Composite
95.1 / 100 percentile
Screener / 155799
F
APERION CARE MARION LLC
snfIN
614 WEST 14TH STREET, MARION, IN 46953 · CCN 155799 · chain YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
70
Model
v1.2
Reads as: riskier than 95.1% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5ML signals25Components16CHOW radar1Distress radar1Staffing16Penalties0Deficiencies56Licensure0Ownership40Related party5Transactions1Comps12Market rent33
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 89.9 | 59.7 | 0.30 | 0.2308 | 20.75 | in index |
| financial risk | 70.8 | 59.7 | 0.30 | 0.2308 | 16.34 | in index |
| regulatory risk | 60.4 | 51.7 | 0.30 | 0.2308 | 13.94 | in index |
| staffing risk | 58.4 | 58.4 | 0.25 | 0.1923 | 11.23 | in index |
| chow risk | 79.7 | 60.5 | 0.15 | 0.1154 | 9.20 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
25| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +37.0 vs natl | ATTINGER JEFFERY | 5 facilities |
| connection | Owner fleet risk far above national | +29.7 vs natl | CHASE OFFICE LLC | 82 facilities |
| connection | Owner fleet risk far above national | +28.7 vs natl | WILHELM NAFTALI | 81 facilities |
| connection | Owner fleet risk far above national | +28.2 vs natl | CURIS SERVICES LLC | 85 facilities |
| connection | Owner fleet risk far above national | +28.1 vs natl | TUROFSKY STEVEN | 87 facilities |
| connection | Owner fleet risk far above national | +27.4 vs natl | SPECTOR JENNIFER | 93 facilities |
| connection | Owner fleet risk far above national | +26.4 vs natl | APERION CONSULTING LLC | 22 facilities |
| connection | Owner fleet risk far above national | +26.3 vs natl | BERKOWITZ DAVID | 77 facilities |
| connection | Owner fleet risk far above national | +26.2 vs natl | MEYSTEL YOSEF | 77 facilities |
| connection | Owner fleet risk far above national | +25.9 vs natl | APERION CARE INC | 29 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 | ULBERT LISA | 30 facilities |
| connection | Owner fleet risk far above national | +24.2 vs natl | CLAXTON RYAN | 23 facilities |
| connection | Owner fleet risk far above national | +22.2 vs natl | BERKOWITZ BENJAMIN | 11 facilities |
| connection | Owner spans multiple chains | 13 chains | CHASE OFFICE LLC | 75 facilities |
| connection | Owner spans multiple chains | 9 chains | TUROFSKY STEVEN | 84 facilities |
| connection | Owner spans multiple chains | 9 chains | SPECTOR JENNIFER | 90 facilities |
| connection | Owner spans multiple chains | 8 chains | MEYSTEL YOSEF | 73 facilities |
| connection | Owner spans multiple chains | 8 chains | BERKOWITZ DAVID | 73 facilities |
| connection | Owner spans multiple chains | 8 chains | APERION CARE INC | 28 facilities |
| connection | Owner spans multiple chains | 8 chains | ULBERT LISA | 29 facilities |
| connection | Owner spans multiple chains | 8 chains | WILHELM NAFTALI | 78 facilities |
| connection | Owner spans multiple chains | 8 chains | CURIS SERVICES LLC | 81 facilities |
| connection | Owner spans multiple chains | 7 chains | APERION CONSULTING LLC | 21 facilities |
| connection | Owner fleet enforcement cluster | 54% fined | WILHELM NAFTALI | 81 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 | 59.7 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 55.0 | C | 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 | 66.0 | D | v0.6 | default · in composite | |
| financial risk | 59.7 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.1 | — | 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 | 51.7 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 58.4 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 75.3 | 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 | 55.3 | 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 | 52.4 | 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 | 63.5 | 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 | 51.6 | C | 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 | 51.6 | C | 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 | 58.4 | C | 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 | 58.4 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
25.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 7.85 | -1.08 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.86 | -0.46 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.18 | +0.27 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 13.00 | +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
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 13.00 | -0.98 | |
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 3.18 | -0.65 | |
| Occupancy | 0.86 | -0.46 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Staffing trend, last 4 quarters | 0.73 | +0.31 | |
| Never sold on record | 0.00 | -0.28 | |
| 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 | 3.15 | 2.85 | 3.28 | 2.90–3.77 |
| RN | 0.32 | 0.40 | 0.39 | 0.25–0.58 |
| Weekend total | 2.96 | 2.71 | 3.11 | — |
| Weekday total | 3.23 | 2.90 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 60.0 | 3.15 | 0.32 | 0.73 | 2.10 | 2.96 | 1.7% |
| 2025Q3 | 92 | 61.2 | 2.69 | 0.25 | 0.71 | 1.73 | 2.57 | 12.6% |
| 2025Q2 | 91 | 60.4 | 2.70 | 0.20 | 0.70 | 1.80 | 2.54 | 9.7% |
| 2025Q1 | 90 | 60.7 | 2.69 | 0.20 | 0.75 | 1.75 | 2.57 | 0.1% |
| 2024Q4 | 92 | 60.2 | 2.42 | 0.20 | 0.63 | 1.59 | 2.20 | 0.0% |
| 2024Q3 | 92 | 55.7 | 2.44 | 0.14 | 0.63 | 1.68 | 2.30 | 0.1% |
| 2024Q2 | 91 | 52.3 | 2.65 | 0.17 | 0.66 | 1.81 | 2.44 | 0.1% |
| 2024Q1 | 91 | 56.5 | 2.28 | 0.13 | 0.67 | 1.48 | 2.20 | 0.1% |
| 2023Q4 | 92 | 45.7 | 2.59 | 0.13 | 0.84 | 1.62 | 2.46 | 0.0% |
| 2023Q3 | 92 | 44.1 | 2.87 | 0.23 | 0.77 | 1.86 | 2.75 | 0.2% |
| 2023Q2 | 91 | 44.0 | 3.00 | 0.21 | 0.87 | 1.92 | 2.80 | 0.0% |
| 2023Q1 | 90 | 46.3 | 2.77 | 0.15 | 0.84 | 1.78 | 2.65 | 0.8% |
| 2022Q4 | 92 | 49.3 | 2.38 | 0.04 | 0.92 | 1.41 | 2.39 | 0.0% |
| 2022Q3 | 92 | 52.0 | 2.44 | 0.11 | 0.89 | 1.43 | 2.39 | 0.0% |
| 2022Q2 | 91 | 46.8 | 2.36 | 0.24 | 0.71 | 1.41 | 2.24 | 11.9% |
| 2022Q1 | 90 | 49.9 | 2.25 | 0.16 | 0.68 | 1.41 | 2.14 | 23.0% |
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
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
56D × 43E × 7F × 4G × 1J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-22 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2026-05-16 |
| 2026-04-22 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2026-05-16 |
| 2026-04-22 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2026-05-25 |
| 2026-04-22 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-05-06 |
| 2026-04-22 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2026-05-16 |
| 2026-04-22 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2026-05-16 |
| 2026-04-22 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2026-05-16 |
| 2026-04-22 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2026-05-16 |
| 2026-04-22 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2026-05-16 |
| 2026-02-26 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2026-03-20 |
| 2026-02-26 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2026-03-20 |
| 2025-09-30 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-10-14 |
| 2025-09-09 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-09-23 |
| 2025-07-17 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-08-13 |
| 2025-05-02 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-05-25 |
| 2025-05-02 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | 2025-05-25 |
| 2025-05-02 | 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 | 2025-05-25 |
| 2025-05-02 | 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 | 2025-05-25 |
| 2025-05-02 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2025-05-25 |
| 2025-05-02 | 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 | 2025-05-25 |
| 2025-05-02 | 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 | 2025-05-25 |
| 2025-05-02 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2025-05-25 |
| 2025-05-02 | Health | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2025-05-25 |
| 2025-05-02 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-05-25 |
| 2025-05-02 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2025-05-25 |
| 2025-05-02 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2025-05-25 |
| 2025-05-02 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-05-25 |
| 2025-05-02 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-05-25 |
| 2025-02-13 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-03-02 |
| 2025-02-03 | Health · complaint | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | 2025-03-02 |
| 2024-12-16 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-01-10 |
| 2024-12-16 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-01-10 |
| 2024-11-15 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2025-01-10 |
| 2024-11-15 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | E | 2025-01-10 |
| 2024-07-01 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-07-24 |
| 2024-07-01 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2024-07-24 |
| 2024-07-01 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-07-24 |
| 2024-07-01 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-07-24 |
| 2024-07-01 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-07-24 |
| 2024-07-01 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-07-24 |
| 2024-07-01 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-07-24 |
| 2024-07-01 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2024-07-24 |
| 2024-07-01 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2024-07-24 |
| 2024-07-01 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | 2024-07-24 |
| 2024-07-01 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-07-24 |
| 2024-02-08 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-02-29 |
| 2024-02-08 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2024-02-29 |
| 2024-02-08 | Health · complaint | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | 2024-02-29 |
| 2024-02-08 | Health · complaint | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | 2024-02-29 |
| 2023-12-12 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2023-12-28 |
| 2023-11-09 | 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 | 2023-11-27 |
| 2023-11-09 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-11-27 |
| 2023-06-28 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-07-10 |
| 2023-06-28 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-07-10 |
| 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 | 2023-07-10 |
| 2023-06-03 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2023-06-04 |
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
40| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| APERION INDIANA INVESTOR GROUP, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12% | 2018-09-21 | current | pecos_ownership |
| APERION CARE INC | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-09-21 | current | pecos_ownership |
| APERION CARE INC | ADP OF THE SNF | — | 2025-04-16 | current | pecos_ownership |
| APERION CONSULTING, LLC | ADP OF THE SNF | — | 2018-09-21 | current | pecos_ownership |
| ATTINGER, JEFFERY | MANAGING CONTROL - GOVERNING BODY | — | 2018-09-21 | current | pecos_ownership |
| BERKOWITZ, BENJAMIN | DIRECT OWNERSHIP INTEREST | — | 2018-09-21 | current | pecos_ownership |
| BERKOWITZ, DAVID | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2026-03-05 | current | pecos_ownership |
| CHASE OFFICE LLC | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| CHASE OFFICE LLC | Individual has financial interest in both related organization and provider | — | 2023-01-01 | current | hcris_a_8_1 |
| CLAXTON, RYAN | CORPORATE OFFICER | — | 2025-03-27 | current | pecos_ownership |
| CURIS SERVICES LLC | ADP OF THE SNF | — | 2018-09-21 | current | pecos_ownership |
| MAJOR HOSPITAL | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-09-21 | current | pecos_ownership |
| MAJOR HOSPITAL | ADP OF THE SNF | — | 2025-04-16 | current | pecos_ownership |
| MARSHALL, LATISHA | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-09-21 | current | pecos_ownership |
| MAZHAR, ALIZA | ADP OF THE SNF | — | 2018-09-21 | current | pecos_ownership |
| MEYSTEL, YOSEF | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2026-03-05 | current | pecos_ownership |
| SHIRELS, TAMERA | ADP OF THE SNF | — | 2018-09-21 | current | pecos_ownership |
| SPECTOR, JENNIFER | CORPORATE OFFICER | — | 2018-09-21 | current | pecos_ownership |
| TUROFSKY, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-09-21 | current | pecos_ownership |
| ULBERT, LISA | CORPORATE OFFICER | — | 2018-09-21 | current | pecos_ownership |
| WILHELM, NAFTALI | ADP OF THE SNF | — | 2018-09-21 | current | pecos_ownership |
| JENNIFER SPECTOR | CORPORATE OFFICER | 100% | 2018-09-21 | ended 2026-05-18 | pecos_ownership |
| LISA ULBERT | CORPORATE OFFICER | 100% | 2018-09-21 | ended 2026-05-18 | pecos_ownership |
| MAJOR HOSPITAL | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2018-09-20 | ended 2026-05-18 | pecos_ownership |
| DAVID A BERKOWITZ REVOC TR DAVID BERKOWITZ TTEE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 38% | 2018-09-21 | ended 2026-05-18 | pecos_ownership |
| YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 38% | 2018-09-21 | ended 2026-05-18 | pecos_ownership |
| APERION CARE EXEC HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 8% | 2018-09-21 | ended 2026-05-18 | pecos_ownership |
| BENJAMIN BERKOWITZ | DIRECT OWNERSHIP INTEREST | 4% | 2018-09-21 | ended 2026-05-18 | pecos_ownership |
| 614 W 14TH ST LLC | Individual has financial interest in both related organization and provider | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| 614 W 14TH ST LLC | Individual has financial interest in both related organization and provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| ALIZA MAZHAR | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-09-21 | ended 2026-05-18 | pecos_ownership |
| CHASE OFFICE LLC | Individual has financial interest in both related organization and provider | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| CHASE OFFICE LLC | Individual has financial interest in both related organization and provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| CHASE OFFICE LLC | Individual has financial interest in both related organization and provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| JEFFERY ATTINGER | ADP OF THE SNF | — | 2018-09-21 | ended 2026-05-18 | pecos_ownership |
| LATISHA MARSHALL | MANAGING CONTROL - GOVERNING BODY | — | 2018-09-21 | ended 2026-05-18 | pecos_ownership |
| NAFTALI WILHELM | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-09-21 | ended 2026-05-18 | pecos_ownership |
| RYAN CLAXTON | CORPORATE OFFICER | — | 2025-03-27 | ended 2026-05-18 | pecos_ownership |
| STEVEN TUROFSKY | ADP OF THE SNF | — | 2018-09-21 | ended 2026-05-18 | pecos_ownership |
| TAMERA SHIRELS | ADP OF THE SNF | — | 2018-09-21 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2018-09-21 | — | MAJOR HOSPITAL | COVENANT CARE MARION, LLC | chow |
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
33| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 18053 | fmr | 0 | $698 | 2025-10-01 | HUD_USER_FMR |
| county 18053 | acs median gross | 1 | $622 | 2024-12-31 | CENSUS_ACS5 |
| county 18053 | fmr | 1 | $767 | 2025-10-01 | HUD_USER_FMR |
| county 18053 | acs median gross | 2 | $838 | 2024-12-31 | CENSUS_ACS5 |
| county 18053 | fmr | 2 | $956 | 2025-10-01 | HUD_USER_FMR |
| county 18053 | acs median gross | 3 | $1,005 | 2024-12-31 | CENSUS_ACS5 |
| county 18053 | fmr | 3 | $1,257 | 2025-10-01 | HUD_USER_FMR |
| county 18053 | acs median gross | 4 | $1,113 | 2024-12-31 | CENSUS_ACS5 |
| county 18053 | fmr | 4 | $1,412 | 2025-10-01 | HUD_USER_FMR |
| county 18053 | acs median gross | $853 | 2024-12-31 | CENSUS_ACS5 | |
| county 18053 | acs recent mover gross | $1,067 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 46953 | acs median gross | 0 | $533 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46953 | acs median gross | 1 | $732 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46953 | acs median gross | 2 | $799 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46953 | acs median gross | 3 | $1,076 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46953 | acs median gross | 4 | $1,148 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46953 | acs median gross | $835 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 46953 | acs recent mover gross | $920 | 2024-12-31 | CENSUS_ACS5 | |
| zip 46953 | payment standard 110 | 0 | $781 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46953 | payment standard 90 | 0 | $639 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46953 | safmr | 0 | $710 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46953 | payment standard 110 | 1 | $858 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46953 | payment standard 90 | 1 | $702 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46953 | safmr | 1 | $780 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46953 | payment standard 110 | 2 | $1,067 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46953 | payment standard 90 | 2 | $873 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46953 | safmr | 2 | $970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46953 | payment standard 110 | 3 | $1,408 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46953 | payment standard 90 | 3 | $1,152 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46953 | safmr | 3 | $1,280 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46953 | payment standard 110 | 4 | $1,573 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46953 | payment standard 90 | 4 | $1,287 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46953 | safmr | 4 | $1,430 | 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.