Composite
67.4 / 100 percentile
Screener / 155208
C
APERION CARE HANOVER
snfIN
410 W LAGRANGE RD, HANOVER, IN 47243 · CCN 155208 · chain DAVIESS COUNTY HOSPITAL
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
125
Model
v1.2
Reads as: riskier than 67.4% 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 signals23Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies57Licensure0Ownership33Related party5Transactions1Comps12Market rent32
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 90.2 | 87.8 | 0.30 | 0.2308 | 20.82 | in index |
| staffing risk | 70.1 | 70.1 | 0.25 | 0.1923 | 13.48 | in index |
| financial risk | 43.8 | 41.8 | 0.30 | 0.2308 | 10.11 | in index |
| billing conduct | 26.4 | 29.8 | 0.30 | 0.2308 | 6.09 | in index |
| chow risk | 38.4 | 36.8 | 0.15 | 0.1154 | 4.43 | 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
23| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +29.7 vs natl | CHASE OFFICE LLC | 82 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 | +26.3 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 | +24.3 vs natl | HOFFMAN JOSHUA | 16 facilities |
| connection | Owner fleet risk far above national | +21.9 vs natl | GOLDFARB BRIAN | 30 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 | 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 |
| connection | Owner fleet enforcement cluster | 60% fined | GOLDFARB BRIAN | 30 facilities |
| connection | Owner fleet enforcement cluster | 56% fined | HOFFMAN JOSHUA | 16 facilities |
| connection | Owner fleet enforcement cluster | 53% fined | SPECTOR JENNIFER | 93 facilities |
| connection | Owner fleet enforcement cluster | 52% fined | TUROFSKY STEVEN | 87 facilities |
| connection | Owner fleet enforcement cluster | 51% fined | MEYSTEL YOSEF | 77 facilities |
| connection | Owner fleet enforcement cluster | 51% fined | BERKOWITZ DAVID | 77 facilities |
| connection | Owner fleet enforcement cluster | 44% fined | CHASE OFFICE LLC | 82 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 | 29.8 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | 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 | 48.5 | C | v0.6 | default · in composite | |
| financial risk | 41.8 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.2 | — | 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 | 87.8 | 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 | 48.8 | C | 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 | 28.8 | B | 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 | 32.1 | B | 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 | 47.8 | 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 | 87.7 | 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 | 87.7 | 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)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
41.9
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 8.33 | -1.04 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.60 | +0.27 | |
| Chain size (log) | 2.89 | +0.21 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 13.00 | +0.14 |
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
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 13.00 | -0.98 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.60 | +0.61 | |
| Chain size (log) | 2.89 | -0.48 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Current owner tenure (years) | 8.33 | -0.17 |
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 | IN median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.98 | 2.85 | 3.28 | 2.90–3.77 |
| RN | 0.52 | 0.40 | 0.39 | 0.25–0.58 |
| Weekend total | 3.02 | 2.71 | 3.11 | — |
| Weekday total | 2.96 | 2.90 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 75.5 | 2.98 | 0.52 | 1.00 | 1.46 | 3.02 | 10.0% |
| 2025Q3 | 92 | 71.7 | 3.13 | 0.45 | 1.15 | 1.53 | 3.03 | 17.2% |
| 2025Q2 | 91 | 70.7 | 2.92 | 0.38 | 0.91 | 1.63 | 2.79 | 9.0% |
| 2025Q1 | 90 | 74.4 | 2.61 | 0.37 | 0.70 | 1.54 | 2.56 | 6.3% |
| 2024Q4 | 92 | 73.4 | 2.58 | 0.34 | 0.69 | 1.55 | 2.55 | 10.1% |
| 2024Q3 | 92 | 66.0 | 2.74 | 0.35 | 0.78 | 1.62 | 2.60 | 7.3% |
| 2024Q2 | 91 | 65.8 | 3.02 | 0.34 | 0.92 | 1.76 | 2.90 | 10.9% |
| 2024Q1 | 91 | 63.4 | 2.96 | 0.34 | 0.79 | 1.83 | 3.00 | 7.0% |
| 2023Q4 | 92 | 67.5 | 2.97 | 0.41 | 0.67 | 1.90 | 2.90 | 4.6% |
| 2023Q3 | 92 | 72.2 | 2.67 | 0.38 | 0.48 | 1.82 | 2.72 | 3.8% |
| 2023Q2 | 91 | 67.7 | 3.05 | 0.26 | 0.74 | 2.06 | 3.12 | 10.0% |
| 2023Q1 | 90 | 69.7 | 3.08 | 0.27 | 0.67 | 2.14 | 3.12 | 5.2% |
| 2022Q4 | 92 | 70.6 | 3.02 | 0.28 | 0.60 | 2.14 | 3.06 | 2.5% |
| 2022Q3 | 92 | 70.5 | 2.88 | 0.33 | 0.50 | 2.05 | 2.83 | 4.2% |
| 2022Q2 | 91 | 71.3 | 2.89 | 0.37 | 0.46 | 2.06 | 2.84 | 2.6% |
| 2022Q1 | 90 | 73.2 | 3.27 | 0.38 | 0.58 | 2.31 | 3.20 | 15.5% |
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
2| Date | Type | Fine | Source |
|---|---|---|---|
| 2023-09-27 | Fine | $53,874 | CMS provider data |
| 2023-09-27 | Payment Denial | — | CMS provider data |
Total fines on record: $53,874
Deficiencies
57D × 35E × 18F × 3J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-16 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2026-05-06 |
| 2026-04-16 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-05-06 |
| 2026-04-16 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2026-05-06 |
| 2026-04-16 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2026-05-06 |
| 2026-04-16 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2026-05-06 |
| 2026-04-16 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2026-05-06 |
| 2026-04-16 | 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 | 2026-05-06 |
| 2026-04-16 | 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. | E | 2026-05-06 |
| 2026-04-16 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-05-06 |
| 2026-03-12 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | D | 2026-04-03 |
| 2026-03-12 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2026-04-03 |
| 2025-08-29 | Health · complaint | 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 | 2025-11-19 |
| 2025-08-29 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-11-19 |
| 2025-06-27 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-06-25 |
| 2025-03-27 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | 2025-04-10 |
| 2025-03-27 | Health · complaint | 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. | E | 2025-04-10 |
| 2025-03-27 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-04-10 |
| 2025-03-27 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-04-10 |
| 2025-03-27 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-04-10 |
| 2025-03-27 | 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 | 2025-04-10 |
| 2025-03-27 | 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. | E | 2025-04-10 |
| 2025-03-27 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-04-10 |
| 2025-03-27 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-04-10 |
| 2025-03-27 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2025-04-10 |
| 2025-01-13 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2025-01-31 |
| 2024-09-04 | Health · complaint | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | 2024-09-13 |
| 2024-08-20 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-08-26 |
| 2024-07-18 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2024-07-31 |
| 2024-04-25 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-05-10 |
| 2024-04-25 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2024-05-10 |
| 2024-04-25 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-05-10 |
| 2024-04-25 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2024-05-10 |
| 2024-01-10 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-02-16 |
| 2024-01-10 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2024-02-16 |
| 2024-01-10 | Health | 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. | E | 2024-02-16 |
| 2024-01-10 | 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 | 2024-02-16 |
| 2024-01-10 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-02-16 |
| 2024-01-10 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2024-02-16 |
| 2024-01-10 | 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 | 2024-02-16 |
| 2024-01-10 | Health | F0732 | Post nurse staffing information every day. | D | 2024-02-16 |
| 2024-01-10 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-02-16 |
| 2024-01-10 | 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 | 2024-02-16 |
| 2024-01-10 | 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 | 2024-02-16 |
| 2024-01-10 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-02-16 |
| 2024-01-10 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2024-02-16 |
| 2024-01-10 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2024-02-16 |
| 2023-11-20 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2023-12-13 |
| 2023-11-20 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2023-12-13 |
| 2023-09-27 | Health · complaint | F0564 | Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | E | 2023-12-13 |
| 2023-09-27 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2023-12-13 |
| 2023-09-27 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | E | 2023-12-13 |
| 2023-09-27 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-12-13 |
| 2023-09-27 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2023-12-13 |
| 2023-09-27 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2023-12-13 |
| 2023-09-27 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-12-13 |
| 2023-09-27 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2023-12-13 |
| 2023-09-27 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2023-12-13 |
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
33| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| DAVIESS COUNTY HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2018-04-01 | current | pecos_ownership |
| 410 W LAGRANGE | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| APERION CARE HANOVER, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | current | pecos_ownership |
| APERION CARE INC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | current | pecos_ownership |
| BERKOWITZ, DAVID | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | current | pecos_ownership |
| CHASE OFFICE LLC | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| CONROY, TRACY | CORPORATE OFFICER | — | 2018-04-01 | current | pecos_ownership |
| GOLDFARB, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | current | pecos_ownership |
| HOFFMAN, JOSHUA | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | current | pecos_ownership |
| JENKINS, STEFANIE | CONTRACTED MANAGING EMPLOYEE | — | 2024-03-01 | current | pecos_ownership |
| MEACHAM, DAWN | CONTRACTED MANAGING EMPLOYEE | — | 2024-03-01 | current | pecos_ownership |
| MEYSTEL, JAY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | current | pecos_ownership |
| MEYSTEL, YOSEF | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | current | pecos_ownership |
| SPECTOR, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | current | pecos_ownership |
| STEINER, DERON | CORPORATE DIRECTOR | — | 2018-04-01 | current | pecos_ownership |
| SUMMIT PROPCO | Other (financial or non-financial) | — | 2023-01-01 | current | hcris_a_8_1 |
| TUROFSKY, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | current | pecos_ownership |
| ULBERT, LISA | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | current | pecos_ownership |
| BRIAN GOLDFARB | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2024-03-01 | ended 2026-05-18 | pecos_ownership |
| DAVID BERKOWITZ | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2024-03-01 | ended 2026-05-18 | pecos_ownership |
| DAWN MEACHAM | CONTRACTED MANAGING EMPLOYEE | 100% | 2024-03-01 | ended 2026-05-18 | pecos_ownership |
| DERON STEINER | CORPORATE DIRECTOR | 100% | 2018-04-01 | ended 2026-05-18 | pecos_ownership |
| JAY MEYSTEL | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2024-03-01 | ended 2026-05-18 | pecos_ownership |
| JENNIFER SPECTOR | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2024-03-01 | ended 2026-05-18 | pecos_ownership |
| JOSHUA HOFFMAN | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2024-03-01 | ended 2026-05-18 | pecos_ownership |
| LISA ULBERT | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2024-03-01 | ended 2026-05-18 | pecos_ownership |
| STEFANIE JENKINS | CONTRACTED MANAGING EMPLOYEE | 100% | 2024-03-01 | ended 2026-05-18 | pecos_ownership |
| STEVEN TUROFSKY | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2024-03-01 | ended 2026-05-18 | pecos_ownership |
| TRACY CONROY | CORPORATE OFFICER | 100% | 2018-04-01 | ended 2026-05-18 | pecos_ownership |
| YOSEF MEYSTEL | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2024-03-01 | ended 2026-05-18 | pecos_ownership |
| SUMMIT PROPCO | Other (financial or non-financial) | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| SUMMIT PROPCO | Other (financial or non-financial) | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| SUMMIT PROPCO | Other (financial or non-financial) | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
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 |
|---|---|---|---|---|
| 2018-04-01 | — | DAVIESS COUNTY HOSPITAL | WITHAM MEMORIAL HOSPITAL | chow |
Comparable trades — IN snf
12| 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
32| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 18077 | fmr | 0 | $669 | 2025-10-01 | HUD_USER_FMR |
| county 18077 | acs median gross | 1 | $672 | 2024-12-31 | CENSUS_ACS5 |
| county 18077 | fmr | 1 | $818 | 2025-10-01 | HUD_USER_FMR |
| county 18077 | acs median gross | 2 | $896 | 2024-12-31 | CENSUS_ACS5 |
| county 18077 | fmr | 2 | $971 | 2025-10-01 | HUD_USER_FMR |
| county 18077 | acs median gross | 3 | $1,048 | 2024-12-31 | CENSUS_ACS5 |
| county 18077 | fmr | 3 | $1,201 | 2025-10-01 | HUD_USER_FMR |
| county 18077 | acs median gross | 4 | $1,313 | 2024-12-31 | CENSUS_ACS5 |
| county 18077 | fmr | 4 | $1,524 | 2025-10-01 | HUD_USER_FMR |
| county 18077 | acs median gross | $890 | 2024-12-31 | CENSUS_ACS5 | |
| county 18077 | acs recent mover gross | $927 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 47243 | acs median gross | 1 | $732 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47243 | acs median gross | 2 | $884 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47243 | acs median gross | 3 | $1,148 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47243 | acs median gross | 4 | $1,633 | 2024-12-31 | CENSUS_ACS5 |
| zcta 47243 | acs median gross | $908 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 47243 | acs recent mover gross | $886 | 2024-12-31 | CENSUS_ACS5 | |
| zip 47243 | payment standard 110 | 0 | $880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47243 | payment standard 90 | 0 | $720 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47243 | safmr | 0 | $800 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47243 | payment standard 110 | 1 | $968 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47243 | payment standard 90 | 1 | $792 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47243 | safmr | 1 | $880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47243 | payment standard 110 | 2 | $1,177 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47243 | payment standard 90 | 2 | $963 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47243 | safmr | 2 | $1,070 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47243 | payment standard 110 | 3 | $1,529 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47243 | payment standard 90 | 3 | $1,251 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47243 | safmr | 3 | $1,390 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47243 | payment standard 110 | 4 | $1,815 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47243 | payment standard 90 | 4 | $1,485 | 2025-10-01 | HUD_USER_SAFMR |
| zip 47243 | safmr | 4 | $1,650 | 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.