Composite
64.4 / 100 percentile
Screener / 145911
C
GOLDWATER CARE GIBSON CITY
snfIL
620 EAST FIRST STREET, GIBSON CITY, IL 60936 · CCN 145911 · chain YOSEF MEYSTEL DELTA TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
60
Model
v1.2
Reads as: riskier than 64.4% 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 radar1Staffing16Penalties8Deficiencies75Licensure0Ownership43Related party6Transactions1Comps12Market rent30
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 92.6 | 90.3 | 0.30 | 0.2308 | 21.37 | in index |
| financial risk | 59.6 | 52.0 | 0.30 | 0.2308 | 13.75 | in index |
| staffing risk | 45.9 | 45.9 | 0.25 | 0.1923 | 8.83 | in index |
| billing conduct | 23.4 | 27.9 | 0.30 | 0.2308 | 5.40 | in index |
| chow risk | 38.3 | 36.7 | 0.15 | 0.1154 | 4.42 | 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 | +32.8 vs natl | SEITLER DOVID | 35 facilities |
| 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 | +29.8 vs natl | APERION CARE EXEC HOLDINGS LLC | 26 facilities |
| connection | Owner fleet risk far above national | +29.7 vs natl | CHASE OFFICE LLC | 82 facilities |
| connection | Owner fleet risk far above national | +29.0 vs natl | JOSHUA HOFFMAN TRUST | 22 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 | +28.1 vs natl | DAVID A BERKOWITZ REVOC TR DAVID BERKOWITZ TTEE | 21 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 | +24.4 vs natl | YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE | 21 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 | MEYSTEL YOSEF | 73 facilities |
| connection | Owner spans multiple chains | 8 chains | CURIS SERVICES LLC | 81 facilities |
| connection | Owner spans multiple chains | 8 chains | BERKOWITZ DAVID | 73 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 | 27.9 | 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 | 48.4 | C | v0.6 | default · in composite | |
| financial risk | 52.0 | C | 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 | 0.0 | — | 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 | 90.3 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 45.9 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 93.4 | 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 | 73.4 | 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 | 61.1 | 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 | 53.6 | 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 | 90.2 | 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 | 90.2 | 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 | 45.9 | C | 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 | 45.9 | C | 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
12.1
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) | 3.08 | -1.55 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.90 | -0.58 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.53 | +0.35 | |
| Contract staffing share | 0.24 | +0.28 |
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 | |
|---|---|---|---|
| Chain size (log) | 3.53 | -0.85 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.90 | -0.63 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Staffing trend, last 4 quarters | -0.60 | -0.30 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 3.08 | -0.25 | |
| 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 | 3.35 | 3.13 | 3.28 | 2.90–3.77 |
| RN | 0.30 | 0.49 | 0.39 | 0.25–0.58 |
| Weekend total | 3.28 | 2.93 | 3.11 | — |
| Weekday total | 3.38 | 3.23 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 53.9 | 3.35 | 0.30 | 0.62 | 2.43 | 3.28 | 24.1% |
| 2025Q3 | 92 | 53.1 | 3.29 | 0.43 | 0.50 | 2.36 | 3.23 | 19.7% |
| 2025Q2 | 91 | 54.1 | 3.33 | 0.45 | 0.54 | 2.34 | 3.34 | 20.1% |
| 2025Q1 | 90 | 54.0 | 3.21 | 0.46 | 0.50 | 2.25 | 3.09 | 17.2% |
| 2024Q4 | 92 | 53.5 | 3.95 | 0.62 | 0.50 | 2.83 | 4.13 | 34.4% |
| 2024Q3 | 92 | 54.4 | 3.59 | 0.56 | 0.47 | 2.57 | 3.47 | 19.9% |
| 2024Q2 | 91 | 58.7 | 3.06 | 0.47 | 0.36 | 2.23 | 2.99 | 12.6% |
| 2024Q1 | 91 | 56.2 | 3.09 | 0.39 | 0.44 | 2.26 | 3.08 | 15.9% |
| 2023Q4 | 92 | 54.7 | 3.00 | 0.35 | 0.49 | 2.16 | 2.93 | 22.1% |
| 2023Q3 | 92 | 52.2 | 2.91 | 0.45 | 0.38 | 2.08 | 2.86 | 18.2% |
| 2023Q2 | 91 | 51.3 | 2.57 | 0.42 | 0.16 | 1.98 | 2.43 | 12.8% |
| 2023Q1 | 90 | 52.1 | 3.11 | 0.58 | 0.21 | 2.31 | 3.03 | 6.9% |
| 2022Q4 | 92 | 51.2 | 3.36 | 0.58 | 0.34 | 2.44 | 3.23 | 23.0% |
| 2022Q3 | 92 | 52.5 | 3.52 | 0.47 | 0.52 | 2.53 | 3.29 | 26.9% |
| 2022Q2 | 91 | 51.0 | 3.16 | 0.52 | 0.40 | 2.24 | 2.99 | 27.3% |
| 2022Q1 | 90 | 53.2 | 2.94 | 0.47 | 0.31 | 2.16 | 2.81 | 27.7% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
8fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-03-28 | Payment Denial | — | CMS provider data |
| 2024-09-26 | Fine | $59,827 | CMS provider data |
| 2024-09-26 | Payment Denial | — | CMS provider data |
| 2023-08-14 | Fine | $2,447 | CMS provider data |
| 2023-08-07 | Fine | $2,117 | CMS provider data |
| 2023-07-24 | Fine | $15,971 | CMS provider data |
| 2023-07-24 | Payment Denial | — | CMS provider data |
| 2023-07-17 | Fine | $4,233 | CMS provider data |
Total fines on record: $84,595
Deficiencies
75D × 32E × 24F × 12G × 6J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-20 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2026-03-21 |
| 2026-02-19 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-02-20 |
| 2025-12-23 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2025-12-24 |
| 2025-12-23 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-12-24 |
| 2025-12-23 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | 2025-12-24 |
| 2025-12-23 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-12-24 |
| 2025-09-14 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-09-15 |
| 2025-05-08 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-05-29 |
| 2025-05-08 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-07-01 |
| 2025-05-08 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2025-07-01 |
| 2025-05-08 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-07-03 |
| 2025-05-08 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-07-01 |
| 2025-03-28 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-03-31 |
| 2025-03-28 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-03-31 |
| 2024-10-23 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-10-24 |
| 2024-10-01 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-10-02 |
| 2024-09-26 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | J | 2024-09-27 |
| 2024-09-26 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2024-09-27 |
| 2024-07-09 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-07-13 |
| 2024-07-09 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-07-13 |
| 2024-07-09 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-07-13 |
| 2024-07-03 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-07-06 |
| 2024-07-03 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | F | 2024-07-06 |
| 2024-07-03 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | F | 2024-07-06 |
| 2024-07-03 | Health · complaint | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | 2024-07-06 |
| 2024-07-03 | Health · complaint | F0946 | Provide training in compliance and ethics. | F | 2024-07-06 |
| 2024-07-03 | Health · complaint | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | 2024-07-06 |
| 2024-04-24 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-04-26 |
| 2024-03-19 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2024-03-28 |
| 2024-03-19 | 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 | 2024-03-28 |
| 2024-03-19 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-03-28 |
| 2024-02-06 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-02-20 |
| 2024-02-06 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-02-20 |
| 2024-02-06 | 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 | 2024-02-20 |
| 2024-02-06 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-02-20 |
| 2024-02-06 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-02-20 |
| 2024-02-06 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-02-20 |
| 2024-02-06 | Health | F0688 | Provide 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. | D | 2024-02-20 |
| 2024-02-06 | 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 | 2024-02-20 |
| 2024-02-06 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2024-02-20 |
| 2024-02-06 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2024-02-20 |
| 2024-02-06 | 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 | 2024-02-20 |
| 2024-02-06 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-02-20 |
| 2023-10-18 | 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 | 2023-11-16 |
| 2023-10-18 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-11-16 |
| 2023-10-18 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-11-17 |
| 2023-09-01 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2023-09-04 |
| 2023-08-16 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2023-11-16 |
| 2023-08-16 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-11-17 |
| 2023-07-24 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | E | 2023-08-15 |
| 2023-06-13 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2023-06-28 |
| 2023-02-16 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2023-03-15 |
| 2023-02-16 | Health | F0578 | Honor 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. | D | 2023-03-15 |
| 2023-02-16 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2023-03-15 |
| 2023-02-16 | 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 | 2023-03-15 |
| 2023-02-16 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-03-15 |
| 2023-02-16 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-03-15 |
| 2023-02-16 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-03-15 |
| 2023-02-16 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-03-15 |
| 2023-02-16 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2023-03-15 |
| 2023-02-16 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | 2023-03-15 |
| 2023-02-16 | 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. | E | 2023-03-15 |
| 2023-02-16 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2023-03-15 |
| 2023-02-16 | 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 | 2023-03-15 |
| 2023-02-16 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | 2023-03-15 |
| 2023-02-16 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-03-15 |
| 2023-02-16 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2023-03-15 |
| 2023-02-16 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2023-03-15 |
| 2023-02-16 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2023-03-15 |
| 2023-02-16 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2023-03-15 |
| 2023-02-16 | Health | F0885 | Report COVID19 data to residents and families. | F | 2023-03-15 |
| 2023-02-16 | Health | F0886 | Perform COVID19 testing on residents and staff. | F | 2023-03-15 |
| 2023-02-16 | 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. | E | 2023-03-15 |
| 2023-02-16 | Health | F0888 | Ensure staff are vaccinated for COVID-19 | F | 2023-03-15 |
| 2023-02-16 | Health | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | 2023-03-15 |
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
43| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| 620 E 1ST ST | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| 620 E 1ST ST | Individual has financial interest in both related organization and provider | — | 2023-07-01 | current | hcris_a_8_1 |
| 620 E. 1ST ST., LLC | ADP OF THE SNF | — | 2025-03-19 | current | pecos_ownership |
| ALI, BASIL | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | current | pecos_ownership |
| APERION CARE EXEC HOLDINGS LLC | ADP OF THE SNF | — | 2023-07-01 | current | pecos_ownership |
| BANE, LINDA | MANAGING CONTROL - GOVERNING BODY | — | 2023-07-01 | current | pecos_ownership |
| BERKOWITZ, DAVID | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-03-19 | current | pecos_ownership |
| CHASE OFFICE LLC | Individual has financial interest in both related organization and provider | — | 2023-07-01 | 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 | — | 2023-07-01 | current | pecos_ownership |
| DAVID A BERKOWITZ DELTA TRUST | ADP OF THE SNF | — | 2023-07-01 | current | pecos_ownership |
| DAVID A BERKOWITZ REVOC TR DAVID BERKOWITZ TTEE | ADP OF THE SNF | — | 2023-07-01 | current | pecos_ownership |
| GOLDFARB, BRIAN | DIRECT OWNERSHIP INTEREST | — | 2023-07-01 | current | pecos_ownership |
| GOLDWATER CARE MANAGEMENT LLC | ADP OF THE SNF | — | 2025-03-19 | current | pecos_ownership |
| GOLDWATER CARE MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | current | pecos_ownership |
| HEARN, MARY | MANAGING CONTROL - GOVERNING BODY | — | 2023-07-01 | current | pecos_ownership |
| JOSHUA HOFFMAN TRUST | ADP OF THE SNF | — | 2023-07-01 | current | pecos_ownership |
| KATZENSTEIN, MEIR | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | current | pecos_ownership |
| MEYSTEL, YOSEF | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2026-02-12 | current | pecos_ownership |
| SEITLER, DOVID | ADP OF THE SNF | — | 2023-07-01 | current | pecos_ownership |
| SPECTOR, JENNIFER | ADP OF THE SNF | — | 2023-07-01 | current | pecos_ownership |
| STACHOWIAK, MELISSA | MANAGING CONTROL - GOVERNING BODY | — | 2023-07-01 | current | pecos_ownership |
| TUROFSKY, STEVEN | ADP OF THE SNF | — | 2023-07-01 | current | pecos_ownership |
| TVERSKY, AARON | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | current | pecos_ownership |
| WILHELM, NAFTALI | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | current | pecos_ownership |
| YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE | ADP OF THE SNF | — | 2023-07-01 | current | pecos_ownership |
| YOSEF MEYSTEL DELTA TRUST | ADP OF THE SNF | — | 2023-07-01 | current | pecos_ownership |
| JENNIFER SPECTOR | CORPORATE OFFICER | 100% | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| AARON TVERSKY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 35% | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| MEIR KATZENSTEIN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 35% | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| BRIAN GOLDFARB | DIRECT OWNERSHIP INTEREST | 1% | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| BASIL ALI | ADP OF THE SNF | — | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| DOVID SEITLER | ADP OF THE SNF | — | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| H.M. REAL ESTATE LLC | Corporation, partnership or other organization has financial interest in provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| H.M. REAL ESTATE LLC | Corporation, partnership or other organization has financial interest in provider | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| H.M. REAL ESTATE LLC | Corporation, partnership or other organization has financial interest in provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| H.M. REAL ESTATE LLC | Corporation, partnership or other organization has financial interest in provider | — | 2023-01-01 | ended 2023-06-30 | hcris_a_8_1 |
| JOSHUA HOFFMAN TR JOSHUA HOFFMAN TTEE | ADP OF THE SNF | — | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| LINDA BANE | MANAGING CONTROL - GOVERNING BODY | — | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| MARY HEARN | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| MELISSA STACHOWIAK | MANAGING CONTROL - GOVERNING BODY | — | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| NAFTALI WILHELM | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| STEVEN TUROFSKY | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | 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 |
|---|---|---|---|---|
| 2023-07-01 | — | GOLDWATER CARE GIBSON CITY LLC | HERITAGE MANOR - GIBSON CITY 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
30| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 17053 | fmr | 0 | $694 | 2025-10-01 | HUD_USER_FMR |
| county 17053 | acs median gross | 1 | $495 | 2024-12-31 | CENSUS_ACS5 |
| county 17053 | fmr | 1 | $698 | 2025-10-01 | HUD_USER_FMR |
| county 17053 | acs median gross | 2 | $791 | 2024-12-31 | CENSUS_ACS5 |
| county 17053 | fmr | 2 | $916 | 2025-10-01 | HUD_USER_FMR |
| county 17053 | acs median gross | 3 | $1,102 | 2024-12-31 | CENSUS_ACS5 |
| county 17053 | fmr | 3 | $1,274 | 2025-10-01 | HUD_USER_FMR |
| county 17053 | acs median gross | 4 | $1,105 | 2024-12-31 | CENSUS_ACS5 |
| county 17053 | fmr | 4 | $1,300 | 2025-10-01 | HUD_USER_FMR |
| county 17053 | acs median gross | 5 | $767 | 2024-12-31 | CENSUS_ACS5 |
| county 17053 | acs median gross | $923 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 60936 | acs median gross | 1 | $515 | 2024-12-31 | CENSUS_ACS5 |
| zcta 60936 | acs median gross | 2 | $922 | 2024-12-31 | CENSUS_ACS5 |
| zcta 60936 | acs median gross | 3 | $1,171 | 2024-12-31 | CENSUS_ACS5 |
| zcta 60936 | acs median gross | $945 | 2024-12-31 | CENSUS_ACS5 | |
| zip 60936 | payment standard 110 | 0 | $902 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60936 | payment standard 90 | 0 | $738 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60936 | safmr | 0 | $820 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60936 | payment standard 110 | 1 | $902 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60936 | payment standard 90 | 1 | $738 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60936 | safmr | 1 | $820 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60936 | payment standard 110 | 2 | $1,078 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60936 | payment standard 90 | 2 | $882 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60936 | safmr | 2 | $980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60936 | payment standard 110 | 3 | $1,419 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60936 | payment standard 90 | 3 | $1,161 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60936 | safmr | 3 | $1,290 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60936 | payment standard 110 | 4 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60936 | payment standard 90 | 4 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60936 | safmr | 4 | $1,300 | 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.