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 23:54 UTC
Screener / 745052
A

HCA HOUSTON HEALTHCARE SOUTHEAST

snfTX
4801 EAST SAM HOUSTON PARKWAY SOUTH, PASADENA, TX 77505 · CCN 745052 · chain HCA HEALTHCARE INC
Composite
22.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
moderate
Certified beds
30
Model
v1.2
Reads as: riskier than 22.1% 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.

Composite explanation

2
ComponentPercentileRawWeightWeight shareContributionCounts
lease risk73.860.00.150.500036.90in index
chow risk0.414.50.150.50000.20in 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

2
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+20.8 vs natlHCA SQUARED LLC26 facilities
connectionOwner fleet risk far above national+20.8 vs natlHOSPITAL CORP LLC26 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

4
Score typeScoreGradeModelStatusRegistry model notes
chow risk14.5Av0.1-posdefault · in compositeChange-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.
lease risk60.0Cv0.5default · in composite
p adverse action 12m0.0v0.1default · in compositeR23/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 12m4.1v0.1default · in compositeR22/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.
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)
4.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
84.9
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Total nurse staffing (HPRD)6.02-0.59
Current owner tenure (years)25.00+0.57
No PBJ staffing report0.00+0.42
Chain size (log)3.74+0.39
Ownership changes, last 5 years0.00+0.20
Deficiencies, last 12 months0.00-0.17
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
33.6
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months0.00+1.43
Total nurse staffing (HPRD)6.02-1.18
Chain size (log)3.74-0.97
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Occupancy0.68+0.27
Facility size (log beds)3.43+0.19
Fine amount, 12m (log)0.00+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

2
2025Q2 HPRDThis facilityTX medianNational medianNational p25–p75
Total nurse6.022.673.282.90–3.77
RN2.700.240.390.25–0.58
Weekend total6.222.563.11
Weekday total5.952.723.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q29120.56.022.701.521.806.220.0%
2025Q19018.06.592.882.001.716.662.3%
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

0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Deficiencies

0
No deficiencies on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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

0
No 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

32
OwnerRolePctFromStatusSource
BAYSHORE PARTNER, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST99%2011-07-01currentpecos_ownership
COLUMBIA HOSPITAL CORPORATION - DELAWARE5% OR GREATER INDIRECT OWNERSHIP INTEREST2011-07-01currentpecos_ownership
COLUMBIA HOSPITAL CORPORATION OF WEST HOUSTON5% OR GREATER INDIRECT OWNERSHIP INTEREST2011-07-01currentpecos_ownership
COLUMBIA/HCA OF HOUSTON, INC5% OR GREATER INDIRECT OWNERSHIP INTEREST2011-07-01currentpecos_ownership
FRISCO HOLDING II5% OR GREATER INDIRECT OWNERSHIP INTEREST2006-11-17currentpecos_ownership
GIBBERMAN, JEFFREYOPERATIONAL/MANAGERIAL CONTROL2023-08-02currentpecos_ownership
GIBBERMAN, JEFFREYADP OF THE SNF2025-05-19currentpecos_ownership
HCA HEALTH SERVICES OF TEXAS INC5% OR GREATER INDIRECT OWNERSHIP INTEREST2011-07-01currentpecos_ownership
HCA HEALTHCARE INC5% OR GREATER INDIRECT OWNERSHIP INTEREST2011-07-01currentpecos_ownership
HCA INC5% OR GREATER INDIRECT OWNERSHIP INTEREST2011-07-01currentpecos_ownership
HCA SQUARED LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST2011-10-24currentpecos_ownership
HEALTHSERV ACQUISITION LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST2011-07-01currentpecos_ownership
HEALTHTRUST INC - THE HOSPITAL COMPANY5% OR GREATER INDIRECT OWNERSHIP INTEREST2011-07-01currentpecos_ownership
HERCULES HOLDING II5% OR GREATER INDIRECT OWNERSHIP INTEREST2011-07-01currentpecos_ownership
HOSPITAL CORP LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST2011-07-01currentpecos_ownership
HOUSTON HEALTHCARE HOLDINGS, INC5% OR GREATER INDIRECT OWNERSHIP INTEREST2011-07-01currentpecos_ownership
HTI HOSPITAL HOLDINGS INC5% OR GREATER INDIRECT OWNERSHIP INTEREST2011-07-01currentpecos_ownership
INDIANAPOLIS HOSPITAL PARTNER, LLCLIMITED PARTNERSHIP INTEREST2011-07-01currentpecos_ownership
MAGOULAS, DEMETRIOSOPERATIONAL/MANAGERIAL CONTROL2025-12-05currentpecos_ownership
MAGOULAS, DEMETRIOSCORPORATE OFFICER2023-12-05currentpecos_ownership
MCDANIEL, YASMENEOPERATIONAL/MANAGERIAL CONTROL2022-10-17currentpecos_ownership
PASADENA BAYSHORE HOSPITAL, INC5% OR GREATER INDIRECT OWNERSHIP INTEREST2011-07-01currentpecos_ownership
SMITH, ERICOPERATIONAL/MANAGERIAL CONTROL2021-03-01currentpecos_ownership
WAGNER, JACKSONOPERATIONAL/MANAGERIAL CONTROL2023-05-01currentpecos_ownership
WOMEN'S HOSPITAL INDIANAPOLIS, L.P.LIMITED PARTNERSHIP INTEREST2011-07-01currentpecos_ownership
DEMETRIOS MAGOULASOPERATIONAL/MANAGERIAL CONTROL2025-12-05ended 2026-05-18pecos_ownership
DEMETRIOS MAGOULASCORPORATE OFFICER2023-12-05ended 2026-05-18pecos_ownership
ERIC SMITHOPERATIONAL/MANAGERIAL CONTROL2021-03-01ended 2026-05-18pecos_ownership
JACKSON WAGNEROPERATIONAL/MANAGERIAL CONTROL2023-05-01ended 2026-05-18pecos_ownership
JEFFREY GIBBERMANADP OF THE SNF2025-05-19ended 2026-05-18pecos_ownership
JEFFREY GIBBERMANOPERATIONAL/MANAGERIAL CONTROL2023-08-02ended 2026-05-18pecos_ownership
YASMENE MCDANIELOPERATIONAL/MANAGERIAL CONTROL2022-10-17ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

0
No 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 — TX snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-10-01ST. ANTHONY'S CARE CENTER120SOUTH LIMESTONE HOSPITAL DISTRICT
2025-10-01Avir at New Braunfels154821 US HIGHWAY 81 W OPCO LLC
2025-09-01Avir at Texarkana110GUADALUPE COUNTY HOSPITAL BOARD
2025-09-01PARKS HEALTH CENTER90WEST COKE COUNTY HOSPITAL DISTRICT
2025-09-01WINDMILL VILLAGE REHABILITATION & CARE CENTER120FANNIN COUNTY HOSPITAL AUTHORITY
2025-08-31Las Ventanas De Socorro126SOCORRO HEALTH CARE LLC
2025-08-01Avir at Mineola115HOPKINS COUNTY HOSPITAL DISTRICT
2025-08-01Avir at Orem1203730 W OREM DR OPCO LLC
2025-08-01Avir at Courtyard1207499 STANWICK DR OPCO LLC
2025-08-01HILLSIDE MEDICAL LODGE128CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
2025-08-01Avir at Pasadena1314300 VISTA RD OPCO LLC
2025-07-01Highland Meadows120NOCONA 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
GeoKindBRAmountAs ofSource
county 48201acs median gross0$1,1772024-12-31CENSUS_ACS5
county 48201fmr0$1,2802025-10-01HUD_USER_FMR
county 48201acs median gross1$1,1962024-12-31CENSUS_ACS5
county 48201fmr1$1,3232025-10-01HUD_USER_FMR
county 48201acs median gross2$1,4252024-12-31CENSUS_ACS5
county 48201fmr2$1,5732025-10-01HUD_USER_FMR
county 48201acs median gross3$1,7642024-12-31CENSUS_ACS5
county 48201fmr3$2,1162025-10-01HUD_USER_FMR
county 48201acs median gross4$2,1482024-12-31CENSUS_ACS5
county 48201fmr4$2,6392025-10-01HUD_USER_FMR
county 48201acs median gross5$2,3392024-12-31CENSUS_ACS5
county 48201acs median gross$1,4012024-12-31CENSUS_ACS5
county 48201acs recent mover gross$1,4952024-12-31CENSUS_ACS5
zcta 77505acs median gross0$1,3112024-12-31CENSUS_ACS5
zcta 77505acs median gross1$1,4592024-12-31CENSUS_ACS5
zcta 77505acs median gross2$1,5772024-12-31CENSUS_ACS5
zcta 77505acs median gross3$1,7102024-12-31CENSUS_ACS5
zcta 77505acs median gross$1,5752024-12-31CENSUS_ACS5
zcta 77505acs recent mover gross$1,7342024-12-31CENSUS_ACS5
zip 77505payment standard 1100$1,5732025-10-01HUD_USER_SAFMR
zip 77505payment standard 900$1,2872025-10-01HUD_USER_SAFMR
zip 77505safmr0$1,4302025-10-01HUD_USER_SAFMR
zip 77505payment standard 1101$1,6282025-10-01HUD_USER_SAFMR
zip 77505payment standard 901$1,3322025-10-01HUD_USER_SAFMR
zip 77505safmr1$1,4802025-10-01HUD_USER_SAFMR
zip 77505payment standard 1102$1,9362025-10-01HUD_USER_SAFMR
zip 77505payment standard 902$1,5842025-10-01HUD_USER_SAFMR
zip 77505safmr2$1,7602025-10-01HUD_USER_SAFMR
zip 77505payment standard 1103$2,6072025-10-01HUD_USER_SAFMR
zip 77505payment standard 903$2,1332025-10-01HUD_USER_SAFMR
zip 77505safmr3$2,3702025-10-01HUD_USER_SAFMR
zip 77505payment standard 1104$3,2452025-10-01HUD_USER_SAFMR
zip 77505payment standard 904$2,6552025-10-01HUD_USER_SAFMR
zip 77505safmr4$2,9502025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.