Composite
93.5 / 100 percentile
Screener / 455684
D
Longview Hill Nursing and Rehabilitation Center
snfTX
3201 N Fourth St, Longview, TX 75605 · CCN 455684 · chain HOPKINS COUNTY HOSPITAL DISTRICT
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
198
Model
v1.2
Reads as: riskier than 93.5% 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 radar1Staffing16Penalties3Deficiencies60Licensure0Ownership58Related party0Transactions0Comps12Market rent35
Composite explanation
7| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 97.8 | 96.6 | 0.30 | 0.1875 | 18.34 | in index |
| financial risk | 83.8 | 70.5 | 0.30 | 0.1875 | 15.71 | in index |
| state reg risk | 63.7 | 15.0 | 0.30 | 0.1875 | 11.94 | in index |
| staffing risk | 71.0 | 71.0 | 0.25 | 0.1563 | 11.09 | in index |
| billing conduct | 40.0 | 35.6 | 0.30 | 0.1875 | 7.50 | in index |
| chow risk | 55.1 | 47.6 | 0.15 | 0.0938 | 5.17 | in index |
| ownership opacity | 14.6 | 47.2 | 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
25| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +41.6 vs natl | ZARCONE GREGORY | 5 facilities |
| connection | Owner fleet risk far above national | +37.2 vs natl | HOPKINS COUNTY HOSPITAL DISTRICT | 5 facilities |
| connection | Owner fleet risk far above national | +22.0 vs natl | KAUFMAN NICOLE | 29 facilities |
| connection | Owner fleet risk far above national | +22.0 vs natl | CARVAJAL ANTONIO | 29 facilities |
| connection | Owner fleet risk far above national | +21.3 vs natl | GONZALES VERONICA | 28 facilities |
| connection | Owner fleet risk far above national | +20.8 vs natl | REG BRIDGE OPCO LLC | 20 facilities |
| connection | Owner fleet risk far above national | +20.1 vs natl | REG OPERATOR HOLDCO LLC | 65 facilities |
| connection | Owner fleet risk far above national | +20.1 vs natl | REGENCY TEXAS HOLDINGS LLC | 65 facilities |
| connection | Owner fleet risk far above national | +20.1 vs natl | DWD TX HOLDINGS LLC | 65 facilities |
| connection | Owner spans multiple chains | 8 chains | REGENCY IHS REHAB LLC | 68 facilities |
| connection | Owner spans multiple chains | 8 chains | REGENCY IHS CLINICAL CONSULTING LLC | 67 facilities |
| connection | Owner spans multiple chains | 7 chains | REGENCY TEXAS HOLDINGS LLC | 64 facilities |
| connection | Owner spans multiple chains | 7 chains | REG OPERATOR HOLDCO LLC | 64 facilities |
| connection | Owner spans multiple chains | 7 chains | DEKOWSKI DONOVAN | 66 facilities |
| connection | Owner spans multiple chains | 7 chains | MANDELBAUM ELLIOT | 61 facilities |
| connection | Owner spans multiple chains | 7 chains | DWD TX HOLDINGS LLC | 64 facilities |
| connection | Owner spans multiple chains | 7 chains | JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC | 65 facilities |
| connection | Owner spans multiple chains | 7 chains | CSV RHEA MANAGEMENT HOLDCO LLC | 63 facilities |
| connection | Owner spans multiple chains | 7 chains | SMITH MICHAEL | 12 facilities |
| connection | Owner spans multiple chains | 7 chains | CLAPP BARBARA | 66 facilities |
| connection | Owner spans multiple chains | 7 chains | REGENCY INTEGRATED HEALTH SERVICES LLC | 67 facilities |
| connection | Owner spans multiple chains | 6 chains | GIBSON PATRICIA | 58 facilities |
| connection | Owner spans multiple chains | 6 chains | CORTESE DAREN | 59 facilities |
| connection | Owner spans multiple chains | 6 chains | BAIRD DANIEL | 59 facilities |
| connection | Owner spans multiple chains | 5 chains | REG HG OPCO LLC | 40 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 type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 35.6 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 55.0 | 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 | 36.0 | B | v0.1-txhhsc | default · in composite | Texas licence reissue timing as an ownership-transfer proxy. |
| chow risk | 51.9 | C | v0.6 | default · in composite | |
| financial risk | 70.5 | D | v0.5 | default · in composite | R18. |
| ownership opacity | 47.2 | C | v0.1-txhhsc | default · in composite | Texas HHSC directory ownership structure: chain size, absentee owner, management company, entity form, owner closure history. |
| p adverse action 12m | 0.4 | — | 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 | 1.0 | — | 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 | 96.6 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 71.0 | D | 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 | 66.9 | D | 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 | 46.9 | 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 | 58.3 | C | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 73.0 | D | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 96.6 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 96.6 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 71.0 | D | 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 | 71.0 | D | 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)
1.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
60.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | -1.24 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.58 | +0.33 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Facility size (log beds) | 5.29 | -0.15 | |
| Deficiencies, last 12 months | 13.00 | +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)
0.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
72.9
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | +1.62 | |
| Deficiencies, last 12 months | 13.00 | -0.98 | |
| Occupancy | 0.58 | +0.70 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Facility size (log beds) | 5.29 | -0.20 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Chain size (log) | 1.79 | +0.16 | |
| Never sold on record | 1.00 | +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 HPRD | This facility | TX median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.97 | 2.67 | 3.28 | 2.90–3.77 |
| RN | 0.28 | 0.24 | 0.39 | 0.25–0.58 |
| Weekend total | 2.96 | 2.56 | 3.11 | — |
| Weekday total | 2.97 | 2.72 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 115.3 | 2.97 | 0.28 | 0.87 | 1.81 | 2.96 | 0.0% |
| 2025Q3 | 92 | 118.9 | 3.08 | 0.31 | 0.86 | 1.91 | 2.93 | 1.9% |
| 2025Q2 | 91 | 113.5 | 3.03 | 0.26 | 0.86 | 1.91 | 2.90 | 0.0% |
| 2025Q1 | 90 | 114.2 | 2.94 | 0.20 | 0.93 | 1.80 | 2.85 | 0.0% |
| 2024Q4 | 92 | 118.5 | 2.89 | 0.18 | 0.93 | 1.78 | 2.83 | 0.0% |
| 2024Q3 | 92 | 122.3 | 2.88 | 0.17 | 0.96 | 1.74 | 2.82 | 0.0% |
| 2024Q2 | 91 | 117.6 | 2.80 | 0.13 | 0.98 | 1.69 | 2.76 | 0.0% |
| 2024Q1 | 91 | 110.4 | 3.01 | 0.13 | 1.11 | 1.77 | 2.89 | 0.0% |
| 2023Q4 | 92 | 113.8 | 3.04 | 0.12 | 1.06 | 1.86 | 2.90 | 0.0% |
| 2023Q3 | 92 | 116.0 | 3.15 | 0.10 | 1.50 | 1.55 | 3.07 | 18.4% |
| 2023Q2 | 91 | 110.9 | 2.84 | 0.06 | 1.54 | 1.24 | 2.86 | 21.6% |
| 2023Q1 | 90 | 103.6 | 2.70 | 0.07 | 1.12 | 1.51 | 2.68 | 8.2% |
| 2022Q4 | 92 | 109.6 | 2.66 | 0.07 | 1.09 | 1.50 | 2.47 | 9.2% |
| 2022Q3 | 92 | 103.7 | 2.67 | 0.09 | 1.06 | 1.51 | 2.51 | 9.4% |
| 2022Q2 | 91 | 110.0 | 2.46 | 0.15 | 0.78 | 1.53 | 2.30 | 0.0% |
| 2022Q1 | 90 | 116.7 | 2.31 | 0.18 | 0.77 | 1.36 | 2.23 | 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
3fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-05-16 | Fine | $73,554 | CMS provider data |
| 2025-02-14 | Fine | $145,009 | CMS provider data |
| 2024-02-25 | Fine | $6,864 | CMS provider data |
Total fines on record: $225,427
Deficiencies
60D × 39E × 14F × 3G × 1J × 1K × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-18 | Health · complaint | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | 2026-03-19 |
| 2026-03-18 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2026-04-15 |
| 2026-03-18 | 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 | 2026-03-19 |
| 2026-03-18 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2026-03-19 |
| 2026-03-18 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2026-03-19 |
| 2026-03-18 | 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. | E | 2026-03-19 |
| 2026-03-18 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2026-03-19 |
| 2026-03-18 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2026-03-19 |
| 2026-03-18 | Health | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | 2026-03-19 |
| 2026-03-18 | Health | F0908 | Keep all essential equipment working safely. | D | 2026-03-19 |
| 2026-02-28 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2026-03-02 |
| 2026-02-09 | Health · complaint | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | 2026-02-10 |
| 2025-09-09 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-09-10 |
| 2025-05-16 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | J | 2025-05-17 |
| 2025-02-14 | 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 | 2025-02-15 |
| 2025-02-14 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | 2025-02-15 |
| 2025-02-14 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-02-15 |
| 2025-01-15 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-02-09 |
| 2025-01-15 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-02-09 |
| 2025-01-15 | 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 | 2025-02-09 |
| 2025-01-15 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-02-09 |
| 2025-01-15 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2025-02-09 |
| 2025-01-15 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-02-09 |
| 2025-01-15 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-02-09 |
| 2025-01-15 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2025-02-09 |
| 2025-01-15 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-02-09 |
| 2025-01-15 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-02-09 |
| 2025-01-15 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-02-09 |
| 2025-01-15 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-02-09 |
| 2025-01-15 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2025-02-09 |
| 2025-01-15 | 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. | E | 2025-02-09 |
| 2025-01-15 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2025-02-09 |
| 2025-01-15 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-02-09 |
| 2025-01-15 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-02-09 |
| 2025-01-15 | Health | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | 2025-02-09 |
| 2025-01-15 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-02-09 |
| 2025-01-05 | Health · complaint | 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 | 2025-01-24 |
| 2024-09-05 | Health · complaint | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | 2024-09-06 |
| 2024-02-25 | 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. | D | 2024-02-28 |
| 2024-02-25 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-02-28 |
| 2024-02-25 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-02-28 |
| 2024-02-25 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-02-28 |
| 2024-02-25 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-02-28 |
| 2023-11-29 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-12-11 |
| 2023-11-29 | Health · complaint | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2023-12-11 |
| 2023-11-29 | 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. | D | 2023-12-11 |
| 2023-11-29 | Health · complaint | 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 | 2023-12-11 |
| 2023-11-29 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | 2023-12-11 |
| 2023-11-29 | Health · complaint | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2023-12-11 |
| 2023-11-29 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2023-12-11 |
| 2023-11-29 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-12-11 |
| 2023-11-29 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-12-11 |
| 2023-11-29 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2023-12-11 |
| 2023-11-29 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2023-12-11 |
| 2023-11-29 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2023-12-11 |
| 2023-11-29 | Health · complaint | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2023-12-11 |
| 2023-11-29 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-12-11 |
| 2023-11-29 | Health · complaint | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | 2023-12-11 |
| 2023-11-29 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2023-12-11 |
| 2023-11-29 | Health · complaint | F0908 | Keep all essential equipment working safely. | D | 2023-12-11 |
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
58| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| HOPKINS COUNTY HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2014-07-16 | current | pecos_ownership |
| 3201 N FOURTH STREET LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| BAIRD, DANIEL | MANAGING CONTROL - GOVERNING BODY | — | 2021-04-13 | current | pecos_ownership |
| BLACK, DAVID | CORPORATE OFFICER | — | 2012-05-01 | current | pecos_ownership |
| BROWN, CHRISTOPHER | CORPORATE OFFICER | — | 2019-05-28 | current | pecos_ownership |
| BURGIN, JOE | CORPORATE OFFICER | — | 1998-10-01 | current | pecos_ownership |
| CARVAJAL, ANTONIO | MANAGING CONTROL - GOVERNING BODY | — | 2024-05-16 | current | pecos_ownership |
| CLAPP, BARBARA | MANAGING CONTROL - GOVERNING BODY | — | 2021-06-01 | current | pecos_ownership |
| CORTESE, DAREN | MANAGING CONTROL - GOVERNING BODY | — | 2021-08-10 | current | pecos_ownership |
| CSV RHEA MANAGEMENT HOLDCO, LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| DEKOWSKI, DONOVAN | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| DWD TX HOLDINGS LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| GIBSON, PATRICIA | MANAGING CONTROL - GOVERNING BODY | — | 2021-08-01 | current | pecos_ownership |
| GONZALES, VERONICA | MANAGING CONTROL - GOVERNING BODY | — | 2024-05-16 | current | pecos_ownership |
| HOPKINS COUNTY HOSPITAL DISTRICT | ADP OF THE SNF | — | 2025-08-27 | current | pecos_ownership |
| HOPKINS COUNTY HOSPITAL DISTRICT | — | — | 2024-07-18 | current | tx_hhsc_directory |
| JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| JONES, DARNESHIA | ADP OF THE SNF | — | 2025-01-01 | current | pecos_ownership |
| KAUFMAN, NICOLE | MANAGING CONTROL - GOVERNING BODY | — | 2021-08-10 | current | pecos_ownership |
| LAW, KERRY | CORPORATE OFFICER | — | 2020-08-12 | current | pecos_ownership |
| MANDELBAUM, ELLIOT | MANAGING CONTROL - GOVERNING BODY | — | 2022-09-01 | current | pecos_ownership |
| MEJIA, MARIA | CORPORATE OFFICER | — | 2023-10-26 | current | pecos_ownership |
| POOLE, JODY | ADP OF THE SNF | — | 2025-01-01 | current | pecos_ownership |
| REG BRIDGE OPCO LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| REG HG OPCO LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| REG OPERATOR HOLDCO LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| REGENCY IHS CLINICAL CONSULTING, LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| REGENCY IHS OF LONGVIEW LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| REGENCY IHS OF LONGVIEW, LLC | — | — | 2024-07-18 | current | tx_hhsc_directory |
| REGENCY IHS REHAB LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| REGENCY INTEGRATED HEALTH SERVICES LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| REGENCY TEXAS HOLDINGS LLC | ADP OF THE SNF | — | 2018-10-01 | current | pecos_ownership |
| SANDERS, LEO | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-08-04 | current | pecos_ownership |
| SHULTZ, KRISTI | CORPORATE OFFICER | — | 2019-08-19 | current | pecos_ownership |
| SMITH, MICHAEL | CORPORATE OFFICER | — | 2021-12-06 | current | pecos_ownership |
| WRIGHT, TAMMY | CORPORATE OFFICER | — | 2021-12-01 | current | pecos_ownership |
| ZARCONE, GREGORY | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 | current | pecos_ownership |
| CHRISTOPHER BROWN | CORPORATE OFFICER | 0% | 2019-05-28 | ended 2026-05-18 | pecos_ownership |
| DAVID BLACK | CORPORATE OFFICER | 0% | 2012-05-01 | ended 2026-05-18 | pecos_ownership |
| JOE BURGIN | CORPORATE OFFICER | 0% | 1998-10-01 | ended 2026-05-18 | pecos_ownership |
| KERRY LAW | CORPORATE OFFICER | 0% | 2020-08-12 | ended 2026-05-18 | pecos_ownership |
| KRISTI SHULTZ | CORPORATE OFFICER | 0% | 2019-08-19 | ended 2026-05-18 | pecos_ownership |
| MARIA MEJIA | CORPORATE OFFICER | 0% | 2023-10-26 | ended 2026-05-18 | pecos_ownership |
| MICHAEL SMITH | CORPORATE OFFICER | 0% | 2021-12-06 | ended 2026-05-18 | pecos_ownership |
| TAMMY WRIGHT | CORPORATE OFFICER | 0% | 2021-12-01 | ended 2026-05-18 | pecos_ownership |
| ANTONIO CARVAJAL | MANAGING CONTROL - GOVERNING BODY | — | 2024-05-16 | ended 2026-05-18 | pecos_ownership |
| BARBARA CLAPP | MANAGING CONTROL - GOVERNING BODY | — | 2021-06-01 | ended 2026-05-18 | pecos_ownership |
| DANIEL BAIRD | MANAGING CONTROL - GOVERNING BODY | — | 2021-04-13 | ended 2026-05-18 | pecos_ownership |
| DAREN CORTESE | MANAGING CONTROL - GOVERNING BODY | — | 2021-08-10 | ended 2026-05-18 | pecos_ownership |
| DARNESHIA JONES | ADP OF THE SNF | — | 2025-01-01 | ended 2026-05-18 | pecos_ownership |
| DONOVAN DEKOWSKI | ADP OF THE SNF | — | 2018-10-01 | ended 2026-05-18 | pecos_ownership |
| ELLIOT MANDELBAUM | MANAGING CONTROL - GOVERNING BODY | — | 2022-09-01 | ended 2026-05-18 | pecos_ownership |
| GREGORY ZARCONE | ADP OF THE SNF | — | 2025-01-01 | ended 2026-05-18 | pecos_ownership |
| JODY POOLE | ADP OF THE SNF | — | 2025-01-01 | ended 2026-05-18 | pecos_ownership |
| LEO SANDERS | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-08-04 | ended 2026-05-18 | pecos_ownership |
| NICOLE KAUFMAN | MANAGING CONTROL - GOVERNING BODY | — | 2021-08-10 | ended 2026-05-18 | pecos_ownership |
| PATRICIA GIBSON | MANAGING CONTROL - GOVERNING BODY | — | 2021-08-01 | ended 2026-05-18 | pecos_ownership |
| VERONICA GONZALES | MANAGING CONTROL - GOVERNING BODY | — | 2024-05-16 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Comparable trades — TX snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-10-01 | ST. ANTHONY'S CARE CENTER | — | — | — | 120 | SOUTH LIMESTONE HOSPITAL DISTRICT |
| 2025-10-01 | Avir at New Braunfels | — | — | — | 154 | 821 US HIGHWAY 81 W OPCO LLC |
| 2025-09-01 | Avir at Texarkana | — | — | — | 110 | GUADALUPE COUNTY HOSPITAL BOARD |
| 2025-09-01 | PARKS HEALTH CENTER | — | — | — | 90 | WEST COKE COUNTY HOSPITAL DISTRICT |
| 2025-09-01 | WINDMILL VILLAGE REHABILITATION & CARE CENTER | — | — | — | 120 | FANNIN COUNTY HOSPITAL AUTHORITY |
| 2025-08-31 | Las Ventanas De Socorro | — | — | — | 126 | SOCORRO HEALTH CARE LLC |
| 2025-08-01 | Avir at Mineola | — | — | — | 115 | HOPKINS COUNTY HOSPITAL DISTRICT |
| 2025-08-01 | Avir at Orem | — | — | — | 120 | 3730 W OREM DR OPCO LLC |
| 2025-08-01 | Avir at Courtyard | — | — | — | 120 | 7499 STANWICK DR OPCO LLC |
| 2025-08-01 | HILLSIDE MEDICAL LODGE | — | — | — | 128 | CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY |
| 2025-08-01 | Avir at Pasadena | — | — | — | 131 | 4300 VISTA RD OPCO LLC |
| 2025-07-01 | Highland Meadows | — | — | — | 120 | NOCONA HOSPITAL DISTRICT |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48183 | acs median gross | 0 | $970 | 2024-12-31 | CENSUS_ACS5 |
| county 48183 | fmr | 0 | $1,007 | 2025-10-01 | HUD_USER_FMR |
| county 48183 | acs median gross | 1 | $905 | 2024-12-31 | CENSUS_ACS5 |
| county 48183 | fmr | 1 | $1,013 | 2025-10-01 | HUD_USER_FMR |
| county 48183 | acs median gross | 2 | $1,088 | 2024-12-31 | CENSUS_ACS5 |
| county 48183 | fmr | 2 | $1,199 | 2025-10-01 | HUD_USER_FMR |
| county 48183 | acs median gross | 3 | $1,315 | 2024-12-31 | CENSUS_ACS5 |
| county 48183 | fmr | 3 | $1,606 | 2025-10-01 | HUD_USER_FMR |
| county 48183 | acs median gross | 4 | $1,314 | 2024-12-31 | CENSUS_ACS5 |
| county 48183 | fmr | 4 | $1,694 | 2025-10-01 | HUD_USER_FMR |
| county 48183 | acs median gross | 5 | $1,811 | 2024-12-31 | CENSUS_ACS5 |
| county 48183 | acs median gross | $1,102 | 2024-12-31 | CENSUS_ACS5 | |
| county 48183 | acs recent mover gross | $1,147 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 75605 | acs median gross | 0 | $965 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75605 | acs median gross | 1 | $1,071 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75605 | acs median gross | 2 | $1,267 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75605 | acs median gross | 3 | $1,694 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75605 | acs median gross | 5 | $1,848 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75605 | acs median gross | $1,205 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 75605 | acs recent mover gross | $1,384 | 2024-12-31 | CENSUS_ACS5 | |
| zip 75605 | payment standard 110 | 0 | $1,210 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75605 | payment standard 90 | 0 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75605 | safmr | 0 | $1,100 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75605 | payment standard 110 | 1 | $1,232 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75605 | payment standard 90 | 1 | $1,008 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75605 | safmr | 1 | $1,120 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75605 | payment standard 110 | 2 | $1,474 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75605 | payment standard 90 | 2 | $1,206 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75605 | safmr | 2 | $1,340 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75605 | payment standard 110 | 3 | $1,947 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75605 | payment standard 90 | 3 | $1,593 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75605 | safmr | 3 | $1,770 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75605 | payment standard 110 | 4 | $2,068 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75605 | payment standard 90 | 4 | $1,692 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75605 | safmr | 4 | $1,880 | 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.