Composite
52.5 / 100 percentile
Screener / 676447
B
IGNITE MEDICAL RESORT SAN ANTONIO, LLC
snfTX
6035 ECKHERT RD, SAN ANTONIO, TX 78229 · CCN 676447 · chain ISRAEL FAMILY INVESTMENT TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
105
Model
v1.2
Reads as: riskier than 52.5% 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 model5ML signals14Components16CHOW radar1Distress radar1Staffing16Penalties0Deficiencies36Licensure0Ownership48Related party3Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 75.6 | 50.4 | 0.30 | 0.2308 | 17.45 | in index |
| regulatory risk | 49.6 | 38.7 | 0.30 | 0.2308 | 11.45 | in index |
| staffing risk | 45.3 | 45.4 | 0.25 | 0.1923 | 8.71 | in index |
| chow risk | 55.8 | 28.7 | 0.15 | 0.1154 | 6.44 | in index |
| financial risk | 22.8 | 29.0 | 0.30 | 0.2308 | 5.26 | in 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
14| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +24.9 vs natl | BERGER FAM TR UA 06252014 | 15 facilities |
| connection | Owner fleet risk far above national | +24.7 vs natl | STERN FAMILY INVESTMENT TR | 15 facilities |
| connection | Owner fleet risk far above national | +24.6 vs natl | IGNITE VILLA HOLDCO LLC | 12 facilities |
| connection | Owner fleet risk far above national | +23.9 vs natl | BERGER AVIVA | 17 facilities |
| connection | Owner fleet risk far above national | +23.9 vs natl | ISRAEL YEHUDIS | 17 facilities |
| connection | Owner fleet risk far above national | +23.8 vs natl | IGNITE POST ACUTE SOLUTIONS LLC | 14 facilities |
| connection | Owner fleet risk far above national | +23.8 vs natl | BLUE PEARL FINANCIAL LLC | 14 facilities |
| connection | Owner fleet risk far above national | +23.6 vs natl | GOLD PEARL LLC | 19 facilities |
| connection | Owner fleet risk far above national | +22.4 vs natl | ISRAEL INVESTMENT TR | 19 facilities |
| connection | Owner fleet risk far above national | +22.4 vs natl | STERN TODD | 45 facilities |
| connection | Owner fleet risk far above national | +22.0 vs natl | FIELDS TIMOTHY | 21 facilities |
| connection | Owner fleet risk far above national | +21.9 vs natl | ISRAEL FAMILY INVESTMENT TRUST | 19 facilities |
| connection | Owner fleet risk far above national | +21.7 vs natl | ISRAEL BENJAMIN | 40 facilities |
| connection | Owner fleet risk far above national | +20.8 vs natl | CARR BARRY | 21 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
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 50.4 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 28.5 | 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 | 28.9 | B | v0.6 | default · in composite | |
| financial risk | 29.0 | B | v0.5 | default · in composite | R18. |
| 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 | 0.0 | — | 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 | 38.7 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 45.4 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 99.4 | 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 | 79.4 | 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 | 39.7 | B | 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 | 34.7 | B | 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 | 38.5 | B | 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 | 38.5 | B | 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 | 45.4 | C | 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 | 45.4 | C | 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
7.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 4.33 | -1.43 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.89 | -0.56 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.50 | +0.34 | |
| 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 | |
|---|---|---|---|
| Deficiencies, last 12 months | 14.00 | -1.17 | |
| Chain size (log) | 3.50 | -0.83 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.89 | -0.60 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Ownership changes, last 5 years | 1.00 | +0.23 | |
| Current owner tenure (years) | 4.33 | -0.23 |
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 | 3.35 | 2.67 | 3.28 | 2.90–3.77 |
| RN | 0.34 | 0.24 | 0.39 | 0.25–0.58 |
| Weekend total | 3.33 | 2.56 | 3.11 | — |
| Weekday total | 3.36 | 2.72 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 93.7 | 3.35 | 0.34 | 1.49 | 1.52 | 3.33 | 4.3% |
| 2025Q3 | 92 | 81.9 | 3.40 | 0.47 | 1.42 | 1.52 | 3.34 | 5.2% |
| 2025Q2 | 91 | 95.9 | 3.38 | 0.52 | 1.34 | 1.52 | 3.29 | 4.0% |
| 2025Q1 | 90 | 96.3 | 3.27 | 0.47 | 1.39 | 1.41 | 3.13 | 3.2% |
| 2024Q4 | 92 | 94.1 | 3.29 | 0.47 | 1.40 | 1.43 | 3.06 | 4.5% |
| 2024Q3 | 92 | 99.8 | 3.39 | 0.39 | 1.50 | 1.50 | 3.15 | 3.6% |
| 2024Q2 | 91 | 97.2 | 3.41 | 0.33 | 1.47 | 1.61 | 3.20 | 3.6% |
| 2024Q1 | 91 | 98.3 | 3.05 | 0.26 | 1.23 | 1.56 | 2.79 | 1.0% |
| 2023Q4 | 92 | 91.0 | 3.32 | 0.25 | 1.49 | 1.59 | 3.09 | 0.0% |
| 2023Q3 | 92 | 84.9 | 3.42 | 0.13 | 1.61 | 1.68 | 3.14 | 0.0% |
| 2023Q2 | 91 | 93.0 | 3.35 | 0.11 | 1.57 | 1.67 | 3.07 | 0.0% |
| 2023Q1 | 90 | 98.2 | 3.36 | 0.13 | 1.52 | 1.71 | 3.13 | 0.0% |
| 2022Q4 | 92 | 83.8 | 3.41 | 0.25 | 1.46 | 1.70 | 3.27 | 0.0% |
| 2022Q3 | 92 | 86.3 | 3.23 | 0.38 | 0.09 | 2.76 | 3.18 | 1.8% |
| 2022Q2 | 91 | 83.0 | 3.72 | 0.67 | 0.16 | 2.89 | 3.15 | 6.3% |
| 2022Q1 | 90 | 63.9 | 3.85 | 0.57 | 1.55 | 1.72 | 3.55 | 2.0% |
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
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
36D × 16E × 18F × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-03 | 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. | D | 2026-05-18 |
| 2026-04-03 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2026-05-18 |
| 2025-12-08 | Health | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | 2026-01-18 |
| 2025-12-08 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2026-01-18 |
| 2025-12-08 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-01-18 |
| 2025-12-08 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2026-01-18 |
| 2025-12-08 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2026-01-18 |
| 2025-12-08 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-01-18 |
| 2025-12-08 | Health | 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 | 2026-01-18 |
| 2025-12-08 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2026-01-18 |
| 2025-12-08 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2026-01-18 |
| 2025-12-08 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2026-01-18 |
| 2025-12-08 | Health | 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. | D | 2026-01-18 |
| 2025-12-08 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2026-01-18 |
| 2025-05-19 | 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. | D | 2025-06-30 |
| 2025-05-19 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-06-30 |
| 2025-05-19 | Health · complaint | F0908 | Keep all essential equipment working safely. | E | 2025-07-03 |
| 2025-03-17 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | E | 2025-04-21 |
| 2025-03-17 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2025-04-21 |
| 2025-03-17 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-04-21 |
| 2025-03-17 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-03-28 |
| 2025-03-17 | 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 | 2025-04-21 |
| 2024-08-15 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2024-09-29 |
| 2024-08-15 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2024-09-29 |
| 2024-08-15 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-09-29 |
| 2024-08-15 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-09-29 |
| 2024-08-15 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-09-29 |
| 2024-07-18 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-08-19 |
| 2024-01-23 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-03-08 |
| 2024-01-23 | 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 | 2024-03-08 |
| 2023-07-13 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2023-08-27 |
| 2023-07-13 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2023-08-27 |
| 2023-07-13 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2023-08-27 |
| 2023-07-13 | Health | 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. | D | 2023-08-27 |
| 2023-07-13 | Health | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | 2023-08-27 |
| 2023-07-13 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-08-27 |
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
48| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BERGER FAM TR UA 06252014 | INDIRECT OWNERSHIP INTEREST | — | 2022-04-01 | current | pecos_ownership |
| BERGER, AVIVA | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-07-01 | current | pecos_ownership |
| BERGER, MENACHEM | MANAGING CONTROL - GOVERNING BODY | — | 2022-04-01 | current | pecos_ownership |
| BLUE PEARL FINANCIAL LLC | INDIRECT OWNERSHIP INTEREST | — | 2022-04-01 | current | pecos_ownership |
| CARR, BARRY | MANAGING CONTROL - GOVERNING BODY | — | 2022-04-01 | current | pecos_ownership |
| CARR, JARED | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 | current | pecos_ownership |
| FIELDS, TIMOTHY | MANAGING CONTROL - GOVERNING BODY | — | 2022-04-01 | current | pecos_ownership |
| GILLIS, KAREN | ADP OF THE SNF | — | 2022-04-01 | current | pecos_ownership |
| GOBST, RYAN | INDIRECT OWNERSHIP INTEREST | — | 2022-04-01 | current | pecos_ownership |
| GOLD PEARL, LLC | INDIRECT OWNERSHIP INTEREST | — | 2022-04-01 | current | pecos_ownership |
| IGNITE POST ACUTE SOLUTIONS LLC | INDIRECT OWNERSHIP INTEREST | — | 2022-04-01 | current | pecos_ownership |
| IGNITE SAN ANTONIO JV, LLC | DIRECT OWNERSHIP INTEREST | — | 2022-04-01 | current | pecos_ownership |
| IGNITE TEAM PARTNERS LLC | ADP OF THE SNF | — | 2025-06-25 | current | pecos_ownership |
| IGNITE TEAM PARTNERS LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-01 | current | pecos_ownership |
| IGNITE-VILLA HOLDCO LLC | DIRECT OWNERSHIP INTEREST | — | 2022-04-01 | current | pecos_ownership |
| ISRAEL FAMILY INVESTMENT TRUST | INDIRECT OWNERSHIP INTEREST | — | 2022-04-01 | current | pecos_ownership |
| ISRAEL INVESTMENT TR | INDIRECT OWNERSHIP INTEREST | — | 2022-04-01 | current | pecos_ownership |
| ISRAEL, BENJAMIN | MANAGING CONTROL - GOVERNING BODY | — | 2022-04-01 | current | pecos_ownership |
| ISRAEL, YEHUDIS | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-07-01 | current | pecos_ownership |
| JABLONSKI, NICOLE | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-01 | current | pecos_ownership |
| MCFARLANE, JOHN | ADP OF THE SNF | — | 2022-04-01 | current | pecos_ownership |
| MUSHTAQ, UZAIR | ADP OF THE SNF | — | 2022-05-01 | current | pecos_ownership |
| PRESTIGE WORLDWIDE SAN ANTONIO, LLC | INDIRECT OWNERSHIP INTEREST | — | 2022-04-01 | current | pecos_ownership |
| ROSE, MARC | INDIRECT OWNERSHIP INTEREST | — | 2022-04-01 | current | pecos_ownership |
| SHEARER, RACHEL | ADP OF THE SNF | — | 2022-04-01 | current | pecos_ownership |
| SPARK THERAPY LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-01 | current | pecos_ownership |
| SPARK THERAPY LLC | ADP OF THE SNF | — | 2025-06-25 | current | pecos_ownership |
| STERN FAMILY INVESTMENT TR | INDIRECT OWNERSHIP INTEREST | — | 2022-04-01 | current | pecos_ownership |
| STERN, TODD | MANAGING CONTROL - GOVERNING BODY | — | 2022-04-01 | current | pecos_ownership |
| THENGIL, MATHEW | ADP OF THE SNF | — | 2022-04-01 | current | pecos_ownership |
| THEUS, MICHELLE | INDIRECT OWNERSHIP INTEREST | — | 2023-01-01 | current | pecos_ownership |
| WHITE, JIM | ADP OF THE SNF | — | 2022-04-01 | current | pecos_ownership |
| BARRY CARR | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2022-04-01 | ended 2026-05-18 | pecos_ownership |
| TIMOTHY FIELDS | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2022-04-01 | ended 2026-05-18 | pecos_ownership |
| JARED CARR | INDIRECT OWNERSHIP INTEREST | 3% | 2025-01-01 | ended 2026-05-18 | pecos_ownership |
| RYAN GOBST | INDIRECT OWNERSHIP INTEREST | 2% | 2022-04-01 | ended 2026-05-18 | pecos_ownership |
| MICHELLE THEUS | INDIRECT OWNERSHIP INTEREST | 1% | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| JIM WHITE | INDIRECT OWNERSHIP INTEREST | 1% | 2022-04-01 | ended 2026-05-18 | pecos_ownership |
| JOHN MCFARLANE | INDIRECT OWNERSHIP INTEREST | 1% | 2022-04-01 | ended 2026-05-18 | pecos_ownership |
| KAREN GILLIS | INDIRECT OWNERSHIP INTEREST | 1% | 2022-04-01 | ended 2026-05-18 | pecos_ownership |
| MARC ROSE | INDIRECT OWNERSHIP INTEREST | 1% | 2022-04-01 | ended 2026-05-18 | pecos_ownership |
| MATHEW THENGIL | INDIRECT OWNERSHIP INTEREST | 1% | 2022-04-01 | ended 2026-05-18 | pecos_ownership |
| NICOLE JABLONSKI | INDIRECT OWNERSHIP INTEREST | 1% | 2022-04-01 | ended 2026-05-18 | pecos_ownership |
| RACHEL SHEARER | INDIRECT OWNERSHIP INTEREST | 1% | 2022-04-01 | ended 2026-05-18 | pecos_ownership |
| BENJAMIN ISRAEL | MANAGING CONTROL - GOVERNING BODY | — | 2022-04-01 | ended 2026-05-18 | pecos_ownership |
| MENACHEM BERGER | MANAGING CONTROL - GOVERNING BODY | — | 2022-04-01 | ended 2026-05-18 | pecos_ownership |
| TODD STERN | MANAGING CONTROL - GOVERNING BODY | — | 2022-04-01 | ended 2026-05-18 | pecos_ownership |
| UZAIR MUSHTAQ | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-05-01 | 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 |
|---|---|---|---|---|
| 2022-04-01 | — | IGNITE MEDICAL RESORT SAN ANTONIO, LLC | MOC SAN ANTONIO II LLC | 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
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48029 | acs median gross | 0 | $1,088 | 2024-12-31 | CENSUS_ACS5 |
| county 48029 | fmr | 0 | $1,077 | 2025-10-01 | HUD_USER_FMR |
| county 48029 | acs median gross | 1 | $1,145 | 2024-12-31 | CENSUS_ACS5 |
| county 48029 | fmr | 1 | $1,177 | 2025-10-01 | HUD_USER_FMR |
| county 48029 | acs median gross | 2 | $1,389 | 2024-12-31 | CENSUS_ACS5 |
| county 48029 | fmr | 2 | $1,426 | 2025-10-01 | HUD_USER_FMR |
| county 48029 | acs median gross | 3 | $1,668 | 2024-12-31 | CENSUS_ACS5 |
| county 48029 | fmr | 3 | $1,830 | 2025-10-01 | HUD_USER_FMR |
| county 48029 | acs median gross | 4 | $1,909 | 2024-12-31 | CENSUS_ACS5 |
| county 48029 | fmr | 4 | $2,132 | 2025-10-01 | HUD_USER_FMR |
| county 48029 | acs median gross | 5 | $2,324 | 2024-12-31 | CENSUS_ACS5 |
| county 48029 | acs median gross | $1,354 | 2024-12-31 | CENSUS_ACS5 | |
| county 48029 | acs recent mover gross | $1,427 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 78229 | acs median gross | 0 | $989 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78229 | acs median gross | 1 | $1,146 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78229 | acs median gross | 2 | $1,385 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78229 | acs median gross | 3 | $1,615 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78229 | acs median gross | 4 | $762 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78229 | acs median gross | $1,292 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 78229 | acs recent mover gross | $1,276 | 2024-12-31 | CENSUS_ACS5 | |
| zip 78229 | payment standard 110 | 0 | $1,254 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78229 | payment standard 90 | 0 | $1,026 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78229 | safmr | 0 | $1,140 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78229 | payment standard 110 | 1 | $1,375 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78229 | payment standard 90 | 1 | $1,125 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78229 | safmr | 1 | $1,250 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78229 | payment standard 110 | 2 | $1,661 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78229 | payment standard 90 | 2 | $1,359 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78229 | safmr | 2 | $1,510 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78229 | payment standard 110 | 3 | $2,134 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78229 | payment standard 90 | 3 | $1,746 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78229 | safmr | 3 | $1,940 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78229 | payment standard 110 | 4 | $2,486 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78229 | payment standard 90 | 4 | $2,034 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78229 | safmr | 4 | $2,260 | 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.