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 21:29 UTC
Screener / 676478
F

Harbor Valley Health and Rehabilitation

snfTX
6211 Old Pearsall Road, San Antonio, TX 78242 · CCN 676478 · chain FANNIN COUNTY HOSPITAL AUTHORITY
Composite
99.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 99.0% 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 model8ML signals8Components18CHOW radar1Distress radar1Staffing16Penalties2Deficiencies40Licensure0Ownership24Related party0Transactions1Comps12Market rent36

Composite explanation

8
ComponentPercentileRawWeightWeight shareContributionCounts
financial risk96.286.60.300.171416.49in index
state reg risk92.441.00.300.171415.84in index
regulatory risk82.779.60.300.171414.18in index
staffing risk68.568.50.250.14299.79in index
billing conduct55.041.50.300.17149.43in index
lease risk90.479.80.150.08577.75in index
chow risk74.863.90.150.08576.41in index
ownership opacity82.075.2excluded
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

8
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+22.4 vs natlSANDERSON CLARK58 facilities
connectionOwner fleet risk far above national+21.5 vs natlFANNIN COUNTY HOSPITAL AUTHORITY54 facilities
connectionOwner spans multiple chains18 chainsENSIGN SERVICES INC 286 facilities
connectionOwner spans multiple chains17 chainsBURNAM SOON335 facilities
connectionOwner spans multiple chains17 chainsKEETCH CHAD283 facilities
connectionOwner spans multiple chains12 chainsTHE ENSIGN GROUP INC 123 facilities
connectionOwner spans multiple chains11 chainsSTANDARD BEARER HEALTHCARE OP LP83 facilities
connectionBuyer assembling a chain (5+ takeovers/24mo)8 facilitiesFANNIN COUNTY HOSPITAL AUTHORITY8 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

18
Score typeScoreGradeModelStatusRegistry model notes
billing conduct41.5Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk61.5Cv0.1-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 risk47.5Cv0.1-txhhscdefault · in compositeTexas licence reissue timing as an ownership-transfer proxy.
chow risk82.6Fv0.6default · in composite
financial risk86.6Fv0.5default · in compositeR18.
lease risk79.8Dv0.5default · in composite
ownership opacity75.2Dv0.1-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 12m0.1—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 risk79.6Dv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk68.5Dv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
state reg risk41.0Bv0.5default · in composite
financial risk70.6Dv0.3supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk85.6Fv0.4supersededPre-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 risk79.5Dv0.1supersededPre-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 risk79.5Dv0.2supersededPre-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 risk68.5Dv0.1supersededPre-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 risk68.5Dv0.2supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
17.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)4.33-1.43
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
Chain size (log)4.01+0.45
No PBJ staffing report0.00+0.42
Deficiencies, last 12 months17.00+0.24
Occupancy0.75-0.14
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
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 months17.00-1.72
Chain size (log)4.01-1.13
For-profit ownership1.00-0.69
Fine amount, 12m (log)9.02-0.48
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Ownership changes, last 5 years1.00+0.23
Current owner tenure (years)4.33-0.23
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 HPRDThis facilityTX medianNational medianNational p25–p75
Total nurse3.002.673.282.90–3.77
RN0.040.240.390.25–0.58
Weekend total2.832.563.11—
Weekday total3.082.723.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49289.53.000.041.011.962.830.0%
2025Q39296.52.950.040.991.912.810.0%
2025Q29197.32.730.040.891.802.460.0%
2025Q19086.92.980.050.922.022.800.0%
2024Q49284.73.040.080.892.072.800.0%
2024Q39293.53.240.090.872.272.850.3%
2024Q29190.13.340.100.872.372.969.9%
2024Q19187.03.140.070.932.143.0014.6%
2023Q49275.53.470.050.992.433.355.9%
2023Q39276.33.310.130.902.283.126.5%
2023Q29179.73.210.120.882.212.967.7%
2023Q19086.13.140.130.792.222.866.6%
2022Q49292.23.020.190.722.112.7311.6%
2022Q39286.53.120.220.792.112.9722.0%
2022Q29169.93.130.220.722.202.7413.3%
2022Q19072.63.370.250.822.303.1520.5%
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
fines by year
$10.7k$5.4k232425
DateTypeFineSource
2025-09-05Fine$8,281CMS provider data
2023-10-27Fine$10,708CMS provider data
Total fines on record: $18,989

Deficiencies

40
D × 33E × 4F × 1J × 2
deficiencies by survey year
191023242526
SurveyTypeTagDeficiencyScopeCorrected
2026-01-21Health · complaintF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D2026-02-03
2025-12-05HealthF0565Honor the resident's right to organize and participate in resident/family groups in the facility.E2025-12-08
2025-12-05HealthF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2025-12-08
2025-12-05HealthF0637Assess the resident when there is a significant change in conditionD2025-12-10
2025-12-05HealthF0641Ensure each resident receives an accurate assessment.E2025-12-22
2025-12-05HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2025-12-22
2025-12-05HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-12-22
2025-12-05HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-12-10
2025-12-05HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-12-08
2025-12-05HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2025-12-18
2025-12-05HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2025-12-08
2025-12-05HealthF0880Provide and implement an infection prevention and control program.D2025-12-08
2025-11-21Health · 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.D2025-11-22
2025-11-14Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-11-15
2025-11-14Health · complaintF0880Provide and implement an infection prevention and control program.D2025-11-15
2025-09-12Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J—
2025-09-05Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-09-26
2025-01-12Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-01-13
2025-01-12Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-01-13
2025-01-12Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-01-13
2024-08-30HealthF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D2024-09-30
2024-08-30HealthF0641Ensure each resident receives an accurate assessment.D2024-09-30
2024-08-30HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-09-30
2024-08-30HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2024-09-30
2024-08-30HealthF0759Ensure medication error rates are not 5 percent or greater.D2024-09-30
2024-08-30HealthF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D2024-09-30
2024-08-30HealthF0880Provide and implement an infection prevention and control program.D2024-09-30
2024-08-30HealthF0914Provide bedrooms that don't allow residents to see each other when privacy is needed.D2024-09-30
2024-08-09Health · complaintF0760Ensure that residents are free from significant medication errors.D2024-08-13
2024-08-09Health · complaintF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2024-08-13
2024-04-04Health · complaintF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.D2024-04-05
2024-04-04Health · 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.D2024-04-05
2024-04-04Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2024-04-05
2023-10-27Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J2023-10-28
2023-10-27Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-10-28
2023-08-10Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2023-08-13
2023-06-16HealthF0693Ensure 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.D2023-07-13
2023-06-16HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2023-07-13
2023-06-16HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2023-06-16
2023-06-16HealthF0880Provide and implement an infection prevention and control program.D2023-06-16
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

24
OwnerRolePctFromStatusSource
FANNIN COUNTY HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTEREST100%2026-05-01currentpecos_ownership
BURNAM, SOONCORPORATE OFFICER—2026-05-01currentpecos_ownership
ENSIGN SERVICES INCADP OF THE SNF—2026-05-01currentpecos_ownership
FANNIN COUNTY HOSPITAL AUTHORITY——2025-04-01currenttx_hhsc_directory
KEETCH, CHADCORPORATE OFFICER—2011-03-01currentpecos_ownership
MARTINEZ, FERNANDOOPERATIONAL/MANAGERIAL CONTROL—2026-05-01currentpecos_ownership
PEARSALL ROAD HEALTH HOLDINGS LLCADP OF THE SNF—2026-05-01currentpecos_ownership
REDBERRY CANYON HEALTHCARE LLC——2025-04-01currenttx_hhsc_directory
REDBERRY CANYON HEALTHCARE LLCADP OF THE SNF—2026-04-09currentpecos_ownership
REDBERRY CANYON HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROL—2026-05-01currentpecos_ownership
SANDERSON, CLARKCORPORATE OFFICER—2026-05-01currentpecos_ownership
SOSA, STEVEADP OF THE SNF—2026-05-01currentpecos_ownership
STANDARD BEARER HEALTHCARE OP, LPADP OF THE SNF—2026-05-01currentpecos_ownership
THE ENSIGN GROUP INCADP OF THE SNF—2026-05-01currentpecos_ownership
FANNIN COUNTY HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTEREST100%2022-04-01ended 2026-05-18pecos_ownership
CLARK SANDERSONCORPORATE OFFICER0%2022-04-01ended 2026-05-18pecos_ownership
FERNANDO MARTINEZADP OF THE SNF—2022-04-01ended 2026-05-18pecos_ownership
HARBOR VALLEY HEALTH AND REHABILITATION LLCOPERATIONAL/MANAGERIAL CONTROL—2022-04-01ended 2026-05-18pecos_ownership
HARBOR VALLEY HEALTH AND REHABILITATION LLCADP OF THE SNF—2025-04-30ended 2026-05-18pecos_ownership
JAMES STEINOPERATIONAL/MANAGERIAL CONTROL—2022-04-01ended 2026-05-18pecos_ownership
PAUL STEINOPERATIONAL/MANAGERIAL CONTROL—2022-04-01ended 2026-05-18pecos_ownership
ROBERT RYEOPERATIONAL/MANAGERIAL CONTROL—2022-04-01ended 2026-05-18pecos_ownership
ROBERT V RYE LIV TR DTD 10042022ADP OF THE SNF—2022-04-01ended 2026-05-18pecos_ownership
STEVE SOSAADP OF THE SNF—2022-04-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2022-04-01—FANNIN COUNTY HOSPITAL AUTHORITYHARBOR VALLEY HEALTH AND REHABILITATION 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

36
GeoKindBRAmountAs ofSource
county 48029acs median gross0$1,0882024-12-31CENSUS_ACS5
county 48029fmr0$1,0772025-10-01HUD_USER_FMR
county 48029acs median gross1$1,1452024-12-31CENSUS_ACS5
county 48029fmr1$1,1772025-10-01HUD_USER_FMR
county 48029acs median gross2$1,3892024-12-31CENSUS_ACS5
county 48029fmr2$1,4262025-10-01HUD_USER_FMR
county 48029acs median gross3$1,6682024-12-31CENSUS_ACS5
county 48029fmr3$1,8302025-10-01HUD_USER_FMR
county 48029acs median gross4$1,9092024-12-31CENSUS_ACS5
county 48029fmr4$2,1322025-10-01HUD_USER_FMR
county 48029acs median gross5$2,3242024-12-31CENSUS_ACS5
county 48029acs median gross$1,3542024-12-31CENSUS_ACS5
county 48029acs recent mover gross$1,4272024-12-31CENSUS_ACS5
zcta 78242acs median gross0$1,0952024-12-31CENSUS_ACS5
zcta 78242acs median gross1$9232024-12-31CENSUS_ACS5
zcta 78242acs median gross2$1,0632024-12-31CENSUS_ACS5
zcta 78242acs median gross3$1,4432024-12-31CENSUS_ACS5
zcta 78242acs median gross4$1,6272024-12-31CENSUS_ACS5
zcta 78242acs median gross5$1,4192024-12-31CENSUS_ACS5
zcta 78242acs median gross$1,2702024-12-31CENSUS_ACS5
zcta 78242acs recent mover gross$1,6492024-12-31CENSUS_ACS5
zip 78242payment standard 1100$1,0782025-10-01HUD_USER_SAFMR
zip 78242payment standard 900$8822025-10-01HUD_USER_SAFMR
zip 78242safmr0$9802025-10-01HUD_USER_SAFMR
zip 78242payment standard 1101$1,1772025-10-01HUD_USER_SAFMR
zip 78242payment standard 901$9632025-10-01HUD_USER_SAFMR
zip 78242safmr1$1,0702025-10-01HUD_USER_SAFMR
zip 78242payment standard 1102$1,4302025-10-01HUD_USER_SAFMR
zip 78242payment standard 902$1,1702025-10-01HUD_USER_SAFMR
zip 78242safmr2$1,3002025-10-01HUD_USER_SAFMR
zip 78242payment standard 1103$1,8372025-10-01HUD_USER_SAFMR
zip 78242payment standard 903$1,5032025-10-01HUD_USER_SAFMR
zip 78242safmr3$1,6702025-10-01HUD_USER_SAFMR
zip 78242payment standard 1104$2,1342025-10-01HUD_USER_SAFMR
zip 78242payment standard 904$1,7462025-10-01HUD_USER_SAFMR
zip 78242safmr4$1,9402025-10-01HUD_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 · Harbor Valley Health and Rehabilitation (676478) · 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