Composite
20.7 / 100 percentile
Screener / 676069
A
Avir at Texarkana
snfTX
4925 Elizabeth St, Texarkana, TX 75503 · CCN 676069 · chain GUADALUPE COUNTY HOSPITAL BOARD
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
110
Model
v1.2
Reads as: riskier than 20.7% 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 model8ML signals15Components20CHOW radar1Distress radar1Staffing16Penalties2Deficiencies33Licensure0Ownership20Related party4Transactions1Comps12Market rent33
Composite explanation
8| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 91.8 | 89.5 | 0.30 | 0.1714 | 15.74 | in index |
| financial risk | 42.3 | 40.9 | 0.30 | 0.1714 | 7.25 | in index |
| staffing risk | 46.7 | 46.7 | 0.25 | 0.1429 | 6.67 | in index |
| chow risk | 52.9 | 54.8 | 0.15 | 0.0857 | 4.53 | in index |
| lease risk | 25.8 | 45.4 | 0.15 | 0.0857 | 2.21 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.1714 | 0.00 | in index |
| state reg risk | 0.0 | 0.0 | 0.30 | 0.1714 | 0.00 | in index |
| ownership opacity | 71.3 | 62.1 | 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
15| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 35 chains | WELLTOWER INC | 135 facilities |
| connection | Owner spans multiple chains | 33 chains | WELLTOWER OP LLC | 147 facilities |
| connection | Owner spans multiple chains | 28 chains | FREUND NOCHUM | 109 facilities |
| connection | Owner spans multiple chains | 28 chains | TRAVITSKY AARON | 106 facilities |
| connection | Owner spans multiple chains | 27 chains | DAGAN AMITAI | 101 facilities |
| connection | Owner spans multiple chains | 27 chains | GOLDBERGER ABRAHAM | 100 facilities |
| connection | Owner spans multiple chains | 27 chains | WELLTOWER NNN GROUP LLC | 102 facilities |
| connection | Owner fleet risk far above national | +20.5 vs natl | GOLDBERGER FAIGY | 111 facilities |
| connection | Owner spans multiple chains | 20 chains | GOLDBERGER FAIGY | 68 facilities |
| connection | Owner fleet risk far above national | +20.0 vs natl | TRAVITSKY AARON | 153 facilities |
| connection | Owner spans multiple chains | 9 chains | FERGUSON CLAY | 12 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | FERGUSON CLAY | 14 facilities |
| connection | Owner fleet enforcement cluster | 46% fined | WELLTOWER NNN GROUP LLC | 111 facilities |
| connection | Owner fleet enforcement cluster | 44% fined | GANN KODY | 25 facilities |
| connection | Owner fleet enforcement cluster | 42% fined | GUADALUPE COUNTY HOSPITAL BOARD | 26 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
20| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 0.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.5 | A | 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 | 56.3 | C | v0.1-txhhsc | default · in composite | Texas licence reissue timing as an ownership-transfer proxy. |
| chow risk | 83.5 | F | v0.6 | default · in composite | |
| financial risk | 40.9 | B | v0.5 | default · in composite | R18. |
| lease risk | 45.4 | C | v0.5 | default · in composite | |
| ownership opacity | 62.1 | 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 | 0.0 | — | 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 | 0.1 | — | 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 | 89.5 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 46.7 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| state reg risk | 0.0 | A | v0.5 | default · in composite | |
| financial risk | 90.9 | 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 | 70.9 | D | 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 | 27.6 | B | 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 | 46.2 | 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 | 89.5 | 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 | 89.5 | 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 | 46.7 | C | 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 | 46.7 | C | 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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
22.4
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 0.91 | -1.76 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| Occupancy | 0.45 | +0.72 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.26 | +0.29 | |
| High-severity deficiencies, 12m | 3.00 | +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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
20.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.45 | +1.27 | |
| Chain size (log) | 3.26 | -0.69 | |
| Fine amount, 12m (log) | 11.90 | -0.69 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Current owner tenure (years) | 0.91 | -0.29 | |
| Never sold on record | 0.00 | -0.28 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
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 | 3.33 | 2.67 | 3.28 | 2.90–3.77 |
| RN | 0.18 | 0.24 | 0.39 | 0.25–0.58 |
| Weekend total | 3.35 | 2.56 | 3.11 | — |
| Weekday total | 3.32 | 2.72 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 49.2 | 3.33 | 0.18 | 0.96 | 2.19 | 3.35 | 14.9% |
| 2025Q3 | 92 | 52.6 | 2.82 | 0.17 | 0.79 | 1.87 | 2.66 | 0.0% |
| 2025Q2 | 91 | 47.3 | 3.50 | 0.18 | 0.91 | 2.42 | 3.45 | 0.0% |
| 2025Q1 | 90 | 47.6 | 3.06 | 0.15 | 0.93 | 1.98 | 2.94 | 0.0% |
| 2024Q4 | 92 | 50.8 | 2.87 | 0.14 | 1.02 | 1.71 | 2.81 | 0.0% |
| 2024Q3 | 92 | 51.9 | 3.00 | 0.19 | 0.99 | 1.81 | 2.98 | 0.0% |
| 2024Q2 | 91 | 50.7 | 3.09 | 0.20 | 1.04 | 1.85 | 3.07 | 0.0% |
| 2024Q1 | 91 | 49.7 | 3.09 | 0.23 | 0.92 | 1.93 | 3.17 | 2.2% |
| 2023Q4 | 92 | 50.3 | 2.80 | 0.14 | 0.90 | 1.76 | 2.62 | 6.8% |
| 2023Q3 | 92 | 53.8 | 2.49 | 0.15 | 0.82 | 1.52 | 2.46 | 1.4% |
| 2023Q2 | 91 | 52.7 | 2.70 | 0.15 | 0.85 | 1.70 | 2.63 | 2.0% |
| 2023Q1 | 90 | 57.4 | 2.57 | 0.16 | 0.81 | 1.60 | 2.55 | 3.1% |
| 2022Q4 | 92 | 60.3 | 2.67 | 0.20 | 0.85 | 1.60 | 2.67 | 5.3% |
| 2022Q3 | 92 | 53.9 | 2.79 | 0.23 | 0.85 | 1.72 | 2.71 | 6.0% |
| 2022Q2 | 91 | 56.5 | 2.56 | 0.25 | 0.69 | 1.62 | 2.44 | 17.9% |
| 2022Q1 | 90 | 53.1 | 2.58 | 0.16 | 0.82 | 1.60 | 2.56 | 24.9% |
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| Date | Type | Fine | Source |
|---|---|---|---|
| 2026-04-30 | Fine | $14,385 | CMS provider data |
| 2026-03-06 | Fine | $132,475 | CMS provider data |
Total fines on record: $146,860
Deficiencies
33D × 18E × 9F × 3J × 3
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-30 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | — |
| 2026-03-06 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | J | 2026-03-07 |
| 2026-03-06 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | J | 2026-03-07 |
| 2025-12-04 | 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 | 2025-12-26 |
| 2025-12-04 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-12-26 |
| 2025-11-21 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-11-22 |
| 2025-11-21 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-11-22 |
| 2025-06-11 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-07-10 |
| 2025-06-11 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2025-07-10 |
| 2025-06-11 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-07-10 |
| 2025-06-11 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-05-27 |
| 2025-06-11 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-07-10 |
| 2025-06-11 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-07-10 |
| 2025-06-11 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2025-07-10 |
| 2025-06-11 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-07-10 |
| 2025-06-11 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-07-10 |
| 2025-06-11 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2025-07-10 |
| 2025-06-11 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-07-10 |
| 2025-06-11 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-07-10 |
| 2025-06-11 | Health | F0908 | Keep all essential equipment working safely. | D | 2025-07-10 |
| 2025-02-25 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-02-26 |
| 2024-05-15 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-06-10 |
| 2024-05-15 | 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. | E | 2024-06-10 |
| 2024-05-15 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-06-10 |
| 2024-05-15 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-06-10 |
| 2024-05-15 | Health | F0908 | Keep all essential equipment working safely. | D | 2024-06-10 |
| 2024-05-15 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-06-10 |
| 2024-04-09 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-04-26 |
| 2024-04-09 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-04-26 |
| 2023-03-29 | 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. | E | 2023-03-30 |
| 2023-03-29 | 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 | 2023-03-30 |
| 2023-03-29 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-03-30 |
| 2023-03-29 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-03-30 |
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
20| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| GUADALUPE COUNTY HOSPITAL BOARD | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2025-09-01 | current | pecos_ownership |
| 4925 ELIZABETH STREET OPCO, LLC | — | — | 2025-09-01 | current | tx_hhsc_directory |
| 4925 ELIZABETH STREET OPCO, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-09-01 | current | pecos_ownership |
| 4925 ELIZABETH STREET PROPERTY OWNER, LLC | ADP OF THE SNF | — | 2025-09-01 | current | pecos_ownership |
| DAGAN, AMITAI | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-09-11 | current | pecos_ownership |
| FERGUSON, CLAY | ADP OF THE SNF | — | 2025-09-01 | current | pecos_ownership |
| FREUND, NOCHUM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-09-11 | current | pecos_ownership |
| GANN, KODY | CORPORATE OFFICER | — | 2025-09-01 | current | pecos_ownership |
| GOLDBERGER, ABRAHAM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-09-11 | current | pecos_ownership |
| GOLDBERGER, FAIGY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-09-11 | current | pecos_ownership |
| GUADALUPE COUNTY HOSPITAL BOARD | — | — | 2025-09-01 | current | tx_hhsc_directory |
| HUNTSMAN-HARTFIELD, MARY | ADP OF THE SNF | — | 2025-09-01 | current | pecos_ownership |
| TRAVITSKY, AARON | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-09-01 | current | pecos_ownership |
| WELLTOWER INC | ADP OF THE SNF | — | 2025-09-01 | current | pecos_ownership |
| WELLTOWER NNN GROUP, LLC | ADP OF THE SNF | — | 2025-09-01 | current | pecos_ownership |
| WELLTOWER OP, LLC | ADP OF THE SNF | — | 2025-09-01 | current | pecos_ownership |
| AARON TRAVITSKY | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-09-01 | ended 2026-05-18 | pecos_ownership |
| CLAY FERGUSON | ADP OF THE SNF | — | 2025-09-01 | ended 2026-05-18 | pecos_ownership |
| KODY GANN | CORPORATE OFFICER | — | 2025-09-01 | ended 2026-05-18 | pecos_ownership |
| MARY HUNTSMAN-HARTFIELD | ADP OF THE SNF | — | 2025-09-01 | 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.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2025-09-01 | — | GUADALUPE COUNTY HOSPITAL BOARD | CITY OF ENNIS | chow |
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 Texarkanathis facility | — | — | — | 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
33| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48037 | acs median gross | 0 | $650 | 2024-12-31 | CENSUS_ACS5 |
| county 48037 | fmr | 0 | $859 | 2025-10-01 | HUD_USER_FMR |
| county 48037 | acs median gross | 1 | $732 | 2024-12-31 | CENSUS_ACS5 |
| county 48037 | fmr | 1 | $868 | 2025-10-01 | HUD_USER_FMR |
| county 48037 | acs median gross | 2 | $971 | 2024-12-31 | CENSUS_ACS5 |
| county 48037 | fmr | 2 | $1,101 | 2025-10-01 | HUD_USER_FMR |
| county 48037 | acs median gross | 3 | $1,194 | 2024-12-31 | CENSUS_ACS5 |
| county 48037 | fmr | 3 | $1,369 | 2025-10-01 | HUD_USER_FMR |
| county 48037 | acs median gross | 4 | $1,493 | 2024-12-31 | CENSUS_ACS5 |
| county 48037 | fmr | 4 | $1,657 | 2025-10-01 | HUD_USER_FMR |
| county 48037 | acs median gross | 5 | $1,367 | 2024-12-31 | CENSUS_ACS5 |
| county 48037 | acs median gross | $988 | 2024-12-31 | CENSUS_ACS5 | |
| county 48037 | acs recent mover gross | $1,195 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 75503 | acs median gross | 1 | $978 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75503 | acs median gross | 2 | $1,232 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75503 | acs median gross | 3 | $1,453 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75503 | acs median gross | $1,251 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 75503 | acs recent mover gross | $1,540 | 2024-12-31 | CENSUS_ACS5 | |
| zip 75503 | payment standard 110 | 0 | $1,111 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | payment standard 90 | 0 | $909 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | safmr | 0 | $1,010 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | payment standard 110 | 1 | $1,133 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | payment standard 90 | 1 | $927 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | safmr | 1 | $1,030 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | payment standard 110 | 2 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | payment standard 90 | 2 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | safmr | 2 | $1,300 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | payment standard 110 | 3 | $1,782 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | payment standard 90 | 3 | $1,458 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | safmr | 3 | $1,620 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | payment standard 110 | 4 | $2,156 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | payment standard 90 | 4 | $1,764 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | safmr | 4 | $1,960 | 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.