CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 11:58 UTC
Screener / 155474
D

SIGNATURE HEALTHCARE OF BREMEN

snfIN
316 WOODIES LANE, BREMEN, IN 46506 · CCN 155474 · chain ASBR HOLDINGS LLC
Composite
93.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
73
Model
v1.2
Reads as: riskier than 93.8% 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.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
financial risk88.976.00.300.230820.52in index
staffing risk90.190.10.250.192317.33in index
regulatory risk55.345.40.300.230812.76in index
billing conduct51.740.10.300.230811.93in index
chow risk65.046.20.150.11547.50in 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

23
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+44.7 vs natlDOYLE MARIA5 facilities
connectionOwner fleet risk far above national+27.1 vs natlMANN DEBORAH11 facilities
connectionOwner fleet risk far above national+23.6 vs natlLEHNER TIMOTHY6 facilities
connectionOwner fleet risk far above national+23.0 vs natlMCCORY JACK11 facilities
connectionOwner fleet risk far above national+23.0 vs natlGILLILAND TERRENCE11 facilities
connectionOwner fleet risk far above national+23.0 vs natlSMITH RICK11 facilities
connectionOwner fleet risk far above national+23.0 vs natlREEDY MATTHEW11 facilities
connectionOwner fleet risk far above national+20.8 vs natlMARKEL ANDREW11 facilities
connectionOwner fleet risk far above national+20.8 vs natlKLEBER COURTNEY11 facilities
connectionOwner fleet risk far above national+20.8 vs natlBEVERS SUSAN11 facilities
connectionOwner fleet risk far above national+20.8 vs natlSTOREY MARC11 facilities
connectionOwner fleet risk far above national+20.8 vs natlFISH ERIC11 facilities
connectionOwner fleet risk far above national+20.8 vs natlHARPE BRANDON11 facilities
connectionOwner spans multiple chains7 chainsHEALTHCARE SERVICES GROUP INC15 facilities
connectionOwner spans multiple chains6 chainsHARRISON JOHN71 facilities
connectionOwner spans multiple chains5 chainsSMEDRA IRA30 facilities
connectionOwner spans multiple chains5 chainsWINTNER JACOB35 facilities
connectionOwner spans multiple chains4 chainsMIDCAP FUNDING IV TRUST36 facilities
connectionOwner spans multiple chains4 chainsMOORE JENNIFER6 facilities
connectionOwner spans multiple chains4 chainsMANN DEBORAH9 facilities
connectionOwner spans multiple chains4 chainsMARKEL ANDREW9 facilities
connectionOwner spans multiple chains4 chainsMCCORY JACK9 facilities
connectionOwner fleet enforcement cluster43% finedMIDCAP FUNDING IV TRUST37 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct40.1Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk55.0Cv0.1-posdefault · in compositeChange-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
chow risk37.5Bv0.6default · in composite
financial risk76.0Dv0.5default · in compositeR18.
p adverse action 12m2.6v0.1default · in compositeR23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m0.5v0.1default · in compositeR22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
regulatory risk45.4Cv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk90.1Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk62.9Cv0.1supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk42.9Bv0.2supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk65.7Dv0.3supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk76.2Dv0.4supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk45.3Cv0.1supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk45.3Cv0.2supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk90.1Fv0.1supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk90.1Fv0.2supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
0.5%
model v0.1 · computed 2026-07-29
Percentile among SNFs
52.9
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership0.00-1.24
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
No PBJ staffing report0.00+0.42
Occupancy0.82-0.36
Ownership changes, last 5 years0.00+0.20
Chain size (log)1.10-0.17
Deficiencies, last 12 months2.00-0.12
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.

Distress radar — 12-month termination probability

full board →
p(termination, 12m)
2.6%
model v0.1 · computed 2026-07-29
Percentile among SNFs
93.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
For-profit ownership0.00+1.62
Deficiencies, last 12 months2.00+1.06
Chain size (log)1.10+0.56
No PBJ staffing report0.00+0.39
Occupancy0.82-0.30
Total nurse staffing (HPRD)2.53+0.29
Fine amount, 12m (log)0.00+0.18
Never sold on record1.00+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

16
2025Q4 HPRDThis facilityIN medianNational medianNational p25–p75
Total nurse2.532.853.282.90–3.77
RN0.410.400.390.25–0.58
Weekend total2.232.713.11
Weekday total2.652.903.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49259.92.530.410.521.602.236.7%
2025Q39259.12.670.430.471.772.371.4%
2025Q29161.52.380.540.481.362.210.0%
2025Q19061.12.420.560.351.512.020.2%
2024Q49258.52.630.510.421.712.4714.9%
2024Q39253.82.610.520.561.532.5019.4%
2024Q29151.22.400.540.631.242.181.7%
2024Q19152.92.460.560.551.352.130.0%
2023Q49250.02.600.550.721.322.170.0%
2023Q39252.12.900.660.821.422.610.0%
2023Q29151.32.950.650.871.432.640.0%
2023Q19053.43.080.670.791.622.940.0%
2022Q49253.42.860.630.781.442.660.0%
2022Q39248.52.930.860.811.262.640.0%
2022Q29159.32.680.700.651.342.540.0%
2022Q19063.22.770.580.691.502.610.0%
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

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

Deficiencies

48
D × 45E × 2F × 1
deficiencies by survey year
2915232425
SurveyTypeTagDeficiencyScopeCorrected
2025-10-10Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-12-15
2025-10-10Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-12-15
2025-02-17HealthF0578Honor 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.D2025-03-14
2025-02-17HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2025-03-14
2025-02-17HealthF0641Ensure each resident receives an accurate assessment.D2025-03-14
2025-02-17HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-03-14
2025-02-17HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-03-14
2025-02-17HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-03-14
2025-02-17HealthF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D2025-03-14
2025-02-17HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-03-14
2025-02-17HealthF0880Provide and implement an infection prevention and control program.F2025-03-14
2024-11-01Health · complaintF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.D2024-11-27
2024-11-01Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-11-27
2024-11-01Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-11-27
2024-11-01Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2024-11-27
2024-11-01Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-11-27
2024-11-01Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2024-11-27
2024-11-01Health · complaintF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2024-11-27
2024-11-01Health · complaintF0760Ensure that residents are free from significant medication errors.D2024-11-27
2024-11-01Health · complaintF0880Provide and implement an infection prevention and control program.D2024-11-27
2024-10-04Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-10-21
2024-10-04Health · complaintF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2024-10-21
2024-10-04Health · complaintF0625Notify 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.D2024-10-21
2024-10-04Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-10-21
2024-10-04Health · complaintF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D2024-10-21
2024-06-13Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-07-05
2024-03-12HealthF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D2024-04-08
2024-03-12HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2024-04-08
2024-03-12HealthF0625Notify 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.D2024-04-08
2024-03-12HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-04-08
2024-03-12HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-04-08
2024-03-12HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-04-08
2024-03-12HealthF0679Provide activities to meet all resident's needs.D2024-04-08
2024-03-12HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-04-08
2024-03-12HealthF0688Provide 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.D2024-04-08
2024-03-12HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2024-04-08
2024-03-12HealthF0692Provide enough food/fluids to maintain a resident's health.D2024-04-08
2024-03-12HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2024-04-08
2024-03-12HealthF0758Implement 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.D2024-04-08
2024-03-12HealthF0760Ensure that residents are free from significant medication errors.D2024-04-08
2023-02-15HealthF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D2023-03-22
2023-02-15HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-03-22
2023-02-15HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2023-03-22
2023-02-15HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-03-22
2023-02-15HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2023-03-22
2023-02-15HealthF0692Provide enough food/fluids to maintain a resident's health.D2023-03-22
2023-02-15HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2023-03-22
2023-02-15HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2023-03-22
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.

Licensure actions

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

Ownership

66
OwnerRolePctFromStatusSource
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL5% OR GREATER DIRECT OWNERSHIP INTEREST100%2014-05-01currentpecos_ownership
ASBR HOLDINGS LLCOPERATIONAL/MANAGERIAL CONTROL2018-05-01currentpecos_ownership
BEVERS, SUSANMANAGING CONTROL - GOVERNING BODY2020-09-01currentpecos_ownership
BLIMLING, NICOLEADP OF THE SNF2024-05-21currentpecos_ownership
DOYLE, MARIAADP OF THE SNF2021-07-01currentpecos_ownership
FISH, ERICMANAGING CONTROL - GOVERNING BODY2020-09-01currentpecos_ownership
GETTINGER, PAULADP OF THE SNF2024-12-31currentpecos_ownership
GILLILAND, TERRENCETRUSTEE OF THE SNF2012-07-01currentpecos_ownership
HARPE, BRANDONTRUSTEE OF THE SNF2020-09-01currentpecos_ownership
HARRISON, JOHNADP OF THE SNF2014-05-01currentpecos_ownership
HEALTHCARE SERVICES GROUP INCADP OF THE SNF2021-06-01currentpecos_ownership
HOUCK, JAREDADP OF THE SNF2024-04-29currentpecos_ownership
JACKSON COUNTY SCHNECK MEMORIAL HOSPITALADP OF THE SNF2025-09-26currentpecos_ownership
KLEBER, COURTNEYTRUSTEE OF THE SNF2020-09-01currentpecos_ownership
LEHNER, TIMOTHYOPERATIONAL/MANAGERIAL CONTROL2025-01-01currentpecos_ownership
LEWIS, LINDAADP OF THE SNF2024-02-19currentpecos_ownership
LP BREMEN LLCADP OF THE SNF2025-09-26currentpecos_ownership
LP BREMEN MANAGEMENT, LLCOPERATIONAL/MANAGERIAL CONTROL2014-05-01currentpecos_ownership
MANN, DEBORAHMANAGING CONTROL - GOVERNING BODY2014-02-10currentpecos_ownership
MANN, DEBORAHOPERATIONAL/MANAGERIAL CONTROL2024-02-10currentpecos_ownership
MARKEL, ANDREWTRUSTEE OF THE SNF2020-09-01currentpecos_ownership
MCCORY, JACKMANAGING CONTROL - GOVERNING BODY2012-07-01currentpecos_ownership
MIDCAP FUNDING IV TRUST5% OR GREATER SECURITY INTEREST2023-02-23currentpecos_ownership
MOORE, JENNIFEROPERATIONAL/MANAGERIAL CONTROL2024-08-12currentpecos_ownership
RAPP, ROLANDOPERATIONAL/MANAGERIAL CONTROL2014-05-01currentpecos_ownership
REEDY, MATTHEWMANAGING CONTROL - GOVERNING BODY2012-07-01currentpecos_ownership
REVELETTE, BARBARAOPERATIONAL/MANAGERIAL CONTROL2022-01-17currentpecos_ownership
SHC MEDICAL PARTNERS LLCADP OF THE SNF2017-01-01currentpecos_ownership
SHC MEDICAL PARTNERS OF INDIANA, LLCADP OF THE SNF2020-03-20currentpecos_ownership
SIGNATURE HEALTHCARE CLINICAL CONSULTING SERVICES LLCADP OF THE SNF2014-05-01currentpecos_ownership
SIGNATURE HEALTHCARE CONSULTING SERVICES LLCADP OF THE SNF2014-05-01currentpecos_ownership
SMEDRA, IRAOPERATIONAL/MANAGERIAL CONTROL2014-05-01currentpecos_ownership
SMITH, RICKTRUSTEE OF THE SNF2012-07-01currentpecos_ownership
STAKEHOLDER PAYROLL SERVICES LLCADP OF THE SNF2014-05-01currentpecos_ownership
STEIER III, ELMEROPERATIONAL/MANAGERIAL CONTROL2014-05-01currentpecos_ownership
STIGLER, CHARLESOPERATIONAL/MANAGERIAL CONTROL2014-05-01currentpecos_ownership
STOREY, MARCMANAGING CONTROL - GOVERNING BODY2025-01-01currentpecos_ownership
SYER, CHARLESOPERATIONAL/MANAGERIAL CONTROL2024-05-01currentpecos_ownership
WINTNER, JACOBOPERATIONAL/MANAGERIAL CONTROL2014-05-01currentpecos_ownership
ANDREW MARKELTRUSTEE OF THE SNF2020-09-01ended 2026-05-18pecos_ownership
BARBARA REVELETTEOPERATIONAL/MANAGERIAL CONTROL2022-01-17ended 2026-05-18pecos_ownership
BRANDON HARPEMANAGING CONTROL - GOVERNING BODY2020-09-01ended 2026-05-18pecos_ownership
CHARLES STIGLEROPERATIONAL/MANAGERIAL CONTROL2014-05-01ended 2026-05-18pecos_ownership
CHARLES SYEROPERATIONAL/MANAGERIAL CONTROL2024-05-01ended 2026-05-18pecos_ownership
COURTNEY KLEBERMANAGING CONTROL - GOVERNING BODY2020-09-01ended 2026-05-18pecos_ownership
DEBORAH MANNOPERATIONAL/MANAGERIAL CONTROL2024-02-10ended 2026-05-18pecos_ownership
DEBORAH MANNMANAGING CONTROL - GOVERNING BODY2014-02-10ended 2026-05-18pecos_ownership
ELMER STEIER IIIOPERATIONAL/MANAGERIAL CONTROL2014-05-01ended 2026-05-18pecos_ownership
ERIC FISHMANAGING CONTROL - GOVERNING BODY2020-09-01ended 2026-05-18pecos_ownership
IRA SMEDRAOPERATIONAL/MANAGERIAL CONTROL2014-05-01ended 2026-05-18pecos_ownership
JACK MCCORYTRUSTEE OF THE SNF2012-07-01ended 2026-05-18pecos_ownership
JACOB WINTNEROPERATIONAL/MANAGERIAL CONTROL2014-05-01ended 2026-05-18pecos_ownership
JARED HOUCKADP OF THE SNF2024-04-29ended 2026-05-18pecos_ownership
JENNIFER MOOREADP OF THE SNF2024-08-12ended 2026-05-18pecos_ownership
JOHN HARRISONADP OF THE SNF2014-05-01ended 2026-05-18pecos_ownership
LINDA LEWISOPERATIONAL/MANAGERIAL CONTROL2024-02-19ended 2026-05-18pecos_ownership
MARC STOREYMANAGING CONTROL - GOVERNING BODY2025-01-01ended 2026-05-18pecos_ownership
MARIA DOYLEADP OF THE SNF2021-07-01ended 2026-05-18pecos_ownership
MATTHEW REEDYTRUSTEE OF THE SNF2012-07-01ended 2026-05-18pecos_ownership
NICOLE BLIMLINGADP OF THE SNF2024-05-21ended 2026-05-18pecos_ownership
PAUL GETTINGERADP OF THE SNF2024-12-31ended 2026-05-18pecos_ownership
RICK SMITHTRUSTEE OF THE SNF2012-07-01ended 2026-05-18pecos_ownership
ROLAND RAPPOPERATIONAL/MANAGERIAL CONTROL2014-05-01ended 2026-05-18pecos_ownership
SUSAN BEVERSMANAGING CONTROL - GOVERNING BODY2020-09-01ended 2026-05-18pecos_ownership
TERRENCE GILLILANDMANAGING CONTROL - GOVERNING BODY2012-07-01ended 2026-05-18pecos_ownership
TIMOTHY LEHNEROPERATIONAL/MANAGERIAL CONTROL2025-01-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

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

Comparable trades — IN snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-01-08HEALTHWIN HEALTH & REHABILITATION145PULASKI MEMORIAL HOSPITAL
2025-01-01ENVIVE OF LIBERTY60ADAMS COUNTY MEMORIAL HOSPITAL
2025-01-01ENVIVE OF MUNCIE60ADAMS COUNTY MEMORIAL HOSPITAL
2024-08-01FAIRWAY VILLAGE53HENRY COUNTY MEMORIAL HOSPITAL
2024-07-01ASBURY TOWERS HEALTH CARE CENTER48PULASKI MEMORIAL HOSPITAL
2024-07-01PILGRIM MANOR78ADAMS COUNTY MEMORIAL HOSPITAL
2024-07-01CHASE CENTER101ADAMS COUNTY MEMORIAL HOSPITAL
2024-06-01IGNITE MEDICAL RESORT CHESTERTON70IGNITE MEDICAL RESORT CHESTERTON LLC
2024-01-01BRIARCLIFF HEALTH & REHABILITATION CENTER131PULASKI MEMORIAL HOSPITAL
2024-01-01SOUTH SHORE HEALTH & REHABILITATION CENTER100PULASKI MEMORIAL HOSPITAL
2024-01-01EVANSVILLE PROTESTANT HOME49HENRY COUNTY MEMORIAL HOSPITAL
2023-12-01ROLLING HILLS HEALTHCARE CENTER115ADAMS 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

32
GeoKindBRAmountAs ofSource
county 18099acs median gross0$7202024-12-31CENSUS_ACS5
county 18099fmr0$7222025-10-01HUD_USER_FMR
county 18099acs median gross1$8002024-12-31CENSUS_ACS5
county 18099fmr1$8242025-10-01HUD_USER_FMR
county 18099acs median gross2$9172024-12-31CENSUS_ACS5
county 18099fmr2$1,0082025-10-01HUD_USER_FMR
county 18099acs median gross3$9892024-12-31CENSUS_ACS5
county 18099fmr3$1,2252025-10-01HUD_USER_FMR
county 18099acs median gross4$1,2352024-12-31CENSUS_ACS5
county 18099fmr4$1,3352025-10-01HUD_USER_FMR
county 18099acs median gross5$1,5382024-12-31CENSUS_ACS5
county 18099acs median gross$9382024-12-31CENSUS_ACS5
county 18099acs recent mover gross$9252024-12-31CENSUS_ACS5
zcta 46506acs median gross1$6932024-12-31CENSUS_ACS5
zcta 46506acs median gross2$9302024-12-31CENSUS_ACS5
zcta 46506acs median gross3$1,0562024-12-31CENSUS_ACS5
zcta 46506acs median gross$9482024-12-31CENSUS_ACS5
zip 46506payment standard 1100$8582025-10-01HUD_USER_SAFMR
zip 46506payment standard 900$7022025-10-01HUD_USER_SAFMR
zip 46506safmr0$7802025-10-01HUD_USER_SAFMR
zip 46506payment standard 1101$9352025-10-01HUD_USER_SAFMR
zip 46506payment standard 901$7652025-10-01HUD_USER_SAFMR
zip 46506safmr1$8502025-10-01HUD_USER_SAFMR
zip 46506payment standard 1102$1,1002025-10-01HUD_USER_SAFMR
zip 46506payment standard 902$9002025-10-01HUD_USER_SAFMR
zip 46506safmr2$1,0002025-10-01HUD_USER_SAFMR
zip 46506payment standard 1103$1,3422025-10-01HUD_USER_SAFMR
zip 46506payment standard 903$1,0982025-10-01HUD_USER_SAFMR
zip 46506safmr3$1,2202025-10-01HUD_USER_SAFMR
zip 46506payment standard 1104$1,4962025-10-01HUD_USER_SAFMR
zip 46506payment standard 904$1,2242025-10-01HUD_USER_SAFMR
zip 46506safmr4$1,3602025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.