CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 58,002 facilities
LIVE SIGNALS
ENFPARLEW HEALTH INSTITUTE LLCTX · 2026-10-04 · HHSC: ENFORCEMENT ACTION PENDENFELOIS HEALTH CARE LLCTX · 2026-10-03 · HHSC: ENFORCEMENT ACTION PENDENFTOTAL TEAM HOME HEALTHTX · 2026-10-03 · HHSC: ENFORCEMENT ACTION PENDENFK & G QUALITY HEALTHCARE SERVICES INCTX · 2026-09-30 · HHSC: ENFORCEMENT ACTION PENDENFSERENITY PLUS HOME HEALTH INCTX · 2026-09-30 · HHSC: ENFORCEMENT ACTION PENDENFAMAZING ANGELS HOSPICETX · 2026-09-30 · HHSC: ENFORCEMENT ACTION PENDENFSUMMIT HEALTHCARE STAFFING LLCTX · 2026-09-29 · HHSC: ENFORCEMENT ACTION PENDENFHEALTH DIRECT HEALTHCARE SERVICES INCTX · 2026-09-27 · HHSC: ENFORCEMENT ACTION PENDENFNEXT PHASE HOME CARE LLCTX · 2026-09-26 · HHSC: ENFORCEMENT ACTION PENDENFIMPACT LIVES LLCTX · 2026-09-25 · HHSC: ENFORCEMENT ACTION PENDENFUNITED HEALTH SOLUTIONS LLCTX · 2026-09-25 · HHSC: ENFORCEMENT ACTION PENDENFHEALTHY LIVING CAREGIVERS LLCTX · 2026-09-22 · HHSC: ENFORCEMENT ACTION PENDENFPATRICE TOTAL CARE & COMPANION INCTX · 2026-09-21 · HHSC: ENFORCEMENT ACTION PENDENFALL HANDS HOME CARE, LLCTX · 2026-09-15 · HHSC: ENFORCEMENT ACTION PENDMOVECrouse 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)ENFPARLEW HEALTH INSTITUTE LLCTX · 2026-10-04 · HHSC: ENFORCEMENT ACTION PENDENFELOIS HEALTH CARE LLCTX · 2026-10-03 · HHSC: ENFORCEMENT ACTION PENDENFTOTAL TEAM HOME HEALTHTX · 2026-10-03 · HHSC: ENFORCEMENT ACTION PENDENFK & G QUALITY HEALTHCARE SERVICES INCTX · 2026-09-30 · HHSC: ENFORCEMENT ACTION PENDENFSERENITY PLUS HOME HEALTH INCTX · 2026-09-30 · HHSC: ENFORCEMENT ACTION PENDENFAMAZING ANGELS HOSPICETX · 2026-09-30 · HHSC: ENFORCEMENT ACTION PENDENFSUMMIT HEALTHCARE STAFFING LLCTX · 2026-09-29 · HHSC: ENFORCEMENT ACTION PENDENFHEALTH DIRECT HEALTHCARE SERVICES INCTX · 2026-09-27 · HHSC: ENFORCEMENT ACTION PENDENFNEXT PHASE HOME CARE LLCTX · 2026-09-26 · HHSC: ENFORCEMENT ACTION PENDENFIMPACT LIVES LLCTX · 2026-09-25 · HHSC: ENFORCEMENT ACTION PENDENFUNITED HEALTH SOLUTIONS LLCTX · 2026-09-25 · HHSC: ENFORCEMENT ACTION PENDENFHEALTHY LIVING CAREGIVERS LLCTX · 2026-09-22 · HHSC: ENFORCEMENT ACTION PENDENFPATRICE TOTAL CARE & COMPANION INCTX · 2026-09-21 · HHSC: ENFORCEMENT ACTION PENDENFALL HANDS HOME CARE, LLCTX · 2026-09-15 · HHSC: ENFORCEMENT ACTION PENDMOVECrouse 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 2026-10-04 23:46 UTC
Care Infrastructure Intelligence

Dashboard

One-screen rollup of the ownership, risk, and transaction layer for care-facility deals — 58,002 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
58,002
Scored
57,560
coverage 99.238%
Grade F
2,867
top 5% risk of peer group
Chains
2,859
operating-name rollups
Owners
29,812
true-owner fleets, ≥2 facilities
Transactions
5,162
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
58kin scope
home health24,58142.4%
snf14,72025.4%
hospice6,76611.7%
alf5,7099.8%
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
2026-10-04LICPARLEW HEALTH INSTITUTE LLCTXHHSC: ENFORCEMENT ACTION PEND2026-10-03LICELOIS HEALTH CARE LLCTXHHSC: ENFORCEMENT ACTION PEND2026-10-03LICTOTAL TEAM HOME HEALTHTXHHSC: ENFORCEMENT ACTION PEND2026-09-30LICK & G QUALITY HEALTHCARE SERVICES INCTXHHSC: ENFORCEMENT ACTION PEND2026-09-30LICSERENITY PLUS HOME HEALTH INCTXHHSC: ENFORCEMENT ACTION PEND2026-09-30LICAMAZING ANGELS HOSPICETXHHSC: ENFORCEMENT ACTION PEND2026-09-29LICSUMMIT HEALTHCARE STAFFING LLCTXHHSC: ENFORCEMENT ACTION PEND2026-09-27LICHEALTH DIRECT HEALTHCARE SERVICES INCTXHHSC: ENFORCEMENT ACTION PEND2026-09-26LICNEXT PHASE HOME CARE LLCTXHHSC: ENFORCEMENT ACTION PEND2026-09-25LICIMPACT LIVES LLCTXHHSC: ENFORCEMENT ACTION PEND2026-09-25LICUNITED HEALTH SOLUTIONS LLCTXHHSC: ENFORCEMENT ACTION PEND2026-09-22LICHEALTHY LIVING CAREGIVERS LLCTXHHSC: ENFORCEMENT ACTION PEND2026-08-07CHOWVISITING ANGELS OF WINTER PARK ORLANDOFLstate agency: change-of-ownership application2026-08-03CHOWLEE HEALTH HOME INFUSION LLCFLstate agency: change-of-ownership application2026-07-13CHOWBRIGHTSTAR CARE OF E. ORLANDO / LAKE NONAFLstate agency: change-of-ownership application2026-06-05CHOWS.A.F.E. SKILLED SERVICES LLCFLstate agency: change-of-ownership application2026-06-01CHOWEXECUTIVE HOME CAREFLstate 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 F0689 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 F0867 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 DISTRICT2026-04-30IJTrotwood Health & Rehab LLCOHImmediate jeopardy: tag F0600 scope J · HILLSTONE HEALTHCARE INC2026-04-30IJJohn J Kane Regional Center-McPAImmediate jeopardy: tag F0689 scope J2026-04-29FINEArbor Grace Guest Care CenterTX$186,256 · HAMILTON COUNTY HOSPITAL DISTRICT2026-04-28FINELawton Post Acute & RehabOK$99,5852026-04-21FINEThe 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 DISTRICT2026-04-13FINEWhite 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 LLC

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.