CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 01:24 UTC
Screener / 155271
D

WATERS OF CASTLETON SKILLED NURSING FACILITY, THE

snfIN
8400 CLEARVISTA PL, INDIANAPOLIS, IN 46256 · CCN 155271 · chain JOHNSON MEMORIAL HOSPITAL
Composite
95.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
114
Model
v1.2
Reads as: riskier than 95.0% 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 model5Components16CHOW radar1Distress radar1Staffing16Penalties0Deficiencies58Licensure0Ownership16Related party5Transactions0Comps12Market rent33

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
financial risk83.470.10.300.230819.25in index
staffing risk85.985.90.250.192316.52in index
billing conduct62.044.30.300.230814.31in index
regulatory risk61.252.70.300.230814.12in index
chow risk61.460.30.150.11547.08in 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.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct44.3Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-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 risk95.5Fv0.6default · in composite
financial risk70.1Dv0.5default · in compositeR18.
p adverse action 12m0.0—v0.1default · in compositeR23/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 12m19.7—v0.1default · in compositeR22/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 risk52.7Cv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk85.9Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk89.3Fv0.1supersededPre-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 risk69.3Dv0.2supersededPre-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 risk55.5Cv0.3supersededPre-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 risk73.3Dv0.4supersededPre-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 risk52.6Cv0.1supersededPre-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 risk52.6Cv0.2supersededPre-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 risk85.9Fv0.1supersededPre-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 risk85.9Fv0.2supersededPre-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)
19.7%
model v0.1 · computed 2026-07-29
Percentile among SNFs
99.8
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Occupancy0.41+0.84
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
No PBJ staffing report0.00+0.42
Chain size (log)3.58+0.36
Deficiencies, last 12 months21.00+0.34
Ownership changes, last 5 years0.00+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
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months21.00-2.47
Occupancy0.41+1.44
Chain size (log)3.58-0.88
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)2.66+0.23
Fine amount, 12m (log)0.00+0.18
Never sold on record1.00+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 HPRDThis facilityIN medianNational medianNational p25–p75
Total nurse2.662.853.282.90–3.77
RN0.260.400.390.25–0.58
Weekend total2.762.713.11—
Weekday total2.632.903.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49246.32.660.260.801.602.760.0%
2025Q39250.42.580.100.741.732.590.0%
2025Q29149.02.530.070.731.722.410.1%
2025Q19051.02.560.190.681.702.530.0%
2024Q49247.92.780.200.731.852.850.0%
2024Q39244.03.050.210.911.933.000.2%
2024Q29143.32.980.140.931.902.790.0%
2024Q19147.12.630.220.681.732.544.4%
2023Q49245.42.780.400.621.762.8014.0%
2023Q39247.13.030.330.662.043.1416.7%
2023Q29157.73.500.330.872.303.4322.0%
2023Q19062.82.110.340.681.091.7244.3%
2022Q49256.61.680.330.670.681.5025.8%
2022Q39256.02.880.380.801.702.7149.9%
2022Q29160.02.830.450.821.562.7243.7%
2022Q19064.53.060.540.931.592.9237.8%
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

0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Deficiencies

58
B × 1C × 1D × 46E × 7F × 2G × 1
deficiencies by survey year
211123242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-22Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2026-05-12
2026-04-22Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.D2026-05-12
2026-04-22Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2026-05-12
2026-04-22Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2026-05-12
2026-03-11Health · complaintF0554Allow residents to self-administer drugs if determined clinically appropriate.D2026-04-07
2026-03-11Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2026-04-07
2026-03-11Health · complaintF0610Respond appropriately to all alleged violations.D2026-04-07
2026-03-11Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2026-04-07
2026-03-11Health · complaintF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D2026-04-07
2025-12-16HealthF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D2026-01-19
2025-12-16HealthF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2026-01-19
2025-12-16HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2026-01-19
2025-12-16HealthF0685Assist a resident in gaining access to vision and hearing services.D2026-01-19
2025-12-16HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2026-01-19
2025-12-16HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2026-01-19
2025-12-16HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2026-01-19
2025-12-16HealthF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D2026-01-19
2025-12-16HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2026-01-19
2025-12-16HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2026-01-19
2025-12-16HealthF0880Provide and implement an infection prevention and control program.D2026-01-19
2025-10-28Health · complaintF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D2025-11-21
2025-04-16Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-05-09
2025-04-16Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-05-09
2025-04-16Health · complaintF0758Implement 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.D2025-05-09
2025-04-02Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-04-25
2025-04-02Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-04-25
2025-04-02Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-04-25
2025-04-02Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-04-25
2025-04-02Health · complaintF0692Provide enough food/fluids to maintain a resident's health.D2025-04-25
2025-04-02Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-04-25
2024-10-08HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-10-26
2024-10-08HealthF0565Honor the resident's right to organize and participate in resident/family groups in the facility.D2024-10-26
2024-10-08HealthF0641Ensure each resident receives an accurate assessment.B2024-10-26
2024-10-08HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2024-10-26
2024-10-08Health · complaintF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.F2024-10-26
2024-10-08HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-10-26
2024-10-08HealthF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.C2024-10-26
2024-10-08HealthF0887Educate 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.E2024-10-26
2024-01-25Health · complaintF0641Ensure each resident receives an accurate assessment.D2024-02-11
2023-08-11HealthF0565Honor the resident's right to organize and participate in resident/family groups in the facility.E2023-09-05
2023-08-11HealthF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.E2023-09-05
2023-08-11HealthF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2023-09-05
2023-08-11HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-09-05
2023-08-11Health · complaintF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2023-09-05
2023-08-11Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-09-05
2023-08-11HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2023-09-05
2023-08-11Health · complaintF0660Plan the resident's discharge to meet the resident's goals and needs.D2023-09-05
2023-08-11Health · complaintF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D2023-09-05
2023-08-11Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2023-09-05
2023-08-11Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-09-05
2023-08-11HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-09-05
2023-08-11HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2023-09-05
2023-08-11HealthF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D2023-09-05
2023-08-11HealthF0759Ensure medication error rates are not 5 percent or greater.D2023-09-05
2023-08-11HealthF0761Ensure 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.D2023-09-05
2023-08-11HealthF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.D2023-09-05
2023-06-20Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2023-07-09
2023-06-20Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2023-07-09
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

0
No 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

16
OwnerRolePctFromStatusSource
JOHNSON MEMORIAL HOSPITAL5% OR GREATER DIRECT OWNERSHIP INTEREST100%2013-03-01currentpecos_ownership
8400 CLEARVISTA PLACEIndividual has financial interest in both related organization and provider—2023-01-01currenthcris_a_8_1
8400 CLEARVISTA PLACEIndividual has financial interest in both related organization and provider—2024-01-01currenthcris_a_8_1
BERKHOUSE, STEVENCORPORATE DIRECTOR—2021-10-18currentpecos_ownership
CRAWLEY, LASHELLECONTRACTED MANAGING EMPLOYEE—2022-08-09currentpecos_ownership
DECOLA, ROBERTW-2 MANAGING EMPLOYEE—2019-02-16currentpecos_ownership
DUNKLE, DAVIDCORPORATE OFFICER—2019-03-01currentpecos_ownership
MILLER'S HEALTH SYSTEMS INCOPERATIONAL/MANAGERIAL CONTROL—2013-03-01currentpecos_ownership
PETERSON, JANCECONTRACTED MANAGING EMPLOYEE—2016-07-01currentpecos_ownership
THE WATERS OF CASTLETON SKILLED NURSING FACILITY LLCOPERATIONAL/MANAGERIAL CONTROL—2022-11-01currentpecos_ownership
LASHELLE CRAWLEYCONTRACTED MANAGING EMPLOYEE100%2022-08-09ended 2026-05-18pecos_ownership
DAVID DUNKLECORPORATE DIRECTOR—2019-03-01ended 2026-05-18pecos_ownership
JANCE PETERSONCONTRACTED MANAGING EMPLOYEE—2016-07-01ended 2026-05-18pecos_ownership
PATRICK BOYLEOTHER—2017-05-30ended 2026-05-18pecos_ownership
ROBERT DECOLAW-2 MANAGING EMPLOYEE—2019-02-16ended 2026-05-18pecos_ownership
STEVEN BERKHOUSECORPORATE OFFICER—2021-10-18ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

0
No 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
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-01-08HEALTHWIN HEALTH & REHABILITATION———145PULASKI MEMORIAL HOSPITAL
2025-01-01ENVIVE OF LIBERTY———60ADAMS COUNTY MEMORIAL HOSPITAL
2025-01-01ENVIVE OF MUNCIE———60ADAMS COUNTY MEMORIAL HOSPITAL
2024-08-01FAIRWAY VILLAGE———53HENRY COUNTY MEMORIAL HOSPITAL
2024-07-01ASBURY TOWERS HEALTH CARE CENTER———48PULASKI MEMORIAL HOSPITAL
2024-07-01PILGRIM MANOR———78ADAMS COUNTY MEMORIAL HOSPITAL
2024-07-01CHASE CENTER———101ADAMS COUNTY MEMORIAL HOSPITAL
2024-06-01IGNITE MEDICAL RESORT CHESTERTON———70IGNITE MEDICAL RESORT CHESTERTON LLC
2024-01-01BRIARCLIFF HEALTH & REHABILITATION CENTER———131PULASKI MEMORIAL HOSPITAL
2024-01-01SOUTH SHORE HEALTH & REHABILITATION CENTER———100PULASKI MEMORIAL HOSPITAL
2024-01-01EVANSVILLE PROTESTANT HOME———49HENRY COUNTY MEMORIAL HOSPITAL
2023-12-01ROLLING HILLS HEALTHCARE CENTER———115ADAMS 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
GeoKindBRAmountAs ofSource
county 18097acs median gross0$9482024-12-31CENSUS_ACS5
county 18097fmr0$1,1182025-10-01HUD_USER_FMR
county 18097acs median gross1$1,0182024-12-31CENSUS_ACS5
county 18097fmr1$1,2672025-10-01HUD_USER_FMR
county 18097acs median gross2$1,1782024-12-31CENSUS_ACS5
county 18097fmr2$1,4732025-10-01HUD_USER_FMR
county 18097acs median gross3$1,3692024-12-31CENSUS_ACS5
county 18097fmr3$1,9072025-10-01HUD_USER_FMR
county 18097acs median gross4$1,5742024-12-31CENSUS_ACS5
county 18097fmr4$2,3382025-10-01HUD_USER_FMR
county 18097acs median gross5$1,5732024-12-31CENSUS_ACS5
county 18097acs median gross$1,1532024-12-31CENSUS_ACS5
county 18097acs recent mover gross$1,3282024-12-31CENSUS_ACS5
zcta 46256acs median gross0$9962024-12-31CENSUS_ACS5
zcta 46256acs median gross1$1,1022024-12-31CENSUS_ACS5
zcta 46256acs median gross2$1,3142024-12-31CENSUS_ACS5
zcta 46256acs median gross3$1,2352024-12-31CENSUS_ACS5
zcta 46256acs median gross$1,1752024-12-31CENSUS_ACS5
zip 46256payment standard 1100$1,1992025-10-01HUD_USER_SAFMR
zip 46256payment standard 900$9812025-10-01HUD_USER_SAFMR
zip 46256safmr0$1,0902025-10-01HUD_USER_SAFMR
zip 46256payment standard 1101$1,3532025-10-01HUD_USER_SAFMR
zip 46256payment standard 901$1,1072025-10-01HUD_USER_SAFMR
zip 46256safmr1$1,2302025-10-01HUD_USER_SAFMR
zip 46256payment standard 1102$1,5732025-10-01HUD_USER_SAFMR
zip 46256payment standard 902$1,2872025-10-01HUD_USER_SAFMR
zip 46256safmr2$1,4302025-10-01HUD_USER_SAFMR
zip 46256payment standard 1103$2,0352025-10-01HUD_USER_SAFMR
zip 46256payment standard 903$1,6652025-10-01HUD_USER_SAFMR
zip 46256safmr3$1,8502025-10-01HUD_USER_SAFMR
zip 46256payment standard 1104$2,4972025-10-01HUD_USER_SAFMR
zip 46256payment standard 904$2,0432025-10-01HUD_USER_SAFMR
zip 46256safmr4$2,2702025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · WATERS OF CASTLETON SKILLED NURSING FACILITY, THE (155271) · generated 2026-08-05 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency