Composite
95.2 / 100 percentile
Screener / 155156
F
APERION CARE ARBORS MICHIGAN CITY
snfINSFF: SFF Candidate
1101 E COOLSPRING AVE, MICHIGAN CITY, IN 46360 · CCN 155156 · chain MAJOR HOSPITAL
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
180
Model
v1.2
Reads as: riskier than 95.2% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5ML signals25Components16CHOW radar1Distress radar1Staffing16Penalties1Deficiencies68Licensure0Ownership42Related party5Transactions0Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 87.7 | 58.0 | 0.30 | 0.2308 | 20.24 | in index |
| staffing risk | 82.1 | 82.1 | 0.25 | 0.1923 | 15.79 | in index |
| financial risk | 65.5 | 56.0 | 0.30 | 0.2308 | 15.12 | in index |
| regulatory risk | 63.9 | 56.1 | 0.30 | 0.2308 | 14.75 | in index |
| chow risk | 50.0 | 48.1 | 0.15 | 0.1154 | 5.77 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
25| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +37.0 vs natl | ATTINGER JEFFERY | 5 facilities |
| connection | Owner fleet risk far above national | +29.7 vs natl | CHASE OFFICE LLC | 82 facilities |
| connection | Owner fleet risk far above national | +28.7 vs natl | WILHELM NAFTALI | 81 facilities |
| connection | Owner fleet risk far above national | +28.2 vs natl | CURIS SERVICES LLC | 85 facilities |
| connection | Owner fleet risk far above national | +28.1 vs natl | TUROFSKY STEVEN | 87 facilities |
| connection | Owner fleet risk far above national | +27.4 vs natl | SPECTOR JENNIFER | 93 facilities |
| connection | Owner fleet risk far above national | +26.4 vs natl | APERION CONSULTING LLC | 22 facilities |
| connection | Owner fleet risk far above national | +26.3 vs natl | BERKOWITZ DAVID | 77 facilities |
| connection | Owner fleet risk far above national | +26.2 vs natl | MEYSTEL YOSEF | 77 facilities |
| connection | Owner fleet risk far above national | +25.9 vs natl | APERION CARE INC | 29 facilities |
| connection | Owner fleet risk far above national | +25.0 vs natl | MAJOR HOSPITAL | 11 facilities |
| connection | Owner fleet risk far above national | +24.6 vs natl | ULBERT LISA | 30 facilities |
| connection | Owner fleet risk far above national | +24.2 vs natl | CLAXTON RYAN | 23 facilities |
| connection | Owner spans multiple chains | 13 chains | CHASE OFFICE LLC | 75 facilities |
| connection | Owner spans multiple chains | 9 chains | TUROFSKY STEVEN | 84 facilities |
| connection | Owner spans multiple chains | 9 chains | SPECTOR JENNIFER | 90 facilities |
| connection | Owner spans multiple chains | 8 chains | MEYSTEL YOSEF | 73 facilities |
| connection | Owner spans multiple chains | 8 chains | BERKOWITZ DAVID | 73 facilities |
| connection | Owner spans multiple chains | 8 chains | APERION CARE INC | 28 facilities |
| connection | Owner spans multiple chains | 8 chains | ULBERT LISA | 29 facilities |
| connection | Owner spans multiple chains | 8 chains | WILHELM NAFTALI | 78 facilities |
| connection | Owner spans multiple chains | 8 chains | CURIS SERVICES LLC | 81 facilities |
| connection | Owner spans multiple chains | 7 chains | APERION CONSULTING LLC | 21 facilities |
| connection | Owner fleet enforcement cluster | 54% fined | WILHELM NAFTALI | 81 facilities |
| connection | Owner fleet enforcement cluster | 53% fined | SPECTOR JENNIFER | 93 facilities |
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 58.0 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 71.2 | D | v0.6 | default · in composite | |
| financial risk | 56.0 | C | 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 | 9.7 | — | 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 | 56.1 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 82.1 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 75.3 | D | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 55.3 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 52.3 | C | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 59.8 | C | 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 | 56.1 | 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 | 56.1 | 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 | 82.1 | 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 | 82.1 | 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)
9.7%
model v0.1 · computed 2026-07-29
Percentile among SNFs
97.5
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 | |
| 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) | 3.58 | +0.36 | |
| Deficiencies, last 12 months | 18.00 | +0.27 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Facility size (log beds) | 5.20 | -0.13 |
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 | 18.00 | -1.91 | |
| Chain size (log) | 3.58 | -0.88 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.66 | +0.37 | |
| Total nurse staffing (HPRD) | 2.76 | +0.19 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Facility size (log beds) | 5.20 | -0.18 |
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 | IN median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.76 | 2.85 | 3.28 | 2.90–3.77 |
| RN | 0.32 | 0.40 | 0.39 | 0.25–0.58 |
| Weekend total | 2.64 | 2.71 | 3.11 | — |
| Weekday total | 2.80 | 2.90 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 119.1 | 2.76 | 0.32 | 0.71 | 1.72 | 2.64 | 2.2% |
| 2025Q3 | 92 | 122.1 | 2.58 | 0.22 | 0.72 | 1.64 | 2.37 | 0.7% |
| 2025Q2 | 91 | 115.9 | 2.86 | 0.31 | 0.85 | 1.69 | 2.69 | 8.5% |
| 2025Q1 | 90 | 120.9 | 2.50 | 0.29 | 0.62 | 1.58 | 2.31 | 5.3% |
| 2024Q4 | 92 | 124.6 | 2.53 | 0.39 | 0.51 | 1.64 | 2.46 | 0.1% |
| 2024Q3 | 92 | 127.3 | 2.57 | 0.42 | 0.53 | 1.62 | 2.36 | 3.9% |
| 2024Q2 | 91 | 130.0 | 2.50 | 0.24 | 0.62 | 1.64 | 2.34 | 15.2% |
| 2024Q1 | 91 | 140.2 | 2.34 | 0.25 | 0.66 | 1.43 | 2.13 | 1.7% |
| 2023Q4 | 92 | 124.4 | 2.56 | 0.20 | 0.73 | 1.64 | 2.34 | 1.8% |
| 2023Q3 | 92 | 123.6 | 2.54 | 0.12 | 0.71 | 1.71 | 2.37 | 6.5% |
| 2023Q2 | 91 | 131.5 | 2.59 | 0.18 | 0.75 | 1.66 | 2.37 | 4.5% |
| 2023Q1 | 90 | 131.5 | 2.38 | 0.16 | 0.74 | 1.48 | 2.32 | 0.0% |
| 2022Q4 | 92 | 127.2 | 2.51 | 0.13 | 0.70 | 1.69 | 2.44 | 0.2% |
| 2022Q3 | 92 | 117.2 | 2.68 | 0.17 | 0.78 | 1.72 | 2.56 | 0.0% |
| 2022Q2 | 91 | 114.9 | 2.73 | 0.14 | 0.93 | 1.66 | 2.58 | 0.0% |
| 2022Q1 | 90 | 117.7 | 2.52 | 0.15 | 0.78 | 1.59 | 2.41 | 3.7% |
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
1| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-12-13 | Payment Denial | — | CMS provider data |
Total fines on record: $0
Deficiencies
68D × 51E × 15G × 1J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-01 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | — |
| 2026-02-10 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2026-02-20 |
| 2025-12-09 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-01-06 |
| 2025-12-09 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-01-06 |
| 2025-12-09 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2026-01-06 |
| 2025-12-09 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2026-01-06 |
| 2025-12-09 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2026-01-06 |
| 2025-12-09 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-01-06 |
| 2025-12-09 | 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 | 2026-01-06 |
| 2025-12-09 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-01-06 |
| 2025-12-09 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2026-01-06 |
| 2025-12-09 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2026-01-06 |
| 2025-12-09 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2026-01-06 |
| 2025-12-09 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2026-01-06 |
| 2025-10-08 | 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 | 2025-11-03 |
| 2025-10-08 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-11-03 |
| 2025-07-30 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-08-18 |
| 2025-07-30 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-08-18 |
| 2025-06-03 | 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 | 2025-07-01 |
| 2025-06-03 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-08-18 |
| 2025-06-03 | Health | F0659 | Provide care by qualified persons according to each resident's written plan of care. | E | 2025-07-01 |
| 2025-06-03 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2025-07-01 |
| 2025-06-03 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-08-18 |
| 2025-06-03 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-07-01 |
| 2025-06-03 | Health | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2025-07-01 |
| 2025-06-03 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-07-01 |
| 2025-06-03 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-08-18 |
| 2025-06-03 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2025-07-01 |
| 2025-06-03 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-07-01 |
| 2025-06-03 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-07-01 |
| 2024-12-13 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-01-06 |
| 2024-12-13 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-01-06 |
| 2024-12-13 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-01-06 |
| 2024-12-13 | Health | F0585 | Honor 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. | D | 2025-01-06 |
| 2024-12-13 | 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 | 2025-01-06 |
| 2024-12-13 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-01-06 |
| 2024-12-13 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-01-06 |
| 2024-12-13 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-01-31 |
| 2024-12-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-01-06 |
| 2024-12-13 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-01-06 |
| 2024-12-13 | Health · complaint | 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 | 2025-01-06 |
| 2024-12-13 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-01-31 |
| 2024-12-13 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-01-31 |
| 2024-12-13 | 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 | 2025-01-06 |
| 2024-12-13 | Health | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | 2025-01-06 |
| 2024-12-13 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-01-06 |
| 2024-06-28 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-07-29 |
| 2024-03-26 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-04-26 |
| 2024-03-26 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-04-26 |
| 2024-03-26 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-04-26 |
| 2024-01-24 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-02-14 |
| 2024-01-24 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-02-14 |
| 2024-01-24 | Health · complaint | 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 | 2024-02-14 |
| 2023-11-03 | Health · complaint | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2023-11-30 |
| 2023-11-03 | 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 | 2023-11-30 |
| 2023-11-03 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-11-30 |
| 2023-11-03 | 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 | 2023-11-30 |
| 2023-11-03 | Health · complaint | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2023-11-30 |
| 2023-11-03 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-11-30 |
| 2023-11-03 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-11-30 |
| 2023-11-03 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-11-30 |
| 2023-11-03 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-11-30 |
| 2023-11-03 | Health · complaint | 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 | 2023-11-30 |
| 2023-11-03 | 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 | 2023-11-30 |
| 2023-07-20 | 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 | 2023-08-04 |
| 2023-07-20 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-08-04 |
| 2023-07-20 | Health · complaint | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2023-08-04 |
| 2023-07-20 | Health · complaint | F0774 | Help the resident with transportation to and from laboratory services outside of the facility. | D | 2023-05-20 |
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
42| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| APERION INDIANA INVESTOR GROUP, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 16% | 2012-08-01 | current | pecos_ownership |
| BATTERY ARBORS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 14% | 2012-08-01 | current | pecos_ownership |
| ROBIN MILLER REVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11% | 2012-08-01 | current | pecos_ownership |
| AHMED, UMAIR | ADP OF THE SNF | — | 2012-08-01 | current | pecos_ownership |
| APERION CARE INC | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-08-01 | current | pecos_ownership |
| APERION CARE INC | ADP OF THE SNF | — | 2025-12-15 | current | pecos_ownership |
| APERION CONSULTING, LLC | ADP OF THE SNF | — | 2012-08-01 | current | pecos_ownership |
| ARBORS PROPERTY | Individual has financial interest in both related organization and provider | — | 2023-01-01 | current | hcris_a_8_1 |
| ARBORS PROPERTY | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| ATTINGER, JEFFERY | ADP OF THE SNF | — | 2012-08-01 | current | pecos_ownership |
| BERKOWITZ, DAVID | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-04-15 | current | pecos_ownership |
| CHASE OFFICE LLC | Individual has financial interest in both related organization and provider | — | 2024-01-01 | current | hcris_a_8_1 |
| CHASE OFFICE LLC | Individual has financial interest in both related organization and provider | — | 2023-01-01 | current | hcris_a_8_1 |
| CLAXTON, RYAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-27 | current | pecos_ownership |
| CURIS SERVICES LLC | ADP OF THE SNF | — | 2012-08-01 | current | pecos_ownership |
| LIVERS, DOROTHY | ADP OF THE SNF | — | 2012-08-01 | current | pecos_ownership |
| MAJOR HOSPITAL | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-03-01 | current | pecos_ownership |
| MEYSTEL, YOSEF | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-04-15 | current | pecos_ownership |
| SMITH, TODD | ADP OF THE SNF | — | 2012-08-01 | current | pecos_ownership |
| SPECTOR, JENNIFER | ADP OF THE SNF | — | 2012-08-01 | current | pecos_ownership |
| THE ARBORS OPERATOR LLC | ADP OF THE SNF | — | 2025-04-15 | current | pecos_ownership |
| THE ARBORS OPERATOR LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-08-01 | current | pecos_ownership |
| TUROFSKY, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-08-01 | current | pecos_ownership |
| ULBERT, LISA | ADP OF THE SNF | — | 2012-08-01 | current | pecos_ownership |
| WILHELM, NAFTALI | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-08-01 | current | pecos_ownership |
| DAVID A BERKOWITZ REVOC TR DAVID BERKOWITZ TTEE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 18% | 2012-08-01 | ended 2026-05-18 | pecos_ownership |
| YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 18% | 2012-08-01 | ended 2026-05-18 | pecos_ownership |
| JACK YOLINSKY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% | 2012-08-01 | ended 2026-05-18 | pecos_ownership |
| ARBORS PROPERTY | Individual has financial interest in both related organization and provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| ARBORS PROPERTY | Individual has financial interest in both related organization and provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| CHASE OFFICE LLC | Individual has financial interest in both related organization and provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| CHASE OFFICE LLC | Individual has financial interest in both related organization and provider | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| CHASE OFFICE LLC | Individual has financial interest in both related organization and provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| DOROTHY LIVERS | ADP OF THE SNF | — | 2012-08-01 | ended 2026-05-18 | pecos_ownership |
| JEFFERY ATTINGER | ADP OF THE SNF | — | 2012-08-01 | ended 2026-05-18 | pecos_ownership |
| JENNIFER SPECTOR | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-08-01 | ended 2026-05-18 | pecos_ownership |
| LISA ULBERT | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-08-01 | ended 2026-05-18 | pecos_ownership |
| NAFTALI WILHELM | ADP OF THE SNF | — | 2012-08-01 | ended 2026-05-18 | pecos_ownership |
| RYAN CLAXTON | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-27 | ended 2026-05-18 | pecos_ownership |
| STEVEN TUROFSKY | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-08-01 | ended 2026-05-18 | pecos_ownership |
| TODD SMITH | ADP OF THE SNF | — | 2012-08-01 | ended 2026-05-18 | pecos_ownership |
| UMAIR AHMED | ADP OF THE SNF | — | 2012-08-01 | 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
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 18091 | acs median gross | 0 | $813 | 2024-12-31 | CENSUS_ACS5 |
| county 18091 | fmr | 0 | $874 | 2025-10-01 | HUD_USER_FMR |
| county 18091 | acs median gross | 1 | $808 | 2024-12-31 | CENSUS_ACS5 |
| county 18091 | fmr | 1 | $953 | 2025-10-01 | HUD_USER_FMR |
| county 18091 | acs median gross | 2 | $994 | 2024-12-31 | CENSUS_ACS5 |
| county 18091 | fmr | 2 | $1,152 | 2025-10-01 | HUD_USER_FMR |
| county 18091 | acs median gross | 3 | $1,124 | 2024-12-31 | CENSUS_ACS5 |
| county 18091 | fmr | 3 | $1,454 | 2025-10-01 | HUD_USER_FMR |
| county 18091 | acs median gross | 4 | $1,269 | 2024-12-31 | CENSUS_ACS5 |
| county 18091 | fmr | 4 | $1,680 | 2025-10-01 | HUD_USER_FMR |
| county 18091 | acs median gross | 5 | $1,232 | 2024-12-31 | CENSUS_ACS5 |
| county 18091 | acs median gross | $976 | 2024-12-31 | CENSUS_ACS5 | |
| county 18091 | acs recent mover gross | $1,032 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 46360 | acs median gross | 0 | $828 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46360 | acs median gross | 1 | $866 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46360 | acs median gross | 2 | $987 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46360 | acs median gross | 3 | $1,115 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46360 | acs median gross | 4 | $1,268 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46360 | acs median gross | 5 | $1,228 | 2024-12-31 | CENSUS_ACS5 |
| zcta 46360 | acs median gross | $976 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 46360 | acs recent mover gross | $1,044 | 2024-12-31 | CENSUS_ACS5 | |
| zip 46360 | payment standard 110 | 0 | $913 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46360 | payment standard 90 | 0 | $747 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46360 | safmr | 0 | $830 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46360 | payment standard 110 | 1 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46360 | payment standard 90 | 1 | $810 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46360 | safmr | 1 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46360 | payment standard 110 | 2 | $1,199 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46360 | payment standard 90 | 2 | $981 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46360 | safmr | 2 | $1,090 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46360 | payment standard 110 | 3 | $1,507 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46360 | payment standard 90 | 3 | $1,233 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46360 | safmr | 3 | $1,370 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46360 | payment standard 110 | 4 | $1,738 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46360 | payment standard 90 | 4 | $1,422 | 2025-10-01 | HUD_USER_SAFMR |
| zip 46360 | safmr | 4 | $1,580 | 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.