Composite
79.1 / 100 percentile
Screener / 675801
C
GILMER NURSING AND REHABILITATION
snfTX
703 TITUS STREET, GILMER, TX 75644 · CCN 675801 · chain HONOR X ENTERPRISES LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
0
Model
v1.2
Reads as: riskier than 79.1% 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 signals10Components20CHOW radar1Distress radar1Staffing16Penalties4Deficiencies62Licensure0Ownership10Related party1Transactions1Comps12Market rent31
Composite explanation
8| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 99.0 | 98.3 | 0.30 | 0.1714 | 16.97 | in index |
| staffing risk | 81.1 | 81.1 | 0.25 | 0.1429 | 11.59 | in index |
| state reg risk | 63.7 | 15.0 | 0.30 | 0.1714 | 10.92 | in index |
| billing conduct | 46.9 | 38.1 | 0.30 | 0.1714 | 8.04 | in index |
| financial risk | 32.5 | 35.3 | 0.30 | 0.1714 | 5.57 | in index |
| chow risk | 50.8 | 47.7 | 0.15 | 0.0857 | 4.35 | in index |
| lease risk | 30.1 | 46.8 | 0.15 | 0.0857 | 2.58 | in index |
| ownership opacity | 52.1 | 55.0 | 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
10| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +23.5 vs natl | HUGGINS LINDA | 139 facilities |
| connection | Owner fleet risk far above national | +23.4 vs natl | BLAKE GARY | 137 facilities |
| connection | Owner fleet risk far above national | +23.4 vs natl | BLAKE MALISA | 137 facilities |
| connection | Owner spans multiple chains | 13 chains | BLAKE MALISA | 137 facilities |
| connection | Owner spans multiple chains | 13 chains | HUGGINS LINDA | 139 facilities |
| connection | Owner spans multiple chains | 13 chains | BLAKE GARY | 137 facilities |
| connection | Owner fleet enforcement cluster | 56% fined | CREATIVE SOLUTIONS IN HEALTHCARE INC | 45 facilities |
| connection | Owner fleet enforcement cluster | 49% fined | BLAKE GARY | 137 facilities |
| connection | Owner fleet enforcement cluster | 49% fined | BLAKE MALISA | 137 facilities |
| connection | Owner fleet enforcement cluster | 48% fined | HUGGINS LINDA | 139 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 | 38.1 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | 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 | 66.8 | D | v0.1-txhhsc | default · in composite | Texas licence reissue timing as an ownership-transfer proxy. |
| chow risk | 50.7 | C | v0.6 | default · in composite | |
| financial risk | 35.3 | B | v0.5 | default · in composite | R18. |
| lease risk | 46.8 | C | v0.5 | default · in composite | |
| ownership opacity | 55.0 | C | 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 | 0.3 | — | 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 | 98.3 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 81.1 | F | 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 | 87.9 | F | 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 | 67.9 | D | 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 | 30.7 | B | 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 | 41.3 | B | 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 | 98.3 | F | 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 | 98.3 | F | 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 | 81.1 | F | 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 | 81.1 | F | 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)
0.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
44.9
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) | 5.57 | -1.31 | |
| For-profit ownership | 1.00 | +0.69 | |
| Deficiencies, last 12 months | 25.00 | +0.44 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.78 | +0.40 | |
| Occupancy | 0.59 | +0.31 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 25.00 | -3.21 | |
| Chain size (log) | 3.78 | -1.00 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.59 | +0.66 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 5.57 | -0.21 | |
| Total nurse staffing (HPRD) | 2.77 | +0.19 |
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 HPRD | This facility | TX median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.77 | 2.67 | 3.28 | 2.90–3.77 |
| RN | 0.12 | 0.24 | 0.39 | 0.25–0.58 |
| Weekend total | 2.70 | 2.56 | 3.11 | — |
| Weekday total | 2.80 | 2.72 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 55.0 | 2.77 | 0.12 | 1.07 | 1.58 | 2.70 | 0.0% |
| 2025Q3 | 92 | 57.7 | 2.54 | 0.13 | 1.06 | 1.35 | 2.52 | 0.0% |
| 2025Q2 | 91 | 59.8 | 2.60 | 0.05 | 1.17 | 1.38 | 2.48 | 0.0% |
| 2025Q1 | 90 | 55.2 | 2.80 | 0.05 | 1.32 | 1.43 | 2.61 | 0.0% |
| 2024Q4 | 92 | 57.1 | 2.76 | 0.04 | 1.24 | 1.48 | 2.61 | 0.0% |
| 2024Q3 | 92 | 56.3 | 2.59 | 0.11 | 1.14 | 1.34 | 2.69 | 0.0% |
| 2024Q2 | 91 | 56.1 | 2.61 | 0.18 | 1.09 | 1.34 | 2.60 | 0.0% |
| 2024Q1 | 91 | 55.6 | 2.69 | 0.22 | 1.01 | 1.46 | 2.61 | 0.0% |
| 2023Q4 | 92 | 59.8 | 2.27 | 0.28 | 0.90 | 1.08 | 1.96 | 3.9% |
| 2023Q3 | 92 | 62.8 | 1.59 | 0.23 | 0.74 | 0.61 | 1.29 | 0.0% |
| 2023Q2 | 91 | 64.5 | 1.44 | 0.17 | 0.67 | 0.60 | 1.20 | 0.0% |
| 2023Q1 | 90 | 61.8 | 2.01 | 0.12 | 0.94 | 0.95 | 1.84 | 8.7% |
| 2022Q4 | 92 | 55.8 | 2.18 | 0.21 | 0.94 | 1.03 | 2.04 | 13.8% |
| 2022Q3 | 92 | 50.8 | 2.76 | 0.25 | 0.98 | 1.52 | 2.72 | 16.2% |
| 2022Q2 | 91 | 55.6 | 2.54 | 0.18 | 0.96 | 1.40 | 2.36 | 24.7% |
| 2022Q1 | 90 | 52.1 | 1.90 | 0.18 | 0.71 | 1.01 | 1.53 | 3.4% |
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
4fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-08-01 | Fine | $17,068 | CMS provider data |
| 2023-10-04 | Fine | $151,711 | CMS provider data |
| 2023-10-04 | Payment Denial | — | CMS provider data |
| 2023-08-10 | Fine | $49,274 | CMS provider data |
Total fines on record: $218,053
Deficiencies
62C × 1D × 37E × 12F × 3H × 2J × 4K × 2L × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-13 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2026-03-14 |
| 2026-03-13 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2026-03-14 |
| 2026-03-13 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2026-03-14 |
| 2026-03-13 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2026-03-14 |
| 2026-03-13 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2026-03-14 |
| 2026-03-13 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2026-03-14 |
| 2026-03-13 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2026-03-14 |
| 2026-03-13 | 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 | 2026-03-14 |
| 2026-03-13 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-03-14 |
| 2026-03-13 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-03-14 |
| 2026-03-13 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-03-14 |
| 2026-03-13 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2026-03-14 |
| 2026-03-13 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2026-03-14 |
| 2026-03-13 | 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. | E | 2026-03-14 |
| 2026-03-13 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2026-03-14 |
| 2026-03-13 | Health | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | 2026-03-14 |
| 2026-03-13 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2026-03-14 |
| 2026-03-13 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | 2026-03-14 |
| 2026-03-13 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2026-03-14 |
| 2026-03-13 | Health | F0926 | Have policies on smoking. | D | 2026-03-14 |
| 2026-02-11 | Health · complaint | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2026-02-12 |
| 2026-02-11 | Health · complaint | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2026-02-12 |
| 2026-02-11 | 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 | 2026-02-12 |
| 2026-02-11 | Health · complaint | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2026-02-12 |
| 2026-02-11 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2026-02-12 |
| 2024-12-11 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-12-12 |
| 2024-12-11 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | 2024-12-12 |
| 2024-12-11 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-12-12 |
| 2024-12-11 | 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 | 2024-12-12 |
| 2024-12-11 | Health | F0727 | Have 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. | F | 2024-12-12 |
| 2024-12-11 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-12-12 |
| 2024-12-11 | Health | F0908 | Keep all essential equipment working safely. | D | 2024-12-12 |
| 2024-08-01 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2024-02-02 |
| 2023-11-02 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2023-11-26 |
| 2023-11-02 | Health | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2023-11-03 |
| 2023-11-02 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-11-26 |
| 2023-11-02 | 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 | 2023-11-25 |
| 2023-11-02 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2023-11-25 |
| 2023-11-02 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-11-03 |
| 2023-11-02 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-11-03 |
| 2023-11-02 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-11-03 |
| 2023-11-02 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-11-26 |
| 2023-11-02 | 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 | 2023-11-26 |
| 2023-11-02 | Health | F0758 | Implement 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. | E | 2023-11-26 |
| 2023-11-02 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-11-03 |
| 2023-11-02 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2023-11-03 |
| 2023-11-02 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | L | 2023-11-03 |
| 2023-10-04 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | 2023-11-15 |
| 2023-10-04 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | 2023-11-15 |
| 2023-10-04 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | H | 2023-11-15 |
| 2023-10-04 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | H | 2023-11-15 |
| 2023-10-04 | Health · complaint | F0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | F | 2023-11-15 |
| 2023-10-04 | Health · complaint | F0732 | Post nurse staffing information every day. | C | 2023-10-05 |
| 2023-10-04 | Health · complaint | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | 2023-10-05 |
| 2023-09-03 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-09-21 |
| 2023-09-03 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-09-21 |
| 2023-09-03 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2023-09-21 |
| 2023-08-10 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-08-11 |
| 2023-08-10 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | 2023-08-11 |
| 2023-08-10 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2023-08-11 |
| 2023-08-10 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | J | 2023-08-11 |
| 2023-08-10 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2023-08-11 |
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
10| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BLAKE, GARY | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-01-02 | current | pecos_ownership |
| BLAKE, MALISA | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-01-02 | current | pecos_ownership |
| CREATIVE SOLUTIONS IN HEALTHCARE INC | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-01-02 | current | pecos_ownership |
| CREATIVE SOLUTIONS IN HEALTHCARE, INC | — | — | 2025-01-01 | current | tx_hhsc_directory |
| GILMER I ENTERPRISES, LLC | — | — | 2025-01-01 | current | tx_hhsc_directory |
| HUGGINS, LINDA | W-2 MANAGING EMPLOYEE | — | 2021-01-02 | current | pecos_ownership |
| HONOR X ENTERPRISES, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-01-02 | ended 2026-05-18 | pecos_ownership |
| GARY BLAKE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2021-01-02 | ended 2026-05-18 | pecos_ownership |
| MALISA BLAKE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2021-01-02 | ended 2026-05-18 | pecos_ownership |
| LINDA HUGGINS | W-2 MANAGING EMPLOYEE | — | 2021-01-02 | 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 |
|---|---|---|---|---|
| 2021-01-01 | — | GILMER I ENTERPRISES, LLC | GILMER NURSING AND REHABILITATION LP | 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
31| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48459 | acs median gross | 0 | $836 | 2024-12-31 | CENSUS_ACS5 |
| county 48459 | fmr | 0 | $1,007 | 2025-10-01 | HUD_USER_FMR |
| county 48459 | acs median gross | 1 | $636 | 2024-12-31 | CENSUS_ACS5 |
| county 48459 | fmr | 1 | $1,013 | 2025-10-01 | HUD_USER_FMR |
| county 48459 | acs median gross | 2 | $971 | 2024-12-31 | CENSUS_ACS5 |
| county 48459 | fmr | 2 | $1,199 | 2025-10-01 | HUD_USER_FMR |
| county 48459 | acs median gross | 3 | $1,163 | 2024-12-31 | CENSUS_ACS5 |
| county 48459 | fmr | 3 | $1,606 | 2025-10-01 | HUD_USER_FMR |
| county 48459 | acs median gross | 4 | $1,668 | 2024-12-31 | CENSUS_ACS5 |
| county 48459 | fmr | 4 | $1,694 | 2025-10-01 | HUD_USER_FMR |
| county 48459 | acs median gross | $995 | 2024-12-31 | CENSUS_ACS5 | |
| county 48459 | acs recent mover gross | $1,632 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 75644 | acs median gross | 2 | $954 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75644 | acs median gross | 3 | $1,210 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75644 | acs median gross | $996 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 75644 | acs recent mover gross | $1,660 | 2024-12-31 | CENSUS_ACS5 | |
| zip 75644 | payment standard 110 | 0 | $1,034 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75644 | payment standard 90 | 0 | $846 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75644 | safmr | 0 | $940 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75644 | payment standard 110 | 1 | $1,045 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75644 | payment standard 90 | 1 | $855 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75644 | safmr | 1 | $950 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75644 | payment standard 110 | 2 | $1,232 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75644 | payment standard 90 | 2 | $1,008 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75644 | safmr | 2 | $1,120 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75644 | payment standard 110 | 3 | $1,650 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75644 | payment standard 90 | 3 | $1,350 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75644 | safmr | 3 | $1,500 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75644 | payment standard 110 | 4 | $1,738 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75644 | payment standard 90 | 4 | $1,422 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75644 | safmr | 4 | $1,580 | 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.