1700 Northwest Fort Sill Blvd, Lawton, OK 73507 · CCN 375510
Composite
86.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
95
Model
v1.2
Reads as: riskier than 86.0% 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
1
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+23.9 vs natl
BOKF NA
13 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
2.72
2.78
3.28
2.90–3.77
RN
0.15
0.18
0.39
0.25–0.58
Weekend total
2.52
2.72
3.11
—
Weekday total
2.79
2.80
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
79.9
2.72
0.15
0.59
1.97
2.52
0.0%
2025Q3
92
73.4
2.84
0.14
0.62
2.08
2.73
0.0%
2025Q2
91
77.1
2.78
0.07
0.70
2.00
2.69
0.0%
2025Q1
90
77.9
2.74
0.09
0.66
2.00
2.76
0.0%
2024Q4
92
77.4
2.74
0.09
0.53
2.11
2.76
0.0%
2024Q3
92
76.4
2.66
0.11
0.64
1.91
2.63
0.7%
2024Q2
91
71.4
3.09
0.18
0.69
2.22
2.87
2.1%
2024Q1
91
62.0
3.32
0.15
0.76
2.41
3.40
0.3%
2023Q4
92
59.8
3.53
0.25
0.88
2.40
3.41
1.8%
2023Q3
92
62.3
3.19
0.23
0.94
2.01
3.10
0.0%
2023Q2
91
61.4
2.96
0.20
0.86
1.91
2.75
1.8%
2023Q1
90
64.9
2.67
0.22
0.76
1.68
2.57
2.0%
2022Q4
92
63.1
2.70
0.20
0.58
1.92
2.57
0.1%
2022Q3
92
62.8
3.00
0.15
0.78
2.07
2.92
0.0%
2022Q2
91
65.4
3.18
0.13
0.85
2.19
2.96
0.0%
2022Q1
90
64.3
3.06
0.14
0.83
2.09
2.76
0.2%
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.
J
2026-05-18
2026-04-28
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2026-05-18
2026-04-28
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
J
2026-05-18
2026-04-28
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K
2026-05-18
2026-04-28
Health · complaint
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
J
2026-05-18
2026-04-28
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2026-05-18
2026-04-28
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-05-18
2025-07-15
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-08-08
2025-03-12
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
E
2025-04-01
2025-03-12
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.
E
2025-04-01
2025-01-13
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2025-02-14
2024-06-07
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.
E
2024-09-12
2024-06-07
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2024-09-12
2024-06-07
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2024-09-12
2024-06-07
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
2024-11-01
2024-06-07
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-09-12
2024-06-07
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2024-09-12
2024-06-07
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
E
2024-09-12
2024-06-07
Health
F0732
Post nurse staffing information every day.
D
2024-09-12
2024-06-07
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2024-09-12
2024-06-07
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
2024-09-12
2024-06-07
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-09-12
2024-06-07
Health
F0881
Implement a program that monitors antibiotic use.
E
2024-11-01
2024-06-07
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
E
2024-09-12
2023-04-27
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2023-06-15
2023-04-27
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-06-15
2023-04-27
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.
E
2023-06-15
2023-04-27
Health
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
E
2023-06-15
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
29
Owner
Role
Pct
From
Status
Source
LAWTON POST ACUTE & REHAB,LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-01-02
current
pecos_ownership
1700 NW FORT SILL BLVD LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-02
current
pecos_ownership
BOKF,NA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-07
current
pecos_ownership
BOKF,NA
5% OR GREATER MORTGAGE INTEREST
—
2024-01-02
current
pecos_ownership
FAMILY TK5 HOLDINGS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-07
current
pecos_ownership
FAMILY TK5 HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-01-02
current
pecos_ownership
GALBASINI, KEVIN
MANAGING CONTROL - GOVERNING BODY
—
2024-01-02
current
pecos_ownership
K & JG HOLDINGS 2 LLC
ADP OF THE SNF
—
2024-01-02
current
pecos_ownership
K & JG HOLDINGS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-02
current
pecos_ownership
K & JG HOLDINGS LLC
ADP OF THE SNF
—
2025-01-07
current
pecos_ownership
KOPIAN PROPERTY 2 LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-02
current
pecos_ownership
KOPION HEALTHCARE HOLDINGS LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-07
current
pecos_ownership
LAMB LIVING TRUST MAY 25, 2018
ADP OF THE SNF
—
2024-01-02
current
pecos_ownership
LAMB, MARK
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-02
current
pecos_ownership
LAWTON POST ACUTE & REHAB,LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-12
current
pecos_ownership
PRATT, KYLENE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-01-02
current
pecos_ownership
PRATT, KYLENE
ADP OF THE SNF
—
2024-11-12
current
pecos_ownership
PRATT, TODD
MANAGING CONTROL - GOVERNING BODY
—
2024-01-02
current
pecos_ownership
PRATT, TODD
ADP OF THE SNF
—
2025-01-07
current
pecos_ownership
PRATT, TODD
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-01-01
current
pecos_ownership
PRATT, TODD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-12
current
pecos_ownership
TODD PRATT
GENERAL PARTNERSHIP INTEREST
46%
2024-01-02
ended 2026-05-18
pecos_ownership
TODD PRATT
5% OR GREATER INDIRECT OWNERSHIP INTEREST
46%
2024-01-01
ended 2026-05-18
pecos_ownership
KYLENE PRATT
5% OR GREATER INDIRECT OWNERSHIP INTEREST
44%
2024-01-02
ended 2026-05-18
pecos_ownership
KEVIN GALBASINI
MANAGING CONTROL - GOVERNING BODY
—
2024-01-02
ended 2026-05-18
pecos_ownership
KYLENE PRATT
ADP OF THE SNF
—
2024-11-12
ended 2026-05-18
pecos_ownership
MARK LAMB
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-02
ended 2026-05-18
pecos_ownership
TODD PRATT
ADP OF THE SNF
—
2025-01-07
ended 2026-05-18
pecos_ownership
TODD PRATT
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-12
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
34
Geo
Kind
BR
Amount
As of
Source
county 40031
acs median gross
0
$676
2024-12-31
CENSUS_ACS5
county 40031
fmr
0
$779
2025-10-01
HUD_USER_FMR
county 40031
acs median gross
1
$701
2024-12-31
CENSUS_ACS5
county 40031
fmr
1
$784
2025-10-01
HUD_USER_FMR
county 40031
acs median gross
2
$908
2024-12-31
CENSUS_ACS5
county 40031
fmr
2
$1,001
2025-10-01
HUD_USER_FMR
county 40031
acs median gross
3
$1,120
2024-12-31
CENSUS_ACS5
county 40031
fmr
3
$1,392
2025-10-01
HUD_USER_FMR
county 40031
acs median gross
4
$1,338
2024-12-31
CENSUS_ACS5
county 40031
fmr
4
$1,679
2025-10-01
HUD_USER_FMR
county 40031
acs median gross
5
$1,199
2024-12-31
CENSUS_ACS5
county 40031
acs median gross
$970
2024-12-31
CENSUS_ACS5
county 40031
acs recent mover gross
$1,042
2024-12-31
CENSUS_ACS5
zcta 73507
acs median gross
1
$685
2024-12-31
CENSUS_ACS5
zcta 73507
acs median gross
2
$901
2024-12-31
CENSUS_ACS5
zcta 73507
acs median gross
3
$1,097
2024-12-31
CENSUS_ACS5
zcta 73507
acs median gross
4
$1,533
2024-12-31
CENSUS_ACS5
zcta 73507
acs median gross
$932
2024-12-31
CENSUS_ACS5
zcta 73507
acs recent mover gross
$996
2024-12-31
CENSUS_ACS5
zip 73507
payment standard 110
0
$836
2025-10-01
HUD_USER_SAFMR
zip 73507
payment standard 90
0
$684
2025-10-01
HUD_USER_SAFMR
zip 73507
safmr
0
$760
2025-10-01
HUD_USER_SAFMR
zip 73507
payment standard 110
1
$847
2025-10-01
HUD_USER_SAFMR
zip 73507
payment standard 90
1
$693
2025-10-01
HUD_USER_SAFMR
zip 73507
safmr
1
$770
2025-10-01
HUD_USER_SAFMR
zip 73507
payment standard 110
2
$1,078
2025-10-01
HUD_USER_SAFMR
zip 73507
payment standard 90
2
$882
2025-10-01
HUD_USER_SAFMR
zip 73507
safmr
2
$980
2025-10-01
HUD_USER_SAFMR
zip 73507
payment standard 110
3
$1,496
2025-10-01
HUD_USER_SAFMR
zip 73507
payment standard 90
3
$1,224
2025-10-01
HUD_USER_SAFMR
zip 73507
safmr
3
$1,360
2025-10-01
HUD_USER_SAFMR
zip 73507
payment standard 110
4
$1,804
2025-10-01
HUD_USER_SAFMR
zip 73507
payment standard 90
4
$1,476
2025-10-01
HUD_USER_SAFMR
zip 73507
safmr
4
$1,640
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.