414 North Wilson Street, BLUE HILL, NE 68930 · CCN 285144 · chain BRASS NE TRUST
Composite
83.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
62
Model
v1.2
Reads as: riskier than 83.3% 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
2.69
2.88
3.28
2.90–3.77
RN
0.08
0.42
0.39
0.25–0.58
Weekend total
2.75
2.75
3.11
—
Weekday total
2.66
2.96
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
33.6
2.69
0.08
0.71
1.89
2.75
41.1%
2025Q3
92
34.2
2.75
0.10
0.70
1.96
2.76
47.9%
2025Q2
91
36.6
2.69
0.24
0.50
1.95
2.52
44.1%
2025Q1
90
39.9
2.53
0.17
0.52
1.83
2.42
43.6%
2024Q4
92
40.5
2.77
0.19
0.68
1.90
2.46
56.4%
2024Q3
92
38.4
2.56
0.19
0.62
1.75
2.18
50.2%
2024Q2
91
34.0
2.71
0.24
0.61
1.85
2.33
43.8%
2024Q1
91
32.3
2.42
0.28
0.52
1.61
2.39
47.6%
2023Q4
92
29.6
2.20
0.32
0.56
1.32
2.07
0.0%
2023Q3
92
33.4
2.56
0.26
0.66
1.64
2.76
6.7%
2023Q2
91
37.0
2.79
0.23
0.73
1.83
2.68
15.1%
2023Q1
90
37.4
2.49
0.26
0.69
1.53
2.29
30.2%
2022Q4
92
40.4
2.16
0.15
0.63
1.38
2.10
27.8%
2022Q3
92
45.4
2.38
0.21
0.52
1.66
2.28
12.4%
2022Q2
91
43.8
2.44
0.28
0.48
1.69
2.11
15.3%
2022Q1
90
37.9
2.28
0.27
0.59
1.41
2.24
18.9%
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.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
E
2025-05-30
2025-04-17
Health · complaint
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
2025-05-30
2025-04-17
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2025-05-30
2025-04-17
Health
F0660
Plan the resident's discharge to meet the resident's goals and needs.
D
2025-05-30
2025-04-17
Health
F0679
Provide activities to meet all resident's needs.
D
2025-05-30
2025-04-17
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-05-30
2025-04-17
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
E
2025-05-30
2025-04-17
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-05-30
2025-04-17
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F
2025-05-30
2025-04-17
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2025-05-30
2025-04-17
Health · complaint
F0923
Have enough outside ventilation via a window or mechanical ventilation, or both.
D
2025-05-30
2024-05-23
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
2024-07-06
2024-05-23
Health · complaint
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2024-07-06
2024-05-23
Health · complaint
F0622
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
D
2024-07-06
2024-05-23
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
2024-07-06
2024-05-23
Health
F0641
Ensure each resident receives an accurate assessment.
D
2024-07-06
2024-05-23
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2024-07-06
2024-05-23
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-07-06
2024-05-23
Health
F0692
Provide enough food/fluids to maintain a resident's health.
E
2024-07-06
2024-05-23
Health · complaint
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2024-07-06
2024-05-23
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
E
2024-07-06
2024-05-23
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
E
2024-07-06
2024-05-23
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-07-06
2024-05-23
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-07-06
2024-02-13
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
K
2024-03-13
2024-02-13
Health · complaint
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
2024-03-13
2023-12-28
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-01-26
2023-12-28
Health · complaint
F0675
Honor each resident's preferences, choices, values and beliefs.
D
2024-01-26
2023-05-03
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-06-13
2023-05-03
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2023-06-13
2023-05-03
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
2023-06-13
2023-05-03
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
E
2023-06-13
2023-05-03
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-06-13
2023-05-03
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2023-06-13
2023-05-03
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-06-13
2023-05-03
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-06-13
2023-05-03
Health
F0886
Perform COVID19 testing on residents and staff.
F
2023-06-13
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
BLUE HILL REALTY
Corporation, partnership or other organization has financial interest in provider
—
2023-01-01
current
hcris_a_8_1
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 DIRECT OWNERSHIP INTEREST
—
2023-08-02
current
pecos_ownership
GOLD NE TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2023-08-02
current
pecos_ownership
JACKSON, DIXIE
W-2 MANAGING EMPLOYEE
—
2023-08-02
current
pecos_ownership
NE 11 HOLDINGS OPCO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2023-08-02
current
pecos_ownership
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
BLUE HILL REALTY
Corporation, partnership or other organization has financial interest in provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
DIXIE JACKSON
W-2 MANAGING EMPLOYEE
—
2023-08-02
ended 2026-05-18
pecos_ownership
NE BLUE HILL PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
NE BLUE HILL PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
—
2022-01-01
ended 2022-12-31
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
$610,223
$610,223
—
—
—
1
—
2023-12-31
$314,462
$300,698
—
—
—
2
—
2023-08-01
$671,783
$203,000
—
—
$399,364
2
propco
2022-12-31
$500,011
$236,201
—
—
$159,428
3
propco
2021-12-31
$262,629
$158,901
—
—
—
2
propco
2020-12-31
$257,466
$81,132
—
—
—
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
31
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 68930
acs median gross
1
$919
2024-12-31
CENSUS_ACS5
zcta 68930
acs median gross
2
$773
2024-12-31
CENSUS_ACS5
zcta 68930
acs median gross
3
$862
2024-12-31
CENSUS_ACS5
zcta 68930
acs median gross
4
$1,097
2024-12-31
CENSUS_ACS5
zcta 68930
acs median gross
$808
2024-12-31
CENSUS_ACS5
zip 68930
payment standard 110
0
$792
2025-10-01
HUD_USER_SAFMR
zip 68930
payment standard 90
0
$648
2025-10-01
HUD_USER_SAFMR
zip 68930
safmr
0
$720
2025-10-01
HUD_USER_SAFMR
zip 68930
payment standard 110
1
$869
2025-10-01
HUD_USER_SAFMR
zip 68930
payment standard 90
1
$711
2025-10-01
HUD_USER_SAFMR
zip 68930
safmr
1
$790
2025-10-01
HUD_USER_SAFMR
zip 68930
payment standard 110
2
$1,133
2025-10-01
HUD_USER_SAFMR
zip 68930
payment standard 90
2
$927
2025-10-01
HUD_USER_SAFMR
zip 68930
safmr
2
$1,030
2025-10-01
HUD_USER_SAFMR
zip 68930
payment standard 110
3
$1,507
2025-10-01
HUD_USER_SAFMR
zip 68930
payment standard 90
3
$1,233
2025-10-01
HUD_USER_SAFMR
zip 68930
safmr
3
$1,370
2025-10-01
HUD_USER_SAFMR
zip 68930
payment standard 110
4
$1,518
2025-10-01
HUD_USER_SAFMR
zip 68930
payment standard 90
4
$1,242
2025-10-01
HUD_USER_SAFMR
zip 68930
safmr
4
$1,380
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.