Composite
98.2 / 100 percentile
Screener / 14E177
F
CRESTWOOD TERRACE
snfIL
13301 SOUTH CENTRAL AVENUE, CRESTWOOD, IL 60445 · CCN 14E177
Peer group
snf n = 14,684
Evidence depth
moderate
Certified beds
126
Model
v1.2
Reads as: riskier than 98.2% 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 model3ML signals1Components9CHOW radar1Distress radar1Staffing16Penalties3Deficiencies29Licensure0Ownership0Related party0Transactions0Comps12Market rent33
Composite explanation
3| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 85.7 | 82.8 | 0.30 | 0.4286 | 36.73 | in index |
| staffing risk | 97.7 | 97.7 | 0.25 | 0.3571 | 34.89 | in index |
| chow risk | 25.2 | 25.0 | 0.15 | 0.2143 | 5.40 | 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
1| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| anomaly | Federal penalty spike | 16.9x prior | this facility | 2026-07-29 |
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
9| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| 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. |
| p adverse action 12m | 0.1 | — | 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 | 2.2 | — | 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 | 82.8 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 97.7 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| regulatory risk | 82.7 | 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 | 82.7 | 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 | 97.7 | 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 | 97.7 | 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)
2.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
70.9
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.92 | -0.64 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 2.04 | +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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
54.9
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) | 0.00 | +1.20 | |
| Deficiencies, last 12 months | 2.00 | +1.06 | |
| Occupancy | 0.92 | -0.72 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 10.94 | -0.62 | |
| Total nurse staffing (HPRD) | 2.04 | +0.50 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 1.00 | +0.12 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | IL median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.04 | 3.13 | 3.28 | 2.90–3.77 |
| RN | 0.51 | 0.49 | 0.39 | 0.25–0.58 |
| Weekend total | 1.78 | 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 | 115.8 | 2.04 | 0.51 | 0.20 | 1.33 | 1.78 | 0.0% |
| 2025Q3 | 92 | 113.2 | 1.93 | 0.38 | 0.28 | 1.27 | 1.76 | 0.0% |
| 2025Q2 | 91 | 108.3 | 2.05 | 0.45 | 0.29 | 1.30 | 1.83 | 0.0% |
| 2025Q1 | 90 | 105.7 | 2.11 | 0.47 | 0.28 | 1.36 | 1.89 | 0.0% |
| 2024Q4 | 92 | 102.9 | 2.11 | 0.45 | 0.28 | 1.38 | 1.91 | 0.0% |
| 2024Q3 | 92 | 107.5 | 1.92 | 0.44 | 0.22 | 1.26 | 1.79 | 0.0% |
| 2024Q2 | 91 | 106.3 | 1.77 | 0.34 | 0.21 | 1.22 | 1.73 | 0.0% |
| 2024Q1 | 91 | 107.2 | 1.75 | 0.29 | 0.23 | 1.23 | 1.73 | 0.0% |
| 2023Q4 | 92 | 113.9 | 1.90 | 0.38 | 0.30 | 1.23 | 1.79 | 0.0% |
| 2023Q3 | 92 | 110.0 | 1.91 | 0.37 | 0.24 | 1.30 | 1.69 | 0.4% |
| 2023Q2 | 91 | 105.2 | 1.93 | 0.29 | 0.32 | 1.32 | 1.74 | 0.0% |
| 2023Q1 | 90 | 104.1 | 1.90 | 0.28 | 0.35 | 1.27 | 1.73 | 0.5% |
| 2022Q4 | 92 | 101.5 | 2.08 | 0.24 | 0.36 | 1.47 | 1.83 | 0.1% |
| 2022Q3 | 92 | 99.2 | 1.77 | 0.29 | 0.33 | 1.15 | 1.59 | 0.0% |
| 2022Q2 | 91 | 103.2 | 1.48 | 0.21 | 0.37 | 0.90 | 1.36 | 0.0% |
| 2022Q1 | 90 | 98.7 | 1.41 | 0.15 | 0.40 | 0.86 | 1.29 | 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
3fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-12-27 | Fine | $56,260 | CMS provider data |
| 2024-10-31 | Payment Denial | — | CMS provider data |
| 2023-08-10 | Fine | $10,000 | CMS provider data |
Total fines on record: $66,260
Deficiencies
29D × 12E × 4F × 5G × 8
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-01-09 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-01-23 |
| 2025-12-27 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2026-01-19 |
| 2025-07-22 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-08-12 |
| 2025-04-01 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-04-18 |
| 2025-03-23 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-04-08 |
| 2024-12-10 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-12-24 |
| 2024-11-15 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-12-04 |
| 2024-10-31 | 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 | 2024-11-15 |
| 2024-10-10 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2024-10-24 |
| 2024-10-10 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-10-24 |
| 2024-08-23 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-09-06 |
| 2024-08-23 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2024-09-06 |
| 2024-08-23 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-09-06 |
| 2024-08-23 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-09-06 |
| 2024-05-24 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-06-13 |
| 2024-05-24 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-06-13 |
| 2024-03-15 | 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 | 2024-04-07 |
| 2024-03-15 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-04-07 |
| 2023-11-19 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2023-12-04 |
| 2023-09-15 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-09-27 |
| 2023-09-15 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-09-27 |
| 2023-08-10 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-08-30 |
| 2022-06-30 | 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 | 2022-07-18 |
| 2022-06-30 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2022-07-18 |
| 2022-06-30 | 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. | F | 2022-07-18 |
| 2022-06-30 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2022-07-18 |
| 2022-06-30 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-07-18 |
| 2022-06-30 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2022-07-18 |
| 2022-06-30 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2022-07-18 |
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
0No ownership edges on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Comparable trades — IL snf
12| 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
33| 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 60445 | acs median gross | 1 | $1,173 | 2024-12-31 | CENSUS_ACS5 |
| zcta 60445 | acs median gross | 2 | $1,112 | 2024-12-31 | CENSUS_ACS5 |
| zcta 60445 | acs median gross | 3 | $1,970 | 2024-12-31 | CENSUS_ACS5 |
| zcta 60445 | acs median gross | $1,249 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 60445 | acs recent mover gross | $1,378 | 2024-12-31 | CENSUS_ACS5 | |
| zip 60445 | payment standard 110 | 0 | $1,331 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60445 | payment standard 90 | 0 | $1,089 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60445 | safmr | 0 | $1,210 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60445 | payment standard 110 | 1 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60445 | payment standard 90 | 1 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60445 | safmr | 1 | $1,300 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60445 | payment standard 110 | 2 | $1,606 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60445 | payment standard 90 | 2 | $1,314 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60445 | safmr | 2 | $1,460 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60445 | payment standard 110 | 3 | $2,068 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60445 | payment standard 90 | 3 | $1,692 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60445 | safmr | 3 | $1,880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60445 | payment standard 110 | 4 | $2,387 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60445 | payment standard 90 | 4 | $1,953 | 2025-10-01 | HUD_USER_SAFMR |
| zip 60445 | safmr | 4 | $2,170 | 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.