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Elevated
OpenScore 130

APERION CARE FOX RIVER LLC

Doing business as APERION CARE FOX RIVER

Flagged provider address

355 RAYMOND ST, ELGIN, IL, 60120-7875

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Why this was flagged

Elevated
Extreme per-patient billing

Medicare paid far more per patient than peers

In 2020 this provider was paid $33,835 per patient, against a typical $16,882 for the same kind of provider in IL. A genuinely high-need patient mix can explain some of this, but extreme per-patient billing is a classic upcoding and phantom-patient pattern.

Source Medicare Skilled Nursing Payments by Provider · record as of 11 Aug 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 0c26d5

View the records behind this flag →

Moderate
Owner cluster

Owner is tied to 105 providers

An owner or managing party of this provider (JENNIFER SPECTOR) is listed on 105 separate Medicare enrollments. Chains are legal, and most are ordinary business — this is background context, not a fraud indicator on its own.

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

View the records behind this flag →

Owners and managing parties of record

JENNIFER SPECTOR

CORPORATE OFFICER · I · 100% ownership · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

JENNIFER SPECTOR

OPERATIONAL/MANAGERIAL CONTROL · I · 100% ownership · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

LISA ULBERT

CORPORATE OFFICER · I · 100% ownership · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

JONATHAN DAUBER

5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 49% ownership · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

YOSEF MEYSTEL DELTA TRUST

5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 22.5% ownership · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

DAVID A BERKOWITZ DELTA TRUST

5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 22.5% ownership · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

APERION CARE EXEC HOLDINGS LLC

5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 5% ownership · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

BRIAN GOLDFARB

DIRECT OWNERSHIP INTEREST · I · 1% ownership · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

FREDERICK FRANKEL

ADP OF THE SNF · I · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

PRANAV KUMAR P SHROFF

OPERATIONAL/MANAGERIAL CONTROL · I · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

PRANAV KUMAR P SHROFF

ADP OF THE SNF · I · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

ENRICO GREGARIO LAGTAPON

OPERATIONAL/MANAGERIAL CONTROL · I · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

ENRICO GREGARIO LAGTAPON

ADP OF THE SNF · I · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

JENNIFER SPECTOR

ADP OF THE SNF · I · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

KATHERINE GEIGEL

MANAGING CONTROL - GOVERNING BODY · I · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

KATHERINE GEIGEL

ADP OF THE SNF · I · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

MARIA VICTORIA LAPTAPON

OPERATIONAL/MANAGERIAL CONTROL · I · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

MARIA VICTORIA LAPTAPON

MANAGING CONTROL - GOVERNING BODY · I · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

MARIA VICTORIA LAPTAPON

ADP OF THE SNF · I · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

DOVID SEITLER

ADP OF THE SNF · I · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

APERION CONSULTING, LLC

ADP OF THE SNF · O · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

APERION CARE INC

OPERATIONAL/MANAGERIAL CONTROL · O · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

APERION CARE INC

ADP OF THE SNF · O · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

STEVEN TUROFSKY

OPERATIONAL/MANAGERIAL CONTROL · I · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

STEVEN TUROFSKY

ADP OF THE SNF · I · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

YOSEF MEYSTEL DELTA TRUST

ADP OF THE SNF · O · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

DAVID A BERKOWITZ DELTA TRUST

ADP OF THE SNF · O · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

YOSEF MEYSTEL DECLARATION OF TR OF YOSEF MEYSTEL TTEE

ADP OF THE SNF · O · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

LISA ULBERT

OPERATIONAL/MANAGERIAL CONTROL · I · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

LISA ULBERT

ADP OF THE SNF · I · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

NAFTALI WILHELM

OPERATIONAL/MANAGERIAL CONTROL · I · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

NAFTALI WILHELM

ADP OF THE SNF · I · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

CURIS SERVICES LLC

ADP OF THE SNF · O · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

FOX PROP, LLC

ADP OF THE SNF · O · since Mar 25, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

APERION CARE EXEC HOLDINGS LLC

ADP OF THE SNF · O · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

JOSHUA HOFFMAN TRUST

ADP OF THE SNF · O · since Jul 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

Source timeline

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Source records

Each value includes its published file, download date, and weekly version. Open a link to check the source record. Verify this lead yourself.

DetailValuePublished fileRecord as ofPulledVersion
Legal nameAPERION CARE FOX RIVER LLCCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Trading nameAPERION CARE FOX RIVERCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
NPI1588353478CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Medicare certification number145447CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
CMS associate ID8921461237CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Provider typePART A PROVIDER - SKILLED NURSING FACILITYCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Organisation typeLLCCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Street address355 RAYMOND STCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
CityELGINCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
StateILCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
ZIP60120-7875CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d

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