CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT 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: 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 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 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)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT 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: 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 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 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 2026-08-06 14:16 UTC
Screener / 285106
C

Emerald Nursing & Rehab Lakeview

snfNE
1405 West Hwy 34, Grand Island, NE 68801 · CCN 285106 · chain WELLSKY CORPORATION
Composite
76.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
95
Model
v1.2
Reads as: riskier than 76.4% 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
staffing risk92.892.80.250.192317.85in index
regulatory risk72.368.00.300.230816.68in index
financial risk59.051.60.300.230813.62in index
billing conduct28.831.00.300.23086.65in index
chow risk35.033.50.150.11544.04in 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

20
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+33.6 vs natlWICHMAN JERI JO5 facilities
connectionOwner fleet risk far above national+25.5 vs natlREISMAN ADINA5 facilities
connectionOwner fleet risk far above national+24.0 vs natlCHAFETZ YISROEL14 facilities
connectionOwner fleet risk far above national+23.5 vs natlWELLSKY CORPORATION7 facilities
connectionOwner fleet risk far above national+23.2 vs natlGOPIN BRIAN10 facilities
connectionOwner fleet risk far above national+22.9 vs natlFLEISCHMANN DAVID10 facilities
connectionOwner spans multiple chains7 chainsSATTAR ARIF11 facilities
connectionOwner spans multiple chains6 chainsZIMMET HEALTHCARE SERVICES GROUP LLC11 facilities
connectionOwner fleet enforcement cluster80% finedWICHMAN JERI JO5 facilities
connectionOwner fleet enforcement cluster60% finedREISMAN ADINA5 facilities
connectionOwner fleet enforcement cluster57% finedWELLSKY CORPORATION7 facilities
connectionOwner fleet enforcement cluster56% finedEVOLVE THERAPY SERVICES LLC9 facilities
connectionOwner fleet enforcement cluster56% finedEMERALD HEALTHCARE LLC9 facilities
connectionOwner fleet enforcement cluster50% finedGOPIN BRIAN10 facilities
connectionOwner fleet enforcement cluster50% finedMERCH PAY INC8 facilities
connectionOwner fleet enforcement cluster50% finedFRANKLIN BRENDA6 facilities
connectionOwner fleet enforcement cluster50% finedLIMESTONE FISCAL SERVICES LLC10 facilities
connectionOwner fleet enforcement cluster50% finedSAUL N FRIEDMAN COMPANY10 facilities
connectionOwner fleet enforcement cluster50% finedFLEISCHMANN DAVID10 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

16
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 risk25.0Bv0.1-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 risk42.0Bv0.6default · in composite
financial risk51.6Cv0.5default · 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 risk68.0Dv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk92.8Fv0.3default · 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 risk43.4Bv0.3supersededPre-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 risk56.8Cv0.4supersededPre-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 risk67.8Dv0.1supersededPre-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 risk67.8Dv0.2supersededPre-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 risk92.8Fv0.1supersededPre-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 risk92.8Fv0.2supersededPre-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
33.3
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)7.29-1.14
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Ownership changes, last 5 years0.00+0.20
Occupancy0.76-0.19
Contract staffing share0.14+0.13
Total nurse staffing (HPRD)2.43+0.12
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
20.0
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)9.94-0.55
Deficiencies, last 12 months10.00-0.43
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)2.43+0.33
Never sold on record0.00-0.28
Chain size (log)1.61+0.26
Staffing trend, last 4 quarters0.59+0.25
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 nurse2.432.883.282.90–3.77
RN0.280.420.390.25–0.58
Weekend total2.352.753.11
Weekday total2.462.963.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49272.42.430.280.601.552.3514.5%
2025Q39274.12.350.290.591.482.2020.7%
2025Q29173.22.310.230.671.412.0618.6%
2025Q19067.61.870.230.531.111.6112.0%
2024Q49266.91.840.230.511.101.5513.6%
2024Q39265.41.940.230.551.171.7113.2%
2024Q29166.91.810.180.571.061.5917.1%
2024Q19168.11.760.140.591.021.6018.1%
2023Q49268.91.970.210.541.221.9530.2%
2023Q39270.11.990.200.451.342.0036.3%
2023Q29167.02.020.220.501.301.9127.9%
2023Q19065.01.900.110.541.251.8321.1%
2022Q49262.91.980.150.531.301.7819.7%
2022Q39263.61.900.080.621.201.6833.8%
2022Q29158.91.940.110.611.231.6432.3%
2022Q19057.41.940.010.901.031.775.4%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.

Penalties

2
DateTypeFineSource
2026-01-29Fine$20,655CMS provider data
2026-01-29Payment DenialCMS provider data
Total fines on record: $20,655

Deficiencies

23
D × 14E × 6F × 2J × 1
deficiencies by survey year
10523242526
SurveyTypeTagDeficiencyScopeCorrected
2026-01-29HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2026-03-06
2026-01-29HealthF0584Honor 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.E2026-03-06
2026-01-29HealthF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2026-03-06
2026-01-29HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2026-02-25
2026-01-29HealthF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J2026-03-06
2026-01-29HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2026-02-26
2026-01-29HealthF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.D2026-03-06
2026-01-29HealthF0880Provide and implement an infection prevention and control program.D2026-02-25
2026-01-29HealthF0923Have enough outside ventilation via a window or mechanical ventilation, or both.E2026-02-25
2026-01-29HealthF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.F2026-02-25
2024-12-05HealthF0584Honor 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.E2025-01-16
2024-12-05Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-01-16
2024-12-05HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-01-16
2024-12-05HealthF0688Provide 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.D2025-01-16
2024-12-05Health · complaintF0759Ensure medication error rates are not 5 percent or greater.D2025-01-16
2024-12-05HealthF0803Ensure 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.E2025-01-16
2024-12-05Health · complaintF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.D2025-01-16
2024-12-05HealthF0880Provide and implement an infection prevention and control program.E2025-01-16
2023-11-02Health · complaintF0584Honor 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.E2023-12-15
2023-11-02Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-12-15
2023-11-02Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2023-12-15
2023-11-02HealthF0880Provide and implement an infection prevention and control program.D2023-12-15
2023-07-05HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2023-08-11
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

52
OwnerRolePctFromStatusSource
EMERALD LAKEVIEW REALTY LLCIndividual has financial interest in both related organization and provider67%2024-01-01currenthcris_a_8_1
EMERALD LAKEVIEW REALTY LLCIndividual has financial interest in both related organization and provider33%2023-01-01currenthcris_a_8_1
BANK OF OKLAHOMAADP OF THE SNF2025-03-27currentpecos_ownership
BANK OF OKLAHOMAOPERATIONAL/MANAGERIAL CONTROL2021-03-03currentpecos_ownership
CHAFETZ, YISROELINDIRECT OWNERSHIP INTEREST2023-11-01currentpecos_ownership
CHAFETZ, YISROELADP OF THE SNF2017-03-17currentpecos_ownership
EMERALD HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROL2019-05-01currentpecos_ownership
EMERALD HEALTHCARE LLCADP OF THE SNF2025-04-09currentpecos_ownership
EVOLVE THERAPY SERVICES LLCOPERATIONAL/MANAGERIAL CONTROL2019-05-01currentpecos_ownership
EVOLVE THERAPY SERVICES LLCADP OF THE SNF2025-03-27currentpecos_ownership
FLEISCHMANN, DAVIDADP OF THE SNF2023-11-01currentpecos_ownership
FRANKLIN, BRENDAOPERATIONAL/MANAGERIAL CONTROL2019-05-01currentpecos_ownership
GOFF, KILEYADP OF THE SNF2024-01-29currentpecos_ownership
GOPIN, BRIANADP OF THE SNF2019-05-01currentpecos_ownership
GOPIN, BRIANOPERATIONAL/MANAGERIAL CONTROL2023-11-01currentpecos_ownership
GUERRERO, JESSICAOPERATIONAL/MANAGERIAL CONTROL2022-05-01currentpecos_ownership
HINRIKUS, ADAMOPERATIONAL/MANAGERIAL CONTROL2023-04-03currentpecos_ownership
LIMESTONE FISCAL SERVICES LLCOPERATIONAL/MANAGERIAL CONTROL2024-07-01currentpecos_ownership
LIMESTONE FISCAL SERVICES LLCADP OF THE SNF2025-03-27currentpecos_ownership
MERCH PAY INCADP OF THE SNF2025-03-31currentpecos_ownership
MERCH PAY INCOPERATIONAL/MANAGERIAL CONTROL2019-04-01currentpecos_ownership
REISMAN, ADINAINDIRECT OWNERSHIP INTEREST2023-11-01currentpecos_ownership
SATTAR, ARIFADP OF THE SNF2019-04-01currentpecos_ownership
SATTAR, ARIFOPERATIONAL/MANAGERIAL CONTROL2019-05-01currentpecos_ownership
SAUL N FRIEDMAN & COMPANYADP OF THE SNF2025-03-27currentpecos_ownership
SAUL N FRIEDMAN & COMPANYOPERATIONAL/MANAGERIAL CONTROL2019-04-01currentpecos_ownership
SEGAL, CARYNINDIRECT OWNERSHIP INTEREST2023-11-01currentpecos_ownership
WELLSKY CORPORATIONOPERATIONAL/MANAGERIAL CONTROL2023-04-01currentpecos_ownership
WELLSKY CORPORATIONADP OF THE SNF2025-03-27currentpecos_ownership
WICHMAN, JERI JOOPERATIONAL/MANAGERIAL CONTROL2021-03-30currentpecos_ownership
YCNE OPERATIONS, LLCDIRECT OWNERSHIP INTEREST2023-11-01currentpecos_ownership
ZIMMET HEALTHCARE SERVICES GROUP LLCADP OF THE SNF2025-03-27currentpecos_ownership
ZIMMET HEALTHCARE SERVICES GROUP LLCOPERATIONAL/MANAGERIAL CONTROL2019-04-01currentpecos_ownership
JW NEBRASKA OPERATIONS, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST99%2023-11-01ended 2026-05-18pecos_ownership
JACOB WALDEN5% OR GREATER INDIRECT OWNERSHIP INTEREST98%2019-10-03ended 2026-05-18pecos_ownership
EMERALD LAKEVIEW REALTY LLCIndividual has financial interest in both related organization and provider33%2022-01-01ended 2022-12-31hcris_a_8_1
CARYN SEGALINDIRECT OWNERSHIP INTEREST1%2023-11-01ended 2026-05-18pecos_ownership
YISROEL CHAFETZINDIRECT OWNERSHIP INTEREST1%2023-11-01ended 2026-05-18pecos_ownership
ADINA REISMANINDIRECT OWNERSHIP INTEREST0%2023-11-01ended 2026-05-18pecos_ownership
ADAM HINRIKUSADP OF THE SNF2023-04-03ended 2026-05-18pecos_ownership
ARIF SATTAROPERATIONAL/MANAGERIAL CONTROL2019-05-01ended 2026-05-18pecos_ownership
ARIF SATTARADP OF THE SNF2019-04-01ended 2026-05-18pecos_ownership
BRENDA FRANKLINOPERATIONAL/MANAGERIAL CONTROL2019-05-01ended 2026-05-18pecos_ownership
BRIAN GOPINOPERATIONAL/MANAGERIAL CONTROL2023-11-01ended 2026-05-18pecos_ownership
BRIAN GOPINADP OF THE SNF2019-05-01ended 2026-05-18pecos_ownership
DAVID FLEISCHMANNOPERATIONAL/MANAGERIAL CONTROL2023-11-01ended 2026-05-18pecos_ownership
EMERALD LAKEVIEW REALTY LLC2020-01-01ended 2020-12-31hcris_a_8_1
EMERALD LAKEVIEW REALTY LLC2021-01-01ended 2021-12-31hcris_a_8_1
JERI JO WICHMANOPERATIONAL/MANAGERIAL CONTROL2021-03-30ended 2026-05-18pecos_ownership
JESSICA GUERREROOPERATIONAL/MANAGERIAL CONTROL2022-05-01ended 2026-05-18pecos_ownership
KILEY GOFFADP OF THE SNF2024-01-29ended 2026-05-18pecos_ownership
YISROEL CHAFETZADP OF THE SNF2017-03-17ended 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
2019-04-16GRAND ISLAND LAKEVIEW OPERATIONS LLCGRAND ISLAND LAKEVIEW CARE AND REHABILITATION CENTER 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 Sutherland60BIRCH 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

35
GeoKindBRAmountAs ofSource
county 31079acs median gross0$7502024-12-31CENSUS_ACS5
county 31079fmr0$8672025-10-01HUD_USER_FMR
county 31079acs median gross1$7812024-12-31CENSUS_ACS5
county 31079fmr1$9782025-10-01HUD_USER_FMR
county 31079acs median gross2$1,0212024-12-31CENSUS_ACS5
county 31079fmr2$1,2152025-10-01HUD_USER_FMR
county 31079acs median gross3$1,1642024-12-31CENSUS_ACS5
county 31079fmr3$1,5302025-10-01HUD_USER_FMR
county 31079acs median gross4$1,3452024-12-31CENSUS_ACS5
county 31079fmr4$2,0052025-10-01HUD_USER_FMR
county 31079acs median gross5$1,6442024-12-31CENSUS_ACS5
county 31079acs median gross$9432024-12-31CENSUS_ACS5
county 31079acs recent mover gross$9802024-12-31CENSUS_ACS5
zcta 68801acs median gross0$8102024-12-31CENSUS_ACS5
zcta 68801acs median gross1$7912024-12-31CENSUS_ACS5
zcta 68801acs median gross2$1,0112024-12-31CENSUS_ACS5
zcta 68801acs median gross3$1,1482024-12-31CENSUS_ACS5
zcta 68801acs median gross4$1,3492024-12-31CENSUS_ACS5
zcta 68801acs median gross$9622024-12-31CENSUS_ACS5
zcta 68801acs recent mover gross$7162024-12-31CENSUS_ACS5
zip 68801payment standard 1100$9572025-10-01HUD_USER_SAFMR
zip 68801payment standard 900$7832025-10-01HUD_USER_SAFMR
zip 68801safmr0$8702025-10-01HUD_USER_SAFMR
zip 68801payment standard 1101$1,0782025-10-01HUD_USER_SAFMR
zip 68801payment standard 901$8822025-10-01HUD_USER_SAFMR
zip 68801safmr1$9802025-10-01HUD_USER_SAFMR
zip 68801payment standard 1102$1,3422025-10-01HUD_USER_SAFMR
zip 68801payment standard 902$1,0982025-10-01HUD_USER_SAFMR
zip 68801safmr2$1,2202025-10-01HUD_USER_SAFMR
zip 68801payment standard 1103$1,6942025-10-01HUD_USER_SAFMR
zip 68801payment standard 903$1,3862025-10-01HUD_USER_SAFMR
zip 68801safmr3$1,5402025-10-01HUD_USER_SAFMR
zip 68801payment standard 1104$2,2112025-10-01HUD_USER_SAFMR
zip 68801payment standard 904$1,8092025-10-01HUD_USER_SAFMR
zip 68801safmr4$2,0102025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.