Composite
86.4 / 100 percentile
Screener / 145295
D
Goldwater Care Marseilles
snfIL
578 WEST COMMERCIAL STREET, MARSEILLES, IL 61341 · CCN 145295 · chain YOSEF MEYSTEL DELTA TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
103
Model
v1.2
Reads as: riskier than 86.4% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5ML signals25Components16CHOW radar1Distress radar1Staffing16Penalties5Deficiencies52Licensure0Ownership50Related party6Transactions1Comps12Market rent34
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 88.4 | 85.8 | 0.30 | 0.2308 | 20.40 | in index |
| billing conduct | 60.0 | 43.5 | 0.30 | 0.2308 | 13.85 | in index |
| staffing risk | 70.1 | 70.1 | 0.25 | 0.1923 | 13.48 | in index |
| financial risk | 55.9 | 49.5 | 0.30 | 0.2308 | 12.90 | in index |
| chow risk | 29.9 | 31.3 | 0.15 | 0.1154 | 3.45 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
25| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +32.7 vs natl | YOSEF MEYSTEL DELTA TRUST | 39 facilities |
| connection | Owner fleet risk far above national | +32.3 vs natl | DAVID A BERKOWITZ DELTA TRUST | 38 facilities |
| connection | Owner fleet risk far above national | +29.7 vs natl | CHASE OFFICE LLC | 82 facilities |
| connection | Owner fleet risk far above national | +28.7 vs natl | WILHELM NAFTALI | 81 facilities |
| connection | Owner fleet risk far above national | +28.2 vs natl | CURIS SERVICES LLC | 85 facilities |
| connection | Owner fleet risk far above national | +28.1 vs natl | TUROFSKY STEVEN | 87 facilities |
| connection | Owner fleet risk far above national | +27.4 vs natl | SPECTOR JENNIFER | 93 facilities |
| connection | Owner fleet risk far above national | +25.4 vs natl | FRANKEL FREDERICK | 15 facilities |
| connection | Owner fleet risk far above national | +23.8 vs natl | SIDDIQUI MOHAMMED | 7 facilities |
| connection | Owner fleet risk far above national | +23.6 vs natl | GOLDWATER CARE MANAGEMENT LLC | 11 facilities |
| connection | Owner fleet risk far above national | +22.7 vs natl | STACHOWIAK MELISSA | 10 facilities |
| connection | Owner fleet risk far above national | +22.7 vs natl | TVERSKY AARON | 10 facilities |
| connection | Owner fleet risk far above national | +21.9 vs natl | GOLDFARB BRIAN | 30 facilities |
| connection | Owner fleet risk far above national | +20.8 vs natl | KATZENSTEIN MEIR | 9 facilities |
| connection | Owner spans multiple chains | 13 chains | CHASE OFFICE LLC | 75 facilities |
| connection | Owner spans multiple chains | 9 chains | SPECTOR JENNIFER | 90 facilities |
| connection | Owner spans multiple chains | 9 chains | TUROFSKY STEVEN | 84 facilities |
| connection | Owner spans multiple chains | 8 chains | CURIS SERVICES LLC | 81 facilities |
| connection | Owner spans multiple chains | 8 chains | WILHELM NAFTALI | 78 facilities |
| connection | Owner spans multiple chains | 5 chains | FRANKEL FREDERICK | 15 facilities |
| connection | Owner spans multiple chains | 5 chains | SIDDIQUI MOHAMMED | 5 facilities |
| connection | Owner spans multiple chains | 5 chains | DAVID A BERKOWITZ DELTA TRUST | 36 facilities |
| connection | Owner spans multiple chains | 5 chains | YOSEF MEYSTEL DELTA TRUST | 37 facilities |
| connection | Owner fleet enforcement cluster | 73% fined | GOLDWATER CARE MANAGEMENT LLC | 11 facilities |
| connection | Owner fleet enforcement cluster | 70% fined | TVERSKY AARON | 10 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 | 43.5 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.7 | A | 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 | 37.8 | B | v0.6 | default · in composite | |
| financial risk | 49.5 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 1.4 | — | 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 | 0.0 | — | 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 | 85.8 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 70.1 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 89.2 | F | 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 | 69.2 | D | 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 | 47.3 | 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 | 54.1 | 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 | 85.8 | 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 | 85.8 | 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 | 70.1 | 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 | 70.1 | 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
1.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 1.99 | -1.65 | |
| Never sold on record | 0.00 | -1.62 | |
| For-profit ownership | 0.00 | -1.24 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.57 | +0.37 | |
| Chain size (log) | 3.53 | +0.35 | |
| Contract staffing share | 0.21 | +0.23 |
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)
1.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
88.2
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | +1.62 | |
| Deficiencies, last 12 months | 1.00 | +1.24 | |
| Chain size (log) | 3.53 | -0.85 | |
| Occupancy | 0.57 | +0.76 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 1.99 | -0.27 | |
| 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
16| 2025Q4 HPRD | This facility | IL median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.98 | 3.13 | 3.28 | 2.90–3.77 |
| RN | 0.59 | 0.49 | 0.39 | 0.25–0.58 |
| Weekend total | 2.85 | 2.93 | 3.11 | — |
| Weekday total | 3.04 | 3.23 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 58.6 | 2.98 | 0.59 | 0.40 | 1.99 | 2.85 | 21.4% |
| 2025Q3 | 92 | 61.3 | 3.16 | 0.67 | 0.43 | 2.06 | 2.92 | 15.7% |
| 2025Q2 | 91 | 65.8 | 2.99 | 0.74 | 0.25 | 2.00 | 2.85 | 12.9% |
| 2025Q1 | 90 | 71.6 | 2.92 | 0.67 | 0.21 | 2.05 | 2.84 | 12.0% |
| 2024Q4 | 92 | 77.8 | 2.82 | 0.60 | 0.24 | 1.98 | 2.61 | 23.4% |
| 2024Q3 | 92 | 76.6 | 2.81 | 0.37 | 0.45 | 1.99 | 2.56 | 21.1% |
| 2024Q2 | 91 | 73.6 | 2.83 | 0.42 | 0.48 | 1.93 | 2.65 | 21.8% |
| 2024Q1 | 91 | 74.9 | 2.81 | 0.46 | 0.47 | 1.89 | 2.55 | 24.8% |
| 2023Q4 | 92 | 74.4 | 2.85 | 0.44 | 0.48 | 1.93 | 2.55 | 27.8% |
| 2023Q3 | 92 | 73.1 | 2.85 | 0.45 | 0.39 | 2.00 | 2.50 | 19.6% |
| 2023Q2 | 91 | 75.0 | 2.57 | 0.33 | 0.44 | 1.80 | 2.11 | 13.8% |
| 2023Q1 | 90 | 72.5 | 2.62 | 0.37 | 0.47 | 1.78 | 2.25 | 15.7% |
| 2022Q4 | 92 | 67.4 | 2.87 | 0.37 | 0.50 | 2.00 | 2.46 | 15.3% |
| 2022Q3 | 92 | 72.4 | 2.77 | 0.67 | 0.27 | 1.82 | 2.27 | 15.5% |
| 2022Q2 | 91 | 72.4 | 2.35 | 0.53 | 0.29 | 1.53 | 2.13 | 11.4% |
| 2022Q1 | 90 | 75.5 | 2.14 | 0.55 | 0.19 | 1.40 | 2.04 | 7.3% |
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
5fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-04-10 | Fine | $14,505 | CMS provider data |
| 2025-02-14 | Fine | $15,132 | CMS provider data |
| 2024-05-02 | Fine | $197,728 | CMS provider data |
| 2023-06-23 | Fine | $43,887 | CMS provider data |
| 2023-06-23 | Payment Denial | — | CMS provider data |
Total fines on record: $271,252
Deficiencies
52B × 3D × 37E × 3F × 2G × 5J × 1K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-08 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-02-09 |
| 2025-07-09 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2025-07-10 |
| 2025-06-20 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-06-23 |
| 2025-04-10 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-04-11 |
| 2025-03-05 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-03-06 |
| 2025-02-27 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-03-12 |
| 2025-02-14 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-02-17 |
| 2025-01-09 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2025-01-10 |
| 2024-09-13 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | E | 2024-09-16 |
| 2024-08-05 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-08-06 |
| 2024-06-14 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-06-19 |
| 2024-06-14 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-06-19 |
| 2024-06-14 | 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 | 2024-06-19 |
| 2024-06-14 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-06-19 |
| 2024-06-14 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-06-19 |
| 2024-06-14 | 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 | 2024-06-19 |
| 2024-05-02 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2024-05-03 |
| 2024-05-02 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2024-05-03 |
| 2024-03-19 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-03-20 |
| 2024-02-29 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-03-14 |
| 2024-02-06 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-02-23 |
| 2023-11-14 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-11-16 |
| 2023-11-14 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2023-11-15 |
| 2023-11-14 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2023-11-20 |
| 2023-10-11 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-10-15 |
| 2023-07-24 | 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 | 2023-07-25 |
| 2023-07-24 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-07-25 |
| 2023-06-23 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-07-25 |
| 2023-06-23 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2023-07-21 |
| 2023-06-23 | Health | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | F | 2023-07-21 |
| 2023-06-23 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2023-07-21 |
| 2023-06-23 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | 2023-07-21 |
| 2023-06-23 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | B | 2023-07-21 |
| 2023-06-23 | 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 | 2023-07-21 |
| 2023-06-23 | 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 | 2023-07-25 |
| 2023-06-23 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-07-21 |
| 2023-06-23 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-07-21 |
| 2023-06-23 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-07-21 |
| 2023-06-23 | 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. | D | 2023-07-25 |
| 2023-06-23 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2023-07-21 |
| 2023-06-23 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-07-21 |
| 2023-06-23 | 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 | 2023-07-21 |
| 2023-06-23 | 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. | D | 2023-07-21 |
| 2023-06-23 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-07-21 |
| 2022-04-29 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2022-05-20 |
| 2022-04-29 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2022-05-20 |
| 2022-04-29 | Health | F0641 | Ensure each resident receives an accurate assessment. | B | 2022-05-20 |
| 2022-04-29 | 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 | 2022-05-20 |
| 2022-04-29 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-05-20 |
| 2022-04-29 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | 2022-05-20 |
| 2022-04-29 | 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 | 2022-05-20 |
| 2022-04-29 | 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 | 2022-05-20 |
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
50| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| HTI INVESTOR GROUP, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2024-08-01 | current | pecos_ownership |
| 578 W COMMERCIAL ST | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| 578 W COMMERCIAL ST LLC | ADP OF THE SNF | — | 2024-08-01 | current | pecos_ownership |
| ACI EQUITIES, LLC | ADP OF THE SNF | — | 2024-08-01 | current | pecos_ownership |
| CHASE OFFICE LLC | Individual has financial interest in both related organization and provider | — | 2023-01-01 | current | hcris_a_8_1 |
| CHASE OFFICE LLC | Individual has financial interest in both related organization and provider | — | 2023-08-01 | current | hcris_a_8_1 |
| CHASE OFFICE LLC | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| CURIS SERVICES LLC | ADP OF THE SNF | — | 2024-08-01 | current | pecos_ownership |
| DAVID A BERKOWITZ DELTA TRUST | ADP OF THE SNF | — | 2024-08-01 | current | pecos_ownership |
| FRANKEL, FREDERICK | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-12-11 | current | pecos_ownership |
| FRIEDMAN, RIFKA | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-12-16 | current | pecos_ownership |
| GOLDENBERG, HAROLD | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-12-17 | current | pecos_ownership |
| GOLDFARB, BRIAN | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-12-11 | current | pecos_ownership |
| GOLDWATER CARE MANAGEMENT LLC | ADP OF THE SNF | — | 2025-07-17 | current | pecos_ownership |
| GOLDWATER CARE MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | current | pecos_ownership |
| JACK YOLINSKY REVOCABLE TRUST AGREEMENT DATED 2/18/11 | ADP OF THE SNF | — | 2024-08-01 | current | pecos_ownership |
| KAHAN, JEROME | ADP OF THE SNF | — | 2024-08-01 | current | pecos_ownership |
| KATZENSTEIN, MEIR | ADP OF THE SNF | — | 2024-08-01 | current | pecos_ownership |
| LEINER, JOSHUA | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-12-18 | current | pecos_ownership |
| LEINER, YISROEL | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2026-01-02 | current | pecos_ownership |
| RAPOPORT, YITZCHOK | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-12-16 | current | pecos_ownership |
| RIOS, LORENA | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | current | pecos_ownership |
| ROBIN MILLER REVOCABLE TRUST | ADP OF THE SNF | — | 2024-08-01 | current | pecos_ownership |
| SAHRA AND DOV SEGAL | ADP OF THE SNF | — | 2024-08-01 | current | pecos_ownership |
| SALAMON, ISRAEL | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-12-16 | current | pecos_ownership |
| SALAMON, MARK | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-12-16 | current | pecos_ownership |
| SALAMON, NATHANIEL | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-12-16 | current | pecos_ownership |
| SIDDIQUI, MOHAMMED | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | current | pecos_ownership |
| SIMON, DAVID | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-12-16 | current | pecos_ownership |
| SPECTOR, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | current | pecos_ownership |
| STACHOWIAK, MELISSA | ADP OF THE SNF | — | 2024-08-01 | current | pecos_ownership |
| TAZ EQUITIES | ADP OF THE SNF | — | 2024-08-01 | current | pecos_ownership |
| TUROFSKY, STEVEN | ADP OF THE SNF | — | 2024-08-01 | current | pecos_ownership |
| TVERSKY, AARON | CORPORATE OFFICER | — | 2024-08-01 | current | pecos_ownership |
| WILHELM, NAFTALI | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | current | pecos_ownership |
| YOSEF MEYSTEL DELTA TRUST | ADP OF THE SNF | — | 2024-08-01 | current | pecos_ownership |
| AARON TVERSKY | CORPORATE OFFICER | 100% | 2024-08-01 | ended 2026-05-18 | pecos_ownership |
| MEIR KATZENSTEIN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 35% | 2024-08-01 | ended 2026-05-18 | pecos_ownership |
| YOSEF MEYSTEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2024-08-01 | ended 2026-05-18 | pecos_ownership |
| DAVID BERKOWITZ | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2024-08-01 | 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 |
| JENNIFER SPECTOR | ADP OF THE SNF | — | 2024-08-01 | ended 2026-05-18 | pecos_ownership |
| JEROME KAHAN | ADP OF THE SNF | — | 2024-08-01 | ended 2026-05-18 | pecos_ownership |
| LORENA RIOS | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | ended 2026-05-18 | pecos_ownership |
| MELISSA STACHOWIAK | ADP OF THE SNF | — | 2024-08-01 | ended 2026-05-18 | pecos_ownership |
| MOHAMMED SIDDIQUI | ADP OF THE SNF | — | 2024-08-01 | ended 2026-05-18 | pecos_ownership |
| NAFTALI WILHELM | ADP OF THE SNF | — | 2024-08-01 | ended 2026-05-18 | pecos_ownership |
| STEVEN TUROFSKY | ADP OF THE SNF | — | 2024-08-01 | 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 |
|---|---|---|---|---|
| 2024-08-01 | — | GOLDWATER CARE MARSEILLES LLC | APERION CARE MARSEILLES LLC | 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
34| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 17099 | acs median gross | 0 | $425 | 2024-12-31 | CENSUS_ACS5 |
| county 17099 | fmr | 0 | $772 | 2025-10-01 | HUD_USER_FMR |
| county 17099 | acs median gross | 1 | $659 | 2024-12-31 | CENSUS_ACS5 |
| county 17099 | fmr | 1 | $822 | 2025-10-01 | HUD_USER_FMR |
| county 17099 | acs median gross | 2 | $944 | 2024-12-31 | CENSUS_ACS5 |
| county 17099 | fmr | 2 | $1,079 | 2025-10-01 | HUD_USER_FMR |
| county 17099 | acs median gross | 3 | $1,148 | 2024-12-31 | CENSUS_ACS5 |
| county 17099 | fmr | 3 | $1,441 | 2025-10-01 | HUD_USER_FMR |
| county 17099 | acs median gross | 4 | $1,512 | 2024-12-31 | CENSUS_ACS5 |
| county 17099 | fmr | 4 | $1,701 | 2025-10-01 | HUD_USER_FMR |
| county 17099 | acs median gross | 5 | $1,652 | 2024-12-31 | CENSUS_ACS5 |
| county 17099 | acs median gross | $928 | 2024-12-31 | CENSUS_ACS5 | |
| county 17099 | acs recent mover gross | $979 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 61341 | acs median gross | 1 | $813 | 2024-12-31 | CENSUS_ACS5 |
| zcta 61341 | acs median gross | 2 | $1,057 | 2024-12-31 | CENSUS_ACS5 |
| zcta 61341 | acs median gross | 3 | $1,152 | 2024-12-31 | CENSUS_ACS5 |
| zcta 61341 | acs median gross | 4 | $1,663 | 2024-12-31 | CENSUS_ACS5 |
| zcta 61341 | acs median gross | $1,050 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 61341 | acs recent mover gross | $988 | 2024-12-31 | CENSUS_ACS5 | |
| zip 61341 | payment standard 110 | 0 | $979 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61341 | payment standard 90 | 0 | $801 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61341 | safmr | 0 | $890 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61341 | payment standard 110 | 1 | $1,045 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61341 | payment standard 90 | 1 | $855 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61341 | safmr | 1 | $950 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61341 | payment standard 110 | 2 | $1,364 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61341 | payment standard 90 | 2 | $1,116 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61341 | safmr | 2 | $1,240 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61341 | payment standard 110 | 3 | $1,826 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61341 | payment standard 90 | 3 | $1,494 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61341 | safmr | 3 | $1,660 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61341 | payment standard 110 | 4 | $2,145 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61341 | payment standard 90 | 4 | $1,755 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61341 | safmr | 4 | $1,950 | 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.