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 20:22 UTC
Screener / 285240
B

Omaha Nursing and Rehabilitation Center

snfNE
4835 South 49th Street, Omaha, NE 68117 · CCN 285240 · chain THE ENSIGN GROUP INC
Composite
37.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
70
Model
v1.2
Reads as: riskier than 37.3% 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.
Score model4ML signals8Components13CHOW radar1Distress radar1Staffing15Penalties2Deficiencies49Licensure0Ownership26Related party5Transactions0Comps12Market rent32

Composite explanation

4
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk83.380.20.300.285723.80in index
financial risk30.133.90.300.28578.60in index
billing conduct28.631.00.300.28578.17in index
chow risk22.124.00.150.14293.16in 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

8
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains18 chainsENSIGN SERVICES INC 286 facilities
connectionOwner spans multiple chains18 chainsCTR PARTNERSHIP LP99 facilities
connectionOwner spans multiple chains17 chainsBURNAM SOON335 facilities
connectionOwner spans multiple chains15 chainsCARETRUST REIT INC96 facilities
connectionOwner spans multiple chains11 chainsCARETRUST GP LLC89 facilities
connectionOwner spans multiple chains7 chainsSATTAR ARIF11 facilities
connectionOwner fleet enforcement cluster60% finedKARE TECHNOLOGIES LLC10 facilities
connectionOwner fleet enforcement cluster46% finedSATTAR ARIF13 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

13
Score typeScoreGradeModelStatusRegistry model notes
billing conduct31.0Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk24.7Av0.1-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 risk23.2Av0.6default · in composite
financial risk33.9Bv0.5default · in compositeR18.
p adverse action 12m0.0—v0.1default · 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 12m9.4—v0.1default · 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 risk80.2Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
financial risk83.3Fv0.1supersededPre-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 risk63.3Cv0.2supersededPre-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 risk40.9Bv0.3supersededPre-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 risk39.5Bv0.4supersededPre-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 risk80.1Fv0.1supersededPre-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 risk80.1Fv0.2supersededPre-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.
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)
9.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
97.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Chain size (log)5.46+0.76
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
Occupancy0.87-0.51
No PBJ staffing report0.00+0.42
Deficiencies, last 12 months18.00+0.27
Ownership changes, last 5 years0.00+0.20
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
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Chain size (log)5.46-1.98
Deficiencies, last 12 months18.00-1.91
For-profit ownership1.00-0.69
Occupancy0.87-0.52
No PBJ staffing report0.00+0.39
Fine amount, 12m (log)0.00+0.18
Never sold on record1.00+0.12
High-severity deficiencies, 12m2.00-0.12
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
2025Q3 HPRDThis facilityNE medianNational medianNational p25–p75
Total nurse3.012.883.282.90–3.77
RN0.320.420.390.25–0.58
Weekend total2.912.753.11—
Weekday total3.052.963.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q39261.13.010.320.861.832.913.6%
2025Q29161.73.010.360.881.772.794.8%
2025Q19061.33.080.390.851.852.915.5%
2024Q49261.22.910.380.821.712.819.0%
2024Q39259.13.030.520.801.712.828.8%
2024Q29156.73.070.460.761.862.8813.8%
2024Q19154.82.920.420.741.752.576.5%
2023Q49253.83.000.460.771.772.6818.2%
2023Q39255.62.840.410.711.712.6415.0%
2023Q29157.92.580.490.411.682.5719.5%
2023Q19057.92.680.530.401.762.6913.3%
2022Q49257.52.930.540.581.822.9413.8%
2022Q39256.72.660.680.441.532.415.8%
2022Q29156.32.570.640.451.482.237.7%
2022Q19052.82.700.670.581.442.225.9%
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

2
DateTypeFineSource
2025-07-10Fine$60,225CMS provider data
2025-07-10Payment Denial—CMS provider data
Total fines on record: $60,225

Deficiencies

49
C × 1D × 34E × 5F × 2G × 6J × 1
deficiencies by survey year
211123242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-01Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-05-01
2025-10-07Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.D2025-11-28
2025-10-07Health · complaintF0880Provide and implement an infection prevention and control program.D2025-11-28
2025-07-31HealthF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D2025-08-28
2025-07-31Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-08-28
2025-07-31Health · complaintF0610Respond appropriately to all alleged violations.D2025-08-28
2025-07-31HealthF0637Assess the resident when there is a significant change in conditionD2025-08-28
2025-07-31HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-08-28
2025-07-31HealthF0688Provide 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.D2025-08-28
2025-07-31Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2025-08-28
2025-07-31HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-08-28
2025-07-31HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-08-28
2025-07-31HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2025-08-28
2025-07-31HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2025-08-28
2025-07-31HealthF0760Ensure that residents are free from significant medication errors.G2025-08-28
2025-07-31HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-08-28
2025-07-31HealthF0880Provide and implement an infection prevention and control program.D2025-08-28
2025-07-31HealthF0908Keep all essential equipment working safely.F2025-08-28
2025-07-10Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.D2025-08-29
2025-07-10Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-08-29
2025-07-10Health · complaintF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2025-08-29
2025-03-03Health · complaintF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.D2025-03-28
2024-10-31Health · complaintF0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.C2024-12-06
2024-10-31Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2024-12-06
2024-10-31Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-12-06
2024-10-31Health · complaintF0692Provide enough food/fluids to maintain a resident's health.G2024-12-06
2024-10-01Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-10-25
2024-06-13HealthF0584Honor 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.D2024-07-19
2024-06-13HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2024-07-19
2024-06-13HealthF0760Ensure that residents are free from significant medication errors.D2024-07-19
2024-06-13HealthF0880Provide and implement an infection prevention and control program.D2024-07-19
2023-10-26Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.D2023-12-08
2023-10-26Health · complaintF0880Provide and implement an infection prevention and control program.D2023-12-08
2023-05-03HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2023-06-09
2023-05-03HealthF0583Keep residents' personal and medical records private and confidential.E2023-06-09
2023-05-03HealthF0584Honor 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.E2023-06-09
2023-05-03HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-06-09
2023-05-03HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2023-06-09
2023-05-03HealthF0638Assure that each resident’s assessment is updated at least once every 3 months.E2023-06-09
2023-05-03HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2023-06-09
2023-05-03HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-06-09
2023-05-03HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2023-06-09
2023-05-03HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2023-06-09
2023-05-03HealthF0692Provide enough food/fluids to maintain a resident's health.G2023-06-09
2023-05-03HealthF0760Ensure that residents are free from significant medication errors.G2023-06-09
2023-05-03HealthF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F2023-06-09
2023-05-03HealthF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.E2023-06-09
2023-05-03HealthF0865Have a plan that describes the process for conducting QAPI and QAA activities.E2023-06-09
2023-05-03HealthF0880Provide and implement an infection prevention and control program.D2023-06-09
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

26
OwnerRolePctFromStatusSource
49TH STREET HEALTH HOLDINGS LLCADP OF THE SNF—2013-05-01currentpecos_ownership
BURNAM, SOONCORPORATE OFFICER—2013-02-19currentpecos_ownership
CARETRUST GP LLCADP OF THE SNF—2013-05-01currentpecos_ownership
CARETRUST REIT INCADP OF THE SNF—2013-05-01currentpecos_ownership
CTR PARTNERSHIP LPADP OF THE SNF—2013-05-01currentpecos_ownership
ENSIGN SERVICES INCADP OF THE SNF—2013-04-01currentpecos_ownership
HELENTHAL, TARACORPORATE OFFICER—2024-09-09currentpecos_ownership
JORGENSEN, DAVIDCORPORATE DIRECTOR—2024-01-01currentpecos_ownership
KARE TECHNOLOGIES LLCOPERATIONAL/MANAGERIAL CONTROL—2013-05-01currentpecos_ownership
ONSHIFT INCOPERATIONAL/MANAGERIAL CONTROL—2013-05-01currentpecos_ownership
PORT, BARRYINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2025-07-01currentpecos_ownership
SATO, AMICORPORATE OFFICER—2024-09-09currentpecos_ownership
SATTAR, ARIFMANAGING CONTROL - GOVERNING BODY—2021-07-01currentpecos_ownership
SATTAR, ARIFADP OF THE SNF—2025-07-01currentpecos_ownership
WILLIAMS, DOUGLASOPERATIONAL/MANAGERIAL CONTROL—2017-06-03currentpecos_ownership
WILLIAMS, DOUGLASADP OF THE SNF—2025-08-05currentpecos_ownership
GATEWAY HEALTHCARE LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2013-02-19ended 2026-05-18pecos_ownership
THE ENSIGN GROUP INC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2011-07-01ended 2026-05-18pecos_ownership
DOUGLAS WILLIAMSOPERATIONAL/MANAGERIAL CONTROL0%2017-06-03ended 2026-05-18pecos_ownership
SOON BURNAMCORPORATE OFFICER0%2013-02-19ended 2026-05-18pecos_ownership
AMI SATOCORPORATE OFFICER—2024-09-09ended 2026-05-18pecos_ownership
ARIF SATTARMANAGING CONTROL - GOVERNING BODY—2021-07-01ended 2026-05-18pecos_ownership
ARIF SATTARADP OF THE SNF—2025-07-01ended 2026-05-18pecos_ownership
DAVID JORGENSENCORPORATE DIRECTOR—2024-01-01ended 2026-05-18pecos_ownership
DOUGLAS WILLIAMSADP OF THE SNF—2025-08-05ended 2026-05-18pecos_ownership
TARA HELENTHALCORPORATE OFFICER—2024-09-09ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

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.

Comparable trades — NE snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-04-01Accura HealthCare of North Platte———71ACCURA HEALTHCARE OF NORTH PLATTE LLC
2024-10-01St. Joseph's Rehabilitation and Care Center———83RAVENSCROFT HEALTHCARE LLC
2024-08-15Holmes Lake Rehabilitation & Care Center———97HOLMES LAKE OPERATIONS LLC
2024-04-01Heritage of Webster County———43WEBSTER COUNTY COMMUNITY HOSPITAL FOUNDATION, INC.
2024-03-01The Cypress at Midtown———61CYPRESS AT MIDTOWN LLC
2024-03-01The Banyan at Montclair———175BANYAN AT MONTCLAIR LLC
2023-08-02Adept Nursing & Rehab of Central City———63OAKS AT CENTRAL CITY LLC
2023-08-02Adept Nursing & Rehab of Blue Hill———62PINES AT BLUE HILL LLC
2023-08-02Adept Nursing & Rehab of North Platte———94MAPLES AT CENTENNIAL LLC
2023-08-02Adept Nursing & Rehab of Ashland———97MEADOWS AT ASHLAND LLC
2023-08-02Adept Nursing & Rehab of Sutherland———60BIRCH AT SUTHERLAND LLC
2023-08-02Adept Nursing & Rehab of Grand Island———76CEDARS 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 31055acs median gross0$9542024-12-31CENSUS_ACS5
county 31055fmr0$1,0902025-10-01HUD_USER_FMR
county 31055acs median gross1$1,0412024-12-31CENSUS_ACS5
county 31055fmr1$1,1482025-10-01HUD_USER_FMR
county 31055acs median gross2$1,2492024-12-31CENSUS_ACS5
county 31055fmr2$1,3682025-10-01HUD_USER_FMR
county 31055acs median gross3$1,5322024-12-31CENSUS_ACS5
county 31055fmr3$1,8132025-10-01HUD_USER_FMR
county 31055acs median gross4$1,7142024-12-31CENSUS_ACS5
county 31055fmr4$2,0462025-10-01HUD_USER_FMR
county 31055acs median gross5$1,4612024-12-31CENSUS_ACS5
county 31055acs median gross$1,2012024-12-31CENSUS_ACS5
county 31055acs recent mover gross$1,3372024-12-31CENSUS_ACS5
zcta 68117acs median gross1$1,0982024-12-31CENSUS_ACS5
zcta 68117acs median gross2$1,2292024-12-31CENSUS_ACS5
zcta 68117acs median gross3$1,3902024-12-31CENSUS_ACS5
zcta 68117acs median gross$1,3542024-12-31CENSUS_ACS5
zip 68117payment standard 1100$1,3642025-10-01HUD_USER_SAFMR
zip 68117payment standard 900$1,1162025-10-01HUD_USER_SAFMR
zip 68117safmr0$1,2402025-10-01HUD_USER_SAFMR
zip 68117payment standard 1101$1,4412025-10-01HUD_USER_SAFMR
zip 68117payment standard 901$1,1792025-10-01HUD_USER_SAFMR
zip 68117safmr1$1,3102025-10-01HUD_USER_SAFMR
zip 68117payment standard 1102$1,7162025-10-01HUD_USER_SAFMR
zip 68117payment standard 902$1,4042025-10-01HUD_USER_SAFMR
zip 68117safmr2$1,5602025-10-01HUD_USER_SAFMR
zip 68117payment standard 1103$2,2772025-10-01HUD_USER_SAFMR
zip 68117payment standard 903$1,8632025-10-01HUD_USER_SAFMR
zip 68117safmr3$2,0702025-10-01HUD_USER_SAFMR
zip 68117payment standard 1104$2,5632025-10-01HUD_USER_SAFMR
zip 68117payment standard 904$2,0972025-10-01HUD_USER_SAFMR
zip 68117safmr4$2,3302025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · Omaha Nursing and Rehabilitation Center (285240) · generated 2026-08-04 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency