Composite
98.6 / 100 percentile
Screener / 145945
F
IMBODEN CREEK SENIOR LIVING
snfIL
180 WEST IMBODEN, DECATUR, IL 62521 · CCN 145945 · chain WLC MANAGEMENT FIRM LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
95
Model
v1.2
Reads as: riskier than 98.6% 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 signals2Components16CHOW radar1Distress radar1Staffing15Penalties8Deficiencies77Licensure0Ownership12Related party6Transactions1Comps12Market rent33
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 98.1 | 97.0 | 0.30 | 0.2308 | 22.64 | in index |
| billing conduct | 85.0 | 56.1 | 0.30 | 0.2308 | 19.62 | in index |
| staffing risk | 77.8 | 77.8 | 0.25 | 0.1923 | 14.96 | in index |
| financial risk | 51.3 | 46.3 | 0.30 | 0.2308 | 11.84 | in index |
| chow risk | 80.5 | 61.2 | 0.15 | 0.1154 | 9.29 | 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
2| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| anomaly | Federal penalty spike | 5.3x prior | this facility | 2026-07-29 |
| connection | Owner fleet risk far above national | +32.2 vs natl | FLICK JOHN | 9 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 | 56.1 | 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 | 67.5 | D | v0.6 | default · in composite | |
| financial risk | 46.3 | 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 | 97.0 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 77.8 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 69.7 | 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 | 49.7 | 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 | 46.4 | 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 | 51.0 | 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 | 97.1 | 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 | 97.1 | 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 | 77.8 | 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 | 77.8 | 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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
17.6
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) | 4.41 | -1.42 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Deficiencies, last 12 months | 17.00 | +0.24 | |
| Occupancy | 0.78 | -0.24 | |
| Chain size (log) | 2.94 | +0.22 |
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 | 17.00 | -1.72 | |
| Fine amount, 12m (log) | 12.40 | -0.73 | |
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 2.94 | -0.51 | |
| Penalties, last 12 months | 4.00 | -0.39 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Ownership changes, last 5 years | 1.00 | +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
15| 2025Q4 HPRD | This facility | IL median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.85 | 3.13 | 3.28 | 2.90–3.77 |
| RN | 0.09 | 0.49 | 0.39 | 0.25–0.58 |
| Weekend total | 2.73 | 2.93 | 3.11 | — |
| Weekday total | 2.89 | 3.23 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 74.0 | 2.85 | 0.09 | 0.81 | 1.95 | 2.73 | 0.0% |
| 2025Q3 | 92 | 77.2 | 3.07 | 0.08 | 0.85 | 2.14 | 2.87 | 0.0% |
| 2025Q2 | 91 | 71.4 | 3.03 | 0.19 | 0.78 | 2.06 | 2.98 | 0.0% |
| 2025Q1 | 90 | 66.4 | 3.00 | 0.24 | 0.69 | 2.06 | 2.90 | 0.0% |
| 2024Q4 | 92 | 68.8 | 2.49 | 0.16 | 0.60 | 1.73 | 2.44 | 0.0% |
| 2024Q3 | 92 | 75.0 | 3.11 | 0.27 | 0.78 | 2.06 | 2.94 | 1.2% |
| 2024Q2 | 91 | 65.6 | 3.20 | 0.19 | 0.88 | 2.13 | 2.96 | 0.0% |
| 2024Q1 | 91 | 64.2 | 3.47 | 0.35 | 0.92 | 2.21 | 3.24 | 2.7% |
| 2023Q4 | 92 | 65.8 | 3.67 | 0.26 | 0.70 | 2.71 | 3.46 | 0.4% |
| 2023Q3 | 92 | 69.3 | 4.03 | 0.57 | 0.67 | 2.79 | 3.53 | 0.5% |
| 2023Q2 | 91 | 71.0 | 3.90 | 0.52 | 0.77 | 2.61 | 3.31 | 1.9% |
| 2023Q1 | 90 | 72.5 | 3.86 | 0.57 | 0.85 | 2.44 | 3.33 | 0.1% |
| 2022Q4 | 92 | 72.3 | 4.07 | 0.52 | 0.85 | 2.69 | 3.57 | 0.0% |
| 2022Q3 | 92 | 71.1 | 4.21 | 0.56 | 0.65 | 3.01 | 4.04 | 0.0% |
| 2022Q1 | 90 | 65.6 | 1.28 | 0.20 | 0.27 | 0.80 | 1.08 | 0.0% |
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
8fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2026-01-13 | Fine | $114,170 | CMS provider data |
| 2026-01-13 | Payment Denial | — | CMS provider data |
| 2025-11-06 | Fine | $128,500 | CMS provider data |
| 2025-11-06 | Payment Denial | — | CMS provider data |
| 2024-08-28 | Fine | $13,097 | CMS provider data |
| 2024-03-26 | Fine | $12,048 | CMS provider data |
| 2023-08-23 | Fine | $111,508 | CMS provider data |
| 2023-08-23 | Payment Denial | — | CMS provider data |
Total fines on record: $379,323
Deficiencies
77D × 52E × 7F × 12G × 5J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-11-28 | Health · complaint | 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 | 2025-12-01 |
| 2025-11-13 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2025-11-26 |
| 2025-11-06 | 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 | 2025-11-19 |
| 2025-11-06 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-11-19 |
| 2025-11-06 | Health · complaint | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | 2025-11-19 |
| 2025-11-06 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-11-19 |
| 2025-11-06 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-11-19 |
| 2025-11-06 | Health · complaint | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2025-11-19 |
| 2025-09-17 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-10-02 |
| 2025-09-05 | 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 | 2025-09-23 |
| 2025-09-05 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-09-23 |
| 2025-09-05 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2025-09-23 |
| 2025-09-05 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-09-23 |
| 2025-08-01 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-08-11 |
| 2025-08-01 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-08-11 |
| 2025-08-01 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-08-11 |
| 2025-08-01 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-08-11 |
| 2025-07-03 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-07-16 |
| 2025-01-29 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-02-14 |
| 2024-11-20 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-11-29 |
| 2024-11-20 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-11-29 |
| 2024-11-20 | 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 | 2024-11-29 |
| 2024-11-20 | 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 | 2024-11-29 |
| 2024-11-20 | 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 | 2024-11-29 |
| 2024-11-20 | Health | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | 2024-11-29 |
| 2024-11-20 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2024-11-29 |
| 2024-11-13 | Health · complaint | 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 | 2024-11-22 |
| 2024-10-15 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-11-01 |
| 2024-10-15 | Health · complaint | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | 2024-11-01 |
| 2024-09-16 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-09-27 |
| 2024-08-28 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-08-26 |
| 2024-05-02 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2024-05-14 |
| 2024-03-26 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-04-11 |
| 2024-03-26 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-04-11 |
| 2023-12-05 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-12-13 |
| 2023-12-05 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-12-13 |
| 2023-12-05 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-12-13 |
| 2023-12-05 | Health · complaint | F0908 | Keep all essential equipment working safely. | E | 2023-12-13 |
| 2023-12-05 | 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 | 2023-12-13 |
| 2023-10-31 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-11-01 |
| 2023-10-31 | Health · complaint | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | 2023-11-01 |
| 2023-09-13 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-10-11 |
| 2023-09-13 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-10-11 |
| 2023-08-23 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2023-10-11 |
| 2023-08-23 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-10-11 |
| 2023-08-23 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2023-10-11 |
| 2023-08-23 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-10-11 |
| 2023-08-23 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-10-11 |
| 2023-08-23 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-10-14 |
| 2023-08-23 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | 2023-10-11 |
| 2023-08-23 | 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 | 2023-10-11 |
| 2023-08-23 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2023-10-11 |
| 2023-08-23 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | 2023-10-11 |
| 2023-08-23 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-10-11 |
| 2023-08-23 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2023-10-11 |
| 2023-08-23 | 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 | 2023-10-11 |
| 2023-08-23 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-10-11 |
| 2023-08-23 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2023-10-11 |
| 2023-08-23 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2023-10-11 |
| 2023-08-23 | Health | F0908 | Keep all essential equipment working safely. | F | 2023-10-11 |
| 2023-08-23 | Health | F0917 | Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | D | 2023-10-11 |
| 2023-07-27 | 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 |
| 2023-06-20 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-07-06 |
| 2023-06-20 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-07-06 |
| 2023-06-20 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-07-06 |
| 2022-06-03 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2022-07-19 |
| 2022-06-03 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-07-19 |
| 2022-06-03 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2022-07-19 |
| 2022-06-03 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2022-07-20 |
| 2022-06-03 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-07-19 |
| 2022-06-03 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2022-07-19 |
| 2022-06-03 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2022-07-19 |
| 2022-06-03 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | 2022-07-19 |
| 2022-06-03 | 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. | F | 2022-07-19 |
| 2022-06-03 | 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 | 2022-07-19 |
| 2022-06-03 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2022-07-19 |
| 2022-06-03 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2022-07-19 |
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
12| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| STOUT, SCOTT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2022-03-01 | current | pecos_ownership |
| WLC MANAGEMENT FIRM LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-03-01 | current | pecos_ownership |
| BARTELS, SONIA | W-2 MANAGING EMPLOYEE | — | 2023-10-16 | current | pecos_ownership |
| FLICK, JOHN | CONTRACTED MANAGING EMPLOYEE | — | 2023-06-01 | current | pecos_ownership |
| TWEEDY, MICHELLE | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-03-01 | current | pecos_ownership |
| JONH & MARTHA BRINKOETTER | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-02-28 | hcris_a_8_1 |
| JONH & MARTHA BRINKOETTER | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| JONH & MARTHA BRINKOETTER | Individual has financial interest in both related organization and provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| MICHELLE TWEEDY | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2022-03-01 | ended 2026-05-18 | pecos_ownership |
| SCOTT STOUT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2022-03-01 | ended 2026-05-18 | pecos_ownership |
| SONIA BARTELS | W-2 MANAGING EMPLOYEE | 75% | 2023-10-16 | ended 2026-05-18 | pecos_ownership |
| JOHN FLICK | CONTRACTED MANAGING EMPLOYEE | 0% | 2023-06-01 | 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
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2022-03-01 | — | IMBODEN CREEK SENIOR LIVING & REHABILITATION LLC | LIVING CENTERS INC | chow |
Comparable trades — IL snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-05-01 | RIVAYA CARE OF DES PLAINES | — | — | — | 231 | RIVAYA CARE OF DES PLAINES LLC |
| 2025-04-10 | THE PEARL OF DOWNERS GROVE | — | — | — | 145 | PEARL OF DOWNERS GROVE LLC |
| 2025-04-01 | La Bella of Mascoutah | — | — | — | 76 | MASCOUTAH REHAB AND NURSING LLC |
| 2025-04-01 | MONMOUTH REHAB AND NURSING | — | — | — | 58 | MONMOUTH REHAB AND NURSING LLC |
| 2025-03-05 | GOLDWATER CARE CLINTON | — | — | — | 134 | GOLDWATER CARE CLINTON LLC |
| 2025-03-01 | THE HAVEN OF BRIDGEPORT | — | — | — | 99 | HAVEN OF BRIDGEPORT LLC |
| 2025-03-01 | CASS COUNTY SENIOR LIVING & REHABILITATION LLC | — | — | — | 71 | CASS COUNTY SENIOR LIVING & REHABILITATION LLC |
| 2025-03-01 | Avantara Joliet | — | — | — | 154 | PRIME HEALTHCARE SENIOR LIVING, LLC |
| 2025-03-01 | THE HAVEN OF ST. ELMO | — | — | — | 60 | HAVEN OF ST. ELMO LLC |
| 2025-02-01 | Arc at Sangamon Valley | — | — | — | 171 | ARC AT SANGAMON VALLEY LLC |
| 2025-02-01 | ARC AT HICKORY POINT | — | — | — | 64 | ARC AT HICKORY POINT LLC |
| 2024-12-17 | WYNSCAPE HEALTH & REHAB | — | — | — | 209 | NELP-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
33| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 17115 | acs median gross | 0 | $784 | 2024-12-31 | CENSUS_ACS5 |
| county 17115 | fmr | 0 | $840 | 2025-10-01 | HUD_USER_FMR |
| county 17115 | acs median gross | 1 | $688 | 2024-12-31 | CENSUS_ACS5 |
| county 17115 | fmr | 1 | $845 | 2025-10-01 | HUD_USER_FMR |
| county 17115 | acs median gross | 2 | $859 | 2024-12-31 | CENSUS_ACS5 |
| county 17115 | fmr | 2 | $1,063 | 2025-10-01 | HUD_USER_FMR |
| county 17115 | acs median gross | 3 | $1,009 | 2024-12-31 | CENSUS_ACS5 |
| county 17115 | fmr | 3 | $1,378 | 2025-10-01 | HUD_USER_FMR |
| county 17115 | acs median gross | 4 | $1,135 | 2024-12-31 | CENSUS_ACS5 |
| county 17115 | fmr | 4 | $1,706 | 2025-10-01 | HUD_USER_FMR |
| county 17115 | acs median gross | $847 | 2024-12-31 | CENSUS_ACS5 | |
| county 17115 | acs recent mover gross | $855 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 62521 | acs median gross | 1 | $789 | 2024-12-31 | CENSUS_ACS5 |
| zcta 62521 | acs median gross | 2 | $885 | 2024-12-31 | CENSUS_ACS5 |
| zcta 62521 | acs median gross | 3 | $1,067 | 2024-12-31 | CENSUS_ACS5 |
| zcta 62521 | acs median gross | 4 | $949 | 2024-12-31 | CENSUS_ACS5 |
| zcta 62521 | acs median gross | $926 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 62521 | acs recent mover gross | $915 | 2024-12-31 | CENSUS_ACS5 | |
| zip 62521 | payment standard 110 | 0 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62521 | payment standard 90 | 0 | $810 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62521 | safmr | 0 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62521 | payment standard 110 | 1 | $1,001 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62521 | payment standard 90 | 1 | $819 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62521 | safmr | 1 | $910 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62521 | payment standard 110 | 2 | $1,254 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62521 | payment standard 90 | 2 | $1,026 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62521 | safmr | 2 | $1,140 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62521 | payment standard 110 | 3 | $1,628 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62521 | payment standard 90 | 3 | $1,332 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62521 | safmr | 3 | $1,480 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62521 | payment standard 110 | 4 | $2,013 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62521 | payment standard 90 | 4 | $1,647 | 2025-10-01 | HUD_USER_SAFMR |
| zip 62521 | safmr | 4 | $1,830 | 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.