Composite
89.5 / 100 percentile
Screener / 285097
D
Emerald Nursing & Rehab Omaha
snfNE
5505 Grover Street, Omaha, NE 68106 · CCN 285097 · chain WELLSKY CORPORATION
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
155
Model
v1.2
Reads as: riskier than 89.5% 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 model5ML signals16Components16CHOW radar1Distress radar1Staffing16Penalties5Deficiencies53Licensure0Ownership43Related party5Transactions1Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 92.7 | 90.4 | 0.30 | 0.2308 | 21.39 | in index |
| staffing risk | 95.6 | 95.6 | 0.25 | 0.1923 | 18.38 | in index |
| financial risk | 78.7 | 65.9 | 0.30 | 0.2308 | 18.16 | in index |
| chow risk | 44.0 | 42.3 | 0.15 | 0.1154 | 5.08 | in index |
| billing conduct | 13.8 | 14.1 | 0.30 | 0.2308 | 3.18 | in 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
16| 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 | +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 | 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 | GOPIN BRIAN | 10 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | LIMESTONE FISCAL SERVICES LLC | 10 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 | FRANKLIN BRENDA | 6 facilities |
| connection | Owner fleet enforcement cluster | 46% fined | SATTAR ARIF | 13 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 type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 14.1 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | 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 | 59.5 | C | v0.6 | default · in composite | |
| financial risk | 65.9 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | 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 | 0.5 | — | 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 | 90.4 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 95.6 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 65.0 | D | 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 | 45.0 | C | 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 | 50.9 | C | 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 | 69.9 | D | 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 | 90.3 | 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 | 90.3 | 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 | 95.6 | 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 | 95.6 | 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. |
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)
0.5%
model v0.1 · computed 2026-07-29
Percentile among SNFs
52.9
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 7.29 | -1.14 | |
| Occupancy | 0.40 | +0.85 | |
| For-profit ownership | 1.00 | +0.69 | |
| Deficiencies, last 12 months | 25.00 | +0.44 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Contract staffing share | 0.21 | +0.22 | |
| Ownership changes, last 5 years | 0.00 | +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
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 25.00 | -3.21 | |
| Occupancy | 0.40 | +1.46 | |
| For-profit ownership | 1.00 | -0.69 | |
| Total nurse staffing (HPRD) | 2.26 | +0.40 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Chain size (log) | 1.61 | +0.26 | |
| Current owner tenure (years) | 7.29 | -0.18 |
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 | 2.26 | 2.88 | 3.28 | 2.90–3.77 |
| RN | 0.12 | 0.42 | 0.39 | 0.25–0.58 |
| Weekend total | 2.03 | 2.75 | 3.11 | — |
| Weekday total | 2.35 | 2.96 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 62.4 | 2.26 | 0.12 | 0.77 | 1.38 | 2.03 | 20.6% |
| 2025Q3 | 92 | 61.7 | 2.12 | 0.22 | 0.52 | 1.39 | 1.87 | 16.7% |
| 2025Q2 | 91 | 53.2 | 2.12 | 0.30 | 0.54 | 1.28 | 1.85 | 5.3% |
| 2025Q1 | 90 | 61.5 | 2.19 | 0.28 | 0.50 | 1.41 | 2.02 | 3.7% |
| 2024Q4 | 92 | 65.0 | 2.26 | 0.29 | 0.60 | 1.37 | 1.93 | 6.4% |
| 2024Q3 | 92 | 66.7 | 2.00 | 0.21 | 0.53 | 1.25 | 1.85 | 5.4% |
| 2024Q2 | 91 | 64.3 | 1.93 | 0.33 | 0.48 | 1.13 | 1.79 | 2.3% |
| 2024Q1 | 91 | 63.2 | 2.03 | 0.34 | 0.47 | 1.22 | 1.91 | 6.2% |
| 2023Q4 | 92 | 57.7 | 2.37 | 0.18 | 0.71 | 1.48 | 2.18 | 4.3% |
| 2023Q3 | 92 | 64.3 | 2.17 | 0.17 | 0.71 | 1.28 | 1.95 | 4.2% |
| 2023Q2 | 91 | 70.6 | 2.06 | 0.31 | 0.54 | 1.21 | 1.86 | 2.4% |
| 2023Q1 | 90 | 72.3 | 1.93 | 0.29 | 0.49 | 1.14 | 1.79 | 11.6% |
| 2022Q4 | 92 | 69.8 | 1.98 | 0.24 | 0.43 | 1.31 | 1.86 | 31.2% |
| 2022Q3 | 92 | 61.6 | 2.47 | 0.26 | 0.57 | 1.64 | 2.08 | 44.9% |
| 2022Q2 | 91 | 67.8 | 2.39 | 0.15 | 0.52 | 1.73 | 2.20 | 44.2% |
| 2022Q1 | 90 | 76.7 | 1.58 | 0.11 | 0.52 | 0.96 | 1.57 | 0.2% |
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
5fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-02-06 | Fine | $10,358 | CMS provider data |
| 2025-02-06 | Payment Denial | — | CMS provider data |
| 2024-09-24 | Fine | $36,676 | CMS provider data |
| 2023-08-11 | Fine | $40,355 | CMS provider data |
| 2023-08-11 | Payment Denial | — | CMS provider data |
Total fines on record: $87,389
Deficiencies
53D × 41E × 4F × 5G × 2J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-27 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | — |
| 2026-03-12 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-05-05 |
| 2026-03-12 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-05-05 |
| 2026-03-12 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-05-05 |
| 2026-03-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-05-05 |
| 2026-03-12 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2026-05-05 |
| 2026-03-12 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2026-05-05 |
| 2026-01-21 | 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 | 2026-03-04 |
| 2026-01-21 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2026-03-04 |
| 2026-01-21 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-03-04 |
| 2026-01-21 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2026-03-04 |
| 2026-01-21 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-03-04 |
| 2026-01-21 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-03-04 |
| 2026-01-21 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2026-03-04 |
| 2026-01-21 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-03-04 |
| 2026-01-21 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-03-04 |
| 2026-01-21 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2026-03-04 |
| 2026-01-21 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2026-03-04 |
| 2026-01-21 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2026-03-04 |
| 2026-01-21 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-03-04 |
| 2026-01-21 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2026-03-04 |
| 2026-01-21 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | 2026-03-04 |
| 2025-11-18 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-12-09 |
| 2025-11-18 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-12-09 |
| 2025-11-18 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-12-09 |
| 2025-02-06 | 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 | 2025-02-21 |
| 2025-02-06 | Health · complaint | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | G | 2025-02-21 |
| 2025-02-06 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-04-09 |
| 2025-02-06 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-03-21 |
| 2025-02-06 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-04-09 |
| 2024-12-05 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-12-19 |
| 2024-11-21 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-12-11 |
| 2024-09-24 | 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. | E | 2024-10-16 |
| 2024-09-24 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-10-16 |
| 2024-09-24 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-10-16 |
| 2024-09-24 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-10-16 |
| 2024-09-24 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2024-10-16 |
| 2024-09-24 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-10-16 |
| 2024-09-24 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-10-16 |
| 2024-09-24 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2024-10-16 |
| 2024-09-24 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-10-16 |
| 2024-09-24 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-10-16 |
| 2024-03-26 | 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 | 2024-05-10 |
| 2023-12-13 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2024-01-27 |
| 2023-08-11 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2023-09-18 |
| 2023-08-11 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2023-09-18 |
| 2023-08-11 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-09-18 |
| 2023-08-11 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-09-18 |
| 2023-08-11 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2023-09-18 |
| 2023-08-11 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2023-09-18 |
| 2023-08-11 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-09-18 |
| 2023-08-11 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2023-09-18 |
| 2023-08-11 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-10-27 |
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
0No 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
43| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| EMERALD OMAHA REALTY LLC | Individual has financial interest in both related organization and provider | 67% | 2024-01-01 | current | hcris_a_8_1 |
| EMERALD OMAHA REALTY LLC | Individual has financial interest in both related organization and provider | 33% | 2023-01-01 | current | hcris_a_8_1 |
| BANK OF OKLAHOMA | ADP OF THE SNF | — | 2025-03-27 | current | pecos_ownership |
| BANK OF OKLAHOMA | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-03-03 | current | pecos_ownership |
| EMERALD HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-01 | current | pecos_ownership |
| EMERALD HEALTHCARE LLC | ADP OF THE SNF | — | 2025-03-27 | current | pecos_ownership |
| EVOLVE THERAPY SERVICES LLC | ADP OF THE SNF | — | 2025-03-27 | current | pecos_ownership |
| EVOLVE THERAPY SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-01 | current | pecos_ownership |
| FISH, AMY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | current | pecos_ownership |
| FLEISCHMANN, DAVID | ADP OF THE SNF | — | 2022-01-17 | current | pecos_ownership |
| FLEISCHMANN, DAVID | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-11-01 | current | pecos_ownership |
| FRANKLIN, BRENDA | ADP OF THE SNF | — | 2020-10-30 | current | pecos_ownership |
| GOPIN, BRIAN | ADP OF THE SNF | — | 2019-05-01 | current | pecos_ownership |
| GOPIN, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-04-01 | current | pecos_ownership |
| KNUDSEN, LIBERTY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-14 | current | pecos_ownership |
| LIMESTONE FISCAL SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 | current | pecos_ownership |
| LIMESTONE FISCAL SERVICES LLC | ADP OF THE SNF | — | 2025-03-27 | current | pecos_ownership |
| PILEGE, KRISTINA | ADP OF THE SNF | — | 2024-10-06 | current | pecos_ownership |
| SATTAR, ARIF | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-01 | current | pecos_ownership |
| SATTAR, ARIF | ADP OF THE SNF | — | 2019-04-01 | current | pecos_ownership |
| SAUL N FRIEDMAN & COMPANY | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-04-01 | current | pecos_ownership |
| SAUL N FRIEDMAN & COMPANY | ADP OF THE SNF | — | 2025-03-27 | current | pecos_ownership |
| WELLSKY CORPORATION | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-01 | current | pecos_ownership |
| WELLSKY CORPORATION | ADP OF THE SNF | — | 2025-03-27 | current | pecos_ownership |
| WICHMAN, JERI JO | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-03-30 | current | pecos_ownership |
| ZIMMET HEALTHCARE SERVICES GROUP LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-04-01 | current | pecos_ownership |
| ZIMMET HEALTHCARE SERVICES GROUP LLC | ADP OF THE SNF | — | 2025-03-27 | current | pecos_ownership |
| JW NEBRASKA OPERATIONS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 99% | 2023-11-01 | ended 2026-05-18 | pecos_ownership |
| JACOB WALDEN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 98% | 2019-05-01 | ended 2026-05-18 | pecos_ownership |
| EMERALD OMAHA REALTY LLC | Individual has financial interest in both related organization and provider | 33% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| AMY FISH | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | ended 2026-05-18 | pecos_ownership |
| ARIF SATTAR | ADP OF THE SNF | — | 2019-04-01 | ended 2026-05-18 | pecos_ownership |
| ARIF SATTAR | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-05-01 | ended 2026-05-18 | pecos_ownership |
| BRENDA FRANKLIN | ADP OF THE SNF | — | 2020-10-30 | ended 2026-05-18 | pecos_ownership |
| BRIAN GOPIN | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-04-01 | ended 2026-05-18 | pecos_ownership |
| BRIAN GOPIN | ADP OF THE SNF | — | 2019-05-01 | ended 2026-05-18 | pecos_ownership |
| DAVID FLEISCHMANN | ADP OF THE SNF | — | 2022-01-17 | ended 2026-05-18 | pecos_ownership |
| DAVID FLEISCHMANN | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-11-01 | ended 2026-05-18 | pecos_ownership |
| EMERALD OMAHA REALTY LLC | — | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| EMERALD OMAHA REALTY LLC | — | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| JERI JO WICHMAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-03-30 | ended 2026-05-18 | pecos_ownership |
| KRISTINA PILEGE | ADP OF THE SNF | — | 2024-10-06 | ended 2026-05-18 | pecos_ownership |
| LIBERTY KNUDSEN | ADP OF THE SNF | — | 2024-10-14 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2019-04-16 | — | OMAHA OPERATIONS LLC | OMAHA METRO CARE AND REHABILITATION CENTER LLC | chow |
Comparable trades — NE snf
12| 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 |
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
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 31055 | acs median gross | 0 | $954 | 2024-12-31 | CENSUS_ACS5 |
| county 31055 | fmr | 0 | $1,090 | 2025-10-01 | HUD_USER_FMR |
| county 31055 | acs median gross | 1 | $1,041 | 2024-12-31 | CENSUS_ACS5 |
| county 31055 | fmr | 1 | $1,148 | 2025-10-01 | HUD_USER_FMR |
| county 31055 | acs median gross | 2 | $1,249 | 2024-12-31 | CENSUS_ACS5 |
| county 31055 | fmr | 2 | $1,368 | 2025-10-01 | HUD_USER_FMR |
| county 31055 | acs median gross | 3 | $1,532 | 2024-12-31 | CENSUS_ACS5 |
| county 31055 | fmr | 3 | $1,813 | 2025-10-01 | HUD_USER_FMR |
| county 31055 | acs median gross | 4 | $1,714 | 2024-12-31 | CENSUS_ACS5 |
| county 31055 | fmr | 4 | $2,046 | 2025-10-01 | HUD_USER_FMR |
| county 31055 | acs median gross | 5 | $1,461 | 2024-12-31 | CENSUS_ACS5 |
| county 31055 | acs median gross | $1,201 | 2024-12-31 | CENSUS_ACS5 | |
| county 31055 | acs recent mover gross | $1,337 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 68106 | acs median gross | 0 | $1,243 | 2024-12-31 | CENSUS_ACS5 |
| zcta 68106 | acs median gross | 1 | $1,126 | 2024-12-31 | CENSUS_ACS5 |
| zcta 68106 | acs median gross | 2 | $1,313 | 2024-12-31 | CENSUS_ACS5 |
| zcta 68106 | acs median gross | 3 | $1,663 | 2024-12-31 | CENSUS_ACS5 |
| zcta 68106 | acs median gross | 4 | $1,781 | 2024-12-31 | CENSUS_ACS5 |
| zcta 68106 | acs median gross | 5 | $1,676 | 2024-12-31 | CENSUS_ACS5 |
| zcta 68106 | acs median gross | $1,277 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 68106 | acs recent mover gross | $1,354 | 2024-12-31 | CENSUS_ACS5 | |
| zip 68106 | payment standard 110 | 0 | $1,287 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68106 | payment standard 90 | 0 | $1,053 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68106 | safmr | 0 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68106 | payment standard 110 | 1 | $1,353 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68106 | payment standard 90 | 1 | $1,107 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68106 | safmr | 1 | $1,230 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68106 | payment standard 110 | 2 | $1,617 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68106 | payment standard 90 | 2 | $1,323 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68106 | safmr | 2 | $1,470 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68106 | payment standard 110 | 3 | $2,145 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68106 | payment standard 90 | 3 | $1,755 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68106 | safmr | 3 | $1,950 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68106 | payment standard 110 | 4 | $2,420 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68106 | payment standard 90 | 4 | $1,980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 68106 | safmr | 4 | $2,200 | 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.