Composite
92.9 / 100 percentile
Screener / 145732
D
ARC AT NORMAL
snfIL
509 NORTH ADELAIDE, NORMAL, IL 61761 · CCN 145732 · chain YOSEF MEYSTEL DELTA TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
141
Model
v1.2
Reads as: riskier than 92.9% 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 signals25Components16CHOW radar1Distress radar1Staffing16Penalties6Deficiencies72Licensure0Ownership40Related party6Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 91.1 | 88.8 | 0.30 | 0.2308 | 21.02 | in index |
| staffing risk | 83.7 | 83.7 | 0.25 | 0.1923 | 16.10 | in index |
| billing conduct | 66.6 | 46.1 | 0.30 | 0.2308 | 15.37 | in index |
| financial risk | 51.3 | 46.3 | 0.30 | 0.2308 | 11.84 | in index |
| chow risk | 42.3 | 40.5 | 0.15 | 0.1154 | 4.88 | 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
25| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +35.0 vs natl | ARCADIA CARE MANAGEMENT LLC | 23 facilities |
| connection | Owner fleet risk far above national | +34.6 vs natl | MCCLURE MICHELLE | 23 facilities |
| connection | Owner fleet risk far above national | +33.2 vs natl | SCHROEDER KIMI | 5 facilities |
| connection | Owner fleet risk far above national | +32.8 vs natl | SEITLER DOVID | 35 facilities |
| connection | Owner fleet risk far above national | +32.7 vs natl | YOSEF MEYSTEL DELTA TRUST | 39 facilities |
| connection | Owner fleet risk far above national | +32.3 vs natl | DAVID A BERKOWITZ DELTA TRUST | 38 facilities |
| connection | Owner fleet risk far above national | +29.8 vs natl | APERION CARE EXEC HOLDINGS LLC | 26 facilities |
| connection | Owner fleet risk far above national | +29.7 vs natl | CHASE OFFICE LLC | 82 facilities |
| connection | Owner fleet risk far above national | +29.0 vs natl | JOSHUA HOFFMAN TRUST | 22 facilities |
| connection | Owner fleet risk far above national | +28.7 vs natl | WILHELM NAFTALI | 81 facilities |
| connection | Owner fleet risk far above national | +28.2 vs natl | CURIS SERVICES LLC | 85 facilities |
| connection | Owner fleet risk far above national | +28.1 vs natl | TUROFSKY STEVEN | 87 facilities |
| connection | Owner fleet risk far above national | +27.4 vs natl | SPECTOR JENNIFER | 93 facilities |
| connection | Owner fleet risk far above national | +26.3 vs natl | BERKOWITZ DAVID | 77 facilities |
| connection | Owner fleet risk far above national | +26.2 vs natl | MEYSTEL YOSEF | 77 facilities |
| connection | Owner fleet risk far above national | +23.6 vs natl | DECLARATION OF TRUST OF YOSEF MEYSTEL | 11 facilities |
| connection | Owner fleet risk far above national | +21.9 vs natl | GOLDFARB BRIAN | 30 facilities |
| connection | Owner fleet risk far above national | +20.3 vs natl | DAVID A BERKOWITZ REVOCABLE TRUST | 9 facilities |
| connection | Owner spans multiple chains | 13 chains | CHASE OFFICE LLC | 75 facilities |
| connection | Owner spans multiple chains | 9 chains | SPECTOR JENNIFER | 90 facilities |
| connection | Owner spans multiple chains | 9 chains | TUROFSKY STEVEN | 84 facilities |
| connection | Owner spans multiple chains | 8 chains | CURIS SERVICES LLC | 81 facilities |
| connection | Owner spans multiple chains | 8 chains | MEYSTEL YOSEF | 73 facilities |
| connection | Owner spans multiple chains | 8 chains | BERKOWITZ DAVID | 73 facilities |
| connection | Owner spans multiple chains | 8 chains | WILHELM NAFTALI | 78 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 | 46.1 | C | 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 | 56.0 | C | v0.6 | default · in composite | |
| financial risk | 46.3 | 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 | 0.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 88.8 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 83.7 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 75.8 | 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 | 55.8 | 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 | 66.3 | 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 | 46.3 | 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 | 88.8 | 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 | 88.8 | 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 | 83.7 | 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 | 83.7 | 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
12.1
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) | 3.08 | -1.55 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.53 | +0.35 | |
| Occupancy | 0.79 | -0.26 | |
| Deficiencies, last 12 months | 12.00 | +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
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 3.53 | -0.85 | |
| Deficiencies, last 12 months | 12.00 | -0.80 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 3.08 | -0.25 | |
| Ownership changes, last 5 years | 1.00 | +0.23 | |
| Total nurse staffing (HPRD) | 2.72 | +0.21 |
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 | 2.72 | 3.13 | 3.28 | 2.90–3.77 |
| RN | 0.45 | 0.49 | 0.39 | 0.25–0.58 |
| Weekend total | 2.72 | 2.93 | 3.11 | — |
| Weekday total | 2.72 | 3.23 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 110.8 | 2.72 | 0.45 | 0.47 | 1.80 | 2.72 | 0.7% |
| 2025Q3 | 92 | 111.0 | 2.84 | 0.37 | 0.52 | 1.95 | 2.84 | 0.6% |
| 2025Q2 | 91 | 118.4 | 2.74 | 0.31 | 0.56 | 1.87 | 2.72 | 0.7% |
| 2025Q1 | 90 | 115.0 | 2.78 | 0.30 | 0.62 | 1.85 | 2.79 | 0.4% |
| 2024Q4 | 92 | 109.8 | 2.72 | 0.33 | 0.61 | 1.78 | 2.75 | 2.6% |
| 2024Q3 | 92 | 109.1 | 2.87 | 0.31 | 0.63 | 1.93 | 2.79 | 2.6% |
| 2024Q2 | 91 | 114.9 | 2.86 | 0.25 | 0.67 | 1.94 | 2.75 | 1.0% |
| 2024Q1 | 91 | 114.9 | 2.83 | 0.28 | 0.65 | 1.91 | 2.78 | 0.6% |
| 2023Q4 | 92 | 116.8 | 2.90 | 0.29 | 0.68 | 1.93 | 2.80 | 2.8% |
| 2023Q3 | 92 | 118.8 | 3.16 | 0.33 | 0.82 | 2.01 | 2.92 | 14.5% |
| 2023Q2 | 91 | 115.9 | 3.36 | 0.36 | 0.67 | 2.33 | 3.16 | 27.0% |
| 2023Q1 | 90 | 111.2 | 3.11 | 0.39 | 0.69 | 2.03 | 2.90 | 17.1% |
| 2022Q4 | 92 | 118.1 | 2.59 | 0.27 | 0.65 | 1.67 | 2.67 | 24.8% |
| 2022Q3 | 92 | 110.9 | 3.45 | 0.31 | 0.90 | 2.25 | 3.32 | 36.4% |
| 2022Q2 | 91 | 110.0 | 3.33 | 0.37 | 0.88 | 2.08 | 3.29 | 27.7% |
| 2022Q1 | 90 | 102.4 | 3.25 | 0.40 | 0.95 | 1.90 | 3.24 | 15.9% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
6fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-05-12 | Payment Denial | — | CMS provider data |
| 2025-02-21 | Fine | $51,701 | CMS provider data |
| 2025-02-21 | Payment Denial | — | CMS provider data |
| 2023-11-11 | Fine | $10,491 | CMS provider data |
| 2023-06-28 | Fine | $81,286 | CMS provider data |
| 2023-06-28 | Payment Denial | — | CMS provider data |
Total fines on record: $143,478
Deficiencies
72D × 41E × 18F × 4G × 9
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-30 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2026-04-13 |
| 2026-02-05 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-02-23 |
| 2026-02-05 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2026-02-23 |
| 2026-02-05 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2026-02-23 |
| 2026-02-05 | 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 | 2026-02-23 |
| 2026-02-05 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2026-02-23 |
| 2025-12-09 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-12-19 |
| 2025-09-21 | 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 | 2025-09-29 |
| 2025-09-21 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-09-29 |
| 2025-09-05 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2025-09-12 |
| 2025-09-05 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | E | 2025-09-12 |
| 2025-09-05 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-09-14 |
| 2025-06-25 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-06-26 |
| 2025-06-13 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-06-14 |
| 2025-06-13 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2025-06-14 |
| 2025-05-27 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-06-03 |
| 2025-05-27 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-06-03 |
| 2025-05-20 | 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 | 2025-06-02 |
| 2025-05-20 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-05-23 |
| 2025-05-12 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-05-15 |
| 2025-02-21 | 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 | 2025-03-07 |
| 2025-02-21 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-03-10 |
| 2025-02-21 | Health | 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 | 2025-03-10 |
| 2025-02-21 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | 2025-02-24 |
| 2025-02-21 | 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 | 2025-03-12 |
| 2025-02-21 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-02-25 |
| 2024-12-12 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-12-13 |
| 2024-06-27 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-07-08 |
| 2024-06-27 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2024-07-08 |
| 2024-04-30 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-05-06 |
| 2024-02-01 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-02-08 |
| 2024-01-25 | 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 | 2024-01-30 |
| 2024-01-25 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-01-30 |
| 2024-01-25 | 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 | 2024-01-30 |
| 2024-01-25 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-01-30 |
| 2024-01-25 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-01-30 |
| 2024-01-25 | Health | 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 | 2024-01-30 |
| 2024-01-25 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-01-30 |
| 2023-11-11 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-11-16 |
| 2023-11-11 | Health · complaint | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | G | 2023-11-16 |
| 2023-11-11 | 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. | D | 2023-11-16 |
| 2023-11-11 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-11-16 |
| 2023-08-14 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2023-08-25 |
| 2023-08-10 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2023-08-29 |
| 2023-08-10 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2023-08-29 |
| 2023-08-10 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-08-29 |
| 2023-08-10 | 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 | 2023-08-29 |
| 2023-08-10 | 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 | 2023-08-29 |
| 2023-08-10 | 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. | E | 2023-08-29 |
| 2023-08-02 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-08-10 |
| 2023-07-21 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2023-08-10 |
| 2023-07-21 | 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 | 2023-08-29 |
| 2023-07-21 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-08-10 |
| 2023-07-21 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-08-10 |
| 2023-06-28 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-07-13 |
| 2022-12-15 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-02-03 |
| 2022-12-15 | Health | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2023-01-18 |
| 2022-12-15 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2023-01-18 |
| 2022-12-15 | Health | 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 | 2023-02-03 |
| 2022-12-15 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2023-01-18 |
| 2022-12-15 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-02-03 |
| 2022-12-15 | Health | 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 | 2023-02-03 |
| 2022-12-15 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-01-18 |
| 2022-12-15 | Health | 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 | 2023-01-18 |
| 2022-12-15 | Health | 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 | 2023-01-18 |
| 2022-12-15 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2023-02-03 |
| 2022-12-15 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2023-02-03 |
| 2022-12-15 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | 2023-01-18 |
| 2022-12-15 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-01-18 |
| 2022-12-15 | Health | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | 2023-01-18 |
| 2022-12-15 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2023-01-18 |
| 2022-12-15 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2023-01-18 |
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
40| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| 505 N ADELAIDE | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| 509 N ADELAIDE ST, LLC | ADP OF THE SNF | — | 2025-04-03 | current | pecos_ownership |
| APERION CARE EXEC HOLDINGS LLC | ADP OF THE SNF | — | 2023-07-01 | current | pecos_ownership |
| ARCADIA CARE MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | current | pecos_ownership |
| ARCADIA CARE MANAGEMENT LLC | ADP OF THE SNF | — | 2025-04-03 | current | pecos_ownership |
| BERKOWITZ, DAVID | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-04-03 | current | pecos_ownership |
| CHASE OFFICE LLC | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| CHASE OFFICE LLC | Individual has financial interest in both related organization and provider | — | 2023-07-01 | current | hcris_a_8_1 |
| CHRISTENSEN, KAREN | ADP OF THE SNF | — | 2023-07-01 | current | pecos_ownership |
| CURIS SERVICES LLC | ADP OF THE SNF | — | 2023-07-01 | current | pecos_ownership |
| DAVID A BERKOWITZ DELTA TRUST | DIRECT OWNERSHIP INTEREST | — | 2023-07-01 | current | pecos_ownership |
| DAVID A. BERKOWITZ REVOCABLE TRUST | ADP OF THE SNF | — | 2023-07-01 | current | pecos_ownership |
| DECLARATION OF TRUST OF YOSEF MEYSTEL | ADP OF THE SNF | — | 2023-07-01 | current | pecos_ownership |
| GOLDFARB, BRIAN | DIRECT OWNERSHIP INTEREST | — | 2023-07-01 | current | pecos_ownership |
| HOUSTON, BRANDON | MANAGING CONTROL - GOVERNING BODY | — | 2023-07-01 | current | pecos_ownership |
| JOSHUA HOFFMAN TRUST | DIRECT OWNERSHIP INTEREST | — | 2023-07-01 | current | pecos_ownership |
| LAU, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | current | pecos_ownership |
| MCCLURE, MICHELLE | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | current | pecos_ownership |
| MEYSTEL, YOSEF | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-04-03 | current | pecos_ownership |
| SCHROEDER, KIMI | MANAGING CONTROL - GOVERNING BODY | — | 2023-07-01 | current | pecos_ownership |
| SEITLER, DOVID | ADP OF THE SNF | — | 2023-07-01 | current | pecos_ownership |
| SPECTOR, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | current | pecos_ownership |
| TUROFSKY, STEVEN | ADP OF THE SNF | — | 2023-07-01 | current | pecos_ownership |
| WILHELM, NAFTALI | ADP OF THE SNF | — | 2023-07-01 | current | pecos_ownership |
| YOSEF MEYSTEL DELTA TRUST | ADP OF THE SNF | — | 2023-07-01 | current | pecos_ownership |
| JENNIFER SPECTOR | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| DOVID SEITLER | DIRECT OWNERSHIP INTEREST | 48% | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| JOSHUA HOFFMAN TR JOSHUA HOFFMAN TTEE | DIRECT OWNERSHIP INTEREST | 5% | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| BRIAN GOLDFARB | DIRECT OWNERSHIP INTEREST | 1% | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| BRANDON HOUSTON | ADP OF THE SNF | — | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| DANIEL LAU | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| H.M. REAL ESTATE LLC | Corporation, partnership or other organization has financial interest in provider | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| H.M. REAL ESTATE LLC | Corporation, partnership or other organization has financial interest in provider | — | 2023-01-01 | ended 2023-06-30 | hcris_a_8_1 |
| H.M. REAL ESTATE LLC | Corporation, partnership or other organization has financial interest in provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| H.M. REAL ESTATE LLC | Corporation, partnership or other organization has financial interest in provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| KAREN CHRISTENSEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| KIMI SCHROEDER | ADP OF THE SNF | — | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| MICHELLE MCCLURE | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| NAFTALI WILHELM | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| STEVEN TUROFSKY | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | 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 |
|---|---|---|---|---|
| 2023-07-01 | — | ARC AT NORMAL LLC | HERITAGE MANOR NORMAL, 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
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 17113 | acs median gross | 0 | $913 | 2024-12-31 | CENSUS_ACS5 |
| county 17113 | fmr | 0 | $927 | 2025-10-01 | HUD_USER_FMR |
| county 17113 | acs median gross | 1 | $813 | 2024-12-31 | CENSUS_ACS5 |
| county 17113 | fmr | 1 | $999 | 2025-10-01 | HUD_USER_FMR |
| county 17113 | acs median gross | 2 | $1,063 | 2024-12-31 | CENSUS_ACS5 |
| county 17113 | fmr | 2 | $1,302 | 2025-10-01 | HUD_USER_FMR |
| county 17113 | acs median gross | 3 | $1,234 | 2024-12-31 | CENSUS_ACS5 |
| county 17113 | fmr | 3 | $1,717 | 2025-10-01 | HUD_USER_FMR |
| county 17113 | acs median gross | 4 | $904 | 2024-12-31 | CENSUS_ACS5 |
| county 17113 | fmr | 4 | $1,724 | 2025-10-01 | HUD_USER_FMR |
| county 17113 | acs median gross | 5 | $990 | 2024-12-31 | CENSUS_ACS5 |
| county 17113 | acs median gross | $1,009 | 2024-12-31 | CENSUS_ACS5 | |
| county 17113 | acs recent mover gross | $1,142 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 61761 | acs median gross | 0 | $1,023 | 2024-12-31 | CENSUS_ACS5 |
| zcta 61761 | acs median gross | 1 | $881 | 2024-12-31 | CENSUS_ACS5 |
| zcta 61761 | acs median gross | 2 | $990 | 2024-12-31 | CENSUS_ACS5 |
| zcta 61761 | acs median gross | 3 | $1,073 | 2024-12-31 | CENSUS_ACS5 |
| zcta 61761 | acs median gross | 4 | $856 | 2024-12-31 | CENSUS_ACS5 |
| zcta 61761 | acs median gross | $966 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 61761 | acs recent mover gross | $1,095 | 2024-12-31 | CENSUS_ACS5 | |
| zip 61761 | payment standard 110 | 0 | $968 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61761 | payment standard 90 | 0 | $792 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61761 | safmr | 0 | $880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61761 | payment standard 110 | 1 | $1,034 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61761 | payment standard 90 | 1 | $846 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61761 | safmr | 1 | $940 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61761 | payment standard 110 | 2 | $1,353 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61761 | payment standard 90 | 2 | $1,107 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61761 | safmr | 2 | $1,230 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61761 | payment standard 110 | 3 | $1,782 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61761 | payment standard 90 | 3 | $1,458 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61761 | safmr | 3 | $1,620 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61761 | payment standard 110 | 4 | $1,793 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61761 | payment standard 90 | 4 | $1,467 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61761 | safmr | 4 | $1,630 | 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.