CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT 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: 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 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 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)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT 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: 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 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 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 2026-08-05 10:16 UTC
Screener / 675717
C

San Rafael Nursing and Rehabiliation

snfTX
3050 Sunnybrook Rd, Corpus Chrisit, TX 78415 · CCN 675717 · chain BOOKER HOSPITAL DISTRICT
Composite
77.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
0
Model
v1.2
Reads as: riskier than 77.6% 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 signals7Components20CHOW radar1Distress radar1Staffing16Penalties4Deficiencies59Licensure0Ownership18Related party1Transactions1Comps12Market rent35

Composite explanation

8
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk91.889.50.300.171415.74in index
staffing risk84.084.00.250.142912.00in index
state reg risk63.715.00.300.171410.92in index
financial risk42.641.10.300.17147.30in index
billing conduct37.134.60.300.17146.36in index
chow risk41.833.40.150.08573.58in index
lease risk39.849.80.150.08573.41in index
ownership opacity20.549.4excluded
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

7
KindFindingSignalSubjectFirst seen
connectionOwner fleet enforcement cluster80% finedSCHINDELE WILLIAM5 facilities
connectionOwner fleet enforcement cluster80% finedTRIDENT LTC INC 5 facilities
connectionOwner fleet enforcement cluster80% finedTRIDENT ONE LEASING LLC5 facilities
connectionOwner fleet enforcement cluster80% finedBILLY SCHINDELE 2020 IRRV TR5 facilities
connectionOwner fleet enforcement cluster80% finedSHERRY SCHINDELE IRRV TR5 facilities
connectionOwner fleet enforcement cluster43% finedBOOKER HOSPITAL DISTRICT7 facilities
connectionOwner fleet enforcement cluster43% finedHOOVER SHAWN7 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 typeScoreGradeModelStatusRegistry model notes
billing conduct34.6Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk55.0Cv0.1-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 risk44.5Bv0.1-txhhscdefault · in compositeTexas licence reissue timing as an ownership-transfer proxy.
chow risk0.4Av0.6default · in composite
financial risk41.1Bv0.5default · in compositeR18.
lease risk49.8Cv0.5default · in composite
ownership opacity49.4Cv0.1-txhhscdefault · in compositeTexas HHSC directory ownership structure: chain size, absentee owner, management company, entity form, owner closure history.
p adverse action 12m0.1—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 risk89.5Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk84.0Fv0.3default · 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 risk80.9Fv0.1supersededPre-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 risk60.9Cv0.2supersededPre-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 risk37.3Bv0.3supersededPre-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 risk47.0Cv0.4supersededPre-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 risk89.5Fv0.1supersededPre-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 risk89.5Fv0.2supersededPre-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 risk84.0Fv0.1supersededPre-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 risk84.0Fv0.2supersededPre-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
1.1
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)4.74-1.39
For-profit ownership0.00-1.24
Ownership changes, last 5 years1.00-0.87
No PBJ staffing report0.00+0.42
High-severity deficiencies, 12m3.00+0.14
Facility size (log beds)5.13-0.12
Deficiencies, last 12 months12.00+0.12
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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
44.6
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
For-profit ownership0.00+1.62
Deficiencies, last 12 months12.00-0.80
Fine amount, 12m (log)10.67-0.60
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Occupancy0.68+0.27
Ownership changes, last 5 years1.00+0.23
Current owner tenure (years)4.74-0.22
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 nurse2.722.673.282.90–3.77
RN0.050.240.390.25–0.58
Weekend total2.422.563.11—
Weekday total2.832.723.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492114.82.720.050.831.832.420.0%
2025Q392118.62.480.060.731.702.240.0%
2025Q291113.52.520.070.821.622.330.0%
2025Q190113.02.440.090.781.572.230.0%
2024Q492114.32.460.100.861.502.190.0%
2024Q392115.22.520.100.911.512.330.0%
2024Q291114.82.360.100.851.402.220.0%
2024Q191110.42.310.020.891.412.170.0%
2023Q492115.32.150.050.781.322.190.0%
2023Q392121.52.160.060.831.271.980.0%
2023Q291126.82.050.050.621.371.890.0%
2023Q190124.11.850.060.581.211.670.0%
2022Q492130.91.790.070.541.181.660.0%
2022Q392131.81.770.070.561.141.610.0%
2022Q291120.61.850.090.601.171.680.0%
2022Q190119.72.130.060.911.161.861.0%
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

4
fines by year
$42.8k$21.4k232425
DateTypeFineSource
2025-10-27Fine$26,685CMS provider data
2025-08-21Fine$16,149CMS provider data
2023-12-14Fine$10,036CMS provider data
2023-07-17Fine$27,262CMS provider data
Total fines on record: $80,132

Deficiencies

59
D × 37E × 10F × 6G × 1J × 4L × 1
deficiencies by survey year
291522232425
SurveyTypeTagDeficiencyScopeCorrected
2025-12-01Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-12-03
2025-12-01Health · complaintF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.D2025-12-03
2025-12-01Health · complaintF0760Ensure that residents are free from significant medication errors.D2025-12-03
2025-12-01Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-12-03
2025-10-27Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-11-10
2025-10-27Health · 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.D2025-11-10
2025-10-27Health · complaintF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.J2025-10-17
2025-10-27Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-11-10
2025-08-21Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-08-22
2025-08-21Health · complaintF0610Respond appropriately to all alleged violations.D2025-08-22
2025-08-21Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2025-08-22
2025-08-21Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2025-08-22
2025-03-06HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2025-03-07
2025-03-06Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-03-07
2025-03-06HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-03-07
2025-03-06HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-03-07
2025-03-06HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2025-03-07
2025-03-06HealthF0761Ensure 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.D2025-03-07
2025-03-06HealthF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.D2025-03-31
2025-03-06HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-04-03
2025-03-06HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-03-07
2025-03-06HealthF0880Provide and implement an infection prevention and control program.E2025-03-07
2025-03-06HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D2025-03-13
2025-03-06HealthF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F2025-03-25
2025-02-06Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-02-07
2025-02-06Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.D2025-02-07
2025-02-06Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2025-02-07
2025-01-16Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-01-20
2025-01-16Health · 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.D2025-01-20
2024-09-06Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2024-09-27
2024-09-06Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D2024-09-27
2024-06-30Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2024-07-25
2024-06-07Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E2024-07-22
2023-12-23Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-12-24
2023-12-23Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2023-12-23
2023-12-14HealthF0558Reasonably accommodate the needs and preferences of each resident.E2023-12-15
2023-12-14HealthF0584Honor 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.E2024-01-28
2023-12-14Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-12-15
2023-12-14Health · complaintF0759Ensure medication error rates are not 5 percent or greater.D2023-12-15
2023-12-14Health · complaintF0760Ensure that residents are free from significant medication errors.D2023-12-15
2023-12-14Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-01-22
2023-12-14Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2023-12-15
2023-12-14Health · complaintF0908Keep all essential equipment working safely.F2024-01-22
2023-11-26Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-12-20
2023-10-06Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2023-10-07
2023-09-29Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-09-30
2023-09-29Health · complaintF0908Keep all essential equipment working safely.D2023-09-30
2023-07-17Health · 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.L2023-07-18
2023-07-17Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-07-18
2023-07-17Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2023-07-18
2023-07-17Health · complaintF0926Have policies on smoking.D2023-07-18
2022-09-14HealthF0583Keep residents' personal and medical records private and confidential.D2022-10-12
2022-09-14HealthF0584Honor 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.E2022-10-12
2022-09-14HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2022-10-12
2022-09-14HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2022-10-12
2022-09-14HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E2022-10-12
2022-09-14HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2022-10-12
2022-09-14HealthF0922Have enough backup water supply for essential areas of the nursing home.F2022-10-12
2022-09-14HealthF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E2022-10-12
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

18
OwnerRolePctFromStatusSource
BOOKER HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTEREST100%2021-11-01currentpecos_ownership
BILLY SCHINDELE 2020 IRRV TRADP OF THE SNF—2021-11-01currentpecos_ownership
BOOKER HOSPITAL DISTRICT——2024-11-01currenttx_hhsc_directory
BYERS, RONALDADP OF THE SNF—2023-07-31currentpecos_ownership
HOOVER, SHAWNCORPORATE DIRECTOR—2021-11-01currentpecos_ownership
NOWOTNY, STEVENADP OF THE SNF—2024-12-01currentpecos_ownership
SAN RAFAEL LEASING LLCADP OF THE SNF—2021-11-01currentpecos_ownership
SAN RAFAEL LTC INC——2024-11-01currenttx_hhsc_directory
SAN RAFAEL OPERATIONS INC.OPERATIONAL/MANAGERIAL CONTROL—2021-11-01currentpecos_ownership
SCHINDELE, WILLIAMOPERATIONAL/MANAGERIAL CONTROL—2021-11-01currentpecos_ownership
SHERRY SCHINDELE IRRV TRADP OF THE SNF—2021-11-01currentpecos_ownership
TRIDENT LTC, INC.ADP OF THE SNF—2021-11-01currentpecos_ownership
TRIDENT ONE LEASING LLCADP OF THE SNF—2021-11-01currentpecos_ownership
HAC CARE XXIIIIndividual has financial interest in both related organization and provider100%2020-01-01ended 2020-06-30hcris_a_8_1
WILLIAM SCHINDELEOPERATIONAL/MANAGERIAL CONTROL100%2021-11-01ended 2026-05-18pecos_ownership
RONALD BYERSADP OF THE SNF—2023-07-31ended 2026-05-18pecos_ownership
SHAWN HOOVERCORPORATE DIRECTOR—2021-11-01ended 2026-05-18pecos_ownership
STEVEN NOWOTNYADP OF THE SNF—2024-12-01ended 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
2021-11-01—BOOKER HOSPITAL DISTRICTSAN RAFAEL OPERATIONS INC.chow

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

35
GeoKindBRAmountAs ofSource
county 48355acs median gross0$9932024-12-31CENSUS_ACS5
county 48355fmr0$1,0312025-10-01HUD_USER_FMR
county 48355acs median gross1$1,0852024-12-31CENSUS_ACS5
county 48355fmr1$1,1172025-10-01HUD_USER_FMR
county 48355acs median gross2$1,3162024-12-31CENSUS_ACS5
county 48355fmr2$1,3662025-10-01HUD_USER_FMR
county 48355acs median gross3$1,5762024-12-31CENSUS_ACS5
county 48355fmr3$1,7962025-10-01HUD_USER_FMR
county 48355acs median gross4$1,8452024-12-31CENSUS_ACS5
county 48355fmr4$2,0542025-10-01HUD_USER_FMR
county 48355acs median gross5$1,7642024-12-31CENSUS_ACS5
county 48355acs median gross$1,2832024-12-31CENSUS_ACS5
county 48355acs recent mover gross$1,4082024-12-31CENSUS_ACS5
zcta 78415acs median gross0$7452024-12-31CENSUS_ACS5
zcta 78415acs median gross1$9672024-12-31CENSUS_ACS5
zcta 78415acs median gross2$1,2122024-12-31CENSUS_ACS5
zcta 78415acs median gross3$1,5822024-12-31CENSUS_ACS5
zcta 78415acs median gross4$1,8752024-12-31CENSUS_ACS5
zcta 78415acs median gross$1,2122024-12-31CENSUS_ACS5
zcta 78415acs recent mover gross$1,3232024-12-31CENSUS_ACS5
zip 78415payment standard 1100$1,1332025-10-01HUD_USER_SAFMR
zip 78415payment standard 900$9272025-10-01HUD_USER_SAFMR
zip 78415safmr0$1,0302025-10-01HUD_USER_SAFMR
zip 78415payment standard 1101$1,2212025-10-01HUD_USER_SAFMR
zip 78415payment standard 901$9992025-10-01HUD_USER_SAFMR
zip 78415safmr1$1,1102025-10-01HUD_USER_SAFMR
zip 78415payment standard 1102$1,4962025-10-01HUD_USER_SAFMR
zip 78415payment standard 902$1,2242025-10-01HUD_USER_SAFMR
zip 78415safmr2$1,3602025-10-01HUD_USER_SAFMR
zip 78415payment standard 1103$1,9692025-10-01HUD_USER_SAFMR
zip 78415payment standard 903$1,6112025-10-01HUD_USER_SAFMR
zip 78415safmr3$1,7902025-10-01HUD_USER_SAFMR
zip 78415payment standard 1104$2,2442025-10-01HUD_USER_SAFMR
zip 78415payment standard 904$1,8362025-10-01HUD_USER_SAFMR
zip 78415safmr4$2,0402025-10-01HUD_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 · San Rafael Nursing and Rehabiliation (675717) · generated 2026-08-05 · 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