Composite
79.2 / 100 percentile
Screener / 145418
C
AVENUES AT ROYAL OAK
snfILSFF: SFF Candidate
605 EAST CHURCH STREET, KEWANEE, IL 61443 · CCN 145418 · chain YOSEF MEYSTEL DELTA TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
200
Model
v1.2
Reads as: riskier than 79.2% 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 radar1Staffing16Penalties8Deficiencies74Licensure0Ownership35Related party6Transactions1Comps12Market rent33
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 99.8 | 99.6 | 0.30 | 0.2308 | 23.03 | in index |
| financial risk | 72.1 | 60.6 | 0.30 | 0.2308 | 16.64 | in index |
| staffing risk | 84.0 | 84.0 | 0.25 | 0.1923 | 16.15 | in index |
| chow risk | 36.7 | 35.2 | 0.15 | 0.1154 | 4.23 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.2308 | 0.00 | 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 | +32.8 vs natl | SEITLER DOVID | 35 facilities |
| connection | Owner fleet risk far above national | +30.1 vs natl | GRONSKY AMANDA | 5 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 | +22.2 vs natl | PETERSEN SNF HOLDINGS LLC | 14 facilities |
| connection | Owner fleet risk far above national | +21.9 vs natl | GOLDFARB BRIAN | 30 facilities |
| connection | Owner fleet risk far above national | +21.6 vs natl | AHEARN MICHAEL | 17 facilities |
| connection | Owner spans multiple chains | 9 chains | TUROFSKY STEVEN | 84 facilities |
| connection | Owner spans multiple chains | 9 chains | SPECTOR JENNIFER | 90 facilities |
| connection | Owner spans multiple chains | 8 chains | BERKOWITZ DAVID | 73 facilities |
| connection | Owner spans multiple chains | 8 chains | WILHELM NAFTALI | 78 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 | 5 chains | SEITLER DOVID | 32 facilities |
| connection | Owner spans multiple chains | 5 chains | AHEARN MICHAEL | 14 facilities |
| connection | Owner fleet enforcement cluster | 93% fined | PETERSEN SNF HOLDINGS LLC | 14 facilities |
| connection | Owner fleet enforcement cluster | 80% fined | GRONSKY AMANDA | 5 facilities |
| connection | Owner fleet enforcement cluster | 77% fined | AHEARN MICHAEL | 17 facilities |
| connection | Owner fleet enforcement cluster | 71% fined | SEITLER DOVID | 35 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 | 0.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 45.4 | C | v0.6 | default · in composite | |
| financial risk | 60.6 | 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 | 99.6 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 84.0 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 47.2 | 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 | 27.2 | 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 | 53.6 | C | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 64.2 | 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 | 99.6 | 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 | 99.6 | 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 | 84.0 | 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 | 84.0 | 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
15.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 1.66 | -1.68 | |
| Never sold on record | 0.00 | -1.62 | |
| 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 | |
| Deficiencies, last 12 months | 16.00 | +0.22 | |
| Facility size (log beds) | 5.30 | -0.15 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 16.00 | -1.54 | |
| Chain size (log) | 3.53 | -0.85 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.67 | +0.35 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 1.66 | -0.27 | |
| Staffing trend, last 4 quarters | 0.65 | +0.27 |
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 | 0.13 | 0.49 | 0.39 | 0.25–0.58 |
| Weekend total | 2.57 | 2.93 | 3.11 | — |
| Weekday total | 2.78 | 3.23 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 133.3 | 2.72 | 0.13 | 0.83 | 1.76 | 2.57 | 11.1% |
| 2025Q3 | 92 | 127.5 | 2.50 | 0.12 | 0.71 | 1.67 | 2.34 | 2.9% |
| 2025Q2 | 91 | 128.9 | 2.38 | 0.14 | 0.66 | 1.58 | 2.16 | 5.5% |
| 2025Q1 | 90 | 129.7 | 2.21 | 0.15 | 0.61 | 1.45 | 1.98 | 8.1% |
| 2024Q4 | 92 | 130.1 | 2.07 | 0.13 | 0.50 | 1.44 | 1.86 | 4.5% |
| 2024Q3 | 92 | 131.3 | 2.18 | 0.24 | 0.38 | 1.56 | 1.95 | 5.3% |
| 2024Q2 | 91 | 131.3 | 2.10 | 0.16 | 0.30 | 1.63 | 1.80 | 0.4% |
| 2024Q1 | 91 | 135.0 | 2.09 | 0.21 | 0.38 | 1.50 | 1.83 | 5.1% |
| 2023Q4 | 92 | 137.7 | 1.94 | 0.21 | 0.32 | 1.40 | 1.72 | 2.1% |
| 2023Q3 | 92 | 132.5 | 2.25 | 0.31 | 0.40 | 1.53 | 1.96 | 9.0% |
| 2023Q2 | 91 | 123.6 | 2.28 | 0.39 | 0.35 | 1.55 | 2.01 | 9.0% |
| 2023Q1 | 90 | 126.9 | 2.05 | 0.33 | 0.29 | 1.43 | 1.83 | 2.4% |
| 2022Q4 | 92 | 120.0 | 2.13 | 0.29 | 0.37 | 1.48 | 1.97 | 4.1% |
| 2022Q3 | 92 | 123.1 | 1.99 | 0.24 | 0.40 | 1.34 | 1.82 | 1.0% |
| 2022Q2 | 91 | 124.5 | 1.80 | 0.28 | 0.36 | 1.16 | 1.66 | 1.3% |
| 2022Q1 | 90 | 123.7 | 1.82 | 0.33 | 0.35 | 1.14 | 1.69 | 4.0% |
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
8fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-05-20 | Fine | $21,548 | CMS provider data |
| 2024-09-25 | Fine | $72,459 | CMS provider data |
| 2024-09-25 | Payment Denial | — | CMS provider data |
| 2024-02-14 | Fine | $185,705 | CMS provider data |
| 2024-02-14 | Payment Denial | — | CMS provider data |
| 2023-10-26 | Fine | $115,837 | CMS provider data |
| 2023-10-26 | Payment Denial | — | CMS provider data |
| 2023-09-13 | Fine | $36,380 | CMS provider data |
Total fines on record: $431,929
Deficiencies
74C × 1D × 38E × 6F × 16G × 5H × 1J × 4K × 1L × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-30 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2026-05-08 |
| 2026-04-30 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2026-03-16 |
| 2026-02-27 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2026-03-04 |
| 2026-02-27 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-03-04 |
| 2026-01-13 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2026-01-20 |
| 2026-01-13 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-01-20 |
| 2025-09-16 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-10-02 |
| 2025-09-16 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-10-01 |
| 2025-09-16 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2025-10-01 |
| 2025-09-16 | 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 | 2025-10-01 |
| 2025-09-16 | Health | F0727 | Have 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. | F | 2025-10-01 |
| 2025-09-16 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-09-26 |
| 2025-09-16 | Health | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | F | 2025-09-26 |
| 2025-08-01 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-08-03 |
| 2025-08-01 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-08-03 |
| 2025-08-01 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-08-03 |
| 2025-05-20 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-05-31 |
| 2025-05-20 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2025-05-31 |
| 2025-03-27 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-04-09 |
| 2025-03-27 | Health · complaint | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2025-04-09 |
| 2025-02-28 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-03-09 |
| 2024-12-20 | Health · complaint | F0567 | Honor the resident's right to manage his or her financial affairs. | E | 2024-12-21 |
| 2024-12-20 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-12-21 |
| 2024-12-20 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-12-21 |
| 2024-12-20 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2024-12-21 |
| 2024-11-04 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-11-11 |
| 2024-11-04 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-11-11 |
| 2024-09-25 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-10-13 |
| 2024-09-25 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2024-11-13 |
| 2024-09-25 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-10-13 |
| 2024-09-25 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-10-13 |
| 2024-09-25 | 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 | 2024-10-13 |
| 2024-09-25 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-10-13 |
| 2024-09-25 | 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 | 2024-10-13 |
| 2024-09-25 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-10-13 |
| 2024-09-25 | Health | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | 2024-10-13 |
| 2024-09-25 | Health | F0760 | Ensure that residents are free from significant medication errors. | G | 2024-10-13 |
| 2024-09-25 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-10-13 |
| 2024-09-25 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2024-10-13 |
| 2024-09-25 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2024-10-13 |
| 2024-07-12 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-08-03 |
| 2024-05-08 | Health · complaint | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2024-05-21 |
| 2024-03-06 | Health · complaint | F0825 | Provide or get specialized rehabilitative services as required for a resident. | E | 2024-04-27 |
| 2024-02-14 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2024-03-09 |
| 2024-02-14 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2024-05-15 |
| 2024-02-14 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | 2024-03-09 |
| 2024-02-14 | 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. | J | 2024-04-25 |
| 2024-02-14 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-04-25 |
| 2024-02-14 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-03-09 |
| 2024-02-14 | Health · complaint | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | F | 2024-03-09 |
| 2024-02-14 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | L | 2024-05-15 |
| 2023-10-26 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | F | 2023-12-13 |
| 2023-10-26 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | F | 2023-12-13 |
| 2023-10-26 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2023-12-13 |
| 2023-10-26 | 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. | F | 2023-12-29 |
| 2023-10-26 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2023-12-29 |
| 2023-10-26 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-12-13 |
| 2023-10-26 | 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 | 2023-12-13 |
| 2023-10-26 | 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. | E | 2023-12-13 |
| 2023-10-26 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-12-29 |
| 2023-10-26 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | H | 2023-12-13 |
| 2023-10-26 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2023-12-13 |
| 2023-10-26 | Health | F0732 | Post nurse staffing information every day. | C | 2023-12-13 |
| 2023-10-26 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-12-13 |
| 2023-10-26 | 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. | D | 2023-12-13 |
| 2023-10-26 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-12-13 |
| 2023-10-26 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2023-12-13 |
| 2023-10-26 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2023-12-13 |
| 2023-10-26 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2023-12-13 |
| 2023-09-13 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2023-09-25 |
| 2023-09-13 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | L | 2023-09-25 |
| 2023-09-13 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-09-25 |
| 2023-06-24 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2023-07-07 |
| 2023-06-24 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2023-07-03 |
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
35| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ROYAL OAKS LAND COMPANY | Individual has financial interest in both related organization and provider | 100% | 2023-12-01 | current | hcris_a_8_1 |
| ROYAL OAKS LAND COMPANY | Individual has financial interest in both related organization and provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| AHEARN, MICHAEL | ADP OF THE SNF | — | 2024-12-01 | current | pecos_ownership |
| ARCADIA CARE MANAGEMENT LLC | ADP OF THE SNF | — | 2025-03-12 | current | pecos_ownership |
| ARCADIA CARE MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-01 | current | pecos_ownership |
| BERKOWITZ, DAVID | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-02-26 | current | pecos_ownership |
| CURIS SERVICES LLC | ADP OF THE SNF | — | 2024-12-01 | current | pecos_ownership |
| GOLDFARB, BRIAN | DIRECT OWNERSHIP INTEREST | — | 2024-12-01 | current | pecos_ownership |
| GRONSKY, AMANDA | ADP OF THE SNF | — | 2024-12-01 | current | pecos_ownership |
| LEE, NICOLE | ADP OF THE SNF | — | 2024-12-01 | current | pecos_ownership |
| MARTIN, LAURA | MANAGING CONTROL - GOVERNING BODY | — | 2024-12-01 | current | pecos_ownership |
| MCCLURE, MICHELLE | CORPORATE OFFICER | — | 2024-12-01 | current | pecos_ownership |
| MEYSTEL, YOSEF | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-02-26 | current | pecos_ownership |
| PETERSEN SNF HOLDINGS LLC | ADP OF THE SNF | — | 2025-02-17 | current | pecos_ownership |
| SEITLER, DOVID | MANAGING CONTROL - GOVERNING BODY | — | 2024-12-01 | current | pecos_ownership |
| SPECTOR, JENNIFER | ADP OF THE SNF | — | 2024-12-01 | current | pecos_ownership |
| TUROFSKY, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-01 | current | pecos_ownership |
| WILHELM, NAFTALI | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-01 | current | pecos_ownership |
| AMANDA GRONSKY | CORPORATE OFFICER | 100% | 2024-12-01 | ended 2026-05-18 | pecos_ownership |
| JENNIFER SPECTOR | CORPORATE OFFICER | 100% | 2024-12-01 | ended 2026-05-18 | pecos_ownership |
| MICHELLE MCCLURE | CORPORATE OFFICER | 100% | 2024-12-01 | ended 2026-05-18 | pecos_ownership |
| ROYAL OAKS LAND COMPANY | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| ROYAL OAKS LAND COMPANY | Individual has financial interest in both related organization and provider | 100% | 2020-01-01 | ended 2020-07-31 | hcris_a_8_1 |
| ROYAL OAKS LAND COMPANY | Individual has financial interest in both related organization and provider | 100% | 2020-08-01 | ended 2020-12-31 | hcris_a_8_1 |
| ROYAL OAKS LAND COMPANY | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| DOVID SEITLER | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 47% | 2024-12-01 | ended 2026-05-18 | pecos_ownership |
| DAVID A BERKOWITZ DELTA TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 23% | 2024-12-01 | ended 2026-05-18 | pecos_ownership |
| YOSEF MEYSTEL DELTA TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 23% | 2024-12-01 | ended 2026-05-18 | pecos_ownership |
| JOSHUA HOFFMAN TR JOSHUA HOFFMAN TTEE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | 2024-12-01 | ended 2026-05-18 | pecos_ownership |
| BRIAN GOLDFARB | DIRECT OWNERSHIP INTEREST | 2% | 2024-12-01 | ended 2026-05-18 | pecos_ownership |
| LAURA MARTIN | MANAGING CONTROL - GOVERNING BODY | — | 2024-12-01 | ended 2026-05-18 | pecos_ownership |
| MICHAEL AHEARN | ADP OF THE SNF | — | 2024-12-01 | ended 2026-05-18 | pecos_ownership |
| NAFTALI WILHELM | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-01 | ended 2026-05-18 | pecos_ownership |
| NICOLE LEE | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-01 | ended 2026-05-18 | pecos_ownership |
| STEVEN TUROFSKY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-01 | 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 |
|---|---|---|---|---|
| 2024-12-01 | — | AVENUES AT ROYAL OAK LLC | ROYAL HCO, 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
33| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 17073 | fmr | 0 | $817 | 2025-10-01 | HUD_USER_FMR |
| county 17073 | acs median gross | 1 | $662 | 2024-12-31 | CENSUS_ACS5 |
| county 17073 | fmr | 1 | $928 | 2025-10-01 | HUD_USER_FMR |
| county 17073 | acs median gross | 2 | $800 | 2024-12-31 | CENSUS_ACS5 |
| county 17073 | fmr | 2 | $1,143 | 2025-10-01 | HUD_USER_FMR |
| county 17073 | acs median gross | 3 | $1,041 | 2024-12-31 | CENSUS_ACS5 |
| county 17073 | fmr | 3 | $1,498 | 2025-10-01 | HUD_USER_FMR |
| county 17073 | acs median gross | 4 | $1,227 | 2024-12-31 | CENSUS_ACS5 |
| county 17073 | fmr | 4 | $1,819 | 2025-10-01 | HUD_USER_FMR |
| county 17073 | acs median gross | $842 | 2024-12-31 | CENSUS_ACS5 | |
| county 17073 | acs recent mover gross | $764 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 61443 | acs median gross | 0 | $3,197 | 2024-12-31 | CENSUS_ACS5 |
| zcta 61443 | acs median gross | 1 | $474 | 2024-12-31 | CENSUS_ACS5 |
| zcta 61443 | acs median gross | 2 | $788 | 2024-12-31 | CENSUS_ACS5 |
| zcta 61443 | acs median gross | 3 | $1,096 | 2024-12-31 | CENSUS_ACS5 |
| zcta 61443 | acs median gross | 4 | $1,230 | 2024-12-31 | CENSUS_ACS5 |
| zcta 61443 | acs median gross | $800 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 61443 | acs recent mover gross | $787 | 2024-12-31 | CENSUS_ACS5 | |
| zip 61443 | payment standard 110 | 0 | $825 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61443 | payment standard 90 | 0 | $675 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61443 | safmr | 0 | $750 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61443 | payment standard 110 | 1 | $935 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61443 | payment standard 90 | 1 | $765 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61443 | safmr | 1 | $850 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61443 | payment standard 110 | 2 | $1,155 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61443 | payment standard 90 | 2 | $945 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61443 | safmr | 2 | $1,050 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61443 | payment standard 110 | 3 | $1,518 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61443 | payment standard 90 | 3 | $1,242 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61443 | safmr | 3 | $1,380 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61443 | payment standard 110 | 4 | $1,837 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61443 | payment standard 90 | 4 | $1,503 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61443 | safmr | 4 | $1,670 | 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.