Composite
58.5 / 100 percentile
Screener / 745040
B
THE SARAH ROBERTS FRENCH HOME
snfTX
1315 TEXAS AVE, SAN ANTONIO, TX 78201 · CCN 745040 · chain CREATIVE SOLUTIONS IN HEALTHCARE INC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
60
Model
v1.2
Reads as: riskier than 58.5% 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 model6Components13CHOW radar1Distress radar1Staffing5Penalties0Deficiencies33Licensure0Ownership13Related party0Transactions0Comps12Market rent35
Composite explanation
6| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 59.2 | 50.2 | 0.30 | 0.2609 | 15.44 | in index |
| staffing risk | 59.7 | 59.7 | 0.25 | 0.2174 | 12.98 | in index |
| chow risk | 96.4 | 75.0 | 0.15 | 0.1304 | 12.57 | in index |
| state reg risk | 40.2 | 9.0 | 0.30 | 0.2609 | 10.49 | in index |
| lease risk | 0.1 | 9.6 | 0.15 | 0.1304 | 0.01 | in index |
| ownership opacity | 52.1 | 55.0 | 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.
Component scores and registry models
13| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 66.7 | D | 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 | 83.2 | F | v0.1-txhhsc | default · in composite | Texas licence reissue timing as an ownership-transfer proxy. |
| lease risk | 9.6 | A | v0.5 | default · in composite | |
| ownership opacity | 55.0 | C | 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 | 0.1 | — | 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 | 9.3 | — | 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 | 50.2 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 59.7 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| state reg risk | 9.0 | A | v0.5 | default · in composite | |
| regulatory risk | 50.1 | C | 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 | 50.1 | C | 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 | 59.7 | 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 | 59.7 | 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)
9.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
97.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Chain size (log) | 4.29 | +0.51 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.61 | +0.25 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Contract staffing share | 0.00 | -0.10 |
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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
41.8
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 4.29 | -1.29 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 4.00 | +0.69 | |
| Occupancy | 0.61 | +0.58 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Staffing trend, last 4 quarters | 0.36 | +0.14 | |
| Never sold on record | 1.00 | +0.12 |
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
5| 2025Q4 HPRD | This facility | TX median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.14 | 2.67 | 3.28 | 2.90–3.77 |
| RN | 0.09 | 0.24 | 0.39 | 0.25–0.58 |
| Weekend total | 3.15 | 2.56 | 3.11 | — |
| Weekday total | 3.13 | 2.72 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 36.6 | 3.14 | 0.09 | 1.24 | 1.81 | 3.15 | 0.0% |
| 2025Q1 | 90 | 48.1 | 2.79 | 0.11 | 1.08 | 1.60 | 2.74 | 0.0% |
| 2024Q4 | 92 | 48.0 | 2.78 | 0.15 | 1.02 | 1.61 | 2.81 | 0.0% |
| 2024Q3 | 92 | 44.7 | 2.87 | 0.08 | 1.12 | 1.68 | 2.86 | 0.0% |
| 2024Q2 | 91 | 43.4 | 3.23 | 0.16 | 1.22 | 1.85 | 2.92 | 4.5% |
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
33D × 21E × 7F × 3J × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-05 | Health | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | 2026-02-09 |
| 2026-02-05 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | 2026-02-09 |
| 2026-02-05 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2026-02-09 |
| 2025-11-18 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-11-21 |
| 2025-05-29 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2025-05-30 |
| 2024-11-06 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2024-12-16 |
| 2024-11-06 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-12-16 |
| 2024-11-06 | 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 | 2024-12-16 |
| 2024-11-06 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-12-16 |
| 2024-11-06 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2024-12-16 |
| 2024-11-06 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2024-12-16 |
| 2024-11-06 | Health | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | 2024-12-16 |
| 2024-11-06 | Health | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | 2024-12-16 |
| 2024-11-06 | Health | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | 2024-12-16 |
| 2024-11-06 | Health | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | 2024-12-16 |
| 2024-11-06 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | 2024-12-16 |
| 2024-11-06 | Health | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | 2024-12-16 |
| 2024-11-06 | Health | F0946 | Provide training in compliance and ethics. | E | 2024-12-16 |
| 2024-11-06 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | 2024-12-16 |
| 2023-11-30 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-02-07 |
| 2023-10-13 | Health · complaint | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2023-10-14 |
| 2023-10-13 | Health · complaint | F0637 | Assess the resident when there is a significant change in condition | D | 2023-10-14 |
| 2023-10-13 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-10-14 |
| 2023-10-13 | Health · complaint | 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 | 2023-10-14 |
| 2023-10-13 | Health · complaint | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | 2023-10-14 |
| 2023-10-13 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2023-10-14 |
| 2023-09-24 | 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 | 2023-09-25 |
| 2023-09-24 | Health · complaint | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | J | 2023-09-25 |
| 2023-09-24 | Health · complaint | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | J | 2023-09-25 |
| 2023-09-24 | 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 | 2023-09-25 |
| 2023-09-01 | Health · complaint | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | 2023-09-02 |
| 2023-09-01 | Health · complaint | F0908 | Keep all essential equipment working safely. | D | 2023-09-01 |
| 2023-06-08 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-06-09 |
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
13| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CREATIVE SOLUTIONS IN HEALTHCARE, INC | — | — | 2025-10-01 | current | tx_hhsc_directory |
| SAN ANTONIO VI ENTERPRISES, LLC | — | — | 2025-10-01 | current | tx_hhsc_directory |
| SARAH ROBERTS FRENCH HOME | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | ended 2026-05-18 | pecos_ownership |
| ADREANA GOODWIN | CORPORATE DIRECTOR | — | 2023-08-01 | ended 2026-05-18 | pecos_ownership |
| DENIXE GUTIERREZ | CORPORATE DIRECTOR | — | 2023-08-01 | ended 2026-05-18 | pecos_ownership |
| ERIC HEYDENREIGH | CORPORATE DIRECTOR | — | 2023-07-19 | ended 2026-05-18 | pecos_ownership |
| GLEN FAULK | CORPORATE DIRECTOR | — | 2023-06-01 | ended 2026-05-18 | pecos_ownership |
| JIM DROUGHT | CORPORATE DIRECTOR | — | 2023-09-20 | ended 2026-05-18 | pecos_ownership |
| KATHLEEN WHITEHEAD | CORPORATE DIRECTOR | — | 2023-06-01 | ended 2026-05-18 | pecos_ownership |
| LAURA GIVENS | W-2 MANAGING EMPLOYEE | — | 2023-09-01 | ended 2026-05-18 | pecos_ownership |
| MARY RODRIGUEZ | CORPORATE DIRECTOR | — | 2023-09-01 | ended 2026-05-18 | pecos_ownership |
| MYRNA ROBINSON | W-2 MANAGING EMPLOYEE | — | 2024-04-08 | ended 2026-05-18 | pecos_ownership |
| TONI O'BRIEN | CORPORATE DIRECTOR | — | 2024-03-01 | 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
0No 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| 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 78201 | acs median gross | 0 | $787 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78201 | acs median gross | 1 | $916 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78201 | acs median gross | 2 | $1,206 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78201 | acs median gross | 3 | $1,503 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78201 | acs median gross | 4 | $1,510 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78201 | acs median gross | $1,069 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 78201 | acs recent mover gross | $1,064 | 2024-12-31 | CENSUS_ACS5 | |
| zip 78201 | payment standard 110 | 0 | $1,067 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78201 | payment standard 90 | 0 | $873 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78201 | safmr | 0 | $970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78201 | payment standard 110 | 1 | $1,166 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78201 | payment standard 90 | 1 | $954 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78201 | safmr | 1 | $1,060 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78201 | payment standard 110 | 2 | $1,408 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78201 | payment standard 90 | 2 | $1,152 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78201 | safmr | 2 | $1,280 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78201 | payment standard 110 | 3 | $1,804 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78201 | payment standard 90 | 3 | $1,476 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78201 | safmr | 3 | $1,640 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78201 | payment standard 110 | 4 | $2,101 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78201 | payment standard 90 | 4 | $1,719 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78201 | safmr | 4 | $1,910 | 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.