Composite
97.8 / 100 percentile
Screener / 675254
F
Cascades at Galveston
snfTX
3702 Cove View Blvd, Galveston, TX 77554 · CCN 675254 · chain WINNIE STOWELL HOSPITAL DISTRICT
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
150
Model
v1.2
Reads as: riskier than 97.8% 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 model7ML signals8Components19CHOW radar1Distress radar1Staffing16Penalties6Deficiencies41Licensure0Ownership36Related party3Transactions1Comps12Market rent34
Composite explanation
7| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 98.8 | 98.1 | 0.30 | 0.1875 | 18.53 | in index |
| financial risk | 94.1 | 83.1 | 0.30 | 0.1875 | 17.64 | in index |
| staffing risk | 91.7 | 91.7 | 0.25 | 0.1563 | 14.33 | in index |
| state reg risk | 63.7 | 15.0 | 0.30 | 0.1875 | 11.94 | in index |
| billing conduct | 37.2 | 34.6 | 0.30 | 0.1875 | 6.98 | in index |
| chow risk | 72.3 | 67.9 | 0.15 | 0.0938 | 6.78 | in index |
| ownership opacity | 87.0 | 75.3 | excluded |
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
8| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +23.8 vs natl | FULLMER CHAD | 18 facilities |
| connection | Owner fleet risk far above national | +20.2 vs natl | MCSPADDEN DARIN | 21 facilities |
| connection | Buyer assembling a chain (5+ takeovers/24mo) | 6 facilities | WINNIE-STOWELL HOSPITAL DISTRICT | 6 facilities |
| connection | Owner spans multiple chains | 5 chains | FULLMER CHAD | 14 facilities |
| connection | Owner spans multiple chains | 5 chains | MCSPADDEN DARIN | 17 facilities |
| connection | Owner fleet enforcement cluster | 46% fined | MURRELL EDWARD | 76 facilities |
| connection | Owner fleet enforcement cluster | 46% fined | CRUMP JASON | 11 facilities |
| connection | Owner fleet enforcement cluster | 42% fined | WHITE DEREK | 12 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
19| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 34.6 | B | 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 | 84.6 | F | v0.1-txhhsc | default · in composite | Texas licence reissue timing as an ownership-transfer proxy. |
| chow risk | 94.0 | F | v0.6 | default · in composite | |
| financial risk | 83.1 | F | v0.5 | default · in composite | R18. |
| ownership opacity | 75.3 | D | v0.1-txhhsc | default · in composite | Texas HHSC directory ownership structure: chain size, absentee owner, management company, entity form, owner closure history. |
| 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 | 0.1 | — | 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 | 98.1 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 91.7 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| state reg risk | 15.0 | A | v0.5 | default · in composite | |
| financial risk | 91.7 | F | 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 | 71.7 | D | 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 | 66.3 | 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 | 83.1 | 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 | 98.1 | 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 | 98.1 | 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 | 91.7 | 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 | 91.7 | 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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
30.7
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 1.74 | -1.68 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| Occupancy | 0.41 | +0.84 | |
| For-profit ownership | 1.00 | +0.69 | |
| Chain size (log) | 4.34 | +0.52 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Deficiencies, last 12 months | 14.00 | +0.17 |
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 | |
|---|---|---|---|
| Occupancy | 0.41 | +1.44 | |
| Chain size (log) | 4.34 | -1.33 | |
| Deficiencies, last 12 months | 14.00 | -1.17 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 11.49 | -0.66 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 2.47 | +0.31 | |
| Never sold on record | 0.00 | -0.28 |
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 | TX median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.47 | 2.67 | 3.28 | 2.90–3.77 |
| RN | 0.41 | 0.24 | 0.39 | 0.25–0.58 |
| Weekend total | 2.38 | 2.56 | 3.11 | — |
| Weekday total | 2.50 | 2.72 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 60.9 | 2.47 | 0.41 | 0.52 | 1.54 | 2.38 | 0.0% |
| 2025Q3 | 92 | 61.2 | 2.56 | 0.47 | 0.48 | 1.61 | 2.59 | 0.0% |
| 2025Q2 | 91 | 60.9 | 2.88 | 0.64 | 0.41 | 1.83 | 2.69 | 0.0% |
| 2025Q1 | 90 | 58.0 | 3.12 | 0.68 | 0.39 | 2.05 | 2.83 | 0.0% |
| 2024Q4 | 92 | 59.1 | 2.96 | 0.72 | 0.33 | 1.91 | 2.80 | 0.0% |
| 2024Q3 | 92 | 57.2 | 2.96 | 0.89 | 0.38 | 1.70 | 2.73 | 0.0% |
| 2024Q2 | 91 | 62.7 | 2.87 | 0.75 | 0.44 | 1.68 | 2.59 | 0.0% |
| 2024Q1 | 91 | 66.2 | 2.97 | 0.63 | 0.64 | 1.70 | 2.57 | 2.0% |
| 2023Q4 | 92 | 66.7 | 2.94 | 0.45 | 0.75 | 1.74 | 2.66 | 3.9% |
| 2023Q3 | 92 | 65.9 | 2.80 | 0.61 | 0.50 | 1.69 | 2.42 | 0.9% |
| 2023Q2 | 91 | 70.6 | 2.50 | 0.48 | 0.44 | 1.58 | 2.22 | 0.0% |
| 2023Q1 | 90 | 72.9 | 2.51 | 0.61 | 0.39 | 1.52 | 2.17 | 0.0% |
| 2022Q4 | 92 | 71.4 | 2.48 | 0.43 | 0.42 | 1.63 | 2.23 | 0.1% |
| 2022Q3 | 92 | 63.1 | 2.71 | 0.52 | 0.59 | 1.60 | 2.57 | 6.8% |
| 2022Q2 | 91 | 66.0 | 2.99 | 0.26 | 0.97 | 1.75 | 2.93 | 21.9% |
| 2022Q1 | 90 | 68.5 | 2.77 | 0.08 | 1.02 | 1.67 | 2.60 | 38.7% |
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
6fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2026-03-18 | Fine | $97,680 | CMS provider data |
| 2024-03-08 | Fine | $17,000 | CMS provider data |
| 2024-03-08 | Fine | $39,693 | CMS provider data |
| 2024-03-08 | Payment Denial | — | CMS provider data |
| 2023-09-28 | Fine | $87,143 | CMS provider data |
| 2023-09-28 | Payment Denial | — | CMS provider data |
Total fines on record: $241,516
Deficiencies
41D × 20E × 11F × 1J × 3K × 6
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-22 | 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. | K | — |
| 2026-04-22 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | — |
| 2026-04-22 | 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 | — |
| 2026-04-22 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | K | — |
| 2026-04-02 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | — |
| 2026-03-18 | 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 | 2026-04-13 |
| 2026-03-18 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2026-04-13 |
| 2026-03-18 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2026-04-13 |
| 2026-03-18 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2026-04-13 |
| 2025-11-25 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-11-26 |
| 2025-11-25 | Health · complaint | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | 2025-11-26 |
| 2025-11-19 | Health · complaint | 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 | 2025-12-09 |
| 2025-09-05 | 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 | 2026-01-12 |
| 2025-09-05 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | 2026-01-12 |
| 2025-05-29 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2025-05-30 |
| 2025-05-29 | 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 | 2025-05-30 |
| 2025-05-16 | 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 | 2025-05-17 |
| 2025-05-16 | Health · complaint | 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 | 2025-05-17 |
| 2024-05-17 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | E | 2024-05-24 |
| 2024-05-17 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-05-24 |
| 2024-03-29 | 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. | K | 2024-05-01 |
| 2024-03-29 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2024-05-01 |
| 2024-03-29 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2024-05-01 |
| 2024-03-29 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2024-05-01 |
| 2024-03-29 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-05-01 |
| 2024-03-29 | 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. | K | 2024-05-01 |
| 2024-03-29 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2024-05-01 |
| 2024-03-29 | Health · complaint | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | 2024-05-01 |
| 2024-03-08 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | J | 2024-03-13 |
| 2023-10-28 | 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. | J | 2023-11-27 |
| 2023-10-28 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | J | 2023-11-27 |
| 2023-09-28 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | 2023-10-30 |
| 2023-09-28 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | 2023-10-30 |
| 2023-01-27 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | E | 2023-02-20 |
| 2023-01-27 | Health | 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. | D | 2023-02-20 |
| 2023-01-27 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-02-20 |
| 2023-01-27 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2023-02-20 |
| 2023-01-27 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-02-20 |
| 2023-01-27 | 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 | 2023-02-20 |
| 2023-01-27 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-02-20 |
| 2023-01-27 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | 2023-02-20 |
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
36| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| AURALA, FLP | ADP OF THE SNF | — | 2024-12-23 | current | pecos_ownership |
| AURALA, FLP | 5% OR GREATER MORTGAGE INTEREST | — | 2024-11-01 | current | pecos_ownership |
| CASCADES AT GALVESTON REHAB LP | ADP OF THE SNF | — | 2024-12-23 | current | pecos_ownership |
| CASCADES AT GALVESTON REHAB LP | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-01 | current | pecos_ownership |
| COVE VIEW OPERATIONS LLC | — | — | 2026-04-01 | current | tx_hhsc_directory |
| CRUMO, FLP | ADP OF THE SNF | — | 2024-12-23 | current | pecos_ownership |
| CRUMO, FLP | 5% OR GREATER MORTGAGE INTEREST | — | 2024-11-01 | current | pecos_ownership |
| CRUMP, JASON | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-17 | current | pecos_ownership |
| FULLMER, CHAD | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-17 | current | pecos_ownership |
| GALVESTON HOLDINGS LP | Corporation, partnership or other organization has financial interest in provider | — | 2023-11-01 | current | hcris_a_8_1 |
| GALVESTON HOLDINGS, LP | ADP OF THE SNF | — | 2024-12-23 | current | pecos_ownership |
| GALVESTON HOLDINGS, LP | 5% OR GREATER MORTGAGE INTEREST | — | 2024-11-01 | current | pecos_ownership |
| GULF ASSETS, FLP | ADP OF THE SNF | — | 2024-12-23 | current | pecos_ownership |
| GULF ASSETS, FLP | 5% OR GREATER MORTGAGE INTEREST | — | 2024-11-01 | current | pecos_ownership |
| HITORI HOSHI, FLP | 5% OR GREATER MORTGAGE INTEREST | — | 2024-11-01 | current | pecos_ownership |
| HITORI HOSHI, FLP | ADP OF THE SNF | — | 2024-12-23 | current | pecos_ownership |
| LONE STAR ASSETS, FLP | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-17 | current | pecos_ownership |
| MCSPADDEN, DARIN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-01 | current | pecos_ownership |
| MURRELL, EDWARD | CORPORATE DIRECTOR | — | 2024-11-01 | current | pecos_ownership |
| NODYAH FAMILY LIMITED PARTNERSHIP | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-17 | current | pecos_ownership |
| SAIMAA, FLP | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-17 | current | pecos_ownership |
| SPANGLER, GARY | ADP OF THE SNF | — | 2024-12-23 | current | pecos_ownership |
| TAKI, FLP | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-17 | current | pecos_ownership |
| VALLIER, CHARLES | ADP OF THE SNF | — | 2024-11-01 | current | pecos_ownership |
| WHITE, DEREK | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-17 | current | pecos_ownership |
| WINNIESTOWELL HOSPITAL DISTRICT | — | — | 2026-04-01 | current | tx_hhsc_directory |
| WINNIE-STOWELL HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-11-01 | ended 2026-05-18 | pecos_ownership |
| DARIN MCSPADDEN | OPERATIONAL/MANAGERIAL CONTROL | 0% | 2024-11-01 | ended 2026-05-18 | pecos_ownership |
| EDWARD MURRELL | CORPORATE DIRECTOR | 0% | 2024-11-01 | ended 2026-05-18 | pecos_ownership |
| CHAD FULLMER | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-17 | ended 2026-05-18 | pecos_ownership |
| CHARLES VALLIER | ADP OF THE SNF | — | 2024-11-01 | ended 2026-05-18 | pecos_ownership |
| DEREK WHITE | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-17 | ended 2026-05-18 | pecos_ownership |
| GALVESTON LTC LAND | Director, officer, administrator or key person of provider or organization | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| GALVESTON LTC LAND | Director, officer, administrator or key person of provider or organization | — | 2021-01-01 | ended 2021-05-31 | hcris_a_8_1 |
| GARY SPANGLER | ADP OF THE SNF | — | 2024-12-23 | ended 2026-05-18 | pecos_ownership |
| JASON CRUMP | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-17 | 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 |
|---|---|---|---|---|
| 2024-11-01 | — | WINNIE-STOWELL HOSPITAL DISTRICT | CASCADES AT GALVESTON REHAB LP | chow |
Comparable trades — TX snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-10-01 | ST. ANTHONY'S CARE CENTER | — | — | — | 120 | SOUTH LIMESTONE HOSPITAL DISTRICT |
| 2025-10-01 | Avir at New Braunfels | — | — | — | 154 | 821 US HIGHWAY 81 W OPCO LLC |
| 2025-09-01 | Avir at Texarkana | — | — | — | 110 | GUADALUPE COUNTY HOSPITAL BOARD |
| 2025-09-01 | PARKS HEALTH CENTER | — | — | — | 90 | WEST COKE COUNTY HOSPITAL DISTRICT |
| 2025-09-01 | WINDMILL VILLAGE REHABILITATION & CARE CENTER | — | — | — | 120 | FANNIN COUNTY HOSPITAL AUTHORITY |
| 2025-08-31 | Las Ventanas De Socorro | — | — | — | 126 | SOCORRO HEALTH CARE LLC |
| 2025-08-01 | Avir at Mineola | — | — | — | 115 | HOPKINS COUNTY HOSPITAL DISTRICT |
| 2025-08-01 | Avir at Orem | — | — | — | 120 | 3730 W OREM DR OPCO LLC |
| 2025-08-01 | Avir at Courtyard | — | — | — | 120 | 7499 STANWICK DR OPCO LLC |
| 2025-08-01 | HILLSIDE MEDICAL LODGE | — | — | — | 128 | CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY |
| 2025-08-01 | Avir at Pasadena | — | — | — | 131 | 4300 VISTA RD OPCO LLC |
| 2025-07-01 | Highland Meadows | — | — | — | 120 | NOCONA HOSPITAL DISTRICT |
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
34| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48167 | acs median gross | 0 | $1,161 | 2024-12-31 | CENSUS_ACS5 |
| county 48167 | fmr | 0 | $1,280 | 2025-10-01 | HUD_USER_FMR |
| county 48167 | acs median gross | 1 | $1,190 | 2024-12-31 | CENSUS_ACS5 |
| county 48167 | fmr | 1 | $1,323 | 2025-10-01 | HUD_USER_FMR |
| county 48167 | acs median gross | 2 | $1,424 | 2024-12-31 | CENSUS_ACS5 |
| county 48167 | fmr | 2 | $1,573 | 2025-10-01 | HUD_USER_FMR |
| county 48167 | acs median gross | 3 | $1,762 | 2024-12-31 | CENSUS_ACS5 |
| county 48167 | fmr | 3 | $2,116 | 2025-10-01 | HUD_USER_FMR |
| county 48167 | acs median gross | 4 | $2,132 | 2024-12-31 | CENSUS_ACS5 |
| county 48167 | fmr | 4 | $2,639 | 2025-10-01 | HUD_USER_FMR |
| county 48167 | acs median gross | 5 | $2,233 | 2024-12-31 | CENSUS_ACS5 |
| county 48167 | acs median gross | $1,404 | 2024-12-31 | CENSUS_ACS5 | |
| county 48167 | acs recent mover gross | $1,454 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 77554 | acs median gross | 0 | $1,087 | 2024-12-31 | CENSUS_ACS5 |
| zcta 77554 | acs median gross | 1 | $1,330 | 2024-12-31 | CENSUS_ACS5 |
| zcta 77554 | acs median gross | 2 | $1,692 | 2024-12-31 | CENSUS_ACS5 |
| zcta 77554 | acs median gross | 3 | $2,199 | 2024-12-31 | CENSUS_ACS5 |
| zcta 77554 | acs median gross | $1,411 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 77554 | acs recent mover gross | $1,174 | 2024-12-31 | CENSUS_ACS5 | |
| zip 77554 | payment standard 110 | 0 | $1,474 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77554 | payment standard 90 | 0 | $1,206 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77554 | safmr | 0 | $1,340 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77554 | payment standard 110 | 1 | $1,529 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77554 | payment standard 90 | 1 | $1,251 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77554 | safmr | 1 | $1,390 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77554 | payment standard 110 | 2 | $1,815 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77554 | payment standard 90 | 2 | $1,485 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77554 | safmr | 2 | $1,650 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77554 | payment standard 110 | 3 | $2,442 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77554 | payment standard 90 | 3 | $1,998 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77554 | safmr | 3 | $2,220 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77554 | payment standard 110 | 4 | $3,047 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77554 | payment standard 90 | 4 | $2,493 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77554 | safmr | 4 | $2,770 | 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.