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 13:36 UTC
Screener / 145781
D

Generations at Applewood

snfIL
21020 KOSTNER AVENUE, MATTESON, IL 60443 · CCN 145781 · chain ATIED ASSOCIATES LLC
Composite
92.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
154
Model
v1.2
Reads as: riskier than 92.8% 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 signals6Components16CHOW radar1Distress radar1Staffing16Penalties8Deficiencies60Licensure0Ownership19Related party5Transactions0Comps12Market rent33

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk99.298.60.300.230822.89in index
billing conduct85.056.20.300.230819.62in index
financial risk63.954.90.300.230814.75in index
staffing risk38.438.50.250.19237.38in index
chow risk38.536.90.150.11544.44in 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

6
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+42.9 vs natlWINTER THOMAS5 facilities
connectionOwner fleet risk far above national+42.8 vs natlBARRISH GROUP LIMITED PARTNERSHIP5 facilities
connectionOwner fleet risk far above national+42.8 vs natlGESUALDO RALPH5 facilities
connectionOwner fleet enforcement cluster60% finedBARRISH GROUP LIMITED PARTNERSHIP5 facilities
connectionOwner fleet enforcement cluster60% finedGESUALDO RALPH5 facilities
connectionOwner fleet enforcement cluster60% finedWINTER THOMAS5 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 typeScoreGradeModelStatusRegistry model notes
billing conduct56.1Cv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
chow risk48.9Cv0.6default · in composite
financial risk54.9Cv0.5default · in compositeR18.
p adverse action 12m0.0—v0.1default · 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 12m6.5—v0.1default · 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 risk98.6Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk38.5Bv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk84.5Fv0.1supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk64.5Cv0.2supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk69.9Dv0.3supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk54.1Cv0.4supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk98.6Fv0.1supersededPre-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 risk98.6Fv0.2supersededPre-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 risk38.5Bv0.1supersededPre-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 risk38.5Bv0.2supersededPre-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)
6.5%
model v0.1 · computed 2026-07-29
Percentile among SNFs
93.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
No PBJ staffing report0.00+0.42
Chain size (log)3.81+0.41
Ownership changes, last 5 years0.00+0.20
Occupancy0.76-0.18
Facility size (log beds)5.04-0.11
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
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Chain size (log)3.81-1.01
For-profit ownership1.00-0.69
Fine amount, 12m (log)11.13-0.64
No PBJ staffing report0.00+0.39
Facility size (log beds)5.04-0.14
Deficiencies, last 12 months7.00+0.13
Never sold on record1.00+0.12
High-severity deficiencies, 12m2.00-0.12
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

16
2025Q4 HPRDThis facilityIL medianNational medianNational p25–p75
Total nurse3.483.133.282.90–3.77
RN0.950.490.390.25–0.58
Weekend total3.092.933.11—
Weekday total3.633.233.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492117.13.480.950.442.083.090.1%
2025Q392120.83.640.820.632.183.260.0%
2025Q291121.43.750.840.692.233.271.8%
2025Q190123.63.330.660.682.002.982.2%
2024Q492118.03.500.670.722.103.162.6%
2024Q392114.53.540.610.772.153.082.6%
2024Q291103.23.690.650.772.283.134.9%
2024Q191107.73.610.620.752.233.084.1%
2023Q492110.33.400.470.742.193.155.8%
2023Q392102.73.610.390.892.333.175.5%
2023Q291103.83.350.300.942.112.825.1%
2023Q190109.73.050.330.791.932.488.9%
2022Q492106.83.140.400.652.092.6216.0%
2022Q392107.62.960.520.591.852.5316.2%
2022Q291104.32.780.390.661.732.479.6%
2022Q190101.72.820.330.611.882.584.6%
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

8
fines by year
$175.7k$87.9k23242526
DateTypeFineSource
2026-01-23Fine$68,510CMS provider data
2025-05-09Fine$132,893CMS provider data
2025-05-09Payment Denial—CMS provider data
2025-01-15Fine$33,040CMS provider data
2024-12-18Fine$14,050CMS provider data
2024-04-08Fine$161,680CMS provider data
2024-04-08Payment Denial—CMS provider data
2023-12-19Fine$108,766CMS provider data
Total fines on record: $518,939

Deficiencies

60
D × 36E × 9G × 14J × 1
deficiencies by survey year
231223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-02-13Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.E2026-02-20
2026-02-13Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-02-20
2026-02-13Health · complaintF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2026-02-20
2026-01-23Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2026-02-16
2026-01-23Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2026-02-20
2025-11-18Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E2025-11-19
2025-11-18Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2025-11-19
2025-07-08Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2025-08-01
2025-05-29Health · complaintF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.G—
2025-05-09HealthF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D2025-06-04
2025-05-09HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-06-04
2025-05-09HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-06-04
2025-05-09HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-08-01
2025-05-09HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2025-06-04
2025-05-09HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-06-04
2025-05-09HealthF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.D2025-06-04
2025-05-09HealthF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.D2025-06-04
2025-05-09HealthF0825Provide or get specialized rehabilitative services as required for a resident.D2025-06-04
2025-05-09HealthF0880Provide and implement an infection prevention and control program.D2025-06-04
2025-03-28Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-04-17
2025-03-14Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-04-04
2025-02-20Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-02-28
2025-01-15Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2025-02-05
2025-01-15Health · complaintF0880Provide and implement an infection prevention and control program.D2025-02-05
2024-12-30Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-01-06
2024-12-30Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-01-06
2024-12-30Health · complaintF0880Provide and implement an infection prevention and control program.D2025-01-06
2024-12-18Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-12-04
2024-11-07Health · complaintF0572Give residents a notice of rights, rules, services and charges.D2024-11-18
2024-06-28HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-07-01
2024-06-28HealthF0688Provide 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.D2024-07-01
2024-06-28Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-07-01
2024-05-30Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-06-04
2024-05-30Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-07-01
2024-05-30Health · complaintF0692Provide enough food/fluids to maintain a resident's health.G2024-06-04
2024-05-30Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2024-06-04
2024-04-08Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-07-01
2023-12-19Health · complaintF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.E2023-12-29
2023-12-19Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.E2023-12-29
2023-12-19Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2023-12-29
2023-12-19Health · complaintF0584Honor 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.E2023-12-29
2023-12-19Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2023-12-29
2023-12-19Health · complaintF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J2023-12-29
2023-12-19Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2023-12-29
2023-12-19Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2023-12-29
2023-09-01HealthF0558Reasonably accommodate the needs and preferences of each resident.E2023-09-22
2023-09-01HealthF0578Honor 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.D2023-09-22
2023-09-01HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-09-22
2023-09-01HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2023-09-22
2023-09-01HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2023-09-22
2023-09-01HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-09-22
2023-09-01HealthF0688Provide 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.D2023-09-22
2023-09-01HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2023-09-22
2023-09-01HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2023-09-22
2023-09-01HealthF0759Ensure medication error rates are not 5 percent or greater.D2023-09-22
2023-09-01HealthF0760Ensure that residents are free from significant medication errors.D2023-09-22
2023-09-01HealthF0880Provide and implement an infection prevention and control program.E2023-09-22
2023-06-25Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2023-07-14
2023-06-25Health · complaintF0880Provide and implement an infection prevention and control program.D2023-07-14
2023-06-25Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D2023-07-14
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

19
OwnerRolePctFromStatusSource
BARRISH GROUP LIMITED PARTNERSHIP5% OR GREATER DIRECT OWNERSHIP INTEREST11%2011-03-01currentpecos_ownership
BARRISH, BRYAN5% OR GREATER DIRECT OWNERSHIP INTEREST11%2011-03-01currentpecos_ownership
BRYAN BARRISH TRUST DTD 9/1/045% OR GREATER DIRECT OWNERSHIP INTEREST11%2011-03-01currentpecos_ownership
GESUALDO, RALPH5% OR GREATER DIRECT OWNERSHIP INTEREST11%2011-03-01currentpecos_ownership
RALPH GESUALDO CHILDRENS TRUST5% OR GREATER DIRECT OWNERSHIP INTEREST11%2011-03-01currentpecos_ownership
APPLEWOOD PROPEIndividual has financial interest in both related organization and provider—2023-01-01currenthcris_a_8_1
APPLEWOOD PROPEIndividual has financial interest in both related organization and provider—2024-01-01currenthcris_a_8_1
RUIZ, REGINAW-2 MANAGING EMPLOYEE—2020-01-27currentpecos_ownership
WINTER, THOMASCORPORATE DIRECTOR—2011-03-01currentpecos_ownership
WINTER, THOMASOPERATIONAL/MANAGERIAL CONTROL—2020-04-01currentpecos_ownership
ATIED ASSOCIATES LLC5% OR GREATER DIRECT OWNERSHIP INTEREST31%2011-03-01ended 2026-05-18pecos_ownership
BRYAN BARRISH5% OR GREATER DIRECT OWNERSHIP INTEREST11%2011-03-01ended 2026-05-18pecos_ownership
RALPH GESUALDO5% OR GREATER DIRECT OWNERSHIP INTEREST11%2011-03-01ended 2026-05-18pecos_ownership
APPLEWOOD PROPEIndividual has financial interest in both related organization and provider—2021-01-01ended 2021-12-31hcris_a_8_1
APPLEWOOD PROPEIndividual has financial interest in both related organization and provider—2022-01-01ended 2022-12-31hcris_a_8_1
APPLEWOOD PROPEIndividual has financial interest in both related organization and provider—2020-01-01ended 2020-12-31hcris_a_8_1
REGINA RUIZW-2 MANAGING EMPLOYEE—2020-01-27ended 2026-05-18pecos_ownership
THOMAS WINTERCORPORATE DIRECTOR—2011-03-01ended 2026-05-18pecos_ownership
THOMAS WINTEROPERATIONAL/MANAGERIAL CONTROL—2020-04-01ended 2026-05-18pecos_ownership
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 PLAINES———231RIVAYA CARE OF DES PLAINES LLC
2025-04-10THE PEARL OF DOWNERS GROVE———145PEARL OF DOWNERS GROVE LLC
2025-04-01La Bella of Mascoutah———76MASCOUTAH REHAB AND NURSING LLC
2025-04-01MONMOUTH REHAB AND NURSING———58MONMOUTH REHAB AND NURSING LLC
2025-03-05GOLDWATER CARE CLINTON———134GOLDWATER CARE CLINTON LLC
2025-03-01THE HAVEN OF BRIDGEPORT———99HAVEN OF BRIDGEPORT LLC
2025-03-01CASS COUNTY SENIOR LIVING & REHABILITATION LLC———71CASS COUNTY SENIOR LIVING & REHABILITATION LLC
2025-03-01Avantara Joliet———154PRIME HEALTHCARE SENIOR LIVING, LLC
2025-03-01THE HAVEN OF ST. ELMO———60HAVEN OF ST. ELMO LLC
2025-02-01Arc at Sangamon Valley———171ARC AT SANGAMON VALLEY LLC
2025-02-01ARC AT HICKORY POINT———64ARC AT HICKORY POINT LLC
2024-12-17WYNSCAPE HEALTH & REHAB———209NELP-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
GeoKindBRAmountAs ofSource
county 17031acs median gross0$1,2302024-12-31CENSUS_ACS5
county 17031fmr0$1,4802025-10-01HUD_USER_FMR
county 17031acs median gross1$1,2712024-12-31CENSUS_ACS5
county 17031fmr1$1,5812025-10-01HUD_USER_FMR
county 17031acs median gross2$1,4542024-12-31CENSUS_ACS5
county 17031fmr2$1,7812025-10-01HUD_USER_FMR
county 17031acs median gross3$1,6932024-12-31CENSUS_ACS5
county 17031fmr3$2,2942025-10-01HUD_USER_FMR
county 17031acs median gross4$1,9092024-12-31CENSUS_ACS5
county 17031fmr4$2,6532025-10-01HUD_USER_FMR
county 17031acs median gross5$1,7942024-12-31CENSUS_ACS5
county 17031acs median gross$1,4352024-12-31CENSUS_ACS5
county 17031acs recent mover gross$1,7522024-12-31CENSUS_ACS5
zcta 60443acs median gross1$3472024-12-31CENSUS_ACS5
zcta 60443acs median gross2$1,3962024-12-31CENSUS_ACS5
zcta 60443acs median gross3$1,9632024-12-31CENSUS_ACS5
zcta 60443acs median gross4$2,3892024-12-31CENSUS_ACS5
zcta 60443acs median gross$1,4802024-12-31CENSUS_ACS5
zip 60443payment standard 1100$1,8262025-10-01HUD_USER_SAFMR
zip 60443payment standard 900$1,4942025-10-01HUD_USER_SAFMR
zip 60443safmr0$1,6602025-10-01HUD_USER_SAFMR
zip 60443payment standard 1101$1,9582025-10-01HUD_USER_SAFMR
zip 60443payment standard 901$1,6022025-10-01HUD_USER_SAFMR
zip 60443safmr1$1,7802025-10-01HUD_USER_SAFMR
zip 60443payment standard 1102$2,2002025-10-01HUD_USER_SAFMR
zip 60443payment standard 902$1,8002025-10-01HUD_USER_SAFMR
zip 60443safmr2$2,0002025-10-01HUD_USER_SAFMR
zip 60443payment standard 1103$2,8382025-10-01HUD_USER_SAFMR
zip 60443payment standard 903$2,3222025-10-01HUD_USER_SAFMR
zip 60443safmr3$2,5802025-10-01HUD_USER_SAFMR
zip 60443payment standard 1104$3,2782025-10-01HUD_USER_SAFMR
zip 60443payment standard 904$2,6822025-10-01HUD_USER_SAFMR
zip 60443safmr4$2,9802025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · Generations at Applewood (145781) · generated 2026-08-05 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency