927 Seventh Street, David City, NE 68632 · CCN 285249
Composite
67.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
58
Model
v1.2
Reads as: riskier than 67.7% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
Pre-registry model iteration, superseded by a later 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
16
2025Q4 HPRD
This facility
NE median
National median
National p25–p75
Total nurse
2.91
2.88
3.28
2.90–3.77
RN
0.21
0.42
0.39
0.25–0.58
Weekend total
2.62
2.75
3.11
—
Weekday total
3.02
2.96
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
51.4
2.91
0.21
0.50
2.19
2.62
7.5%
2025Q3
92
52.6
2.83
0.13
0.58
2.12
2.39
7.1%
2025Q2
91
52.0
2.75
0.11
0.62
2.01
2.40
4.9%
2025Q1
90
49.5
2.83
0.22
0.65
1.96
2.39
14.6%
2024Q4
92
44.9
2.82
0.28
0.51
2.02
2.48
21.7%
2024Q3
92
46.2
2.66
0.29
0.47
1.89
2.35
55.8%
2024Q2
91
40.7
1.98
0.27
0.10
1.60
1.97
61.9%
2024Q1
91
39.2
2.51
0.12
0.47
1.93
2.08
57.4%
2023Q4
92
40.0
2.63
0.25
0.32
2.06
2.46
75.4%
2023Q3
92
39.0
1.13
0.14
0.14
0.85
1.19
73.2%
2023Q2
91
41.3
2.77
0.30
0.58
1.88
2.73
76.3%
2023Q1
90
41.9
2.77
0.27
0.67
1.83
2.67
68.5%
2022Q4
92
42.9
2.73
0.21
0.65
1.87
2.71
66.3%
2022Q3
92
41.3
2.96
0.28
0.62
2.06
2.84
54.2%
2022Q2
91
41.1
3.30
0.45
0.56
2.29
3.28
47.1%
2022Q1
90
43.0
3.29
0.33
0.64
2.32
3.22
42.6%
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.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2025-08-29
2025-08-12
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-08-29
2025-08-12
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-08-29
2025-08-12
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-08-29
2025-08-12
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-08-29
2025-08-12
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-08-29
2024-10-24
Health · complaint
F0678
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
J
2024-11-18
2024-09-26
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-10-17
2024-09-04
Health · complaint
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2024-09-20
2024-09-04
Health · complaint
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2024-09-20
2024-09-04
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-09-20
2024-09-04
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2024-09-20
2023-10-05
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-10-27
2023-10-05
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-10-27
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
34
Owner
Role
Pct
From
Status
Source
ADAMY, MICHAEL
CORPORATE OFFICER
—
2017-02-14
current
pecos_ownership
BIRKEL, SUSAN
CORPORATE OFFICER
—
2021-10-12
current
pecos_ownership
DARO, ROBERT
OPERATIONAL/MANAGERIAL CONTROL
—
2019-12-27
current
pecos_ownership
DARO, ROBERT
ADP OF THE SNF
—
2025-05-21
current
pecos_ownership
HOEFT, JACKIE
CORPORATE OFFICER
—
2021-10-12
current
pecos_ownership
JAKUB, JEANNE
CORPORATE OFFICER
—
2021-10-12
current
pecos_ownership
KOBZA, LAURA
CORPORATE DIRECTOR
—
2015-12-08
current
pecos_ownership
LEPANT, VICKI
ADP OF THE SNF
—
2008-07-14
current
pecos_ownership
MEISTER, GARY
CORPORATE OFFICER
—
2023-10-01
current
pecos_ownership
MORAVEC, ALLEN
CORPORATE OFFICER
—
2016-12-13
current
pecos_ownership
POLACEK, KENNETH
CORPORATE OFFICER
—
2016-12-13
current
pecos_ownership
PYTLIK, FRANCES
CORPORATE OFFICER
—
2003-07-01
current
pecos_ownership
ROSS, MATTHEW
ADP OF THE SNF
—
2008-07-14
current
pecos_ownership
ROSS, MATTHEW
INDIRECT OWNERSHIP INTEREST
—
2025-04-17
current
pecos_ownership
ROSS, RON
ADP OF THE SNF
—
2008-07-14
current
pecos_ownership
RURAL HEALTH DEVELOPMENT INC.
OPERATIONAL/MANAGERIAL CONTROL
—
2008-07-14
current
pecos_ownership
RURAL HEALTH DEVELOPMENT INC.
ADP OF THE SNF
—
2025-04-25
current
pecos_ownership
SHANNON, CHRISTINA
ADP OF THE SNF
—
2025-01-17
current
pecos_ownership
ALLEN MORAVEC
CORPORATE OFFICER
0%
2016-12-13
ended 2026-05-18
pecos_ownership
FRANCES PYTLIK
CORPORATE OFFICER
0%
2003-07-01
ended 2026-05-18
pecos_ownership
GARY MEISTER
CORPORATE OFFICER
0%
2023-10-01
ended 2026-05-18
pecos_ownership
JACKIE HOEFT
CORPORATE OFFICER
0%
2021-10-12
ended 2026-05-18
pecos_ownership
JEANNE JAKUB
CORPORATE OFFICER
0%
2021-10-12
ended 2026-05-18
pecos_ownership
LAURA KOBZA
CORPORATE DIRECTOR
0%
2015-12-08
ended 2026-05-18
pecos_ownership
MICHAEL ADAMY
CORPORATE OFFICER
0%
2017-02-14
ended 2026-05-18
pecos_ownership
SUSAN BIRKEL
CORPORATE OFFICER
0%
2021-10-12
ended 2026-05-18
pecos_ownership
CHRISTINA SHANNON
ADP OF THE SNF
—
2025-01-17
ended 2026-05-18
pecos_ownership
KENNETH POLACEK
CORPORATE OFFICER
—
2016-12-13
ended 2026-05-18
pecos_ownership
MATTHEW ROSS
INDIRECT OWNERSHIP INTEREST
—
2025-04-17
ended 2026-05-18
pecos_ownership
MATTHEW ROSS
OPERATIONAL/MANAGERIAL CONTROL
—
2008-07-14
ended 2026-05-18
pecos_ownership
ROBERT DARO
OPERATIONAL/MANAGERIAL CONTROL
—
2019-12-27
ended 2026-05-18
pecos_ownership
ROBERT DARO
ADP OF THE SNF
—
2025-05-21
ended 2026-05-18
pecos_ownership
RON ROSS
ADP OF THE SNF
—
2008-07-14
ended 2026-05-18
pecos_ownership
VICKI LEPANT
ADP OF THE SNF
—
2008-07-14
ended 2026-05-18
pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
30
Geo
Kind
BR
Amount
As of
Source
county 31023
fmr
0
$666
2025-10-01
HUD_USER_FMR
county 31023
acs median gross
1
$607
2024-12-31
CENSUS_ACS5
county 31023
fmr
1
$732
2025-10-01
HUD_USER_FMR
county 31023
acs median gross
2
$776
2024-12-31
CENSUS_ACS5
county 31023
fmr
2
$961
2025-10-01
HUD_USER_FMR
county 31023
acs median gross
3
$1,316
2024-12-31
CENSUS_ACS5
county 31023
fmr
3
$1,268
2025-10-01
HUD_USER_FMR
county 31023
fmr
4
$1,272
2025-10-01
HUD_USER_FMR
county 31023
acs median gross
$776
2024-12-31
CENSUS_ACS5
county 31023
acs recent mover gross
$847
2024-12-31
CENSUS_ACS5
zcta 68632
acs median gross
1
$624
2024-12-31
CENSUS_ACS5
zcta 68632
acs median gross
2
$769
2024-12-31
CENSUS_ACS5
zcta 68632
acs median gross
3
$1,380
2024-12-31
CENSUS_ACS5
zcta 68632
acs median gross
$775
2024-12-31
CENSUS_ACS5
zcta 68632
acs recent mover gross
$852
2024-12-31
CENSUS_ACS5
zip 68632
payment standard 110
0
$737
2025-10-01
HUD_USER_SAFMR
zip 68632
payment standard 90
0
$603
2025-10-01
HUD_USER_SAFMR
zip 68632
safmr
0
$670
2025-10-01
HUD_USER_SAFMR
zip 68632
payment standard 110
1
$803
2025-10-01
HUD_USER_SAFMR
zip 68632
payment standard 90
1
$657
2025-10-01
HUD_USER_SAFMR
zip 68632
safmr
1
$730
2025-10-01
HUD_USER_SAFMR
zip 68632
payment standard 110
2
$1,056
2025-10-01
HUD_USER_SAFMR
zip 68632
payment standard 90
2
$864
2025-10-01
HUD_USER_SAFMR
zip 68632
safmr
2
$960
2025-10-01
HUD_USER_SAFMR
zip 68632
payment standard 110
3
$1,397
2025-10-01
HUD_USER_SAFMR
zip 68632
payment standard 90
3
$1,143
2025-10-01
HUD_USER_SAFMR
zip 68632
safmr
3
$1,270
2025-10-01
HUD_USER_SAFMR
zip 68632
payment standard 110
4
$1,397
2025-10-01
HUD_USER_SAFMR
zip 68632
payment standard 90
4
$1,143
2025-10-01
HUD_USER_SAFMR
zip 68632
safmr
4
$1,270
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.