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 18:59 UTC
Screener / 675390
F

SUNFLOWER PARK HEALTH CARE

snfTX
1803 HIGHWAY 243 EAST, KAUFMAN, TX 75142 · CCN 675390 · chain WEST WHARTON COUNTY HOSPITAL DISTRICT
Composite
99.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
92
Model
v1.2
Reads as: riskier than 99.4% 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
financial risk98.391.80.300.187518.43in index
state reg risk96.550.00.300.187518.09in index
regulatory risk96.494.90.300.187518.08in index
staffing risk81.081.00.250.156312.66in index
chow risk90.173.40.150.09388.45in index
billing conduct31.132.10.300.18755.83in 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

11
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+28.5 vs natlMAK DAVID31 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 spans multiple chains13 chainsBLAKE MALISA137 facilities
connectionOwner spans multiple chains13 chainsHUGGINS LINDA139 facilities
connectionOwner spans multiple chains13 chainsBLAKE GARY137 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 cluster42% finedMAK DAVID31 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 conduct32.1Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk55.0Cv0.1-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 risk80.8Fv0.1-txhhscdefault · in compositeTexas licence reissue timing as an ownership-transfer proxy.
chow risk84.5Fv0.6default · in composite
financial risk91.8Fv0.5default · 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 risk94.9Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk81.0Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
state reg risk50.0Cv0.5default · in composite
financial risk94.9Fv0.1supersededPre-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 risk74.9Dv0.2supersededPre-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 risk75.6Dv0.3supersededPre-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 risk90.3Fv0.4supersededPre-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 risk94.9Fv0.1supersededPre-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 risk94.9Fv0.2supersededPre-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 risk81.0Fv0.1supersededPre-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 risk81.0Fv0.2supersededPre-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
23.6
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)3.91-1.47
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
Chain size (log)4.58+0.57
No PBJ staffing report0.00+0.42
Occupancy0.55+0.42
Deficiencies, last 12 months19.00+0.29
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
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months19.00-2.09
Chain size (log)4.58-1.47
Occupancy0.55+0.83
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Staffing trend, last 4 quarters0.77+0.33
Never sold on record0.00-0.28
Current owner tenure (years)3.91-0.24
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 nurse2.782.673.282.90–3.77
RN0.240.240.390.25–0.58
Weekend total2.602.563.11
Weekday total2.852.723.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49250.82.780.240.871.662.600.0%
2025Q39250.72.840.280.851.712.600.0%
2025Q29152.32.720.280.871.572.460.0%
2025Q19056.72.380.260.731.382.130.0%
2024Q49255.72.010.160.890.951.820.0%
2024Q39254.62.080.120.811.151.990.0%
2024Q29154.92.430.220.811.392.370.0%
2024Q19152.52.300.200.891.222.210.0%
2023Q49251.32.450.061.001.392.510.0%
2023Q39247.22.560.081.091.392.650.0%
2023Q29138.22.640.101.331.212.480.0%
2023Q19044.12.560.121.361.092.438.9%
2022Q49248.22.650.061.161.432.6129.0%
2022Q39250.22.550.081.111.352.5518.0%
2022Q29143.32.540.091.361.102.5820.7%
2022Q19045.71.630.080.840.711.605.7%
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

2
DateTypeFineSource
2024-11-01Fine$21,638CMS provider data
2024-11-01Fine$168,900CMS provider data
Total fines on record: $190,538

Deficiencies

52
D × 35E × 12F × 2J × 1K × 2
deficiencies by survey year
221123242526
SurveyTypeTagDeficiencyScopeCorrected
2026-01-07HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2026-01-08
2026-01-07HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2026-01-08
2026-01-07HealthF0584Honor 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.D2026-01-08
2026-01-07HealthF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.E2026-01-08
2026-01-07HealthF0641Ensure each resident receives an accurate assessment.D2026-01-08
2026-01-07HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2026-01-08
2026-01-07HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2026-01-08
2026-01-07HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2026-01-08
2026-01-07HealthF0679Provide activities to meet all resident's needs.D2026-01-08
2026-01-07HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2026-01-08
2026-01-07HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-01-08
2026-01-07HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2026-01-08
2026-01-07HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2026-01-08
2026-01-07HealthF0761Ensure 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.D2026-01-08
2026-01-07HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2026-01-08
2026-01-07HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2026-01-08
2026-01-07HealthF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.E2026-01-08
2026-01-07HealthF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D2026-01-08
2026-01-07HealthF0880Provide and implement an infection prevention and control program.E2026-01-08
2025-04-16Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.D2025-04-17
2024-11-01Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2024-11-02
2024-11-01Health · complaintF0565Honor the resident's right to organize and participate in resident/family groups in the facility.E2024-11-02
2024-11-01Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K2024-11-02
2024-11-01HealthF0641Ensure each resident receives an accurate assessment.D2024-11-02
2024-11-01HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2024-11-02
2024-11-01Health · complaintF0680Ensure the activities program is directed by a qualified professional.E2024-11-02
2024-11-01HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-11-02
2024-11-01Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2024-10-02
2024-11-01HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2024-11-02
2024-11-01Health · complaintF0699Provide care or services that was trauma informed and/or culturally competent.K2024-11-02
2024-11-01HealthF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2024-11-02
2024-11-01HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2024-11-02
2024-11-01HealthF0759Ensure medication error rates are not 5 percent or greater.D2024-11-02
2024-11-01HealthF0761Ensure 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.E2024-11-02
2024-11-01HealthF0770Provide timely, quality laboratory services/tests to meet the needs of residents.D2024-11-02
2024-11-01Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2024-11-02
2024-11-01Health · complaintF0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.D2024-11-02
2024-11-01Health · complaintF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.D2024-11-02
2024-11-01Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-11-02
2024-11-01Health · complaintF0880Provide and implement an infection prevention and control program.F2024-11-02
2024-11-01HealthF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2024-11-02
2024-11-01Health · complaintF0926Have policies on smoking.D2024-11-02
2023-09-20HealthF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D2023-09-29
2023-09-20HealthF0641Ensure each resident receives an accurate assessment.D2023-09-29
2023-09-20HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-09-29
2023-09-20HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-09-29
2023-09-20HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2023-09-29
2023-09-20HealthF0759Ensure medication error rates are not 5 percent or greater.D2023-09-29
2023-09-20HealthF0760Ensure that residents are free from significant medication errors.D2023-09-29
2023-09-20HealthF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.D2023-09-29
2023-09-20HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2023-09-29
2023-09-20HealthF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D2023-09-29
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

13
OwnerRolePctFromStatusSource
BLAKE, GARYOPERATIONAL/MANAGERIAL CONTROL2022-09-01currentpecos_ownership
BLAKE, MALISAOPERATIONAL/MANAGERIAL CONTROL2022-09-01currentpecos_ownership
HUGGINS, LINDACORPORATE DIRECTOR2022-09-01currentpecos_ownership
KAUFMAN I ENTERPRISES, LLCOPERATIONAL/MANAGERIAL CONTROL2022-09-01currentpecos_ownership
KAUFMAN I ENTERPRISES, LLC2025-09-01currenttx_hhsc_directory
MAK, DAVIDCORPORATE OFFICER2021-05-17currentpecos_ownership
WEST WHARTON COUNTY HOSPITAL DISTRICT2025-09-01currenttx_hhsc_directory
HONOR X ENTERPRISES, LLCOTHER100%2022-09-01ended 2026-05-18pecos_ownership
WEST WHARTON COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTEREST100%2022-09-01ended 2026-05-18pecos_ownership
GARY BLAKEOPERATIONAL/MANAGERIAL CONTROL50%2022-09-01ended 2026-05-18pecos_ownership
MALISA BLAKEOPERATIONAL/MANAGERIAL CONTROL50%2022-09-01ended 2026-05-18pecos_ownership
DAVID MAKCORPORATE OFFICER0%2021-05-17ended 2026-05-18pecos_ownership
LINDA HUGGINSCORPORATE DIRECTOR0%2022-09-01ended 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
2022-09-01WEST WHARTON COUNTY HOSPITAL DISTRICTHAMILTON COUNTY HOSPITAL DISTRICTchow

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

34
GeoKindBRAmountAs ofSource
county 48257acs median gross0$1,1822024-12-31CENSUS_ACS5
county 48257fmr0$1,5822025-10-01HUD_USER_FMR
county 48257acs median gross1$1,3142024-12-31CENSUS_ACS5
county 48257fmr1$1,6482025-10-01HUD_USER_FMR
county 48257acs median gross2$1,2632024-12-31CENSUS_ACS5
county 48257fmr2$1,9312025-10-01HUD_USER_FMR
county 48257acs median gross3$1,9162024-12-31CENSUS_ACS5
county 48257fmr3$2,4312025-10-01HUD_USER_FMR
county 48257acs median gross4$2,2832024-12-31CENSUS_ACS5
county 48257fmr4$3,0912025-10-01HUD_USER_FMR
county 48257acs median gross5$2,4562024-12-31CENSUS_ACS5
county 48257acs median gross$1,5542024-12-31CENSUS_ACS5
county 48257acs recent mover gross$1,8942024-12-31CENSUS_ACS5
zcta 75142acs median gross1$4342024-12-31CENSUS_ACS5
zcta 75142acs median gross2$1,3632024-12-31CENSUS_ACS5
zcta 75142acs median gross3$1,6462024-12-31CENSUS_ACS5
zcta 75142acs median gross4$1,5212024-12-31CENSUS_ACS5
zcta 75142acs median gross$1,3672024-12-31CENSUS_ACS5
zcta 75142acs recent mover gross$1,5002024-12-31CENSUS_ACS5
zip 75142payment standard 1100$1,4302025-10-01HUD_USER_SAFMR
zip 75142payment standard 900$1,1702025-10-01HUD_USER_SAFMR
zip 75142safmr0$1,3002025-10-01HUD_USER_SAFMR
zip 75142payment standard 1101$1,4962025-10-01HUD_USER_SAFMR
zip 75142payment standard 901$1,2242025-10-01HUD_USER_SAFMR
zip 75142safmr1$1,3602025-10-01HUD_USER_SAFMR
zip 75142payment standard 1102$1,7492025-10-01HUD_USER_SAFMR
zip 75142payment standard 902$1,4312025-10-01HUD_USER_SAFMR
zip 75142safmr2$1,5902025-10-01HUD_USER_SAFMR
zip 75142payment standard 1103$2,2002025-10-01HUD_USER_SAFMR
zip 75142payment standard 903$1,8002025-10-01HUD_USER_SAFMR
zip 75142safmr3$2,0002025-10-01HUD_USER_SAFMR
zip 75142payment standard 1104$2,8052025-10-01HUD_USER_SAFMR
zip 75142payment standard 904$2,2952025-10-01HUD_USER_SAFMR
zip 75142safmr4$2,5502025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.