410 PARK RD, GREENSBURG, IN 47240 · CCN 155210 · chain MAJOR HOSPITAL
Composite
37.5 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
100
Model
v1.2
Reads as: riskier than 37.5% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+24.2 vs natl
CLAXTON RYAN
23 facilities
connection
Owner spans multiple chains
5 chains
RADADIYA PRAGNESHKUMAR
14 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
IN median
National median
National p25–p75
Total nurse
3.46
2.85
3.28
2.90–3.77
RN
0.17
0.40
0.39
0.25–0.58
Weekend total
3.33
2.71
3.11
—
Weekday total
3.50
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
71.9
3.46
0.17
0.87
2.42
3.33
14.3%
2025Q3
92
66.6
3.50
0.23
0.81
2.46
3.49
16.0%
2025Q2
91
60.4
3.26
0.24
0.71
2.30
3.25
13.0%
2025Q1
90
57.5
3.34
0.27
0.73
2.34
3.28
16.1%
2024Q4
92
58.9
3.29
0.11
0.80
2.38
3.15
13.9%
2024Q3
92
55.0
3.17
0.15
0.78
2.25
3.06
4.4%
2024Q2
91
54.3
2.70
0.13
0.66
1.90
2.40
0.0%
2024Q1
91
55.8
2.48
0.19
0.53
1.76
2.38
0.1%
2023Q4
92
56.1
2.68
0.30
0.51
1.86
2.53
14.9%
2023Q3
92
53.0
2.43
0.44
0.35
1.64
2.23
24.3%
2023Q2
91
49.5
2.10
0.45
0.26
1.39
2.06
35.3%
2023Q1
90
49.1
1.92
0.53
0.22
1.17
2.17
17.9%
2022Q4
92
43.1
1.88
0.53
0.27
1.08
2.03
20.3%
2022Q3
92
46.5
1.95
0.47
0.36
1.12
1.88
35.2%
2022Q2
91
47.6
2.62
0.48
0.46
1.68
2.66
21.8%
2022Q1
90
52.7
2.51
0.47
0.32
1.72
2.59
11.6%
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
32
C × 1D × 30E × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-14
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
2025-09-11
2025-08-14
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-09-11
2025-07-23
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-08-14
2025-04-07
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
C
2025-04-24
2025-04-07
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2025-04-24
2025-04-07
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2025-04-24
2025-04-07
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-04-24
2025-04-07
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-04-24
2025-04-07
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.
D
2025-04-24
2025-04-07
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-04-24
2025-04-07
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
2025-04-24
2025-04-07
Health
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2025-04-24
2025-04-07
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-04-24
2024-12-19
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-01-09
2024-12-19
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-01-09
2024-11-01
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-11-22
2024-11-01
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
D
2024-11-22
2024-11-01
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
2024-11-22
2024-11-01
Health · complaint
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2024-11-22
2024-05-30
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-06-15
2024-05-30
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
2024-06-15
2024-05-30
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-06-15
2024-02-02
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-01-24
2023-03-27
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-04-21
2023-03-27
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-04-21
2023-03-27
Health
F0732
Post nurse staffing information every day.
D
2023-04-21
2023-03-27
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2023-04-21
2023-03-27
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2023-04-21
2023-03-27
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2023-04-21
2023-03-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2023-04-21
2023-03-27
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2023-04-21
2023-03-27
Health
F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
D
2023-04-21
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
18
Owner
Role
Pct
From
Status
Source
CLAXTON, RYAN
CORPORATE OFFICER
—
2025-03-27
current
pecos_ownership
FRANKEL, ISRAEL
ADP OF THE SNF
—
2023-07-01
current
pecos_ownership
GREENBURG IN OPCO LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
current
pecos_ownership
GREENBURG IN OPCO LLC
ADP OF THE SNF
—
2025-10-03
current
pecos_ownership
GREENSBURG PROPCO LLC
Other (financial or non-financial)
—
2023-01-01
current
hcris_a_8_1
GREENSBURG PROPCO LLC
Other (financial or non-financial)
—
2024-01-01
current
hcris_a_8_1
HERITAGE HOUSE INC
Other (financial or non-financial)
—
2023-01-01
current
hcris_a_8_1
MEAL, KELSEY
OPERATIONAL/MANAGERIAL CONTROL
—
2019-10-08
current
pecos_ownership
MEAL, KELSEY
ADP OF THE SNF
—
2024-07-08
current
pecos_ownership
RADADIYA, PRAGNESHKUMAR
ADP OF THE SNF
—
2025-01-20
current
pecos_ownership
RADADIYA, PRAGNESHKUMAR
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
current
pecos_ownership
MAJOR HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2012-01-01
ended 2026-05-18
pecos_ownership
ISRAEL FRANKEL
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
ended 2026-05-18
pecos_ownership
KELSEY MEAL
ADP OF THE SNF
—
2024-07-08
ended 2026-05-18
pecos_ownership
KELSEY MEAL
OPERATIONAL/MANAGERIAL CONTROL
—
2019-10-08
ended 2026-05-18
pecos_ownership
PRAGNESHKUMAR RADADIYA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
ended 2026-05-18
pecos_ownership
PRAGNESHKUMAR RADADIYA
ADP OF THE SNF
—
2025-01-20
ended 2026-05-18
pecos_ownership
RYAN CLAXTON
ADP OF THE SNF
—
2025-03-27
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
$1,004,134
$1,004,134
—
—
—
2
propco
2023-12-31
$650,874
$544,604
—
—
—
4
propco
2022-12-31
$532,838
$238,179
$294,659
—
—
5
—
2021-12-31
$525,968
$244,509
$281,459
—
—
5
—
2020-12-31
$476,124
$258,653
$217,471
—
—
5
—
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
32
Geo
Kind
BR
Amount
As of
Source
county 18031
fmr
0
$768
2025-10-01
HUD_USER_FMR
county 18031
acs median gross
1
$678
2024-12-31
CENSUS_ACS5
county 18031
fmr
1
$816
2025-10-01
HUD_USER_FMR
county 18031
acs median gross
2
$928
2024-12-31
CENSUS_ACS5
county 18031
fmr
2
$1,071
2025-10-01
HUD_USER_FMR
county 18031
acs median gross
3
$1,073
2024-12-31
CENSUS_ACS5
county 18031
fmr
3
$1,284
2025-10-01
HUD_USER_FMR
county 18031
acs median gross
4
$1,214
2024-12-31
CENSUS_ACS5
county 18031
fmr
4
$1,418
2025-10-01
HUD_USER_FMR
county 18031
acs median gross
$861
2024-12-31
CENSUS_ACS5
county 18031
acs recent mover gross
$876
2024-12-31
CENSUS_ACS5
zcta 47240
acs median gross
1
$675
2024-12-31
CENSUS_ACS5
zcta 47240
acs median gross
2
$936
2024-12-31
CENSUS_ACS5
zcta 47240
acs median gross
3
$1,109
2024-12-31
CENSUS_ACS5
zcta 47240
acs median gross
4
$1,198
2024-12-31
CENSUS_ACS5
zcta 47240
acs median gross
$871
2024-12-31
CENSUS_ACS5
zcta 47240
acs recent mover gross
$904
2024-12-31
CENSUS_ACS5
zip 47240
payment standard 110
0
$891
2025-10-01
HUD_USER_SAFMR
zip 47240
payment standard 90
0
$729
2025-10-01
HUD_USER_SAFMR
zip 47240
safmr
0
$810
2025-10-01
HUD_USER_SAFMR
zip 47240
payment standard 110
1
$1,034
2025-10-01
HUD_USER_SAFMR
zip 47240
payment standard 90
1
$846
2025-10-01
HUD_USER_SAFMR
zip 47240
safmr
1
$940
2025-10-01
HUD_USER_SAFMR
zip 47240
payment standard 110
2
$1,210
2025-10-01
HUD_USER_SAFMR
zip 47240
payment standard 90
2
$990
2025-10-01
HUD_USER_SAFMR
zip 47240
safmr
2
$1,100
2025-10-01
HUD_USER_SAFMR
zip 47240
payment standard 110
3
$1,584
2025-10-01
HUD_USER_SAFMR
zip 47240
payment standard 90
3
$1,296
2025-10-01
HUD_USER_SAFMR
zip 47240
safmr
3
$1,440
2025-10-01
HUD_USER_SAFMR
zip 47240
payment standard 110
4
$1,903
2025-10-01
HUD_USER_SAFMR
zip 47240
payment standard 90
4
$1,557
2025-10-01
HUD_USER_SAFMR
zip 47240
safmr
4
$1,730
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.