CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT 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: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · 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 noticeENFFACO HEALTHCARE SERVICES INCTX · 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 noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · 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)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT 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: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · 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 noticeENFFACO HEALTHCARE SERVICES INCTX · 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 noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · 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 2026-08-04 20:18 UTC
Screener / 146146
C

SILVER FOXES SR LIVING & REHAB

snfIL
609 SOUTH MARSHALL, MCLEANSBORO, IL 62859 · CCN 146146 · chain WLC MANAGEMENT FIRM LLC
Composite
64.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
60
Model
v1.2
Reads as: riskier than 64.0% 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 risk86.473.20.300.230819.94in index
staffing risk92.492.40.250.192317.77in index
chow risk60.258.80.150.11546.95in index
billing conduct25.229.10.300.23085.82in index
regulatory risk13.58.70.300.23083.12in 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 typeScoreGradeModelStatusRegistry model notes
billing conduct29.1Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-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 risk92.6Fv0.6default · in composite
financial risk73.2Dv0.5default · in compositeR18.
p adverse action 12m0.1v0.1default · 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 12m0.0v0.1default · 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 risk8.7Av0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk92.4Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk84.4Fv0.1supersededPre-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 risk64.4Cv0.2supersededPre-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 risk60.1Cv0.3supersededPre-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 risk75.1Dv0.4supersededPre-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 risk8.6Av0.1supersededPre-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 risk8.6Av0.2supersededPre-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 risk92.4Fv0.1supersededPre-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 risk92.4Fv0.2supersededPre-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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
7.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)3.41-1.51
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Occupancy0.78-0.24
Chain size (log)2.94+0.22
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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
44.6
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months2.00+1.06
For-profit ownership1.00-0.69
Chain size (log)2.94-0.51
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)2.45+0.32
Never sold on record0.00-0.28
Current owner tenure (years)3.41-0.25
Ownership changes, last 5 years1.00+0.23
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.

Staffing vs peers

16
2025Q4 HPRDThis facilityIL medianNational medianNational p25–p75
Total nurse2.453.133.282.90–3.77
RN0.300.490.390.25–0.58
Weekend total2.342.933.11
Weekday total2.493.233.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49246.82.450.300.401.742.340.0%
2025Q39246.12.690.310.641.752.460.0%
2025Q29144.82.730.390.551.792.460.0%
2025Q19044.52.760.470.581.712.460.1%
2024Q49243.12.410.240.531.632.150.0%
2024Q39234.52.710.330.451.932.470.0%
2024Q29128.63.130.420.572.142.910.0%
2024Q19127.73.130.320.712.102.950.0%
2023Q49228.33.190.270.542.373.080.0%
2023Q39231.42.600.220.471.912.500.0%
2023Q29132.22.560.210.561.792.490.0%
2023Q19033.60.860.090.210.560.720.0%
2022Q49232.43.110.570.472.062.8818.7%
2022Q39232.23.030.680.232.112.819.9%
2022Q29137.82.710.600.351.762.458.4%
2022Q19038.72.650.420.461.772.489.0%
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

6
D × 5G × 1
deficiencies by survey year
212223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-01-09Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2026-01-30
2026-01-09Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.G2026-01-30
2024-11-14HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-12-11
2024-11-14HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2024-12-11
2022-07-13HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2022-07-26
2022-07-13HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2022-07-26
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

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

7
OwnerRolePctFromStatusSource
STOUT, SCOTT5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2023-03-01currentpecos_ownership
WLC MANAGEMENT FIRM LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-03-01currentpecos_ownership
SCOTT STOUTOPERATIONAL/MANAGERIAL CONTROL100%2023-03-01ended 2026-05-18pecos_ownership
TI - MCLEANSBORO LLCCorporation, partnership or other organization has financial interest in provider99%2023-01-01ended 2023-02-28hcris_a_8_1
TI - MCLEANSBORO LLCCorporation, partnership or other organization has financial interest in provider99%2022-01-01ended 2022-12-31hcris_a_8_1
TI - MCLEANSBORO LLCCorporation, partnership or other organization has financial interest in provider99%2020-01-01ended 2020-12-31hcris_a_8_1
TI - MCLEANSBORO LLCCorporation, partnership or other organization has financial interest in provider99%2021-01-01ended 2021-12-31hcris_a_8_1
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2023-03-01SILVER FOXES SENIOR LIVING & REHABILITATION LLCHAMILTON MEMORIAL NURSING AND REHABILITATION CENTER, L.L.C.chow

Comparable trades — IL snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-05-01RIVAYA CARE OF DES PLAINES231RIVAYA CARE OF DES PLAINES LLC
2025-04-10THE PEARL OF DOWNERS GROVE145PEARL OF DOWNERS GROVE LLC
2025-04-01La Bella of Mascoutah76MASCOUTAH REHAB AND NURSING LLC
2025-04-01MONMOUTH REHAB AND NURSING58MONMOUTH REHAB AND NURSING LLC
2025-03-05GOLDWATER CARE CLINTON134GOLDWATER CARE CLINTON LLC
2025-03-01THE HAVEN OF BRIDGEPORT99HAVEN OF BRIDGEPORT LLC
2025-03-01CASS COUNTY SENIOR LIVING & REHABILITATION LLC71CASS COUNTY SENIOR LIVING & REHABILITATION LLC
2025-03-01Avantara Joliet154PRIME HEALTHCARE SENIOR LIVING, LLC
2025-03-01THE HAVEN OF ST. ELMO60HAVEN OF ST. ELMO LLC
2025-02-01Arc at Sangamon Valley171ARC AT SANGAMON VALLEY LLC
2025-02-01ARC AT HICKORY POINT64ARC AT HICKORY POINT LLC
2024-12-17WYNSCAPE HEALTH & REHAB209NELP-WYNDEMERE OPERATOR LLC
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

28
GeoKindBRAmountAs ofSource
county 17065fmr0$6322025-10-01HUD_USER_FMR
county 17065acs median gross1$5092024-12-31CENSUS_ACS5
county 17065fmr1$7272025-10-01HUD_USER_FMR
county 17065acs median gross2$5392024-12-31CENSUS_ACS5
county 17065fmr2$9162025-10-01HUD_USER_FMR
county 17065acs median gross3$8832024-12-31CENSUS_ACS5
county 17065fmr3$1,2742025-10-01HUD_USER_FMR
county 17065fmr4$1,3082025-10-01HUD_USER_FMR
county 17065acs median gross$5682024-12-31CENSUS_ACS5
zcta 62859acs median gross1$5082024-12-31CENSUS_ACS5
zcta 62859acs median gross2$5392024-12-31CENSUS_ACS5
zcta 62859acs median gross3$8832024-12-31CENSUS_ACS5
zcta 62859acs median gross$5722024-12-31CENSUS_ACS5
zip 62859payment standard 1100$6932025-10-01HUD_USER_SAFMR
zip 62859payment standard 900$5672025-10-01HUD_USER_SAFMR
zip 62859safmr0$6302025-10-01HUD_USER_SAFMR
zip 62859payment standard 1101$8032025-10-01HUD_USER_SAFMR
zip 62859payment standard 901$6572025-10-01HUD_USER_SAFMR
zip 62859safmr1$7302025-10-01HUD_USER_SAFMR
zip 62859payment standard 1102$1,0122025-10-01HUD_USER_SAFMR
zip 62859payment standard 902$8282025-10-01HUD_USER_SAFMR
zip 62859safmr2$9202025-10-01HUD_USER_SAFMR
zip 62859payment standard 1103$1,3972025-10-01HUD_USER_SAFMR
zip 62859payment standard 903$1,1432025-10-01HUD_USER_SAFMR
zip 62859safmr3$1,2702025-10-01HUD_USER_SAFMR
zip 62859payment standard 1104$1,4412025-10-01HUD_USER_SAFMR
zip 62859payment standard 904$1,1792025-10-01HUD_USER_SAFMR
zip 62859safmr4$1,3102025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.