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 23:51 UTC
Screener / 14A383
A

HIGHLAND OAKS

snfIL
2750 WEST HIGHLAND AVENUE, ELGIN, IL 60123 · CCN 14A383
Composite
0.5 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
moderate
Certified beds
24
Model
v1.2
Reads as: riskier than 0.5% 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

3
ComponentPercentileRawWeightWeight shareContributionCounts
chow risk25.225.00.150.21435.40in index
regulatory risk5.53.40.300.42862.36in index
staffing risk6.06.10.250.35712.14in 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

9
Score typeScoreGradeModelStatusRegistry model notes
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.
p adverse action 12m2.4v0.1default · 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 12m0.2v0.1default · 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 risk3.4Av0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk6.1Av0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
regulatory risk6.7Av0.1supersededPre-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 risk6.7Av0.2supersededPre-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 risk6.1Av0.1supersededPre-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 risk6.1Av0.2supersededPre-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)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
36.3
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
Occupancy0.91-0.61
Current owner tenure (years)25.00+0.57
No PBJ staffing report0.00+0.42
Chain size (log)0.00-0.40
Total nurse staffing (HPRD)4.70-0.33
Ownership changes, last 5 years0.00+0.20
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)
2.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
92.7
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 months0.00+1.43
Chain size (log)0.00+1.20
Occupancy0.91-0.67
Total nurse staffing (HPRD)4.70-0.62
No PBJ staffing report0.00+0.39
Facility size (log beds)3.22+0.24
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

14
2025Q4 HPRDThis facilityIL medianNational medianNational p25–p75
Total nurse4.703.133.282.90–3.77
RN0.610.490.390.25–0.58
Weekend total4.632.933.11
Weekday total4.733.233.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49221.84.700.610.543.554.630.0%
2025Q39222.64.550.510.573.474.420.0%
2025Q29120.04.740.600.623.524.590.0%
2025Q19018.44.920.560.693.674.750.0%
2024Q49219.14.700.700.513.494.710.0%
2024Q39221.34.590.570.593.434.500.0%
2024Q29118.54.720.730.583.414.560.0%
2024Q19119.44.450.790.493.184.370.0%
2023Q49218.74.350.690.613.044.270.0%
2023Q39219.34.280.680.603.004.170.0%
2023Q29118.64.180.580.732.864.070.0%
2023Q19017.34.340.500.912.944.280.0%
2022Q49216.24.680.690.893.114.570.0%
2022Q39218.14.400.530.823.054.250.0%
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 × 5F × 1
deficiencies by survey year
422324
SurveyTypeTagDeficiencyScopeCorrected
2024-08-29HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-09-12
2024-08-29HealthF0880Provide and implement an infection prevention and control program.D2024-09-12
2024-08-14Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.D2024-08-23
2024-08-14Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2024-08-23
2023-07-27HealthF0688Provide 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.D2023-08-08
2023-07-27HealthF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D2023-08-08
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

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

35
GeoKindBRAmountAs ofSource
county 17089acs median gross0$1,0902024-12-31CENSUS_ACS5
county 17089fmr0$1,4802025-10-01HUD_USER_FMR
county 17089acs median gross1$1,1752024-12-31CENSUS_ACS5
county 17089fmr1$1,5812025-10-01HUD_USER_FMR
county 17089acs median gross2$1,4512024-12-31CENSUS_ACS5
county 17089fmr2$1,7812025-10-01HUD_USER_FMR
county 17089acs median gross3$1,7712024-12-31CENSUS_ACS5
county 17089fmr3$2,2942025-10-01HUD_USER_FMR
county 17089acs median gross4$1,8832024-12-31CENSUS_ACS5
county 17089fmr4$2,6532025-10-01HUD_USER_FMR
county 17089acs median gross5$1,7702024-12-31CENSUS_ACS5
county 17089acs median gross$1,4532024-12-31CENSUS_ACS5
county 17089acs recent mover gross$1,6322024-12-31CENSUS_ACS5
zcta 60123acs median gross0$9682024-12-31CENSUS_ACS5
zcta 60123acs median gross1$1,0562024-12-31CENSUS_ACS5
zcta 60123acs median gross2$1,3232024-12-31CENSUS_ACS5
zcta 60123acs median gross3$1,7032024-12-31CENSUS_ACS5
zcta 60123acs median gross4$2,0602024-12-31CENSUS_ACS5
zcta 60123acs median gross$1,2922024-12-31CENSUS_ACS5
zcta 60123acs recent mover gross$1,8082024-12-31CENSUS_ACS5
zip 60123payment standard 1100$1,4522025-10-01HUD_USER_SAFMR
zip 60123payment standard 900$1,1882025-10-01HUD_USER_SAFMR
zip 60123safmr0$1,3202025-10-01HUD_USER_SAFMR
zip 60123payment standard 1101$1,5512025-10-01HUD_USER_SAFMR
zip 60123payment standard 901$1,2692025-10-01HUD_USER_SAFMR
zip 60123safmr1$1,4102025-10-01HUD_USER_SAFMR
zip 60123payment standard 1102$1,7492025-10-01HUD_USER_SAFMR
zip 60123payment standard 902$1,4312025-10-01HUD_USER_SAFMR
zip 60123safmr2$1,5902025-10-01HUD_USER_SAFMR
zip 60123payment standard 1103$2,2552025-10-01HUD_USER_SAFMR
zip 60123payment standard 903$1,8452025-10-01HUD_USER_SAFMR
zip 60123safmr3$2,0502025-10-01HUD_USER_SAFMR
zip 60123payment standard 1104$2,6072025-10-01HUD_USER_SAFMR
zip 60123payment standard 904$2,1332025-10-01HUD_USER_SAFMR
zip 60123safmr4$2,3702025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.