Screener / 676458

MABANK NURSING CENTER

snfTX

18957 US HWY 175 W., MABANK, TX 75147 · CCN 676458 · chain STEPHENS MEMORIAL HOSPITAL DISTRICT

Composite

85.7 / 100 percentile

Peer group

snf n = 14,684

Evidence depth

deep

Certified beds

Model

v1.2

Reads as: riskier than 85.7% 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 model7 ML signals25 Components19 CHOW radar1 Distress radar1 Staffing15 Penalties2 Deficiencies23 Licensure0 Ownership38 Related party3 Transactions1 Comps12 Market rent33

Composite explanation

Component	Percentile	Raw	Weight	Weight share	Contribution	Counts
regulatory risk	78.5	75.0	0.30	0.1875	14.72	in index
staffing risk	84.0	84.0	0.25	0.1563	13.13	in index
financial risk	64.6	55.4	0.30	0.1875	12.11	in index
state reg risk	63.7	15.0	0.30	0.1875	11.94	in index
billing conduct	35.0	33.8	0.30	0.1875	6.56	in index
chow risk	55.4	42.9	0.15	0.0938	5.19	in index
ownership opacity	80.2	69.4				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

Kind	Finding	Signal	Subject	First seen
connection	Owner fleet risk far above national	+31.4 vs natl	INNOVATIVE NURSE CONSULTING LLC	19 facilities
connection	Owner fleet risk far above national	+26.4 vs natl	BRIDGEPOINTE FINANICAL SERVICES LLC	22 facilities
connection	Owner fleet risk far above national	+25.8 vs natl	BAUDER WILLIAM	37 facilities
connection	Owner fleet risk far above national	+23.7 vs natl	BAUDER MADISON	22 facilities
connection	Owner fleet risk far above national	+23.1 vs natl	BAUDER KELLY	22 facilities
connection	Owner fleet risk far above national	+23.1 vs natl	BAUDER PARKER	22 facilities
connection	Owner fleet risk far above national	+21.5 vs natl	BOULWARE SANDRA	18 facilities
connection	Owner fleet risk far above national	+21.2 vs natl	BOULWARE ST JAMES LLC	20 facilities
connection	Owner fleet risk far above national	+21.0 vs natl	BOULWARE THOMAS	24 facilities
connection	Owner fleet risk far above national	+21.0 vs natl	WALKER KATIE	24 facilities
connection	Owner fleet risk far above national	+20.7 vs natl	BAUDER FAMILY INVESTMENTS LLC	20 facilities
connection	Owner spans multiple chains	10 chains	BAUDER WILLIAM	35 facilities
connection	Owner spans multiple chains	9 chains	BOULWARE STEVEN	40 facilities
connection	Owner spans multiple chains	8 chains	PRIORITY MANAGEMENT GROUP LLC	36 facilities
connection	Owner spans multiple chains	7 chains	BAUDER MADISON	21 facilities
connection	Owner spans multiple chains	7 chains	BAUDER KELLY	21 facilities
connection	Owner spans multiple chains	7 chains	BAUDER PARKER	21 facilities
connection	Owner spans multiple chains	7 chains	WALKER KATIE	23 facilities
connection	Owner spans multiple chains	7 chains	BOULWARE THOMAS	23 facilities
connection	Owner spans multiple chains	7 chains	BOULWARE DOUGLAS	38 facilities
connection	Owner spans multiple chains	6 chains	INNOVATIVE NURSE CONSULTING LLC	18 facilities
connection	Owner spans multiple chains	6 chains	BRIDGEPOINTE FINANICAL SERVICES LLC	21 facilities
connection	Owner spans multiple chains	6 chains	PROGRESSIVE REHAB SOLUTIONS LLC	33 facilities
connection	Owner spans multiple chains	5 chains	BAUDER FAMILY INVESTMENTS LLC	19 facilities
connection	Owner spans multiple chains	5 chains	BOULWARE SANDRA	17 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

Score type	Score	Grade	Model	Status	Registry model notes
billing conduct	33.8	B	v0.1-pacpuf-snf	default · in composite	R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk	59.5	C	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	51.0	C	v0.1-txhhsc	default · in composite	Texas licence reissue timing as an ownership-transfer proxy.
chow risk	17.6	A	v0.6	default · in composite
financial risk	55.4	C	v0.5	default · in composite	R18.
ownership opacity	69.4	D	v0.1-txhhsc	default · in composite	Texas HHSC directory ownership structure: chain size, absentee owner, management company, entity form, owner closure history.
p adverse action 12m	0.1	—	v0.1	default · in composite	R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m	0.0	—	v0.1	default · in composite	R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
regulatory risk	75.0	D	v0.3	default · in composite	Deficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk	84.0	F	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	81.9	F	v0.1	superseded	Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk	61.9	C	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	72.5	D	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	53.9	C	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	74.9	D	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	74.9	D	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	84.0	F	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	84.0	F	v0.2	superseded	Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.

Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.

CHOW radar — 12-month sale probability

full board →

p(CHOW, 12m)

0.0%

model v0.1 · computed 2026-07-29

Percentile among SNFs

1.1

100 = most likely to sell

Holdout AUC

0.874

evaluated before shipping, never refit

Driver	Value	Pull on odds
Never sold on record	0.00	-1.62
Current owner tenure (years)	4.16	-1.44
Ownership changes, last 5 years	1.00	-0.87
For-profit ownership	1.00	+0.69
Occupancy	0.92	-0.63
No PBJ staffing report	0.00	+0.42
Deficiencies, last 12 months	0.00	-0.17
Contract staffing share	0.00	-0.10

p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.

Distress radar — 12-month termination probability

full board →

p(termination, 12m)

0.1%

model v0.1 · computed 2026-07-29

Percentile among SNFs

47.1

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	0.00	+1.43
Occupancy	0.92	-0.70
For-profit ownership	1.00	-0.69
No PBJ staffing report	0.00	+0.39
Never sold on record	0.00	-0.28
Current owner tenure (years)	4.16	-0.23
Ownership changes, last 5 years	1.00	+0.23
Total nurse staffing (HPRD)	2.72	+0.21

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

2025Q4 HPRD	This facility	TX median	National median	National p25–p75
Total nurse	2.72	2.67	3.28	2.90–3.77
RN	0.28	0.24	0.39	0.25–0.58
Weekend total	2.51	2.56	3.11	—
Weekday total	2.80	2.72	3.35	—

Quarter	Days	Avg census	Total HPRD	RN	LPN	CNA	Weekend	Contract %
2025Q4	92	82.4	2.72	0.28	0.68	1.75	2.51	0.1%
2025Q3	92	82.5	2.53	0.27	0.71	1.55	2.44	0.2%
2025Q2	91	79.3	2.61	0.22	0.82	1.57	2.43	0.2%
2025Q1	90	78.4	2.68	0.25	0.82	1.61	2.49	0.3%
2024Q4	92	83.3	2.65	0.24	0.74	1.66	2.44	0.0%
2024Q3	92	84.3	2.60	0.12	0.86	1.62	2.51	0.0%
2024Q2	91	84.7	2.62	0.14	0.86	1.62	2.61	0.0%
2024Q1	91	85.3	2.90	0.14	0.94	1.83	2.78	0.0%
2023Q4	92	86.8	2.87	0.15	0.93	1.79	2.75	0.0%
2023Q3	92	86.8	3.59	0.17	1.13	2.29	3.22	0.0%
2023Q2	91	86.0	3.67	0.21	1.11	2.36	3.13	0.0%
2022Q4	92	86.2	3.33	0.20	0.95	2.18	2.76	0.0%
2022Q3	92	71.6	3.39	0.15	1.03	2.20	2.77	0.0%
2022Q2	91	55.2	3.58	0.18	1.06	2.33	2.91	0.1%
2022Q1	90	39.1	3.47	0.24	1.14	2.09	2.97	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

Date	Type	Fine	Source
2024-07-30	Fine	$14,433	CMS provider data
2024-07-30	Fine	$16,801	CMS provider data

Total fines on record: $31,234

Deficiencies

D × 16E × 4F × 1K × 2

deficiencies by survey year

Survey	Type	Tag	Deficiency	Scope	Corrected
2025-03-12	Health	F0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	2025-03-30
2025-03-12	Health	F0558	Reasonably accommodate the needs and preferences of each resident.	D	2025-03-30
2025-03-12	Health	F0584	Honor 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.	D	2025-03-30
2025-03-12	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	2025-03-30
2025-03-12	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	2025-03-30
2025-03-12	Health	F0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	2025-03-30
2025-03-12	Health	F0695	Provide safe and appropriate respiratory care for a resident when needed.	E	2025-03-30
2025-03-12	Health	F0699	Provide care or services that was trauma informed and/or culturally competent.	D	2025-03-30
2025-03-12	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	2025-03-30
2025-03-12	Health	F0806	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	D	2025-03-30
2025-03-12	Health	F0880	Provide and implement an infection prevention and control program.	E	2025-03-30
2024-07-30	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	2024-07-26
2024-07-30	Health · complaint	F0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	K	2024-07-26
2024-02-14	Health	F0561	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	D	2024-02-19
2024-02-14	Health	F0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	2024-02-15
2024-02-14	Health	F0676	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	D	2024-02-15
2024-02-14	Health	F0758	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	2024-02-15
2024-02-14	Health	F0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E	2024-03-25
2024-02-14	Health	F0806	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	D	2024-03-25
2024-02-14	Health	F0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	2024-03-08
2023-01-12	Health	F0576	Ensure residents have reasonable access to and privacy in their use of communication methods.	E	2023-02-02
2023-01-12	Health	F0761	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D	2023-01-13
2023-01-12	Health	F0880	Provide and implement an infection prevention and control program.	D	2023-02-14

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

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

Owner	Role	Pct	From	Status	Source
STEPHENS MEMORIAL HOSPITAL DISTRICT	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	2022-06-01	current	pecos_ownership
BAUDER FAMILY INVESTMENTS, LLC	5% OR GREATER MORTGAGE INTEREST	—	2023-10-01	current	pecos_ownership
BAUDER, KELLY	5% OR GREATER MORTGAGE INTEREST	—	2023-10-01	current	pecos_ownership
BAUDER, MADISON	5% OR GREATER MORTGAGE INTEREST	—	2023-10-01	current	pecos_ownership
BAUDER, PARKER	ADP OF THE SNF	—	2023-10-01	current	pecos_ownership
BAUDER, WILLIAM	OPERATIONAL/MANAGERIAL CONTROL	—	2023-10-01	current	pecos_ownership
BOULWARE ST JAMES LLC	ADP OF THE SNF	—	2023-10-01	current	pecos_ownership
BOULWARE, DOUGLAS	5% OR GREATER MORTGAGE INTEREST	—	2023-10-01	current	pecos_ownership
BOULWARE, SANDRA	5% OR GREATER MORTGAGE INTEREST	—	2023-10-01	current	pecos_ownership
BOULWARE, STEVEN	ADP OF THE SNF	—	2023-10-01	current	pecos_ownership
BOULWARE, THOMAS	5% OR GREATER MORTGAGE INTEREST	—	2023-10-01	current	pecos_ownership
BRIDGEPOINTE FINANICAL SERVICES, LLC	ADP OF THE SNF	—	2023-10-01	current	pecos_ownership
CLINE, AMANDA	ADP OF THE SNF	—	2023-10-01	current	pecos_ownership
EASLEY, JAMES	CORPORATE OFFICER	—	2024-12-02	current	pecos_ownership
INNOVATIVE NURSE CONSULTING, LLC	ADP OF THE SNF	—	2023-10-01	current	pecos_ownership
PMG OPCO MABANK LLC	—	—	2025-06-01	current	tx_hhsc_directory
PMG OPCO - MABANK LLC	OPERATIONAL/MANAGERIAL CONTROL	—	2023-10-01	current	pecos_ownership
PMG REALCO-MABANK, LLC	ADP OF THE SNF	—	2023-10-01	current	pecos_ownership
PRIORITY MANAGEMENT GROUP, LLC	ADP OF THE SNF	—	2023-10-01	current	pecos_ownership
PROGRESSIVE REHAB SOLUTIONS, LLC	ADP OF THE SNF	—	2023-10-01	current	pecos_ownership
SANNER, DAVID	ADP OF THE SNF	—	2023-10-01	current	pecos_ownership
STEPHENS MEMORIAL HOSPITAL DISTRICT	—	—	2025-06-01	current	tx_hhsc_directory
WALKER, KATIE	5% OR GREATER MORTGAGE INTEREST	—	2023-10-01	current	pecos_ownership
MUMM INVESTMENTS LLC	Individual has financial interest in both related organization and provider	100%	2022-01-01	ended 2022-05-31	hcris_a_8_1
MUMM INVESTMENTS LLC	Individual has financial interest in both related organization and provider	100%	2021-01-01	ended 2021-12-31	hcris_a_8_1
MUMM INVESTMENTS LLC	Individual has financial interest in both related organization and provider	100%	2020-01-01	ended 2020-12-31	hcris_a_8_1
STEVEN BOULWARE	5% OR GREATER MORTGAGE INTEREST	42%	2023-10-01	ended 2026-05-18	pecos_ownership
DOUGLAS BOULWARE	5% OR GREATER MORTGAGE INTEREST	8%	2023-10-01	ended 2026-05-18	pecos_ownership
KATIE WALKER	5% OR GREATER MORTGAGE INTEREST	8%	2023-10-01	ended 2026-05-18	pecos_ownership
KELLY BAUDER	5% OR GREATER MORTGAGE INTEREST	8%	2023-10-01	ended 2026-05-18	pecos_ownership
MADISON BAUDER	5% OR GREATER MORTGAGE INTEREST	8%	2023-10-01	ended 2026-05-18	pecos_ownership
PARKER BAUDER	5% OR GREATER MORTGAGE INTEREST	8%	2023-10-01	ended 2026-05-18	pecos_ownership
SANDRA BOULWARE	5% OR GREATER MORTGAGE INTEREST	8%	2023-10-01	ended 2026-05-18	pecos_ownership
THOMAS BOULWARE	5% OR GREATER MORTGAGE INTEREST	8%	2023-10-01	ended 2026-05-18	pecos_ownership
AMANDA CLINE	ADP OF THE SNF	—	2023-10-01	ended 2026-05-18	pecos_ownership
DAVID SANNER	ADP OF THE SNF	—	2023-10-01	ended 2026-05-18	pecos_ownership
JAMES EASLEY	CORPORATE OFFICER	—	2024-12-02	ended 2026-05-18	pecos_ownership
WILLIAM BAUDER	OPERATIONAL/MANAGERIAL CONTROL	—	2023-10-01	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.

Related-party costs

FY end	Total allowable	Rent	Home office	Therapy	Staffing	Counterparties	PropCo
2022-05-31	$151,931	$151,931	—	—	—	1	propco
2021-12-31	$77,891	$77,891	—	—	—	1	propco
2020-12-31	$31,857	$31,857	—	—	—	1	propco

Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.

Transactions

Close date	Price	Buyer	Seller	Evidence
2022-06-01	—	STEPHENS MEMORIAL HOSPITAL DISTRICT	MABANK SNF LLC	chow

Comparable trades — TX snf

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

Geo	Kind	BR	Amount	As of	Source
county 48257	acs median gross	0	$1,182	2024-12-31	CENSUS_ACS5
county 48257	fmr	0	$1,582	2025-10-01	HUD_USER_FMR
county 48257	acs median gross	1	$1,314	2024-12-31	CENSUS_ACS5
county 48257	fmr	1	$1,648	2025-10-01	HUD_USER_FMR
county 48257	acs median gross	2	$1,263	2024-12-31	CENSUS_ACS5
county 48257	fmr	2	$1,931	2025-10-01	HUD_USER_FMR
county 48257	acs median gross	3	$1,916	2024-12-31	CENSUS_ACS5
county 48257	fmr	3	$2,431	2025-10-01	HUD_USER_FMR
county 48257	acs median gross	4	$2,283	2024-12-31	CENSUS_ACS5
county 48257	fmr	4	$3,091	2025-10-01	HUD_USER_FMR
county 48257	acs median gross	5	$2,456	2024-12-31	CENSUS_ACS5
county 48257	acs median gross		$1,554	2024-12-31	CENSUS_ACS5
county 48257	acs recent mover gross		$1,894	2024-12-31	CENSUS_ACS5
zcta 75147	acs median gross	1	$822	2024-12-31	CENSUS_ACS5
zcta 75147	acs median gross	2	$977	2024-12-31	CENSUS_ACS5
zcta 75147	acs median gross	3	$1,238	2024-12-31	CENSUS_ACS5
zcta 75147	acs median gross		$1,002	2024-12-31	CENSUS_ACS5
zcta 75147	acs recent mover gross		$1,147	2024-12-31	CENSUS_ACS5
zip 75147	payment standard 110	0	$957	2025-10-01	HUD_USER_SAFMR
zip 75147	payment standard 90	0	$783	2025-10-01	HUD_USER_SAFMR
zip 75147	safmr	0	$870	2025-10-01	HUD_USER_SAFMR
zip 75147	payment standard 110	1	$990	2025-10-01	HUD_USER_SAFMR
zip 75147	payment standard 90	1	$810	2025-10-01	HUD_USER_SAFMR
zip 75147	safmr	1	$900	2025-10-01	HUD_USER_SAFMR
zip 75147	payment standard 110	2	$1,199	2025-10-01	HUD_USER_SAFMR
zip 75147	payment standard 90	2	$981	2025-10-01	HUD_USER_SAFMR
zip 75147	safmr	2	$1,090	2025-10-01	HUD_USER_SAFMR
zip 75147	payment standard 110	3	$1,529	2025-10-01	HUD_USER_SAFMR
zip 75147	payment standard 90	3	$1,251	2025-10-01	HUD_USER_SAFMR
zip 75147	safmr	3	$1,390	2025-10-01	HUD_USER_SAFMR
zip 75147	payment standard 110	4	$1,815	2025-10-01	HUD_USER_SAFMR
zip 75147	payment standard 90	4	$1,485	2025-10-01	HUD_USER_SAFMR
zip 75147	safmr	4	$1,650	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.