Composite
91.7 / 100 percentile
Screener / 676425
D
THE ENCLAVE
snfTX
18803 HARDY OAK, SAN ANTONIO, TX 78258 · CCN 676425 · chain WEST WHARTON COUNTY HOSPITAL DISTRICT
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
142
Model
v1.2
Reads as: riskier than 91.7% 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 signals19Components20CHOW radar1Distress radar1Staffing15Penalties2Deficiencies46Licensure0Ownership33Related party4Transactions1Comps12Market rent36
Composite explanation
8| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 88.5 | 58.6 | 0.30 | 0.1714 | 15.17 | in index |
| regulatory risk | 78.1 | 74.6 | 0.30 | 0.1714 | 13.39 | in index |
| state reg risk | 63.7 | 15.0 | 0.30 | 0.1714 | 10.92 | in index |
| staffing risk | 62.4 | 62.4 | 0.25 | 0.1429 | 8.91 | in index |
| financial risk | 46.3 | 43.3 | 0.30 | 0.1714 | 7.94 | in index |
| chow risk | 73.9 | 52.6 | 0.15 | 0.0857 | 6.33 | in index |
| lease risk | 63.6 | 56.6 | 0.15 | 0.0857 | 5.45 | in index |
| ownership opacity | 87.1 | 77.0 | 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
19| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +27.3 vs natl | INTERNATIONAL BANK OF COMMERCE | 7 facilities |
| connection | Owner fleet risk far above national | +23.7 vs natl | THOMPSON JOHNNY | 74 facilities |
| connection | Owner spans multiple chains | 18 chains | PLANTE MORAN PLLC | 55 facilities |
| connection | Owner spans multiple chains | 15 chains | AEGIS THERAPIES INC | 32 facilities |
| connection | Owner spans multiple chains | 9 chains | TRIDENT HEALTHCARE SERVICES INC | 24 facilities |
| connection | Owner spans multiple chains | 9 chains | STUDER STANLEY | 26 facilities |
| connection | Owner spans multiple chains | 9 chains | FELLBAUM ERNEST | 26 facilities |
| connection | Owner spans multiple chains | 8 chains | CASTILLO LYNNEA | 23 facilities |
| connection | Owner spans multiple chains | 8 chains | TOUCHSTONE COMMUNITIES INC | 23 facilities |
| connection | Owner spans multiple chains | 8 chains | ZUROVEC DARRELL | 23 facilities |
| connection | Owner spans multiple chains | 8 chains | NUTRITIOUS LIFESTYLES INC | 18 facilities |
| connection | Owner spans multiple chains | 8 chains | SEHLKE BRYON | 22 facilities |
| connection | Owner spans multiple chains | 8 chains | CARVAJAL PHARMACY LTC | 22 facilities |
| connection | Owner spans multiple chains | 7 chains | CAMPBELL LESLIE | 22 facilities |
| connection | Owner fleet enforcement cluster | 45% fined | THOMPSON JOHNNY | 74 facilities |
| connection | Owner fleet enforcement cluster | 43% fined | INTERNATIONAL BANK OF COMMERCE | 7 facilities |
| connection | Owner fleet enforcement cluster | 41% fined | CAMPBELL LESLIE | 22 facilities |
| connection | Owner fleet enforcement cluster | 41% fined | SEHLKE BRYON | 22 facilities |
| connection | Owner fleet enforcement cluster | 41% fined | STUDER STANLEY | 27 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 | 58.6 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 26.2 | B | 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 | 67.8 | D | v0.1-txhhsc | default · in composite | Texas licence reissue timing as an ownership-transfer proxy. |
| chow risk | 63.7 | C | v0.6 | default · in composite | |
| financial risk | 43.3 | B | v0.5 | default · in composite | R18. |
| lease risk | 56.6 | C | v0.5 | default · in composite | |
| ownership opacity | 77.0 | D | 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 | 0.0 | — | 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 | 74.6 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 62.4 | 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 | 15.0 | A | v0.5 | default · in composite | |
| financial risk | 78.7 | 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 | 58.7 | 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 | 52.5 | 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 | 47.0 | 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 | 74.5 | D | 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 | 74.5 | D | 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 | 62.4 | 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 | 62.4 | 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
12.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 3.41 | -1.51 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Chain size (log) | 4.58 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.82 | -0.35 | |
| Deficiencies, last 12 months | 16.00 | +0.22 |
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
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 16.00 | -1.54 | |
| Chain size (log) | 4.58 | -1.47 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.82 | -0.30 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 3.41 | -0.25 | |
| 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
15| 2025Q4 HPRD | This facility | TX median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.10 | 2.67 | 3.28 | 2.90–3.77 |
| RN | 0.15 | 0.24 | 0.39 | 0.25–0.58 |
| Weekend total | 2.91 | 2.56 | 3.11 | — |
| Weekday total | 3.17 | 2.72 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 116.4 | 3.10 | 0.15 | 1.22 | 1.73 | 2.91 | 1.6% |
| 2025Q3 | 92 | 123.4 | 3.02 | 0.13 | 1.26 | 1.63 | 2.84 | 11.5% |
| 2025Q2 | 91 | 123.8 | 2.71 | 0.15 | 1.18 | 1.38 | 2.56 | 6.6% |
| 2025Q1 | 90 | 125.4 | 2.71 | 0.23 | 1.18 | 1.30 | 2.58 | 1.6% |
| 2024Q4 | 92 | 120.8 | 2.83 | 0.16 | 1.34 | 1.33 | 2.66 | 8.5% |
| 2024Q3 | 92 | 123.1 | 2.88 | 0.11 | 1.32 | 1.45 | 2.71 | 19.0% |
| 2024Q2 | 91 | 126.2 | 2.97 | 0.22 | 1.28 | 1.46 | 2.80 | 23.6% |
| 2024Q1 | 91 | 124.9 | 2.72 | 0.14 | 1.30 | 1.29 | 2.57 | 34.0% |
| 2023Q4 | 92 | 120.0 | 2.59 | 0.10 | 1.28 | 1.21 | 2.34 | 22.4% |
| 2023Q2 | 91 | 103.0 | 3.36 | 0.17 | 1.58 | 1.61 | 3.11 | 34.6% |
| 2023Q1 | 90 | 121.2 | 2.76 | 0.19 | 1.31 | 1.26 | 2.45 | 25.3% |
| 2022Q4 | 92 | 119.7 | 2.92 | 0.16 | 1.33 | 1.43 | 2.60 | 22.4% |
| 2022Q3 | 92 | 121.6 | 2.86 | 0.16 | 1.38 | 1.32 | 2.39 | 25.1% |
| 2022Q2 | 91 | 126.4 | 2.92 | 0.13 | 1.42 | 1.36 | 2.40 | 24.6% |
| 2022Q1 | 90 | 125.2 | 2.98 | 0.15 | 1.50 | 1.34 | 2.49 | 10.5% |
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 |
|---|---|---|---|
| 2024-05-04 | Fine | $10,039 | CMS provider data |
| 2024-05-04 | Payment Denial | — | CMS provider data |
Total fines on record: $10,039
Deficiencies
46B × 1C × 1D × 29E × 13F × 1J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-26 | 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. | D | 2026-02-27 |
| 2026-02-06 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2026-02-07 |
| 2026-02-06 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-02-07 |
| 2025-08-27 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-08-28 |
| 2025-08-27 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-08-28 |
| 2025-08-27 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | 2025-08-28 |
| 2025-08-27 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2025-08-28 |
| 2025-08-27 | 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 | 2025-08-28 |
| 2025-08-27 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-08-28 |
| 2025-08-27 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-08-28 |
| 2025-08-27 | Health | F0732 | Post nurse staffing information every day. | C | 2025-08-28 |
| 2025-08-27 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-08-28 |
| 2025-08-27 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-08-28 |
| 2025-08-27 | 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 | 2025-08-28 |
| 2025-08-27 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-08-28 |
| 2025-08-27 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-08-28 |
| 2025-07-24 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-07-25 |
| 2025-05-05 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-05-06 |
| 2024-06-28 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-06-29 |
| 2024-06-28 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-06-29 |
| 2024-06-28 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-06-29 |
| 2024-06-28 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-06-29 |
| 2024-06-28 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2024-06-29 |
| 2024-06-28 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-06-29 |
| 2024-06-28 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2024-06-29 |
| 2024-06-28 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | E | 2024-06-29 |
| 2024-06-28 | 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 | 2024-06-29 |
| 2024-06-28 | Health | 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. | D | 2024-06-29 |
| 2024-06-28 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2024-06-29 |
| 2024-06-28 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-06-29 |
| 2024-06-28 | Health | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | 2024-06-29 |
| 2024-06-28 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-06-29 |
| 2024-06-07 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-06-08 |
| 2024-05-04 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-05-05 |
| 2024-05-04 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-05-05 |
| 2024-05-04 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-06-08 |
| 2024-05-04 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-05-05 |
| 2024-05-04 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-05-05 |
| 2024-05-04 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-05-05 |
| 2024-01-29 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-01-30 |
| 2024-01-29 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-01-30 |
| 2023-04-19 | 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 | 2023-04-27 |
| 2023-04-19 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2023-04-27 |
| 2023-04-19 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2023-04-27 |
| 2023-04-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-04-27 |
| 2023-04-19 | Health | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | 2023-04-27 |
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
33| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| AEGIS THERAPIES, INC. | ADP OF THE SNF | — | 2023-03-01 | current | pecos_ownership |
| CAMPBELL, LESLIE | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-01 | current | pecos_ownership |
| CARVAJAL PHARMACY LTC | ADP OF THE SNF | — | 2023-03-01 | current | pecos_ownership |
| CASTILLO, LYNNEA | ADP OF THE SNF | — | 2023-03-01 | current | pecos_ownership |
| CLAYTON, JONATHON | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-05-01 | current | pecos_ownership |
| COLLINGWOOD, YING | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-08-11 | current | pecos_ownership |
| CRUZ, ELIZABETH | ADP OF THE SNF | — | 2025-10-01 | current | pecos_ownership |
| FELLBAUM, ERNEST | ADP OF THE SNF | — | 2023-03-01 | current | pecos_ownership |
| INTERNATIONAL BANK OF COMMERCE | 5% OR GREATER SECURITY INTEREST | — | 2021-04-28 | current | pecos_ownership |
| NUTRITIOUS LIFESTYLES, INC. | ADP OF THE SNF | — | 2023-03-01 | current | pecos_ownership |
| PLANTE & MORAN PLLC | ADP OF THE SNF | — | 2023-03-01 | current | pecos_ownership |
| SEHLKE, BRYON | ADP OF THE SNF | — | 2023-03-01 | current | pecos_ownership |
| STUDER, STANLEY | ADP OF THE SNF | — | 2023-03-01 | current | pecos_ownership |
| THOMPSON, JOHNNY | CORPORATE OFFICER | — | 2023-11-01 | current | pecos_ownership |
| TOUCHSTONE COMMUNITIES INC | ADP OF THE SNF | — | 2023-03-01 | current | pecos_ownership |
| TOUCHSTONE REALTY - STONE OAK2 LLC | ADP OF THE SNF | — | 2023-03-01 | current | pecos_ownership |
| TOUCHSTONE STRATEGIES STONE OAK2, LLC | — | — | 2026-03-01 | current | tx_hhsc_directory |
| TOUCHSTONE STRATEGIES - STONE OAK2 LLC | ADP OF THE SNF | — | 2025-07-14 | current | pecos_ownership |
| TOUCHSTONE STRATEGIES - STONE OAK2 LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-01 | current | pecos_ownership |
| TRIDENT HEALTH SERVICES INC | ADP OF THE SNF | — | 2023-03-01 | current | pecos_ownership |
| WEST WHARTON COUNTY HOSPITAL DISTRICT | — | — | 2026-03-01 | current | tx_hhsc_directory |
| ZUROVEC, DARRELL | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-01 | current | pecos_ownership |
| WEST WHARTON COUNTY HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-03-01 | ended 2026-05-18 | pecos_ownership |
| JOHNNY THOMPSON | CORPORATE OFFICER | 0% | 2023-11-01 | ended 2026-05-18 | pecos_ownership |
| BRYON SEHLKE | ADP OF THE SNF | — | 2023-03-01 | ended 2026-05-18 | pecos_ownership |
| DARRELL ZUROVEC | ADP OF THE SNF | — | 2023-03-01 | ended 2026-05-18 | pecos_ownership |
| ELIZABETH CRUZ | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-10-01 | ended 2026-05-18 | pecos_ownership |
| ERNEST FELLBAUM | ADP OF THE SNF | — | 2023-03-01 | ended 2026-05-18 | pecos_ownership |
| JONATHON CLAYTON | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-05-01 | ended 2026-05-18 | pecos_ownership |
| LESLIE CAMPBELL | ADP OF THE SNF | — | 2023-03-01 | ended 2026-05-18 | pecos_ownership |
| LYNNEA CASTILLO | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-01 | ended 2026-05-18 | pecos_ownership |
| STANLEY STUDER | ADP OF THE SNF | — | 2023-03-01 | ended 2026-05-18 | pecos_ownership |
| YING COLLINGWOOD | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-08-11 | 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 |
|---|---|---|---|---|
| 2023-03-01 | — | WEST WHARTON COUNTY HOSPITAL DISTRICT | TOUCHSTONE STRATEGIES - STONE OAK2 LLC | 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 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
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48029 | acs median gross | 0 | $1,088 | 2024-12-31 | CENSUS_ACS5 |
| county 48029 | fmr | 0 | $1,077 | 2025-10-01 | HUD_USER_FMR |
| county 48029 | acs median gross | 1 | $1,145 | 2024-12-31 | CENSUS_ACS5 |
| county 48029 | fmr | 1 | $1,177 | 2025-10-01 | HUD_USER_FMR |
| county 48029 | acs median gross | 2 | $1,389 | 2024-12-31 | CENSUS_ACS5 |
| county 48029 | fmr | 2 | $1,426 | 2025-10-01 | HUD_USER_FMR |
| county 48029 | acs median gross | 3 | $1,668 | 2024-12-31 | CENSUS_ACS5 |
| county 48029 | fmr | 3 | $1,830 | 2025-10-01 | HUD_USER_FMR |
| county 48029 | acs median gross | 4 | $1,909 | 2024-12-31 | CENSUS_ACS5 |
| county 48029 | fmr | 4 | $2,132 | 2025-10-01 | HUD_USER_FMR |
| county 48029 | acs median gross | 5 | $2,324 | 2024-12-31 | CENSUS_ACS5 |
| county 48029 | acs median gross | $1,354 | 2024-12-31 | CENSUS_ACS5 | |
| county 48029 | acs recent mover gross | $1,427 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 78258 | acs median gross | 0 | $1,354 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78258 | acs median gross | 1 | $1,470 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78258 | acs median gross | 2 | $1,776 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78258 | acs median gross | 3 | $2,581 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78258 | acs median gross | 4 | $2,354 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78258 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78258 | acs median gross | $1,736 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 78258 | acs recent mover gross | $1,571 | 2024-12-31 | CENSUS_ACS5 | |
| zip 78258 | payment standard 110 | 0 | $1,507 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78258 | payment standard 90 | 0 | $1,233 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78258 | safmr | 0 | $1,370 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78258 | payment standard 110 | 1 | $1,650 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78258 | payment standard 90 | 1 | $1,350 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78258 | safmr | 1 | $1,500 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78258 | payment standard 110 | 2 | $2,002 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78258 | payment standard 90 | 2 | $1,638 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78258 | safmr | 2 | $1,820 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78258 | payment standard 110 | 3 | $2,563 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78258 | payment standard 90 | 3 | $2,097 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78258 | safmr | 3 | $2,330 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78258 | payment standard 110 | 4 | $2,992 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78258 | payment standard 90 | 4 | $2,448 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78258 | safmr | 4 | $2,720 | 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.