7304 GOOD SAMARITAN COURT, EL PASO, TX 79912 · CCN 675025 · chain FRIO HOSPITAL DISTRICT
Composite
95.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
0
Model
v1.2
Reads as: riskier than 95.2% 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.
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
18
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+33.9 vs natl
STERNSHEIN JENNIFER
49 facilities
connection
Owner fleet risk far above national
+33.8 vs natl
HAGINS ELIZABETH
52 facilities
connection
Owner fleet risk far above national
+32.5 vs natl
ZIMMERMAN CAROLINE
35 facilities
connection
Owner fleet risk far above national
+32.4 vs natl
GIBRALTAR TRUST
28 facilities
connection
Owner fleet risk far above national
+32.1 vs natl
GARETZ DAVID
66 facilities
connection
Owner fleet risk far above national
+30.0 vs natl
KAPLAN MORDECHAI
38 facilities
connection
Owner fleet risk far above national
+28.3 vs natl
MONTGOMERY SKY TRUST
17 facilities
connection
Owner fleet risk far above national
+27.6 vs natl
RUFF MICHAEL
23 facilities
connection
Owner fleet risk far above national
+27.5 vs natl
FRIO HOSPITAL DISTRICT
22 facilities
connection
Owner spans multiple chains
12 chains
GARETZ DAVID
61 facilities
connection
Owner spans multiple chains
11 chains
HAGINS ELIZABETH
48 facilities
connection
Owner spans multiple chains
10 chains
STERNSHEIN JENNIFER
44 facilities
connection
Owner spans multiple chains
9 chains
KAPLAN MORDECHAI
37 facilities
connection
Owner spans multiple chains
8 chains
GIBRALTAR TRUST
26 facilities
connection
Owner spans multiple chains
6 chains
ZIMMERMAN CAROLINE
33 facilities
connection
Owner spans multiple chains
4 chains
MONTGOMERY SKY TRUST
16 facilities
connection
Owner fleet enforcement cluster
59% fined
FRIO HOSPITAL DISTRICT
22 facilities
connection
Owner fleet enforcement cluster
56% fined
RUFF MICHAEL
23 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
2.88
2.67
3.28
2.90–3.77
RN
0.40
0.24
0.39
0.25–0.58
Weekend total
2.77
2.56
3.11
—
Weekday total
2.92
2.72
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
71.0
2.88
0.40
0.72
1.77
2.77
0.0%
2025Q3
92
69.8
2.92
0.33
0.77
1.82
2.73
0.0%
2025Q2
91
64.0
2.94
0.38
0.77
1.79
2.74
0.0%
2025Q1
90
56.5
3.06
0.40
0.87
1.79
3.04
0.0%
2024Q4
92
56.2
3.31
0.43
1.01
1.87
3.40
0.0%
2024Q3
92
58.1
3.26
0.38
1.06
1.83
3.29
0.3%
2024Q2
91
58.6
3.13
0.38
1.00
1.75
3.18
0.0%
2024Q1
91
63.9
2.75
0.30
0.89
1.56
2.66
0.0%
2023Q4
92
61.4
2.94
0.35
0.84
1.76
3.05
0.1%
2023Q3
92
52.2
2.84
0.28
0.86
1.70
2.95
0.1%
2023Q2
91
49.3
2.69
0.22
0.84
1.63
2.92
0.1%
2023Q1
90
50.7
2.76
0.42
0.72
1.61
2.89
0.2%
2022Q4
92
51.7
2.81
0.41
0.83
1.56
2.93
0.3%
2022Q3
92
48.2
2.97
0.34
0.89
1.74
3.10
1.5%
2022Q2
91
47.5
3.12
0.30
1.04
1.78
3.15
1.5%
2022Q1
90
47.0
3.02
0.23
1.12
1.67
3.00
0.0%
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.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
E
2025-11-17
2025-08-18
Health · complaint
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
2025-08-19
2025-08-18
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-08-19
2025-08-18
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-08-19
2025-03-13
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
E
2025-04-11
2025-01-08
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
2025-01-09
2024-10-16
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2024-11-15
2024-10-16
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-11-15
2024-10-16
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-11-15
2024-10-16
Health
F0941
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
E
2024-11-15
2024-10-16
Health
F0943
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
E
2024-11-15
2024-09-27
Health · complaint
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2024-10-14
2024-09-27
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-10-14
2024-03-15
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-04-18
2024-03-15
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2024-04-18
2024-03-15
Health · complaint
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
2024-04-18
2024-03-15
Health · complaint
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2024-04-18
2024-03-15
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-04-18
2023-08-24
Health · complaint
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2023-09-21
2023-08-24
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2023-09-21
2023-08-24
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-09-21
2023-08-24
Health
F0694
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
D
2023-09-21
2023-08-24
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2023-09-21
2023-08-24
Health
F0760
Ensure that residents are free from significant medication errors.
D
2023-09-21
2023-08-24
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2023-09-21
2023-08-24
Health
F0814
Dispose of garbage and refuse properly.
E
2023-09-21
2023-08-24
Health
F0880
Provide and implement an infection prevention and control program.
E
2023-09-21
2022-07-08
Health
F0810
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
D
2022-08-12
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
22
Owner
Role
Pct
From
Status
Source
FRIO HOSPITAL DISTRICT
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-11-01
current
pecos_ownership
7304 GOOD SAMARITAN CT TX, LLC
5% OR GREATER MORTGAGE INTEREST
—
2024-11-01
current
pecos_ownership
FRIO HOSPITAL DISTRICT
—
—
2024-11-01
current
tx_hhsc_directory
GARETZ, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
GIBRALTAR TRUST
5% OR GREATER MORTGAGE INTEREST
—
2024-11-01
current
pecos_ownership
HAGINS, ELIZABETH
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-02-25
current
pecos_ownership
HAZBOUN, RAMSEY
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
JSE 97 HOLDINGS, LLC
5% OR GREATER MORTGAGE INTEREST
—
2024-11-01
current
pecos_ownership
KAPLAN, MORDECHAI
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-02-25
current
pecos_ownership
MONTGOMERY SKY TRUST
ADP OF THE SNF
—
2024-11-01
current
pecos_ownership
PINYON REALTY, LLC
5% OR GREATER MORTGAGE INTEREST
—
2024-11-01
current
pecos_ownership
RUFF, MICHAEL
CORPORATE OFFICER
—
2024-11-01
current
pecos_ownership
STERNSHEIN, JENNIFER
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-02-25
current
pecos_ownership
STROHMYER, BRINTON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
WHITE ACRES WELLNESS & REHABILITATION, LLC
ADP OF THE SNF
—
2025-03-11
current
pecos_ownership
WHITE ACRES WELLNESS & REHABILITATION, LLC
—
—
2024-11-01
current
tx_hhsc_directory
WHITE ACRES WELLNESS & REHABILITATION, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
current
pecos_ownership
ZIMMERMAN, CAROLINE
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-02-25
current
pecos_ownership
MICHAEL RUFF
CORPORATE OFFICER
0%
2024-11-01
ended 2026-05-18
pecos_ownership
BRINTON STROHMYER
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
DAVID GARETZ
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
ended 2026-05-18
pecos_ownership
RAMSEY HAZBOUN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-11-01
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.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-10-31
$1,799,550
—
—
—
$16,336
2
—
2023-12-31
$1,722,646
—
—
—
$2,683
2
—
2022-12-31
$1,625,116
—
—
—
$12,250
2
—
2021-12-31
$1,674,171
—
—
—
$26,597
2
—
2020-12-31
$1,993,003
—
—
—
$15,284
1
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
36
Geo
Kind
BR
Amount
As of
Source
county 48141
acs median gross
0
$725
2024-12-31
CENSUS_ACS5
county 48141
fmr
0
$821
2025-10-01
HUD_USER_FMR
county 48141
acs median gross
1
$852
2024-12-31
CENSUS_ACS5
county 48141
fmr
1
$1,013
2025-10-01
HUD_USER_FMR
county 48141
acs median gross
2
$1,030
2024-12-31
CENSUS_ACS5
county 48141
fmr
2
$1,191
2025-10-01
HUD_USER_FMR
county 48141
acs median gross
3
$1,287
2024-12-31
CENSUS_ACS5
county 48141
fmr
3
$1,633
2025-10-01
HUD_USER_FMR
county 48141
acs median gross
4
$1,596
2024-12-31
CENSUS_ACS5
county 48141
fmr
4
$1,998
2025-10-01
HUD_USER_FMR
county 48141
acs median gross
5
$1,405
2024-12-31
CENSUS_ACS5
county 48141
acs median gross
$1,079
2024-12-31
CENSUS_ACS5
county 48141
acs recent mover gross
$1,188
2024-12-31
CENSUS_ACS5
zcta 79912
acs median gross
0
$907
2024-12-31
CENSUS_ACS5
zcta 79912
acs median gross
1
$1,052
2024-12-31
CENSUS_ACS5
zcta 79912
acs median gross
2
$1,230
2024-12-31
CENSUS_ACS5
zcta 79912
acs median gross
3
$1,542
2024-12-31
CENSUS_ACS5
zcta 79912
acs median gross
4
$1,936
2024-12-31
CENSUS_ACS5
zcta 79912
acs median gross
5
$2,129
2024-12-31
CENSUS_ACS5
zcta 79912
acs median gross
$1,238
2024-12-31
CENSUS_ACS5
zcta 79912
acs recent mover gross
$1,291
2024-12-31
CENSUS_ACS5
zip 79912
payment standard 110
0
$1,089
2025-10-01
HUD_USER_SAFMR
zip 79912
payment standard 90
0
$891
2025-10-01
HUD_USER_SAFMR
zip 79912
safmr
0
$990
2025-10-01
HUD_USER_SAFMR
zip 79912
payment standard 110
1
$1,342
2025-10-01
HUD_USER_SAFMR
zip 79912
payment standard 90
1
$1,098
2025-10-01
HUD_USER_SAFMR
zip 79912
safmr
1
$1,220
2025-10-01
HUD_USER_SAFMR
zip 79912
payment standard 110
2
$1,573
2025-10-01
HUD_USER_SAFMR
zip 79912
payment standard 90
2
$1,287
2025-10-01
HUD_USER_SAFMR
zip 79912
safmr
2
$1,430
2025-10-01
HUD_USER_SAFMR
zip 79912
payment standard 110
3
$2,156
2025-10-01
HUD_USER_SAFMR
zip 79912
payment standard 90
3
$1,764
2025-10-01
HUD_USER_SAFMR
zip 79912
safmr
3
$1,960
2025-10-01
HUD_USER_SAFMR
zip 79912
payment standard 110
4
$2,640
2025-10-01
HUD_USER_SAFMR
zip 79912
payment standard 90
4
$2,160
2025-10-01
HUD_USER_SAFMR
zip 79912
safmr
4
$2,400
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.