7900 LEE'S SUMMIT ROAD, KANSAS CITY, MO 64139 · CCN 265845
Composite
77.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
moderate
Certified beds
188
Model
v1.2
Reads as: riskier than 77.2% 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.
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 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
2.80
2.41
3.28
2.90–3.77
RN
0.44
0.25
0.39
0.25–0.58
Weekend total
2.29
2.24
3.11
—
Weekday total
3.01
2.49
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
131.6
2.80
0.44
0.45
1.91
2.29
0.0%
2025Q3
92
136.4
2.47
0.36
0.50
1.61
2.04
0.0%
2025Q2
91
135.0
2.19
0.30
0.55
1.34
1.84
0.0%
2025Q1
90
133.5
2.41
0.35
0.44
1.62
2.03
0.0%
2024Q4
92
141.5
2.49
0.32
0.47
1.70
2.12
0.0%
2024Q3
92
151.2
2.19
0.26
0.49
1.44
1.78
0.0%
2024Q2
91
151.4
2.24
0.28
0.57
1.39
1.74
0.0%
2024Q1
91
153.6
2.36
0.27
0.53
1.56
1.90
0.0%
2023Q4
92
163.3
2.40
0.27
0.58
1.55
1.98
0.0%
2023Q3
92
168.1
2.19
0.26
0.55
1.38
1.91
0.0%
2023Q2
91
168.1
2.27
0.29
0.55
1.44
1.96
0.0%
2023Q1
90
169.2
2.27
0.22
0.58
1.48
1.99
0.0%
2022Q4
92
169.9
2.61
0.20
0.51
1.90
2.19
0.0%
2022Q3
92
170.7
2.54
0.20
0.45
1.90
2.24
0.0%
2022Q2
91
173.3
2.50
0.15
0.49
1.86
1.89
0.0%
2022Q1
90
168.9
2.70
0.16
0.51
2.03
1.96
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.
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
E
—
2025-08-22
Health
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2025-10-06
2025-08-22
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-10-06
2025-08-22
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.
F
2025-10-06
2025-08-22
Health
F0880
Provide and implement an infection prevention and control program.
F
2025-10-06
2025-04-30
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2025-04-18
2025-04-30
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-04-18
2024-09-11
Health · complaint
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
2024-10-23
2024-09-11
Health · complaint
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2024-10-23
2024-03-27
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-04-08
2024-02-27
Health · complaint
F0559
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
E
2024-04-08
2024-02-27
Health · complaint
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2023-11-02
2023-11-14
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2024-01-03
2023-11-14
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-01-03
2023-11-14
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2024-01-03
2023-11-14
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.
D
2024-01-03
2022-03-25
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2022-05-06
2022-03-25
Health
F0641
Ensure each resident receives an accurate assessment.
D
2022-04-19
2022-03-25
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2022-05-05
2022-03-25
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
2022-05-05
2022-03-25
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2022-05-02
2022-03-25
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2022-05-05
2022-03-25
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
2022-05-05
2022-03-25
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
2022-05-02
2022-03-25
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
2022-05-05
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
71
Owner
Role
Pct
From
Status
Source
TRUMAN MEDICAL CENTER INCORPORATED
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
—
current
pecos_ownership
AGRAWAL, MAULI
CORPORATE DIRECTOR
—
2018-07-01
current
pecos_ownership
ARTHUR, LAUREN
CORPORATE DIRECTOR
—
2023-07-01
current
pecos_ownership
BEATTY, KIMBERLY
CORPORATE DIRECTOR
—
2024-07-01
current
pecos_ownership
BLOCK, WILL
CORPORATE DIRECTOR
—
2024-07-01
current
pecos_ownership
CHANCE, JOLIE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-03
current
pecos_ownership
CHOW, VALERIE
CORPORATE DIRECTOR
—
2023-07-01
current
pecos_ownership
CIL, AKIN
CORPORATE DIRECTOR
—
2021-07-01
current
pecos_ownership
COLLINS, MICHAEL
CORPORATE DIRECTOR
—
2017-07-01
current
pecos_ownership
CONTRERAS, PAT
CORPORATE DIRECTOR
—
2018-07-01
current
pecos_ownership
GIBSON, MARGARET
CORPORATE DIRECTOR
—
2023-07-01
current
pecos_ownership
HAWN, STEVE
CORPORATE DIRECTOR
—
2018-07-01
current
pecos_ownership
HERMANN, A.J.
CORPORATE DIRECTOR
—
2023-07-01
current
pecos_ownership
HOWARD, JAY
CORPORATE DIRECTOR
—
2024-07-01
current
pecos_ownership
JONES, BENJAMIN
CORPORATE DIRECTOR
—
2021-07-01
current
pecos_ownership
JUSTUS, JOLIE
CORPORATE DIRECTOR
—
2020-03-30
current
pecos_ownership
LANKACHANDRA, KAMANI
CORPORATE DIRECTOR
—
2024-07-01
current
pecos_ownership
LEWIS, TRACEY
CORPORATE DIRECTOR
—
2013-07-01
current
pecos_ownership
MCDONOUGH, MADELEINE
CORPORATE DIRECTOR
—
2021-07-01
current
pecos_ownership
MCQUEEN, CLYDE
CORPORATE DIRECTOR
—
2024-07-01
current
pecos_ownership
MIMS, BONNAYE
CORPORATE DIRECTOR
—
2021-07-01
current
pecos_ownership
NASH, TROY
CORPORATE DIRECTOR
—
2021-07-01
current
pecos_ownership
NORBASH, ALEXANDER
CORPORATE DIRECTOR
—
2024-07-01
current
pecos_ownership
OTTO, JON
CORPORATE DIRECTOR
—
2016-07-01
current
pecos_ownership
PECKCHAM, LAURA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-28
current
pecos_ownership
PEEPLES-JONES, ERICA
ADP OF THE SNF
—
2025-01-27
current
pecos_ownership
PEEPLES-JONES, ERICA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-08
current
pecos_ownership
ROBINSON, MELISSA
CORPORATE DIRECTOR
—
2017-07-01
current
pecos_ownership
ROSEMERGEY, BETH
CORPORATE DIRECTOR
—
2023-07-01
current
pecos_ownership
SHAH, JIGNESH
CORPORATE DIRECTOR
—
2024-07-01
current
pecos_ownership
SHIELDS, CHARLES
CORPORATE OFFICER
—
2014-11-07
current
pecos_ownership
SHOCKLEY, LAURA
ADP OF THE SNF
—
2025-10-03
current
pecos_ownership
SHORT, MICHAEL
CORPORATE DIRECTOR
—
2024-07-01
current
pecos_ownership
STEELE, MARK
CORPORATE DIRECTOR
—
2012-06-14
current
pecos_ownership
TRUMAN MEDICAL CENTER INCORPORATED
ADP OF THE SNF
—
2026-04-06
current
pecos_ownership
WEIR, EILEEN
CORPORATE OFFICER
—
2018-07-01
current
pecos_ownership
A.J. HERMANN
CORPORATE DIRECTOR
—
2023-07-01
ended 2026-05-18
pecos_ownership
AKIN CIL
CORPORATE DIRECTOR
—
2021-07-01
ended 2026-05-18
pecos_ownership
ALEXANDER NORBASH
CORPORATE DIRECTOR
—
2024-07-01
ended 2026-05-18
pecos_ownership
BENJAMIN JONES
CORPORATE DIRECTOR
—
2021-07-01
ended 2026-05-18
pecos_ownership
BETH ROSEMERGEY
CORPORATE DIRECTOR
—
2023-07-01
ended 2026-05-18
pecos_ownership
BONNAYE MIMS
CORPORATE DIRECTOR
—
2021-07-01
ended 2026-05-18
pecos_ownership
CHARLES SHIELDS
CORPORATE OFFICER
—
2014-11-07
ended 2026-05-18
pecos_ownership
CLYDE MCQUEEN
CORPORATE DIRECTOR
—
2024-07-01
ended 2026-05-18
pecos_ownership
EILEEN WEIR
CORPORATE OFFICER
—
2018-07-01
ended 2026-05-18
pecos_ownership
ERICA PEEPLES-JONES
ADP OF THE SNF
—
2025-01-27
ended 2026-05-18
pecos_ownership
ERICA PEEPLES-JONES
OPERATIONAL/MANAGERIAL CONTROL
—
2024-07-08
ended 2026-05-18
pecos_ownership
JAY HOWARD
CORPORATE DIRECTOR
—
2024-07-01
ended 2026-05-18
pecos_ownership
JIGNESH SHAH
CORPORATE DIRECTOR
—
2024-07-01
ended 2026-05-18
pecos_ownership
JOLIE CHANCE
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-03
ended 2026-05-18
pecos_ownership
JOLIE JUSTUS
CORPORATE DIRECTOR
—
2020-03-30
ended 2026-05-18
pecos_ownership
JON OTTO
CORPORATE DIRECTOR
—
2016-07-01
ended 2026-05-18
pecos_ownership
KAMANI LANKACHANDRA
CORPORATE DIRECTOR
—
2024-07-01
ended 2026-05-18
pecos_ownership
KIMBERLY BEATTY
CORPORATE DIRECTOR
—
2024-07-01
ended 2026-05-18
pecos_ownership
LAURA PECKCHAM
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-28
ended 2026-05-18
pecos_ownership
LAURA SHOCKLEY
CORPORATE DIRECTOR
—
2025-10-03
ended 2026-05-18
pecos_ownership
LAUREN ARTHUR
CORPORATE DIRECTOR
—
2023-07-01
ended 2026-05-18
pecos_ownership
MADELEINE MCDONOUGH
CORPORATE DIRECTOR
—
2021-07-01
ended 2026-05-18
pecos_ownership
MARGARET GIBSON
CORPORATE DIRECTOR
—
2023-07-01
ended 2026-05-18
pecos_ownership
MARK STEELE
CORPORATE DIRECTOR
—
2012-06-14
ended 2026-05-18
pecos_ownership
MAULI AGRAWAL
CORPORATE DIRECTOR
—
2018-07-01
ended 2026-05-18
pecos_ownership
MELISSA ROBINSON
CORPORATE DIRECTOR
—
2017-07-01
ended 2026-05-18
pecos_ownership
MICHAEL COLLINS
CORPORATE DIRECTOR
—
2017-07-01
ended 2026-05-18
pecos_ownership
MICHAEL SHORT
CORPORATE DIRECTOR
—
2024-07-01
ended 2026-05-18
pecos_ownership
PAT CONTRERAS
CORPORATE DIRECTOR
—
2018-07-01
ended 2026-05-18
pecos_ownership
STEVE HAWN
CORPORATE DIRECTOR
—
2018-07-01
ended 2026-05-18
pecos_ownership
TRACEY LEWIS
CORPORATE DIRECTOR
—
2013-07-01
ended 2026-05-18
pecos_ownership
TROY NASH
CORPORATE DIRECTOR
—
2021-07-01
ended 2026-05-18
pecos_ownership
TRUMAN MEDICAL CENTER INCORPORATED
ADP OF THE SNF
—
2025-09-15
ended 2026-05-18
pecos_ownership
VALERIE CHOW
CORPORATE DIRECTOR
—
2023-07-01
ended 2026-05-18
pecos_ownership
WILL BLOCK
CORPORATE DIRECTOR
—
2024-07-01
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
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 29095
acs median gross
0
$938
2024-12-31
CENSUS_ACS5
county 29095
fmr
0
$1,095
2025-10-01
HUD_USER_FMR
county 29095
acs median gross
1
$1,024
2024-12-31
CENSUS_ACS5
county 29095
fmr
1
$1,197
2025-10-01
HUD_USER_FMR
county 29095
acs median gross
2
$1,179
2024-12-31
CENSUS_ACS5
county 29095
fmr
2
$1,358
2025-10-01
HUD_USER_FMR
county 29095
acs median gross
3
$1,422
2024-12-31
CENSUS_ACS5
county 29095
fmr
3
$1,769
2025-10-01
HUD_USER_FMR
county 29095
acs median gross
4
$1,731
2024-12-31
CENSUS_ACS5
county 29095
fmr
4
$2,103
2025-10-01
HUD_USER_FMR
county 29095
acs median gross
5
$1,736
2024-12-31
CENSUS_ACS5
county 29095
acs median gross
$1,197
2024-12-31
CENSUS_ACS5
county 29095
acs recent mover gross
$1,373
2024-12-31
CENSUS_ACS5
zcta 64139
acs median gross
2
$1,705
2024-12-31
CENSUS_ACS5
zcta 64139
acs median gross
3
$1,858
2024-12-31
CENSUS_ACS5
zcta 64139
acs median gross
$1,711
2024-12-31
CENSUS_ACS5
zip 64139
payment standard 110
0
$1,573
2025-10-01
HUD_USER_SAFMR
zip 64139
payment standard 90
0
$1,287
2025-10-01
HUD_USER_SAFMR
zip 64139
safmr
0
$1,430
2025-10-01
HUD_USER_SAFMR
zip 64139
payment standard 110
1
$1,716
2025-10-01
HUD_USER_SAFMR
zip 64139
payment standard 90
1
$1,404
2025-10-01
HUD_USER_SAFMR
zip 64139
safmr
1
$1,560
2025-10-01
HUD_USER_SAFMR
zip 64139
payment standard 110
2
$1,947
2025-10-01
HUD_USER_SAFMR
zip 64139
payment standard 90
2
$1,593
2025-10-01
HUD_USER_SAFMR
zip 64139
safmr
2
$1,770
2025-10-01
HUD_USER_SAFMR
zip 64139
payment standard 110
3
$2,541
2025-10-01
HUD_USER_SAFMR
zip 64139
payment standard 90
3
$2,079
2025-10-01
HUD_USER_SAFMR
zip 64139
safmr
3
$2,310
2025-10-01
HUD_USER_SAFMR
zip 64139
payment standard 110
4
$3,014
2025-10-01
HUD_USER_SAFMR
zip 64139
payment standard 90
4
$2,466
2025-10-01
HUD_USER_SAFMR
zip 64139
safmr
4
$2,740
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.