636 North Locust Street, Red Cloud, NE 68970 · CCN 285225
Composite
81.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
43
Model
v1.2
Reads as: riskier than 81.2% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
14
2025Q4 HPRD
This facility
NE median
National median
National p25–p75
Total nurse
2.72
2.88
3.28
2.90–3.77
RN
0.48
0.42
0.39
0.25–0.58
Weekend total
2.62
2.75
3.11
—
Weekday total
2.77
2.96
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
25.7
2.72
0.48
0.46
1.78
2.62
18.4%
2025Q3
92
26.7
2.38
0.45
0.47
1.46
2.27
18.6%
2025Q2
91
29.1
2.17
0.46
0.50
1.21
1.94
35.1%
2025Q1
90
30.6
1.66
0.43
0.39
0.83
1.49
45.3%
2024Q4
92
30.9
2.48
0.38
0.38
1.72
2.17
32.7%
2024Q1
91
24.5
1.71
0.32
0.37
1.02
1.59
0.0%
2023Q4
92
26.3
2.35
0.56
0.42
1.38
2.21
11.2%
2023Q3
92
29.4
2.57
0.69
0.38
1.50
2.32
20.3%
2023Q2
91
28.3
3.42
0.74
0.42
2.26
2.95
26.9%
2023Q1
90
27.0
2.30
0.29
0.02
1.98
2.24
3.6%
2022Q4
92
28.1
2.31
0.34
0.06
1.91
2.48
3.4%
2022Q3
92
32.2
1.90
0.15
0.10
1.64
1.83
0.0%
2022Q2
91
33.6
1.59
0.14
0.09
1.36
1.66
0.0%
2022Q1
90
36.4
1.61
0.17
0.16
1.28
1.68
0.0%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2025-09-25
2025-08-14
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F
2025-09-25
2025-08-14
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-09-25
2025-08-14
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2025-09-25
2025-08-14
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-09-25
2025-08-14
Health
F0712
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
E
2025-09-25
2025-08-14
Health
F0729
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
F
2025-09-25
2025-08-14
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
E
2025-09-25
2025-08-14
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2025-09-25
2025-08-14
Health · complaint
F0844
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
D
2025-09-25
2025-08-14
Health
F0880
Provide and implement an infection prevention and control program.
F
2025-09-25
2024-06-27
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2024-07-31
2024-06-27
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2024-07-31
2024-06-27
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2024-07-31
2024-06-27
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
E
2024-07-31
2024-06-27
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-07-31
2024-06-27
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-07-31
2024-06-27
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-07-31
2024-06-27
Health
F0882
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
F
2024-07-31
2023-06-29
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
2023-07-28
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
25
Owner
Role
Pct
From
Status
Source
BENGE, DANNY
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-06
current
pecos_ownership
COOK, LAMONT
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-06
current
pecos_ownership
DANIELS, BETHANY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-30
current
pecos_ownership
DANIELS, BETHANY
ADP OF THE SNF
—
2025-01-06
current
pecos_ownership
DURR, MICHELE
ADP OF THE SNF
—
2025-01-06
current
pecos_ownership
ELLIOTT, BILL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-06
current
pecos_ownership
GARWOOD, DAVE
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-30
current
pecos_ownership
HITCHLER, LINDA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-06
current
pecos_ownership
ORD, WENDELL
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-06
current
pecos_ownership
TIETJEN, LANA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-30
current
pecos_ownership
VETTER LEASING
Individual has financial interest in both related organization and provider
—
2024-07-01
current
hcris_a_8_1
VETTER LEASING
Individual has financial interest in both related organization and provider
—
2023-07-01
current
hcris_a_8_1
BETHANY DANIELS
ADP OF THE SNF
—
2025-01-06
ended 2026-05-18
pecos_ownership
BETHANY DANIELS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-30
ended 2026-05-18
pecos_ownership
BILL ELLIOTT
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-06
ended 2026-05-18
pecos_ownership
DANNY BENGE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-06
ended 2026-05-18
pecos_ownership
DAVE GARWOOD
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-30
ended 2026-05-18
pecos_ownership
LAMONT COOK
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-06
ended 2026-05-18
pecos_ownership
LANA TIETJEN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-30
ended 2026-05-18
pecos_ownership
LINDA HITCHLER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-06
ended 2026-05-18
pecos_ownership
MICHELE DURR
ADP OF THE SNF
—
2025-01-06
ended 2026-05-18
pecos_ownership
VETTER LEASING
Individual has financial interest in both related organization and provider
—
2022-07-01
ended 2023-06-30
hcris_a_8_1
VETTER LEASING
Individual has financial interest in both related organization and provider
—
2021-07-01
ended 2022-06-30
hcris_a_8_1
VETTER LEASING
Individual has financial interest in both related organization and provider
—
2020-07-01
ended 2021-06-30
hcris_a_8_1
WENDELL ORD
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-06
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2025-06-30
$332,767
$491
—
$78,614
—
2
propco
2024-06-30
$134,810
—
—
—
—
2
propco
2023-06-30
$190,786
—
—
—
$11,414
3
propco
2022-06-30
$183,549
—
—
—
$-14,700
3
propco
2021-06-30
$225,491
—
—
—
$45,700
3
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
1
Close date
Price
Buyer
Seller
Evidence
2024-04-01
—
WEBSTER COUNTY COMMUNITY HOSPITAL FOUNDATION, INC.
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
Geo
Kind
BR
Amount
As of
Source
county 31181
fmr
0
$666
2025-10-01
HUD_USER_FMR
county 31181
acs median gross
1
$556
2024-12-31
CENSUS_ACS5
county 31181
fmr
1
$732
2025-10-01
HUD_USER_FMR
county 31181
acs median gross
2
$658
2024-12-31
CENSUS_ACS5
county 31181
fmr
2
$961
2025-10-01
HUD_USER_FMR
county 31181
acs median gross
3
$910
2024-12-31
CENSUS_ACS5
county 31181
fmr
3
$1,279
2025-10-01
HUD_USER_FMR
county 31181
acs median gross
4
$975
2024-12-31
CENSUS_ACS5
county 31181
fmr
4
$1,284
2025-10-01
HUD_USER_FMR
county 31181
acs median gross
$647
2024-12-31
CENSUS_ACS5
county 31181
acs recent mover gross
$609
2024-12-31
CENSUS_ACS5
zcta 68970
acs median gross
1
$500
2024-12-31
CENSUS_ACS5
zcta 68970
acs median gross
2
$580
2024-12-31
CENSUS_ACS5
zcta 68970
acs median gross
$583
2024-12-31
CENSUS_ACS5
zcta 68970
acs recent mover gross
$594
2024-12-31
CENSUS_ACS5
zip 68970
payment standard 110
0
$737
2025-10-01
HUD_USER_SAFMR
zip 68970
payment standard 90
0
$603
2025-10-01
HUD_USER_SAFMR
zip 68970
safmr
0
$670
2025-10-01
HUD_USER_SAFMR
zip 68970
payment standard 110
1
$803
2025-10-01
HUD_USER_SAFMR
zip 68970
payment standard 90
1
$657
2025-10-01
HUD_USER_SAFMR
zip 68970
safmr
1
$730
2025-10-01
HUD_USER_SAFMR
zip 68970
payment standard 110
2
$1,056
2025-10-01
HUD_USER_SAFMR
zip 68970
payment standard 90
2
$864
2025-10-01
HUD_USER_SAFMR
zip 68970
safmr
2
$960
2025-10-01
HUD_USER_SAFMR
zip 68970
payment standard 110
3
$1,408
2025-10-01
HUD_USER_SAFMR
zip 68970
payment standard 90
3
$1,152
2025-10-01
HUD_USER_SAFMR
zip 68970
safmr
3
$1,280
2025-10-01
HUD_USER_SAFMR
zip 68970
payment standard 110
4
$1,408
2025-10-01
HUD_USER_SAFMR
zip 68970
payment standard 90
4
$1,152
2025-10-01
HUD_USER_SAFMR
zip 68970
safmr
4
$1,280
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.