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 2026-08-05 05:47 UTC
Screener / 455715
C

Monument Rehabilitation and Nursing Center

snfTX
120 State Loop 92, La Grange, TX 78945 · CCN 455715 · chain WINNIE STOWELL HOSPITAL DISTRICT
Composite
84.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
104
Model
v1.2
Reads as: riskier than 84.0% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model7ML signals25Components19CHOW radar1Distress radar1Staffing16Penalties1Deficiencies21Licensure0Ownership62Related party0Transactions0Comps12Market rent31

Composite explanation

7
ComponentPercentileRawWeightWeight shareContributionCounts
financial risk82.769.50.300.187515.51in index
staffing risk97.697.60.250.156315.25in index
regulatory risk65.658.50.300.187512.30in index
state reg risk53.312.00.300.18759.99in index
billing conduct29.231.20.300.18755.48in index
chow risk44.547.80.150.09384.17in index
ownership opacity64.456.4excluded
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

25
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+20.8 vs natlREG BRIDGE OPCO LLC20 facilities
connectionOwner fleet risk far above national+20.1 vs natlREG OPERATOR HOLDCO LLC65 facilities
connectionOwner fleet risk far above national+20.1 vs natlDWD TX HOLDINGS LLC65 facilities
connectionOwner fleet risk far above national+20.1 vs natlREGENCY TEXAS HOLDINGS LLC65 facilities
connectionOwner spans multiple chains8 chainsCHUDLEIGH JAMES8 facilities
connectionOwner spans multiple chains8 chainsREGENCY IHS REHAB LLC68 facilities
connectionOwner spans multiple chains8 chainsREGENCY IHS CLINICAL CONSULTING LLC67 facilities
connectionOwner spans multiple chains7 chainsDEKOWSKI DONOVAN66 facilities
connectionOwner spans multiple chains7 chainsREG OPERATOR HOLDCO LLC64 facilities
connectionOwner spans multiple chains7 chainsCLAPP BARBARA66 facilities
connectionOwner spans multiple chains7 chainsREGENCY TEXAS HOLDINGS LLC64 facilities
connectionOwner spans multiple chains7 chainsREGENCY INTEGRATED HEALTH SERVICES LLC67 facilities
connectionOwner spans multiple chains7 chainsCSV RHEA MANAGEMENT HOLDCO LLC63 facilities
connectionOwner spans multiple chains7 chainsDWD TX HOLDINGS LLC64 facilities
connectionOwner spans multiple chains7 chainsMANDELBAUM ELLIOT61 facilities
connectionOwner spans multiple chains7 chainsJACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC65 facilities
connectionOwner spans multiple chains6 chainsBAIRD DANIEL59 facilities
connectionOwner spans multiple chains6 chainsCORTESE DAREN59 facilities
connectionOwner spans multiple chains6 chainsGIBSON PATRICIA58 facilities
connectionOwner spans multiple chains5 chainsREG BRIDGE OPCO LLC19 facilities
connectionOwner spans multiple chains5 chainsREG HG OPCO LLC40 facilities
connectionOwner fleet enforcement cluster46% finedMURRELL EDWARD76 facilities
connectionOwner fleet enforcement cluster46% finedGIBSON PATRICIA59 facilities
connectionOwner fleet enforcement cluster45% finedCORTESE DAREN60 facilities
connectionOwner fleet enforcement cluster45% finedBAIRD DANIEL60 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.

Component scores and registry models

19
Score typeScoreGradeModelStatusRegistry model notes
billing conduct31.2Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-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.
chow risk38.1Bv0.1-txhhscdefault · in compositeTexas licence reissue timing as an ownership-transfer proxy.
chow risk80.3Fv0.6default · in composite
financial risk69.5Dv0.5default · in compositeR18.
ownership opacity56.4Cv0.1-txhhscdefault · in compositeTexas HHSC directory ownership structure: chain size, absentee owner, management company, entity form, owner closure history.
p adverse action 12m0.9—v0.1default · 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 12m2.0—v0.1default · 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.
regulatory risk58.5Cv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk97.6Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
state reg risk12.0Av0.5default · in composite
financial risk68.5Dv0.1supersededPre-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 risk48.5Cv0.2supersededPre-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 risk55.3Cv0.3supersededPre-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 risk72.8Dv0.4supersededPre-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 risk58.3Cv0.1supersededPre-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 risk58.3Cv0.2supersededPre-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 risk97.6Fv0.1supersededPre-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 risk97.6Fv0.2supersededPre-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)
2.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
69.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership0.00-1.24
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
Chain size (log)4.34+0.52
No PBJ staffing report0.00+0.42
Occupancy0.56+0.41
Ownership changes, last 5 years0.00+0.20
Total nurse staffing (HPRD)2.04+0.20
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)
0.9%
model v0.1 · computed 2026-07-29
Percentile among SNFs
84.7
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
For-profit ownership0.00+1.62
Chain size (log)4.34-1.33
Occupancy0.56+0.80
Deficiencies, last 12 months5.00+0.50
Total nurse staffing (HPRD)2.04+0.50
No PBJ staffing report0.00+0.39
Fine amount, 12m (log)0.00+0.18
Never sold on record1.00+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

16
2025Q4 HPRDThis facilityTX medianNational medianNational p25–p75
Total nurse2.042.673.282.90–3.77
RN0.340.240.390.25–0.58
Weekend total2.042.563.11—
Weekday total2.042.723.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49258.02.040.340.581.122.040.0%
2025Q39256.71.990.190.701.092.000.0%
2025Q29158.01.830.210.611.021.840.0%
2025Q19057.51.950.220.641.081.950.0%
2024Q49259.31.720.170.650.901.680.0%
2024Q39254.01.960.170.741.051.950.1%
2024Q29149.12.160.140.821.202.220.0%
2024Q19147.42.150.220.801.122.153.5%
2023Q49247.02.150.200.751.202.129.4%
2023Q39249.22.120.210.651.262.2714.8%
2023Q29153.22.060.310.591.161.9826.6%
2023Q19051.41.990.400.541.052.1212.3%
2022Q49252.22.080.350.471.251.911.8%
2022Q39257.12.180.300.641.242.1216.1%
2022Q29157.31.820.250.580.991.662.7%
2022Q19055.92.070.290.571.212.002.8%
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

1
DateTypeFineSource
2025-07-02Fine$8,281CMS provider data
Total fines on record: $8,281

Deficiencies

21
B × 1D × 11E × 8J × 1
deficiencies by survey year
11623242526
SurveyTypeTagDeficiencyScopeCorrected
2026-01-28Health · complaintF0760Ensure that residents are free from significant medication errors.E2026-02-20
2025-09-11HealthF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D2025-09-17
2025-09-11HealthF0880Provide and implement an infection prevention and control program.D2025-09-17
2025-09-11HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.E2025-09-17
2025-09-11HealthF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.E2025-09-17
2025-07-02Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2025-04-11
2024-07-31HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-08-08
2024-07-31HealthF0558Reasonably accommodate the needs and preferences of each resident.D2024-08-08
2024-07-31HealthF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.B2024-08-08
2024-07-31HealthF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D2024-08-08
2024-07-31Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2024-08-08
2024-07-31HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2024-08-08
2024-07-31HealthF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.D2024-08-08
2024-07-31HealthF0808Ensure 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.E2024-08-08
2024-07-31HealthF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.E2024-08-08
2024-07-31HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-08-08
2024-07-31HealthF0880Provide and implement an infection prevention and control program.E2024-08-08
2023-06-08HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2023-06-12
2023-06-08HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2023-06-12
2023-06-08HealthF0761Ensure 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.D2023-06-12
2023-06-08HealthF0880Provide and implement an infection prevention and control program.D2023-06-12
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

62
OwnerRolePctFromStatusSource
120 STATE LOOP 92 LLCOPERATIONAL/MANAGERIAL CONTROL—2018-10-01currentpecos_ownership
BAIRD, DANIELINDIRECT OWNERSHIP INTEREST—2021-04-13currentpecos_ownership
CHUDLEIGH, JAMESOPERATIONAL/MANAGERIAL CONTROL—2025-01-01currentpecos_ownership
CLAPP, BARBARAINDIRECT OWNERSHIP INTEREST—2021-06-01currentpecos_ownership
CORTESE, DARENINDIRECT OWNERSHIP INTEREST—2021-08-10currentpecos_ownership
CSV RHEA MANAGEMENT HOLDCO, LLCINDIRECT OWNERSHIP INTEREST—2018-10-01currentpecos_ownership
CSV RHEA MANAGEMENT HOLDCO, LLCADP OF THE SNF—2025-05-13currentpecos_ownership
DEKOWSKI, DONOVANADP OF THE SNF—2018-10-01currentpecos_ownership
DWD TX HOLDINGS LLCADP OF THE SNF—2025-05-13currentpecos_ownership
DWD TX HOLDINGS LLCINDIRECT OWNERSHIP INTEREST—2018-10-01currentpecos_ownership
GIBSON, PATRICIAINDIRECT OWNERSHIP INTEREST—2021-08-01currentpecos_ownership
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCINDIRECT OWNERSHIP INTEREST—2018-10-01currentpecos_ownership
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCADP OF THE SNF—2025-05-13currentpecos_ownership
LUCAS, DENISEOPERATIONAL/MANAGERIAL CONTROL—2018-10-01currentpecos_ownership
LUCAS, DENISEADP OF THE SNF—2025-01-01currentpecos_ownership
MANDELBAUM, ELLIOTINDIRECT OWNERSHIP INTEREST—2018-10-01currentpecos_ownership
MURRELL, EDWARDCORPORATE OFFICER—2016-11-22currentpecos_ownership
REG BRIDGE OPCO LLCADP OF THE SNF—2025-05-13currentpecos_ownership
REG BRIDGE OPCO LLCINDIRECT OWNERSHIP INTEREST—2018-10-01currentpecos_ownership
REG HG OPCO LLCADP OF THE SNF—2025-05-13currentpecos_ownership
REG HG OPCO LLCINDIRECT OWNERSHIP INTEREST—2018-10-01currentpecos_ownership
REG OPERATOR HOLDCO LLCADP OF THE SNF—2025-05-13currentpecos_ownership
REG OPERATOR HOLDCO LLCOPERATIONAL/MANAGERIAL CONTROL—2018-10-01currentpecos_ownership
REGENCY IHS CLINICAL CONSULTING, LLCOPERATIONAL/MANAGERIAL CONTROL—2018-10-01currentpecos_ownership
REGENCY IHS CLINICAL CONSULTING, LLCADP OF THE SNF—2025-05-13currentpecos_ownership
REGENCY IHS OF LA GRANGE LLC——2024-08-31currenttx_hhsc_directory
REGENCY IHS OF LA GRANGE LLCDIRECT OWNERSHIP INTEREST—2018-10-01currentpecos_ownership
REGENCY IHS OF LA GRANGE LLCADP OF THE SNF—2025-05-13currentpecos_ownership
REGENCY IHS REHAB LLCOPERATIONAL/MANAGERIAL CONTROL—2018-10-01currentpecos_ownership
REGENCY IHS REHAB LLCADP OF THE SNF—2025-05-13currentpecos_ownership
REGENCY INTEGRATED HEALTH SERVICES LLCOPERATIONAL/MANAGERIAL CONTROL—2018-10-01currentpecos_ownership
REGENCY INTEGRATED HEALTH SERVICES LLCADP OF THE SNF—2025-05-13currentpecos_ownership
REGENCY TEXAS HOLDINGS LLCADP OF THE SNF—2025-05-13currentpecos_ownership
REGENCY TEXAS HOLDINGS LLCINDIRECT OWNERSHIP INTEREST—2018-10-01currentpecos_ownership
ROLLO, JEFFERYCORPORATE OFFICER—2021-02-01currentpecos_ownership
SIPTAK, TRINADIRECT OWNERSHIP INTEREST—2025-01-01currentpecos_ownership
SIPTAK, TRINAOPERATIONAL/MANAGERIAL CONTROL—2018-10-01currentpecos_ownership
STRAMECKI, ANTHONYCORPORATE OFFICER—2016-11-01currentpecos_ownership
VASQUEZ, RAYMUNDOOPERATIONAL/MANAGERIAL CONTROL—2020-10-01currentpecos_ownership
VRATIS, KACEYCORPORATE OFFICER—2020-01-01currentpecos_ownership
WAY, GEORGECORPORATE OFFICER—2018-02-01currentpecos_ownership
WINNIE STOWELL HOSPITAL DISTRICT——2024-08-31currenttx_hhsc_directory
WINNIE-STOWELL HOSPITAL DISTRICTADP OF THE SNF—2025-05-13currentpecos_ownership
WINNIE-STOWELL HOSPITAL DISTRICTOPERATIONAL/MANAGERIAL CONTROL—2018-10-01currentpecos_ownership
ANTHONY STRAMECKICORPORATE OFFICER100%2016-11-01ended 2026-05-18pecos_ownership
BARBARA CLAPPINDIRECT OWNERSHIP INTEREST100%2021-06-01ended 2026-05-18pecos_ownership
DANIEL BAIRDINDIRECT OWNERSHIP INTEREST100%2021-04-13ended 2026-05-18pecos_ownership
DAREN CORTESEINDIRECT OWNERSHIP INTEREST100%2021-08-10ended 2026-05-18pecos_ownership
DENISE LUCASDIRECT OWNERSHIP INTEREST100%2025-01-01ended 2026-05-18pecos_ownership
DONOVAN DEKOWSKIINDIRECT OWNERSHIP INTEREST100%2018-10-01ended 2026-05-18pecos_ownership
EDWARD MURRELLCORPORATE OFFICER100%2016-11-22ended 2026-05-18pecos_ownership
ELLIOT MANDELBAUMINDIRECT OWNERSHIP INTEREST100%2018-10-01ended 2026-05-18pecos_ownership
GEORGE WAYCORPORATE OFFICER100%2018-02-01ended 2026-05-18pecos_ownership
JEFFERY ROLLOCORPORATE OFFICER100%2021-02-01ended 2026-05-18pecos_ownership
KACEY VRATISCORPORATE OFFICER100%2020-01-01ended 2026-05-18pecos_ownership
PATRICIA GIBSONINDIRECT OWNERSHIP INTEREST100%2021-08-01ended 2026-05-18pecos_ownership
RAYMUNDO VASQUEZDIRECT OWNERSHIP INTEREST100%2020-10-01ended 2026-05-18pecos_ownership
TRINA SIPTAKDIRECT OWNERSHIP INTEREST100%2025-01-01ended 2026-05-18pecos_ownership
WINNIE-STOWELL HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTEREST100%2014-08-31ended 2026-05-18pecos_ownership
DENISE LUCASOPERATIONAL/MANAGERIAL CONTROL—2018-10-01ended 2026-05-18pecos_ownership
JAMES CHUDLEIGHOPERATIONAL/MANAGERIAL CONTROL—2025-01-01ended 2026-05-18pecos_ownership
TRINA SIPTAKOPERATIONAL/MANAGERIAL CONTROL—2018-10-01ended 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 CENTER———120SOUTH LIMESTONE HOSPITAL DISTRICT
2025-10-01Avir at New Braunfels———154821 US HIGHWAY 81 W OPCO LLC
2025-09-01Avir at Texarkana———110GUADALUPE COUNTY HOSPITAL BOARD
2025-09-01PARKS HEALTH CENTER———90WEST COKE COUNTY HOSPITAL DISTRICT
2025-09-01WINDMILL VILLAGE REHABILITATION & CARE CENTER———120FANNIN COUNTY HOSPITAL AUTHORITY
2025-08-31Las Ventanas De Socorro———126SOCORRO HEALTH CARE LLC
2025-08-01Avir at Mineola———115HOPKINS COUNTY HOSPITAL DISTRICT
2025-08-01Avir at Orem———1203730 W OREM DR OPCO LLC
2025-08-01Avir at Courtyard———1207499 STANWICK DR OPCO LLC
2025-08-01HILLSIDE MEDICAL LODGE———128CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
2025-08-01Avir at Pasadena———1314300 VISTA RD OPCO LLC
2025-07-01Highland Meadows———120NOCONA 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

31
GeoKindBRAmountAs ofSource
county 48149fmr0$7712025-10-01HUD_USER_FMR
county 48149acs median gross1$7662024-12-31CENSUS_ACS5
county 48149fmr1$8822025-10-01HUD_USER_FMR
county 48149acs median gross2$9812024-12-31CENSUS_ACS5
county 48149fmr2$1,0192025-10-01HUD_USER_FMR
county 48149acs median gross3$1,1522024-12-31CENSUS_ACS5
county 48149fmr3$1,3882025-10-01HUD_USER_FMR
county 48149acs median gross4$1,2432024-12-31CENSUS_ACS5
county 48149fmr4$1,5972025-10-01HUD_USER_FMR
county 48149acs median gross$9882024-12-31CENSUS_ACS5
county 48149acs recent mover gross$1,2222024-12-31CENSUS_ACS5
zcta 78945acs median gross1$8332024-12-31CENSUS_ACS5
zcta 78945acs median gross2$9782024-12-31CENSUS_ACS5
zcta 78945acs median gross3$1,3762024-12-31CENSUS_ACS5
zcta 78945acs median gross$9692024-12-31CENSUS_ACS5
zcta 78945acs recent mover gross$1,2282024-12-31CENSUS_ACS5
zip 78945payment standard 1100$1,5402025-10-01HUD_USER_SAFMR
zip 78945payment standard 900$1,2602025-10-01HUD_USER_SAFMR
zip 78945safmr0$1,4002025-10-01HUD_USER_SAFMR
zip 78945payment standard 1101$1,6392025-10-01HUD_USER_SAFMR
zip 78945payment standard 901$1,3412025-10-01HUD_USER_SAFMR
zip 78945safmr1$1,4902025-10-01HUD_USER_SAFMR
zip 78945payment standard 1102$1,9362025-10-01HUD_USER_SAFMR
zip 78945payment standard 902$1,5842025-10-01HUD_USER_SAFMR
zip 78945safmr2$1,7602025-10-01HUD_USER_SAFMR
zip 78945payment standard 1103$2,4642025-10-01HUD_USER_SAFMR
zip 78945payment standard 903$2,0162025-10-01HUD_USER_SAFMR
zip 78945safmr3$2,2402025-10-01HUD_USER_SAFMR
zip 78945payment standard 1104$2,8602025-10-01HUD_USER_SAFMR
zip 78945payment standard 904$2,3402025-10-01HUD_USER_SAFMR
zip 78945safmr4$2,6002025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · Monument Rehabilitation and Nursing Center (455715) · generated 2026-08-05 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency