Composite
98.8 / 100 percentile
Screener / 146097
F
El Paso Rehabilitation and Health Care Center
snfILSFF: SFF
850 EAST SECOND STREET, EL PASO, IL 61738 · CCN 146097 · chain WALNUT CREEK MANAGEMENT COMPANY LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
123
Model
v1.2
Reads as: riskier than 98.8% 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 signals9Components15CHOW radar1Distress radar1Staffing16Penalties4Deficiencies69Licensure0Ownership10Related party5Transactions1Comps12Market rent31
Composite explanation
4| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 96.6 | 95.2 | 0.30 | 0.3000 | 28.98 | in index |
| staffing risk | 84.8 | 84.8 | 0.25 | 0.2500 | 21.20 | in index |
| financial risk | 65.5 | 56.0 | 0.30 | 0.3000 | 19.65 | in index |
| chow risk | 60.4 | 39.3 | 0.15 | 0.1500 | 9.06 | 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
9| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +30.6 vs natl | FLANAGAN MICHAEL | 19 facilities |
| connection | Owner fleet risk far above national | +29.3 vs natl | TUTERA JOSEPH | 22 facilities |
| connection | Owner fleet risk far above national | +27.2 vs natl | WALNUT CREEK MANAGEMENT COMPANY LLC | 22 facilities |
| connection | Owner fleet risk far above national | +26.8 vs natl | BROOKS KILEY | 29 facilities |
| connection | Owner spans multiple chains | 5 chains | FLANAGAN MICHAEL | 17 facilities |
| connection | Owner fleet enforcement cluster | 59% fined | TUTERA JOSEPH | 22 facilities |
| connection | Owner fleet enforcement cluster | 48% fined | BROOKS KILEY | 29 facilities |
| connection | Owner fleet enforcement cluster | 47% fined | FLANAGAN MICHAEL | 19 facilities |
| connection | Owner fleet enforcement cluster | 46% fined | WALNUT CREEK MANAGEMENT COMPANY LLC | 22 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
15| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 45.0 | 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 | 33.7 | B | v0.6 | default · in composite | |
| financial risk | 56.0 | C | 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 | 0.1 | — | 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 | 95.2 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 84.8 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 45.8 | C | 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 | 25.8 | B | 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 | 70.1 | D | 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 | 55.1 | 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 | 95.2 | 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 | 95.2 | 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 | 84.8 | 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 | 84.8 | 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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
25.3
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) | 6.74 | -1.19 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.18 | +0.27 | |
| Occupancy | 0.79 | -0.26 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Contract staffing share | 0.01 | -0.08 |
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
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 3.18 | -0.65 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Deficiencies, last 12 months | 6.00 | +0.32 | |
| Never sold on record | 0.00 | -0.28 | |
| Total nurse staffing (HPRD) | 2.69 | +0.22 | |
| Current owner tenure (years) | 6.74 | -0.19 | |
| Fine amount, 12m (log) | 0.00 | +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 | IL median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.69 | 3.13 | 3.28 | 2.90–3.77 |
| RN | 0.24 | 0.49 | 0.39 | 0.25–0.58 |
| Weekend total | 2.29 | 2.93 | 3.11 | — |
| Weekday total | 2.86 | 3.23 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 96.7 | 2.69 | 0.24 | 0.48 | 1.97 | 2.29 | 0.9% |
| 2025Q3 | 92 | 95.7 | 2.72 | 0.33 | 0.42 | 1.97 | 2.33 | 5.3% |
| 2025Q2 | 91 | 98.8 | 2.49 | 0.28 | 0.45 | 1.76 | 2.09 | 2.7% |
| 2025Q1 | 90 | 92.8 | 2.54 | 0.34 | 0.47 | 1.74 | 2.18 | 7.8% |
| 2024Q4 | 92 | 91.3 | 2.63 | 0.33 | 0.53 | 1.78 | 2.45 | 26.3% |
| 2024Q3 | 92 | 94.8 | 2.25 | 0.25 | 0.38 | 1.62 | 2.00 | 15.2% |
| 2024Q2 | 91 | 103.6 | 1.75 | 0.22 | 0.33 | 1.19 | 1.58 | 18.3% |
| 2024Q1 | 91 | 111.5 | 1.57 | 0.24 | 0.31 | 1.03 | 1.33 | 17.5% |
| 2023Q4 | 92 | 112.8 | 1.46 | 0.14 | 0.22 | 1.10 | 1.30 | 4.5% |
| 2023Q3 | 92 | 108.2 | 1.93 | 0.31 | 0.28 | 1.34 | 1.68 | 16.7% |
| 2023Q2 | 91 | 114.9 | 1.93 | 0.24 | 0.37 | 1.32 | 1.72 | 16.3% |
| 2023Q1 | 90 | 118.6 | 2.03 | 0.33 | 0.34 | 1.35 | 1.75 | 19.7% |
| 2022Q4 | 92 | 106.5 | 2.16 | 0.35 | 0.26 | 1.54 | 1.90 | 14.3% |
| 2022Q3 | 92 | 90.7 | 2.21 | 0.27 | 0.51 | 1.43 | 1.75 | 38.6% |
| 2022Q2 | 91 | 80.8 | 1.88 | 0.30 | 0.43 | 1.15 | 1.45 | 51.3% |
| 2022Q1 | 90 | 78.1 | 1.69 | 0.35 | 0.38 | 0.95 | 1.38 | 48.5% |
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
4fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-03-18 | Fine | $45,396 | CMS provider data |
| 2024-02-07 | Fine | $124,410 | CMS provider data |
| 2024-02-07 | Payment Denial | — | CMS provider data |
| 2023-08-10 | Fine | $57,460 | CMS provider data |
Total fines on record: $227,266
Deficiencies
69C × 2D × 39E × 10F × 15G × 1H × 1K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-13 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2026-05-01 |
| 2025-10-09 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-10-20 |
| 2025-08-19 | 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 | 2025-09-02 |
| 2025-08-19 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2025-09-02 |
| 2025-08-08 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-08-26 |
| 2025-08-08 | 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. | K | 2025-08-26 |
| 2025-04-29 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-05-09 |
| 2025-03-18 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-04-08 |
| 2025-03-18 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-04-08 |
| 2025-03-18 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-04-08 |
| 2025-03-18 | 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 | 2025-04-08 |
| 2025-02-11 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | E | 2025-02-28 |
| 2025-02-11 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-02-28 |
| 2025-01-10 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-02-03 |
| 2025-01-10 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-01-28 |
| 2025-01-10 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | 2025-01-28 |
| 2025-01-10 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2025-01-29 |
| 2025-01-10 | Health | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | C | 2025-01-29 |
| 2025-01-10 | 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 | 2025-01-29 |
| 2025-01-10 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-02-03 |
| 2025-01-10 | Health | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | D | 2025-02-03 |
| 2024-11-08 | Health · complaint | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | F | 2024-11-27 |
| 2024-10-05 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-10-23 |
| 2024-10-05 | Health · complaint | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2024-11-07 |
| 2024-10-05 | Health · complaint | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2024-10-23 |
| 2024-07-23 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-07-24 |
| 2024-07-23 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2024-08-07 |
| 2024-07-23 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2024-09-13 |
| 2024-07-23 | 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 | 2024-08-16 |
| 2024-07-23 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-08-16 |
| 2024-07-23 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-08-16 |
| 2024-07-23 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2024-10-26 |
| 2024-07-23 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | 2024-10-26 |
| 2024-07-23 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-10-26 |
| 2024-07-23 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2024-07-24 |
| 2024-07-23 | Health | F0908 | Keep all essential equipment working safely. | F | 2024-08-16 |
| 2024-07-23 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2024-10-26 |
| 2024-05-22 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-06-13 |
| 2024-05-22 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-06-13 |
| 2024-05-22 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-06-13 |
| 2024-05-22 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-06-13 |
| 2024-04-26 | Health · complaint | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2024-06-20 |
| 2024-04-26 | Health · complaint | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | 2024-06-20 |
| 2024-02-07 | Health · complaint | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | F | 2024-04-04 |
| 2024-02-07 | 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. | F | 2024-04-04 |
| 2024-02-07 | Health · complaint | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | F | 2024-04-04 |
| 2024-02-07 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | H | 2024-04-04 |
| 2024-02-07 | 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. | E | 2024-04-04 |
| 2024-02-07 | Health · complaint | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | 2024-04-04 |
| 2024-02-07 | Health · complaint | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-04-04 |
| 2024-02-07 | 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. | E | 2024-04-04 |
| 2024-02-07 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-04-04 |
| 2024-02-07 | Health · complaint | F0688 | Provide 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. | D | 2024-04-04 |
| 2024-02-07 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-04-04 |
| 2024-02-07 | 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 | 2024-04-04 |
| 2024-02-07 | Health · complaint | F0699 | Provide care or services that was trauma informed and/or culturally competent. | E | 2024-04-04 |
| 2024-02-07 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2024-04-04 |
| 2024-02-07 | Health · complaint | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | 2024-04-04 |
| 2024-02-07 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-04-04 |
| 2024-02-07 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2024-04-04 |
| 2024-02-07 | Health · complaint | F0881 | Implement a program that monitors antibiotic use. | F | 2024-04-04 |
| 2023-12-06 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-12-21 |
| 2023-12-06 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-12-21 |
| 2023-09-01 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-09-15 |
| 2023-07-13 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-07-20 |
| 2023-07-13 | Health · complaint | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2023-07-20 |
| 2023-07-13 | Health · complaint | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | 2023-07-20 |
| 2023-07-13 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2023-07-20 |
| 2023-07-05 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2023-07-18 |
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
10| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BROOKS, KILEY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-25 | current | pecos_ownership |
| FLANAGAN, MICHAEL | CORPORATE OFFICER | — | 2024-01-25 | current | pecos_ownership |
| FLANAGAN, MICHAEL | ADP OF THE SNF | — | 2025-01-21 | current | pecos_ownership |
| TUTERA, JOSEPH | ADP OF THE SNF | — | 2024-01-25 | current | pecos_ownership |
| WALNUT CREEK MANAGEMENT COMPANY LLC | ADP OF THE SNF | — | 2025-10-26 | current | pecos_ownership |
| WALNUT CREEK MANAGEMENT COMPANY LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-25 | current | pecos_ownership |
| MICHAEL FLANAGAN | CORPORATE OFFICER | 100% | 2024-01-25 | ended 2026-05-18 | pecos_ownership |
| JOSEPH TUTERA | ADP OF THE SNF | — | 2024-01-25 | ended 2026-05-18 | pecos_ownership |
| KILEY BROOKS | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-25 | ended 2026-05-18 | pecos_ownership |
| MICHAEL FLANAGAN | ADP OF THE SNF | — | 2025-01-21 | 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 |
|---|---|---|---|---|
| 2019-10-31 | — | EL PASO HCO, LLC | PETERSEN HEALTH NETWORK, LLC | chow |
Comparable trades — IL snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-05-01 | RIVAYA CARE OF DES PLAINES | — | — | — | 231 | RIVAYA CARE OF DES PLAINES LLC |
| 2025-04-10 | THE PEARL OF DOWNERS GROVE | — | — | — | 145 | PEARL OF DOWNERS GROVE LLC |
| 2025-04-01 | La Bella of Mascoutah | — | — | — | 76 | MASCOUTAH REHAB AND NURSING LLC |
| 2025-04-01 | MONMOUTH REHAB AND NURSING | — | — | — | 58 | MONMOUTH REHAB AND NURSING LLC |
| 2025-03-05 | GOLDWATER CARE CLINTON | — | — | — | 134 | GOLDWATER CARE CLINTON LLC |
| 2025-03-01 | THE HAVEN OF BRIDGEPORT | — | — | — | 99 | HAVEN OF BRIDGEPORT LLC |
| 2025-03-01 | CASS COUNTY SENIOR LIVING & REHABILITATION LLC | — | — | — | 71 | CASS COUNTY SENIOR LIVING & REHABILITATION LLC |
| 2025-03-01 | Avantara Joliet | — | — | — | 154 | PRIME HEALTHCARE SENIOR LIVING, LLC |
| 2025-03-01 | THE HAVEN OF ST. ELMO | — | — | — | 60 | HAVEN OF ST. ELMO LLC |
| 2025-02-01 | Arc at Sangamon Valley | — | — | — | 171 | ARC AT SANGAMON VALLEY LLC |
| 2025-02-01 | ARC AT HICKORY POINT | — | — | — | 64 | ARC AT HICKORY POINT LLC |
| 2024-12-17 | WYNSCAPE HEALTH & REHAB | — | — | — | 209 | NELP-WYNDEMERE OPERATOR 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
31| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 17203 | acs median gross | 0 | $514 | 2024-12-31 | CENSUS_ACS5 |
| county 17203 | fmr | 0 | $758 | 2025-10-01 | HUD_USER_FMR |
| county 17203 | acs median gross | 1 | $682 | 2024-12-31 | CENSUS_ACS5 |
| county 17203 | fmr | 1 | $818 | 2025-10-01 | HUD_USER_FMR |
| county 17203 | acs median gross | 2 | $924 | 2024-12-31 | CENSUS_ACS5 |
| county 17203 | fmr | 2 | $1,039 | 2025-10-01 | HUD_USER_FMR |
| county 17203 | acs median gross | 3 | $1,285 | 2024-12-31 | CENSUS_ACS5 |
| county 17203 | fmr | 3 | $1,346 | 2025-10-01 | HUD_USER_FMR |
| county 17203 | acs median gross | 4 | $1,137 | 2024-12-31 | CENSUS_ACS5 |
| county 17203 | fmr | 4 | $1,449 | 2025-10-01 | HUD_USER_FMR |
| county 17203 | acs median gross | $912 | 2024-12-31 | CENSUS_ACS5 | |
| county 17203 | acs recent mover gross | $643 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 61738 | acs median gross | 2 | $850 | 2024-12-31 | CENSUS_ACS5 |
| zcta 61738 | acs median gross | 3 | $1,371 | 2024-12-31 | CENSUS_ACS5 |
| zcta 61738 | acs median gross | $939 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 61738 | acs recent mover gross | $729 | 2024-12-31 | CENSUS_ACS5 | |
| zip 61738 | payment standard 110 | 0 | $836 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61738 | payment standard 90 | 0 | $684 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61738 | safmr | 0 | $760 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61738 | payment standard 110 | 1 | $902 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61738 | payment standard 90 | 1 | $738 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61738 | safmr | 1 | $820 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61738 | payment standard 110 | 2 | $1,144 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61738 | payment standard 90 | 2 | $936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61738 | safmr | 2 | $1,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61738 | payment standard 110 | 3 | $1,485 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61738 | payment standard 90 | 3 | $1,215 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61738 | safmr | 3 | $1,350 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61738 | payment standard 110 | 4 | $1,595 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61738 | payment standard 90 | 4 | $1,305 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61738 | safmr | 4 | $1,450 | 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.