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 14:58 UTC
Screener / 285054
D

The Banyan at Montclair

snfNESFF: SFF
2525 South 135th Avenue, Omaha, NE 68144 · CCN 285054 · chain BRASS NE TRUST
Composite
91.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
175
Model
v1.2
Reads as: riskier than 91.4% 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.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk95.894.20.300.230822.11in index
financial risk95.385.00.300.230821.99in index
staffing risk66.066.00.250.192312.69in index
billing conduct32.832.80.300.23087.57in index
chow risk30.028.80.150.11543.46in 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

19
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+26.7 vs natlSILVER NE TRUST11 facilities
connectionOwner fleet risk far above national+26.7 vs natlBRASS NE TRUST11 facilities
connectionOwner fleet risk far above national+26.7 vs natlBSD BEIS HEALTH TRUST11 facilities
connectionOwner fleet risk far above national+26.7 vs natlDOURO VALLEY INVESTMENT LLC11 facilities
connectionOwner fleet risk far above national+26.7 vs natlGOLD NE TRUST11 facilities
connectionOwner fleet risk far above national+26.7 vs natlNE SNF HOLDINGS LLC11 facilities
connectionOwner fleet risk far above national+26.7 vs natlSF 4140 OLDE WASHINGTON BOULEVARD REAL PROPERTY LLC11 facilities
connectionOwner fleet risk far above national+26.7 vs natlTULIP INVESTMENTS NE LLC11 facilities
connectionOwner fleet risk far above national+21.9 vs natlSILBERSTEIN ARI31 facilities
connectionOwner spans multiple chains5 chainsSILBERSTEIN ARI22 facilities
connectionOwner fleet enforcement cluster52% finedSILBERSTEIN ARI31 facilities
connectionOwner fleet enforcement cluster46% finedBSD BEIS HEALTH TRUST11 facilities
connectionOwner fleet enforcement cluster46% finedDOURO VALLEY INVESTMENT LLC11 facilities
connectionOwner fleet enforcement cluster46% finedGOLD NE TRUST11 facilities
connectionOwner fleet enforcement cluster46% finedNE SNF HOLDINGS LLC11 facilities
connectionOwner fleet enforcement cluster46% finedSF 4140 OLDE WASHINGTON BOULEVARD REAL PROPERTY LLC11 facilities
connectionOwner fleet enforcement cluster46% finedSILVER NE TRUST11 facilities
connectionOwner fleet enforcement cluster46% finedBRASS NE TRUST11 facilities
connectionOwner fleet enforcement cluster46% finedTULIP INVESTMENTS NE LLC11 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 conduct32.8Bv0.1-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 risk32.6Bv0.6default · in composite
financial risk85.0Fv0.5default · in compositeR18.
p adverse action 12m0.0v0.1default · 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 12m0.0v0.1default · 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 risk94.2Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk66.0Dv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk68.4Dv0.1supersededPre-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 risk48.4Cv0.2supersededPre-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 risk73.4Dv0.3supersededPre-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 risk83.4Fv0.4supersededPre-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 risk94.1Fv0.1supersededPre-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 risk94.1Fv0.2supersededPre-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 risk66.0Dv0.1supersededPre-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 risk66.0Dv0.2supersededPre-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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
12.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)2.41-1.61
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Contract staffing share0.18+0.18
Facility size (log beds)5.17-0.13
Chain size (log)2.48+0.13
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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
20.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
For-profit ownership1.00-0.69
Deficiencies, last 12 months10.00-0.43
Occupancy0.65+0.40
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)2.41-0.26
Chain size (log)2.48-0.24
Ownership changes, last 5 years1.00+0.23
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 nurse3.052.883.282.90–3.77
RN0.460.420.390.25–0.58
Weekend total2.892.753.11
Weekday total3.112.963.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492114.53.050.460.611.982.8917.9%
2025Q392107.63.360.530.752.083.1523.2%
2025Q291102.63.350.570.752.033.1025.1%
2025Q190118.33.220.410.592.232.9920.8%
2024Q492119.13.300.490.552.263.0222.1%
2024Q392122.23.330.570.482.282.9630.4%
2024Q291127.63.010.480.382.152.5944.4%
2024Q191123.82.120.340.331.451.6741.8%
2023Q492111.42.920.380.452.092.620.0%
2023Q392105.23.020.380.462.192.7513.0%
2023Q291102.83.260.320.642.293.1039.5%
2023Q190111.03.340.420.572.353.2539.1%
2022Q492121.83.200.490.492.213.0639.4%
2022Q392121.63.040.430.572.042.8441.5%
2022Q291122.33.510.510.632.383.2850.3%
2022Q190110.02.740.390.521.822.5427.0%
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

5
fines by year
$107.9k$54k2425
DateTypeFineSource
2025-02-18Fine$33,862CMS provider data
2025-02-18Payment DenialCMS provider data
2024-06-03Fine$55,795CMS provider data
2024-03-04Fine$52,136CMS provider data
2024-03-04Payment DenialCMS provider data
Total fines on record: $141,793

Deficiencies

57
D × 38E × 10F × 5G × 2J × 1L × 1
deficiencies by survey year
2814242526
SurveyTypeTagDeficiencyScopeCorrected
2026-01-29Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2026-03-08
2026-01-29Health · complaintF0692Provide enough food/fluids to maintain a resident's health.D2026-03-08
2025-12-16HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2026-01-31
2025-12-16HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2026-01-31
2025-12-16HealthF0699Provide care or services that was trauma informed and/or culturally competent.D2026-01-31
2025-12-16HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2026-01-31
2025-12-16HealthF0759Ensure medication error rates are not 5 percent or greater.D2026-01-31
2025-12-16HealthF0808Ensure 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.D2026-01-31
2025-12-16HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2026-01-31
2025-12-16HealthF0880Provide and implement an infection prevention and control program.D2026-01-31
2025-06-30Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-08-23
2025-06-30Health · 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.E2025-08-23
2025-06-30Health · complaintF0585Honor 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.D2025-08-23
2025-06-30Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-08-23
2025-06-30Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-08-23
2025-06-30Health · complaintF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E2025-08-23
2025-06-30Health · complaintF0638Assure that each resident’s assessment is updated at least once every 3 months.D2025-08-23
2025-06-30Health · complaintF0641Ensure each resident receives an accurate assessment.D2025-08-23
2025-06-30Health · complaintF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2025-08-23
2025-06-30Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-08-23
2025-06-30Health · complaintF0688Provide 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.D2025-08-23
2025-06-30Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-08-23
2025-06-30Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-08-23
2025-06-30Health · complaintF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.D2025-08-23
2025-06-30Health · complaintF0759Ensure medication error rates are not 5 percent or greater.D2025-08-23
2025-06-30Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-08-23
2025-06-30Health · complaintF0880Provide and implement an infection prevention and control program.E2025-08-23
2025-04-02Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E2025-05-02
2025-02-24Health · 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.L2025-04-21
2025-02-24Health · complaintF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.F2025-04-21
2024-12-05HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-01-03
2024-12-05Health · 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.E2025-01-03
2024-12-05HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2025-01-03
2024-12-05Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-01-03
2024-12-05HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-01-03
2024-12-05HealthF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F2025-01-03
2024-12-05Health · complaintF0880Provide and implement an infection prevention and control program.D2025-01-03
2024-11-14Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2024-12-09
2024-11-14Health · complaintF0880Provide and implement an infection prevention and control program.D2024-12-09
2024-09-26Health · complaintF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.D2024-10-22
2024-09-26Health · complaintF0585Honor 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.D2024-10-22
2024-08-26Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2024-09-26
2024-08-26Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-09-26
2024-07-09Health · complaintF0760Ensure that residents are free from significant medication errors.G2024-08-06
2024-07-09Health · complaintF0761Ensure 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.D2024-08-06
2024-06-26Health · complaintF0760Ensure that residents are free from significant medication errors.D2024-08-06
2024-06-03Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-07-15
2024-03-26Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-04-30
2024-03-26Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-04-30
2024-03-26Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2024-04-30
2024-03-26Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-04-30
2024-03-26Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2024-04-30
2024-03-26Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.F2024-04-30
2024-03-26Health · complaintF0760Ensure that residents are free from significant medication errors.D2024-04-30
2024-03-26Health · complaintF0880Provide and implement an infection prevention and control program.E2024-04-30
2024-03-04Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2024-04-30
2024-03-04Health · complaintF0730Observe each nurse aide's job performance and give regular training.E2024-04-30
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

23
OwnerRolePctFromStatusSource
NE M2 HOLDCO OPCO LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2024-03-01currentpecos_ownership
AHMO PROPCO HOLDINGS LLCCorporation, partnership or other organization has financial interest in provider2023-03-01currenthcris_a_8_1
AHMO PROPCO HOLDINGS LLCCorporation, partnership or other organization has financial interest in provider2023-01-01currenthcris_a_8_1
BRASS NE TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-03-01currentpecos_ownership
BSD BEIS HEALTH TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-03-01currentpecos_ownership
DOURO VALLEY INVESTMENT, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-03-01currentpecos_ownership
GOLD NE TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-03-01currentpecos_ownership
MONTCLAIR PROPCO LLCCorporation, partnership or other organization has financial interest in provider2024-01-01currenthcris_a_8_1
NE SNF HOLDCO LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-03-01currentpecos_ownership
NE SNF HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-03-01currentpecos_ownership
PIHLGREN, LINDSEYW-2 MANAGING EMPLOYEE2024-03-01currentpecos_ownership
SF 4140 OLDE WASHINGTON BOULEVARD REAL PROPERTY LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-03-01currentpecos_ownership
SHARP, DAVIDCONTRACTED MANAGING EMPLOYEE2024-03-01currentpecos_ownership
SILBERSTEIN, ARICORPORATE OFFICER2024-03-01currentpecos_ownership
SILVER NE TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-03-01currentpecos_ownership
TULIP INVESTMENTS NE LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-03-01currentpecos_ownership
DAVID WEISZ5% OR GREATER INDIRECT OWNERSHIP INTEREST33%2024-03-01ended 2026-05-18pecos_ownership
AHMO PROPCO HOLDINGS LLCCorporation, partnership or other organization has financial interest in provider2021-01-01ended 2021-12-31hcris_a_8_1
AHMO PROPCO LLC.Corporation, partnership or other organization has financial interest in provider2022-01-01ended 2022-12-31hcris_a_8_1
ARI SILBERSTEINCORPORATE OFFICER2024-03-01ended 2026-05-18pecos_ownership
DAVID SHARPCONTRACTED MANAGING EMPLOYEE2024-03-01ended 2026-05-18pecos_ownership
LINDSEY PIHLGRENW-2 MANAGING EMPLOYEE2024-03-01ended 2026-05-18pecos_ownership
OMAHA PROPERTY HOLDINGS LLCCorporation, partnership or other organization has financial interest in provider2020-01-01ended 2020-12-31hcris_a_8_1
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2024-03-01BANYAN AT MONTCLAIR LLCAHMO LLCchow

Comparable trades — NE snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-04-01Accura HealthCare of North Platte71ACCURA HEALTHCARE OF NORTH PLATTE LLC
2024-10-01St. Joseph's Rehabilitation and Care Center83RAVENSCROFT HEALTHCARE LLC
2024-08-15Holmes Lake Rehabilitation & Care Center97HOLMES LAKE OPERATIONS LLC
2024-04-01Heritage of Webster County43WEBSTER COUNTY COMMUNITY HOSPITAL FOUNDATION, INC.
2024-03-01The Cypress at Midtown61CYPRESS AT MIDTOWN LLC
2024-03-01The Banyan at Montclairthis facility175BANYAN AT MONTCLAIR LLC
2023-08-02Adept Nursing & Rehab of Central City63OAKS AT CENTRAL CITY LLC
2023-08-02Adept Nursing & Rehab of Blue Hill62PINES AT BLUE HILL LLC
2023-08-02Adept Nursing & Rehab of North Platte94MAPLES AT CENTENNIAL LLC
2023-08-02Adept Nursing & Rehab of Ashland97MEADOWS AT ASHLAND LLC
2023-08-02Adept Nursing & Rehab of Sutherland60BIRCH AT SUTHERLAND LLC
2023-08-02Adept Nursing & Rehab of Grand Island76CEDARS 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

35
GeoKindBRAmountAs ofSource
county 31055acs median gross0$9542024-12-31CENSUS_ACS5
county 31055fmr0$1,0902025-10-01HUD_USER_FMR
county 31055acs median gross1$1,0412024-12-31CENSUS_ACS5
county 31055fmr1$1,1482025-10-01HUD_USER_FMR
county 31055acs median gross2$1,2492024-12-31CENSUS_ACS5
county 31055fmr2$1,3682025-10-01HUD_USER_FMR
county 31055acs median gross3$1,5322024-12-31CENSUS_ACS5
county 31055fmr3$1,8132025-10-01HUD_USER_FMR
county 31055acs median gross4$1,7142024-12-31CENSUS_ACS5
county 31055fmr4$2,0462025-10-01HUD_USER_FMR
county 31055acs median gross5$1,4612024-12-31CENSUS_ACS5
county 31055acs median gross$1,2012024-12-31CENSUS_ACS5
county 31055acs recent mover gross$1,3372024-12-31CENSUS_ACS5
zcta 68144acs median gross0$9542024-12-31CENSUS_ACS5
zcta 68144acs median gross1$1,0912024-12-31CENSUS_ACS5
zcta 68144acs median gross2$1,1962024-12-31CENSUS_ACS5
zcta 68144acs median gross3$1,8222024-12-31CENSUS_ACS5
zcta 68144acs median gross4$1,9742024-12-31CENSUS_ACS5
zcta 68144acs median gross$1,1812024-12-31CENSUS_ACS5
zcta 68144acs recent mover gross$1,2012024-12-31CENSUS_ACS5
zip 68144payment standard 1100$1,1442025-10-01HUD_USER_SAFMR
zip 68144payment standard 900$9362025-10-01HUD_USER_SAFMR
zip 68144safmr0$1,0402025-10-01HUD_USER_SAFMR
zip 68144payment standard 1101$1,1992025-10-01HUD_USER_SAFMR
zip 68144payment standard 901$9812025-10-01HUD_USER_SAFMR
zip 68144safmr1$1,0902025-10-01HUD_USER_SAFMR
zip 68144payment standard 1102$1,4302025-10-01HUD_USER_SAFMR
zip 68144payment standard 902$1,1702025-10-01HUD_USER_SAFMR
zip 68144safmr2$1,3002025-10-01HUD_USER_SAFMR
zip 68144payment standard 1103$1,8922025-10-01HUD_USER_SAFMR
zip 68144payment standard 903$1,5482025-10-01HUD_USER_SAFMR
zip 68144safmr3$1,7202025-10-01HUD_USER_SAFMR
zip 68144payment standard 1104$2,1342025-10-01HUD_USER_SAFMR
zip 68144payment standard 904$1,7462025-10-01HUD_USER_SAFMR
zip 68144safmr4$1,9402025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.