30049 EAST 151ST STREET SOUTH, COWETA, OK 74429 · CCN 375304 · chain JFB OK TRUST
Composite
49.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
100
Model
v1.2
Reads as: riskier than 49.6% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+22.5 vs natl
FRIEDMAN NAFTALI
7 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
3.24
2.78
3.28
2.90–3.77
RN
0.04
0.18
0.39
0.25–0.58
Weekend total
3.23
2.72
3.11
—
Weekday total
3.25
2.80
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
73.2
3.24
0.04
0.80
2.40
3.23
0.5%
2025Q3
92
76.2
3.28
0.07
0.68
2.52
3.23
0.9%
2025Q2
91
74.4
3.39
0.05
0.77
2.57
3.41
5.4%
2025Q1
90
72.7
2.98
0.04
0.82
2.11
2.99
0.6%
2024Q4
92
72.5
2.79
0.10
0.58
2.11
2.94
0.0%
2024Q3
92
72.7
2.53
0.04
0.65
1.84
2.76
6.5%
2024Q2
91
73.2
2.59
0.07
0.62
1.90
2.73
13.7%
2024Q1
91
71.5
1.94
0.06
0.46
1.41
1.95
0.4%
2023Q4
92
69.3
3.06
0.16
0.87
2.03
3.05
1.5%
2023Q3
92
71.2
2.98
0.13
0.84
2.01
3.00
15.1%
2023Q2
91
73.9
2.87
0.16
0.77
1.94
2.99
14.1%
2023Q1
90
69.2
2.92
0.13
0.85
1.94
3.06
14.6%
2022Q4
92
70.0
2.96
0.15
0.82
1.99
3.02
12.8%
2022Q3
92
67.9
2.96
0.17
0.86
1.94
3.09
25.5%
2022Q2
91
65.6
2.87
0.17
0.70
2.00
2.57
23.2%
2022Q1
90
59.9
2.85
0.19
0.69
1.97
2.27
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
24
D × 18E × 5G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-11-21
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-11-26
2025-11-21
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2025-11-26
2025-11-21
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
2025-11-26
2025-11-21
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2025-11-26
2024-10-15
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-10-25
2024-05-03
Health
F0576
Ensure residents have reasonable access to and privacy in their use of communication methods.
D
2024-06-19
2024-05-03
Health
F0622
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
D
2024-06-19
2024-05-03
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-06-19
2024-05-03
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-06-19
2024-05-03
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2024-06-19
2024-05-03
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2024-06-19
2024-05-03
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
2024-06-19
2024-05-03
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2024-06-19
2024-05-03
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
2024-06-19
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.
D
2024-06-19
2024-05-03
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2024-06-19
2024-05-03
Health
F0809
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
E
2024-06-19
2024-05-03
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-06-19
2024-01-08
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-01-31
2024-01-08
Health · complaint
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2024-01-31
2023-03-27
Health
F0641
Ensure each resident receives an accurate assessment.
E
2023-05-29
2023-03-27
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2023-05-29
2023-03-27
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2023-05-29
2023-03-27
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
2023-05-29
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
14
Owner
Role
Pct
From
Status
Source
OK5 COWETA REALCO LLC
Corporation, partnership or other organization has financial interest in provider
100%
2023-01-01
current
hcris_a_8_1
COWETA REALTY LLC
Individual has financial interest in both related organization and provider
50%
2024-01-01
current
hcris_a_8_1
JFB OK TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2024-01-09
current
pecos_ownership
OK SNF HOLDINGS, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2024-01-09
current
pecos_ownership
OK SNF INVESTMENTS, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2024-01-09
current
pecos_ownership
SOUTHEAST VENTURES TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
48%
2024-01-09
current
pecos_ownership
FRIEDMAN, NAFTALI
CORPORATE OFFICER
—
2024-01-09
current
pecos_ownership
HUDSON, JESSICA
W-2 MANAGING EMPLOYEE
—
2024-01-09
current
pecos_ownership
JESSICA HUDSON
W-2 MANAGING EMPLOYEE
100%
2024-01-09
ended 2026-05-18
pecos_ownership
NAFTALI FRIEDMAN
CORPORATE OFFICER
100%
2024-01-09
ended 2026-05-18
pecos_ownership
REALCO COWETA OK LLC
Corporation, partnership or other organization has financial interest in provider
100%
2021-11-24
ended 2021-12-31
hcris_a_8_1
REALCO COWETA OK LLC
Corporation, partnership or other organization has financial interest in provider
100%
2022-01-01
ended 2022-12-31
hcris_a_8_1
ALLEN KOSS
OTHER
50%
2024-01-09
ended 2026-05-18
pecos_ownership
YAAKOV KLEIN
OTHER
48%
2024-01-09
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
4
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,225,155
$884,515
—
—
$26,534
4
propco
2024-01-08
$966,387
$564,420
—
$204,254
—
3
propco
2022-12-31
$952,795
$567,145
—
$198,595
—
3
propco
2021-12-31
$94,069
$51,103
—
$23,262
—
3
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
33
Geo
Kind
BR
Amount
As of
Source
county 40145
acs median gross
0
$683
2024-12-31
CENSUS_ACS5
county 40145
fmr
0
$933
2025-10-01
HUD_USER_FMR
county 40145
acs median gross
1
$777
2024-12-31
CENSUS_ACS5
county 40145
fmr
1
$987
2025-10-01
HUD_USER_FMR
county 40145
acs median gross
2
$974
2024-12-31
CENSUS_ACS5
county 40145
fmr
2
$1,217
2025-10-01
HUD_USER_FMR
county 40145
acs median gross
3
$1,244
2024-12-31
CENSUS_ACS5
county 40145
fmr
3
$1,602
2025-10-01
HUD_USER_FMR
county 40145
acs median gross
4
$1,450
2024-12-31
CENSUS_ACS5
county 40145
fmr
4
$1,858
2025-10-01
HUD_USER_FMR
county 40145
acs median gross
5
$1,213
2024-12-31
CENSUS_ACS5
county 40145
acs median gross
$1,068
2024-12-31
CENSUS_ACS5
county 40145
acs recent mover gross
$1,290
2024-12-31
CENSUS_ACS5
zcta 74429
acs median gross
1
$733
2024-12-31
CENSUS_ACS5
zcta 74429
acs median gross
2
$901
2024-12-31
CENSUS_ACS5
zcta 74429
acs median gross
3
$1,222
2024-12-31
CENSUS_ACS5
zcta 74429
acs median gross
$925
2024-12-31
CENSUS_ACS5
zcta 74429
acs recent mover gross
$1,152
2024-12-31
CENSUS_ACS5
zip 74429
payment standard 110
0
$968
2025-10-01
HUD_USER_SAFMR
zip 74429
payment standard 90
0
$792
2025-10-01
HUD_USER_SAFMR
zip 74429
safmr
0
$880
2025-10-01
HUD_USER_SAFMR
zip 74429
payment standard 110
1
$1,023
2025-10-01
HUD_USER_SAFMR
zip 74429
payment standard 90
1
$837
2025-10-01
HUD_USER_SAFMR
zip 74429
safmr
1
$930
2025-10-01
HUD_USER_SAFMR
zip 74429
payment standard 110
2
$1,265
2025-10-01
HUD_USER_SAFMR
zip 74429
payment standard 90
2
$1,035
2025-10-01
HUD_USER_SAFMR
zip 74429
safmr
2
$1,150
2025-10-01
HUD_USER_SAFMR
zip 74429
payment standard 110
3
$1,661
2025-10-01
HUD_USER_SAFMR
zip 74429
payment standard 90
3
$1,359
2025-10-01
HUD_USER_SAFMR
zip 74429
safmr
3
$1,510
2025-10-01
HUD_USER_SAFMR
zip 74429
payment standard 110
4
$1,936
2025-10-01
HUD_USER_SAFMR
zip 74429
payment standard 90
4
$1,584
2025-10-01
HUD_USER_SAFMR
zip 74429
safmr
4
$1,760
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.