Composite
95.3 / 100 percentile
Screener / 676064
F
Paradigm at Katy
snfTX
1480 Katy Flewellen, Katy, TX 77494 · CCN 676064 · chain OAKBEND MEDICAL CENTER
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
0
Model
v1.2
Reads as: riskier than 95.3% 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 model8ML signals20Components20CHOW radar1Distress radar1Staffing16Penalties6Deficiencies51Licensure0Ownership57Related party4Transactions0Comps12Market rent36
Composite explanation
8| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 97.6 | 96.3 | 0.30 | 0.1714 | 16.73 | in index |
| financial risk | 92.1 | 80.2 | 0.30 | 0.1714 | 15.79 | in index |
| billing conduct | 91.5 | 61.2 | 0.30 | 0.1714 | 15.69 | in index |
| state reg risk | 63.7 | 15.0 | 0.30 | 0.1714 | 10.92 | in index |
| lease risk | 79.5 | 76.4 | 0.15 | 0.0857 | 6.81 | in index |
| chow risk | 40.4 | 38.3 | 0.15 | 0.0857 | 3.46 | in index |
| staffing risk | 16.2 | 16.3 | 0.25 | 0.1429 | 2.31 | in index |
| ownership opacity | 40.0 | 53.5 | 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
20| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +33.9 vs natl | STUART JULIUS | 8 facilities |
| connection | Owner fleet risk far above national | +33.9 vs natl | KING ABBY | 8 facilities |
| connection | Owner fleet risk far above national | +31.0 vs natl | DORMAN JOHN | 10 facilities |
| connection | Owner fleet risk far above national | +30.3 vs natl | KING ELIZABETH | 10 facilities |
| connection | Owner fleet risk far above national | +30.3 vs natl | PISANI ADAM | 10 facilities |
| connection | Owner fleet risk far above national | +29.2 vs natl | HUGHES RUSTON | 7 facilities |
| connection | Owner fleet risk far above national | +28.3 vs natl | CRAYTON TOM | 16 facilities |
| connection | Owner fleet risk far above national | +28.3 vs natl | UTHMAN EDWARD | 16 facilities |
| connection | Owner fleet risk far above national | +26.6 vs natl | POPATIA AMIRALI | 14 facilities |
| connection | Owner fleet risk far above national | +24.1 vs natl | HALEY JEFF | 17 facilities |
| connection | Owner fleet risk far above national | +23.6 vs natl | FREUDENBERGER JOSEPH | 35 facilities |
| connection | Owner fleet risk far above national | +23.0 vs natl | OAKBEND MEDICAL CENTER | 32 facilities |
| connection | Owner fleet enforcement cluster | 71% fined | HUGHES RUSTON | 7 facilities |
| connection | Owner fleet enforcement cluster | 58% fined | SHKOP AHARON | 12 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | KING ELIZABETH | 10 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | OAKBEND MEDICAL CENTER | 32 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | PISANI ADAM | 10 facilities |
| connection | Owner fleet enforcement cluster | 49% fined | FREUDENBERGER JOSEPH | 35 facilities |
| connection | Owner fleet enforcement cluster | 47% fined | HALEY JEFF | 17 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | DORMAN JOHN | 10 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
20| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 61.1 | C | 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 | 65.7 | D | v0.1-txhhsc | default · in composite | Texas licence reissue timing as an ownership-transfer proxy. |
| chow risk | 23.7 | A | v0.6 | default · in composite | |
| financial risk | 80.2 | F | v0.5 | default · in composite | R18. |
| lease risk | 76.4 | D | v0.5 | default · in composite | |
| ownership opacity | 53.4 | 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 | 0.0 | — | 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 | 5.1 | — | 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 | 96.3 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 16.3 | A | 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 | 60.6 | C | 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 | 40.6 | B | 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 | 63.1 | C | 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 | 81.2 | 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 | 96.3 | 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 | 96.3 | 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 | 16.3 | A | 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 | 16.3 | A | 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)
5.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
89.8
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 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.22 | +0.28 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 4.04 | -0.20 | |
| Occupancy | 0.66 | +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)
0.0%
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
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 3.00 | +0.87 | |
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 3.22 | -0.67 | |
| Staffing trend, last 4 quarters | -0.99 | -0.49 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.66 | +0.37 | |
| Total nurse staffing (HPRD) | 4.04 | -0.35 | |
| 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
16| 2025Q4 HPRD | This facility | TX median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 4.04 | 2.67 | 3.28 | 2.90–3.77 |
| RN | 0.99 | 0.24 | 0.39 | 0.25–0.58 |
| Weekend total | 4.09 | 2.56 | 3.11 | — |
| Weekday total | 4.03 | 2.72 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 82.7 | 4.04 | 0.99 | 0.88 | 2.18 | 4.09 | 0.0% |
| 2025Q3 | 92 | 73.1 | 4.12 | 1.06 | 0.97 | 2.10 | 4.02 | 0.0% |
| 2025Q2 | 91 | 69.5 | 6.28 | 1.84 | 1.22 | 3.22 | 7.60 | 0.0% |
| 2025Q1 | 90 | 70.9 | 6.77 | 1.19 | 1.17 | 4.41 | 6.29 | 0.0% |
| 2024Q4 | 92 | 78.8 | 5.04 | 0.82 | 1.31 | 2.91 | 4.72 | 0.0% |
| 2024Q3 | 92 | 78.5 | 4.80 | 0.80 | 1.31 | 2.69 | 4.35 | 0.0% |
| 2024Q2 | 91 | 92.2 | 5.13 | 0.76 | 1.40 | 2.97 | 4.53 | 0.0% |
| 2024Q1 | 91 | 96.6 | 5.67 | 0.70 | 1.36 | 3.61 | 5.03 | 0.1% |
| 2023Q4 | 92 | 99.5 | 5.05 | 0.70 | 1.25 | 3.09 | 4.49 | 0.0% |
| 2023Q3 | 92 | 97.4 | 5.12 | 1.05 | 1.16 | 2.90 | 4.94 | 0.0% |
| 2023Q2 | 91 | 97.6 | 5.56 | 1.71 | 0.56 | 3.29 | 5.42 | 0.0% |
| 2023Q1 | 90 | 103.9 | 5.20 | 1.71 | 0.56 | 2.92 | 5.16 | 0.0% |
| 2022Q4 | 92 | 105.0 | 5.03 | 1.66 | 0.61 | 2.75 | 5.05 | 0.0% |
| 2022Q3 | 92 | 99.3 | 5.30 | 1.77 | 0.61 | 2.92 | 5.09 | 0.0% |
| 2022Q2 | 91 | 104.1 | 5.17 | 1.57 | 0.52 | 3.08 | 5.08 | 0.0% |
| 2022Q1 | 90 | 98.0 | 4.99 | 1.47 | 0.57 | 2.95 | 4.97 | 0.0% |
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
6fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-02-18 | Fine | $34,426 | CMS provider data |
| 2024-11-19 | Fine | $50,449 | CMS provider data |
| 2024-11-19 | Payment Denial | — | CMS provider data |
| 2024-03-15 | Fine | $14,701 | CMS provider data |
| 2024-03-15 | Payment Denial | — | CMS provider data |
| 2024-01-31 | Fine | $71,069 | CMS provider data |
Total fines on record: $170,645
Deficiencies
51B × 2D × 31E × 11G × 1J × 2K × 4
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-15 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2026-01-14 |
| 2025-11-20 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-12-12 |
| 2025-11-20 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-12-12 |
| 2025-05-01 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-05-31 |
| 2025-05-01 | 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 | 2025-05-31 |
| 2025-05-01 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-05-31 |
| 2025-05-01 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2025-05-31 |
| 2025-05-01 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-05-31 |
| 2025-05-01 | 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 | 2025-05-31 |
| 2025-05-01 | 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. | D | 2025-05-31 |
| 2025-05-01 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-05-31 |
| 2025-05-01 | 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 | 2025-05-31 |
| 2025-05-01 | Health | F0814 | Dispose of garbage and refuse properly. | D | 2025-05-31 |
| 2025-05-01 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-05-31 |
| 2025-04-04 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-04-25 |
| 2025-02-18 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | K | 2025-03-05 |
| 2024-11-19 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-12-31 |
| 2024-11-19 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-12-31 |
| 2024-11-19 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | K | 2024-12-31 |
| 2024-07-19 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | 2024-08-05 |
| 2024-05-29 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2024-06-21 |
| 2024-05-29 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2024-06-21 |
| 2024-05-29 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-06-21 |
| 2024-05-29 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | J | 2024-06-21 |
| 2024-04-25 | Health · complaint | F0908 | Keep all essential equipment working safely. | D | 2024-06-15 |
| 2024-04-25 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-06-15 |
| 2024-04-06 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2024-06-15 |
| 2024-03-15 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | B | 2024-04-15 |
| 2024-03-15 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | B | 2024-04-15 |
| 2024-03-15 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-04-15 |
| 2024-03-15 | Health | F0680 | Ensure the activities program is directed by a qualified professional. | D | 2024-04-15 |
| 2024-03-15 | Health | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2024-04-15 |
| 2024-03-15 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-04-15 |
| 2024-03-15 | 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. | E | 2024-04-15 |
| 2024-03-15 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-04-15 |
| 2024-03-15 | 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. | E | 2024-04-15 |
| 2024-03-15 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-04-15 |
| 2024-03-15 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2024-04-15 |
| 2024-01-31 | 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 | 2024-02-23 |
| 2024-01-31 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | 2024-02-23 |
| 2024-01-31 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-02-23 |
| 2023-02-01 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-03-01 |
| 2023-02-01 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | 2023-03-07 |
| 2023-02-01 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | 2023-03-01 |
| 2023-02-01 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | 2023-03-01 |
| 2023-02-01 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-03-01 |
| 2023-02-01 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-03-01 |
| 2023-02-01 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-03-01 |
| 2023-02-01 | 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. | E | 2023-03-01 |
| 2023-02-01 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2023-03-01 |
| 2023-02-01 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-02-22 |
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
57| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| OAKBEND MEDICAL CENTER | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2025-02-01 | current | pecos_ownership |
| CRAYTON, TOM | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-01 | current | pecos_ownership |
| CRAYTON, TOM | CORPORATE DIRECTOR | — | 2023-06-01 | current | pecos_ownership |
| DORMAN, JOHN | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-01 | current | pecos_ownership |
| DORMAN, JOHN | CORPORATE DIRECTOR | — | 2023-06-01 | current | pecos_ownership |
| FREUDENBERGER, JOSEPH | MANAGING CONTROL - GOVERNING BODY | — | 2025-02-01 | current | pecos_ownership |
| FREUDENBERGER, JOSEPH | CORPORATE OFFICER | — | 2023-06-01 | current | pecos_ownership |
| HALEY, JEFF | CORPORATE DIRECTOR | — | 2023-06-01 | current | pecos_ownership |
| HALEY, JEFF | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-01 | current | pecos_ownership |
| HUGHES, RUSTON | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-01 | current | pecos_ownership |
| KATY NURSING & REHABILITATION LLC | ADP OF THE SNF | — | 2025-02-01 | current | pecos_ownership |
| KATY NURSING & REHABILITATION LLC | — | — | 2026-06-01 | current | tx_hhsc_directory |
| KATY NURSING & REHABILITATION LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 | current | pecos_ownership |
| KING, ABBY | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-01 | current | pecos_ownership |
| KING, ABBY | CORPORATE DIRECTOR | — | 2023-06-01 | current | pecos_ownership |
| KING, ELIZABETH | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-01 | current | pecos_ownership |
| KING, ELIZABETH | CORPORATE DIRECTOR | — | 2023-06-01 | current | pecos_ownership |
| LEV 1 PACK HOLDINGS LLC | ADP OF THE SNF | — | 2025-12-02 | current | pecos_ownership |
| OAKBEND MEDICAL CENTER | — | — | 2026-06-01 | current | tx_hhsc_directory |
| PISANI, ADAM | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-01 | current | pecos_ownership |
| PISANI, ADAM | CORPORATE DIRECTOR | — | 2023-06-01 | current | pecos_ownership |
| POLSTEIN, MOSHE | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 | current | pecos_ownership |
| POPATIA, AMIRALI | CORPORATE DIRECTOR | — | 2023-06-01 | current | pecos_ownership |
| POPATIA, AMIRALI | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-01 | current | pecos_ownership |
| R, JOSE | ADP OF THE SNF | — | 2025-02-01 | current | pecos_ownership |
| SHKOP, AHARON | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 | current | pecos_ownership |
| STUART, JULIUS | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-01 | current | pecos_ownership |
| STUART, JULIUS | CORPORATE DIRECTOR | — | 2023-06-01 | current | pecos_ownership |
| UTHMAN, EDWARD | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-01 | current | pecos_ownership |
| UTHMAN, EDWARD | CORPORATE DIRECTOR | — | 2023-06-01 | current | pecos_ownership |
| ZEPHYR NH, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-01 | current | pecos_ownership |
| ZOS CHANUKAH ATIED FAMILY TRUST | ADP OF THE SNF | — | 2025-12-02 | current | pecos_ownership |
| ZOS CHANUKAH LLC | ADP OF THE SNF | — | 2025-12-02 | current | pecos_ownership |
| JOSEPH FREUDENBERGER | CORPORATE OFFICER | 100% | 2023-06-01 | ended 2026-05-18 | pecos_ownership |
| ABBY KING | CORPORATE DIRECTOR | 15% | 2023-06-01 | ended 2026-05-18 | pecos_ownership |
| ADAM PISANI | CORPORATE DIRECTOR | 15% | 2023-06-01 | ended 2026-05-18 | pecos_ownership |
| AMIRALI POPATIA | CORPORATE DIRECTOR | 15% | 2023-06-01 | ended 2026-05-18 | pecos_ownership |
| EDWARD UTHMAN | CORPORATE DIRECTOR | 15% | 2023-06-01 | ended 2026-05-18 | pecos_ownership |
| ELIZABETH KING | CORPORATE DIRECTOR | 15% | 2023-06-01 | ended 2026-05-18 | pecos_ownership |
| JEFF HALEY | CORPORATE DIRECTOR | 15% | 2023-06-01 | ended 2026-05-18 | pecos_ownership |
| JOHN DORMAN | CORPORATE DIRECTOR | 15% | 2023-06-01 | ended 2026-05-18 | pecos_ownership |
| JULIUS STUART | CORPORATE DIRECTOR | 15% | 2023-06-01 | ended 2026-05-18 | pecos_ownership |
| TOM CRAYTON | CORPORATE DIRECTOR | 15% | 2023-06-01 | ended 2026-05-18 | pecos_ownership |
| ABBY KING | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| ADAM PISANI | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| AHARON SHKOP | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 | ended 2026-05-18 | pecos_ownership |
| AMIRALI POPATIA | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| EDWARD UTHMAN | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| ELIZABETH KING | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| JEFF HALEY | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| JOHN DORMAN | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| JOSE R | ADP OF THE SNF | — | 2025-02-01 | ended 2026-05-18 | pecos_ownership |
| JOSEPH FREUDENBERGER | MANAGING CONTROL - GOVERNING BODY | — | 2025-02-01 | ended 2026-05-18 | pecos_ownership |
| JULIUS STUART | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| MOSHE POLSTEIN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 | ended 2026-05-18 | pecos_ownership |
| RUSTON HUGHES | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| TOM CRAYTON | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-01 | 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
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48157 | acs median gross | 0 | $1,418 | 2024-12-31 | CENSUS_ACS5 |
| county 48157 | fmr | 0 | $1,280 | 2025-10-01 | HUD_USER_FMR |
| county 48157 | acs median gross | 1 | $1,423 | 2024-12-31 | CENSUS_ACS5 |
| county 48157 | fmr | 1 | $1,323 | 2025-10-01 | HUD_USER_FMR |
| county 48157 | acs median gross | 2 | $1,732 | 2024-12-31 | CENSUS_ACS5 |
| county 48157 | fmr | 2 | $1,573 | 2025-10-01 | HUD_USER_FMR |
| county 48157 | acs median gross | 3 | $1,973 | 2024-12-31 | CENSUS_ACS5 |
| county 48157 | fmr | 3 | $2,116 | 2025-10-01 | HUD_USER_FMR |
| county 48157 | acs median gross | 4 | $2,578 | 2024-12-31 | CENSUS_ACS5 |
| county 48157 | fmr | 4 | $2,639 | 2025-10-01 | HUD_USER_FMR |
| county 48157 | acs median gross | 5 | $2,991 | 2024-12-31 | CENSUS_ACS5 |
| county 48157 | acs median gross | $1,807 | 2024-12-31 | CENSUS_ACS5 | |
| county 48157 | acs recent mover gross | $1,863 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 77494 | acs median gross | 0 | $1,449 | 2024-12-31 | CENSUS_ACS5 |
| zcta 77494 | acs median gross | 1 | $1,532 | 2024-12-31 | CENSUS_ACS5 |
| zcta 77494 | acs median gross | 2 | $1,978 | 2024-12-31 | CENSUS_ACS5 |
| zcta 77494 | acs median gross | 3 | $2,540 | 2024-12-31 | CENSUS_ACS5 |
| zcta 77494 | acs median gross | 4 | $2,903 | 2024-12-31 | CENSUS_ACS5 |
| zcta 77494 | acs median gross | 5 | $3,355 | 2024-12-31 | CENSUS_ACS5 |
| zcta 77494 | acs median gross | $2,167 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 77494 | acs recent mover gross | $2,289 | 2024-12-31 | CENSUS_ACS5 | |
| zip 77494 | payment standard 110 | 0 | $2,112 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77494 | payment standard 90 | 0 | $1,728 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77494 | safmr | 0 | $1,920 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77494 | payment standard 110 | 1 | $2,178 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77494 | payment standard 90 | 1 | $1,782 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77494 | safmr | 1 | $1,980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77494 | payment standard 110 | 2 | $2,596 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77494 | payment standard 90 | 2 | $2,124 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77494 | safmr | 2 | $2,360 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77494 | payment standard 110 | 3 | $3,487 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77494 | payment standard 90 | 3 | $2,853 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77494 | safmr | 3 | $3,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77494 | payment standard 110 | 4 | $4,356 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77494 | payment standard 90 | 4 | $3,564 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77494 | safmr | 4 | $3,960 | 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.