800 Stoeger Drive, Grand Island, NE 68803 · CCN 285221 · chain BRASS NE TRUST
Composite
98.5 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
76
Model
v1.2
Reads as: riskier than 98.5% 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.
ML signals — parallel engine
23
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+28.6 vs natl
COPPER NE TRUST
9 facilities
connection
Owner fleet risk far above national
+28.6 vs natl
NE 11 HOLDINGS OPCO LLC
9 facilities
connection
Owner fleet risk far above national
+26.7 vs natl
BSD BEIS HEALTH TRUST
11 facilities
connection
Owner fleet risk far above national
+26.7 vs natl
DOURO VALLEY INVESTMENT LLC
11 facilities
connection
Owner fleet risk far above national
+26.7 vs natl
GOLD NE TRUST
11 facilities
connection
Owner fleet risk far above national
+26.7 vs natl
NE SNF HOLDINGS LLC
11 facilities
connection
Owner fleet risk far above national
+26.7 vs natl
SF 4140 OLDE WASHINGTON BOULEVARD REAL PROPERTY LLC
11 facilities
connection
Owner fleet risk far above national
+26.7 vs natl
SILVER NE TRUST
11 facilities
connection
Owner fleet risk far above national
+26.7 vs natl
BRASS NE TRUST
11 facilities
connection
Owner fleet risk far above national
+26.7 vs natl
TULIP INVESTMENTS NE LLC
11 facilities
connection
Owner fleet risk far above national
+21.9 vs natl
SILBERSTEIN ARI
31 facilities
connection
Owner spans multiple chains
5 chains
SILBERSTEIN ARI
22 facilities
connection
Owner fleet enforcement cluster
52% fined
SILBERSTEIN ARI
31 facilities
connection
Owner fleet enforcement cluster
46% fined
BSD BEIS HEALTH TRUST
11 facilities
connection
Owner fleet enforcement cluster
46% fined
DOURO VALLEY INVESTMENT LLC
11 facilities
connection
Owner fleet enforcement cluster
46% fined
GOLD NE TRUST
11 facilities
connection
Owner fleet enforcement cluster
46% fined
BRASS NE TRUST
11 facilities
connection
Owner fleet enforcement cluster
46% fined
SILVER NE TRUST
11 facilities
connection
Owner fleet enforcement cluster
46% fined
TULIP INVESTMENTS NE LLC
11 facilities
connection
Owner fleet enforcement cluster
46% fined
NE SNF HOLDINGS LLC
11 facilities
connection
Owner fleet enforcement cluster
46% fined
SF 4140 OLDE WASHINGTON BOULEVARD REAL PROPERTY LLC
11 facilities
connection
Owner fleet enforcement cluster
44% fined
NE 11 HOLDINGS OPCO LLC
9 facilities
connection
Owner fleet enforcement cluster
44% fined
COPPER NE TRUST
9 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.
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
2.35
2.88
3.28
2.90–3.77
RN
0.45
0.42
0.39
0.25–0.58
Weekend total
2.27
2.75
3.11
—
Weekday total
2.39
2.96
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
60.2
2.35
0.45
0.41
1.50
2.27
45.6%
2025Q3
92
60.6
2.31
0.32
0.64
1.35
2.10
52.5%
2025Q2
91
57.7
2.51
0.46
0.54
1.51
2.56
58.1%
2025Q1
90
48.8
2.56
0.32
0.54
1.71
2.47
53.4%
2024Q4
92
50.3
2.65
0.44
0.52
1.70
2.51
66.9%
2024Q3
92
49.1
2.92
0.69
0.48
1.75
2.79
63.7%
2024Q2
91
39.2
3.01
0.57
0.58
1.86
2.84
33.3%
2024Q1
91
41.8
3.32
0.57
0.59
2.17
3.15
51.5%
2023Q4
92
38.0
2.93
0.55
0.74
1.64
2.59
0.0%
2023Q3
92
32.7
2.79
0.78
0.70
1.30
2.57
0.5%
2023Q2
91
37.3
2.23
0.57
0.39
1.27
2.07
22.7%
2023Q1
90
38.6
2.69
0.57
0.66
1.46
2.55
10.6%
2022Q4
92
44.7
2.46
0.33
0.73
1.41
2.09
1.4%
2022Q3
92
44.6
2.38
0.34
0.82
1.21
2.30
2.1%
2022Q2
91
42.1
3.19
0.45
1.64
1.10
2.91
36.4%
2022Q1
90
41.0
2.51
0.37
1.16
0.98
2.17
26.4%
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.
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2025-06-20
2025-05-21
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2025-06-20
2025-05-21
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2025-06-20
2025-05-21
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F
2025-06-20
2025-05-21
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-06-20
2025-05-21
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-06-20
2025-05-21
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2025-06-20
2025-05-21
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-06-20
2025-05-21
Health
F0688
Provide 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.
D
2025-06-20
2025-05-21
Health
F0712
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
D
2025-06-20
2025-05-21
Health · complaint
F0732
Post nurse staffing information every day.
F
2025-06-20
2025-05-21
Health · complaint
F0761
Ensure 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.
F
2025-06-20
2025-05-21
Health
F0791
Provide or obtain dental services for each resident.
D
2025-06-20
2025-05-21
Health
F0800
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
D
2025-06-20
2025-05-21
Health
F0838
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F
2025-06-20
2025-05-21
Health
F0880
Provide and implement an infection prevention and control program.
F
2025-06-20
2025-05-21
Health
F0940
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
F
2025-06-20
2025-05-21
Health · complaint
F0947
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F
2025-06-20
2024-10-08
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-11-22
2024-05-14
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
2024-06-28
2024-05-14
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2024-06-28
2024-05-14
Health · complaint
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
2024-06-28
2024-05-14
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-06-28
2024-05-14
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2024-06-28
2024-05-14
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
E
2024-06-28
2024-05-14
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-06-28
2024-02-01
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
J
2024-02-16
2023-05-16
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
2023-06-05
2023-05-16
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
E
2023-06-05
2023-05-16
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-06-05
2023-05-16
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
2023-06-05
2023-05-16
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-06-05
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
19
Owner
Role
Pct
From
Status
Source
NE 11 HOLDINGS OPCO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-08-02
current
pecos_ownership
BRASS NE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-08-02
current
pecos_ownership
BSD BEIS HEALTH TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-08-02
current
pecos_ownership
COPPER NE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-08-02
current
pecos_ownership
DOURO VALLEY INVESTMENT, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-08-02
current
pecos_ownership
GOLD NE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-08-02
current
pecos_ownership
MUIR, DANIELLE
W-2 MANAGING EMPLOYEE
—
2023-08-02
current
pecos_ownership
NE RYDER PARK PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
—
2023-01-01
current
hcris_a_8_1
NE SNF HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-08-02
current
pecos_ownership
SF 4140 OLDE WASHINGTON BOULEVARD REAL PROPERTY LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-08-01
current
pecos_ownership
SILBERSTEIN, ARI
CORPORATE OFFICER
—
2023-08-02
current
pecos_ownership
SILVER NE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-08-02
current
pecos_ownership
TULIP INVESTMENTS NE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-08-02
current
pecos_ownership
DAVID WEISZ
5% OR GREATER INDIRECT OWNERSHIP INTEREST
33%
2023-08-02
ended 2026-05-18
pecos_ownership
ARI SILBERSTEIN
CORPORATE OFFICER
—
2023-08-02
ended 2026-05-18
pecos_ownership
DANIELLE MUIR
W-2 MANAGING EMPLOYEE
—
2023-08-02
ended 2026-05-18
pecos_ownership
NE RYDER PARK PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
NE RYDER PARK PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
NE RYDER PARK PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$747,493
$747,493
—
—
—
1
—
2023-12-31
$388,330
$372,633
—
—
—
2
—
2023-08-01
$376,064
$265,278
—
—
$41,480
3
propco
2022-12-31
$440,738
$306,282
—
—
$30,931
3
propco
2021-12-31
$334,452
$213,438
—
—
—
2
propco
2020-12-31
$469,426
$188,477
—
—
—
2
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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
Geo
Kind
BR
Amount
As of
Source
county 31079
acs median gross
0
$750
2024-12-31
CENSUS_ACS5
county 31079
fmr
0
$867
2025-10-01
HUD_USER_FMR
county 31079
acs median gross
1
$781
2024-12-31
CENSUS_ACS5
county 31079
fmr
1
$978
2025-10-01
HUD_USER_FMR
county 31079
acs median gross
2
$1,021
2024-12-31
CENSUS_ACS5
county 31079
fmr
2
$1,215
2025-10-01
HUD_USER_FMR
county 31079
acs median gross
3
$1,164
2024-12-31
CENSUS_ACS5
county 31079
fmr
3
$1,530
2025-10-01
HUD_USER_FMR
county 31079
acs median gross
4
$1,345
2024-12-31
CENSUS_ACS5
county 31079
fmr
4
$2,005
2025-10-01
HUD_USER_FMR
county 31079
acs median gross
5
$1,644
2024-12-31
CENSUS_ACS5
county 31079
acs median gross
$943
2024-12-31
CENSUS_ACS5
county 31079
acs recent mover gross
$980
2024-12-31
CENSUS_ACS5
zcta 68803
acs median gross
0
$732
2024-12-31
CENSUS_ACS5
zcta 68803
acs median gross
1
$775
2024-12-31
CENSUS_ACS5
zcta 68803
acs median gross
2
$1,052
2024-12-31
CENSUS_ACS5
zcta 68803
acs median gross
3
$1,215
2024-12-31
CENSUS_ACS5
zcta 68803
acs median gross
4
$1,388
2024-12-31
CENSUS_ACS5
zcta 68803
acs median gross
$927
2024-12-31
CENSUS_ACS5
zcta 68803
acs recent mover gross
$1,080
2024-12-31
CENSUS_ACS5
zip 68803
payment standard 110
0
$957
2025-10-01
HUD_USER_SAFMR
zip 68803
payment standard 90
0
$783
2025-10-01
HUD_USER_SAFMR
zip 68803
safmr
0
$870
2025-10-01
HUD_USER_SAFMR
zip 68803
payment standard 110
1
$1,078
2025-10-01
HUD_USER_SAFMR
zip 68803
payment standard 90
1
$882
2025-10-01
HUD_USER_SAFMR
zip 68803
safmr
1
$980
2025-10-01
HUD_USER_SAFMR
zip 68803
payment standard 110
2
$1,342
2025-10-01
HUD_USER_SAFMR
zip 68803
payment standard 90
2
$1,098
2025-10-01
HUD_USER_SAFMR
zip 68803
safmr
2
$1,220
2025-10-01
HUD_USER_SAFMR
zip 68803
payment standard 110
3
$1,694
2025-10-01
HUD_USER_SAFMR
zip 68803
payment standard 90
3
$1,386
2025-10-01
HUD_USER_SAFMR
zip 68803
safmr
3
$1,540
2025-10-01
HUD_USER_SAFMR
zip 68803
payment standard 110
4
$2,211
2025-10-01
HUD_USER_SAFMR
zip 68803
payment standard 90
4
$1,809
2025-10-01
HUD_USER_SAFMR
zip 68803
safmr
4
$2,010
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.