Composite
83.2 / 100 percentile
Screener / 155689
C
MAJESTIC CARE OF GOSHEN
snfIN
2400 COLLEGE AVE, GOSHEN, IN 46528 · CCN 155689 · chain ADAMS COUNTY MEMORIAL HOSPITAL
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
186
Model
v1.2
Reads as: riskier than 83.2% 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 model5Components16CHOW radar1Distress radar1Staffing16Penalties3Deficiencies78Licensure0Ownership26Related party5Transactions0Comps12Market rent34
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 84.4 | 81.4 | 0.30 | 0.2308 | 19.48 | in index |
| staffing risk | 93.5 | 93.5 | 0.25 | 0.1923 | 17.98 | in index |
| billing conduct | 64.4 | 45.2 | 0.30 | 0.2308 | 14.86 | in index |
| financial risk | 28.2 | 32.8 | 0.30 | 0.2308 | 6.51 | in index |
| chow risk | 29.0 | 27.8 | 0.15 | 0.1154 | 3.35 | 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.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 45.2 | 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 | 30.6 | B | v0.6 | default · in composite | |
| financial risk | 32.8 | B | 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 | 8.3 | — | 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 | 81.4 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 93.5 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 71.5 | 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 | 51.5 | 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 | 31.5 | B | 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 | 38.9 | B | 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 | 81.7 | 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 | 81.7 | 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 | 93.5 | 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 | 93.5 | 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)
8.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
96.4
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Chain size (log) | 3.99 | +0.44 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Occupancy | 0.65 | +0.15 | |
| Facility size (log beds) | 5.23 | -0.14 |
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
33.6
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) | 3.99 | -1.12 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.65 | +0.43 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 2.40 | +0.34 | |
| Deficiencies, last 12 months | 6.00 | +0.32 | |
| Facility size (log beds) | 5.23 | -0.18 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | IN median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.40 | 2.85 | 3.28 | 2.90–3.77 |
| RN | 0.28 | 0.40 | 0.39 | 0.25–0.58 |
| Weekend total | 2.04 | 2.71 | 3.11 | — |
| Weekday total | 2.54 | 2.90 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 120.2 | 2.40 | 0.28 | 0.68 | 1.44 | 2.04 | 0.6% |
| 2025Q3 | 92 | 113.3 | 2.36 | 0.36 | 0.42 | 1.59 | 2.09 | 0.1% |
| 2025Q2 | 91 | 110.1 | 2.35 | 0.33 | 0.37 | 1.64 | 2.09 | 0.0% |
| 2025Q1 | 90 | 107.0 | 2.39 | 0.43 | 0.32 | 1.63 | 2.17 | 0.0% |
| 2024Q4 | 92 | 113.9 | 2.28 | 0.48 | 0.31 | 1.48 | 2.13 | 0.0% |
| 2024Q3 | 92 | 116.7 | 2.28 | 0.43 | 0.23 | 1.61 | 2.10 | 0.0% |
| 2024Q2 | 91 | 120.0 | 2.41 | 0.37 | 0.27 | 1.77 | 2.31 | 0.0% |
| 2024Q1 | 91 | 116.6 | 2.37 | 0.44 | 0.29 | 1.64 | 2.23 | 0.1% |
| 2023Q4 | 92 | 122.3 | 2.20 | 0.39 | 0.25 | 1.55 | 2.06 | 0.1% |
| 2023Q3 | 92 | 135.7 | 1.83 | 0.37 | 0.29 | 1.17 | 1.62 | 0.0% |
| 2023Q2 | 91 | 135.8 | 2.13 | 0.39 | 0.32 | 1.42 | 1.92 | 1.8% |
| 2023Q1 | 90 | 136.1 | 2.39 | 0.42 | 0.43 | 1.54 | 2.15 | 6.0% |
| 2022Q4 | 92 | 136.7 | 2.29 | 0.42 | 0.39 | 1.48 | 2.04 | 5.1% |
| 2022Q3 | 92 | 142.3 | 2.19 | 0.46 | 0.46 | 1.27 | 2.03 | 24.7% |
| 2022Q2 | 91 | 144.0 | 2.44 | 0.37 | 0.61 | 1.47 | 2.19 | 48.4% |
| 2022Q1 | 90 | 133.9 | 3.18 | 0.39 | 0.81 | 1.98 | 2.88 | 43.2% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
3| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-03-02 | Fine | $8,018 | CMS provider data |
| 2024-03-02 | Fine | $8,018 | CMS provider data |
| 2024-03-02 | Payment Denial | — | CMS provider data |
Total fines on record: $16,036
Deficiencies
78C × 1D × 64E × 8F × 3G × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-03 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-02-25 |
| 2026-02-03 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2026-02-25 |
| 2026-01-07 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-01-20 |
| 2026-01-07 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-01-20 |
| 2026-01-07 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2026-01-20 |
| 2025-09-10 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-10-01 |
| 2025-01-23 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-02-12 |
| 2025-01-23 | Health | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2025-02-12 |
| 2025-01-23 | Health | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | 2025-02-12 |
| 2025-01-23 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-02-12 |
| 2025-01-23 | 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 | 2025-02-12 |
| 2025-01-23 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2025-02-12 |
| 2025-01-23 | 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 | 2025-02-12 |
| 2025-01-23 | Health | F0761 | Ensure 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. | D | 2025-02-12 |
| 2025-01-23 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2025-02-12 |
| 2025-01-23 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-02-12 |
| 2025-01-23 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-02-12 |
| 2024-11-14 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-11-30 |
| 2024-11-14 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-11-30 |
| 2024-11-14 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2024-11-30 |
| 2024-09-12 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-09-27 |
| 2024-09-12 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-09-27 |
| 2024-09-12 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-09-27 |
| 2024-08-16 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-09-09 |
| 2024-08-16 | 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 | 2024-09-09 |
| 2024-08-16 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-09-09 |
| 2024-08-16 | Health · complaint | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | 2024-09-09 |
| 2024-08-01 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-08-13 |
| 2024-03-02 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2024-03-22 |
| 2024-03-02 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-03-22 |
| 2024-03-02 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-03-22 |
| 2024-03-02 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2024-03-22 |
| 2024-03-02 | Health | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2024-03-22 |
| 2024-03-02 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-03-22 |
| 2024-03-02 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2024-03-22 |
| 2024-03-02 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-03-22 |
| 2024-03-02 | 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 | 2024-03-22 |
| 2024-03-02 | 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 | 2024-03-22 |
| 2024-03-02 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-03-22 |
| 2024-03-02 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2024-03-22 |
| 2024-03-02 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-04-16 |
| 2024-03-02 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2024-03-22 |
| 2024-03-02 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-03-22 |
| 2024-03-02 | 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 | 2024-03-22 |
| 2024-03-02 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-03-22 |
| 2024-03-02 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-03-22 |
| 2024-03-02 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-03-22 |
| 2024-03-02 | Health | F0732 | Post nurse staffing information every day. | C | 2024-03-22 |
| 2024-03-02 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-03-22 |
| 2024-03-02 | 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 | 2024-03-22 |
| 2024-03-02 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2024-03-22 |
| 2024-03-02 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-03-22 |
| 2024-03-02 | Health · complaint | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | E | 2024-03-22 |
| 2024-03-02 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-03-22 |
| 2024-03-02 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-03-22 |
| 2024-03-02 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-03-22 |
| 2024-03-02 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2024-03-22 |
| 2024-01-04 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-01-12 |
| 2023-10-23 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-11-03 |
| 2023-07-26 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-08-11 |
| 2023-07-26 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2023-08-11 |
| 2023-06-01 | 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 | 2023-06-15 |
| 2023-01-18 | 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 | 2023-02-10 |
| 2023-01-18 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-02-10 |
| 2023-01-18 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-02-10 |
| 2023-01-18 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2023-02-10 |
| 2023-01-18 | 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 | 2023-02-10 |
| 2023-01-18 | 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 | 2023-02-10 |
| 2023-01-18 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-02-10 |
| 2023-01-18 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2023-02-10 |
| 2023-01-18 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-02-10 |
| 2023-01-18 | 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 | 2023-02-10 |
| 2023-01-18 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2023-02-10 |
| 2023-01-18 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-02-10 |
| 2023-01-18 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-02-10 |
| 2023-01-18 | 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 | 2023-02-10 |
| 2023-01-18 | Health | F0761 | Ensure 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. | D | 2023-02-10 |
| 2023-01-18 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-02-10 |
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
26| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ADAMS COUNTY MEMORIAL HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2013-02-19 | ended 2026-05-18 | pecos_ownership |
| DANE WHEELER | CORPORATE OFFICER | 100% | 2009-09-14 | ended 2026-05-18 | pecos_ownership |
| SCOTT SMITH | CORPORATE OFFICER | 100% | 2020-01-01 | ended 2026-05-18 | pecos_ownership |
| ANGELA REWA | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-10-23 | ended 2026-05-18 | pecos_ownership |
| ANZHELIKA SHATROV | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-02 | ended 2026-05-18 | pecos_ownership |
| BLUE MANAGEMENT SERVICES LLC | ADP OF THE SNF | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| CANDICE BORNE-BAUMAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 | ended 2026-05-18 | pecos_ownership |
| DANE WHEELER | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-02-19 | ended 2026-05-18 | pecos_ownership |
| DAVID MARX | ADP OF THE SNF | — | 2018-08-01 | ended 2026-05-18 | pecos_ownership |
| DAVID MCINTIRE | MANAGING CONTROL - GOVERNING BODY | — | 2019-01-01 | ended 2026-05-18 | pecos_ownership |
| ERIC WOLFE | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-09-11 | ended 2026-05-18 | pecos_ownership |
| FIRST BANK OF BERNE | ADP OF THE SNF | — | 2020-01-01 | ended 2026-05-18 | pecos_ownership |
| JAMES ALEXANDER | ADP OF THE SNF | — | 2023-05-01 | ended 2026-05-18 | pecos_ownership |
| KYLE SPRUNGER | CORPORATE OFFICER | — | 2018-01-01 | ended 2026-05-18 | pecos_ownership |
| LARRY MACKLIN | MANAGING CONTROL - GOVERNING BODY | — | 2013-02-19 | ended 2026-05-18 | pecos_ownership |
| LTC CONSULTING SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| MAJESTIC CARE OF GOSHEN HOLDINGS LLC | ADP OF THE SNF | — | 2026-02-18 | ended 2026-05-18 | pecos_ownership |
| MAJESTIC CARE OF GOSHEN LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-01-01 | ended 2026-05-18 | pecos_ownership |
| MAJESTIC MANAGEMENT LLC | ADP OF THE SNF | — | 2022-01-01 | ended 2026-05-18 | pecos_ownership |
| MARGARET CHAMBERLAIN | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-09-11 | ended 2026-05-18 | pecos_ownership |
| PAUL PRUITT | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-05-01 | ended 2026-05-18 | pecos_ownership |
| ROBERT RUSSELL | ADP OF THE SNF | — | 2024-04-08 | ended 2026-05-18 | pecos_ownership |
| RUSSELL FLUECKIGER | MANAGING CONTROL - GOVERNING BODY | — | 2013-02-19 | ended 2026-05-18 | pecos_ownership |
| SCOTT LEHMAN | MANAGING CONTROL - GOVERNING BODY | — | 2020-07-14 | ended 2026-05-18 | pecos_ownership |
| TIFFANY SHEPPERD | ADP OF THE SNF | — | 2024-09-30 | ended 2026-05-18 | pecos_ownership |
| TOCHUKWU NWABUNIKE | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-30 | 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
0No 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 — IN snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-01-08 | HEALTHWIN HEALTH & REHABILITATION | — | — | — | 145 | PULASKI MEMORIAL HOSPITAL |
| 2025-01-01 | ENVIVE OF LIBERTY | — | — | — | 60 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2025-01-01 | ENVIVE OF MUNCIE | — | — | — | 60 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2024-08-01 | FAIRWAY VILLAGE | — | — | — | 53 | HENRY COUNTY MEMORIAL HOSPITAL |
| 2024-07-01 | ASBURY TOWERS HEALTH CARE CENTER | — | — | — | 48 | PULASKI MEMORIAL HOSPITAL |
| 2024-07-01 | PILGRIM MANOR | — | — | — | 78 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2024-07-01 | CHASE CENTER | — | — | — | 101 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2024-06-01 | IGNITE MEDICAL RESORT CHESTERTON | — | — | — | 70 | IGNITE MEDICAL RESORT CHESTERTON LLC |
| 2024-01-01 | BRIARCLIFF HEALTH & REHABILITATION CENTER | — | — | — | 131 | PULASKI MEMORIAL HOSPITAL |
| 2024-01-01 | SOUTH SHORE HEALTH & REHABILITATION CENTER | — | — | — | 100 | PULASKI MEMORIAL HOSPITAL |
| 2024-01-01 | EVANSVILLE PROTESTANT HOME | — | — | — | 49 | HENRY COUNTY MEMORIAL HOSPITAL |
| 2023-12-01 | ROLLING HILLS HEALTHCARE CENTER | — | — | — | 115 | ADAMS COUNTY MEMORIAL HOSPITAL |
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
34| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 18039 | acs median gross | 0 | $854 | 2024-12-31 | CENSUS_ACS5 |
| county 18039 | fmr | 0 | $968 | 2025-10-01 | HUD_USER_FMR |
| county 18039 | acs median gross | 1 | $838 | 2024-12-31 | CENSUS_ACS5 |
| county 18039 | fmr | 1 | $992 | 2025-10-01 | HUD_USER_FMR |
| county 18039 | acs median gross | 2 | $1,030 | 2024-12-31 | CENSUS_ACS5 |
| county 18039 | fmr | 2 | $1,183 | 2025-10-01 | HUD_USER_FMR |
| county 18039 | acs median gross | 3 | $1,236 | 2024-12-31 | CENSUS_ACS5 |
| county 18039 | fmr | 3 | $1,553 | 2025-10-01 | HUD_USER_FMR |
| county 18039 | acs median gross | 4 | $1,325 | 2024-12-31 | CENSUS_ACS5 |
| county 18039 | fmr | 4 | $1,581 | 2025-10-01 | HUD_USER_FMR |
| county 18039 | acs median gross | 5 | $1,204 | 2024-12-31 | CENSUS_ACS5 |
| county 18039 | acs median gross | $1,047 | 2024-12-31 | CENSUS_ACS5 | |
| county 18039 | acs recent mover gross | $1,119 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 46528 | acs median gross | 1 | $756 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46528 | acs median gross | 2 | $976 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46528 | acs median gross | 3 | $1,270 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46528 | acs median gross | 4 | $1,087 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46528 | acs median gross | $1,051 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 46528 | acs recent mover gross | $1,144 | 2024-12-31 | CENSUS_ACS5 | |
| zip 46528 | payment standard 110 | 0 | $1,100 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46528 | payment standard 90 | 0 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46528 | safmr | 0 | $1,000 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46528 | payment standard 110 | 1 | $1,122 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46528 | payment standard 90 | 1 | $918 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46528 | safmr | 1 | $1,020 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46528 | payment standard 110 | 2 | $1,342 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46528 | payment standard 90 | 2 | $1,098 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46528 | safmr | 2 | $1,220 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46528 | payment standard 110 | 3 | $1,760 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46528 | payment standard 90 | 3 | $1,440 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46528 | safmr | 3 | $1,600 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46528 | payment standard 110 | 4 | $1,793 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46528 | payment standard 90 | 4 | $1,467 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46528 | 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.