2100 TOWNSEND DRIVE, EL RENO, OK 73036 · CCN 375448
Composite
14.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
66
Model
v1.2
Reads as: riskier than 14.6% 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 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
2.75
2.78
3.28
2.90–3.77
RN
0.12
0.18
0.39
0.25–0.58
Weekend total
2.48
2.72
3.11
—
Weekday total
2.85
2.80
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
43.5
2.75
0.12
1.01
1.61
2.48
1.4%
2025Q3
92
44.5
2.78
0.07
0.98
1.73
2.45
0.0%
2025Q2
91
46.4
3.36
0.09
0.90
2.37
2.98
0.0%
2025Q1
90
46.6
3.39
0.09
0.91
2.39
3.21
1.0%
2024Q4
92
45.1
3.44
0.09
0.93
2.42
3.30
0.7%
2024Q3
92
44.8
3.47
0.07
0.86
2.53
3.27
1.4%
2024Q2
91
40.9
3.79
0.21
0.94
2.64
3.50
0.4%
2024Q1
91
44.9
3.13
0.12
0.80
2.22
2.91
0.0%
2023Q4
92
44.5
3.02
0.20
0.57
2.24
2.86
0.0%
2023Q3
92
42.7
2.93
0.22
0.69
2.02
2.72
0.0%
2023Q2
91
43.6
3.03
0.21
0.77
2.05
2.90
0.0%
2023Q1
90
38.2
3.25
0.27
0.69
2.30
3.14
0.0%
2022Q4
92
40.8
2.85
0.16
0.70
1.99
2.65
0.0%
2022Q3
92
41.9
2.63
0.09
0.67
1.86
2.44
0.0%
2022Q2
91
35.4
3.30
0.12
0.67
2.51
3.01
0.0%
2022Q1
90
34.6
2.99
0.13
0.65
2.22
2.74
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.
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
24
D × 13E × 10F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-05-23
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-07-08
2024-05-23
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2024-07-08
2024-05-23
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-07-08
2024-05-23
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
2024-07-08
2024-05-23
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2024-07-08
2023-11-03
Health · complaint
F0802
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
E
2023-12-27
2023-11-03
Health · complaint
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.
E
2023-12-27
2023-11-03
Health · complaint
F0808
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
E
2023-12-27
2023-04-03
Health
F0637
Assess the resident when there is a significant change in condition
D
2023-06-14
2023-04-03
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-06-14
2023-04-03
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2023-06-14
2023-04-03
Health
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
E
2023-06-14
2019-09-10
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
2019-10-04
2019-09-10
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
E
2019-10-04
2019-09-10
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.
D
2019-10-04
2019-09-10
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
E
2019-10-04
2019-09-10
Health
F0641
Ensure each resident receives an accurate assessment.
D
2019-10-04
2019-09-10
Health
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2019-10-04
2019-09-10
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2019-10-04
2019-09-10
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2019-10-04
2019-09-10
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
2019-10-04
2019-09-10
Health
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2019-10-04
2019-09-10
Health
F0838
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F
2019-10-04
2019-09-10
Health
F0880
Provide and implement an infection prevention and control program.
E
2019-10-04
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
8
Owner
Role
Pct
From
Status
Source
HEALTH CARE PROPERTIES OF OKLAHOMA, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2014-10-02
current
pecos_ownership
CABLE, RONALD
ADP OF THE SNF
—
2025-06-19
current
pecos_ownership
GD2 INVESTMENTS, LP
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2024-01-30
current
pecos_ownership
GUYMON, GREGORY
ADP OF THE SNF
—
2024-01-30
current
pecos_ownership
PITTS, THOMAS
ADP OF THE SNF
—
2026-03-20
current
pecos_ownership
GREGORY GUYMON
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2024-01-30
ended 2026-05-18
pecos_ownership
MARILYN YEAKLEY
ADP OF THE SNF
—
2025-03-10
ended 2026-05-18
pecos_ownership
RONALD CABLE
ADP OF THE SNF
—
2025-06-19
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 40017
acs median gross
0
$778
2024-12-31
CENSUS_ACS5
county 40017
fmr
0
$939
2025-10-01
HUD_USER_FMR
county 40017
acs median gross
1
$909
2024-12-31
CENSUS_ACS5
county 40017
fmr
1
$1,017
2025-10-01
HUD_USER_FMR
county 40017
acs median gross
2
$1,142
2024-12-31
CENSUS_ACS5
county 40017
fmr
2
$1,244
2025-10-01
HUD_USER_FMR
county 40017
acs median gross
3
$1,532
2024-12-31
CENSUS_ACS5
county 40017
fmr
3
$1,675
2025-10-01
HUD_USER_FMR
county 40017
acs median gross
4
$1,925
2024-12-31
CENSUS_ACS5
county 40017
fmr
4
$1,857
2025-10-01
HUD_USER_FMR
county 40017
acs median gross
$1,289
2024-12-31
CENSUS_ACS5
county 40017
acs recent mover gross
$1,599
2024-12-31
CENSUS_ACS5
zcta 73036
acs median gross
0
$528
2024-12-31
CENSUS_ACS5
zcta 73036
acs median gross
1
$760
2024-12-31
CENSUS_ACS5
zcta 73036
acs median gross
2
$986
2024-12-31
CENSUS_ACS5
zcta 73036
acs median gross
3
$1,082
2024-12-31
CENSUS_ACS5
zcta 73036
acs median gross
4
$1,699
2024-12-31
CENSUS_ACS5
zcta 73036
acs median gross
$972
2024-12-31
CENSUS_ACS5
zcta 73036
acs recent mover gross
$906
2024-12-31
CENSUS_ACS5
zip 73036
payment standard 110
0
$858
2025-10-01
HUD_USER_SAFMR
zip 73036
payment standard 90
0
$702
2025-10-01
HUD_USER_SAFMR
zip 73036
safmr
0
$780
2025-10-01
HUD_USER_SAFMR
zip 73036
payment standard 110
1
$924
2025-10-01
HUD_USER_SAFMR
zip 73036
payment standard 90
1
$756
2025-10-01
HUD_USER_SAFMR
zip 73036
safmr
1
$840
2025-10-01
HUD_USER_SAFMR
zip 73036
payment standard 110
2
$1,133
2025-10-01
HUD_USER_SAFMR
zip 73036
payment standard 90
2
$927
2025-10-01
HUD_USER_SAFMR
zip 73036
safmr
2
$1,030
2025-10-01
HUD_USER_SAFMR
zip 73036
payment standard 110
3
$1,529
2025-10-01
HUD_USER_SAFMR
zip 73036
payment standard 90
3
$1,251
2025-10-01
HUD_USER_SAFMR
zip 73036
safmr
3
$1,390
2025-10-01
HUD_USER_SAFMR
zip 73036
payment standard 110
4
$1,694
2025-10-01
HUD_USER_SAFMR
zip 73036
payment standard 90
4
$1,386
2025-10-01
HUD_USER_SAFMR
zip 73036
safmr
4
$1,540
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.