Composite
86.7 / 100 percentile
Screener / 146086
D
THE HAVEN OF TUSCOLA
snfIL
1203 EGYPTIAN TRAIL, TUSCOLA, IL 61953 · CCN 146086 · chain NATHAN AND SHIRLEY ROTHNER FAMILY TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
71
Model
v1.2
Reads as: riskier than 86.7% 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 signals14Components16CHOW radar1Distress radar1Staffing16Penalties3Deficiencies90Licensure0Ownership25Related party6Transactions1Comps12Market rent33
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 94.0 | 91.9 | 0.30 | 0.2308 | 21.69 | in index |
| financial risk | 93.3 | 81.8 | 0.30 | 0.2308 | 21.53 | in index |
| staffing risk | 65.4 | 65.4 | 0.25 | 0.1923 | 12.58 | in index |
| chow risk | 45.9 | 44.1 | 0.15 | 0.1154 | 5.30 | in index |
| billing conduct | 13.9 | 14.6 | 0.30 | 0.2308 | 3.21 | 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
14| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +35.4 vs natl | KATZ HAROLD | 12 facilities |
| connection | Owner fleet risk far above national | +32.2 vs natl | ROTHNER WILLIAM | 24 facilities |
| connection | Owner fleet risk far above national | +30.4 vs natl | HAVEN HEALTHCARE LLC | 7 facilities |
| connection | Owner fleet risk far above national | +27.3 vs natl | ISRAEL LEVI | 18 facilities |
| connection | Owner fleet risk far above national | +26.6 vs natl | GLAT DAVID | 8 facilities |
| connection | Owner fleet risk far above national | +25.2 vs natl | ZAMAN ASAD | 21 facilities |
| connection | Owner fleet risk far above national | +21.6 vs natl | ECAPITAL HEALTHCARE CORP | 26 facilities |
| connection | Owner spans multiple chains | 9 chains | ZAMAN ASAD | 20 facilities |
| connection | Owner spans multiple chains | 6 chains | ECAPITAL HEALTHCARE CORP | 24 facilities |
| connection | Owner fleet enforcement cluster | 71% fined | ZAMAN ASAD | 21 facilities |
| connection | Owner fleet enforcement cluster | 67% fined | ISRAEL LEVI | 18 facilities |
| connection | Owner fleet enforcement cluster | 62% fined | ECAPITAL HEALTHCARE CORP | 26 facilities |
| connection | Owner fleet enforcement cluster | 58% fined | KATZ HAROLD | 12 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | ROTHNER WILLIAM | 24 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 | 14.6 | 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 | 63.1 | C | v0.6 | default · in composite | |
| financial risk | 81.8 | 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 | 0.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 91.9 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 65.4 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 51.6 | C | 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 | 31.6 | B | 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 | 67.8 | 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 | 81.4 | 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 | 91.9 | 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 | 91.9 | 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 | 65.4 | D | 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 | 65.4 | D | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
15.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 1.66 | -1.68 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 2.77 | +0.19 | |
| High-severity deficiencies, 12m | 3.00 | +0.14 | |
| Occupancy | 0.66 | +0.12 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 10.69 | -0.60 | |
| Deficiencies, last 12 months | 5.00 | +0.50 | |
| Chain size (log) | 2.77 | -0.41 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.66 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 1.66 | -0.27 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | IL median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.06 | 3.13 | 3.28 | 2.90–3.77 |
| RN | 0.17 | 0.49 | 0.39 | 0.25–0.58 |
| Weekend total | 2.84 | 2.93 | 3.11 | — |
| Weekday total | 3.14 | 3.23 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 46.6 | 3.06 | 0.17 | 0.84 | 2.05 | 2.84 | 5.0% |
| 2025Q3 | 92 | 42.8 | 3.31 | 0.35 | 0.74 | 2.22 | 2.97 | 10.7% |
| 2025Q2 | 91 | 40.0 | 3.61 | 0.34 | 0.84 | 2.43 | 3.19 | 13.8% |
| 2025Q1 | 90 | 40.8 | 3.22 | 0.35 | 0.69 | 2.17 | 3.02 | 15.1% |
| 2024Q4 | 92 | 41.2 | 3.41 | 0.23 | 0.63 | 2.55 | 3.10 | 12.0% |
| 2024Q3 | 92 | 43.7 | 3.01 | 0.11 | 0.80 | 2.10 | 2.59 | 10.7% |
| 2024Q2 | 91 | 40.3 | 2.56 | 0.15 | 0.59 | 1.81 | 2.36 | 0.0% |
| 2024Q1 | 91 | 44.6 | 2.51 | 0.18 | 0.61 | 1.71 | 2.28 | 10.8% |
| 2023Q4 | 92 | 44.4 | 2.67 | 0.20 | 0.75 | 1.72 | 2.44 | 19.5% |
| 2023Q3 | 92 | 36.9 | 3.37 | 0.28 | 0.73 | 2.36 | 2.96 | 11.7% |
| 2023Q2 | 91 | 42.0 | 2.71 | 0.23 | 0.69 | 1.79 | 2.54 | 13.4% |
| 2023Q1 | 90 | 41.8 | 3.08 | 0.30 | 0.79 | 1.99 | 2.75 | 13.1% |
| 2022Q4 | 92 | 37.3 | 2.82 | 0.42 | 0.62 | 1.78 | 2.57 | 17.2% |
| 2022Q3 | 92 | 34.2 | 2.29 | 0.20 | 0.59 | 1.50 | 2.21 | 10.7% |
| 2022Q2 | 91 | 29.2 | 2.25 | 0.20 | 0.30 | 1.74 | 2.30 | 0.6% |
| 2022Q1 | 90 | 31.1 | 2.72 | 0.46 | 0.43 | 1.83 | 2.68 | 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 |
|---|---|---|---|
| 2026-02-04 | Fine | $22,315 | CMS provider data |
| 2025-08-26 | Fine | $21,453 | CMS provider data |
| 2023-10-31 | Fine | $24,863 | CMS provider data |
Total fines on record: $68,631
Deficiencies
90C × 1D × 48E × 20F × 15G × 6
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-04 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2026-02-09 |
| 2025-12-28 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2026-01-09 |
| 2025-12-28 | Health · complaint | F0727 | Have 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. | F | 2026-01-09 |
| 2025-08-26 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | G | 2025-09-17 |
| 2025-08-26 | Health · complaint | 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. | G | 2025-09-17 |
| 2025-03-04 | 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 | 2025-03-21 |
| 2025-03-04 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-03-21 |
| 2025-01-28 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-02-20 |
| 2025-01-28 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | F | 2025-02-20 |
| 2025-01-28 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-02-20 |
| 2025-01-28 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-03-21 |
| 2025-01-28 | 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 | 2025-02-20 |
| 2025-01-28 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2025-02-20 |
| 2025-01-28 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2025-02-20 |
| 2025-01-28 | Health | F0727 | Have 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. | E | 2025-02-20 |
| 2025-01-28 | Health | F0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | F | 2025-02-20 |
| 2025-01-28 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-02-20 |
| 2025-01-28 | 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 | 2025-02-20 |
| 2025-01-28 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-02-20 |
| 2025-01-28 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2025-02-20 |
| 2025-01-28 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2025-02-20 |
| 2024-11-14 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2024-11-27 |
| 2024-10-30 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-11-10 |
| 2024-10-30 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-11-10 |
| 2024-10-30 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-11-10 |
| 2024-08-16 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-08-29 |
| 2024-08-16 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-08-29 |
| 2024-08-16 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-08-29 |
| 2024-08-16 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2024-08-29 |
| 2024-08-16 | Health · complaint | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | 2024-08-29 |
| 2024-06-09 | 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 | 2024-06-21 |
| 2024-06-09 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-06-21 |
| 2024-06-09 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-06-21 |
| 2024-06-09 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-06-21 |
| 2024-05-01 | Health · complaint | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2024-05-22 |
| 2024-05-01 | Health · complaint | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | 2024-05-22 |
| 2024-05-01 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-05-25 |
| 2024-05-01 | Health · complaint | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2024-05-22 |
| 2024-05-01 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-05-25 |
| 2024-02-22 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2024-03-15 |
| 2024-02-22 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-03-15 |
| 2024-02-22 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-03-15 |
| 2024-02-22 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2024-03-15 |
| 2024-02-22 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | 2024-03-15 |
| 2024-02-22 | 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 | 2024-03-15 |
| 2024-02-22 | Health | F0659 | Provide care by qualified persons according to each resident's written plan of care. | D | 2024-03-15 |
| 2024-02-22 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2024-03-15 |
| 2024-02-22 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-03-15 |
| 2024-02-22 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-03-15 |
| 2024-02-22 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-03-15 |
| 2024-02-22 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2024-03-15 |
| 2024-02-22 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2024-03-15 |
| 2024-02-22 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-03-15 |
| 2024-02-22 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | 2024-03-15 |
| 2024-02-22 | 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 | 2024-03-15 |
| 2024-02-22 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2024-03-15 |
| 2024-02-22 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | 2024-03-15 |
| 2024-02-22 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2024-03-15 |
| 2024-02-22 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-03-15 |
| 2024-02-22 | Health | F0825 | Provide or get specialized rehabilitative services as required for a resident. | E | 2024-03-18 |
| 2024-02-22 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2024-03-15 |
| 2024-02-22 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-03-15 |
| 2024-02-22 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-03-15 |
| 2024-02-22 | 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. | D | 2024-03-15 |
| 2024-01-25 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-02-15 |
| 2023-10-31 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-11-24 |
| 2023-10-31 | 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 | 2023-11-24 |
| 2023-10-31 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-11-24 |
| 2023-10-31 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | 2023-11-24 |
| 2023-10-31 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-11-24 |
| 2023-10-31 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2023-11-24 |
| 2023-07-25 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-08-15 |
| 2023-06-06 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-06-28 |
| 2023-06-06 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-06-28 |
| 2023-06-06 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | 2023-06-28 |
| 2023-06-06 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-06-28 |
| 2023-01-11 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2023-02-03 |
| 2023-01-11 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | 2023-02-03 |
| 2023-01-11 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2023-02-03 |
| 2023-01-11 | 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 | 2023-02-03 |
| 2023-01-11 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-02-03 |
| 2023-01-11 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-02-03 |
| 2023-01-11 | 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 | 2023-02-03 |
| 2023-01-11 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | 2023-02-03 |
| 2023-01-11 | 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 | 2023-02-03 |
| 2023-01-11 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-02-03 |
| 2023-01-11 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | 2023-02-03 |
| 2023-01-11 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C | 2023-02-03 |
| 2023-01-11 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2023-02-03 |
| 2023-01-11 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2023-02-03 |
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
25| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| TUSCOLA LAND COMPANY LLC | Individual has financial interest in both related organization and provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| TUSCOLA LAND COMPANY LLC | Individual has financial interest in both related organization and provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| ECAPITAL HEALTHCARE CORP | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-01 | current | pecos_ownership |
| ECAPITAL HEALTHCARE CORP | 5% OR GREATER SECURITY INTEREST | — | 2024-12-01 | current | pecos_ownership |
| GLAT, DAVID | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-10-21 | current | pecos_ownership |
| GLAT, DAVID | ADP OF THE SNF | — | 2024-12-01 | current | pecos_ownership |
| HAVEN HEALTHCARE LLC | ADP OF THE SNF | — | 2024-12-01 | current | pecos_ownership |
| ISRAEL, LEVI | ADP OF THE SNF | — | 2021-12-01 | current | pecos_ownership |
| KATZ, HAROLD | TRUSTEE OF THE SNF | — | 2024-12-01 | current | pecos_ownership |
| ROBINSON, SYNDEY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-01 | current | pecos_ownership |
| ROTHNER, WILLIAM | TRUSTEE OF THE SNF | — | 2024-12-01 | current | pecos_ownership |
| ZAMAN, ASAD | ADP OF THE SNF | — | 2024-12-01 | current | pecos_ownership |
| TUSCOLA LAND COMPANY LLC | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| TUSCOLA LAND COMPANY LLC | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| TUSCOLA LAND COMPANY LLC | Individual has financial interest in both related organization and provider | 100% | 2020-01-01 | ended 2020-07-31 | hcris_a_8_1 |
| TUSCOLA LAND COMPANY LLC | Individual has financial interest in both related organization and provider | 100% | 2020-08-01 | ended 2020-12-31 | hcris_a_8_1 |
| HAVEN HEALTHCARE HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-12-01 | ended 2026-05-18 | pecos_ownership |
| DAVID GLAT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 40% | 2024-12-01 | ended 2026-05-18 | pecos_ownership |
| NATHAN AND SHIRLEY ROTHNER FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 40% | 2024-12-01 | ended 2026-05-18 | pecos_ownership |
| LEVI ISRAEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2024-12-01 | ended 2026-05-18 | pecos_ownership |
| ASAD ZAMAN | ADP OF THE SNF | — | 2024-12-01 | ended 2026-05-18 | pecos_ownership |
| HAROLD KATZ | TRUSTEE OF THE SNF | — | 2024-12-01 | ended 2026-05-18 | pecos_ownership |
| LEVI ISRAEL | ADP OF THE SNF | — | 2021-12-01 | ended 2026-05-18 | pecos_ownership |
| SYNDEY ROBINSON | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-01 | ended 2026-05-18 | pecos_ownership |
| WILLIAM ROTHNER | TRUSTEE OF THE SNF | — | 2024-12-01 | 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 |
|---|---|---|---|---|
| 2024-12-01 | — | HAVEN OF TUSCOLA LLC | TUSCOLA HCO, 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
33| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 17041 | fmr | 0 | $681 | 2025-10-01 | HUD_USER_FMR |
| county 17041 | acs median gross | 1 | $648 | 2024-12-31 | CENSUS_ACS5 |
| county 17041 | fmr | 1 | $836 | 2025-10-01 | HUD_USER_FMR |
| county 17041 | acs median gross | 2 | $838 | 2024-12-31 | CENSUS_ACS5 |
| county 17041 | fmr | 2 | $916 | 2025-10-01 | HUD_USER_FMR |
| county 17041 | acs median gross | 3 | $1,018 | 2024-12-31 | CENSUS_ACS5 |
| county 17041 | fmr | 3 | $1,240 | 2025-10-01 | HUD_USER_FMR |
| county 17041 | acs median gross | 4 | $983 | 2024-12-31 | CENSUS_ACS5 |
| county 17041 | fmr | 4 | $1,271 | 2025-10-01 | HUD_USER_FMR |
| county 17041 | acs median gross | 5 | $671 | 2024-12-31 | CENSUS_ACS5 |
| county 17041 | acs median gross | $848 | 2024-12-31 | CENSUS_ACS5 | |
| county 17041 | acs recent mover gross | $870 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 61953 | acs median gross | 1 | $1,045 | 2024-12-31 | CENSUS_ACS5 |
| zcta 61953 | acs median gross | 2 | $788 | 2024-12-31 | CENSUS_ACS5 |
| zcta 61953 | acs median gross | 3 | $1,193 | 2024-12-31 | CENSUS_ACS5 |
| zcta 61953 | acs median gross | 4 | $1,274 | 2024-12-31 | CENSUS_ACS5 |
| zcta 61953 | acs median gross | $885 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 61953 | acs recent mover gross | $1,293 | 2024-12-31 | CENSUS_ACS5 | |
| zip 61953 | payment standard 110 | 0 | $902 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61953 | payment standard 90 | 0 | $738 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61953 | safmr | 0 | $820 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61953 | payment standard 110 | 1 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61953 | payment standard 90 | 1 | $810 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61953 | safmr | 1 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61953 | payment standard 110 | 2 | $1,089 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61953 | payment standard 90 | 2 | $891 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61953 | safmr | 2 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61953 | payment standard 110 | 3 | $1,474 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61953 | payment standard 90 | 3 | $1,206 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61953 | safmr | 3 | $1,340 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61953 | payment standard 110 | 4 | $1,507 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61953 | payment standard 90 | 4 | $1,233 | 2025-10-01 | HUD_USER_SAFMR |
| zip 61953 | safmr | 4 | $1,370 | 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.