511 East Fourth Street, Shoshone, ID 83352 · CCN 135056
Composite
28.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
36
Model
v1.2
Reads as: riskier than 28.8% 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
6
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+23.8 vs natl
FULLMER CHAD
18 facilities
connection
Owner fleet risk far above national
+20.2 vs natl
MCSPADDEN DARIN
21 facilities
connection
Owner spans multiple chains
5 chains
MCSPADDEN DARIN
17 facilities
connection
Owner spans multiple chains
5 chains
FULLMER CHAD
14 facilities
connection
Owner fleet enforcement cluster
46% fined
CRUMP JASON
11 facilities
connection
Owner fleet enforcement cluster
42% fined
WHITE DEREK
12 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
14
2025Q4 HPRD
This facility
ID median
National median
National p25–p75
Total nurse
2.81
3.34
3.28
2.90–3.77
RN
0.73
0.51
0.39
0.25–0.58
Weekend total
2.63
3.05
3.11
—
Weekday total
2.88
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
27.2
2.81
0.73
0.33
1.75
2.63
0.4%
2025Q3
92
25.9
2.61
0.73
0.27
1.61
2.50
4.1%
2025Q2
91
26.3
2.51
0.65
0.28
1.57
2.52
0.2%
2025Q1
90
26.5
2.68
0.59
0.39
1.70
2.59
0.0%
2024Q4
92
29.4
2.35
0.57
0.32
1.46
2.34
4.4%
2024Q3
92
28.6
2.28
0.53
0.38
1.36
2.16
0.8%
2024Q2
91
28.4
2.59
0.58
0.34
1.67
2.52
0.7%
2024Q1
91
24.6
3.08
0.62
0.40
2.06
2.98
0.3%
2023Q4
92
26.5
2.90
0.47
0.53
1.90
2.73
0.5%
2023Q3
92
24.0
2.63
0.46
0.56
1.61
2.53
1.4%
2023Q2
91
27.9
2.56
0.42
0.57
1.57
2.42
4.8%
2023Q1
90
26.7
2.56
0.45
0.49
1.62
2.42
3.1%
2022Q2
91
27.9
2.28
0.65
0.36
1.27
2.22
0.0%
2022Q1
90
26.6
2.70
0.65
0.53
1.51
2.79
2.0%
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.
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
30
D × 26E × 4
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-15
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2026-05-19
2026-04-15
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2026-05-19
2026-04-15
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2026-05-19
2026-04-15
Health
F0584
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
E
2026-05-19
2026-04-15
Health
F0641
Ensure each resident receives an accurate assessment.
D
2026-05-19
2026-04-15
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2026-05-19
2026-04-15
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2026-05-19
2026-04-15
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2026-05-19
2026-04-15
Health
F0732
Post nurse staffing information every day.
D
2026-05-19
2026-04-15
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
2026-05-19
2026-04-15
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2026-05-19
2026-04-15
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2026-05-19
2026-04-15
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-05-19
2025-04-16
Health · complaint
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-05-20
2025-04-16
Health · complaint
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2025-05-20
2025-04-16
Health · complaint
F0680
Ensure the activities program is directed by a qualified professional.
D
2025-05-20
2025-04-16
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-05-20
2025-04-16
Health · complaint
F0732
Post nurse staffing information every day.
D
2025-05-20
2025-04-16
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-05-20
2025-04-16
Health · complaint
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2025-05-20
2025-04-16
Health · complaint
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
2025-05-20
2025-04-16
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2025-05-20
2025-04-16
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-05-20
2020-02-21
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2020-03-16
2020-02-21
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
2020-03-16
2020-02-21
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2020-03-16
2020-02-21
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
2020-03-16
2020-02-21
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.
E
2020-03-16
2020-02-21
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
2020-03-16
2020-02-21
Health
F0880
Provide and implement an infection prevention and control program.
D
2020-03-16
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
26
Owner
Role
Pct
From
Status
Source
BURDICK, ANITA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
BURDICK, ANITA
ADP OF THE SNF
—
2025-12-16
current
pecos_ownership
CASCADES AT LINCOLN COUNTY, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2023-01-01
current
pecos_ownership
CRUMP, JASON
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
EELIR FLP
GENERAL PARTNERSHIP INTEREST
—
2023-01-01
current
pecos_ownership
FULLMER, CHAD
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
GIES, FLORIAN
ADP OF THE SNF
—
2025-12-16
current
pecos_ownership
GIES, FLORIAN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
LINCOLN COUNTY EMS
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2023-01-01
current
pecos_ownership
LINCOLN COUNTY EMS
ADP OF THE SNF
—
—
current
pecos_ownership
MCSPADDEN, DARIN
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
current
pecos_ownership
MOORE, THOMAS
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
QUEST FLP
GENERAL PARTNERSHIP INTEREST
—
2023-01-01
current
pecos_ownership
RONNMARK FLP
GENERAL PARTNERSHIP INTEREST
—
2023-01-01
current
pecos_ownership
TAKAYAMA FLP
GENERAL PARTNERSHIP INTEREST
—
2023-01-01
current
pecos_ownership
TOWER BRIDGE FLP
GENERAL PARTNERSHIP INTEREST
—
2023-01-01
current
pecos_ownership
WHITE, DEREK
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
CHAD FULLMER
CORPORATE DIRECTOR
23%
2023-01-01
ended 2026-05-18
pecos_ownership
DARIN MCSPADDEN
CORPORATE DIRECTOR
23%
2023-01-01
ended 2026-05-18
pecos_ownership
DEREK WHITE
CORPORATE DIRECTOR
23%
2023-01-01
ended 2026-05-18
pecos_ownership
JASON CRUMP
CORPORATE DIRECTOR
23%
2023-01-01
ended 2026-05-18
pecos_ownership
THOMAS MOORE
CORPORATE DIRECTOR
10%
2023-01-01
ended 2026-05-18
pecos_ownership
ANITA BURDICK
ADP OF THE SNF
—
2025-12-16
ended 2026-05-18
pecos_ownership
ANITA BURDICK
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
ended 2026-05-18
pecos_ownership
FLORIAN GIES
ADP OF THE SNF
—
2025-12-16
ended 2026-05-18
pecos_ownership
FLORIAN GIES
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$498,840
—
—
$290,248
$75,275
3
—
2023-12-31
$467,592
—
—
$238,777
$95,400
3
—
2022-12-31
$495,876
—
—
$273,646
$119,250
3
—
2021-12-31
$129,325
—
—
—
—
1
—
2020-12-31
$159,959
—
—
—
—
1
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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
28
Geo
Kind
BR
Amount
As of
Source
county 16063
fmr
0
$848
2025-10-01
HUD_USER_FMR
county 16063
acs median gross
1
$785
2024-12-31
CENSUS_ACS5
county 16063
fmr
1
$888
2025-10-01
HUD_USER_FMR
county 16063
acs median gross
2
$984
2024-12-31
CENSUS_ACS5
county 16063
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 16063
acs median gross
3
$1,076
2024-12-31
CENSUS_ACS5
county 16063
fmr
3
$1,353
2025-10-01
HUD_USER_FMR
county 16063
fmr
4
$1,632
2025-10-01
HUD_USER_FMR
county 16063
acs median gross
$1,021
2024-12-31
CENSUS_ACS5
county 16063
acs recent mover gross
$1,031
2024-12-31
CENSUS_ACS5
zcta 83352
acs median gross
2
$1,051
2024-12-31
CENSUS_ACS5
zcta 83352
acs median gross
3
$1,117
2024-12-31
CENSUS_ACS5
zcta 83352
acs median gross
$1,102
2024-12-31
CENSUS_ACS5
zip 83352
payment standard 110
0
$946
2025-10-01
HUD_USER_SAFMR
zip 83352
payment standard 90
0
$774
2025-10-01
HUD_USER_SAFMR
zip 83352
safmr
0
$860
2025-10-01
HUD_USER_SAFMR
zip 83352
payment standard 110
1
$1,023
2025-10-01
HUD_USER_SAFMR
zip 83352
payment standard 90
1
$837
2025-10-01
HUD_USER_SAFMR
zip 83352
safmr
1
$930
2025-10-01
HUD_USER_SAFMR
zip 83352
payment standard 110
2
$1,342
2025-10-01
HUD_USER_SAFMR
zip 83352
payment standard 90
2
$1,098
2025-10-01
HUD_USER_SAFMR
zip 83352
safmr
2
$1,220
2025-10-01
HUD_USER_SAFMR
zip 83352
payment standard 110
3
$1,859
2025-10-01
HUD_USER_SAFMR
zip 83352
payment standard 90
3
$1,521
2025-10-01
HUD_USER_SAFMR
zip 83352
safmr
3
$1,690
2025-10-01
HUD_USER_SAFMR
zip 83352
payment standard 110
4
$1,914
2025-10-01
HUD_USER_SAFMR
zip 83352
payment standard 90
4
$1,566
2025-10-01
HUD_USER_SAFMR
zip 83352
safmr
4
$1,740
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.