CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 17:32 UTC
Screener / 146043
F

Axiom Gardens of Nashville

snfILSFF: SFF Candidate
485 SOUTH FRIENDSHIP DRIVE, NASHVILLE, IL 62263 · CCN 146043 · chain LEGACY HEALTH SERVICES INC
Composite
96.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 96.1% 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 signals3Components16CHOW radar1Distress radar1Staffing16Penalties5Deficiencies53Licensure0Ownership17Related party0Transactions0Comps12Market rent30

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk99.699.20.300.230822.98in index
financial risk97.389.00.300.230822.45in index
staffing risk53.553.50.250.192310.29in index
billing conduct39.435.40.300.23089.09in index
chow risk70.849.30.150.11548.17in 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

3
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains6 chainsSMITH KIMBERLY9 facilities
connectionOwner spans multiple chains4 chainsPROACTIVE MEDICAL REVIEW AND CONSULTANTS LLC12 facilities
connectionOwner fleet enforcement cluster40% finedDAVIDSON ROBERT5 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct35.4Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk45.0Cv0.1-posdefault · in compositeChange-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
chow risk53.5Cv0.6default · in composite
financial risk89.0Fv0.5default · in compositeR18.
p adverse action 12m0.0—v0.1default · in compositeR23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m15.1—v0.1default · in compositeR22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
regulatory risk99.2Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk53.5Cv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk63.9Cv0.1supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk43.9Bv0.2supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk73.0Dv0.3supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk87.5Fv0.4supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk99.2Fv0.1supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk99.2Fv0.2supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk53.5Cv0.1supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk53.5Cv0.2supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
15.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
99.5
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership1.00+0.69
Occupancy0.48+0.64
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
No PBJ staffing report0.00+0.42
High-severity deficiencies, 12m6.00+0.31
Ownership changes, last 5 years0.00+0.20
Deficiencies, last 12 months12.00+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
20.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Occupancy0.48+1.14
Deficiencies, last 12 months12.00-0.80
Fine amount, 12m (log)12.47-0.73
For-profit ownership1.00-0.69
High-severity deficiencies, 12m6.00-0.44
No PBJ staffing report0.00+0.39
Staffing trend, last 4 quarters0.51+0.21
Chain size (log)1.79+0.16
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.

Staffing vs peers

16
2025Q4 HPRDThis facilityIL medianNational medianNational p25–p75
Total nurse3.233.133.282.90–3.77
RN0.120.490.390.25–0.58
Weekend total2.922.933.11—
Weekday total3.353.233.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49257.33.230.120.872.242.927.9%
2025Q39259.03.270.110.772.393.2410.1%
2025Q29159.82.880.110.722.052.7610.8%
2025Q19058.32.710.140.701.882.6415.1%
2024Q49256.52.720.130.771.832.7217.4%
2024Q39258.22.620.210.701.712.5714.8%
2024Q29162.12.400.190.611.592.3520.4%
2024Q19164.22.450.240.571.642.4510.7%
2023Q49261.72.790.260.631.902.713.6%
2023Q39263.12.550.250.591.722.597.4%
2023Q29164.02.270.360.381.522.332.4%
2023Q19060.42.160.360.431.372.216.9%
2022Q49264.72.100.320.451.332.0316.6%
2022Q39263.02.090.280.461.352.1013.1%
2022Q29163.32.180.260.521.402.1014.0%
2022Q19065.42.020.240.531.261.9712.7%
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

5
fines by year
$279.5k$139.8k2425
DateTypeFineSource
2025-12-24Fine$261,500CMS provider data
2025-06-18Payment Denial—CMS provider data
2024-12-20Fine$265,965CMS provider data
2024-12-20Payment Denial—CMS provider data
2024-10-29Fine$13,580CMS provider data
Total fines on record: $541,045

Deficiencies

53
D × 13E × 11F × 16G × 8J × 5
deficiencies by survey year
261323242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-29Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2026-05-06
2026-03-20Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2026-03-30
2026-03-20Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2026-03-30
2026-03-20Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E2026-03-30
2025-12-24Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2026-01-15
2025-12-24Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J2026-01-15
2025-12-24Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.J2025-12-25
2025-12-24Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2025-12-25
2025-12-24Health · complaintF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.F2026-01-14
2025-12-24Health · complaintF0880Provide and implement an infection prevention and control program.D2026-01-14
2025-12-24Health · complaintF0908Keep all essential equipment working safely.G2025-12-25
2025-12-24Health · complaintF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.F2026-01-14
2025-07-17Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.J2025-08-06
2025-06-18Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-08-06
2025-02-11Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2025-03-11
2025-01-10Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-02-10
2025-01-10Health · complaintF0880Provide and implement an infection prevention and control program.F2025-04-24
2025-01-10Health · complaintF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F2025-05-15
2024-12-20HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-01-18
2024-12-20HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-01-18
2024-12-20HealthF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-03-11
2024-12-20HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2025-02-10
2024-12-20HealthF0692Provide enough food/fluids to maintain a resident's health.G2025-02-07
2024-12-20HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2025-04-19
2024-12-20HealthF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.F2025-04-29
2024-12-20HealthF0732Post nurse staffing information every day.F2025-01-18
2024-12-20HealthF0811Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.D2025-01-21
2024-12-20HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-04-24
2024-12-20HealthF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.F2025-01-21
2024-12-20HealthF0880Provide and implement an infection prevention and control program.F2025-04-24
2024-12-20HealthF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F2025-05-15
2024-10-29Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2024-11-22
2024-10-29Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2024-11-22
2024-06-07Health · complaintF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E2024-07-08
2024-01-09Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2024-02-09
2024-01-09HealthF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D2024-02-09
2024-01-09HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-02-09
2024-01-09HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E2024-02-09
2024-01-09HealthF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.F2024-02-09
2024-01-09HealthF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.F2024-02-09
2024-01-09HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-02-09
2024-01-09HealthF0880Provide and implement an infection prevention and control program.F2024-02-09
2024-01-09HealthF0881Implement a program that monitors antibiotic use.E2024-02-09
2024-01-09HealthF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F2024-03-19
2023-10-31Health · complaintF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E2023-11-22
2023-09-21Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.E2023-10-13
2023-09-21Health · complaintF0610Respond appropriately to all alleged violations.D2023-10-13
2023-09-21Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2023-10-13
2023-08-14Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.D2023-09-22
2023-08-14Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2023-09-22
2023-08-08Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E2023-09-08
2023-08-08Health · complaintF0610Respond appropriately to all alleged violations.E2023-09-08
2023-08-08Health · complaintF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.F2023-09-08
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.

Licensure actions

0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Ownership

17
OwnerRolePctFromStatusSource
CALHOUN & COMPANY PLLCADP OF THE SNF—2008-11-01currentpecos_ownership
DAVIDSON, ROBERTADP OF THE SNF—2018-01-01currentpecos_ownership
FRANCES, DANNYOPERATIONAL/MANAGERIAL CONTROL—2016-01-01currentpecos_ownership
FRANCES, DANNY5% OR GREATER DIRECT OWNERSHIP INTEREST—2008-11-01currentpecos_ownership
FRANCES, JAY5% OR GREATER DIRECT OWNERSHIP INTEREST—2008-11-01currentpecos_ownership
HARGIS & ASSOCIATES, LLCADP OF THE SNF—2008-11-01currentpecos_ownership
LEGACY HEALTH SERVICES INCADP OF THE SNF—2025-12-19currentpecos_ownership
LEGACY HEALTH SERVICES INCOPERATIONAL/MANAGERIAL CONTROL—2008-11-01currentpecos_ownership
PROACTIVE MEDICAL REVIEW AND CONSULTANTS LLCADP OF THE SNF—2022-01-01currentpecos_ownership
SCHARLEMANN, MARYADP OF THE SNF—2024-08-15currentpecos_ownership
SMITH, KIMBERLY5% OR GREATER DIRECT OWNERSHIP INTEREST—2011-03-01currentpecos_ownership
JAY FRANCES5% OR GREATER DIRECT OWNERSHIP INTEREST38%2008-11-01ended 2026-05-18pecos_ownership
KIMBERLY SMITH5% OR GREATER DIRECT OWNERSHIP INTEREST37%2011-03-01ended 2026-05-18pecos_ownership
DANNY FRANCES5% OR GREATER DIRECT OWNERSHIP INTEREST25%2008-11-01ended 2026-05-18pecos_ownership
DANNY FRANCESOPERATIONAL/MANAGERIAL CONTROL—2016-01-01ended 2026-05-18pecos_ownership
MARY SCHARLEMANNADP OF THE SNF—2024-08-15ended 2026-05-18pecos_ownership
ROBERT DAVIDSONADP OF THE SNF—2018-01-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Comparable trades — IL snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-05-01RIVAYA CARE OF DES PLAINES———231RIVAYA CARE OF DES PLAINES LLC
2025-04-10THE PEARL OF DOWNERS GROVE———145PEARL OF DOWNERS GROVE LLC
2025-04-01La Bella of Mascoutah———76MASCOUTAH REHAB AND NURSING LLC
2025-04-01MONMOUTH REHAB AND NURSING———58MONMOUTH REHAB AND NURSING LLC
2025-03-05GOLDWATER CARE CLINTON———134GOLDWATER CARE CLINTON LLC
2025-03-01THE HAVEN OF BRIDGEPORT———99HAVEN OF BRIDGEPORT LLC
2025-03-01CASS COUNTY SENIOR LIVING & REHABILITATION LLC———71CASS COUNTY SENIOR LIVING & REHABILITATION LLC
2025-03-01Avantara Joliet———154PRIME HEALTHCARE SENIOR LIVING, LLC
2025-03-01THE HAVEN OF ST. ELMO———60HAVEN OF ST. ELMO LLC
2025-02-01Arc at Sangamon Valley———171ARC AT SANGAMON VALLEY LLC
2025-02-01ARC AT HICKORY POINT———64ARC AT HICKORY POINT LLC
2024-12-17WYNSCAPE HEALTH & REHAB———209NELP-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

30
GeoKindBRAmountAs ofSource
county 17189fmr0$6322025-10-01HUD_USER_FMR
county 17189acs median gross1$8132024-12-31CENSUS_ACS5
county 17189fmr1$8362025-10-01HUD_USER_FMR
county 17189acs median gross2$7602024-12-31CENSUS_ACS5
county 17189fmr2$9162025-10-01HUD_USER_FMR
county 17189acs median gross3$1,0242024-12-31CENSUS_ACS5
county 17189fmr3$1,2422025-10-01HUD_USER_FMR
county 17189acs median gross4$8002024-12-31CENSUS_ACS5
county 17189fmr4$1,2682025-10-01HUD_USER_FMR
county 17189acs median gross$8182024-12-31CENSUS_ACS5
county 17189acs recent mover gross$1,0542024-12-31CENSUS_ACS5
zcta 62263acs median gross1$9092024-12-31CENSUS_ACS5
zcta 62263acs median gross2$7662024-12-31CENSUS_ACS5
zcta 62263acs median gross3$1,2112024-12-31CENSUS_ACS5
zcta 62263acs median gross$7972024-12-31CENSUS_ACS5
zip 62263payment standard 1100$7262025-10-01HUD_USER_SAFMR
zip 62263payment standard 900$5942025-10-01HUD_USER_SAFMR
zip 62263safmr0$6602025-10-01HUD_USER_SAFMR
zip 62263payment standard 1101$9572025-10-01HUD_USER_SAFMR
zip 62263payment standard 901$7832025-10-01HUD_USER_SAFMR
zip 62263safmr1$8702025-10-01HUD_USER_SAFMR
zip 62263payment standard 1102$1,0452025-10-01HUD_USER_SAFMR
zip 62263payment standard 902$8552025-10-01HUD_USER_SAFMR
zip 62263safmr2$9502025-10-01HUD_USER_SAFMR
zip 62263payment standard 1103$1,4192025-10-01HUD_USER_SAFMR
zip 62263payment standard 903$1,1612025-10-01HUD_USER_SAFMR
zip 62263safmr3$1,2902025-10-01HUD_USER_SAFMR
zip 62263payment standard 1104$1,4522025-10-01HUD_USER_SAFMR
zip 62263payment standard 904$1,1882025-10-01HUD_USER_SAFMR
zip 62263safmr4$1,3202025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · Axiom Gardens of Nashville (146043) · generated 2026-08-05 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency