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 15:01 UTC
Screener / 285141
F

Adept Nursing & Rehab of Sutherland

snfNESFF: SFF Candidate
333 Maple Street, Sutherland, NE 69165 · CCN 285141 · chain BRASS NE TRUST
Composite
97.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
60
Model
v1.2
Reads as: riskier than 97.2% 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.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
financial risk90.778.40.300.230820.93in index
regulatory risk88.886.20.300.230820.49in index
staffing risk82.382.30.250.192315.83in index
billing conduct41.836.20.300.23089.65in index
chow risk70.457.00.150.11548.12in 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

23
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+28.6 vs natlCOPPER NE TRUST9 facilities
connectionOwner fleet risk far above national+28.6 vs natlNE 11 HOLDINGS OPCO LLC9 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 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 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% finedBRASS NE TRUST11 facilities
connectionOwner fleet enforcement cluster46% finedSILVER NE TRUST11 facilities
connectionOwner fleet enforcement cluster46% finedTULIP INVESTMENTS NE LLC11 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 cluster44% finedNE 11 HOLDINGS OPCO LLC9 facilities
connectionOwner fleet enforcement cluster44% finedCOPPER NE TRUST9 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 conduct36.2Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk75.0Dv0.1-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 risk39.0Bv0.6default · in composite
financial risk78.4Dv0.5default · 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 12m0.1v0.1default · 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 risk86.2Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk82.3Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk51.5Cv0.1supersededPre-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 risk31.5Bv0.2supersededPre-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 risk71.8Dv0.3supersededPre-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 risk77.1Dv0.4supersededPre-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 risk86.2Fv0.1supersededPre-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 risk86.2Fv0.2supersededPre-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 risk82.3Fv0.1supersededPre-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 risk82.3Fv0.2supersededPre-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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
23.6
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)2.99-1.55
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
Contract staffing share0.47+0.64
No PBJ staffing report0.00+0.42
Chain size (log)2.48+0.13
Deficiencies, last 12 months11.00+0.10
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
10.1
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
Fine amount, 12m (log)10.85-0.62
Deficiencies, last 12 months11.00-0.61
Contract staffing share0.47+0.43
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)2.99-0.25
Chain size (log)2.48-0.24
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 nurse2.752.883.282.90–3.77
RN0.260.420.390.25–0.58
Weekend total2.492.753.11
Weekday total2.852.963.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49242.02.750.260.681.812.4947.4%
2025Q39240.43.010.500.472.042.7726.0%
2025Q29144.12.780.420.421.932.5724.7%
2025Q19041.22.870.340.482.052.6649.0%
2024Q49243.82.950.180.612.162.7073.0%
2024Q39247.52.720.120.691.912.6371.8%
2024Q29147.42.940.090.732.112.7474.4%
2024Q19145.52.590.150.501.952.3864.8%
2023Q49243.32.730.200.412.122.500.0%
2023Q39238.72.700.360.481.862.435.5%
2023Q29135.23.010.460.671.882.9313.0%
2023Q19036.33.090.350.742.003.0623.7%
2022Q49242.02.830.460.362.012.8034.5%
2022Q39236.23.080.600.432.052.9629.2%
2022Q29140.73.450.280.582.603.298.5%
2022Q19042.03.880.430.562.893.540.9%
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

3
fines by year
$32.5k$16.3k2526
DateTypeFineSource
2026-03-05Fine$19,120CMS provider data
2025-09-24Fine$32,517CMS provider data
2025-04-09Payment DenialCMS provider data
Total fines on record: $51,637

Deficiencies

39
B × 1D × 26E × 1F × 8G × 1J × 1K × 1
deficiencies by survey year
15823242526
SurveyTypeTagDeficiencyScopeCorrected
2026-03-05HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2026-04-01
2026-03-05HealthF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D2026-04-01
2026-03-05HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2026-04-01
2026-03-05HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K2026-04-01
2026-03-05HealthF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.B2026-04-01
2026-03-05HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2026-04-01
2026-03-05HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F2026-04-01
2026-03-05HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2026-04-01
2025-09-24Health · complaintF0610Respond appropriately to all alleged violations.D2025-10-22
2025-09-24Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2025-10-22
2025-09-24Health · 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.F2025-10-22
2025-04-09Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-05-15
2025-04-09Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-05-15
2025-04-09Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.G2025-06-16
2025-04-09Health · complaintF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D2025-05-15
2024-12-19HealthF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D2025-02-15
2024-12-19Health · complaintF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2025-02-15
2024-12-19HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-02-15
2024-12-19Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-02-15
2024-12-19Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-02-15
2024-12-19HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-02-15
2024-12-19Health · complaintF0759Ensure medication error rates are not 5 percent or greater.D2025-02-15
2024-12-19HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-02-15
2024-12-19HealthF0880Provide and implement an infection prevention and control program.D2025-02-15
2024-09-26Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-11-10
2024-02-14Health · complaintF0641Ensure each resident receives an accurate assessment.D2024-03-29
2024-02-14Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-03-29
2024-02-14Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2024-03-29
2024-02-14Health · complaintF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2024-03-29
2024-02-14Health · complaintF0880Provide and implement an infection prevention and control program.D2024-03-29
2023-11-16Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2023-12-31
2023-11-16HealthF0688Provide 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.D2023-12-31
2023-11-16HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2023-12-31
2023-11-16HealthF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F2023-12-31
2023-11-16HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2023-12-31
2023-11-16Health · complaintF0880Provide and implement an infection prevention and control program.F2023-12-31
2023-11-16HealthF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F2023-12-31
2023-08-09Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2023-08-31
2023-08-09Health · 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.D2023-08-31
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
OwnerRolePctFromStatusSource
NE 11 HOLDINGS OPCO LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-08-02currentpecos_ownership
BRASS NE TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-08-02currentpecos_ownership
BSD BEIS HEALTH TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-08-02currentpecos_ownership
COPPER NE TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-08-02currentpecos_ownership
DOURO VALLEY INVESTMENT, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-08-02currentpecos_ownership
GOLD NE TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-08-02currentpecos_ownership
NE SNF HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-08-02currentpecos_ownership
NE SUTHERLAND PROPCO LLCCorporation, partnership or other organization has financial interest in provider2023-01-01currenthcris_a_8_1
PUCYLOWSKI, TEDW-2 MANAGING EMPLOYEE2023-08-02currentpecos_ownership
SF 4140 OLDE WASHINGTON BOULEVARD REAL PROPERTY LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-08-01currentpecos_ownership
SILBERSTEIN, ARICORPORATE OFFICER2023-08-02currentpecos_ownership
SILVER NE TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-08-02currentpecos_ownership
TULIP INVESTMENTS NE LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-08-02currentpecos_ownership
DAVID WEISZ5% OR GREATER INDIRECT OWNERSHIP INTEREST33%2023-08-02ended 2026-05-18pecos_ownership
ARI SILBERSTEINCORPORATE OFFICER2023-08-02ended 2026-05-18pecos_ownership
NE SUTHERLAND PROPCO LLCCorporation, partnership or other organization has financial interest in provider2022-01-01ended 2022-12-31hcris_a_8_1
NE SUTHERLAND PROPCO LLCCorporation, partnership or other organization has financial interest in provider2021-01-01ended 2021-12-31hcris_a_8_1
NE SUTHERLAND PROPCO LLCCorporation, partnership or other organization has financial interest in provider2020-01-01ended 2020-12-31hcris_a_8_1
TED PUCYLOWSKIW-2 MANAGING EMPLOYEE2023-08-02ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2023-08-02BIRCH AT SUTHERLAND LLCBCP SUTHERLAND, 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 Montclair175BANYAN 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 Sutherlandthis facility60BIRCH 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

32
GeoKindBRAmountAs ofSource
county 31111acs median gross0$8482024-12-31CENSUS_ACS5
county 31111fmr0$7962025-10-01HUD_USER_FMR
county 31111acs median gross1$6102024-12-31CENSUS_ACS5
county 31111fmr1$8022025-10-01HUD_USER_FMR
county 31111acs median gross2$9282024-12-31CENSUS_ACS5
county 31111fmr2$1,0522025-10-01HUD_USER_FMR
county 31111acs median gross3$8992024-12-31CENSUS_ACS5
county 31111fmr3$1,2612025-10-01HUD_USER_FMR
county 31111acs median gross4$1,0542024-12-31CENSUS_ACS5
county 31111fmr4$1,5202025-10-01HUD_USER_FMR
county 31111acs median gross5$1,3612024-12-31CENSUS_ACS5
county 31111acs median gross$9002024-12-31CENSUS_ACS5
county 31111acs recent mover gross$1,1152024-12-31CENSUS_ACS5
zcta 69165acs median gross1$4972024-12-31CENSUS_ACS5
zcta 69165acs median gross2$8642024-12-31CENSUS_ACS5
zcta 69165acs median gross3$7592024-12-31CENSUS_ACS5
zcta 69165acs median gross$7712024-12-31CENSUS_ACS5
zip 69165payment standard 1100$8582025-10-01HUD_USER_SAFMR
zip 69165payment standard 900$7022025-10-01HUD_USER_SAFMR
zip 69165safmr0$7802025-10-01HUD_USER_SAFMR
zip 69165payment standard 1101$8692025-10-01HUD_USER_SAFMR
zip 69165payment standard 901$7112025-10-01HUD_USER_SAFMR
zip 69165safmr1$7902025-10-01HUD_USER_SAFMR
zip 69165payment standard 1102$1,1442025-10-01HUD_USER_SAFMR
zip 69165payment standard 902$9362025-10-01HUD_USER_SAFMR
zip 69165safmr2$1,0402025-10-01HUD_USER_SAFMR
zip 69165payment standard 1103$1,3752025-10-01HUD_USER_SAFMR
zip 69165payment standard 903$1,1252025-10-01HUD_USER_SAFMR
zip 69165safmr3$1,2502025-10-01HUD_USER_SAFMR
zip 69165payment standard 1104$1,6392025-10-01HUD_USER_SAFMR
zip 69165payment standard 904$1,3412025-10-01HUD_USER_SAFMR
zip 69165safmr4$1,4902025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.