Composite
86.7 / 100 percentile
Screener / 155220
D
DYER NURSING AND REHABILITATION CENTER
snfIN
601 SHEFFIELD AVE, DYER, IN 46311 · CCN 155220 · chain MAJOR HOSPITAL
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
161
Model
v1.2
Reads as: riskier than 86.7% 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 signals9Components16CHOW radar1Distress radar1Staffing15Penalties2Deficiencies85Licensure0Ownership39Related party5Transactions0Comps12Market rent34
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 86.0 | 83.1 | 0.30 | 0.2308 | 19.85 | in index |
| financial risk | 64.9 | 55.6 | 0.30 | 0.2308 | 14.98 | in index |
| staffing risk | 76.1 | 76.1 | 0.25 | 0.1923 | 14.63 | in index |
| billing conduct | 35.7 | 34.1 | 0.30 | 0.2308 | 8.24 | in index |
| chow risk | 57.3 | 55.6 | 0.15 | 0.1154 | 6.61 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
9| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +37.9 vs natl | SIEGAL MOSHE | 6 facilities |
| connection | Owner fleet risk far above national | +36.2 vs natl | KURTZ ELISHEVA | 5 facilities |
| connection | Owner fleet risk far above national | +33.9 vs natl | VALES ADAM | 5 facilities |
| connection | Owner fleet risk far above national | +33.9 vs natl | RUDOLPH KIMBERLY | 5 facilities |
| connection | Owner fleet risk far above national | +32.2 vs natl | ROTHNER WILLIAM | 24 facilities |
| connection | Owner fleet risk far above national | +25.0 vs natl | MAJOR HOSPITAL | 11 facilities |
| connection | Owner fleet risk far above national | +24.6 vs natl | ROTHNER DANIEL | 7 facilities |
| connection | Owner fleet risk far above national | +24.2 vs natl | CLAXTON RYAN | 23 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | ROTHNER WILLIAM | 24 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 | 34.1 | B | 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 | 86.2 | F | v0.6 | default · in composite | |
| financial risk | 55.6 | 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 | 5.0 | — | 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 | 83.1 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 76.1 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 88.0 | F | 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 | 68.0 | D | 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 | 53.0 | 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 | 59.2 | 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 | 83.8 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 83.8 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 76.1 | D | 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 | 76.1 | D | 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)
5.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
89.5
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 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.58 | +0.36 | |
| Occupancy | 0.81 | -0.34 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Facility size (log beds) | 5.09 | -0.11 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
20.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 3.58 | -0.88 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.81 | -0.27 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Facility size (log beds) | 5.09 | -0.15 | |
| Total nurse staffing (HPRD) | 2.88 | +0.14 | |
| Never sold on record | 1.00 | +0.12 |
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
15| 2025Q4 HPRD | This facility | IN median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.88 | 2.85 | 3.28 | 2.90–3.77 |
| RN | 0.38 | 0.40 | 0.39 | 0.25–0.58 |
| Weekend total | 2.60 | 2.71 | 3.11 | — |
| Weekday total | 2.99 | 2.90 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 131.0 | 2.88 | 0.38 | 0.68 | 1.82 | 2.60 | 4.1% |
| 2025Q2 | 91 | 122.8 | 3.00 | 0.37 | 0.78 | 1.86 | 2.68 | 3.0% |
| 2025Q1 | 90 | 121.9 | 2.89 | 0.37 | 0.56 | 1.96 | 2.54 | 3.5% |
| 2024Q4 | 92 | 127.8 | 2.96 | 0.31 | 0.68 | 1.98 | 2.58 | 2.4% |
| 2024Q3 | 92 | 116.7 | 3.12 | 0.26 | 0.81 | 2.04 | 2.74 | 1.4% |
| 2024Q2 | 91 | 105.9 | 3.02 | 0.38 | 0.69 | 1.95 | 2.65 | 0.0% |
| 2024Q1 | 91 | 110.2 | 3.01 | 0.33 | 0.71 | 1.98 | 2.64 | 0.0% |
| 2023Q4 | 92 | 108.5 | 2.91 | 0.29 | 0.64 | 1.97 | 2.59 | 0.0% |
| 2023Q3 | 92 | 108.5 | 3.00 | 0.27 | 0.74 | 1.99 | 2.73 | 0.0% |
| 2023Q2 | 91 | 115.6 | 2.93 | 0.25 | 0.64 | 2.04 | 2.72 | 8.6% |
| 2023Q1 | 90 | 118.5 | 2.85 | 0.20 | 0.59 | 2.06 | 2.78 | 11.9% |
| 2022Q4 | 92 | 116.1 | 3.00 | 0.23 | 0.72 | 2.05 | 2.90 | 20.1% |
| 2022Q3 | 92 | 112.3 | 2.99 | 0.28 | 0.66 | 2.05 | 2.87 | 23.2% |
| 2022Q2 | 91 | 100.8 | 3.30 | 0.28 | 0.84 | 2.19 | 3.12 | 39.7% |
| 2022Q1 | 90 | 109.7 | 2.89 | 0.22 | 0.90 | 1.77 | 2.63 | 38.7% |
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
2| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-04-05 | Fine | $8,824 | CMS provider data |
| 2024-04-05 | Fine | $14,433 | CMS provider data |
Total fines on record: $23,257
Deficiencies
85B × 1C × 1D × 71E × 9F × 1G × 1J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-03 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2026-03-10 |
| 2026-01-22 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-02-10 |
| 2026-01-22 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-02-10 |
| 2026-01-22 | Health · complaint | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2026-02-10 |
| 2025-11-25 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-12-09 |
| 2025-11-25 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-12-09 |
| 2025-11-25 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-12-09 |
| 2025-08-11 | Health · complaint | F0777 | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | D | 2025-08-27 |
| 2025-06-19 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-06-27 |
| 2025-06-19 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-06-27 |
| 2025-02-11 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-03-10 |
| 2025-02-11 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-03-10 |
| 2025-02-11 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2025-03-10 |
| 2025-02-11 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-03-10 |
| 2025-02-11 | 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 | 2025-03-10 |
| 2025-02-11 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-03-10 |
| 2025-02-11 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-03-10 |
| 2025-02-11 | 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 | 2025-03-10 |
| 2025-02-11 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-03-10 |
| 2025-02-11 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-03-10 |
| 2025-02-11 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2025-03-10 |
| 2025-02-11 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-03-10 |
| 2025-02-11 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-03-10 |
| 2025-02-11 | 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 | 2025-03-10 |
| 2025-02-11 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2025-03-10 |
| 2025-02-11 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-03-26 |
| 2024-09-26 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-10-18 |
| 2024-09-26 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-10-18 |
| 2024-09-26 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2024-10-18 |
| 2024-09-26 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-10-18 |
| 2024-04-05 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | 2024-03-18 |
| 2024-04-05 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-04-22 |
| 2024-04-05 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-04-22 |
| 2024-02-20 | Health · complaint | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-03-06 |
| 2024-02-20 | Health · complaint | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2024-03-06 |
| 2024-02-20 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-03-06 |
| 2024-02-20 | Health · complaint | F0732 | Post nurse staffing information every day. | C | 2024-03-06 |
| 2023-12-20 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-01-17 |
| 2023-12-20 | 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 | 2024-01-17 |
| 2023-12-20 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-01-17 |
| 2023-12-20 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-01-17 |
| 2023-12-20 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2024-01-17 |
| 2023-12-20 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-01-17 |
| 2023-12-20 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-01-17 |
| 2023-12-20 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-01-17 |
| 2023-12-20 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-01-17 |
| 2023-12-20 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2024-01-17 |
| 2023-12-20 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-01-17 |
| 2023-12-20 | 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 | 2024-01-17 |
| 2023-12-20 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-01-17 |
| 2023-09-21 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-10-06 |
| 2023-09-21 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-10-06 |
| 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 | 2023-08-08 |
| 2023-07-26 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-08-08 |
| 2023-07-26 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-08-08 |
| 2023-07-26 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-08-08 |
| 2023-06-28 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-07-17 |
| 2023-06-28 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-07-17 |
| 2023-06-28 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-07-17 |
| 2023-06-28 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-07-17 |
| 2023-06-28 | Health · complaint | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2023-07-17 |
| 2023-06-28 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2023-07-17 |
| 2023-06-28 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-07-17 |
| 2023-06-28 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-07-17 |
| 2023-06-28 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2023-07-17 |
| 2022-11-22 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2023-01-06 |
| 2022-11-22 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | 2023-01-06 |
| 2022-11-22 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2023-01-06 |
| 2022-11-22 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-01-26 |
| 2022-11-22 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-01-06 |
| 2022-11-22 | Health | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2023-01-06 |
| 2022-11-22 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-01-06 |
| 2022-11-22 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2023-01-06 |
| 2022-11-22 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-01-06 |
| 2022-11-22 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2023-01-06 |
| 2022-11-22 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2023-01-06 |
| 2022-11-22 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-01-06 |
| 2022-11-22 | 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 | 2023-01-26 |
| 2022-11-22 | 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 | 2023-01-06 |
| 2022-11-22 | Health | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | 2023-01-06 |
| 2022-11-22 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-01-06 |
| 2022-11-22 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-01-26 |
| 2022-11-22 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-01-06 |
| 2022-11-22 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2023-01-06 |
| 2022-11-22 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2023-01-26 |
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
39| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ALVAREZ, GEORGE | ADP OF THE SNF | — | 2024-01-01 | current | pecos_ownership |
| CASA CONSULTING, LLC | ADP OF THE SNF | — | 2023-05-01 | current | pecos_ownership |
| CLAXTON, RYAN | ADP OF THE SNF | — | 2025-03-27 | current | pecos_ownership |
| CRAWFORD, TENCREE | ADP OF THE SNF | — | 2024-01-01 | current | pecos_ownership |
| DAVIS, PHILLICIA | ADP OF THE SNF | — | 2024-01-01 | current | pecos_ownership |
| DYER HC, LLC | ADP OF THE SNF | — | 2025-12-11 | current | pecos_ownership |
| DYER HC, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-05-01 | current | pecos_ownership |
| DYER HEALTHCARE PROPERTIES LLC | ADP OF THE SNF | — | 2023-05-01 | current | pecos_ownership |
| HUNTER, LAURA | ADP OF THE SNF | — | 2023-01-01 | current | pecos_ownership |
| KURTZ, ELISHEVA | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-12-05 | current | pecos_ownership |
| LEWIS, SHELDON | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-01-01 | current | pecos_ownership |
| MACKLIN, BRADLEY | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-01-01 | current | pecos_ownership |
| MAJOR HOSPITAL | ADP OF THE SNF | — | 2025-11-25 | current | pecos_ownership |
| ROTHNER, DANIEL | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-12-19 | current | pecos_ownership |
| ROTHNER, WILLIAM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-12-19 | current | pecos_ownership |
| RUDOLPH, KIMBERLY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-12-19 | current | pecos_ownership |
| SIEGAL, MOSHE | ADP OF THE SNF | — | 2023-05-01 | current | pecos_ownership |
| SM REAL ESTATE | Other (financial or non-financial) | — | 2024-01-01 | current | hcris_a_8_1 |
| SM REAL ESTATE | Other (financial or non-financial) | — | 2023-01-01 | current | hcris_a_8_1 |
| SUTTON, LISA | ADP OF THE SNF | — | 2023-01-01 | current | pecos_ownership |
| VALES, ADAM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-12-19 | current | pecos_ownership |
| WHITE JONES, TAMARA | ADP OF THE SNF | — | 2017-01-01 | current | pecos_ownership |
| MAJOR HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2013-03-01 | ended 2026-05-18 | pecos_ownership |
| 2201 MAIN STREET | Individual has financial interest in both related organization and provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| 2201 MAIN STREET | Individual has financial interest in both related organization and provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| 2201 MAIN STREET | Individual has financial interest in both related organization and provider | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| BRADLEY MACKLIN | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| DYER HEALTH CARE PROPERTIES | Individual has financial interest in both related organization and provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| DYER HEALTH CARE PROPERTIES | Individual has financial interest in both related organization and provider | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| DYER HEALTH CARE PROPERTIES | Individual has financial interest in both related organization and provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| GEORGE ALVAREZ | ADP OF THE SNF | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| LAURA HUNTER | ADP OF THE SNF | — | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| LISA SUTTON | ADP OF THE SNF | — | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| MOSHE SIEGAL | ADP OF THE SNF | — | 2023-05-01 | ended 2026-05-18 | pecos_ownership |
| PHILLICIA DAVIS | ADP OF THE SNF | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| RYAN CLAXTON | ADP OF THE SNF | — | 2025-03-27 | ended 2026-05-18 | pecos_ownership |
| SHELDON LEWIS | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-01-01 | ended 2026-05-18 | pecos_ownership |
| TAMARA WHITE JONES | ADP OF THE SNF | — | 2017-01-01 | ended 2026-05-18 | pecos_ownership |
| TENCREE CRAWFORD | ADP OF THE SNF | — | 2024-01-01 | 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
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 18089 | acs median gross | 0 | $996 | 2024-12-31 | CENSUS_ACS5 |
| county 18089 | fmr | 0 | $959 | 2025-10-01 | HUD_USER_FMR |
| county 18089 | acs median gross | 1 | $905 | 2024-12-31 | CENSUS_ACS5 |
| county 18089 | fmr | 1 | $1,082 | 2025-10-01 | HUD_USER_FMR |
| county 18089 | acs median gross | 2 | $1,141 | 2024-12-31 | CENSUS_ACS5 |
| county 18089 | fmr | 2 | $1,317 | 2025-10-01 | HUD_USER_FMR |
| county 18089 | acs median gross | 3 | $1,261 | 2024-12-31 | CENSUS_ACS5 |
| county 18089 | fmr | 3 | $1,612 | 2025-10-01 | HUD_USER_FMR |
| county 18089 | acs median gross | 4 | $1,419 | 2024-12-31 | CENSUS_ACS5 |
| county 18089 | fmr | 4 | $1,744 | 2025-10-01 | HUD_USER_FMR |
| county 18089 | acs median gross | 5 | $1,503 | 2024-12-31 | CENSUS_ACS5 |
| county 18089 | acs median gross | $1,131 | 2024-12-31 | CENSUS_ACS5 | |
| county 18089 | acs recent mover gross | $1,292 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 46311 | acs median gross | 0 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46311 | acs median gross | 2 | $1,462 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46311 | acs median gross | 3 | $1,121 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46311 | acs median gross | 4 | $1,361 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46311 | acs median gross | $1,233 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 46311 | acs recent mover gross | $1,148 | 2024-12-31 | CENSUS_ACS5 | |
| zip 46311 | payment standard 110 | 0 | $1,166 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46311 | payment standard 90 | 0 | $954 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46311 | safmr | 0 | $1,060 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46311 | payment standard 110 | 1 | $1,309 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46311 | payment standard 90 | 1 | $1,071 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46311 | safmr | 1 | $1,190 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46311 | payment standard 110 | 2 | $1,595 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46311 | payment standard 90 | 2 | $1,305 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46311 | safmr | 2 | $1,450 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46311 | payment standard 110 | 3 | $1,947 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46311 | payment standard 90 | 3 | $1,593 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46311 | safmr | 3 | $1,770 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46311 | payment standard 110 | 4 | $2,112 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46311 | payment standard 90 | 4 | $1,728 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46311 | safmr | 4 | $1,920 | 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.