Composite
80.5 / 100 percentile
Screener / 155245
C
CASTLETON HEALTH CARE CENTER
snfINSFF: SFF Candidate
7630 E 86TH ST, INDIANAPOLIS, IN 46256 · CCN 155245 · chain HENDRICKS COUNTY HOSPITAL
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
109
Model
v1.2
Reads as: riskier than 80.5% 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 radar1Staffing15Penalties0Deficiencies59Licensure0Ownership44Related party5Transactions0Comps12Market rent33
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 99.5 | 95.9 | 0.30 | 0.2308 | 22.96 | in index |
| staffing risk | 84.1 | 84.1 | 0.25 | 0.1923 | 16.17 | in index |
| regulatory risk | 62.4 | 54.1 | 0.30 | 0.2308 | 14.40 | in index |
| chow risk | 62.4 | 61.8 | 0.15 | 0.1154 | 7.20 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.2308 | 0.00 | 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 spans multiple chains | 47 chains | FORVIS MAZARS LLP | 251 facilities |
| connection | Owner fleet risk far above national | +39.9 vs natl | MILLENNIAL ACQUISITIONS LLC | 6 facilities |
| connection | Owner fleet risk far above national | +38.6 vs natl | WINDSOR SQUARE REALTY LLC | 6 facilities |
| connection | Owner fleet risk far above national | +38.6 vs natl | SCOOPER REALTY LLC | 6 facilities |
| connection | Owner fleet risk far above national | +33.9 vs natl | STERNSHEIN JENNIFER | 49 facilities |
| connection | Owner fleet risk far above national | +32.5 vs natl | ZIMMERMAN CAROLINE | 35 facilities |
| connection | Owner fleet risk far above national | +32.4 vs natl | GIBRALTAR TRUST | 28 facilities |
| connection | Owner fleet risk far above national | +32.1 vs natl | GARETZ DAVID | 66 facilities |
| connection | Owner fleet risk far above national | +30.5 vs natl | KAPLAN ESTHER | 55 facilities |
| connection | Owner fleet risk far above national | +29.4 vs natl | KAPLAN MOSHA | 23 facilities |
| connection | Owner fleet risk far above national | +29.0 vs natl | OPCO CA SKILLED MGMT INC | 41 facilities |
| connection | Owner fleet risk far above national | +28.9 vs natl | UNGER JEFFREY | 46 facilities |
| connection | Owner fleet risk far above national | +28.8 vs natl | GURWITZ SOLOMON | 42 facilities |
| connection | Owner fleet risk far above national | +28.0 vs natl | JUBILEE MASTER HOLDINGS LLC | 7 facilities |
| connection | Owner fleet risk far above national | +27.4 vs natl | ESDOV INVESTMENTS LLC | 18 facilities |
| connection | Owner fleet risk far above national | +25.7 vs natl | MAGNOLIA REALTY LLC | 9 facilities |
| connection | Owner fleet risk far above national | +24.6 vs natl | OREGON REALTY LLC | 11 facilities |
| connection | Owner spans multiple chains | 12 chains | GARETZ DAVID | 61 facilities |
| connection | Owner spans multiple chains | 11 chains | KAPLAN ESTHER | 54 facilities |
| connection | Owner spans multiple chains | 10 chains | STERNSHEIN JENNIFER | 44 facilities |
| connection | Owner spans multiple chains | 10 chains | LTC CONSULTING SERVICES LLC | 18 facilities |
| connection | Owner spans multiple chains | 10 chains | GURWITZ SOLOMON | 41 facilities |
| connection | Owner spans multiple chains | 9 chains | UNGER JEFFREY | 45 facilities |
| connection | Owner spans multiple chains | 9 chains | OPCO CA SKILLED MGMT INC | 40 facilities |
| connection | Owner spans multiple chains | 8 chains | GIBRALTAR TRUST | 26 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 | 0.0 | A | 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 | 98.6 | F | v0.6 | default · in composite | |
| financial risk | 95.9 | F | 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 | 14.0 | — | 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 | 54.1 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 84.1 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 97.0 | 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 | 77.0 | 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 | 76.3 | D | 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 | 94.3 | F | 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 | 54.0 | C | 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 | 54.0 | C | 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 | 84.1 | 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 | 84.1 | 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)
14.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
99.2
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 | |
| Deficiencies, last 12 months | 35.00 | +0.68 | |
| 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) | 3.43 | +0.33 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Contract staffing share | 0.00 | -0.10 |
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 | |
|---|---|---|---|
| Deficiencies, last 12 months | 35.00 | -5.06 | |
| Chain size (log) | 3.43 | -0.80 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.67 | +0.33 | |
| Total nurse staffing (HPRD) | 2.71 | +0.21 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| 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
15| 2025Q4 HPRD | This facility | IN median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.71 | 2.85 | 3.28 | 2.90–3.77 |
| RN | 0.15 | 0.40 | 0.39 | 0.25–0.58 |
| Weekend total | 2.71 | 2.71 | 3.11 | — |
| Weekday total | 2.72 | 2.90 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 73.1 | 2.71 | 0.15 | 1.04 | 1.53 | 2.71 | 0.0% |
| 2025Q3 | 92 | 71.5 | 2.61 | 0.18 | 0.98 | 1.46 | 2.57 | 0.0% |
| 2025Q2 | 91 | 72.4 | 2.66 | 0.25 | 1.00 | 1.41 | 2.65 | 0.0% |
| 2025Q1 | 90 | 70.9 | 2.80 | 0.26 | 1.05 | 1.50 | 2.52 | 0.0% |
| 2024Q4 | 92 | 59.7 | 2.80 | 0.28 | 0.98 | 1.54 | 2.51 | 0.0% |
| 2024Q3 | 92 | 51.7 | 2.74 | 0.30 | 0.94 | 1.50 | 2.44 | 0.0% |
| 2024Q2 | 91 | 40.0 | 3.00 | 0.35 | 0.88 | 1.77 | 2.84 | 1.2% |
| 2024Q1 | 91 | 41.5 | 3.02 | 0.36 | 0.83 | 1.83 | 2.83 | 13.9% |
| 2023Q4 | 92 | 39.6 | 3.27 | 0.38 | 1.02 | 1.87 | 3.12 | 18.0% |
| 2023Q3 | 92 | 39.2 | 3.45 | 0.35 | 1.03 | 2.07 | 3.12 | 28.2% |
| 2023Q2 | 91 | 37.5 | 2.87 | 0.26 | 0.89 | 1.71 | 2.56 | 16.0% |
| 2023Q1 | 90 | 34.6 | 3.33 | 0.18 | 1.19 | 1.97 | 2.75 | 27.4% |
| 2022Q4 | 92 | 40.9 | 3.39 | 0.34 | 1.20 | 1.85 | 3.00 | 34.8% |
| 2022Q3 | 92 | 35.9 | 3.67 | 0.39 | 1.11 | 2.17 | 3.37 | 21.4% |
| 2022Q1 | 90 | 34.0 | 3.20 | 0.47 | 1.05 | 1.68 | 3.01 | 50.8% |
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
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
59C × 2D × 45E × 8F × 2G × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-27 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2026-04-29 |
| 2026-03-06 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2026-03-17 |
| 2026-03-06 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-03-17 |
| 2026-03-06 | 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 | 2026-03-17 |
| 2026-03-06 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2026-03-17 |
| 2025-11-07 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-11-09 |
| 2025-11-07 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-11-09 |
| 2025-09-23 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-11-09 |
| 2025-09-23 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-10-21 |
| 2025-09-23 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-10-21 |
| 2025-09-23 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2025-10-21 |
| 2025-09-23 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | D | 2025-10-21 |
| 2025-09-23 | 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 | 2025-10-21 |
| 2025-09-23 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2025-10-21 |
| 2025-09-23 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2025-10-21 |
| 2025-09-23 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-11-09 |
| 2025-09-23 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-10-21 |
| 2025-09-23 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-10-21 |
| 2025-09-23 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-11-09 |
| 2025-09-23 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-10-21 |
| 2025-09-23 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-10-21 |
| 2025-09-23 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-11-09 |
| 2025-09-23 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2025-10-21 |
| 2025-09-23 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-10-21 |
| 2025-09-23 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2025-10-21 |
| 2025-09-23 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-10-21 |
| 2025-09-23 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-10-21 |
| 2025-09-23 | 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 | 2025-10-21 |
| 2025-09-23 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-10-21 |
| 2025-09-23 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-10-21 |
| 2025-09-23 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-10-21 |
| 2025-08-05 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-08-07 |
| 2025-08-05 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-08-07 |
| 2025-08-05 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-08-07 |
| 2025-08-05 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2025-08-07 |
| 2025-07-18 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-07-30 |
| 2025-07-18 | Health · complaint | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2025-07-30 |
| 2025-07-18 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-07-30 |
| 2025-06-12 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-02-21 |
| 2024-09-13 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-09-23 |
| 2024-09-13 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2024-09-23 |
| 2024-09-13 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-09-23 |
| 2024-09-13 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-09-23 |
| 2024-09-13 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-09-23 |
| 2024-09-13 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2024-09-23 |
| 2024-02-10 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-02-22 |
| 2023-09-29 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | 2023-10-24 |
| 2023-09-29 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | C | 2023-10-24 |
| 2023-09-29 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2023-10-24 |
| 2023-09-29 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-10-24 |
| 2023-09-29 | 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 | 2023-10-24 |
| 2023-09-29 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-10-24 |
| 2023-09-29 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2023-10-24 |
| 2023-09-29 | Health | F0732 | Post nurse staffing information every day. | C | 2023-10-24 |
| 2023-09-29 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-10-24 |
| 2023-09-29 | Health | 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 |
| 2023-09-29 | 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 | 2023-10-24 |
| 2023-09-29 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-10-24 |
| 2023-09-29 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2023-10-24 |
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
44| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| 7630 E 86TH STREET IN LLC | 5% OR GREATER MORTGAGE INTEREST | — | 2024-03-01 | current | pecos_ownership |
| 7630 E 86TH STREET IN LLC | Other (financial or non-financial) | — | 2024-01-01 | current | hcris_a_8_1 |
| AZALEA INVESTORS LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | current | pecos_ownership |
| CASTLETON CARE CENTER, LLC | ADP OF THE SNF | — | 2024-03-01 | current | pecos_ownership |
| CROSSROADS SENIOR LIVING GROUP LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | current | pecos_ownership |
| ENGELS, ERIN | 5% OR GREATER MORTGAGE INTEREST | — | 2012-10-22 | current | pecos_ownership |
| ENGELS, ERIN | CORPORATE DIRECTOR | — | 2013-11-01 | current | pecos_ownership |
| ENGELS, ERIN | MANAGING CONTROL - GOVERNING BODY | — | 2012-10-12 | current | pecos_ownership |
| ESDOV INVESTMENTS LLC | ADP OF THE SNF | — | 2024-03-01 | current | pecos_ownership |
| FENOUGHTY, DEANNA | TRUSTEE OF THE SNF | — | 2023-07-10 | current | pecos_ownership |
| FORVIS MAZARS LLP | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-01 | current | pecos_ownership |
| FRONTIER REALTY INVESTORS LLC | ADP OF THE SNF | — | 2024-03-01 | current | pecos_ownership |
| GARETZ, DAVID | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | current | pecos_ownership |
| GENTRY, MARK | CORPORATE DIRECTOR | — | 2022-01-12 | current | pecos_ownership |
| GIBRALTAR TRUST | 5% OR GREATER MORTGAGE INTEREST | — | 2024-03-01 | current | pecos_ownership |
| GURWITZ, SOLOMON | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2026-02-20 | current | pecos_ownership |
| JOHNSON, ANITA | OPERATIONAL/MANAGERIAL CONTROL | — | 2026-01-09 | current | pecos_ownership |
| JUBILEE MASTER HOLDINGS LLC | ADP OF THE SNF | — | 2024-03-01 | current | pecos_ownership |
| KAPLAN, ESTHER | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2026-04-08 | current | pecos_ownership |
| KAPLAN, MOSHA | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | current | pecos_ownership |
| LTC CONSULTING SERVICES LLC | ADP OF THE SNF | — | 2024-03-01 | current | pecos_ownership |
| MAGNOLIA REALTY, LLC | ADP OF THE SNF | — | 2024-03-01 | current | pecos_ownership |
| MILLENNIAL ACQUISITIONS, LLC | ADP OF THE SNF | — | 2024-03-01 | current | pecos_ownership |
| OPCO CA SKILLED MGMT INC. | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | current | pecos_ownership |
| OPCO IN SKILLED MGMT LLC | ADP OF THE SNF | — | 2024-03-01 | current | pecos_ownership |
| OREGON REALTY, LLC | 5% OR GREATER SECURITY INTEREST | — | 2024-03-01 | current | pecos_ownership |
| PEASE BELL CPAS LLC | ADP OF THE SNF | — | 2018-06-14 | current | pecos_ownership |
| PIKE, JAMES | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | current | pecos_ownership |
| SCOOPER REALTY, LLC | ADP OF THE SNF | — | 2024-03-01 | current | pecos_ownership |
| STARKEY, TYLER | MANAGING CONTROL - GOVERNING BODY | — | 2020-08-01 | current | pecos_ownership |
| STERNSHEIN, JENNIFER | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2026-02-20 | current | pecos_ownership |
| UNGER, JEFFREY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2026-02-20 | current | pecos_ownership |
| WAITE, JOHN | CORPORATE DIRECTOR | — | 2020-08-01 | current | pecos_ownership |
| WHICKER, TIMOTHY | TRUSTEE OF THE SNF | — | 2022-01-12 | current | pecos_ownership |
| WINDSOR SQUARE REALTY, LLC | ADP OF THE SNF | — | 2024-03-01 | current | pecos_ownership |
| ZIMMERMAN, CAROLINE | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2026-02-20 | current | pecos_ownership |
| HENDRICKS COUNTY HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2013-11-01 | ended 2026-05-18 | pecos_ownership |
| DEANNA FENOUGHTY | CORPORATE OFFICER | 0% | 2023-07-10 | ended 2026-05-18 | pecos_ownership |
| JUSTIN VOGT | CONTRACTED MANAGING EMPLOYEE | 0% | 2023-04-17 | ended 2026-05-18 | pecos_ownership |
| ERIN ENGELS | CORPORATE DIRECTOR | — | 2013-11-01 | ended 2026-05-18 | pecos_ownership |
| JOHN WAITE | CORPORATE DIRECTOR | — | 2020-08-01 | ended 2026-05-18 | pecos_ownership |
| MARK GENTRY | CORPORATE DIRECTOR | — | 2022-01-12 | ended 2026-05-18 | pecos_ownership |
| TIMOTHY WHICKER | CORPORATE DIRECTOR | — | 2022-01-12 | ended 2026-05-18 | pecos_ownership |
| TYLER STARKEY | CORPORATE DIRECTOR | — | 2020-08-01 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
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 — IN snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-01-08 | HEALTHWIN HEALTH & REHABILITATION | — | — | — | 145 | PULASKI MEMORIAL HOSPITAL |
| 2025-01-01 | ENVIVE OF LIBERTY | — | — | — | 60 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2025-01-01 | ENVIVE OF MUNCIE | — | — | — | 60 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2024-08-01 | FAIRWAY VILLAGE | — | — | — | 53 | HENRY COUNTY MEMORIAL HOSPITAL |
| 2024-07-01 | ASBURY TOWERS HEALTH CARE CENTER | — | — | — | 48 | PULASKI MEMORIAL HOSPITAL |
| 2024-07-01 | PILGRIM MANOR | — | — | — | 78 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2024-07-01 | CHASE CENTER | — | — | — | 101 | ADAMS COUNTY MEMORIAL HOSPITAL |
| 2024-06-01 | IGNITE MEDICAL RESORT CHESTERTON | — | — | — | 70 | IGNITE MEDICAL RESORT CHESTERTON LLC |
| 2024-01-01 | BRIARCLIFF HEALTH & REHABILITATION CENTER | — | — | — | 131 | PULASKI MEMORIAL HOSPITAL |
| 2024-01-01 | SOUTH SHORE HEALTH & REHABILITATION CENTER | — | — | — | 100 | PULASKI MEMORIAL HOSPITAL |
| 2024-01-01 | EVANSVILLE PROTESTANT HOME | — | — | — | 49 | HENRY COUNTY MEMORIAL HOSPITAL |
| 2023-12-01 | ROLLING HILLS HEALTHCARE CENTER | — | — | — | 115 | ADAMS COUNTY MEMORIAL HOSPITAL |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
33| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 18097 | acs median gross | 0 | $948 | 2024-12-31 | CENSUS_ACS5 |
| county 18097 | fmr | 0 | $1,118 | 2025-10-01 | HUD_USER_FMR |
| county 18097 | acs median gross | 1 | $1,018 | 2024-12-31 | CENSUS_ACS5 |
| county 18097 | fmr | 1 | $1,267 | 2025-10-01 | HUD_USER_FMR |
| county 18097 | acs median gross | 2 | $1,178 | 2024-12-31 | CENSUS_ACS5 |
| county 18097 | fmr | 2 | $1,473 | 2025-10-01 | HUD_USER_FMR |
| county 18097 | acs median gross | 3 | $1,369 | 2024-12-31 | CENSUS_ACS5 |
| county 18097 | fmr | 3 | $1,907 | 2025-10-01 | HUD_USER_FMR |
| county 18097 | acs median gross | 4 | $1,574 | 2024-12-31 | CENSUS_ACS5 |
| county 18097 | fmr | 4 | $2,338 | 2025-10-01 | HUD_USER_FMR |
| county 18097 | acs median gross | 5 | $1,573 | 2024-12-31 | CENSUS_ACS5 |
| county 18097 | acs median gross | $1,153 | 2024-12-31 | CENSUS_ACS5 | |
| county 18097 | acs recent mover gross | $1,328 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 46256 | acs median gross | 0 | $996 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46256 | acs median gross | 1 | $1,102 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46256 | acs median gross | 2 | $1,314 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46256 | acs median gross | 3 | $1,235 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46256 | acs median gross | $1,175 | 2024-12-31 | CENSUS_ACS5 | |
| zip 46256 | payment standard 110 | 0 | $1,199 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46256 | payment standard 90 | 0 | $981 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46256 | safmr | 0 | $1,090 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46256 | payment standard 110 | 1 | $1,353 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46256 | payment standard 90 | 1 | $1,107 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46256 | safmr | 1 | $1,230 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46256 | payment standard 110 | 2 | $1,573 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46256 | payment standard 90 | 2 | $1,287 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46256 | safmr | 2 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46256 | payment standard 110 | 3 | $2,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46256 | payment standard 90 | 3 | $1,665 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46256 | safmr | 3 | $1,850 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46256 | payment standard 110 | 4 | $2,497 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46256 | payment standard 90 | 4 | $2,043 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46256 | safmr | 4 | $2,270 | 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.