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 21:37 UTC
Screener / 745050
F

Avir at Kerrville

snfTX
1555 Bandera Hwy, Kerrville, TX 78028 · CCN 745050 · chain WEST WHARTON COUNTY HOSPITAL DISTRICT
Composite
98.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
130
Model
v1.2
Reads as: riskier than 98.0% 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 model5ML signals11Components12CHOW radar1Distress radar1Staffing6Penalties2Deficiencies62Licensure0Ownership23Related party1Transactions0Comps12Market rent36

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
state reg risk89.935.90.300.300026.97in index
regulatory risk88.986.30.300.300026.67in index
staffing risk79.479.40.250.250019.85in index
chow risk20.831.70.150.15003.12in 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 spans multiple chains35 chainsWELLTOWER INC135 facilities
connectionOwner spans multiple chains33 chainsWELLTOWER OP LLC147 facilities
connectionOwner spans multiple chains28 chainsFREUND NOCHUM109 facilities
connectionOwner spans multiple chains28 chainsTRAVITSKY AARON106 facilities
connectionOwner spans multiple chains27 chainsGOLDBERGER ABRAHAM100 facilities
connectionOwner spans multiple chains27 chainsDAGAN AMITAI101 facilities
connectionOwner spans multiple chains27 chainsWELLTOWER NNN GROUP LLC102 facilities
connectionOwner fleet risk far above national+23.7 vs natlTHOMPSON JOHNNY74 facilities
connectionOwner fleet risk far above national+20.0 vs natlTRAVITSKY AARON153 facilities
connectionOwner fleet enforcement cluster46% finedWELLTOWER NNN GROUP LLC111 facilities
connectionOwner fleet enforcement cluster45% finedTHOMPSON JOHNNY74 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

12
Score typeScoreGradeModelStatusRegistry model notes
chow risk15.0Av0.1-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 risk48.3Cv0.1-txhhscdefault · in compositeTexas licence reissue timing as an ownership-transfer proxy.
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 12m0.0—v0.1default · 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 12m18.0—v0.1default · 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 risk86.3Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk79.4Dv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
state reg risk35.9Bv0.5default · in composite
regulatory risk86.3Fv0.1supersededPre-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 risk86.3Fv0.2supersededPre-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 risk79.4Dv0.1supersededPre-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 risk79.4Dv0.2supersededPre-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)
18.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
99.8
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
Chain size (log)4.58+0.57
No PBJ staffing report0.00+0.42
Occupancy0.57+0.37
Deficiencies, last 12 months21.00+0.34
Ownership changes, last 5 years0.00+0.20
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 months21.00-2.47
Chain size (log)4.58-1.47
Occupancy0.57+0.75
For-profit ownership1.00-0.69
Fine amount, 12m (log)9.32-0.50
No PBJ staffing report0.00+0.39
Staffing trend, last 4 quarters-0.35-0.19
Total nurse staffing (HPRD)2.82+0.17
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

6
2025Q4 HPRDThis facilityTX medianNational medianNational p25–p75
Total nurse2.822.673.282.90–3.77
RN0.210.240.390.25–0.58
Weekend total2.832.563.11—
Weekday total2.812.723.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49274.12.820.210.711.902.830.0%
2025Q39274.23.120.130.872.123.150.0%
2025Q29165.43.620.190.952.493.460.0%
2025Q19059.92.900.240.731.942.580.0%
2024Q49242.43.170.480.861.822.640.0%
2024Q39231.02.330.160.611.572.190.0%
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

2
DateTypeFineSource
2025-12-12Fine$11,180CMS provider data
2025-04-06Fine$9,113CMS provider data
Total fines on record: $20,293

Deficiencies

62
C × 2D × 31E × 23F × 2H × 1J × 2K × 1
deficiencies by survey year
3116242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-24Health · complaintF0567Honor the resident's right to manage his or her financial affairs.D—
2026-04-24Health · complaintF0610Respond appropriately to all alleged violations.D—
2026-04-24Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D—
2026-04-24Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D—
2026-04-24Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D—
2026-04-24Health · complaintF0761Ensure 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—
2026-04-24Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D—
2026-03-19Health · complaintF0641Ensure each resident receives an accurate assessment.D2026-03-22
2026-03-19Health · complaintF0850Hire a qualified full-time social worker in a facility with more than 120 beds.E2026-03-22
2026-02-06Health · complaintF0641Ensure each resident receives an accurate assessment.D2026-02-10
2026-02-06Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2026-02-10
2026-02-06Health · complaintF0732Post nurse staffing information every day.C2026-02-10
2026-02-06Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2026-02-10
2026-01-14Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2026-01-15
2026-01-14Health · complaintF0761Ensure 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.D2026-01-15
2025-12-12Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-12-13
2025-12-12Health · complaintF0760Ensure that residents are free from significant medication errors.H2025-12-09
2025-12-12Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2025-12-13
2025-11-21Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-11-24
2025-11-21Health · complaintF0680Ensure the activities program is directed by a qualified professional.E2025-11-22
2025-11-21Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-11-22
2025-06-27HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-06-30
2025-06-27HealthF0641Ensure each resident receives an accurate assessment.D2025-06-30
2025-06-27HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2025-06-30
2025-06-27HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2025-06-30
2025-06-27HealthF0692Provide enough food/fluids to maintain a resident's health.D2025-06-30
2025-06-27HealthF0760Ensure that residents are free from significant medication errors.D2025-06-30
2025-06-27HealthF0761Ensure 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.D2025-06-30
2025-06-27HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-06-30
2025-06-27HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2025-06-30
2025-06-27HealthF0880Provide and implement an infection prevention and control program.D2025-06-30
2025-06-27HealthF0908Keep all essential equipment working safely.E2025-06-30
2025-06-27HealthF0919Make sure that a working call system is available in each resident's bathroom and bathing area.E2025-06-30
2025-06-06Health · complaintF0880Provide and implement an infection prevention and control program.E2025-06-07
2025-05-16Health · complaintF0641Ensure each resident receives an accurate assessment.D2025-05-17
2025-05-16Health · complaintF0732Post nurse staffing information every day.C2025-05-17
2025-05-16Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-05-17
2025-04-06Health · complaintF0583Keep residents' personal and medical records private and confidential.E2025-04-08
2025-04-06Health · complaintF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.E2025-04-08
2025-04-06Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E2025-04-08
2025-04-06Health · complaintF0610Respond appropriately to all alleged violations.E2025-04-08
2025-04-06Health · complaintF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J2025-04-08
2025-04-06Health · complaintF0761Ensure 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.E2025-04-08
2025-04-06Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-04-08
2025-04-06Health · complaintF0880Provide and implement an infection prevention and control program.E2025-04-08
2025-02-28Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-02-23
2024-11-26Health · complaintF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.E2024-11-27
2024-11-26Health · complaintF0641Ensure each resident receives an accurate assessment.E2024-11-27
2024-11-26Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2024-11-27
2024-09-19Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-09-20
2024-09-19Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2024-09-20
2024-07-01Health · complaintF0642Ensure a qualified health professional conducts resident assessments.D2024-07-02
2024-07-01Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.K2024-07-02
2024-07-01Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2024-07-02
2024-07-01Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2024-07-02
2024-07-01Health · complaintF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.D2024-07-02
2024-07-01Health · complaintF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.D2024-07-02
2024-05-08HealthF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.F2024-05-09
2024-05-08HealthF0680Ensure the activities program is directed by a qualified professional.E2024-05-09
2024-05-08HealthF0803Ensure 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.E2024-05-09
2024-05-08HealthF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.F2024-05-09
2024-05-08HealthF0850Hire a qualified full-time social worker in a facility with more than 120 beds.E2024-05-09
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

23
OwnerRolePctFromStatusSource
DOUGLAS 2016 FAMILY TRUSTCorporation, partnership or other organization has financial interest in provider100%2024-01-01currenthcris_a_8_1
1555 BANDERA HIGHWAY OPCO LLC——2025-05-29currenttx_hhsc_directory
1555 BANDERA HIGHWAY OPCO, LLCOPERATIONAL/MANAGERIAL CONTROL—2025-04-01currentpecos_ownership
1555 BANDERA HIGHWAY OPCO, LLCADP OF THE SNF—2025-05-03currentpecos_ownership
1555 BANDERA HIGHWAY PROPERTY OWNER, LLCADP OF THE SNF—2025-04-01currentpecos_ownership
BYKER, DAKOTAOPERATIONAL/MANAGERIAL CONTROL—2025-04-01currentpecos_ownership
DAGAN, AMITAIOPERATIONAL/MANAGERIAL CONTROL—2025-04-01currentpecos_ownership
FREUND, NOCHUMOPERATIONAL/MANAGERIAL CONTROL—2025-04-01currentpecos_ownership
GOLDBERGER, ABRAHAMINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2025-05-03currentpecos_ownership
RODRIGUEZ, ISMAELADP OF THE SNF—2025-04-01currentpecos_ownership
THOMPSON, JOHNNYCORPORATE DIRECTOR—2025-04-01currentpecos_ownership
TRAVITSKY, AARONOPERATIONAL/MANAGERIAL CONTROL—2025-04-01currentpecos_ownership
WELLTOWER INC5% OR GREATER SECURITY INTEREST—2025-04-01currentpecos_ownership
WELLTOWER NNN GROUP, LLC5% OR GREATER SECURITY INTEREST—2025-04-01currentpecos_ownership
WELLTOWER OP, LLCADP OF THE SNF—2025-04-01currentpecos_ownership
WEST WHARTON COUNTY HOSPITAL DISTRICT——2025-05-29currenttx_hhsc_directory
WEST WHARTON COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTEREST100%2025-04-01ended 2026-05-18pecos_ownership
AARON TRAVITSKYOPERATIONAL/MANAGERIAL CONTROL—2025-04-01ended 2026-05-18pecos_ownership
AMITAI DAGANOPERATIONAL/MANAGERIAL CONTROL—2025-04-01ended 2026-05-18pecos_ownership
DAKOTA BYKEROPERATIONAL/MANAGERIAL CONTROL—2025-04-01ended 2026-05-18pecos_ownership
ISMAEL RODRIGUEZOPERATIONAL/MANAGERIAL CONTROL—2025-04-01ended 2026-05-18pecos_ownership
JOHNNY THOMPSONCORPORATE DIRECTOR—2025-04-01ended 2026-05-18pecos_ownership
NOCHUM FREUNDOPERATIONAL/MANAGERIAL CONTROL—2025-04-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

0
No 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
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-10-01ST. ANTHONY'S CARE CENTER———120SOUTH LIMESTONE HOSPITAL DISTRICT
2025-10-01Avir at New Braunfels———154821 US HIGHWAY 81 W OPCO LLC
2025-09-01Avir at Texarkana———110GUADALUPE COUNTY HOSPITAL BOARD
2025-09-01PARKS HEALTH CENTER———90WEST COKE COUNTY HOSPITAL DISTRICT
2025-09-01WINDMILL VILLAGE REHABILITATION & CARE CENTER———120FANNIN COUNTY HOSPITAL AUTHORITY
2025-08-31Las Ventanas De Socorro———126SOCORRO HEALTH CARE LLC
2025-08-01Avir at Mineola———115HOPKINS COUNTY HOSPITAL DISTRICT
2025-08-01Avir at Orem———1203730 W OREM DR OPCO LLC
2025-08-01Avir at Courtyard———1207499 STANWICK DR OPCO LLC
2025-08-01HILLSIDE MEDICAL LODGE———128CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
2025-08-01Avir at Pasadena———1314300 VISTA RD OPCO LLC
2025-07-01Highland Meadows———120NOCONA 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

36
GeoKindBRAmountAs ofSource
county 48265acs median gross0$1,2432024-12-31CENSUS_ACS5
county 48265fmr0$8692025-10-01HUD_USER_FMR
county 48265acs median gross1$8972024-12-31CENSUS_ACS5
county 48265fmr1$9652025-10-01HUD_USER_FMR
county 48265acs median gross2$1,0762024-12-31CENSUS_ACS5
county 48265fmr2$1,1182025-10-01HUD_USER_FMR
county 48265acs median gross3$1,3762024-12-31CENSUS_ACS5
county 48265fmr3$1,4752025-10-01HUD_USER_FMR
county 48265acs median gross4$1,2142024-12-31CENSUS_ACS5
county 48265fmr4$1,5232025-10-01HUD_USER_FMR
county 48265acs median gross5$8612024-12-31CENSUS_ACS5
county 48265acs median gross$1,1092024-12-31CENSUS_ACS5
county 48265acs recent mover gross$1,2602024-12-31CENSUS_ACS5
zcta 78028acs median gross0$1,2072024-12-31CENSUS_ACS5
zcta 78028acs median gross1$8882024-12-31CENSUS_ACS5
zcta 78028acs median gross2$1,0872024-12-31CENSUS_ACS5
zcta 78028acs median gross3$1,4392024-12-31CENSUS_ACS5
zcta 78028acs median gross4$1,2252024-12-31CENSUS_ACS5
zcta 78028acs median gross5$8612024-12-31CENSUS_ACS5
zcta 78028acs median gross$1,1382024-12-31CENSUS_ACS5
zcta 78028acs recent mover gross$1,2602024-12-31CENSUS_ACS5
zip 78028payment standard 1100$9682025-10-01HUD_USER_SAFMR
zip 78028payment standard 900$7922025-10-01HUD_USER_SAFMR
zip 78028safmr0$8802025-10-01HUD_USER_SAFMR
zip 78028payment standard 1101$1,0782025-10-01HUD_USER_SAFMR
zip 78028payment standard 901$8822025-10-01HUD_USER_SAFMR
zip 78028safmr1$9802025-10-01HUD_USER_SAFMR
zip 78028payment standard 1102$1,2432025-10-01HUD_USER_SAFMR
zip 78028payment standard 902$1,0172025-10-01HUD_USER_SAFMR
zip 78028safmr2$1,1302025-10-01HUD_USER_SAFMR
zip 78028payment standard 1103$1,6392025-10-01HUD_USER_SAFMR
zip 78028payment standard 903$1,3412025-10-01HUD_USER_SAFMR
zip 78028safmr3$1,4902025-10-01HUD_USER_SAFMR
zip 78028payment standard 1104$1,6502025-10-01HUD_USER_SAFMR
zip 78028payment standard 904$1,3502025-10-01HUD_USER_SAFMR
zip 78028safmr4$1,5002025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · Avir at Kerrville (745050) · generated 2026-08-04 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency