Composite
99.9 / 100 percentile
Screener / 145244
F
APERION CARE LAKESHORE
snfIL
7200 NORTH SHERIDAN ROAD, CHICAGO, IL 60626 · CCN 145244 · chain YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
313
Model
v1.2
Reads as: riskier than 99.9% 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 radar1Staffing16Penalties7Deficiencies95Licensure0Ownership41Related party6Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 98.7 | 97.9 | 0.30 | 0.2308 | 22.78 | in index |
| billing conduct | 88.5 | 58.5 | 0.30 | 0.2308 | 20.42 | in index |
| financial risk | 80.8 | 67.7 | 0.30 | 0.2308 | 18.65 | in index |
| staffing risk | 97.0 | 97.0 | 0.25 | 0.1923 | 18.65 | in index |
| chow risk | 58.6 | 56.9 | 0.15 | 0.1154 | 6.76 | 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 | +35.7 vs natl | MEIR MEYSTEL REVOCABLE | 8 facilities |
| connection | Owner fleet risk far above national | +35.2 vs natl | MEYSTEL MEIR | 15 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 | DAVID A BERKOWITZ REVOC TR DAVID BERKOWITZ TTEE | 21 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 | +25.9 vs natl | APERION CARE INC | 29 facilities |
| connection | Owner fleet risk far above national | +24.9 vs natl | PEDRE MANNY | 7 facilities |
| connection | Owner fleet risk far above national | +24.6 vs natl | ULBERT LISA | 30 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 | +23.0 vs natl | GUPTA VIVEK | 5 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 | ULBERT LISA | 29 facilities |
| connection | Owner spans multiple chains | 8 chains | APERION CARE INC | 28 facilities |
| connection | Owner spans multiple chains | 8 chains | WILHELM NAFTALI | 78 facilities |
| connection | Owner spans multiple chains | 8 chains | CURIS SERVICES LLC | 81 facilities |
| connection | Owner fleet enforcement cluster | 71% fined | PEDRE MANNY | 7 facilities |
| connection | Owner fleet enforcement cluster | 63% fined | MEIR MEYSTEL REVOCABLE | 8 facilities |
| connection | Owner fleet enforcement cluster | 60% fined | GUPTA VIVEK | 5 facilities |
| connection | Owner fleet enforcement cluster | 54% fined | WILHELM NAFTALI | 81 facilities |
| connection | Owner fleet enforcement cluster | 53% fined | MEYSTEL MEIR | 15 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 | 58.5 | C | 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 | 88.9 | F | v0.6 | default · in composite | |
| financial risk | 67.7 | D | 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 | 0.1 | — | 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 | 97.9 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 97.0 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 79.8 | D | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 59.8 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 60.0 | C | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 69.7 | D | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 97.9 | 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 | 97.9 | 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 | 97.0 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 97.0 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
28.2
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) | 5.08 | -1.35 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.80 | -0.30 | |
| Chain size (log) | 3.18 | +0.27 | |
| Facility size (log beds) | 5.75 | -0.21 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
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
0.0
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 | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 11.67 | -0.68 | |
| Chain size (log) | 3.18 | -0.65 | |
| Total nurse staffing (HPRD) | 2.12 | +0.46 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Deficiencies, last 12 months | 6.00 | +0.32 | |
| Facility size (log beds) | 5.75 | -0.29 | |
| Never sold on record | 0.00 | -0.28 |
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 | 2.12 | 3.13 | 3.28 | 2.90–3.77 |
| RN | 0.23 | 0.49 | 0.39 | 0.25–0.58 |
| Weekend total | 2.06 | 2.93 | 3.11 | — |
| Weekday total | 2.14 | 3.23 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 250.2 | 2.12 | 0.23 | 0.61 | 1.28 | 2.06 | 0.1% |
| 2025Q3 | 92 | 241.2 | 2.28 | 0.19 | 0.67 | 1.42 | 2.24 | 0.1% |
| 2025Q2 | 91 | 235.7 | 2.30 | 0.20 | 0.70 | 1.40 | 2.25 | 0.1% |
| 2025Q1 | 90 | 239.2 | 2.22 | 0.22 | 0.66 | 1.34 | 2.19 | 0.1% |
| 2024Q4 | 92 | 236.1 | 2.18 | 0.19 | 0.66 | 1.33 | 2.10 | 0.1% |
| 2024Q3 | 92 | 226.1 | 2.16 | 0.13 | 0.75 | 1.29 | 2.06 | 0.1% |
| 2024Q2 | 91 | 219.9 | 2.29 | 0.15 | 0.78 | 1.36 | 2.11 | 0.1% |
| 2024Q1 | 91 | 224.9 | 2.25 | 0.17 | 0.71 | 1.37 | 2.09 | 0.1% |
| 2023Q4 | 92 | 214.3 | 2.00 | 0.11 | 0.67 | 1.21 | 1.85 | 0.0% |
| 2023Q3 | 92 | 207.7 | 2.23 | 0.13 | 0.74 | 1.36 | 2.05 | 0.1% |
| 2023Q2 | 91 | 205.5 | 2.22 | 0.18 | 0.69 | 1.35 | 2.07 | 0.2% |
| 2023Q1 | 90 | 197.5 | 2.32 | 0.23 | 0.66 | 1.43 | 2.15 | 0.1% |
| 2022Q4 | 92 | 185.8 | 2.29 | 0.24 | 0.64 | 1.41 | 2.11 | 0.0% |
| 2022Q3 | 92 | 182.7 | 2.20 | 0.29 | 0.60 | 1.31 | 1.89 | 0.0% |
| 2022Q2 | 91 | 176.0 | 2.09 | 0.28 | 0.53 | 1.28 | 1.79 | 0.0% |
| 2022Q1 | 90 | 175.8 | 1.97 | 0.26 | 0.57 | 1.15 | 1.69 | 0.0% |
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
7fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2026-03-01 | Fine | $50,650 | CMS provider data |
| 2025-08-19 | Fine | $65,960 | CMS provider data |
| 2025-04-14 | Fine | $37,830 | CMS provider data |
| 2025-01-27 | Fine | $41,659 | CMS provider data |
| 2025-01-27 | Payment Denial | — | CMS provider data |
| 2024-04-25 | Fine | $53,700 | CMS provider data |
| 2024-04-25 | Payment Denial | — | CMS provider data |
Total fines on record: $249,799
Deficiencies
95C × 1D × 55E × 22F × 9G × 7J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-05 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-03-18 |
| 2026-03-01 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2026-03-18 |
| 2025-12-19 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2026-01-05 |
| 2025-09-19 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-09-29 |
| 2025-09-10 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-09-23 |
| 2025-08-19 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-08-27 |
| 2025-04-24 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-05-08 |
| 2025-04-24 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-05-08 |
| 2025-04-24 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-05-08 |
| 2025-04-24 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-05-08 |
| 2025-04-24 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-05-08 |
| 2025-04-24 | Health · complaint | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | 2025-05-08 |
| 2025-04-14 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-04-28 |
| 2025-04-14 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | F | 2025-04-16 |
| 2025-04-14 | 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 | 2025-04-28 |
| 2025-03-14 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-03-17 |
| 2025-02-06 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-02-12 |
| 2025-02-06 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-02-12 |
| 2025-02-06 | 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 | 2025-02-12 |
| 2025-02-06 | 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 | 2025-02-12 |
| 2025-02-06 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-02-12 |
| 2025-02-06 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-02-12 |
| 2025-02-06 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-02-12 |
| 2025-02-06 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-02-12 |
| 2025-02-06 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-02-12 |
| 2025-02-06 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-02-12 |
| 2025-02-06 | 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. | E | 2025-02-12 |
| 2025-02-06 | Health | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | 2025-02-12 |
| 2025-02-06 | Health | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | 2025-02-12 |
| 2025-02-06 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-02-12 |
| 2025-01-27 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-02-03 |
| 2024-11-21 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2024-11-25 |
| 2024-08-30 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-09-03 |
| 2024-08-12 | Health · complaint | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2024-08-13 |
| 2024-05-03 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-05-16 |
| 2024-05-03 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-05-16 |
| 2024-05-03 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | F | 2024-05-16 |
| 2024-05-03 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-05-16 |
| 2024-05-03 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-05-16 |
| 2024-05-03 | 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 | 2024-05-16 |
| 2024-05-03 | 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 | 2024-05-16 |
| 2024-05-03 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-05-16 |
| 2024-05-03 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-05-16 |
| 2024-05-03 | 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. | G | 2024-05-16 |
| 2024-05-03 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-05-16 |
| 2024-05-03 | 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. | D | 2024-05-16 |
| 2024-05-03 | 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. | F | 2024-05-16 |
| 2024-05-03 | 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 | 2024-05-16 |
| 2024-05-03 | 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 | 2024-05-16 |
| 2024-05-03 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-05-16 |
| 2024-05-03 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2024-05-16 |
| 2024-05-03 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-05-24 |
| 2024-05-03 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-05-16 |
| 2024-05-03 | 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 | 2024-05-24 |
| 2024-05-03 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-05-16 |
| 2024-04-25 | 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 | 2024-05-08 |
| 2024-04-25 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-05-08 |
| 2024-03-28 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-04-04 |
| 2024-03-28 | Health · complaint | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2024-04-04 |
| 2024-02-13 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-02-29 |
| 2024-02-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-02-29 |
| 2024-01-26 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-02-02 |
| 2024-01-26 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-02-02 |
| 2024-01-26 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-02-02 |
| 2024-01-26 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-02-02 |
| 2023-10-05 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-10-24 |
| 2023-10-05 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-10-24 |
| 2023-10-05 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-10-24 |
| 2023-08-25 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-08-29 |
| 2023-08-25 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-08-29 |
| 2023-08-25 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2023-08-29 |
| 2023-08-25 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-08-29 |
| 2023-08-25 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-08-29 |
| 2023-08-25 | Health · complaint | 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 | 2023-08-29 |
| 2023-08-25 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-08-29 |
| 2023-08-25 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2023-08-29 |
| 2023-08-25 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2023-08-29 |
| 2023-06-23 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-07-03 |
| 2023-06-23 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-07-03 |
| 2023-06-23 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-07-03 |
| 2023-04-07 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2023-04-17 |
| 2023-04-07 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2023-04-17 |
| 2023-04-07 | 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 | 2023-04-17 |
| 2023-04-07 | 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. | E | 2023-04-17 |
| 2023-04-07 | 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 | 2023-04-17 |
| 2023-04-07 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-04-17 |
| 2023-04-07 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-04-17 |
| 2023-04-07 | Health | F0732 | Post nurse staffing information every day. | C | 2023-04-17 |
| 2023-04-07 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-04-17 |
| 2023-04-07 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-04-17 |
| 2023-04-07 | 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 | 2023-04-17 |
| 2023-04-07 | Health | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | 2023-04-17 |
| 2023-04-07 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-04-17 |
| 2023-04-07 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2023-04-17 |
| 2023-04-07 | Health | F0924 | Put firmly secured handrails on each side of hallways. | E | 2023-04-17 |
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
41| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| LAKE PALACE INVESTMENT GROUP LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 40% | 2021-07-01 | current | pecos_ownership |
| MEYSTEL, MEIR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2021-09-01 | current | pecos_ownership |
| ALCANTARA, RONALDO | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-09-01 | current | pecos_ownership |
| APERION CARE INC | ADP OF THE SNF | — | 2025-03-26 | current | pecos_ownership |
| APERION CARE INC | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-09-01 | current | pecos_ownership |
| CHASE OFFICE LLC | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| CHASE OFFICE LLC | Individual has financial interest in both related organization and provider | — | 2023-01-01 | current | hcris_a_8_1 |
| CURIS SERVICES LLC | ADP OF THE SNF | — | 2021-09-01 | current | pecos_ownership |
| DAVID A BERKOWITZ REVOC TR DAVID BERKOWITZ TTEE | ADP OF THE SNF | — | 2021-09-01 | current | pecos_ownership |
| GUPTA, VIVEK | ADP OF THE SNF | — | 2021-09-01 | current | pecos_ownership |
| LAKE PALACE INVESTMENT GROUP LLC | ADP OF THE SNF | — | 2021-09-01 | current | pecos_ownership |
| LAKESHORE PROP | Individual has financial interest in both related organization and provider | — | 2023-01-01 | current | hcris_a_8_1 |
| LAKESHORE PROP | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| LAKESHORE PROP, LLC | ADP OF THE SNF | — | 2025-03-26 | current | pecos_ownership |
| MEIR MEYSTEL REVOCABLE | ADP OF THE SNF | — | 2021-09-01 | current | pecos_ownership |
| PEDRE, MANNY | ADP OF THE SNF | — | 2021-09-01 | current | pecos_ownership |
| SPECTOR, JENNIFER | CORPORATE OFFICER | — | 2021-09-01 | current | pecos_ownership |
| STAVROPOULOS, KONSTANTINOS | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-09-01 | current | pecos_ownership |
| TUROFSKY, STEVEN | ADP OF THE SNF | — | 2021-09-01 | current | pecos_ownership |
| ULBERT, LISA | CORPORATE OFFICER | — | 2021-09-01 | current | pecos_ownership |
| WILHELM, NAFTALI | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-09-01 | current | pecos_ownership |
| YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE | ADP OF THE SNF | — | 2021-09-01 | current | pecos_ownership |
| JENNIFER SPECTOR | CORPORATE OFFICER | 100% | 2021-09-01 | ended 2026-05-18 | pecos_ownership |
| LISA ULBERT | CORPORATE OFFICER | 100% | 2021-09-01 | ended 2026-05-18 | pecos_ownership |
| DAVID BERKOWITZ | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2021-09-01 | ended 2026-05-18 | pecos_ownership |
| MEIR MEYSTEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2021-09-01 | ended 2026-05-18 | pecos_ownership |
| YOSEF MEYSTEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2021-09-01 | ended 2026-05-18 | pecos_ownership |
| 4600 TOUHY LLC | Individual has financial interest in both related organization and provider | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| 4600 TOUHY LLC | Individual has financial interest in both related organization and provider | — | 2021-01-01 | ended 2021-06-30 | 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 |
| CHASE OFFICE LLC | Individual has financial interest in both related organization and provider | — | 2021-07-01 | ended 2021-12-31 | hcris_a_8_1 |
| KONSTANTINOS STAVROPOULOS | ADP OF THE SNF | — | 2021-09-01 | ended 2026-05-18 | pecos_ownership |
| LAKESHORE PROP | Individual has financial interest in both related organization and provider | — | 2021-07-01 | ended 2021-12-31 | hcris_a_8_1 |
| LAKESHORE PROP | Individual has financial interest in both related organization and provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| LSH PROPERTY LLC | Individual has financial interest in both related organization and provider | — | 2021-01-01 | ended 2021-06-30 | hcris_a_8_1 |
| LSH PROPERTY LLC | Individual has financial interest in both related organization and provider | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| MANNY PEDRE | MANAGING CONTROL - GOVERNING BODY | — | 2021-09-01 | ended 2026-05-18 | pecos_ownership |
| NAFTALI WILHELM | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-09-01 | ended 2026-05-18 | pecos_ownership |
| RONALDO ALCANTARA | ADP OF THE SNF | — | 2021-09-01 | ended 2026-05-18 | pecos_ownership |
| STEVEN TUROFSKY | ADP OF THE SNF | — | 2021-09-01 | ended 2026-05-18 | pecos_ownership |
| VIVEK GUPTA | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-09-01 | 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 |
|---|---|---|---|---|
| 2021-07-01 | — | LAKESHORE OPCO LLC | LAKE SHORE HEALTHCARE & REHABILITATION CENTRE 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
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 17031 | acs median gross | 0 | $1,230 | 2024-12-31 | CENSUS_ACS5 |
| county 17031 | fmr | 0 | $1,480 | 2025-10-01 | HUD_USER_FMR |
| county 17031 | acs median gross | 1 | $1,271 | 2024-12-31 | CENSUS_ACS5 |
| county 17031 | fmr | 1 | $1,581 | 2025-10-01 | HUD_USER_FMR |
| county 17031 | acs median gross | 2 | $1,454 | 2024-12-31 | CENSUS_ACS5 |
| county 17031 | fmr | 2 | $1,781 | 2025-10-01 | HUD_USER_FMR |
| county 17031 | acs median gross | 3 | $1,693 | 2024-12-31 | CENSUS_ACS5 |
| county 17031 | fmr | 3 | $2,294 | 2025-10-01 | HUD_USER_FMR |
| county 17031 | acs median gross | 4 | $1,909 | 2024-12-31 | CENSUS_ACS5 |
| county 17031 | fmr | 4 | $2,653 | 2025-10-01 | HUD_USER_FMR |
| county 17031 | acs median gross | 5 | $1,794 | 2024-12-31 | CENSUS_ACS5 |
| county 17031 | acs median gross | $1,435 | 2024-12-31 | CENSUS_ACS5 | |
| county 17031 | acs recent mover gross | $1,752 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 60626 | acs median gross | 0 | $1,026 | 2024-12-31 | CENSUS_ACS5 |
| zcta 60626 | acs median gross | 1 | $1,218 | 2024-12-31 | CENSUS_ACS5 |
| zcta 60626 | acs median gross | 2 | $1,630 | 2024-12-31 | CENSUS_ACS5 |
| zcta 60626 | acs median gross | 3 | $1,959 | 2024-12-31 | CENSUS_ACS5 |
| zcta 60626 | acs median gross | 4 | $2,417 | 2024-12-31 | CENSUS_ACS5 |
| zcta 60626 | acs median gross | $1,331 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 60626 | acs recent mover gross | $1,460 | 2024-12-31 | CENSUS_ACS5 | |
| zip 60626 | payment standard 110 | 0 | $1,826 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60626 | payment standard 90 | 0 | $1,494 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60626 | safmr | 0 | $1,660 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60626 | payment standard 110 | 1 | $1,958 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60626 | payment standard 90 | 1 | $1,602 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60626 | safmr | 1 | $1,780 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60626 | payment standard 110 | 2 | $2,200 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60626 | payment standard 90 | 2 | $1,800 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60626 | safmr | 2 | $2,000 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60626 | payment standard 110 | 3 | $2,838 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60626 | payment standard 90 | 3 | $2,322 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60626 | safmr | 3 | $2,580 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60626 | payment standard 110 | 4 | $3,278 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60626 | payment standard 90 | 4 | $2,682 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60626 | safmr | 4 | $2,980 | 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.