PURE HEALTH TRANSITIONAL CARE AT TEXAS HEALTH PRES
snfTX
8200 WALNUT HILL LANE MAIN 5, DALLAS, TX 75231 · CCN 676410 · chain KCCJ1 HOLDINGS LLC
Composite
14.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
49
Model
v1.2
Reads as: riskier than 14.7% 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.
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
5
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
6 chains
DWIGHT MORTGAGE TRUST LLC
12 facilities
connection
Owner fleet enforcement cluster
55% fined
BELL KEVIN
11 facilities
connection
Owner fleet enforcement cluster
50% fined
KCCJ1 HOLDINGS LLC
8 facilities
connection
Owner fleet enforcement cluster
50% fined
LBEI HOLDINGS LLC
8 facilities
connection
Owner fleet enforcement cluster
44% fined
CAMPION ROBERT
9 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
3.21
2.67
3.28
2.90–3.77
RN
0.62
0.24
0.39
0.25–0.58
Weekend total
3.15
2.56
3.11
—
Weekday total
3.24
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
46.2
3.21
0.62
1.02
1.57
3.15
0.0%
2025Q3
92
44.2
3.60
0.76
1.08
1.77
3.53
0.0%
2025Q2
91
40.2
3.43
0.96
0.80
1.68
3.40
0.1%
2025Q1
90
42.9
3.67
0.89
0.97
1.81
3.59
2.0%
2024Q4
92
40.2
4.10
1.07
0.97
2.06
3.96
2.6%
2024Q3
92
37.4
4.25
1.01
1.17
2.07
4.16
4.8%
2024Q2
91
39.2
4.05
0.79
1.32
1.95
3.98
3.4%
2024Q1
91
43.9
3.88
0.75
1.25
1.88
3.73
0.9%
2023Q4
92
39.6
3.97
0.76
1.19
2.02
3.81
0.0%
2023Q3
92
44.9
3.80
0.66
1.34
1.80
3.64
0.0%
2023Q2
91
42.0
4.17
1.20
0.93
2.04
3.94
0.0%
2023Q1
90
41.8
4.32
1.36
0.95
2.02
4.15
4.7%
2022Q4
92
41.4
4.17
0.69
1.36
2.12
3.98
8.2%
2022Q3
92
38.8
3.80
0.46
1.44
1.89
3.81
10.3%
2022Q2
91
37.5
4.40
0.60
1.52
2.28
4.21
8.7%
2022Q1
90
38.1
3.61
0.45
1.34
1.81
3.68
3.2%
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
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
4
D × 2E × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-07-02
Health
F0583
Keep residents' personal and medical records private and confidential.
E
2025-08-19
2025-07-02
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-08-19
2024-06-13
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-07-08
2023-04-19
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
E
2023-04-20
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
35
Owner
Role
Pct
From
Status
Source
PH OPS OF DALLAS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2022-07-01
current
pecos_ownership
BELL, KEVIN
CORPORATE OFFICER
—
2022-07-01
current
pecos_ownership
BGAF HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-05-25
current
pecos_ownership
CAMPION, ROBERT
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-01
current
pecos_ownership
DWIGHT MORTGAGE TRUST LLC
5% OR GREATER MORTGAGE INTEREST
—
2022-07-01
current
pecos_ownership
FRASER, SIOBAUGHN
ADP OF THE SNF
—
2022-07-01
current
pecos_ownership
GOTTESMAN, ATARA
INDIRECT OWNERSHIP INTEREST
—
2022-05-25
current
pecos_ownership
GOTTESMAN, AVA
INDIRECT OWNERSHIP INTEREST
—
2022-05-25
current
pecos_ownership
GOTTESMAN, BORUCH
INDIRECT OWNERSHIP INTEREST
—
2022-05-25
current
pecos_ownership
GOTTESMAN, ELI
INDIRECT OWNERSHIP INTEREST
—
2022-05-25
current
pecos_ownership
GOTTESMAN, HELENE
INDIRECT OWNERSHIP INTEREST
—
2022-05-25
current
pecos_ownership
GOTTESMAN, TALIA
INDIRECT OWNERSHIP INTEREST
—
2022-05-25
current
pecos_ownership
GOTTESMAN, YAFFA
INDIRECT OWNERSHIP INTEREST
—
2022-05-25
current
pecos_ownership
GOTTESMAN, ZIPORA
INDIRECT OWNERSHIP INTEREST
—
2022-05-25
current
pecos_ownership
HEISE, RYAN
ADP OF THE SNF
—
2022-07-01
current
pecos_ownership
KCCJ1 HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-05-19
current
pecos_ownership
LBEI HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-07-01
current
pecos_ownership
PH OPS OF DALLAS LLC
—
—
2026-07-01
current
tx_hhsc_directory
REDDING, KRISTI
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-26
current
pecos_ownership
ROJAS, JORGE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-01
current
pecos_ownership
TX ACT OP HOLDINGS LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2022-07-01
current
pecos_ownership
ROBERT CAMPION
5% OR GREATER INDIRECT OWNERSHIP INTEREST
50%
2022-07-01
ended 2026-05-18
pecos_ownership
KEVIN BELL
CORPORATE OFFICER
11%
2022-07-01
ended 2026-05-18
pecos_ownership
ATARA GOTTESMAN
INDIRECT OWNERSHIP INTEREST
5%
2022-05-25
ended 2026-05-18
pecos_ownership
AVA GOTTESMAN
INDIRECT OWNERSHIP INTEREST
5%
2022-05-25
ended 2026-05-18
pecos_ownership
BORUCH GOTTESMAN
INDIRECT OWNERSHIP INTEREST
5%
2022-05-25
ended 2026-05-18
pecos_ownership
ELI GOTTESMAN
INDIRECT OWNERSHIP INTEREST
5%
2022-05-25
ended 2026-05-18
pecos_ownership
HELENE GOTTESMAN
INDIRECT OWNERSHIP INTEREST
5%
2022-05-25
ended 2026-05-18
pecos_ownership
TALIA GOTTESMAN
INDIRECT OWNERSHIP INTEREST
5%
2022-05-25
ended 2026-05-18
pecos_ownership
YAFFA GOTTESMAN
INDIRECT OWNERSHIP INTEREST
5%
2022-05-25
ended 2026-05-18
pecos_ownership
ZIPORA GOTTESMAN
INDIRECT OWNERSHIP INTEREST
5%
2022-05-25
ended 2026-05-18
pecos_ownership
JORGE ROJAS
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-01
ended 2026-05-18
pecos_ownership
KRISTI REDDING
ADP OF THE SNF
—
2024-02-26
ended 2026-05-18
pecos_ownership
RYAN HEISE
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-01
ended 2026-05-18
pecos_ownership
SIOBAUGHN FRASER
OPERATIONAL/MANAGERIAL CONTROL
—
2022-07-01
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
3
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2022-06-30
$116,557
—
—
—
—
2
—
2021-12-31
$236,847
—
—
—
—
2
—
2020-12-31
$238,826
—
—
—
—
2
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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
34
Geo
Kind
BR
Amount
As of
Source
county 48113
acs median gross
0
$1,385
2024-12-31
CENSUS_ACS5
county 48113
fmr
0
$1,582
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
1
$1,400
2024-12-31
CENSUS_ACS5
county 48113
fmr
1
$1,648
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
2
$1,638
2024-12-31
CENSUS_ACS5
county 48113
fmr
2
$1,931
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
3
$1,823
2024-12-31
CENSUS_ACS5
county 48113
fmr
3
$2,431
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
4
$2,241
2024-12-31
CENSUS_ACS5
county 48113
fmr
4
$3,091
2025-10-01
HUD_USER_FMR
county 48113
acs median gross
5
$2,432
2024-12-31
CENSUS_ACS5
county 48113
acs median gross
$1,565
2024-12-31
CENSUS_ACS5
county 48113
acs recent mover gross
$1,745
2024-12-31
CENSUS_ACS5
zcta 75231
acs median gross
0
$1,181
2024-12-31
CENSUS_ACS5
zcta 75231
acs median gross
1
$1,155
2024-12-31
CENSUS_ACS5
zcta 75231
acs median gross
2
$1,535
2024-12-31
CENSUS_ACS5
zcta 75231
acs median gross
3
$1,970
2024-12-31
CENSUS_ACS5
zcta 75231
acs median gross
$1,273
2024-12-31
CENSUS_ACS5
zcta 75231
acs recent mover gross
$1,478
2024-12-31
CENSUS_ACS5
zip 75231
payment standard 110
0
$1,573
2025-10-01
HUD_USER_SAFMR
zip 75231
payment standard 90
0
$1,287
2025-10-01
HUD_USER_SAFMR
zip 75231
safmr
0
$1,430
2025-10-01
HUD_USER_SAFMR
zip 75231
payment standard 110
1
$1,628
2025-10-01
HUD_USER_SAFMR
zip 75231
payment standard 90
1
$1,332
2025-10-01
HUD_USER_SAFMR
zip 75231
safmr
1
$1,480
2025-10-01
HUD_USER_SAFMR
zip 75231
payment standard 110
2
$1,914
2025-10-01
HUD_USER_SAFMR
zip 75231
payment standard 90
2
$1,566
2025-10-01
HUD_USER_SAFMR
zip 75231
safmr
2
$1,740
2025-10-01
HUD_USER_SAFMR
zip 75231
payment standard 110
3
$2,409
2025-10-01
HUD_USER_SAFMR
zip 75231
payment standard 90
3
$1,971
2025-10-01
HUD_USER_SAFMR
zip 75231
safmr
3
$2,190
2025-10-01
HUD_USER_SAFMR
zip 75231
payment standard 110
4
$3,069
2025-10-01
HUD_USER_SAFMR
zip 75231
payment standard 90
4
$2,511
2025-10-01
HUD_USER_SAFMR
zip 75231
safmr
4
$2,790
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.