1131 Papillion Parkway, Omaha, NE 68154 · CCN 285289
Composite
30.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
44
Model
v1.2
Reads as: riskier than 30.9% 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
15
2025Q4 HPRD
This facility
NE median
National median
National p25–p75
Total nurse
4.64
2.88
3.28
2.90–3.77
RN
0.30
0.42
0.39
0.25–0.58
Weekend total
4.64
2.75
3.11
—
Weekday total
4.64
2.96
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
34.3
4.64
0.30
1.38
2.95
4.64
18.5%
2025Q3
92
35.5
4.49
0.23
1.40
2.85
4.52
19.4%
2025Q2
91
37.1
4.50
0.44
1.33
2.73
4.44
35.9%
2025Q1
90
35.2
4.37
0.39
1.26
2.71
4.44
39.9%
2024Q4
92
36.6
3.95
0.43
0.97
2.55
3.99
25.2%
2024Q3
92
40.6
4.05
0.55
0.98
2.52
3.95
26.6%
2024Q1
91
41.0
4.20
0.84
0.81
2.54
3.99
25.5%
2023Q4
92
51.0
3.79
0.78
0.71
2.30
3.27
31.5%
2023Q3
92
36.5
4.90
0.60
1.25
3.06
4.47
34.3%
2023Q2
91
39.4
4.66
0.78
0.90
2.99
4.43
31.0%
2023Q1
90
41.0
4.43
0.75
0.84
2.83
4.17
33.6%
2022Q4
92
40.0
4.19
0.74
0.86
2.59
4.03
35.8%
2022Q3
92
41.9
4.18
0.82
0.81
2.55
3.87
32.1%
2022Q2
91
38.5
4.32
0.79
0.83
2.70
4.05
25.5%
2022Q1
90
38.9
4.34
0.75
0.89
2.70
4.13
30.9%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
18
C × 1D × 12E × 3F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-02
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2026-05-05
2026-04-02
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
2026-05-05
2026-04-02
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
F
2026-05-05
2026-04-02
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-05-05
2025-04-10
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
2025-05-23
2025-04-10
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.
E
2025-05-23
2025-04-10
Health
F0606
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
C
2025-05-23
2025-04-10
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
2025-05-23
2025-04-10
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-05-23
2025-04-10
Health
F0923
Have enough outside ventilation via a window or mechanical ventilation, or both.
E
2025-05-23
2024-11-26
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-01-10
2024-11-26
Health · complaint
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
E
2025-01-10
2024-07-24
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2024-08-30
2024-04-16
Health · complaint
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2024-05-22
2024-04-16
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
2024-05-22
2024-04-16
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-05-22
2024-03-05
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
2024-04-19
2023-07-03
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-07-24
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
22
Owner
Role
Pct
From
Status
Source
ADAMSON, JAMES
INDIRECT OWNERSHIP INTEREST
—
2014-10-01
current
pecos_ownership
BIDDULPH, GREGORY
DIRECT OWNERSHIP INTEREST
—
2013-12-20
current
pecos_ownership
DEIN, MICHELE
ADP OF THE SNF
—
2025-04-19
current
pecos_ownership
DEIN, MICHELE
OPERATIONAL/MANAGERIAL CONTROL
—
2017-06-01
current
pecos_ownership
HAYNES, ANNA
CORPORATE OFFICER
—
2016-01-01
current
pecos_ownership
HAYNES, ANNA
OPERATIONAL/MANAGERIAL CONTROL
—
2016-02-17
current
pecos_ownership
HCII-1131 PAPILLION PARKWAY LLC
ADP OF THE SNF
—
2019-03-01
current
pecos_ownership
HUNTSMAN, CASEY
DIRECT OWNERSHIP INTEREST
—
2013-11-20
current
pecos_ownership
PAJNIGAR, ARMAN
ADP OF THE SNF
—
2025-04-21
current
pecos_ownership
PROMONTORY HEALTHCARE COMPANIES LLC
DIRECT OWNERSHIP INTEREST
—
2009-10-22
current
pecos_ownership
PROMONTORY HEALTHCARE HOLDINGS LLC
DIRECT OWNERSHIP INTEREST
—
2021-01-01
current
pecos_ownership
PROMONTORY HEALTHCARE MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2020-01-01
current
pecos_ownership
PROMONTORY HEALTHCARE MANAGEMENT LLC
ADP OF THE SNF
—
2025-04-19
current
pecos_ownership
ZAMWELL GROUP LLC
DIRECT OWNERSHIP INTEREST
—
2009-10-22
current
pecos_ownership
ANNA HAYNES
OPERATIONAL/MANAGERIAL CONTROL
50%
2016-02-17
ended 2026-05-18
pecos_ownership
JAMES ADAMSON
INDIRECT OWNERSHIP INTEREST
48%
2014-10-01
ended 2026-05-18
pecos_ownership
ANNA HAYNES
CORPORATE OFFICER
25%
2016-01-01
ended 2026-05-18
pecos_ownership
CASEY HUNTSMAN
DIRECT OWNERSHIP INTEREST
7%
2013-11-20
ended 2026-05-18
pecos_ownership
GREGORY BIDDULPH
DIRECT OWNERSHIP INTEREST
7%
2013-12-20
ended 2026-05-18
pecos_ownership
ARMAN PAJNIGAR
ADP OF THE SNF
—
2025-04-21
ended 2026-05-18
pecos_ownership
MICHELE DEIN
ADP OF THE SNF
—
2025-04-19
ended 2026-05-18
pecos_ownership
MICHELE DEIN
OPERATIONAL/MANAGERIAL CONTROL
—
2017-06-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$351,439
—
$154,774
—
—
2
—
2023-12-31
$335,978
—
$335,978
—
—
1
—
2022-12-31
$153,447
—
$153,447
—
—
1
—
2021-12-31
$275,239
—
$275,239
—
—
1
—
2020-12-31
$230,292
—
$230,292
—
—
1
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
36
Geo
Kind
BR
Amount
As of
Source
county 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 68154
acs median gross
0
$911
2024-12-31
CENSUS_ACS5
zcta 68154
acs median gross
1
$1,084
2024-12-31
CENSUS_ACS5
zcta 68154
acs median gross
2
$1,408
2024-12-31
CENSUS_ACS5
zcta 68154
acs median gross
3
$1,686
2024-12-31
CENSUS_ACS5
zcta 68154
acs median gross
4
$2,219
2024-12-31
CENSUS_ACS5
zcta 68154
acs median gross
5
$2,286
2024-12-31
CENSUS_ACS5
zcta 68154
acs median gross
$1,220
2024-12-31
CENSUS_ACS5
zcta 68154
acs recent mover gross
$1,277
2024-12-31
CENSUS_ACS5
zip 68154
payment standard 110
0
$1,199
2025-10-01
HUD_USER_SAFMR
zip 68154
payment standard 90
0
$981
2025-10-01
HUD_USER_SAFMR
zip 68154
safmr
0
$1,090
2025-10-01
HUD_USER_SAFMR
zip 68154
payment standard 110
1
$1,265
2025-10-01
HUD_USER_SAFMR
zip 68154
payment standard 90
1
$1,035
2025-10-01
HUD_USER_SAFMR
zip 68154
safmr
1
$1,150
2025-10-01
HUD_USER_SAFMR
zip 68154
payment standard 110
2
$1,507
2025-10-01
HUD_USER_SAFMR
zip 68154
payment standard 90
2
$1,233
2025-10-01
HUD_USER_SAFMR
zip 68154
safmr
2
$1,370
2025-10-01
HUD_USER_SAFMR
zip 68154
payment standard 110
3
$2,002
2025-10-01
HUD_USER_SAFMR
zip 68154
payment standard 90
3
$1,638
2025-10-01
HUD_USER_SAFMR
zip 68154
safmr
3
$1,820
2025-10-01
HUD_USER_SAFMR
zip 68154
payment standard 110
4
$2,255
2025-10-01
HUD_USER_SAFMR
zip 68154
payment standard 90
4
$1,845
2025-10-01
HUD_USER_SAFMR
zip 68154
safmr
4
$2,050
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.