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 06:56 UTC
Screener / 455815
F

Fallbrook Rehabilitation and Care Center

snfTXSFF: SFF Candidate
10851 Crescent Moon Dr, Houston, TX 77064 · CCN 455815 · chain FRIO HOSPITAL DISTRICT
Composite
99.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
0
Model
v1.2
Reads as: riskier than 99.3% 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 signals6Components20CHOW radar1Distress radar1Staffing16Penalties4Deficiencies56Licensure0Ownership17Related party2Transactions1Comps12Market rent36

Composite explanation

8
ComponentPercentileRawWeightWeight shareContributionCounts
financial risk99.998.80.300.171417.13in index
regulatory risk94.592.50.300.171416.20in index
billing conduct73.149.20.300.171412.53in index
staffing risk84.284.20.250.142912.03in index
state reg risk53.312.00.300.17149.14in index
lease risk99.683.50.150.08578.54in index
chow risk64.156.50.150.08575.49in index
ownership opacity35.152.3excluded
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

6
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+27.6 vs natlRUFF MICHAEL23 facilities
connectionOwner fleet risk far above national+27.5 vs natlFRIO HOSPITAL DISTRICT22 facilities
connectionOwner fleet risk far above national+25.0 vs natlMILLER WILLIAM18 facilities
connectionBuyer assembling a chain (5+ takeovers/24mo)6 facilitiesFRIO HOSPITAL DISTRICT6 facilities
connectionOwner fleet enforcement cluster59% finedFRIO HOSPITAL DISTRICT22 facilities
connectionOwner fleet enforcement cluster56% finedRUFF MICHAEL23 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 conduct49.2Cv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk45.0Cv0.1-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 risk30.5Bv0.1-txhhscdefault · in compositeTexas licence reissue timing as an ownership-transfer proxy.
chow risk93.7Fv0.6default · in composite
financial risk98.8Fv0.5default · in compositeR18.
lease risk83.5Fv0.5default · in composite
ownership opacity52.2Cv0.1-txhhscdefault · in compositeTexas HHSC directory ownership structure: chain size, absentee owner, management company, entity form, owner closure history.
p adverse action 12m0.0—v0.1default · in compositeR23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m0.0—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 risk92.5Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk84.2Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
state reg risk12.0Av0.5default · in composite
financial risk98.0Fv0.1supersededPre-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 risk78.0Dv0.2supersededPre-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 risk78.9Dv0.3supersededPre-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 risk97.9Fv0.4supersededPre-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 risk92.4Fv0.1supersededPre-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 risk92.4Fv0.2supersededPre-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 risk84.2Fv0.1supersededPre-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 risk84.2Fv0.2supersededPre-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
7.0
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)2.49-1.60
For-profit ownership0.00-1.24
Occupancy0.31+1.13
Ownership changes, last 5 years1.00-0.87
No PBJ staffing report0.00+0.42
Chain size (log)3.26+0.29
High-severity deficiencies, 12m5.00+0.26
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
33.6
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Occupancy0.31+1.85
Deficiencies, last 12 months17.00-1.72
For-profit ownership0.00+1.62
Chain size (log)3.26-0.69
Fine amount, 12m (log)9.43-0.51
No PBJ staffing report0.00+0.39
High-severity deficiencies, 12m5.00-0.36
Never sold on record0.00-0.28
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 nurse2.712.673.282.90–3.77
RN0.400.240.390.25–0.58
Weekend total2.512.563.11—
Weekday total2.792.723.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49262.32.710.400.691.612.510.0%
2025Q39260.52.640.430.721.492.380.0%
2025Q29155.92.940.220.991.732.670.0%
2025Q19055.52.850.311.031.512.840.0%
2024Q49251.53.220.401.091.723.110.0%
2024Q39255.63.580.411.401.763.380.0%
2024Q29153.63.880.481.521.883.680.0%
2024Q19144.64.310.581.702.034.210.0%
2023Q49245.24.730.511.942.284.620.0%
2023Q39255.54.020.561.681.783.900.1%
2023Q29168.72.300.290.821.192.120.0%
2023Q19071.93.680.261.561.853.550.0%
2022Q49269.14.030.301.532.193.760.0%
2022Q39268.13.670.311.531.833.520.0%
2022Q29170.63.650.391.262.003.740.0%
2022Q19079.33.970.191.452.333.610.0%
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
$127.5k$63.7k23242526
DateTypeFineSource
2026-02-27Fine$12,460CMS provider data
2025-08-16Payment Denial—CMS provider data
2024-02-11Fine$46,008CMS provider data
2023-07-05Fine$127,471CMS provider data
Total fines on record: $185,939

Deficiencies

56
D × 32E × 13G × 2H × 2J × 4K × 3
deficiencies by survey year
21112223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-29Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2026-05-22
2026-04-29Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.G2026-05-22
2026-02-27Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2026-02-28
2026-02-27Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.K2026-02-28
2026-01-14Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-02-10
2026-01-14Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-02-10
2026-01-14Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2026-02-10
2026-01-05Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2026-01-07
2025-11-20Health · 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.E2025-12-03
2025-10-10Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-10-11
2025-10-10Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J2025-10-11
2025-09-08Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2025-09-16
2025-09-08Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2025-09-16
2025-09-08Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-09-16
2025-09-08Health · complaintF0880Provide and implement an infection prevention and control program.D2025-09-16
2025-09-08Health · complaintF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2025-09-16
2025-08-16Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J2025-09-17
2025-04-11HealthF0558Reasonably accommodate the needs and preferences of each resident.D2025-04-15
2025-04-11HealthF0583Keep residents' personal and medical records private and confidential.D2025-04-15
2025-04-11HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2025-04-15
2025-04-11HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-04-15
2025-04-11HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2025-04-15
2025-04-11HealthF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D2025-04-15
2025-04-11HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-04-15
2025-04-11HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-04-15
2025-04-11HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-04-15
2025-04-11HealthF0814Dispose of garbage and refuse properly.D2025-04-15
2025-04-11HealthF0880Provide and implement an infection prevention and control program.E2025-04-15
2025-04-02Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-04-04
2024-02-11Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2024-02-15
2024-02-11Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.H2024-02-15
2024-02-11Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.H2024-02-15
2024-02-11Health · complaintF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.E2024-02-15
2024-02-11Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2024-02-15
2024-02-11Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2024-02-15
2024-02-11Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-02-15
2024-02-11HealthF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D2024-02-15
2024-02-11Health · complaintF0880Provide and implement an infection prevention and control program.D2024-02-15
2023-08-18Health · complaintF0641Ensure each resident receives an accurate assessment.D2023-08-21
2023-08-18Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-08-21
2023-08-18Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2023-08-21
2023-08-18Health · complaintF0880Provide and implement an infection prevention and control program.D2023-08-21
2023-08-08Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.K2023-08-09
2023-07-05Health · complaintF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E2023-07-06
2023-07-05Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.K2023-07-06
2023-07-05Health · complaintF0880Provide and implement an infection prevention and control program.D2023-07-06
2023-07-05Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E2023-07-06
2022-12-16HealthF0584Honor 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.E2023-01-16
2022-12-16HealthF0641Ensure each resident receives an accurate assessment.D2023-01-16
2022-12-16HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2023-01-16
2022-12-16HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-01-16
2022-12-16HealthF0692Provide enough food/fluids to maintain a resident's health.G2023-01-16
2022-12-16HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2023-01-16
2022-12-16HealthF0759Ensure medication error rates are not 5 percent or greater.E2023-01-16
2022-12-16HealthF0761Ensure 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.E2023-01-16
2022-12-16HealthF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyD2023-01-16
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.

Licensure actions

0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Ownership

17
OwnerRolePctFromStatusSource
CRESCENT MOON DR CONSULTING LLCOPERATIONAL/MANAGERIAL CONTROL—2024-02-01currentpecos_ownership
CRESCENT MOON DR CONSULTING LLCADP OF THE SNF—2025-04-09currentpecos_ownership
CRESCENT MOON DR HEATHCARE LLC——2024-02-01currenttx_hhsc_directory
FRIO HOSPITAL DISTRICT——2024-02-01currenttx_hhsc_directory
FRIO HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTEREST—2024-02-01currentpecos_ownership
HISCOX, KENNETHOPERATIONAL/MANAGERIAL CONTROL—2025-01-13currentpecos_ownership
HISCOX, KENNETHADP OF THE SNF—2025-04-09currentpecos_ownership
MILLER, WILLIAMOPERATIONAL/MANAGERIAL CONTROL—2024-02-01currentpecos_ownership
RUFF, MICHAELCORPORATE OFFICER—2024-02-01currentpecos_ownership
VAKIL, RUPESHOPERATIONAL/MANAGERIAL CONTROL—2024-02-01currentpecos_ownership
VAKIL, RUPESHADP OF THE SNF—2025-04-09currentpecos_ownership
KENNETH HISCOXOPERATIONAL/MANAGERIAL CONTROL—2025-01-13ended 2026-05-18pecos_ownership
KENNETH HISCOXADP OF THE SNF—2025-04-09ended 2026-05-18pecos_ownership
MICHAEL RUFFCORPORATE OFFICER—2024-02-01ended 2026-05-18pecos_ownership
RUPESH VAKILOPERATIONAL/MANAGERIAL CONTROL—2024-02-01ended 2026-05-18pecos_ownership
RUPESH VAKILADP OF THE SNF—2025-04-09ended 2026-05-18pecos_ownership
WILLIAM MILLEROPERATIONAL/MANAGERIAL CONTROL—2024-02-01ended 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
2024-02-01—FRIO HOSPITAL DISTRICTCRESCENT MOON DR HEALTHCARE LLCchow

Comparable trades — TX snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-10-01ST. ANTHONY'S CARE CENTER———120SOUTH LIMESTONE HOSPITAL DISTRICT
2025-10-01Avir at New Braunfels———154821 US HIGHWAY 81 W OPCO LLC
2025-09-01Avir at Texarkana———110GUADALUPE COUNTY HOSPITAL BOARD
2025-09-01PARKS HEALTH CENTER———90WEST COKE COUNTY HOSPITAL DISTRICT
2025-09-01WINDMILL VILLAGE REHABILITATION & CARE CENTER———120FANNIN COUNTY HOSPITAL AUTHORITY
2025-08-31Las Ventanas De Socorro———126SOCORRO HEALTH CARE LLC
2025-08-01Avir at Mineola———115HOPKINS COUNTY HOSPITAL DISTRICT
2025-08-01Avir at Orem———1203730 W OREM DR OPCO LLC
2025-08-01Avir at Courtyard———1207499 STANWICK DR OPCO LLC
2025-08-01HILLSIDE MEDICAL LODGE———128CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
2025-08-01Avir at Pasadena———1314300 VISTA RD OPCO LLC
2025-07-01Highland Meadows———120NOCONA HOSPITAL DISTRICT
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

36
GeoKindBRAmountAs ofSource
county 48201acs median gross0$1,1772024-12-31CENSUS_ACS5
county 48201fmr0$1,2802025-10-01HUD_USER_FMR
county 48201acs median gross1$1,1962024-12-31CENSUS_ACS5
county 48201fmr1$1,3232025-10-01HUD_USER_FMR
county 48201acs median gross2$1,4252024-12-31CENSUS_ACS5
county 48201fmr2$1,5732025-10-01HUD_USER_FMR
county 48201acs median gross3$1,7642024-12-31CENSUS_ACS5
county 48201fmr3$2,1162025-10-01HUD_USER_FMR
county 48201acs median gross4$2,1482024-12-31CENSUS_ACS5
county 48201fmr4$2,6392025-10-01HUD_USER_FMR
county 48201acs median gross5$2,3392024-12-31CENSUS_ACS5
county 48201acs median gross$1,4012024-12-31CENSUS_ACS5
county 48201acs recent mover gross$1,4952024-12-31CENSUS_ACS5
zcta 77064acs median gross0$1,3772024-12-31CENSUS_ACS5
zcta 77064acs median gross1$1,3342024-12-31CENSUS_ACS5
zcta 77064acs median gross2$1,5772024-12-31CENSUS_ACS5
zcta 77064acs median gross3$1,7902024-12-31CENSUS_ACS5
zcta 77064acs median gross4$2,2052024-12-31CENSUS_ACS5
zcta 77064acs median gross5$2,1002024-12-31CENSUS_ACS5
zcta 77064acs median gross$1,5322024-12-31CENSUS_ACS5
zcta 77064acs recent mover gross$1,4082024-12-31CENSUS_ACS5
zip 77064payment standard 1100$1,5622025-10-01HUD_USER_SAFMR
zip 77064payment standard 900$1,2782025-10-01HUD_USER_SAFMR
zip 77064safmr0$1,4202025-10-01HUD_USER_SAFMR
zip 77064payment standard 1101$1,6062025-10-01HUD_USER_SAFMR
zip 77064payment standard 901$1,3142025-10-01HUD_USER_SAFMR
zip 77064safmr1$1,4602025-10-01HUD_USER_SAFMR
zip 77064payment standard 1102$1,9142025-10-01HUD_USER_SAFMR
zip 77064payment standard 902$1,5662025-10-01HUD_USER_SAFMR
zip 77064safmr2$1,7402025-10-01HUD_USER_SAFMR
zip 77064payment standard 1103$2,5742025-10-01HUD_USER_SAFMR
zip 77064payment standard 903$2,1062025-10-01HUD_USER_SAFMR
zip 77064safmr3$2,3402025-10-01HUD_USER_SAFMR
zip 77064payment standard 1104$3,2122025-10-01HUD_USER_SAFMR
zip 77064payment standard 904$2,6282025-10-01HUD_USER_SAFMR
zip 77064safmr4$2,9202025-10-01HUD_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 · Fallbrook Rehabilitation and Care Center (455815) · 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