safmr
0
$880
2025-10-01
HUD_USER_SAFMR
zip 64024
payment standard 110
1
$1,056
2025-10-01
HUD_USER_SAFMR
zip 64024
payment standard 90
1
$864
2025-10-01
HUD_USER_SAFMR
zip 64024
safmr
1
$960
2025-10-01
HUD_USER_SAFMR
zip 64024
payment standard 110
2
$1,199
2025-10-01
HUD_USER_SAFMR
zip 64024
payment standard 90
2
$981
2025-10-01
HUD_USER_SAFMR
zip 64024
safmr
2
$1,090
2025-10-01
HUD_USER_SAFMR
zip 64024
payment standard 110
3
$1,562
2025-10-01
HUD_USER_SAFMR
zip 64024
payment standard 90
3
$1,278
2025-10-01
HUD_USER_SAFMR
zip 64024
safmr
3
$1,420
2025-10-01
HUD_USER_SAFMR
zip 64024
payment standard 110
4
$1,859
2025-10-01
HUD_USER_SAFMR
zip 64024
payment standard 90
4
$1,521
2025-10-01
HUD_USER_SAFMR
zip 64024
safmr
4
$1,690
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.