Screener / 155064

APERION CARE KOKOMO

snfIN

3518 S LAFOUNTAIN ST, KOKOMO, IN 46902 · CCN 155064 · chain ATIED ASSOCIATES LLC

Composite

99.7 / 100 percentile

Peer group

snf n = 14,684

Evidence depth

deep

Certified beds

105

Model

v1.2

Reads as: riskier than 99.7% 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 model5 ML signals25 Components15 CHOW radar1 Distress radar1 Staffing16 Penalties2 Deficiencies32 Licensure0 Ownership60 Related party5 Transactions0 Comps12 Market rent35

Composite explanation

Component	Percentile	Raw	Weight	Weight share	Contribution	Counts
billing conduct	98.2	71.8	0.30	0.2308	22.66	in index
financial risk	78.2	65.5	0.30	0.2308	18.05	in index
regulatory risk	75.1	71.2	0.30	0.2308	17.33	in index
staffing risk	83.0	83.0	0.25	0.1923	15.96	in index
chow risk	90.0	55.0	0.15	0.1154	10.38	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

Kind	Finding	Signal	Subject	First seen
connection	Owner fleet risk far above national	+37.8 vs natl	ATIED ASSOCIATES LLC	23 facilities
connection	Owner fleet risk far above national	+37.0 vs natl	ATTINGER JEFFERY	5 facilities
connection	Owner fleet risk far above national	+31.9 vs natl	FREDERICK S FRANKEL TRUST	13 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	+28.4 vs natl	42170 LIMTED PARTNERSHIP	8 facilities
connection	Owner fleet risk far above national	+28.4 vs natl	1219 LIMTED PARTNERSHIP	8 facilities
connection	Owner fleet risk far above national	+28.4 vs natl	257 LIMTED PARTNERSHIP	8 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	+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 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	CURIS SERVICES LLC	81 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

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

Score type	Score	Grade	Model	Status	Registry model notes
billing conduct	71.8	D	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.
financial risk	65.5	D	v0.5	default · in composite	R18.
p adverse action 12m	0.1	—	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	13.0	—	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	71.2	D	v0.3	default · in composite	Deficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk	83.0	F	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	69.4	D	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	71.1	D	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	71.1	D	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	83.0	F	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	83.0	F	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)

13.0%

model v0.1 · computed 2026-07-29

Percentile among SNFs

98.9

100 = most likely to sell

Holdout AUC

0.874

evaluated before shipping, never refit

Driver	Value	Pull on odds
For-profit ownership	1.00	+0.69
Never sold on record	1.00	+0.62
Current owner tenure (years)	25.00	+0.57
Occupancy	0.51	+0.53
No PBJ staffing report	0.00	+0.42
Chain size (log)	3.81	+0.41
Ownership changes, last 5 years	0.00	+0.20
Total nurse staffing (HPRD)	2.74	+0.06

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

52.1

100 = most likely to lose certification

Holdout AUC

0.971

top decile caught 95% of actual exits

Driver	Value	Pull on odds
Chain size (log)	3.81	-1.01
Occupancy	0.51	+0.99
For-profit ownership	1.00	-0.69
Deficiencies, last 12 months	5.00	+0.50
No PBJ staffing report	0.00	+0.39
Total nurse staffing (HPRD)	2.74	+0.20
Fine amount, 12m (log)	0.00	+0.18
Never sold on record	1.00	+0.12

Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.

Staffing vs peers

2025Q4 HPRD	This facility	IN median	National median	National p25–p75
Total nurse	2.74	2.85	3.28	2.90–3.77
RN	0.25	0.40	0.39	0.25–0.58
Weekend total	2.58	2.71	3.11	—
Weekday total	2.81	2.90	3.35	—

Quarter	Days	Avg census	Total HPRD	RN	LPN	CNA	Weekend	Contract %
2025Q4	92	53.9	2.74	0.25	0.75	1.75	2.58	7.5%
2025Q3	92	52.1	2.69	0.29	0.71	1.69	2.60	0.0%
2025Q2	91	48.7	2.95	0.32	0.78	1.85	2.77	0.0%
2025Q1	90	50.5	2.80	0.24	0.86	1.70	2.67	1.8%
2024Q4	92	54.8	2.44	0.02	0.89	1.53	2.26	1.8%
2024Q3	92	51.8	2.51	0.07	0.88	1.56	2.32	0.3%
2024Q2	91	46.8	2.88	0.11	0.90	1.88	2.63	0.1%
2024Q1	91	44.8	2.96	0.13	1.00	1.83	2.66	5.4%
2023Q4	92	47.1	2.72	0.08	0.93	1.71	2.65	0.0%
2023Q3	92	50.2	2.76	0.20	0.81	1.75	2.82	0.6%
2023Q2	91	55.1	2.61	0.28	0.67	1.66	2.53	0.9%
2023Q1	90	60.3	2.35	0.12	0.69	1.53	2.34	0.1%
2022Q4	92	60.2	2.33	0.15	0.66	1.52	2.21	2.0%
2022Q3	92	57.0	2.24	0.19	0.65	1.40	2.24	2.8%
2022Q2	91	54.2	2.35	0.18	0.74	1.43	2.28	0.0%
2022Q1	90	64.0	2.31	0.12	0.83	1.36	2.29	26.7%

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

Date	Type	Fine	Source
2023-08-18	Fine	$15,593	CMS provider data
2023-08-18	Payment Denial	—	CMS provider data

Total fines on record: $15,593

Deficiencies

D × 27E × 3G × 2

deficiencies by survey year

Survey	Type	Tag	Deficiency	Scope	Corrected
2026-02-05	Health · complaint	F0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	G	—
2025-08-15	Health	F0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	2025-08-20
2025-08-15	Health	F0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	2025-08-22
2025-08-15	Health	F0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	2025-08-20
2025-08-15	Health	F0695	Provide safe and appropriate respiratory care for a resident when needed.	E	2025-08-20
2024-12-03	Health · complaint	F0557	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.	D	2024-12-10
2024-12-03	Health · complaint	F0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	2024-12-10
2024-12-03	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	2024-12-10
2024-09-23	Health	F0567	Honor the resident's right to manage his or her financial affairs.	D	2024-10-04
2024-09-23	Health	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	2024-10-04
2024-09-23	Health	F0695	Provide safe and appropriate respiratory care for a resident when needed.	D	2024-10-04
2024-09-23	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.	D	2024-10-04
2024-09-23	Health	F0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	2024-10-04
2024-09-23	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	2024-10-04
2024-09-23	Health	F0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	D	2024-10-04
2024-01-24	Health · complaint	F0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	2024-02-14
2024-01-24	Health · complaint	F0602	Protect each resident from the wrongful use of the resident's belongings or money.	D	2024-02-14
2023-09-29	Health · complaint	F0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	G	2023-10-20
2023-09-29	Health · complaint	F0622	Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.	D	2023-10-20
2023-07-28	Health	F0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D	2023-09-08
2023-07-28	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	2023-09-08
2023-07-28	Health	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	2023-09-08
2023-07-28	Health	F0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	2023-09-08
2023-07-28	Health	F0692	Provide enough food/fluids to maintain a resident's health.	E	2023-09-08
2023-07-28	Health	F0697	Provide safe, appropriate pain management for a resident who requires such services.	D	2023-09-08
2023-07-28	Health	F0698	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D	2023-09-08
2023-07-28	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	2023-09-08
2023-07-28	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	2023-09-08
2023-07-28	Health	F0790	Provide routine and 24-hour emergency dental care for each resident.	D	2023-09-08
2023-07-28	Health	F0847	Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.	D	2023-09-08
2023-07-28	Health	F0883	Develop and implement policies and procedures for flu and pneumonia vaccinations.	D	2023-09-08
2023-07-28	Health	F0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E	2023-09-08

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

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

Owner	Role	Pct	From	Status	Source
ATIED ASSOCIATES LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	40%	2014-04-15	current	pecos_ownership
APERION INDIANA INVESTOR GROUP, LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	12%	2014-04-15	current	pecos_ownership
1219 LIMTED PARTNERSHIP	INDIRECT OWNERSHIP INTEREST	—	2014-04-15	current	pecos_ownership
257 LIMTED PARTNERSHIP	INDIRECT OWNERSHIP INTEREST	—	2014-04-15	current	pecos_ownership
42170 LIMTED PARTNERSHIP	INDIRECT OWNERSHIP INTEREST	—	2014-04-15	current	pecos_ownership
APERION CARE INC	ADP OF THE SNF	—	2025-04-15	current	pecos_ownership
APERION CARE INC	OPERATIONAL/MANAGERIAL CONTROL	—	2014-04-15	current	pecos_ownership
APERION CARE KOKOMO, LLC	ADP OF THE SNF	—	2025-04-15	current	pecos_ownership
APERION CARE KOKOMO, LLC	OPERATIONAL/MANAGERIAL CONTROL	—	2014-04-15	current	pecos_ownership
APERION CONSULTING, LLC	ADP OF THE SNF	—	2014-04-15	current	pecos_ownership
ATTINGER, JEFFERY	ADP OF THE SNF	—	2014-04-15	current	pecos_ownership
BAKER, MARKIA	OPERATIONAL/MANAGERIAL CONTROL	—	2014-04-15	current	pecos_ownership
BERKOWITZ, DAVID	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	—	2025-04-15	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	ADP OF THE SNF	—	2025-03-27	current	pecos_ownership
CURIS SERVICES LLC	ADP OF THE SNF	—	2014-04-15	current	pecos_ownership
DELECIA WIRTENBERG REVOCABLE TRUST	INDIRECT OWNERSHIP INTEREST	—	2014-04-15	current	pecos_ownership
FREDERICK S FRANKEL TRUST	INDIRECT OWNERSHIP INTEREST	—	2014-04-15	current	pecos_ownership
ISLAND CITY EQUITY PARTNERS LLC	INDIRECT OWNERSHIP INTEREST	—	2014-04-15	current	pecos_ownership
KODER, MICHELLE	INDIRECT OWNERSHIP INTEREST	—	2014-04-15	current	pecos_ownership
KOKOMO PROPERTY -3518 S LAFOUNTAIN	Individual has financial interest in both related organization and provider	—	2024-01-01	current	hcris_a_8_1
KOKOMO PROPERTY (3518 LAFOUNTAIN ST)	Individual has financial interest in both related organization and provider	—	2023-01-01	current	hcris_a_8_1
MAZHAR, ALIZA	OPERATIONAL/MANAGERIAL CONTROL	—	2014-04-15	current	pecos_ownership
MEYSTEL, YOSEF	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	—	2025-04-21	current	pecos_ownership
MORGAN, SHERRY	OPERATIONAL/MANAGERIAL CONTROL	—	2014-04-15	current	pecos_ownership
MORRIS ESFORMES 2021 REVOCABLE TRUST	INDIRECT OWNERSHIP INTEREST	—	2014-04-15	current	pecos_ownership
SAHRA AND DOV SEGAL	INDIRECT OWNERSHIP INTEREST	—	2014-04-15	current	pecos_ownership
SPECTOR, JENNIFER	OPERATIONAL/MANAGERIAL CONTROL	—	2014-04-15	current	pecos_ownership
TUROFSKY, STEVEN	OPERATIONAL/MANAGERIAL CONTROL	—	2014-04-15	current	pecos_ownership
ULBERT, LISA	ADP OF THE SNF	—	2016-04-15	current	pecos_ownership
ULBERT, LISA	OPERATIONAL/MANAGERIAL CONTROL	—	2014-04-15	current	pecos_ownership
WILHELM, NAFTALI	OPERATIONAL/MANAGERIAL CONTROL	—	2014-04-15	current	pecos_ownership
WROTSLOVSKTY, SHELDON	INDIRECT OWNERSHIP INTEREST	—	2014-04-15	current	pecos_ownership
YOLINSKY, JACK	INDIRECT OWNERSHIP INTEREST	—	2014-04-15	current	pecos_ownership
LISA ULBERT	CORPORATE OFFICER	100%	2014-04-15	ended 2026-05-18	pecos_ownership
MAJOR HOSPITAL	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	2013-04-01	ended 2026-05-18	pecos_ownership
DAVID A BERKOWITZ REVOC TR DAVID BERKOWITZ TTEE	5% OR GREATER INDIRECT OWNERSHIP INTEREST	15%	2014-04-15	ended 2026-05-18	pecos_ownership
YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE	5% OR GREATER INDIRECT OWNERSHIP INTEREST	15%	2014-04-15	ended 2026-05-18	pecos_ownership
MICHELLE KODER	INDIRECT OWNERSHIP INTEREST	2%	2014-04-15	ended 2026-05-18	pecos_ownership
STEVEN TUROFSKY	DIRECT OWNERSHIP INTEREST	2%	2014-04-15	ended 2026-05-18	pecos_ownership
1219, LP	INDIRECT OWNERSHIP INTEREST	1%	2014-04-15	ended 2026-05-18	pecos_ownership
257, LP	INDIRECT OWNERSHIP INTEREST	1%	2014-04-15	ended 2026-05-18	pecos_ownership
42170, LP	INDIRECT OWNERSHIP INTEREST	1%	2014-04-15	ended 2026-05-18	pecos_ownership
JACK YOLINSKY	INDIRECT OWNERSHIP INTEREST	1%	2014-04-15	ended 2026-05-18	pecos_ownership
SHELDON WROTSLOVSKTY	INDIRECT OWNERSHIP INTEREST	1%	2014-04-15	ended 2026-05-18	pecos_ownership
ALIZA MAZHAR	OPERATIONAL/MANAGERIAL CONTROL	—	2014-04-15	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	—	2014-04-15	ended 2026-05-18	pecos_ownership
JENNIFER SPECTOR	ADP OF THE SNF	—	2014-04-15	ended 2026-05-18	pecos_ownership
KOKOMO PROPERTY	Individual has financial interest in both related organization and provider	—	2022-01-01	ended 2022-12-31	hcris_a_8_1
KOKOMO PROPERTY	Individual has financial interest in both related organization and provider	—	2020-01-01	ended 2020-12-31	hcris_a_8_1
KOKOMO PROPERTY	Individual has financial interest in both related organization and provider	—	2021-01-01	ended 2021-12-31	hcris_a_8_1
LISA ULBERT	ADP OF THE SNF	—	2016-04-15	ended 2026-05-18	pecos_ownership
MARKIA BAKER	OPERATIONAL/MANAGERIAL CONTROL	—	2014-04-15	ended 2026-05-18	pecos_ownership
NAFTALI WILHELM	ADP OF THE SNF	—	2014-04-15	ended 2026-05-18	pecos_ownership
RYAN CLAXTON	CORPORATE OFFICER	—	2025-03-27	ended 2026-05-18	pecos_ownership
SHERRY MORGAN	MANAGING CONTROL - GOVERNING BODY	—	2014-04-15	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.

Related-party costs

FY end	Total allowable	Rent	Home office	Therapy	Staffing	Counterparties	PropCo
2024-12-31	$1,533,572	$904,645	—	—	$56,837	13	propco
2023-12-31	$1,406,980	$895,923	—	—	$85,791	14	propco
2022-12-31	$777,716	$239,642	—	—	$81,158	13	propco
2021-12-31	$2,774,788	$1,957,830	$119,857	$413,515	$38,605	17	propco
2020-12-31	$1,352,638	$306,211	$83,360	$399,089	$46,865	14	propco

Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.

Transactions

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

Comparable trades — IN snf

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

Geo	Kind	BR	Amount	As of	Source
county 18067	acs median gross	0	$885	2024-12-31	CENSUS_ACS5
county 18067	fmr	0	$884	2025-10-01	HUD_USER_FMR
county 18067	acs median gross	1	$691	2024-12-31	CENSUS_ACS5
county 18067	fmr	1	$890	2025-10-01	HUD_USER_FMR
county 18067	acs median gross	2	$947	2024-12-31	CENSUS_ACS5
county 18067	fmr	2	$1,123	2025-10-01	HUD_USER_FMR
county 18067	acs median gross	3	$1,062	2024-12-31	CENSUS_ACS5
county 18067	fmr	3	$1,388	2025-10-01	HUD_USER_FMR
county 18067	acs median gross	4	$1,220	2024-12-31	CENSUS_ACS5
county 18067	fmr	4	$1,567	2025-10-01	HUD_USER_FMR
county 18067	acs median gross	5	$988	2024-12-31	CENSUS_ACS5
county 18067	acs median gross		$937	2024-12-31	CENSUS_ACS5
county 18067	acs recent mover gross		$973	2024-12-31	CENSUS_ACS5
zcta 46902	acs median gross	0	$879	2024-12-31	CENSUS_ACS5
zcta 46902	acs median gross	1	$765	2024-12-31	CENSUS_ACS5
zcta 46902	acs median gross	2	$966	2024-12-31	CENSUS_ACS5
zcta 46902	acs median gross	3	$1,074	2024-12-31	CENSUS_ACS5
zcta 46902	acs median gross	4	$1,106	2024-12-31	CENSUS_ACS5
zcta 46902	acs median gross		$955	2024-12-31	CENSUS_ACS5
zcta 46902	acs recent mover gross		$975	2024-12-31	CENSUS_ACS5
zip 46902	payment standard 110	0	$990	2025-10-01	HUD_USER_SAFMR
zip 46902	payment standard 90	0	$810	2025-10-01	HUD_USER_SAFMR
zip 46902	safmr	0	$900	2025-10-01	HUD_USER_SAFMR
zip 46902	payment standard 110	1	$990	2025-10-01	HUD_USER_SAFMR
zip 46902	payment standard 90	1	$810	2025-10-01	HUD_USER_SAFMR
zip 46902	safmr	1	$900	2025-10-01	HUD_USER_SAFMR
zip 46902	payment standard 110	2	$1,254	2025-10-01	HUD_USER_SAFMR
zip 46902	payment standard 90	2	$1,026	2025-10-01	HUD_USER_SAFMR
zip 46902	safmr	2	$1,140	2025-10-01	HUD_USER_SAFMR
zip 46902	payment standard 110	3	$1,551	2025-10-01	HUD_USER_SAFMR
zip 46902	payment standard 90	3	$1,269	2025-10-01	HUD_USER_SAFMR
zip 46902	safmr	3	$1,410	2025-10-01	HUD_USER_SAFMR
zip 46902	payment standard 110	4	$1,749	2025-10-01	HUD_USER_SAFMR
zip 46902	payment standard 90	4	$1,431	2025-10-01	HUD_USER_SAFMR
zip 46902	safmr	4	$1,590	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.