4102 Woolworth Avenue, Omaha, NE 68105 · CCN 285019
Composite
20.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
254
Model
v1.2
Reads as: riskier than 20.7% 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
NE median
National median
National p25–p75
Total nurse
3.61
2.88
3.28
2.90–3.77
RN
0.69
0.42
0.39
0.25–0.58
Weekend total
3.39
2.75
3.11
—
Weekday total
3.69
2.96
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
230.9
3.61
0.69
0.57
2.35
3.39
6.0%
2025Q3
92
229.6
3.76
0.71
0.56
2.49
3.53
6.7%
2025Q2
91
234.6
3.51
0.73
0.49
2.29
3.31
5.3%
2025Q1
90
236.0
3.57
0.68
0.45
2.44
3.35
3.9%
2024Q4
92
235.7
3.56
0.62
0.47
2.46
3.36
3.5%
2024Q3
92
234.4
3.52
0.65
0.43
2.43
3.25
7.3%
2024Q2
91
233.5
3.48
0.65
0.48
2.35
3.15
7.3%
2024Q1
91
228.8
3.48
0.64
0.48
2.37
3.09
10.1%
2023Q4
92
234.3
3.23
0.62
0.44
2.17
2.96
7.7%
2023Q3
92
230.4
3.40
0.63
0.46
2.32
3.12
13.6%
2023Q1
90
199.8
3.67
0.69
0.52
2.45
3.35
10.6%
2022Q4
92
187.9
3.79
0.66
0.46
2.66
3.42
17.0%
2022Q3
92
181.3
3.80
0.76
0.54
2.50
3.45
11.3%
2022Q2
91
178.5
3.93
0.81
0.57
2.55
3.43
9.9%
2022Q1
90
187.0
3.68
0.75
0.53
2.40
3.24
7.8%
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.
Provide safe, appropriate pain management for a resident who requires such services.
D
2025-12-12
2025-10-30
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
G
2025-12-12
2025-05-13
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2025-06-27
2025-05-13
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-06-27
2025-05-13
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2025-06-27
2025-05-13
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2025-06-27
2025-05-13
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
2025-06-27
2025-05-13
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-06-27
2025-05-13
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-06-27
2025-05-13
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2025-06-27
2025-05-13
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-06-27
2025-05-13
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2025-06-27
2025-05-13
Health
F0699
Provide care or services that was trauma informed and/or culturally competent.
D
2025-06-27
2025-05-13
Health · complaint
F0712
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
D
2025-06-27
2025-05-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-06-27
2025-05-13
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-06-27
2024-07-18
Health · complaint
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2024-07-31
2024-05-16
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2024-06-14
2024-04-26
Health
F0553
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
2024-06-09
2024-04-26
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
C
2024-06-09
2024-04-26
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
2024-06-09
2024-04-26
Health
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
2024-06-09
2024-04-26
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-06-09
2024-04-26
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-06-09
2024-04-26
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-06-09
2024-04-26
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-06-09
2024-03-05
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-03-22
2023-05-16
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
2023-06-29
2023-05-16
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
2023-06-29
2023-05-16
Health
F0626
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
D
2023-06-29
2023-05-16
Health
F0791
Provide or obtain dental services for each resident.
D
2023-06-29
2023-05-16
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-06-29
2023-05-16
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-06-29
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
16
Owner
Role
Pct
From
Status
Source
BORGESON, MARY ANN
OPERATIONAL/MANAGERIAL CONTROL
—
1995-01-01
current
pecos_ownership
BOYLE-MANGANARO, MAUREEN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-01
current
pecos_ownership
CAVANAUGH, JAMES
OPERATIONAL/MANAGERIAL CONTROL
—
2015-01-01
current
pecos_ownership
FRIEND, MIKE
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-01
current
pecos_ownership
GARCIA, ROGER
OPERATIONAL/MANAGERIAL CONTROL
—
2021-10-01
current
pecos_ownership
MORGAN, PJ
OPERATIONAL/MANAGERIAL CONTROL
—
2010-01-01
current
pecos_ownership
NELSON, ERIN
OPERATIONAL/MANAGERIAL CONTROL
—
2019-07-01
current
pecos_ownership
ROGERS, CHRIS
OPERATIONAL/MANAGERIAL CONTROL
—
2005-01-01
current
pecos_ownership
CHRIS ROGERS
OPERATIONAL/MANAGERIAL CONTROL
100%
2005-01-01
ended 2026-05-18
pecos_ownership
ERIN NELSON
W-2 MANAGING EMPLOYEE
100%
2019-07-01
ended 2026-05-18
pecos_ownership
JAMES CAVANAUGH
OPERATIONAL/MANAGERIAL CONTROL
100%
2015-01-01
ended 2026-05-18
pecos_ownership
MARY ANN BORGESON
OPERATIONAL/MANAGERIAL CONTROL
100%
1995-01-01
ended 2026-05-18
pecos_ownership
MAUREEN BOYLE-MANGANARO
OPERATIONAL/MANAGERIAL CONTROL
100%
2021-01-01
ended 2026-05-18
pecos_ownership
MIKE FRIEND
OPERATIONAL/MANAGERIAL CONTROL
100%
2021-01-01
ended 2026-05-18
pecos_ownership
PJ MORGAN
OPERATIONAL/MANAGERIAL CONTROL
100%
2010-01-01
ended 2026-05-18
pecos_ownership
ROGER GARCIA
OPERATIONAL/MANAGERIAL CONTROL
100%
2021-10-01
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
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
35
Geo
Kind
BR
Amount
As of
Source
county 31055
acs median gross
0
$954
2024-12-31
CENSUS_ACS5
county 31055
fmr
0
$1,090
2025-10-01
HUD_USER_FMR
county 31055
acs median gross
1
$1,041
2024-12-31
CENSUS_ACS5
county 31055
fmr
1
$1,148
2025-10-01
HUD_USER_FMR
county 31055
acs median gross
2
$1,249
2024-12-31
CENSUS_ACS5
county 31055
fmr
2
$1,368
2025-10-01
HUD_USER_FMR
county 31055
acs median gross
3
$1,532
2024-12-31
CENSUS_ACS5
county 31055
fmr
3
$1,813
2025-10-01
HUD_USER_FMR
county 31055
acs median gross
4
$1,714
2024-12-31
CENSUS_ACS5
county 31055
fmr
4
$2,046
2025-10-01
HUD_USER_FMR
county 31055
acs median gross
5
$1,461
2024-12-31
CENSUS_ACS5
county 31055
acs median gross
$1,201
2024-12-31
CENSUS_ACS5
county 31055
acs recent mover gross
$1,337
2024-12-31
CENSUS_ACS5
zcta 68105
acs median gross
0
$910
2024-12-31
CENSUS_ACS5
zcta 68105
acs median gross
1
$869
2024-12-31
CENSUS_ACS5
zcta 68105
acs median gross
2
$1,309
2024-12-31
CENSUS_ACS5
zcta 68105
acs median gross
3
$1,546
2024-12-31
CENSUS_ACS5
zcta 68105
acs median gross
4
$1,667
2024-12-31
CENSUS_ACS5
zcta 68105
acs median gross
$1,097
2024-12-31
CENSUS_ACS5
zcta 68105
acs recent mover gross
$1,284
2024-12-31
CENSUS_ACS5
zip 68105
payment standard 110
0
$1,111
2025-10-01
HUD_USER_SAFMR
zip 68105
payment standard 90
0
$909
2025-10-01
HUD_USER_SAFMR
zip 68105
safmr
0
$1,010
2025-10-01
HUD_USER_SAFMR
zip 68105
payment standard 110
1
$1,177
2025-10-01
HUD_USER_SAFMR
zip 68105
payment standard 90
1
$963
2025-10-01
HUD_USER_SAFMR
zip 68105
safmr
1
$1,070
2025-10-01
HUD_USER_SAFMR
zip 68105
payment standard 110
2
$1,397
2025-10-01
HUD_USER_SAFMR
zip 68105
payment standard 90
2
$1,143
2025-10-01
HUD_USER_SAFMR
zip 68105
safmr
2
$1,270
2025-10-01
HUD_USER_SAFMR
zip 68105
payment standard 110
3
$1,848
2025-10-01
HUD_USER_SAFMR
zip 68105
payment standard 90
3
$1,512
2025-10-01
HUD_USER_SAFMR
zip 68105
safmr
3
$1,680
2025-10-01
HUD_USER_SAFMR
zip 68105
payment standard 110
4
$2,090
2025-10-01
HUD_USER_SAFMR
zip 68105
payment standard 90
4
$1,710
2025-10-01
HUD_USER_SAFMR
zip 68105
safmr
4
$1,900
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.