225 Southwest 35th Street, Oklahoma City, OK 73109 · CCN 375452 · chain PHOENIX HEALTHCARE LLC
Composite
91.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
47
Model
v1.2
Reads as: riskier than 91.8% 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 spans multiple chains
47 chains
FORVIS MAZARS LLP
251 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
3.75
2.78
3.28
2.90–3.77
RN
0.22
0.18
0.39
0.25–0.58
Weekend total
3.56
2.72
3.11
—
Weekday total
3.83
2.80
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
38.8
3.75
0.22
0.61
2.92
3.56
23.7%
2025Q3
92
41.0
3.13
0.24
0.61
2.28
2.86
16.4%
2025Q2
91
34.8
3.23
0.25
0.64
2.34
3.06
14.6%
2025Q1
90
34.0
3.28
0.27
0.82
2.19
3.00
19.4%
2024Q4
92
31.9
3.23
0.32
0.78
2.13
2.92
26.4%
2024Q3
92
31.6
3.26
0.30
0.77
2.19
2.94
15.6%
2024Q2
91
30.1
3.40
0.28
0.84
2.28
3.33
3.0%
2024Q1
91
29.4
3.52
0.31
0.84
2.38
3.26
4.2%
2023Q4
92
27.9
3.54
0.51
0.67
2.36
3.29
7.8%
2023Q3
92
27.6
3.27
0.36
0.69
2.23
3.29
11.1%
2023Q2
91
27.2
3.45
0.29
0.61
2.55
3.68
0.8%
2023Q1
90
29.4
3.00
0.32
0.79
1.90
2.77
1.5%
2022Q4
92
25.3
3.14
0.51
0.72
1.91
3.29
0.0%
2022Q3
92
25.0
3.58
0.21
1.23
2.13
3.59
0.0%
2022Q2
91
27.3
3.08
0.21
1.28
1.59
3.32
0.0%
2022Q1
90
29.1
3.07
0.11
1.06
1.90
3.30
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2025-10-28
2025-09-10
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2025-10-28
2025-09-10
Health · complaint
F0610
Respond appropriately to all alleged violations.
E
2025-10-28
2025-09-10
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.
D
2025-10-28
2024-02-23
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-04-08
2024-02-23
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-04-08
2024-02-23
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-04-08
2024-02-23
Health
F0730
Observe each nurse aide's job performance and give regular training.
D
2024-04-08
2024-02-23
Health
F0732
Post nurse staffing information every day.
E
2024-04-08
2024-02-23
Health
F0772
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
D
2024-04-08
2024-02-23
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-04-08
2023-01-27
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-03-06
2023-01-27
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2023-03-06
2023-01-27
Health
F0637
Assess the resident when there is a significant change in condition
D
2023-03-06
2023-01-27
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2023-03-06
2023-01-27
Health
F0692
Provide enough food/fluids to maintain a resident's health.
E
2023-03-06
2023-01-27
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2023-03-06
2023-01-27
Health
F0772
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
D
2023-03-06
2023-01-27
Health
F0802
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
E
2023-03-06
2023-01-27
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
D
2023-03-06
2023-01-27
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2023-03-06
2023-01-27
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.
D
2023-03-06
2023-01-27
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-03-06
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
22
Owner
Role
Pct
From
Status
Source
CAIN, LARRY
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2004-09-29
current
pecos_ownership
DAVIS, DENA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-18
current
pecos_ownership
FLOYD, SHANNA
ADP OF THE SNF
—
2010-06-14
current
pecos_ownership
FORVIS MAZARS LLP
ADP OF THE SNF
—
2025-07-15
current
pecos_ownership
FORVIS MAZARS LLP
OPERATIONAL/MANAGERIAL CONTROL
—
2004-10-14
current
pecos_ownership
HERMANCE, TERRY
ADP OF THE SNF
—
2025-07-15
current
pecos_ownership
HERMANCE, TERRY
OPERATIONAL/MANAGERIAL CONTROL
—
2023-05-22
current
pecos_ownership
MIDWEST LAND & INVESTMENT COMPANY
ADP OF THE SNF
—
2005-11-01
current
pecos_ownership
PHOENIX HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2004-09-29
current
pecos_ownership
PHOENIX HEALTHCARE LLC
ADP OF THE SNF
—
2025-07-15
current
pecos_ownership
PHOENIX REHAB LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2004-09-29
current
pecos_ownership
RAMMING, LACIE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-19
current
pecos_ownership
RAMMING, LACIE
ADP OF THE SNF
—
2025-07-15
current
pecos_ownership
YOUNG, CATHY
OPERATIONAL/MANAGERIAL CONTROL
—
2009-04-24
current
pecos_ownership
LARRY CAIN
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2004-09-29
ended 2026-05-18
pecos_ownership
CATHY YOUNG
ADP OF THE SNF
—
2009-04-24
ended 2026-05-18
pecos_ownership
DENA DAVIS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-18
ended 2026-05-18
pecos_ownership
LACIE RAMMING
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-19
ended 2026-05-18
pecos_ownership
LACIE RAMMING
ADP OF THE SNF
—
2025-07-15
ended 2026-05-18
pecos_ownership
SHANNA FLOYD
ADP OF THE SNF
—
2010-06-14
ended 2026-05-18
pecos_ownership
TERRY HERMANCE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-05-22
ended 2026-05-18
pecos_ownership
TERRY HERMANCE
ADP OF THE SNF
—
2025-07-15
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
$219,445
—
$143,507
$75,938
—
7
—
2024-06-30
$202,033
—
$151,276
$50,757
—
7
—
2023-06-30
$191,629
—
$148,513
$43,116
—
6
—
2022-06-30
$256,648
—
$139,655
$116,993
—
6
—
2021-06-30
$353,437
—
$137,079
$216,358
—
6
—
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
35
Geo
Kind
BR
Amount
As of
Source
county 40109
acs median gross
0
$816
2024-12-31
CENSUS_ACS5
county 40109
fmr
0
$939
2025-10-01
HUD_USER_FMR
county 40109
acs median gross
1
$901
2024-12-31
CENSUS_ACS5
county 40109
fmr
1
$1,017
2025-10-01
HUD_USER_FMR
county 40109
acs median gross
2
$1,110
2024-12-31
CENSUS_ACS5
county 40109
fmr
2
$1,244
2025-10-01
HUD_USER_FMR
county 40109
acs median gross
3
$1,363
2024-12-31
CENSUS_ACS5
county 40109
fmr
3
$1,675
2025-10-01
HUD_USER_FMR
county 40109
acs median gross
4
$1,574
2024-12-31
CENSUS_ACS5
county 40109
fmr
4
$1,857
2025-10-01
HUD_USER_FMR
county 40109
acs median gross
5
$1,648
2024-12-31
CENSUS_ACS5
county 40109
acs median gross
$1,116
2024-12-31
CENSUS_ACS5
county 40109
acs recent mover gross
$1,232
2024-12-31
CENSUS_ACS5
zcta 73109
acs median gross
1
$596
2024-12-31
CENSUS_ACS5
zcta 73109
acs median gross
2
$908
2024-12-31
CENSUS_ACS5
zcta 73109
acs median gross
3
$1,221
2024-12-31
CENSUS_ACS5
zcta 73109
acs median gross
4
$1,349
2024-12-31
CENSUS_ACS5
zcta 73109
acs median gross
5
$2,162
2024-12-31
CENSUS_ACS5
zcta 73109
acs median gross
$903
2024-12-31
CENSUS_ACS5
zcta 73109
acs recent mover gross
$845
2024-12-31
CENSUS_ACS5
zip 73109
payment standard 110
0
$825
2025-10-01
HUD_USER_SAFMR
zip 73109
payment standard 90
0
$675
2025-10-01
HUD_USER_SAFMR
zip 73109
safmr
0
$750
2025-10-01
HUD_USER_SAFMR
zip 73109
payment standard 110
1
$891
2025-10-01
HUD_USER_SAFMR
zip 73109
payment standard 90
1
$729
2025-10-01
HUD_USER_SAFMR
zip 73109
safmr
1
$810
2025-10-01
HUD_USER_SAFMR
zip 73109
payment standard 110
2
$1,089
2025-10-01
HUD_USER_SAFMR
zip 73109
payment standard 90
2
$891
2025-10-01
HUD_USER_SAFMR
zip 73109
safmr
2
$990
2025-10-01
HUD_USER_SAFMR
zip 73109
payment standard 110
3
$1,463
2025-10-01
HUD_USER_SAFMR
zip 73109
payment standard 90
3
$1,197
2025-10-01
HUD_USER_SAFMR
zip 73109
safmr
3
$1,330
2025-10-01
HUD_USER_SAFMR
zip 73109
payment standard 110
4
$1,628
2025-10-01
HUD_USER_SAFMR
zip 73109
payment standard 90
4
$1,332
2025-10-01
HUD_USER_SAFMR
zip 73109
safmr
4
$1,480
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.