3535 S NATIONAL AVE, SPRINGFIELD, MO 65807 · CCN 265289 · chain COXHEALTH
Composite
9.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
28
Model
v1.2
Reads as: riskier than 9.4% 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
15
2025Q4 HPRD
This facility
MO median
National median
National p25–p75
Total nurse
8.19
2.41
3.28
2.90–3.77
RN
8.19
0.25
0.39
0.25–0.58
Weekend total
8.47
2.24
3.11
—
Weekday total
8.08
2.49
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
5.2
8.19
8.19
0.00
0.00
8.47
0.0%
2025Q3
92
5.1
7.50
7.50
0.00
0.00
8.05
0.0%
2025Q2
91
5.0
8.21
8.10
0.00
0.12
9.49
0.0%
2025Q1
90
5.8
7.92
7.85
0.00
0.07
9.03
0.0%
2024Q4
92
6.8
8.65
7.35
0.00
1.30
8.93
0.0%
2024Q2
91
18.4
7.74
5.64
0.00
2.10
7.75
0.0%
2024Q1
91
19.2
7.08
5.60
0.00
1.48
7.03
0.0%
2023Q4
92
18.7
6.87
6.12
0.00
0.74
7.22
0.0%
2023Q3
92
19.3
6.50
5.53
0.00
0.97
6.67
3.4%
2023Q2
91
19.5
7.25
5.71
0.00
1.54
7.40
7.1%
2023Q1
90
20.8
6.69
5.42
0.00
1.27
6.77
7.8%
2022Q4
92
17.8
7.79
6.54
0.00
1.25
7.21
15.9%
2022Q3
92
17.2
7.92
5.86
0.00
2.06
7.21
9.5%
2022Q2
91
16.4
8.01
6.39
0.00
1.62
7.43
23.6%
2022Q1
90
16.4
6.33
4.73
0.00
1.60
6.67
36.2%
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.
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
4
D × 4
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-23
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
—
2022-06-30
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2022-08-16
2022-06-30
Health
F0760
Ensure that residents are free from significant medication errors.
D
2022-08-16
2022-06-30
Health
F0888
Ensure staff are vaccinated for COVID-19
D
2022-08-16
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
79
Owner
Role
Pct
From
Status
Source
COXHEALTH
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2013-12-30
current
pecos_ownership
ABDALLA, IBRAHIM
CORPORATE DIRECTOR
—
2017-10-26
current
pecos_ownership
AGUIRRE, LOGAN
CORPORATE DIRECTOR
—
2025-10-28
current
pecos_ownership
BALDNER, JOSELYN
CORPORATE DIRECTOR
—
2026-01-27
current
pecos_ownership
BAUMGARTNER, JAN
CORPORATE DIRECTOR
—
2016-10-20
current
pecos_ownership
BUETOW, MAX
ADP OF THE SNF
—
2022-06-01
current
pecos_ownership
CASAD, ASHLEY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-24
current
pecos_ownership
CHALENDER, CHARLES
CORPORATE DIRECTOR
—
2008-10-16
current
pecos_ownership
COX, ROBERT
CORPORATE DIRECTOR
—
2021-10-28
current
pecos_ownership
COXHEALTH
OPERATIONAL/MANAGERIAL CONTROL
—
2014-06-12
current
pecos_ownership
DOUGLAS, THOMAS
CORPORATE DIRECTOR
—
2023-10-27
current
pecos_ownership
ERWIN, BRAD
CORPORATE OFFICER
—
2025-10-28
current
pecos_ownership
ERWIN, BRAD
CORPORATE DIRECTOR
—
2018-02-15
current
pecos_ownership
FLAX, JULIA
CORPORATE DIRECTOR
—
2015-02-19
current
pecos_ownership
FULP, ROBERT
CORPORATE DIRECTOR
—
2007-11-06
current
pecos_ownership
GAISIE, NANA
CORPORATE DIRECTOR
—
2021-10-28
current
pecos_ownership
GRAVES, SUSAN
CORPORATE DIRECTOR
—
2021-10-28
current
pecos_ownership
HARGIS, SARA
CORPORATE OFFICER
—
2025-10-28
current
pecos_ownership
HARGIS, SARA
CORPORATE DIRECTOR
—
2016-10-20
current
pecos_ownership
HEDGPETH, AMANDA
ADP OF THE SNF
—
2023-01-01
current
pecos_ownership
HEIM, DENNIS
CORPORATE DIRECTOR
—
2007-11-06
current
pecos_ownership
HELLWEG, KURT
CORPORATE DIRECTOR
—
2009-10-15
current
pecos_ownership
HIGDON, HAL
CORPORATE DIRECTOR
—
2008-10-16
current
pecos_ownership
HUTCHESON, JAMES
CORPORATE DIRECTOR
—
2007-11-06
current
pecos_ownership
JARED, BRIAN
CORPORATE DIRECTOR
—
2016-10-20
current
pecos_ownership
JARVIS, HOWARD
CORPORATE DIRECTOR
—
2015-02-19
current
pecos_ownership
LEMON, DAPHNE
CORPORATE DIRECTOR
—
2021-10-28
current
pecos_ownership
LESTER E COX MEDICAL CENTERS
OPERATIONAL/MANAGERIAL CONTROL
—
—
current
pecos_ownership
LESTER E COX MEDICAL CENTERS
ADP OF THE SNF
—
2025-04-02
current
pecos_ownership
LIPSCOMB, LARRY
CORPORATE DIRECTOR
—
2007-11-06
current
pecos_ownership
LIPSCOMB, STUART
CORPORATE DIRECTOR
—
2023-05-19
current
pecos_ownership
MCWAY, JACOB
OPERATIONAL/MANAGERIAL CONTROL
—
2025-08-06
current
pecos_ownership
MCWAY, JACOB
CORPORATE OFFICER
—
2004-09-06
current
pecos_ownership
NELSON, VICKIE
CORPORATE OFFICER
—
2017-07-21
current
pecos_ownership
REARDON, MALISSA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-26
current
pecos_ownership
ROBERTS, DONNA
ADP OF THE SNF
—
2023-10-01
current
pecos_ownership
RUSSELL, KRYSTAL
CORPORATE DIRECTOR
—
2019-10-24
current
pecos_ownership
TAYLOR, CAROL
CORPORATE DIRECTOR
—
2014-04-17
current
pecos_ownership
THE BANK OF NEW YORK MELLON TRUST COMPANY
5% OR GREATER MORTGAGE INTEREST
—
2008-09-10
current
pecos_ownership
TURNER, JOSEPH
CORPORATE DIRECTOR
—
2007-11-06
current
pecos_ownership
TYNES, JEFFERSON
CORPORATE DIRECTOR
—
2011-10-20
current
pecos_ownership
TYNES, JEFFERSON
CORPORATE OFFICER
—
2025-10-28
current
pecos_ownership
YANCEY, PAMELA
CORPORATE DIRECTOR
—
2023-10-27
current
pecos_ownership
AMANDA HEDGPETH
OPERATIONAL/MANAGERIAL CONTROL
—
2023-01-01
ended 2026-05-18
pecos_ownership
ASHLEY CASAD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-01-24
ended 2026-05-18
pecos_ownership
BRAD ERWIN
CORPORATE DIRECTOR
—
2018-02-15
ended 2026-05-18
pecos_ownership
BRIAN JARED
CORPORATE DIRECTOR
—
2016-10-20
ended 2026-05-18
pecos_ownership
CAROL TAYLOR
CORPORATE DIRECTOR
—
2014-04-17
ended 2026-05-18
pecos_ownership
CHARLES CHALENDER
CORPORATE DIRECTOR
—
2008-10-16
ended 2026-05-18
pecos_ownership
DAPHNE LEMON
CORPORATE DIRECTOR
—
2021-10-28
ended 2026-05-18
pecos_ownership
DENNIS HEIM
CORPORATE DIRECTOR
—
2007-11-06
ended 2026-05-18
pecos_ownership
DONNA ROBERTS
OPERATIONAL/MANAGERIAL CONTROL
—
2023-10-01
ended 2026-05-18
pecos_ownership
HAL HIGDON
CORPORATE OFFICER
—
2024-10-24
ended 2026-05-18
pecos_ownership
HAL HIGDON
CORPORATE DIRECTOR
—
2008-10-16
ended 2026-05-18
pecos_ownership
HOWARD JARVIS
CORPORATE DIRECTOR
—
2015-02-19
ended 2026-05-18
pecos_ownership
IBRAHIM ABDALLA
CORPORATE DIRECTOR
—
2017-10-26
ended 2026-05-18
pecos_ownership
JACOB MCWAY
ADP OF THE SNF
—
2025-08-06
ended 2026-05-18
pecos_ownership
JACOB MCWAY
CORPORATE OFFICER
—
2004-09-06
ended 2026-05-18
pecos_ownership
JAMES HUTCHESON
CORPORATE DIRECTOR
—
2007-11-06
ended 2026-05-18
pecos_ownership
JAN BAUMGARTNER
CORPORATE DIRECTOR
—
2016-10-20
ended 2026-05-18
pecos_ownership
JEFFERSON TYNES
CORPORATE OFFICER
—
2024-10-24
ended 2026-05-18
pecos_ownership
JEFFERSON TYNES
CORPORATE DIRECTOR
—
2011-10-20
ended 2026-05-18
pecos_ownership
JOSEPH TURNER
CORPORATE DIRECTOR
—
2007-11-06
ended 2026-05-18
pecos_ownership
JULIA FLAX
CORPORATE DIRECTOR
—
2015-02-19
ended 2026-05-18
pecos_ownership
KRYSTAL RUSSELL
CORPORATE DIRECTOR
—
2019-10-24
ended 2026-05-18
pecos_ownership
KURT HELLWEG
CORPORATE DIRECTOR
—
2009-10-15
ended 2026-05-18
pecos_ownership
LARRY LIPSCOMB
CORPORATE DIRECTOR
—
2007-11-06
ended 2026-05-18
pecos_ownership
MALISSA REARDON
ADP OF THE SNF
—
2025-01-26
ended 2026-05-18
pecos_ownership
MAX BUETOW
CORPORATE OFFICER
—
2022-06-01
ended 2026-05-18
pecos_ownership
NANA GAISIE
CORPORATE DIRECTOR
—
2021-10-28
ended 2026-05-18
pecos_ownership
PAMELA YANCEY
CORPORATE DIRECTOR
—
2023-10-27
ended 2026-05-18
pecos_ownership
ROBERT COX
CORPORATE DIRECTOR
—
2021-10-28
ended 2026-05-18
pecos_ownership
ROBERT FULP
CORPORATE DIRECTOR
—
2007-11-06
ended 2026-05-18
pecos_ownership
SARA HARGIS
CORPORATE OFFICER
—
2024-10-24
ended 2026-05-18
pecos_ownership
SARA HARGIS
CORPORATE DIRECTOR
—
2016-10-20
ended 2026-05-18
pecos_ownership
STUART LIPSCOMB
CORPORATE DIRECTOR
—
2023-05-19
ended 2026-05-18
pecos_ownership
SUSAN GRAVES
CORPORATE DIRECTOR
—
2021-10-28
ended 2026-05-18
pecos_ownership
THOMAS DOUGLAS
CORPORATE DIRECTOR
—
2023-10-27
ended 2026-05-18
pecos_ownership
VICKIE NELSON
CORPORATE OFFICER
—
2017-07-21
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
36
Geo
Kind
BR
Amount
As of
Source
county 29077
acs median gross
0
$769
2024-12-31
CENSUS_ACS5
county 29077
fmr
0
$877
2025-10-01
HUD_USER_FMR
county 29077
acs median gross
1
$807
2024-12-31
CENSUS_ACS5
county 29077
fmr
1
$883
2025-10-01
HUD_USER_FMR
county 29077
acs median gross
2
$985
2024-12-31
CENSUS_ACS5
county 29077
fmr
2
$1,095
2025-10-01
HUD_USER_FMR
county 29077
acs median gross
3
$1,252
2024-12-31
CENSUS_ACS5
county 29077
fmr
3
$1,498
2025-10-01
HUD_USER_FMR
county 29077
acs median gross
4
$1,436
2024-12-31
CENSUS_ACS5
county 29077
fmr
4
$1,701
2025-10-01
HUD_USER_FMR
county 29077
acs median gross
5
$1,116
2024-12-31
CENSUS_ACS5
county 29077
acs median gross
$989
2024-12-31
CENSUS_ACS5
county 29077
acs recent mover gross
$1,089
2024-12-31
CENSUS_ACS5
zcta 65807
acs median gross
0
$932
2024-12-31
CENSUS_ACS5
zcta 65807
acs median gross
1
$917
2024-12-31
CENSUS_ACS5
zcta 65807
acs median gross
2
$1,048
2024-12-31
CENSUS_ACS5
zcta 65807
acs median gross
3
$1,319
2024-12-31
CENSUS_ACS5
zcta 65807
acs median gross
4
$1,624
2024-12-31
CENSUS_ACS5
zcta 65807
acs median gross
5
$895
2024-12-31
CENSUS_ACS5
zcta 65807
acs median gross
$1,054
2024-12-31
CENSUS_ACS5
zcta 65807
acs recent mover gross
$1,157
2024-12-31
CENSUS_ACS5
zip 65807
payment standard 110
0
$1,056
2025-10-01
HUD_USER_SAFMR
zip 65807
payment standard 90
0
$864
2025-10-01
HUD_USER_SAFMR
zip 65807
safmr
0
$960
2025-10-01
HUD_USER_SAFMR
zip 65807
payment standard 110
1
$1,067
2025-10-01
HUD_USER_SAFMR
zip 65807
payment standard 90
1
$873
2025-10-01
HUD_USER_SAFMR
zip 65807
safmr
1
$970
2025-10-01
HUD_USER_SAFMR
zip 65807
payment standard 110
2
$1,320
2025-10-01
HUD_USER_SAFMR
zip 65807
payment standard 90
2
$1,080
2025-10-01
HUD_USER_SAFMR
zip 65807
safmr
2
$1,200
2025-10-01
HUD_USER_SAFMR
zip 65807
payment standard 110
3
$1,804
2025-10-01
HUD_USER_SAFMR
zip 65807
payment standard 90
3
$1,476
2025-10-01
HUD_USER_SAFMR
zip 65807
safmr
3
$1,640
2025-10-01
HUD_USER_SAFMR
zip 65807
payment standard 110
4
$2,046
2025-10-01
HUD_USER_SAFMR
zip 65807
payment standard 90
4
$1,674
2025-10-01
HUD_USER_SAFMR
zip 65807
safmr
4
$1,860
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.