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 16:09 UTC
Screener / 676475
D

AVIR AT MADISONVILLE

snfTX
600 BACON STREET, MADISONVILLE, TX 77864 · CCN 676475 · chain WEST WHARTON COUNTY HOSPITAL DISTRICT
Composite
87.5 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
90
Model
v1.2
Reads as: riskier than 87.5% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model7ML signals15Components17CHOW radar1Distress radar1Staffing12Penalties1Deficiencies49Licensure0Ownership20Related party1Transactions1Comps12Market rent29

Composite explanation

7
ComponentPercentileRawWeightWeight shareContributionCounts
staffing risk91.291.20.250.156314.25in index
regulatory risk75.872.20.300.187514.21in index
state reg risk63.715.00.300.187511.94in index
financial risk46.343.30.300.18758.68in index
chow risk90.478.80.150.09388.48in index
billing conduct39.135.30.300.18757.33in 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

15
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains33 chainsWELLTOWER OP LLC147 facilities
connectionOwner fleet risk far above national+31.8 vs natlJIAN PETER10 facilities
connectionOwner spans multiple chains28 chainsFREUND NOCHUM109 facilities
connectionOwner spans multiple chains28 chainsTRAVITSKY AARON106 facilities
connectionOwner spans multiple chains27 chainsDAGAN AMITAI101 facilities
connectionOwner spans multiple chains27 chainsGOLDBERGER ABRAHAM100 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+20.5 vs natlGOLDBERGER FAIGY111 facilities
connectionOwner spans multiple chains20 chainsGOLDBERGER FAIGY68 facilities
connectionOwner fleet risk far above national+20.0 vs natlTRAVITSKY AARON153 facilities
connectionOwner spans multiple chains7 chainsJIAN PETER10 facilities
connectionOwner fleet enforcement cluster80% finedJIAN PETER10 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

17
Score typeScoreGradeModelStatusRegistry model notes
billing conduct35.3Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk81.1Fv0.1-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 risk73.2Dv0.1-txhhscdefault · in compositeTexas licence reissue timing as an ownership-transfer proxy.
chow risk82.0Fv0.6default · in composite
financial risk43.3Bv0.5default · 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 12m0.0—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 12m0.0—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 risk72.2Dv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk91.2Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
state reg risk15.0Av0.5default · in composite
financial risk39.8Bv0.3supersededPre-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 risk49.0Cv0.4supersededPre-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 risk72.1Dv0.1supersededPre-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 risk72.1Dv0.2supersededPre-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 risk91.2Fv0.1supersededPre-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 risk91.2Fv0.2supersededPre-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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
15.3
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)2.62-1.59
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
Occupancy0.65+0.13
Total nurse staffing (HPRD)2.49+0.11
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
33.6
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Chain size (log)4.58-1.47
Deficiencies, last 12 months3.00+0.87
For-profit ownership1.00-0.69
Occupancy0.65+0.41
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)2.49+0.30
Never sold on record0.00-0.28
Current owner tenure (years)2.62-0.26
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

12
2025Q4 HPRDThis facilityTX medianNational medianNational p25–p75
Total nurse2.492.673.282.90–3.77
RN0.150.240.390.25–0.58
Weekend total2.412.563.11—
Weekday total2.532.723.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49258.62.490.150.741.602.411.7%
2025Q39261.32.520.150.631.742.380.4%
2025Q29167.12.100.150.541.411.955.8%
2025Q19067.02.100.090.631.382.100.0%
2024Q49258.42.470.120.741.612.281.9%
2024Q39258.22.440.110.691.652.401.3%
2024Q29157.32.810.110.841.872.403.6%
2024Q19158.82.520.110.771.642.270.0%
2023Q49256.61.860.210.461.191.580.0%
2022Q49258.42.830.090.991.762.340.0%
2022Q39257.82.870.080.931.862.200.0%
2022Q19038.93.750.200.992.572.741.5%
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

1
DateTypeFineSource
2024-10-03Fine$8,827CMS provider data
Total fines on record: $8,827

Deficiencies

49
D × 25E × 20F × 1J × 1K × 2
deficiencies by survey year
221123242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-15Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2026-04-16
2026-01-27Health · 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.D2026-01-30
2026-01-27Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2026-01-30
2025-05-20Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.E2025-05-21
2025-05-20Health · complaintF0583Keep residents' personal and medical records private and confidential.D2025-05-21
2025-04-10HealthF0583Keep residents' personal and medical records private and confidential.D2025-04-11
2025-04-10HealthF0584Honor 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.E2025-04-11
2025-04-10HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-04-11
2025-04-10HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2025-04-11
2025-04-10HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-04-11
2025-04-10HealthF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D2025-04-11
2025-04-10HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-04-11
2025-04-10HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-04-11
2025-04-10HealthF0761Ensure 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.E2025-04-11
2025-04-10HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2025-04-11
2025-04-10HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-04-11
2025-04-10HealthF0880Provide and implement an infection prevention and control program.D2025-04-11
2025-04-10HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2025-04-11
2025-04-10HealthF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D2025-04-11
2024-10-03Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2024-08-24
2024-05-10Health · complaintF0760Ensure that residents are free from significant medication errors.E2024-06-07
2024-04-25Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2024-05-09
2024-02-29Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-03-18
2024-02-29HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-03-18
2024-02-29HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D2024-03-18
2024-02-29HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2024-03-18
2024-02-29HealthF0880Provide and implement an infection prevention and control program.E2024-03-18
2023-11-14Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-12-11
2023-11-14Health · complaintF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2023-12-11
2023-11-14Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-12-11
2023-11-14Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2023-12-11
2023-10-25Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2023-11-17
2023-09-14Health · complaintF0584Honor 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.E2023-10-08
2023-09-14Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2023-10-08
2023-09-14Health · complaintF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.E2023-10-08
2023-09-14Health · complaintF0836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.E2023-10-08
2023-01-02HealthF0558Reasonably accommodate the needs and preferences of each resident.E2023-02-05
2023-01-02HealthF0584Honor 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.K2023-02-05
2023-01-02HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2023-02-05
2023-01-02HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2023-02-05
2023-01-02HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-02-05
2023-01-02HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2023-02-05
2023-01-02HealthF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.E2023-02-05
2023-01-02HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2023-02-05
2023-01-02HealthF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D2023-02-05
2023-01-02HealthF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.E2023-02-05
2023-01-02HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2023-02-05
2023-01-02HealthF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.K2023-02-05
2023-01-02HealthF0880Provide and implement an infection prevention and control program.E2023-02-05
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

20
OwnerRolePctFromStatusSource
1424 FALLBROOK DR PROPERTY OWNER LLCADP OF THE SNF—2025-08-01currentpecos_ownership
600 BACON ST OPCO LLC——2025-08-05currenttx_hhsc_directory
600 BACON ST OPCO, LLCOPERATIONAL/MANAGERIAL CONTROL—2025-08-01currentpecos_ownership
DAGAN, AMITAIINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2026-01-09currentpecos_ownership
FREUND, NOCHUMOPERATIONAL/MANAGERIAL CONTROL—2025-08-01currentpecos_ownership
GOLDBERGER, ABRAHAMINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2026-01-09currentpecos_ownership
GOLDBERGER, FAIGYINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2026-01-09currentpecos_ownership
JIAN, PETEROPERATIONAL/MANAGERIAL CONTROL—2023-12-14currentpecos_ownership
PARKER, KARENOPERATIONAL/MANAGERIAL CONTROL—2024-08-22currentpecos_ownership
THOMPSON, JOHNNYCORPORATE OFFICER—2023-12-14currentpecos_ownership
TRAVITSKY, AARONOPERATIONAL/MANAGERIAL CONTROL—2025-08-01currentpecos_ownership
WELLTOWER NNN GROUP, LLCADP OF THE SNF—2025-08-01currentpecos_ownership
WELLTOWER OP, LLCADP OF THE SNF—2025-08-01currentpecos_ownership
WEST WHARTON COUNTY HOSPITAL DISTRICT——2025-08-05currenttx_hhsc_directory
WEST WHARTON COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-12-14ended 2026-05-18pecos_ownership
AARON TRAVITSKYOPERATIONAL/MANAGERIAL CONTROL—2025-08-01ended 2026-05-18pecos_ownership
JOHNNY THOMPSONCORPORATE OFFICER—2023-12-14ended 2026-05-18pecos_ownership
KAREN PARKERADP OF THE SNF—2024-08-22ended 2026-05-18pecos_ownership
NOCHUM FREUNDOPERATIONAL/MANAGERIAL CONTROL—2025-08-01ended 2026-05-18pecos_ownership
PETER JIANADP OF THE SNF—2023-12-14ended 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
2023-12-14—WEST WHARTON COUNTY HOSPITAL DISTRICTADAR HEALTHCARE, LLCchow

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

29
GeoKindBRAmountAs ofSource
county 48313fmr0$7372025-10-01HUD_USER_FMR
county 48313acs median gross1$5612024-12-31CENSUS_ACS5
county 48313fmr1$7422025-10-01HUD_USER_FMR
county 48313acs median gross2$7872024-12-31CENSUS_ACS5
county 48313fmr2$9732025-10-01HUD_USER_FMR
county 48313acs median gross3$1,0732024-12-31CENSUS_ACS5
county 48313fmr3$1,3532025-10-01HUD_USER_FMR
county 48313acs median gross4$1,1022024-12-31CENSUS_ACS5
county 48313fmr4$1,4322025-10-01HUD_USER_FMR
county 48313acs median gross$8512024-12-31CENSUS_ACS5
zcta 77864acs median gross1$5632024-12-31CENSUS_ACS5
zcta 77864acs median gross2$1,0282024-12-31CENSUS_ACS5
zcta 77864acs median gross3$1,0602024-12-31CENSUS_ACS5
zcta 77864acs median gross$9122024-12-31CENSUS_ACS5
zip 77864payment standard 1100$8142025-10-01HUD_USER_SAFMR
zip 77864payment standard 900$6662025-10-01HUD_USER_SAFMR
zip 77864safmr0$7402025-10-01HUD_USER_SAFMR
zip 77864payment standard 1101$8142025-10-01HUD_USER_SAFMR
zip 77864payment standard 901$6662025-10-01HUD_USER_SAFMR
zip 77864safmr1$7402025-10-01HUD_USER_SAFMR
zip 77864payment standard 1102$1,0672025-10-01HUD_USER_SAFMR
zip 77864payment standard 902$8732025-10-01HUD_USER_SAFMR
zip 77864safmr2$9702025-10-01HUD_USER_SAFMR
zip 77864payment standard 1103$1,4852025-10-01HUD_USER_SAFMR
zip 77864payment standard 903$1,2152025-10-01HUD_USER_SAFMR
zip 77864safmr3$1,3502025-10-01HUD_USER_SAFMR
zip 77864payment standard 1104$1,5732025-10-01HUD_USER_SAFMR
zip 77864payment standard 904$1,2872025-10-01HUD_USER_SAFMR
zip 77864safmr4$1,4302025-10-01HUD_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 MADISONVILLE (676475) · 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