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 2026-08-04 12:45 UTC
Care Infrastructure Intelligence

Dashboard

One-screen rollup of the ownership, risk, and transaction layer for care-facility deals — 57,911 licensed facilities, model v1.2.
Enforcement wall20 enforcement and immediate-jeopardy events on the recent tape · 8 ownership-change applications in the pipeline · open CHOW radar
In scope
57,911
Scored
57,560
coverage 99.394%
Grade F
2,867
top 5% risk of peer group
Chains
2,858
operating-name rollups
Owners
29,812
true-owner fleets, ≥2 facilities
Transactions
5,161
sale and transfer tape
Fines since 2023
$459.1M
federal penalty record

Grade distribution

percentile bands within peer groups — band sizes are fixed by construction
A 17,42130.3%B 17,12929.8%C 14,48825.2%D 5,6559.8%F 2,8675.0%

Setting mix

in-scope facilities by care setting
57.9kin scope
home health24,49242.3%
snf14,72025.4%
hospice6,76611.7%
alf5,7079.9%
icf iid5,2289.0%
adult day8271.4%
other settings1710.3%

Survey deficiencies by year

2017–present · federal survey record
121.9k61k171921232526

Federal fines by year

2023–present · CMS penalty record
$184.4M$92.2M23242526

Signal tape

dated events from primary sources — enforcement, immediate jeopardy, fines ≥$50k, ownership-change applications and sales · every row routes to a dossier
2026-08-04LICAXIS HEALTHCARE LLCTXHHSC: ENFORCEMENT ACTION PEND2026-07-31LICSWIFT RESPONSE INCTXHHSC: ENFORCEMENT ACTION PEND2026-07-31LICRGV GUARDIANS OF CARE LLCTXHHSC: ENFORCEMENT ACTION PEND2026-07-28LICDOVE HOSPICE CARE LLCTXHHSC: ENFORCEMENT ACTION PEND2026-07-24LICHANDS OF GOLD HOME CARE LLCTXHHSC: closure notice2026-07-24LICCHRIST HOME CARE LLCTXHHSC: closure notice2026-07-24LICAMOR CURA PHC LLCTXHHSC: closure notice2026-07-20LICKINDER HEALTHCARE SOLUTIONS LLCTXHHSC: closure notice2026-07-20LICSUPREME TOUCH HEALTHCARE SERVICES LLCTXHHSC: closure notice2026-07-20LICFACO HEALTHCARE SERVICES INCTXHHSC: closure notice2026-07-19LICSAMNENAA CARE, INCTXHHSC: closure notice2026-07-18LICINDEPENDENCE CARE OF TEXAS LLCTXHHSC: ENFORCEMENT ACTION PEND2026-06-05CHOWS.A.F.E. SKILLED SERVICES LLCFLstate agency: change-of-ownership application2026-05-30CHOWANGELS ON EARTH ADULT DAY CARE CENTER, LLCFLstate agency: change-of-ownership application2026-05-15CHOWWHEATLAND HEALTH COMMUNITY CARE INC.FLstate agency: change-of-ownership application2026-05-14CHOWREYES CARE HOME HEALTH SERVICES LLCFLstate agency: change-of-ownership application2026-05-08IJAvir at HoustonTXImmediate jeopardy: tag F0627 scope J · GRAF HOLDINGS LLC2026-05-04IJARABELLA HEALTH & WELLNESS OF PENSACOLAFLImmediate jeopardy: tag F0867 scope J · GNH IRRV TR2026-05-04IJARABELLA HEALTH & WELLNESS OF PENSACOLAFLImmediate jeopardy: tag F0835 scope J · GNH IRRV TR2026-05-04IJARABELLA HEALTH & WELLNESS OF PENSACOLAFLImmediate jeopardy: tag F0689 scope J · GNH IRRV TR2026-05-01IJST CLARE LIVING COMMUNITY OF MORAMNImmediate jeopardy: tag F0689 scope J2026-05-01IJEstates Healthcare and Rehabilitation CenterTXImmediate jeopardy: tag F0600 scope J · WEST WHARTON COUNTY HOSPITAL DISTRICT2026-04-30IJBLUESTONE HEALTH AND REHABILITATIONWVImmediate jeopardy: tag F0689 scope K · SAESSY IRREVOCABLE TRUST2026-04-30IJAVENUES AT ROYAL OAKILImmediate jeopardy: tag F0689 scope J · YOSEF MEYSTEL DELTA TRUST2026-04-29FINEArbor Grace Guest Care CenterTX$186,256 · HAMILTON COUNTY HOSPITAL DISTRICT2026-04-28FINELawton Post Acute & RehabOK$99,5852026-04-28CHOWCARE TRACKERS HOME HEALTHFLstate agency: change-of-ownership application2026-04-28CHOWCASAVIDA HOME CARE LLCFLstate agency: change-of-ownership application2026-04-27CHOWTRUSTED CHETTRUE CARE LLCFLstate agency: change-of-ownership application2026-04-21FINEThe Blossoms at Woodland Hills Rehab & Nursing CenAR$133,616 · ZCS AR OPCO LLC2026-04-17FINERIVER OAKS HEALTH AND REHABILITATION CENTERTX$51,756 · CREATIVE SOLUTIONS IN HEALTHCARE INC2026-04-17FINETRENTON GARDENS REHABILITATION AND NURSING CENTERNJ$157,3602026-04-17FINERock Creek Health and RehabilitationTX$67,920 · WEST WHARTON COUNTY HOSPITAL DISTRICT2026-04-17CHOWHONOR CARE NETWORK FLORIDA, LLCFLstate agency: change-of-ownership application2026-04-13FINEWhite Oak Manor - CharlotteNC$59,580 · WHITE OAK MANAGEMENT INC2026-04-09FINEEmerald Ridge Health and RehabilitationNC$84,427 · SNF MGR LLC2026-04-09FINEDIVERSICARE OF OXFORDAL$111,900 · DAC ACQUISITION LLC2026-04-09FINEBrunswick Health & Rehab CenterNC$66,120 · BNV DYNASTY LLC2025-11-01SALEStonehenge of OremUTSale — buyer SARSEN HEALTHCARE LLC · THE ENSIGN GROUP INC2025-11-01SALEStonehenge of South JordanUTSale — buyer TRILITHON HEALTHCARE LLC · THE ENSIGN GROUP INC2025-10-21SALEINGRAHAM MANOR REHAB AND NURSINGCTSale — buyer IM OPCO LLC2025-10-01SALEST. ANTHONY'S CARE CENTERTXSale — buyer SOUTH LIMESTONE HOSPITAL DISTRICT · SOUTH LIMESTONE HOSPITAL DISTRICT2025-10-01SALEAVENIR AT MAPLE GROVEMOSale — buyer NBH2 MGOPCO LLC · KRPSS PARTNERS2025-10-01SALEAvir at New BraunfelsTXSale — buyer 821 US HIGHWAY 81 W OPCO LLC · GRAF HOLDINGS LLC2025-10-01SALEARBOR HILLS CARE & REHAB CENTERMOSale — buyer ARBOR HILLS HEALTHCARE, LLC · 10 26 NATIONWIDE TR2025-10-01SALEAVENIR AT MARK TWAINMOSale — buyer NBH1 MTOPCO LLC · KRPSS PARTNERS

Series start when their sources start; earlier years are absent from the record, not zero activity. Composite scores are percentile positions within facility peer groups — 100 is the highest risk, and band counts cannot be read as a trend over time.