THE HEALTHCARE RESORT OF LEAWOOD - IRON HORSE HLTH
snfKS
5401 W 143RD STREET, LEAWOOD, KS 66224 · CCN 175558 · chain THE ENSIGN GROUP INC
Composite
91.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
70
Model
v1.2
Reads as: riskier than 91.0% 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
6
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+31.5 vs natl
GEHA CHRISTOPHER
7 facilities
connection
Owner fleet risk far above national
+24.0 vs natl
GATEWAY HEALTHCARE LLC
12 facilities
connection
Owner spans multiple chains
17 chains
BURNAM SOON
335 facilities
connection
Owner spans multiple chains
17 chains
KEETCH CHAD
283 facilities
connection
Owner spans multiple chains
12 chains
THE ENSIGN GROUP INC
123 facilities
connection
Owner fleet enforcement cluster
43% fined
GEHA CHRISTOPHER
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.
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
2025Q3 HPRD
This facility
KS median
National median
National p25–p75
Total nurse
3.07
3.03
3.28
2.90–3.77
RN
0.55
0.44
0.39
0.25–0.58
Weekend total
3.11
2.87
3.11
—
Weekday total
3.05
3.10
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q3
92
65.4
3.07
0.55
0.41
2.11
3.11
8.6%
2025Q2
91
63.2
3.22
0.66
0.35
2.21
3.26
11.1%
2025Q1
90
62.0
3.17
0.71
0.41
2.06
3.20
6.8%
2024Q4
92
62.4
3.11
0.65
0.47
1.99
3.21
18.7%
2024Q3
92
61.3
3.09
0.73
0.35
2.01
3.05
15.3%
2024Q2
91
61.4
2.88
0.61
0.45
1.83
2.81
17.7%
2024Q1
91
57.6
3.01
0.61
0.51
1.89
3.04
21.3%
2023Q4
92
60.0
2.96
0.57
0.54
1.85
3.08
12.4%
2023Q3
92
58.1
3.07
0.46
0.63
1.97
3.17
20.9%
2023Q2
91
52.6
3.26
0.46
0.72
2.08
3.43
18.4%
2023Q1
90
64.1
3.13
0.57
0.66
1.90
3.16
26.5%
2022Q4
92
58.8
3.33
0.57
0.79
1.97
3.46
28.9%
2022Q3
92
61.6
3.40
0.39
0.90
2.11
3.38
33.3%
2022Q2
91
56.0
3.71
0.53
1.08
2.09
3.62
31.1%
2022Q1
90
52.7
2.83
0.39
0.98
1.46
2.58
27.3%
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
L
2026-02-10
2025-08-06
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2025-09-15
2025-08-06
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2025-09-15
2025-08-06
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
2025-09-15
2025-08-06
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-09-15
2025-08-06
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-09-15
2025-08-06
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2025-09-15
2025-08-06
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-09-15
2025-08-06
Health
F0730
Observe each nurse aide's job performance and give regular training.
F
2025-09-15
2025-08-06
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
2025-09-15
2025-08-06
Health
F0775
Keep complete, dated laboratory records in the resident's record.
D
2025-09-15
2025-08-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-09-15
2025-08-06
Health
F0849
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
D
2025-09-15
2025-08-06
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-09-15
2025-08-06
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2025-09-15
2023-11-16
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-12-15
2023-11-16
Health
F0565
Honor the resident's right to organize and participate in resident/family groups in the facility.
E
2023-12-15
2023-11-16
Health
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
E
2023-12-15
2023-11-16
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-12-15
2023-11-16
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2023-12-15
2023-11-16
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.
D
2023-12-15
2023-11-16
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-12-15
2023-11-16
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.
D
2023-12-15
2023-11-16
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2023-12-15
2023-11-16
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
2023-12-15
2023-11-16
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-12-15
2023-11-16
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-12-15
2022-03-07
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2022-04-08
2022-03-07
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
2022-04-08
2022-03-07
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
2022-04-08
2022-03-07
Health
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2022-04-08
2022-03-07
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2022-04-08
2022-03-07
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-04-08
2022-03-07
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2022-04-08
2022-03-07
Health
F0760
Ensure that residents are free from significant medication errors.
D
2022-04-08
2022-03-07
Health
F0880
Provide and implement an infection prevention and control program.
F
2022-04-08
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
BOHRER, TRACY
ADP OF THE SNF
—
2025-05-06
current
pecos_ownership
BOHRER, TRACY
OPERATIONAL/MANAGERIAL CONTROL
—
2020-05-07
current
pecos_ownership
BURNAM, SOON
CORPORATE OFFICER
—
2015-02-04
current
pecos_ownership
GATEWAY HEALTHCARE LLC
DIRECT OWNERSHIP INTEREST
—
2015-01-22
current
pecos_ownership
GEHA, CHRISTOPHER
MANAGING CONTROL - GOVERNING BODY
—
2020-01-10
current
pecos_ownership
JORGENSEN, DAVID
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-06-24
current
pecos_ownership
KEETCH, CHAD
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-06-24
current
pecos_ownership
PORT, BARRY
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-06-24
current
pecos_ownership
THE ENSIGN GROUP INC
ADP OF THE SNF
—
2022-01-22
current
pecos_ownership
THE ENSIGN GROUP INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2015-01-22
ended 2026-05-18
pecos_ownership
SOON BURNAM
CORPORATE OFFICER
0%
2015-02-04
ended 2026-05-18
pecos_ownership
CHRISTOPHER GEHA
MANAGING CONTROL - GOVERNING BODY
—
2020-01-10
ended 2026-05-18
pecos_ownership
TRACY BOHRER
OPERATIONAL/MANAGERIAL CONTROL
—
2020-05-07
ended 2026-05-18
pecos_ownership
TRACY BOHRER
ADP OF THE SNF
—
2025-05-06
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
2024-12-31
$1,813,441
—
$1,007,680
—
—
3
—
2023-12-31
$1,729,233
—
$879,562
—
—
3
—
2022-12-31
$1,856,703
—
$1,015,278
—
—
3
—
2021-12-31
$1,179,988
—
$746,514
—
—
3
—
2020-12-31
$809,846
—
$577,644
—
—
3
—
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
31
Geo
Kind
BR
Amount
As of
Source
county 20091
acs median gross
0
$1,209
2024-12-31
CENSUS_ACS5
county 20091
fmr
0
$1,095
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
1
$1,236
2024-12-31
CENSUS_ACS5
county 20091
fmr
1
$1,197
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
2
$1,485
2024-12-31
CENSUS_ACS5
county 20091
fmr
2
$1,358
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
3
$1,802
2024-12-31
CENSUS_ACS5
county 20091
fmr
3
$1,769
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
4
$2,110
2024-12-31
CENSUS_ACS5
county 20091
fmr
4
$2,103
2025-10-01
HUD_USER_FMR
county 20091
acs median gross
5
$2,114
2024-12-31
CENSUS_ACS5
county 20091
acs median gross
$1,434
2024-12-31
CENSUS_ACS5
county 20091
acs recent mover gross
$1,509
2024-12-31
CENSUS_ACS5
zcta 66224
acs median gross
1
$1,694
2024-12-31
CENSUS_ACS5
zcta 66224
acs median gross
2
$1,757
2024-12-31
CENSUS_ACS5
zcta 66224
acs median gross
$1,789
2024-12-31
CENSUS_ACS5
zip 66224
payment standard 110
0
$1,694
2025-10-01
HUD_USER_SAFMR
zip 66224
payment standard 90
0
$1,386
2025-10-01
HUD_USER_SAFMR
zip 66224
safmr
0
$1,540
2025-10-01
HUD_USER_SAFMR
zip 66224
payment standard 110
1
$1,848
2025-10-01
HUD_USER_SAFMR
zip 66224
payment standard 90
1
$1,512
2025-10-01
HUD_USER_SAFMR
zip 66224
safmr
1
$1,680
2025-10-01
HUD_USER_SAFMR
zip 66224
payment standard 110
2
$2,101
2025-10-01
HUD_USER_SAFMR
zip 66224
payment standard 90
2
$1,719
2025-10-01
HUD_USER_SAFMR
zip 66224
safmr
2
$1,910
2025-10-01
HUD_USER_SAFMR
zip 66224
payment standard 110
3
$2,739
2025-10-01
HUD_USER_SAFMR
zip 66224
payment standard 90
3
$2,241
2025-10-01
HUD_USER_SAFMR
zip 66224
safmr
3
$2,490
2025-10-01
HUD_USER_SAFMR
zip 66224
payment standard 110
4
$3,256
2025-10-01
HUD_USER_SAFMR
zip 66224
payment standard 90
4
$2,664
2025-10-01
HUD_USER_SAFMR
zip 66224
safmr
4
$2,960
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.