Composite
88.1 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 84.0 | 81.0 | 0.30 | 0.2308 | 19.38 | in index |
| staffing risk | 92.9 | 92.9 | 0.25 | 0.1923 | 17.87 | in index |
| financial risk | 43.4 | 41.6 | 0.30 | 0.2308 | 10.02 | in index |
| billing conduct | 42.7 | 36.5 | 0.30 | 0.2308 | 9.85 | in index |
| chow risk | 71.4 | 52.4 | 0.15 | 0.1154 | 8.24 | in index |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +33.6 vs natl | WICHMAN JERI JO | 5 facilities |
| connection | Owner fleet risk far above national | +25.8 vs natl | WALDEN JACOB | 10 facilities |
| connection | Owner fleet risk far above national | +24.0 vs natl | CHAFETZ YISROEL | 14 facilities |
| connection | Owner fleet risk far above national | +23.5 vs natl | WELLSKY CORPORATION | 7 facilities |
| connection | Owner fleet risk far above national | +23.2 vs natl | GOPIN BRIAN | 10 facilities |
| connection | Owner fleet risk far above national | +22.9 vs natl | FLEISCHMANN DAVID | 10 facilities |
| connection | Owner spans multiple chains | 12 chains | KEYBANK NATIONAL ASSOCIATION | 43 facilities |
| connection | Owner spans multiple chains | 7 chains | SATTAR ARIF | 11 facilities |
| connection | Owner spans multiple chains | 6 chains | ZIMMET HEALTHCARE SERVICES GROUP LLC | 11 facilities |
| connection | Owner fleet enforcement cluster | 80% fined | WICHMAN JERI JO | 5 facilities |
| connection | Owner fleet enforcement cluster | 57% fined | WELLSKY CORPORATION | 7 facilities |
| connection | Owner fleet enforcement cluster | 56% fined | EVOLVE THERAPY SERVICES LLC | 9 facilities |
| connection | Owner fleet enforcement cluster | 56% fined | EMERALD HEALTHCARE LLC | 9 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | LIMESTONE FISCAL SERVICES LLC | 10 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | MERCH PAY INC | 8 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | SAUL N FRIEDMAN COMPANY | 10 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | FLEISCHMANN DAVID | 10 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | GOPIN BRIAN | 10 facilities |
| connection | Owner fleet enforcement cluster | 46% fined | SATTAR ARIF | 13 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 36.5 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 55.0 | C | v0.1-pos | default · in composite | 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. |
| chow risk | 49.9 | C | v0.6 | default · in composite | |
| financial risk | 41.6 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.3 | — | v0.1 | default · in composite | 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. |
| p chow 12m | 0.0 | — | v0.1 | default · in 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. |
| regulatory risk | 81.0 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 92.9 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 93.2 | F | v0.1 | superseded | 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. |
| financial risk | 73.2 | D | v0.2 | superseded | 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. |
| financial risk | 32.7 | B | v0.3 | superseded | 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. |
| financial risk | 47.7 | C | v0.4 | superseded | 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. |
| regulatory risk | 80.9 | F | v0.1 | superseded | 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. |
| regulatory risk | 80.9 | F | v0.2 | superseded | 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. |
| staffing risk | 92.9 | F | v0.1 | superseded | 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. |
| staffing risk | 92.9 | F | v0.2 | superseded | 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. |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 4.25 | -1.43 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Occupancy | 0.58 | +0.33 | |
| Contract staffing share | 0.18 | +0.18 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| Occupancy | 0.58 | +0.70 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 2.43 | +0.33 | |
| Never sold on record | 0.00 | -0.28 | |
| Ownership changes, last 5 years | 1.00 | +0.23 | |
| Current owner tenure (years) | 4.25 | -0.23 |
| 2025Q4 HPRD | This facility | NE median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.43 | 2.88 | 3.28 | 2.90–3.77 |
| RN | 0.18 | 0.42 | 0.39 | 0.25–0.58 |
| Weekend total | 2.42 | 2.75 | 3.11 | — |
| Weekday total | 2.43 | 2.96 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 100.8 | 2.43 | 0.18 | 0.48 | 1.77 | 2.42 | 18.2% |
| 2025Q3 | 92 | 101.4 | 2.59 | 0.23 | 0.49 | 1.87 | 2.37 | 20.7% |
| 2025Q2 | 91 | 94.8 | 2.70 | 0.41 | 0.33 | 1.96 | 2.61 | 16.6% |
| 2025Q1 | 90 | 93.7 | 2.57 | 0.36 | 0.41 | 1.80 | 2.45 | 17.0% |
| 2024Q4 | 92 | 103.5 | 2.40 | 0.32 | 0.36 | 1.71 | 2.35 | 18.2% |
| 2024Q3 | 92 | 110.5 | 2.33 | 0.28 | 0.45 | 1.60 | 2.28 | 26.9% |
| 2024Q2 | 91 | 109.7 | 2.28 | 0.25 | 0.51 | 1.52 | 2.00 | 24.6% |
| 2024Q1 | 91 | 104.5 | 2.54 | 0.34 | 0.48 | 1.72 | 2.54 | 30.0% |
| 2023Q4 | 92 | 104.7 | 2.44 | 0.39 | 0.46 | 1.60 | 2.23 | 34.1% |
| 2023Q3 | 92 | 99.9 | 2.77 | 0.32 | 0.64 | 1.81 | 2.62 | 50.1% |
| 2023Q2 | 91 | 96.5 | 2.67 | 0.31 | 0.75 | 1.61 | 2.31 | 39.8% |
| 2023Q1 | 90 | 100.6 | 2.74 | 0.31 | 0.84 | 1.59 | 2.64 | 41.2% |
| 2022Q4 | 92 | 107.5 | 3.01 | 0.21 | 0.99 | 1.81 | 2.69 | 56.7% |
| 2022Q3 | 92 | 104.1 | 3.04 | 0.30 | 0.88 | 1.85 | 2.84 | 45.8% |
| 2022Q2 | 91 | 105.5 | 3.11 | 0.42 | 0.71 | 1.97 | 2.94 | 28.3% |
| 2022Q1 | 90 | 99.3 | 2.72 | 0.51 | 0.59 | 1.62 | 2.52 | 13.2% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-10-21 | Fine | $26,000 | CMS provider data |
| 2024-10-21 | Payment Denial | — | CMS provider data |
| 2024-01-02 | Fine | $3,529 | CMS provider data |
| 2023-12-11 | Fine | $8,469 | CMS provider data |
| 2023-09-26 | Payment Denial | — | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-15 | 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 | — |
| 2026-02-11 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | C | 2026-03-19 |
| 2026-02-11 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2026-03-19 |
| 2026-02-11 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-03-19 |
| 2026-02-11 | Health | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | C | 2026-03-19 |
| 2026-02-11 | Health | F0923 | Have enough outside ventilation via a window or mechanical ventilation, or both. | E | 2026-03-19 |
| 2025-11-18 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-12-12 |
| 2025-09-15 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-10-15 |
| 2025-06-02 | 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. | D | 2025-07-18 |
| 2025-06-02 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-07-18 |
| 2025-04-03 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | E | 2025-05-07 |
| 2025-03-03 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-04-07 |
| 2025-01-23 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2025-02-20 |
| 2024-10-21 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-11-18 |
| 2024-08-22 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-10-01 |
| 2024-08-22 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | F | 2024-10-01 |
| 2024-08-22 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-10-01 |
| 2024-08-22 | 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. | D | 2024-10-01 |
| 2024-08-22 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-10-01 |
| 2024-08-22 | Health · complaint | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2024-10-01 |
| 2024-08-22 | 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. | E | 2024-10-01 |
| 2024-08-22 | Health · complaint | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | 2024-10-01 |
| 2024-08-22 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-10-01 |
| 2024-07-24 | 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. | D | 2024-08-28 |
| 2024-04-09 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-05-24 |
| 2024-04-09 | 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 | 2024-05-24 |
| 2024-04-09 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-05-24 |
| 2024-02-06 | Health · complaint | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2024-03-22 |
| 2024-02-06 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-03-22 |
| 2024-02-06 | Health · complaint | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | 2024-03-22 |
| 2023-09-26 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-11-10 |
| 2023-09-26 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-11-10 |
| 2023-09-26 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-11-10 |
| 2023-09-26 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-11-10 |
| 2023-09-26 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-11-10 |
| 2023-09-26 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-11-10 |
| 2023-09-26 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-11-10 |
| 2023-09-26 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2023-11-10 |
| 2023-09-26 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-11-10 |
| 2023-09-26 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2023-11-10 |
| 2023-06-01 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2023-06-01 |
| 2023-06-01 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2023-07-16 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| EHC HOMESTEAD REAL ESTATE LLC | Director, officer, administrator or key person of related organization, or relative, has financial interest in provider | 50% | 2023-01-01 | current | hcris_a_8_1 |
| EHC HOMESTEAD REAL ESTATE LLC | Individual has financial interest in both related organization and provider | 43% | 2024-01-01 | current | hcris_a_8_1 |
| BROOKSIDE OPCO HOLDINGS LLC | DIRECT OWNERSHIP INTEREST | — | 2024-01-15 | current | pecos_ownership |
| CHAFETZ, YISROEL | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-29 | current | pecos_ownership |
| CHAFETZ, YISROEL | INDIRECT OWNERSHIP INTEREST | — | 2024-01-15 | current | pecos_ownership |
| EMERALD HEALTHCARE LLC | ADP OF THE SNF | — | 2025-04-01 | current | pecos_ownership |
| EMERALD HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-29 | current | pecos_ownership |
| EVOLVE THERAPY SERVICES LLC | ADP OF THE SNF | — | 2025-04-01 | current | pecos_ownership |
| EVOLVE THERAPY SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-29 | current | pecos_ownership |
| FISH, AMY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | current | pecos_ownership |
| FLEISCHMANN, DAVID | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-22 | current | pecos_ownership |
| GOPIN, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-22 | current | pecos_ownership |
| KEYBANK NATIONAL ASSOCIATION | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-29 | current | pecos_ownership |
| KEYBANK NATIONAL ASSOCIATION | ADP OF THE SNF | — | 2025-04-15 | current | pecos_ownership |
| LIMESTONE FISCAL SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 | current | pecos_ownership |
| LIMESTONE FISCAL SERVICES LLC | ADP OF THE SNF | — | 2025-04-01 | current | pecos_ownership |
| MERCH PAY INC | ADP OF THE SNF | — | 2022-04-29 | current | pecos_ownership |
| MOLT, MELINDA | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-29 | current | pecos_ownership |
| PEARSON, PAIGE | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-22 | current | pecos_ownership |
| SATTAR, ARIF | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-29 | current | pecos_ownership |
| SAUL N FRIEDMAN & COMPANY | ADP OF THE SNF | — | 2025-04-01 | current | pecos_ownership |
| SAUL N FRIEDMAN & COMPANY | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-29 | current | pecos_ownership |
| WALDEN, JACOB | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-29 | current | pecos_ownership |
| WALDEN, JACOB | INDIRECT OWNERSHIP INTEREST | — | 2024-01-15 | current | pecos_ownership |
| WELLSKY CORPORATION | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-01 | current | pecos_ownership |
| WELLSKY CORPORATION | ADP OF THE SNF | — | 2025-04-01 | current | pecos_ownership |
| WICHMAN, JERI JO | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-29 | current | pecos_ownership |
| ZIMMET HEALTHCARE SERVICES GROUP LLC | ADP OF THE SNF | — | 2025-04-01 | current | pecos_ownership |
| ZIMMET HEALTHCARE SERVICES GROUP LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-29 | current | pecos_ownership |
| JACOB WALDEN | INDIRECT OWNERSHIP INTEREST | 51% | 2024-01-15 | ended 2026-05-18 | pecos_ownership |
| EHC HOMESTEAD REAL ESTATE LLC | Director, officer, administrator or key person of related organization, or relative, has financial interest in provider | 50% | 2022-04-29 | ended 2022-12-31 | hcris_a_8_1 |
| YISROEL CHAFETZ | INDIRECT OWNERSHIP INTEREST | 49% | 2024-01-15 | ended 2026-05-18 | pecos_ownership |
| AMY FISH | ADP OF THE SNF | — | 2024-08-01 | ended 2026-05-18 | pecos_ownership |
| ARIF SATTAR | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-29 | ended 2026-05-18 | pecos_ownership |
| BRIAN GOPIN | ADP OF THE SNF | — | 2022-04-22 | ended 2026-05-18 | pecos_ownership |
| DAVID FLEISCHMANN | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-22 | ended 2026-05-18 | pecos_ownership |
| HOMESTEAD REAL ESTATE LLC | Individual has financial interest in both related organization and provider | — | 2020-01-01 | ended 2020-07-31 | hcris_a_8_1 |
| JACOB WALDEN | ADP OF THE SNF | — | 2022-04-29 | ended 2026-05-18 | pecos_ownership |
| JERI JO WICHMAN | ADP OF THE SNF | — | 2022-04-29 | ended 2026-05-18 | pecos_ownership |
| MELINDA MOLT | ADP OF THE SNF | — | 2022-04-29 | ended 2026-05-18 | pecos_ownership |
| PAIGE PEARSON | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-22 | ended 2026-05-18 | pecos_ownership |
| YISROEL CHAFETZ | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-29 | ended 2026-05-18 | pecos_ownership |
| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2022-04-29 | — | EMERALD NURSING & REHAB BROOKSIDE LLC | HOMESTEAD SNF OPERATIONS LLC | chow |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-04-01 | Accura HealthCare of North Platte | — | — | — | 71 | ACCURA HEALTHCARE OF NORTH PLATTE LLC |
| 2024-10-01 | St. Joseph's Rehabilitation and Care Center | — | — | — | 83 | RAVENSCROFT HEALTHCARE LLC |
| 2024-08-15 | Holmes Lake Rehabilitation & Care Center | — | — | — | 97 | HOLMES LAKE OPERATIONS LLC |
| 2024-04-01 | Heritage of Webster County | — | — | — | 43 | WEBSTER COUNTY COMMUNITY HOSPITAL FOUNDATION, INC. |
| 2024-03-01 | The Cypress at Midtown | — | — | — | 61 | CYPRESS AT MIDTOWN LLC |
| 2024-03-01 | The Banyan at Montclair | — | — | — | 175 | BANYAN AT MONTCLAIR LLC |
| 2023-08-02 | Adept Nursing & Rehab of Central City | — | — | — | 63 | OAKS AT CENTRAL CITY LLC |
| 2023-08-02 | Adept Nursing & Rehab of Blue Hill | — | — | — | 62 | PINES AT BLUE HILL LLC |
| 2023-08-02 | Adept Nursing & Rehab of North Platte | — | — | — | 94 | MAPLES AT CENTENNIAL LLC |
| 2023-08-02 | Adept Nursing & Rehab of Ashland | — | — | — | 97 | MEADOWS AT ASHLAND LLC |
| 2023-08-02 | Adept Nursing & Rehab of Sutherland | — | — | — | 60 | BIRCH AT SUTHERLAND LLC |
| 2023-08-02 | Adept Nursing & Rehab of Grand Island | — | — | — | 76 | CEDARS AT BROADWELL LLC |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 31109 | acs median gross | 0 | $879 | 2024-12-31 | CENSUS_ACS5 |
| county 31109 | fmr | 0 | $855 | 2025-10-01 | HUD_USER_FMR |
| county 31109 | acs median gross | 1 | $928 | 2024-12-31 | CENSUS_ACS5 |
| county 31109 | fmr | 1 | $926 | 2025-10-01 | HUD_USER_FMR |
| county 31109 | acs median gross | 2 | $1,101 | 2024-12-31 | CENSUS_ACS5 |
| county 31109 | fmr | 2 | $1,141 | 2025-10-01 | HUD_USER_FMR |
| county 31109 | acs median gross | 3 | $1,420 | 2024-12-31 | CENSUS_ACS5 |
| county 31109 | fmr | 3 | $1,587 | 2025-10-01 | HUD_USER_FMR |
| county 31109 | acs median gross | 4 | $1,630 | 2024-12-31 | CENSUS_ACS5 |
| county 31109 | fmr | 4 | $1,712 | 2025-10-01 | HUD_USER_FMR |
| county 31109 | acs median gross | 5 | $1,956 | 2024-12-31 | CENSUS_ACS5 |
| county 31109 | acs median gross | $1,085 | 2024-12-31 | CENSUS_ACS5 | |
| county 31109 | acs recent mover gross | $1,200 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 68516 | acs median gross | 0 | $1,159 | 2024-12-31 | CENSUS_ACS5 |
| zcta 68516 | acs median gross | 1 | $1,128 | 2024-12-31 | CENSUS_ACS5 |
| zcta 68516 | acs median gross | 2 | $1,259 | 2024-12-31 | CENSUS_ACS5 |
| zcta 68516 | acs median gross | 3 | $1,736 | 2024-12-31 | CENSUS_ACS5 |
| zcta 68516 | acs median gross | 4 | $1,799 | 2024-12-31 | CENSUS_ACS5 |
| zcta 68516 | acs median gross | 5 | $2,475 | 2024-12-31 | CENSUS_ACS5 |
| zcta 68516 | acs median gross | $1,261 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 68516 | acs recent mover gross | $1,471 | 2024-12-31 | CENSUS_ACS5 | |
| zip 68516 | payment standard 110 | 0 | $1,089 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68516 | payment standard 90 | 0 | $891 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68516 | safmr | 0 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68516 | payment standard 110 | 1 | $1,177 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68516 | payment standard 90 | 1 | $963 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68516 | safmr | 1 | $1,070 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68516 | payment standard 110 | 2 | $1,452 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68516 | payment standard 90 | 2 | $1,188 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68516 | safmr | 2 | $1,320 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68516 | payment standard 110 | 3 | $2,024 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68516 | payment standard 90 | 3 | $1,656 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68516 | safmr | 3 | $1,840 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68516 | payment standard 110 | 4 | $2,178 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68516 | payment standard 90 | 4 | $1,782 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68516 | safmr | 4 | $1,980 | 2025-10-01 | HUD_USER_SAFMR |