CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-04 23:00 UTC
Screener / 675402
F

Rockwall Nursing Care Center

snfTX
206 Storrs, Rockwall, TX 75087 · CCN 675402 · chain WEST WHARTON COUNTY HOSPITAL DISTRICT
Composite
98.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
192
Model
v1.2
Reads as: riskier than 98.3% 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.

Composite explanation

7
ComponentPercentileRawWeightWeight shareContributionCounts
state reg risk93.843.00.300.187517.59in index
regulatory risk92.690.30.300.187517.36in index
financial risk83.370.00.300.187515.62in index
staffing risk86.386.30.250.156313.48in index
billing conduct44.837.30.300.18758.40in index
chow risk53.754.30.150.09385.03in index
ownership opacity87.177.0excluded
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+29.0 vs natlHONOR X ENTERPRISES LLC7 facilities
connectionOwner fleet risk far above national+28.5 vs natlMAK DAVID31 facilities
connectionOwner fleet risk far above national+26.5 vs natlSOECHTING PAUL37 facilities
connectionOwner fleet risk far above national+26.5 vs natlSTRACK JOE37 facilities
connectionOwner fleet risk far above national+26.5 vs natlBOWERS SEAN37 facilities
connectionOwner fleet risk far above national+26.5 vs natlHARDIN SHERRIE37 facilities
connectionOwner fleet risk far above national+26.5 vs natlKORENEK PATRICIA37 facilities
connectionOwner fleet risk far above national+24.6 vs natlCISNEROS ALFRED40 facilities
connectionOwner fleet risk far above national+24.6 vs natlWILLIG ZACHARY82 facilities
connectionOwner fleet risk far above national+24.6 vs natlKERZEE RICHARD40 facilities
connectionOwner fleet risk far above national+24.0 vs natlCOBB TRAVIS39 facilities
connectionOwner fleet risk far above national+23.7 vs natlTHOMPSON JOHNNY74 facilities
connectionOwner fleet risk far above national+23.5 vs natlHUGGINS LINDA139 facilities
connectionOwner fleet risk far above national+23.4 vs natlBLAKE MALISA137 facilities
connectionOwner fleet risk far above national+23.4 vs natlBLAKE GARY137 facilities
connectionOwner fleet risk far above national+20.2 vs natlCOOPER STEPHEN43 facilities
connectionOwner spans multiple chains15 chainsWILLIG ZACHARY81 facilities
connectionOwner spans multiple chains13 chainsHUGGINS LINDA139 facilities
connectionOwner spans multiple chains13 chainsBLAKE MALISA137 facilities
connectionOwner spans multiple chains13 chainsBLAKE GARY137 facilities
connectionOwner fleet enforcement cluster71% finedHONOR X ENTERPRISES LLC7 facilities
connectionOwner fleet enforcement cluster49% finedBLAKE GARY137 facilities
connectionOwner fleet enforcement cluster49% finedBLAKE MALISA137 facilities
connectionOwner fleet enforcement cluster48% finedHUGGINS LINDA139 facilities
connectionOwner fleet enforcement cluster48% finedWILLIG ZACHARY82 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 conduct37.3Bv0.1-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 risk49.9Cv0.1-txhhscdefault · in compositeTexas licence reissue timing as an ownership-transfer proxy.
chow risk87.9Fv0.6default · in composite
financial risk70.0Dv0.5default · in compositeR18.
ownership opacity77.0Dv0.1-txhhscdefault · in compositeTexas HHSC directory ownership structure: chain size, absentee owner, management company, entity form, owner closure history.
p adverse action 12m0.0v0.1default · in compositeR23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m0.1v0.1default · in compositeR22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
regulatory risk90.3Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk86.3Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
state reg risk43.0Bv0.5default · in composite
financial risk96.1Fv0.1supersededPre-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 risk76.1Dv0.2supersededPre-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 risk54.0Cv0.3supersededPre-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 risk73.6Dv0.4supersededPre-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 risk90.6Fv0.1supersededPre-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 risk90.6Fv0.2supersededPre-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 risk86.3Fv0.1supersededPre-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 risk86.3Fv0.2supersededPre-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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
25.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)2.66-1.59
Ownership changes, last 5 years1.00-0.87
Occupancy0.45+0.71
For-profit ownership1.00+0.69
Chain size (log)4.58+0.57
No PBJ staffing report0.00+0.42
Facility size (log beds)5.26-0.14
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
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Chain size (log)4.58-1.47
Occupancy0.45+1.25
For-profit ownership1.00-0.69
Fine amount, 12m (log)10.12-0.56
Deficiencies, last 12 months10.00-0.43
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)2.66-0.26
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 nurse2.652.673.282.90–3.77
RN0.230.240.390.25–0.58
Weekend total2.482.563.11
Weekday total2.722.723.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49286.62.650.230.911.522.480.0%
2025Q39290.22.450.300.821.322.400.0%
2025Q29187.92.490.290.841.362.340.0%
2025Q19080.32.540.280.821.442.520.0%
2024Q49278.22.520.210.931.382.590.0%
2024Q39278.52.460.171.001.292.490.0%
2024Q29166.22.550.141.031.382.560.0%
2024Q19159.82.740.241.021.492.680.0%
2023Q49268.72.610.451.121.042.480.0%
2023Q39270.51.040.280.390.380.400.0%
2023Q29172.73.170.381.101.693.150.0%
2023Q19078.33.010.331.051.632.912.0%
2022Q49283.12.780.270.971.552.663.1%
2022Q39283.42.840.170.821.852.7319.2%
2022Q29179.52.600.150.851.602.4228.8%
2022Q19068.83.350.331.061.963.2850.6%
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

3
fines by year
$26k$13k232425
DateTypeFineSource
2025-10-21Fine$24,845CMS provider data
2024-11-01Fine$15,897CMS provider data
2023-11-18Fine$26,013CMS provider data
Total fines on record: $66,755

Deficiencies

45
D × 29E × 11F × 1J × 3K × 1
deficiencies by survey year
1892223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-03-13Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2026-03-31
2026-03-13Health · complaintF0584Honor 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.D2026-03-31
2026-03-13Health · complaintF0880Provide and implement an infection prevention and control program.D2026-03-31
2026-03-13Health · complaintF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D2026-03-31
2026-01-09Health · complaintF0880Provide and implement an infection prevention and control program.D2026-01-10
2025-11-25Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-11-26
2025-11-25Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2025-11-26
2025-10-21Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2025-10-22
2025-10-21Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2025-09-29
2025-10-21Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-10-22
2025-06-17Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2025-06-18
2025-01-16HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2025-01-17
2025-01-16HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-01-17
2025-01-16Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E2025-01-17
2024-12-19Health · complaintF0583Keep residents' personal and medical records private and confidential.D2024-12-20
2024-12-19Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-12-20
2024-12-19Health · complaintF0761Ensure 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.D2024-12-20
2024-11-01Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-11-02
2024-11-01Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2024-10-31
2024-10-09Health · complaintF0770Provide timely, quality laboratory services/tests to meet the needs of residents.D2024-10-10
2024-05-17Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-06-06
2024-05-17Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-06-06
2024-05-17Health · complaintF0732Post nurse staffing information every day.D2024-06-06
2023-11-18HealthF0558Reasonably accommodate the needs and preferences of each resident.E2023-11-19
2023-11-18Health · complaintF0584Honor 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.E2023-11-19
2023-11-18HealthF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D2023-11-19
2023-11-18Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-11-19
2023-11-18Health · complaintF0610Respond appropriately to all alleged violations.D2023-11-19
2023-11-18Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.K2023-11-19
2023-11-18HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2023-11-19
2023-11-18Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2023-11-19
2023-11-18HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2023-11-19
2023-11-18HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2023-11-19
2023-11-18Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2023-11-19
2023-11-18HealthF0880Provide and implement an infection prevention and control program.D2023-11-19
2023-10-03Health · complaintF0850Hire a qualified full-time social worker in a facility with more than 120 beds.E2023-10-24
2023-09-20Health · complaintF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2023-09-25
2023-08-02Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2023-08-30
2023-08-02Health · complaintF0584Honor 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.E2023-08-30
2023-07-26Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D2023-08-25
2023-07-26Health · complaintF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E2023-08-25
2022-09-29HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2022-11-01
2022-09-29HealthF0610Respond appropriately to all alleged violations.D2022-11-01
2022-09-29HealthF0759Ensure medication error rates are not 5 percent or greater.E2022-11-01
2022-09-29HealthF0880Provide and implement an infection prevention and control program.F2022-11-01
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

40
OwnerRolePctFromStatusSource
BLAKE, GARYOPERATIONAL/MANAGERIAL CONTROL2023-12-01currentpecos_ownership
BLAKE, MALISAOPERATIONAL/MANAGERIAL CONTROL2023-12-01currentpecos_ownership
BOWERS, SEANMANAGING CONTROL - GOVERNING BODY2023-12-01currentpecos_ownership
CISNEROS, ALFREDMANAGING CONTROL - GOVERNING BODY2023-12-01currentpecos_ownership
COBB, TRAVISMANAGING CONTROL - GOVERNING BODY2023-12-01currentpecos_ownership
COOPER, STEPHENMANAGING CONTROL - GOVERNING BODY2023-12-01currentpecos_ownership
HARDIN, SHERRIEMANAGING CONTROL - GOVERNING BODY2023-12-01currentpecos_ownership
HONOR X ENTERPRISES, LLCADP OF THE SNF2023-12-01currentpecos_ownership
HUGGINS, LINDAOPERATIONAL/MANAGERIAL CONTROL2023-12-01currentpecos_ownership
KERZEE, RICHARDMANAGING CONTROL - GOVERNING BODY2023-12-01currentpecos_ownership
KORENEK, PATRICIAMANAGING CONTROL - GOVERNING BODY2023-12-01currentpecos_ownership
MAK, DAVIDMANAGING CONTROL - GOVERNING BODY2023-12-01currentpecos_ownership
NHC MASTER TENENT, L.L.C.ADP OF THE SNF2025-04-16currentpecos_ownership
PARKER, JAMESADP OF THE SNF2025-04-16currentpecos_ownership
POBEE, KOJOADP OF THE SNF2025-04-16currentpecos_ownership
ROCKWALL I ENTERPRISES LLCADP OF THE SNF2023-12-01currentpecos_ownership
ROCKWALL I ENTERPRISES, LLC2023-12-01currenttx_hhsc_directory
SOECHTING, PAULMANAGING CONTROL - GOVERNING BODY2023-12-01currentpecos_ownership
STRACK, JOEMANAGING CONTROL - GOVERNING BODY2023-12-01currentpecos_ownership
THOMPSON, JOHNNYMANAGING CONTROL - GOVERNING BODY2023-12-01currentpecos_ownership
WEST WHARTON COUNTY HOSPITAL DISTRICT2023-12-01currenttx_hhsc_directory
WILLIG, ZACHARYOPERATIONAL/MANAGERIAL CONTROL2023-12-01currentpecos_ownership
WEST WHARTON COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-12-01ended 2026-05-18pecos_ownership
ALFRED CISNEROSMANAGING CONTROL - GOVERNING BODY2023-12-01ended 2026-05-18pecos_ownership
DAVID MAKMANAGING CONTROL - GOVERNING BODY2023-12-01ended 2026-05-18pecos_ownership
GARY BLAKEADP OF THE SNF2023-12-01ended 2026-05-18pecos_ownership
JAMES PARKERADP OF THE SNF2025-04-16ended 2026-05-18pecos_ownership
JOE STRACKMANAGING CONTROL - GOVERNING BODY2023-12-01ended 2026-05-18pecos_ownership
JOHNNY THOMPSONMANAGING CONTROL - GOVERNING BODY2023-12-01ended 2026-05-18pecos_ownership
KOJO POBEEADP OF THE SNF2025-04-16ended 2026-05-18pecos_ownership
LINDA HUGGINSOPERATIONAL/MANAGERIAL CONTROL2023-12-01ended 2026-05-18pecos_ownership
MALISA BLAKEADP OF THE SNF2023-12-01ended 2026-05-18pecos_ownership
PATRICIA KORENEKMANAGING CONTROL - GOVERNING BODY2023-12-01ended 2026-05-18pecos_ownership
PAUL SOECHTINGMANAGING CONTROL - GOVERNING BODY2023-12-01ended 2026-05-18pecos_ownership
RICHARD KERZEEMANAGING CONTROL - GOVERNING BODY2023-12-01ended 2026-05-18pecos_ownership
SEAN BOWERSMANAGING CONTROL - GOVERNING BODY2023-12-01ended 2026-05-18pecos_ownership
SHERRIE HARDINMANAGING CONTROL - GOVERNING BODY2023-12-01ended 2026-05-18pecos_ownership
STEPHEN COOPERMANAGING CONTROL - GOVERNING BODY2023-12-01ended 2026-05-18pecos_ownership
TRAVIS COBBMANAGING CONTROL - GOVERNING BODY2023-12-01ended 2026-05-18pecos_ownership
ZACHARY WILLIGOPERATIONAL/MANAGERIAL CONTROL2023-12-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2023-12-01WEST WHARTON COUNTY HOSPITAL DISTRICTRW SCC LLCchow

Comparable trades — TX snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-10-01ST. ANTHONY'S CARE CENTER120SOUTH LIMESTONE HOSPITAL DISTRICT
2025-10-01Avir at New Braunfels154821 US HIGHWAY 81 W OPCO LLC
2025-09-01Avir at Texarkana110GUADALUPE COUNTY HOSPITAL BOARD
2025-09-01PARKS HEALTH CENTER90WEST COKE COUNTY HOSPITAL DISTRICT
2025-09-01WINDMILL VILLAGE REHABILITATION & CARE CENTER120FANNIN COUNTY HOSPITAL AUTHORITY
2025-08-31Las Ventanas De Socorro126SOCORRO HEALTH CARE LLC
2025-08-01Avir at Mineola115HOPKINS COUNTY HOSPITAL DISTRICT
2025-08-01Avir at Orem1203730 W OREM DR OPCO LLC
2025-08-01Avir at Courtyard1207499 STANWICK DR OPCO LLC
2025-08-01HILLSIDE MEDICAL LODGE128CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
2025-08-01Avir at Pasadena1314300 VISTA RD OPCO LLC
2025-07-01Highland Meadows120NOCONA HOSPITAL DISTRICT
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

36
GeoKindBRAmountAs ofSource
county 48397acs median gross0$1,5812024-12-31CENSUS_ACS5
county 48397fmr0$1,5822025-10-01HUD_USER_FMR
county 48397acs median gross1$1,4912024-12-31CENSUS_ACS5
county 48397fmr1$1,6482025-10-01HUD_USER_FMR
county 48397acs median gross2$1,9802024-12-31CENSUS_ACS5
county 48397fmr2$1,9312025-10-01HUD_USER_FMR
county 48397acs median gross3$2,1712024-12-31CENSUS_ACS5
county 48397fmr3$2,4312025-10-01HUD_USER_FMR
county 48397acs median gross4$2,7542024-12-31CENSUS_ACS5
county 48397fmr4$3,0912025-10-01HUD_USER_FMR
county 48397acs median gross5$2,6602024-12-31CENSUS_ACS5
county 48397acs median gross$1,9922024-12-31CENSUS_ACS5
county 48397acs recent mover gross$2,1022024-12-31CENSUS_ACS5
zcta 75087acs median gross0$1,6152024-12-31CENSUS_ACS5
zcta 75087acs median gross1$1,4052024-12-31CENSUS_ACS5
zcta 75087acs median gross2$2,0372024-12-31CENSUS_ACS5
zcta 75087acs median gross3$2,0482024-12-31CENSUS_ACS5
zcta 75087acs median gross4$2,7492024-12-31CENSUS_ACS5
zcta 75087acs median gross5$3,5012024-12-31CENSUS_ACS5
zcta 75087acs median gross$1,7582024-12-31CENSUS_ACS5
zcta 75087acs recent mover gross$2,2292024-12-31CENSUS_ACS5
zip 75087payment standard 1100$1,8922025-10-01HUD_USER_SAFMR
zip 75087payment standard 900$1,5482025-10-01HUD_USER_SAFMR
zip 75087safmr0$1,7202025-10-01HUD_USER_SAFMR
zip 75087payment standard 1101$1,9692025-10-01HUD_USER_SAFMR
zip 75087payment standard 901$1,6112025-10-01HUD_USER_SAFMR
zip 75087safmr1$1,7902025-10-01HUD_USER_SAFMR
zip 75087payment standard 1102$2,3102025-10-01HUD_USER_SAFMR
zip 75087payment standard 902$1,8902025-10-01HUD_USER_SAFMR
zip 75087safmr2$2,1002025-10-01HUD_USER_SAFMR
zip 75087payment standard 1103$2,9042025-10-01HUD_USER_SAFMR
zip 75087payment standard 903$2,3762025-10-01HUD_USER_SAFMR
zip 75087safmr3$2,6402025-10-01HUD_USER_SAFMR
zip 75087payment standard 1104$3,6962025-10-01HUD_USER_SAFMR
zip 75087payment standard 904$3,0242025-10-01HUD_USER_SAFMR
zip 75087safmr4$3,3602025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.