Composite
74.8 / 100 percentile
Screener / 675169
C
AVIR AT FREDERICKSBURG
snfTX
1117 S ADAMS ST, FREDERICKSBURG, TX 78624 · CCN 675169 · chain VAL VERDE COUNTY HOSPITAL DISTRICT
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
0
Model
v1.2
Reads as: riskier than 74.8% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model7ML signals9Components19CHOW radar1Distress radar1Staffing16Penalties0Deficiencies46Licensure0Ownership22Related party4Transactions1Comps12Market rent32
Composite explanation
7| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 81.9 | 54.2 | 0.30 | 0.1875 | 15.36 | in index |
| staffing risk | 90.7 | 90.7 | 0.25 | 0.1563 | 14.17 | in index |
| financial risk | 65.6 | 56.1 | 0.30 | 0.1875 | 12.30 | in index |
| regulatory risk | 52.2 | 41.7 | 0.30 | 0.1875 | 9.79 | in index |
| chow risk | 46.3 | 48.8 | 0.15 | 0.0938 | 4.34 | in index |
| state reg risk | 11.2 | 1.5 | 0.30 | 0.1875 | 2.10 | in index |
| ownership opacity | 28.7 | 51.6 | 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
9| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 35 chains | WELLTOWER INC | 135 facilities |
| connection | Owner spans multiple chains | 33 chains | WELLTOWER OP LLC | 147 facilities |
| connection | Owner spans multiple chains | 28 chains | FREUND NOCHUM | 109 facilities |
| connection | Owner spans multiple chains | 28 chains | TRAVITSKY AARON | 106 facilities |
| connection | Owner spans multiple chains | 27 chains | DAGAN AMITAI | 101 facilities |
| connection | Owner spans multiple chains | 27 chains | GOLDBERGER ABRAHAM | 100 facilities |
| connection | Owner spans multiple chains | 27 chains | WELLTOWER NNN GROUP LLC | 102 facilities |
| connection | Owner fleet risk far above national | +20.0 vs natl | TRAVITSKY AARON | 153 facilities |
| connection | Owner fleet enforcement cluster | 46% fined | WELLTOWER NNN GROUP LLC | 111 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
19| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 54.2 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.5 | A | 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 | 51.0 | C | v0.1-txhhsc | default · in composite | Texas licence reissue timing as an ownership-transfer proxy. |
| chow risk | 70.5 | D | v0.6 | default · in composite | |
| financial risk | 56.1 | C | v0.5 | default · in composite | R18. |
| ownership opacity | 51.3 | 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 | 0.5 | — | 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 | 0.2 | — | 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 | 41.7 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 90.7 | 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 | 1.5 | A | v0.5 | default · in composite | |
| financial risk | 96.0 | 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 | 76.0 | 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 | 41.0 | 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 | 61.7 | C | 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 | 41.6 | B | 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 | 41.6 | B | 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 | 90.7 | 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 | 90.7 | 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)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
43.2
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) | 5.74 | -1.29 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.47 | +0.65 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Contract staffing share | 0.33 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 1.00 | -0.15 |
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)
0.5%
model v0.1 · computed 2026-07-29
Percentile among SNFs
75.8
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 | 1.00 | +1.24 | |
| Occupancy | 0.47 | +1.16 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 2.51 | +0.30 | |
| Never sold on record | 0.00 | -0.28 | |
| Contract staffing share | 0.33 | +0.28 | |
| Chain size (log) | 1.61 | +0.26 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | TX median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.51 | 2.67 | 3.28 | 2.90–3.77 |
| RN | 0.39 | 0.24 | 0.39 | 0.25–0.58 |
| Weekend total | 2.63 | 2.56 | 3.11 | — |
| Weekday total | 2.46 | 2.72 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 42.5 | 2.51 | 0.39 | 0.67 | 1.45 | 2.63 | 33.1% |
| 2025Q3 | 92 | 37.0 | 2.60 | 0.49 | 0.70 | 1.40 | 2.73 | 0.0% |
| 2025Q2 | 91 | 29.5 | 2.59 | 0.24 | 0.82 | 1.52 | 2.62 | 26.1% |
| 2025Q1 | 90 | 29.2 | 3.03 | 0.58 | 0.76 | 1.70 | 3.12 | 51.4% |
| 2024Q4 | 92 | 29.6 | 2.95 | 0.17 | 1.00 | 1.78 | 3.03 | 52.2% |
| 2024Q3 | 92 | 29.4 | 3.22 | 0.34 | 0.95 | 1.93 | 3.12 | 58.3% |
| 2024Q2 | 91 | 31.7 | 2.94 | 0.21 | 1.12 | 1.61 | 2.73 | 45.4% |
| 2024Q1 | 91 | 31.3 | 2.72 | 0.07 | 1.03 | 1.61 | 2.57 | 42.1% |
| 2023Q4 | 92 | 32.3 | 2.49 | 0.17 | 0.90 | 1.42 | 2.28 | 25.7% |
| 2023Q3 | 92 | 30.8 | 2.68 | 0.08 | 1.31 | 1.28 | 2.56 | 17.9% |
| 2023Q2 | 91 | 30.1 | 2.09 | 0.12 | 1.07 | 0.90 | 1.51 | 0.3% |
| 2023Q1 | 90 | 33.6 | 1.80 | 0.05 | 0.64 | 1.11 | 1.36 | 12.3% |
| 2022Q4 | 92 | 36.5 | 1.94 | 0.22 | 0.76 | 0.96 | 1.72 | 4.3% |
| 2022Q3 | 92 | 37.6 | 2.23 | 0.24 | 0.84 | 1.15 | 2.06 | 6.6% |
| 2022Q2 | 91 | 41.4 | 2.27 | 0.19 | 0.95 | 1.12 | 1.99 | 21.8% |
| 2022Q1 | 90 | 41.6 | 2.24 | 0.19 | 1.15 | 0.89 | 2.14 | 22.9% |
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
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
46B × 3D × 21E × 21J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-04 | 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 | 2025-12-05 |
| 2025-06-20 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-06-29 |
| 2025-06-20 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | 2025-06-29 |
| 2025-06-20 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-06-29 |
| 2025-06-20 | 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 | 2025-06-29 |
| 2025-06-20 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-06-29 |
| 2025-06-20 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2025-06-29 |
| 2025-06-20 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-06-29 |
| 2025-06-20 | 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 | 2025-06-29 |
| 2025-06-20 | Health · complaint | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | 2025-06-29 |
| 2025-06-20 | Health | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | 2025-06-29 |
| 2025-06-20 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-06-29 |
| 2025-06-20 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-06-29 |
| 2025-06-20 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-06-29 |
| 2025-06-20 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | 2025-06-29 |
| 2024-05-17 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-06-17 |
| 2024-05-17 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-06-17 |
| 2024-05-17 | 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 | 2024-06-17 |
| 2024-05-17 | 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. | E | 2024-06-17 |
| 2024-05-17 | Health | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2024-06-07 |
| 2024-05-17 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-06-17 |
| 2024-05-17 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2024-06-17 |
| 2024-05-17 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2024-06-17 |
| 2024-05-17 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-06-17 |
| 2024-05-17 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-06-17 |
| 2024-05-17 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | 2024-06-17 |
| 2024-05-17 | 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 | 2024-06-17 |
| 2024-05-17 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2024-06-17 |
| 2024-05-17 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | 2024-06-17 |
| 2024-05-17 | Health | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | 2024-06-17 |
| 2024-05-17 | Health | F0814 | Dispose of garbage and refuse properly. | E | 2024-06-17 |
| 2024-05-17 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-06-17 |
| 2024-05-17 | Health | F0908 | Keep all essential equipment working safely. | E | 2024-06-17 |
| 2024-05-17 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | 2024-06-17 |
| 2024-03-07 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-03-08 |
| 2023-03-26 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-04-14 |
| 2023-03-26 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-04-14 |
| 2023-03-26 | 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 | 2023-04-14 |
| 2023-03-26 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2023-04-14 |
| 2023-03-26 | 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. | E | 2023-04-14 |
| 2023-03-26 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | 2023-04-14 |
| 2023-03-26 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | 2023-04-14 |
| 2023-03-26 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-04-14 |
| 2023-03-26 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-04-14 |
| 2023-03-26 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | 2023-04-14 |
| 2023-03-26 | Health | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | 2023-04-14 |
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
22| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| VAL VERDE COUNTY HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2020-11-01 | current | pecos_ownership |
| 1117 S ADAMS STREET OPCO LLC | — | — | 2025-03-12 | current | tx_hhsc_directory |
| 1117 S ADAMS STREET OPCO, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-01 | current | pecos_ownership |
| 1117 S ADAMS STREET PROPERTY OWNER, LLC | ADP OF THE SNF | — | 2025-03-01 | current | pecos_ownership |
| DAGAN, AMITAI | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-04-16 | current | pecos_ownership |
| DENNIS, WANDA | ADP OF THE SNF | — | 2025-03-01 | current | pecos_ownership |
| FREUND, NOCHUM | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-01 | current | pecos_ownership |
| GOLDBERGER, ABRAHAM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-04-16 | current | pecos_ownership |
| JURADO, JORGE | CORPORATE OFFICER | — | 2022-06-01 | current | pecos_ownership |
| KOTHMANN, JOHN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-01 | current | pecos_ownership |
| KOTHMANN, JOHN | ADP OF THE SNF | — | 2025-04-16 | current | pecos_ownership |
| TRAVITSKY, AARON | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-01 | current | pecos_ownership |
| VAL VERDE COUNTY HOSPITAL DISTRICT | — | — | 2025-03-12 | current | tx_hhsc_directory |
| WELLTOWER INC | ADP OF THE SNF | — | 2025-03-01 | current | pecos_ownership |
| WELLTOWER NNN GROUP, LLC | ADP OF THE SNF | — | 2025-03-01 | current | pecos_ownership |
| WELLTOWER OP, LLC | ADP OF THE SNF | — | 2025-03-01 | current | pecos_ownership |
| JORGE JURADO | CORPORATE OFFICER | 0% | 2022-06-01 | ended 2026-05-18 | pecos_ownership |
| AARON TRAVITSKY | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-01 | ended 2026-05-18 | pecos_ownership |
| JOHN KOTHMANN | ADP OF THE SNF | — | 2025-04-16 | ended 2026-05-18 | pecos_ownership |
| JOHN KOTHMANN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-01 | ended 2026-05-18 | pecos_ownership |
| NOCHUM FREUND | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-01 | ended 2026-05-18 | pecos_ownership |
| WANDA DENNIS | ADP OF THE SNF | — | 2025-03-01 | 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.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2020-11-01 | — | VAL VERDE COUNTY HOSPITAL DISTRICT | FREDERICKSBURG 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
32| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48171 | fmr | 0 | $1,089 | 2025-10-01 | HUD_USER_FMR |
| county 48171 | acs median gross | 1 | $1,033 | 2024-12-31 | CENSUS_ACS5 |
| county 48171 | fmr | 1 | $1,096 | 2025-10-01 | HUD_USER_FMR |
| county 48171 | acs median gross | 2 | $1,381 | 2024-12-31 | CENSUS_ACS5 |
| county 48171 | fmr | 2 | $1,438 | 2025-10-01 | HUD_USER_FMR |
| county 48171 | acs median gross | 3 | $1,428 | 2024-12-31 | CENSUS_ACS5 |
| county 48171 | fmr | 3 | $1,806 | 2025-10-01 | HUD_USER_FMR |
| county 48171 | acs median gross | 4 | $1,775 | 2024-12-31 | CENSUS_ACS5 |
| county 48171 | fmr | 4 | $2,116 | 2025-10-01 | HUD_USER_FMR |
| county 48171 | acs median gross | $1,340 | 2024-12-31 | CENSUS_ACS5 | |
| county 48171 | acs recent mover gross | $1,492 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 78624 | acs median gross | 1 | $1,033 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78624 | acs median gross | 2 | $1,382 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78624 | acs median gross | 3 | $1,454 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78624 | acs median gross | 4 | $1,114 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78624 | acs median gross | $1,342 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 78624 | acs recent mover gross | $1,492 | 2024-12-31 | CENSUS_ACS5 | |
| zip 78624 | payment standard 110 | 0 | $1,276 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78624 | payment standard 90 | 0 | $1,044 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78624 | safmr | 0 | $1,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78624 | payment standard 110 | 1 | $1,397 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78624 | payment standard 90 | 1 | $1,143 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78624 | safmr | 1 | $1,270 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78624 | payment standard 110 | 2 | $1,716 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78624 | payment standard 90 | 2 | $1,404 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78624 | safmr | 2 | $1,560 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78624 | payment standard 110 | 3 | $2,266 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78624 | payment standard 90 | 3 | $1,854 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78624 | safmr | 3 | $2,060 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78624 | payment standard 110 | 4 | $2,343 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78624 | payment standard 90 | 4 | $1,917 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78624 | safmr | 4 | $2,130 | 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.