CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-04 23:26 UTC
Screener / 285177
F

Good Samaritan Society - Atkinson

snfNE
409 Neely Street, Atkinson, NE 68713 · CCN 285177 · chain SANFORD
Composite
96.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
61
Model
v1.2
Reads as: riskier than 96.1% 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.
Score model5ML signals1Components16CHOW radar1Distress radar1Staffing16Penalties1Deficiencies43Licensure0Ownership57Related party5Transactions0Comps12Market rent30

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk81.878.60.300.230818.88in index
staffing risk92.192.10.250.192317.71in index
financial risk73.061.30.300.230816.85in index
billing conduct58.142.80.300.230813.41in index
chow risk52.750.90.150.11546.08in index
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
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains6 chainsGRAPE TREE MEDICAL STAFFING LLC55 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.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct42.8Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-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.
chow risk76.7Dv0.6default · in composite
financial risk61.3Cv0.5default · in compositeR18.
p adverse action 12m0.1—v0.1default · in compositeR23/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.
p chow 12m3.2—v0.1default · in compositeR22/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.
regulatory risk78.6Dv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk92.1Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk83.6Fv0.1supersededPre-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.
financial risk63.6Cv0.2supersededPre-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.
financial risk50.0Cv0.3supersededPre-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.
financial risk65.5Dv0.4supersededPre-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.
regulatory risk78.5Dv0.1supersededPre-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.
regulatory risk78.5Dv0.2supersededPre-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.
staffing risk92.1Fv0.1supersededPre-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.
staffing risk92.1Fv0.2supersededPre-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.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
3.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
78.7
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership0.00-1.24
Chain size (log)4.87+0.63
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
Occupancy0.52+0.51
No PBJ staffing report0.00+0.42
Ownership changes, last 5 years0.00+0.20
Deficiencies, last 12 months14.00+0.17
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.

Distress radar — 12-month termination probability

full board →
p(termination, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
49.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Chain size (log)4.87-1.63
For-profit ownership0.00+1.62
Deficiencies, last 12 months14.00-1.17
Occupancy0.52+0.96
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)2.46+0.32
Staffing trend, last 4 quarters-0.57-0.29
Fine amount, 12m (log)0.00+0.18
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 HPRDThis facilityNE medianNational medianNational p25–p75
Total nurse2.462.883.282.90–3.77
RN0.340.420.390.25–0.58
Weekend total2.442.753.11—
Weekday total2.462.963.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49231.82.460.340.791.322.440.0%
2025Q39234.22.340.250.701.392.210.1%
2025Q29133.12.700.430.681.592.550.0%
2025Q19031.62.760.440.741.582.560.1%
2024Q49230.73.030.680.731.612.700.1%
2024Q39235.12.580.460.701.422.409.8%
2024Q29137.82.150.390.561.201.9826.7%
2024Q19133.82.290.430.681.192.1630.3%
2023Q49233.11.990.320.760.911.807.2%
2023Q39230.42.160.310.860.991.841.8%
2023Q29129.52.270.350.861.051.910.0%
2023Q19029.62.220.300.881.041.960.0%
2022Q49229.92.150.590.710.842.080.0%
2022Q39230.22.200.510.511.192.200.1%
2022Q29130.62.200.480.601.121.940.0%
2022Q19029.92.600.630.481.492.350.6%
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

1
DateTypeFineSource
2024-01-10Fine$22,653CMS provider data
Total fines on record: $22,653

Deficiencies

43
C × 1D × 26E × 8F × 6G × 2
deficiencies by survey year
2010242526
SurveyTypeTagDeficiencyScopeCorrected
2026-02-10Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2026-03-27
2026-02-10HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.E2026-03-27
2026-02-10HealthF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D2026-03-27
2026-02-10Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2026-03-27
2026-02-10HealthF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2026-03-27
2026-02-10HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2026-03-27
2026-02-10Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-03-27
2026-02-10HealthF0692Provide enough food/fluids to maintain a resident's health.D2026-03-27
2026-02-10HealthF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F2026-03-27
2026-02-10HealthF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.F2026-03-27
2026-02-10HealthF0732Post nurse staffing information every day.C2026-03-27
2026-02-10HealthF0865Have a plan that describes the process for conducting QAPI and QAA activities.F2026-03-27
2026-02-10HealthF0880Provide and implement an infection prevention and control program.F2026-03-27
2025-11-20Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.E2025-12-29
2025-04-22Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-06-03
2025-04-22Health · complaintF0610Respond appropriately to all alleged violations.D2025-06-03
2025-01-15Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2025-02-27
2025-01-15Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-02-27
2025-01-15Health · complaintF0692Provide enough food/fluids to maintain a resident's health.D2025-02-27
2025-01-15Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F2025-02-27
2025-01-15HealthF0758Implement 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.D2025-02-27
2025-01-15HealthF0880Provide and implement an infection prevention and control program.D2025-02-27
2025-01-15HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2025-02-27
2024-09-25Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2024-11-08
2024-09-25Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-11-08
2024-09-25Health · complaintF0584Honor 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.E2024-11-08
2024-09-25Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2024-11-08
2024-09-25Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2024-11-08
2024-09-25Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F2024-11-08
2024-09-25Health · complaintF0880Provide and implement an infection prevention and control program.D2024-11-08
2024-01-10HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-02-06
2024-01-10HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.G2024-02-06
2024-01-10HealthF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D2024-02-06
2024-01-10Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E2024-02-06
2024-01-10HealthF0641Ensure each resident receives an accurate assessment.E2024-02-06
2024-01-10HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2024-02-06
2024-01-10HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2024-02-06
2024-01-10Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2024-02-06
2024-01-10HealthF0692Provide enough food/fluids to maintain a resident's health.G2024-02-06
2024-01-10HealthF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D2024-02-06
2024-01-10HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2024-02-06
2024-01-10HealthF0758Implement 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.D2024-02-06
2024-01-10HealthF0880Provide and implement an infection prevention and control program.D2024-02-06
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

57
OwnerRolePctFromStatusSource
SANFORD5% OR GREATER DIRECT OWNERSHIP INTEREST100%2019-01-01currentpecos_ownership
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2019-01-01currentpecos_ownership
BROWN, GEORGEADP OF THE SNF—2025-01-01currentpecos_ownership
DTN STAFFING INCADP OF THE SNF—2025-10-16currentpecos_ownership
DTN STAFFING INCOPERATIONAL/MANAGERIAL CONTROL—2024-08-02currentpecos_ownership
DYKHOUSE, DANACORPORATE DIRECTOR—2024-05-30currentpecos_ownership
ENGBRECHT, WESLEYCORPORATE DIRECTOR—2024-05-30currentpecos_ownership
FLUIT, JOELINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2025-11-03currentpecos_ownership
FLUIT, JOELADP OF THE SNF—2022-10-01currentpecos_ownership
FOCUSONE SOLUTIONSADP OF THE SNF—2025-10-07currentpecos_ownership
FOCUSONE SOLUTIONSOPERATIONAL/MANAGERIAL CONTROL—2024-03-04currentpecos_ownership
GASSEN, WILLIAMCORPORATE DIRECTOR—2024-05-30currentpecos_ownership
GRAPE TREE MEDICAL STAFFING LLCADP OF THE SNF—2025-10-16currentpecos_ownership
GRAPE TREE MEDICAL STAFFING LLCOPERATIONAL/MANAGERIAL CONTROL—2018-04-13currentpecos_ownership
GULSVIG, NEILCORPORATE DIRECTOR—2024-05-30currentpecos_ownership
HERSETH SANDLIN, STEPHANIEADP OF THE SNF—2024-05-30currentpecos_ownership
LUNDEEN, MARKADP OF THE SNF—2024-05-30currentpecos_ownership
MCCAUSLAND, MAUREENADP OF THE SNF—2025-01-01currentpecos_ownership
MIDDLETON, AIMEEADP OF THE SNF—2022-01-27currentpecos_ownership
MOLBERT, LAURISCORPORATE DIRECTOR—2024-05-30currentpecos_ownership
MORRISON, TONYOPERATIONAL/MANAGERIAL CONTROL—2019-01-01currentpecos_ownership
NORTH, ANDREWCORPORATE DIRECTOR—2024-05-30currentpecos_ownership
OLSON, NICHOLASCORPORATE OFFICER—2024-04-08currentpecos_ownership
PHARMERICA CORPORATIONADP OF THE SNF—2025-02-01currentpecos_ownership
PTACEK, MARKADP OF THE SNF—2018-11-01currentpecos_ownership
SANDGREN, DEEANDRAADP OF THE SNF—2023-07-16currentpecos_ownership
SANFORDADP OF THE SNF—2025-07-15currentpecos_ownership
SCHEMA, NATHANADP OF THE SNF—2022-01-01currentpecos_ownership
SCHIEFFER, KEVINCORPORATE DIRECTOR—2025-01-01currentpecos_ownership
SHULKIN, DAVIDCORPORATE DIRECTOR—2024-05-30currentpecos_ownership
SIGLER, KRISTYADP OF THE SNF—2023-11-06currentpecos_ownership
TEIKEN, BRENTCORPORATE DIRECTOR—2024-05-30currentpecos_ownership
VENTLING-HERRMANN, MARNIEADP OF THE SNF—2024-05-30currentpecos_ownership
WENZEL, THOMASCORPORATE DIRECTOR—2025-01-01currentpecos_ownership
ANDREW NORTHCORPORATE DIRECTOR0%2024-05-30ended 2026-05-18pecos_ownership
BRENT TEIKENCORPORATE DIRECTOR0%2024-05-30ended 2026-05-18pecos_ownership
DANA DYKHOUSECORPORATE DIRECTOR0%2024-05-30ended 2026-05-18pecos_ownership
DAVID SHULKINCORPORATE DIRECTOR0%2024-05-30ended 2026-05-18pecos_ownership
GEORGE BROWNCORPORATE DIRECTOR0%2025-01-01ended 2026-05-18pecos_ownership
KEVIN SCHIEFFERCORPORATE DIRECTOR0%2025-01-01ended 2026-05-18pecos_ownership
LAURIS MOLBERTCORPORATE DIRECTOR0%2024-05-30ended 2026-05-18pecos_ownership
MARK LUNDEENCORPORATE DIRECTOR0%2024-05-30ended 2026-05-18pecos_ownership
MARNIE VENTLING-HERRMANNCORPORATE DIRECTOR0%2024-05-30ended 2026-05-18pecos_ownership
MAUREEN MCCAUSLANDCORPORATE DIRECTOR0%2025-01-01ended 2026-05-18pecos_ownership
NATHAN SCHEMACORPORATE OFFICER0%2022-01-01ended 2026-05-18pecos_ownership
NEIL GULSVIGCORPORATE DIRECTOR0%2024-05-30ended 2026-05-18pecos_ownership
NICHOLAS OLSONCORPORATE OFFICER0%2024-04-08ended 2026-05-18pecos_ownership
STEPHANIE HERSETH-SANDLINCORPORATE DIRECTOR0%2024-05-30ended 2026-05-18pecos_ownership
THOMAS WENZELCORPORATE DIRECTOR0%2025-01-01ended 2026-05-18pecos_ownership
WESLEY ENGBRECHTCORPORATE DIRECTOR0%2024-05-30ended 2026-05-18pecos_ownership
WILLIAM GASSENCORPORATE DIRECTOR0%2024-05-30ended 2026-05-18pecos_ownership
AIMEE MIDDLETONOPERATIONAL/MANAGERIAL CONTROL—2022-01-27ended 2026-05-18pecos_ownership
DEEANDRA SANDGRENADP OF THE SNF—2023-07-16ended 2026-05-18pecos_ownership
JOEL FLUITADP OF THE SNF—2022-10-01ended 2026-05-18pecos_ownership
KRISTY SIGLERADP OF THE SNF—2023-11-06ended 2026-05-18pecos_ownership
MARK PTACEKADP OF THE SNF—2018-11-01ended 2026-05-18pecos_ownership
TONY MORRISONADP OF THE SNF—2019-01-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

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.

Comparable trades — NE snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-04-01Accura HealthCare of North Platte———71ACCURA HEALTHCARE OF NORTH PLATTE LLC
2024-10-01St. Joseph's Rehabilitation and Care Center———83RAVENSCROFT HEALTHCARE LLC
2024-08-15Holmes Lake Rehabilitation & Care Center———97HOLMES LAKE OPERATIONS LLC
2024-04-01Heritage of Webster County———43WEBSTER COUNTY COMMUNITY HOSPITAL FOUNDATION, INC.
2024-03-01The Cypress at Midtown———61CYPRESS AT MIDTOWN LLC
2024-03-01The Banyan at Montclair———175BANYAN AT MONTCLAIR LLC
2023-08-02Adept Nursing & Rehab of Central City———63OAKS AT CENTRAL CITY LLC
2023-08-02Adept Nursing & Rehab of Blue Hill———62PINES AT BLUE HILL LLC
2023-08-02Adept Nursing & Rehab of North Platte———94MAPLES AT CENTENNIAL LLC
2023-08-02Adept Nursing & Rehab of Ashland———97MEADOWS AT ASHLAND LLC
2023-08-02Adept Nursing & Rehab of Sutherland———60BIRCH AT SUTHERLAND LLC
2023-08-02Adept Nursing & Rehab of Grand Island———76CEDARS AT BROADWELL LLC
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

30
GeoKindBRAmountAs ofSource
county 31089fmr0$6632025-10-01HUD_USER_FMR
county 31089acs median gross1$5902024-12-31CENSUS_ACS5
county 31089fmr1$8022025-10-01HUD_USER_FMR
county 31089acs median gross2$7122024-12-31CENSUS_ACS5
county 31089fmr2$9612025-10-01HUD_USER_FMR
county 31089acs median gross3$7952024-12-31CENSUS_ACS5
county 31089fmr3$1,1522025-10-01HUD_USER_FMR
county 31089acs median gross4$8932024-12-31CENSUS_ACS5
county 31089fmr4$1,2842025-10-01HUD_USER_FMR
county 31089acs median gross$7142024-12-31CENSUS_ACS5
county 31089acs recent mover gross$1,0802024-12-31CENSUS_ACS5
zcta 68713acs median gross1$5752024-12-31CENSUS_ACS5
zcta 68713acs median gross2$7042024-12-31CENSUS_ACS5
zcta 68713acs median gross3$9002024-12-31CENSUS_ACS5
zcta 68713acs median gross$7382024-12-31CENSUS_ACS5
zip 68713payment standard 1100$7262025-10-01HUD_USER_SAFMR
zip 68713payment standard 900$5942025-10-01HUD_USER_SAFMR
zip 68713safmr0$6602025-10-01HUD_USER_SAFMR
zip 68713payment standard 1101$8802025-10-01HUD_USER_SAFMR
zip 68713payment standard 901$7202025-10-01HUD_USER_SAFMR
zip 68713safmr1$8002025-10-01HUD_USER_SAFMR
zip 68713payment standard 1102$1,0562025-10-01HUD_USER_SAFMR
zip 68713payment standard 902$8642025-10-01HUD_USER_SAFMR
zip 68713safmr2$9602025-10-01HUD_USER_SAFMR
zip 68713payment standard 1103$1,2652025-10-01HUD_USER_SAFMR
zip 68713payment standard 903$1,0352025-10-01HUD_USER_SAFMR
zip 68713safmr3$1,1502025-10-01HUD_USER_SAFMR
zip 68713payment standard 1104$1,4082025-10-01HUD_USER_SAFMR
zip 68713payment standard 904$1,1522025-10-01HUD_USER_SAFMR
zip 68713safmr4$1,2802025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · Good Samaritan Society - Atkinson (285177) · generated 2026-08-04 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency