Composite
90.3 / 100 percentile
Screener / 675595
D
Harmony Care at Beaumont
snfTXSFF: SFF
2660 Brickyard Rd, Beaumont, TX 77703 · CCN 675595 · chain FRIO HOSPITAL DISTRICT
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
98
Model
v1.2
Reads as: riskier than 90.3% 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 model7ML signals17Components19CHOW radar1Distress radar1Staffing10Penalties11Deficiencies82Licensure0Ownership31Related party3Transactions1Comps12Market rent34
Composite explanation
7| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 99.9 | 99.8 | 0.30 | 0.1875 | 18.73 | in index |
| state reg risk | 99.6 | 80.5 | 0.30 | 0.1875 | 18.68 | in index |
| financial risk | 69.4 | 58.8 | 0.30 | 0.1875 | 13.01 | in index |
| billing conduct | 37.2 | 34.6 | 0.30 | 0.1875 | 6.98 | in index |
| chow risk | 60.6 | 50.9 | 0.15 | 0.0938 | 5.68 | in index |
| staffing risk | 24.4 | 24.5 | 0.25 | 0.1563 | 3.81 | in index |
| ownership opacity | 35.1 | 52.3 | 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
17| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| anomaly | Federal penalty spike | 3.4x prior | this facility | 2026-07-29 |
| connection | Owner fleet risk far above national | +34.8 vs natl | BODANSKY HERSHEL | 6 facilities |
| connection | Owner fleet risk far above national | +33.9 vs natl | ELITE HC INVESTORS LLC | 6 facilities |
| connection | Owner fleet risk far above national | +33.6 vs natl | WEISS CHAIM | 6 facilities |
| connection | Owner fleet risk far above national | +32.4 vs natl | HELLER YESHAYA | 5 facilities |
| connection | Owner fleet risk far above national | +31.8 vs natl | JIAN PETER | 10 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 | 7 chains | JIAN PETER | 10 facilities |
| connection | Buyer assembling a chain (5+ takeovers/24mo) | 6 facilities | FRIO HOSPITAL DISTRICT | 6 facilities |
| connection | Owner fleet enforcement cluster | 100% fined | HELLER YESHAYA | 5 facilities |
| connection | Owner fleet enforcement cluster | 100% fined | ELITE HC INVESTORS LLC | 6 facilities |
| connection | Owner fleet enforcement cluster | 100% fined | BODANSKY HERSHEL | 6 facilities |
| connection | Owner fleet enforcement cluster | 100% fined | WEISS CHAIM | 6 facilities |
| connection | Owner fleet enforcement cluster | 80% fined | JIAN PETER | 10 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.
Component scores and registry models
19| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 34.6 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 55.0 | C | 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 | 46.6 | C | v0.1-txhhsc | default · in composite | Texas licence reissue timing as an ownership-transfer proxy. |
| chow risk | 51.2 | C | v0.6 | default · in composite | |
| financial risk | 58.8 | C | v0.5 | default · in composite | R18. |
| ownership opacity | 52.3 | 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 | 0.0 | — | 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 | 0.0 | — | 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 | 99.8 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 24.5 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| state reg risk | 80.5 | F | v0.5 | default · in composite | |
| financial risk | 93.0 | 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 | 73.0 | 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 | 51.4 | C | 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 | 62.8 | 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 | 99.8 | 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 | 99.8 | 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 | 24.5 | A | 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 | 24.5 | A | 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
12.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 1.62 | -1.69 | |
| Never sold on record | 0.00 | -1.62 | |
| For-profit ownership | 0.00 | -1.24 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| Deficiencies, last 12 months | 36.00 | +0.70 | |
| Occupancy | 0.47 | +0.67 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Penalties, last 12 months | 7.00 | +0.38 |
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 | 36.00 | -5.25 | |
| For-profit ownership | 0.00 | +1.62 | |
| Occupancy | 0.47 | +1.18 | |
| Fine amount, 12m (log) | 12.40 | -0.73 | |
| Penalties, last 12 months | 7.00 | -0.73 | |
| Chain size (log) | 3.26 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| High-severity deficiencies, 12m | 5.00 | -0.36 |
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
10| 2025Q4 HPRD | This facility | TX median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.79 | 2.67 | 3.28 | 2.90–3.77 |
| RN | 0.08 | 0.24 | 0.39 | 0.25–0.58 |
| Weekend total | 3.51 | 2.56 | 3.11 | — |
| Weekday total | 3.90 | 2.72 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 45.8 | 3.79 | 0.08 | 1.15 | 2.56 | 3.51 | 3.1% |
| 2025Q3 | 92 | 53.5 | 3.58 | 0.05 | 0.98 | 2.56 | 3.37 | 0.0% |
| 2025Q1 | 90 | 47.5 | 3.47 | 0.09 | 1.04 | 2.34 | 3.31 | 0.0% |
| 2024Q4 | 92 | 48.3 | 4.39 | 0.22 | 1.01 | 3.15 | 4.25 | 0.7% |
| 2023Q3 | 92 | 60.3 | 3.04 | 0.05 | 0.89 | 2.10 | 2.71 | 0.0% |
| 2023Q2 | 91 | 64.1 | 2.08 | 0.03 | 0.72 | 1.33 | 2.01 | 0.0% |
| 2023Q1 | 90 | 60.0 | 2.60 | 0.03 | 0.91 | 1.67 | 2.50 | 0.0% |
| 2022Q4 | 92 | 53.2 | 2.08 | 0.16 | 0.00 | 1.93 | 1.85 | 0.0% |
| 2022Q2 | 91 | 54.0 | 2.49 | 0.09 | 0.65 | 1.75 | 2.02 | 0.0% |
| 2022Q1 | 90 | 47.5 | 2.33 | 0.15 | 0.84 | 1.33 | 2.06 | 1.7% |
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
11fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2026-03-25 | Fine | $26,685 | CMS provider data |
| 2025-12-03 | Fine | $26,685 | CMS provider data |
| 2025-09-29 | Fine | $26,685 | CMS provider data |
| 2025-09-29 | Fine | $26,685 | CMS provider data |
| 2025-09-29 | Fine | $26,685 | CMS provider data |
| 2025-09-29 | Fine | $26,685 | CMS provider data |
| 2025-09-29 | Fine | $82,055 | CMS provider data |
| 2024-10-06 | Fine | $17,068 | CMS provider data |
| 2024-10-06 | Fine | $47,259 | CMS provider data |
| 2024-03-27 | Fine | $149,739 | CMS provider data |
| 2024-03-27 | Payment Denial | — | CMS provider data |
Total fines on record: $456,231
Deficiencies
82D × 34E × 25F × 8H × 3J × 8K × 4
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-15 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2026-05-08 |
| 2026-04-15 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2026-05-08 |
| 2026-04-15 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2026-05-08 |
| 2026-04-15 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-05-08 |
| 2026-04-15 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2026-05-08 |
| 2026-04-15 | 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 | 2026-05-06 |
| 2026-04-15 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2026-05-08 |
| 2026-04-15 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | 2026-05-08 |
| 2026-04-15 | Health | F0926 | Have policies on smoking. | E | 2026-05-08 |
| 2026-03-25 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | — |
| 2026-02-27 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2026-03-06 |
| 2025-12-03 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2025-12-04 |
| 2025-12-03 | Health | F0584 | Honor 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. | E | 2025-12-19 |
| 2025-12-03 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2025-11-30 |
| 2025-12-03 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-12-04 |
| 2025-12-03 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2025-12-04 |
| 2025-12-03 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-12-08 |
| 2025-12-03 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-12-04 |
| 2025-12-03 | 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 | 2025-12-04 |
| 2025-12-03 | 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 | 2025-12-04 |
| 2025-12-03 | Health | 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 | 2025-12-04 |
| 2025-12-03 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-12-04 |
| 2025-12-03 | Health | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | E | 2025-12-04 |
| 2025-12-03 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2025-12-17 |
| 2025-12-03 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-12-05 |
| 2025-12-03 | Health | F0908 | Keep all essential equipment working safely. | E | 2025-12-08 |
| 2025-12-03 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2025-12-08 |
| 2025-12-03 | Health | F0926 | Have policies on smoking. | D | 2025-12-08 |
| 2025-09-29 | Health · complaint | F0584 | Honor 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. | E | 2025-09-30 |
| 2025-09-29 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | 2025-09-30 |
| 2025-09-29 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | 2025-09-30 |
| 2025-09-29 | 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. | K | 2025-09-30 |
| 2025-09-29 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-09-30 |
| 2025-08-29 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-09-01 |
| 2025-08-29 | 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. | E | 2025-09-01 |
| 2025-08-29 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-09-01 |
| 2025-07-08 | Health · complaint | F0584 | Honor 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. | E | 2025-07-09 |
| 2025-07-08 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2025-07-09 |
| 2025-03-31 | 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 | 2025-04-01 |
| 2024-11-20 | 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 | 2024-11-21 |
| 2024-11-20 | Health | 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 | 2024-12-20 |
| 2024-11-20 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-12-20 |
| 2024-11-20 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2024-12-20 |
| 2024-11-20 | Health | F0908 | Keep all essential equipment working safely. | F | 2024-12-20 |
| 2024-11-20 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2024-12-20 |
| 2024-10-25 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2024-10-07 |
| 2024-10-25 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2024-10-29 |
| 2024-10-25 | Health · complaint | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-10-29 |
| 2024-10-06 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | 2024-10-07 |
| 2024-10-06 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | 2024-10-07 |
| 2024-10-06 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-10-07 |
| 2024-10-06 | Health · complaint | 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 | 2024-11-04 |
| 2024-10-06 | Health · complaint | 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 | 2024-10-07 |
| 2024-07-02 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-07-30 |
| 2024-07-02 | 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 | 2024-07-30 |
| 2024-07-02 | Health · complaint | F0688 | Provide 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. | D | 2024-07-30 |
| 2024-07-02 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2024-07-30 |
| 2024-07-02 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-07-30 |
| 2024-06-08 | Health · complaint | 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 | 2024-06-11 |
| 2024-06-08 | Health · complaint | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | 2024-06-11 |
| 2024-05-23 | 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 | 2024-06-07 |
| 2024-05-23 | 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 | 2024-06-06 |
| 2024-05-23 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-06-06 |
| 2024-05-23 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-06-06 |
| 2024-04-23 | 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 | 2024-04-24 |
| 2024-04-23 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2024-05-01 |
| 2024-04-23 | 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 | 2024-05-15 |
| 2024-04-23 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-05-15 |
| 2024-04-18 | Health · complaint | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | 2024-05-15 |
| 2024-03-27 | 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. | H | 2024-03-29 |
| 2024-03-27 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | H | 2024-03-29 |
| 2024-03-27 | Health · complaint | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | H | 2024-03-29 |
| 2023-10-23 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2023-10-24 |
| 2023-10-23 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-10-24 |
| 2023-10-12 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | D | 2023-10-30 |
| 2023-10-12 | Health · complaint | F0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | D | 2023-10-30 |
| 2023-07-31 | Health · complaint | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | F | 2023-09-01 |
| 2023-06-14 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2023-07-18 |
| 2023-06-14 | 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. | E | 2023-07-18 |
| 2023-06-14 | 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. | E | 2023-07-18 |
| 2023-06-14 | Health · complaint | F0680 | Ensure the activities program is directed by a qualified professional. | E | 2023-07-18 |
| 2023-06-14 | Health · complaint | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | F | 2023-07-18 |
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
31| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BEAUMONT HOLDING BH LLC | Individual has financial interest in both related organization and provider | 100% | 2023-12-15 | current | hcris_a_8_1 |
| FRIO HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-12-15 | current | pecos_ownership |
| BEAUMONT ACAPELLA, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-18 | current | pecos_ownership |
| BEAUMONT HOLDINGS BH, LLC | ADP OF THE SNF | — | 2024-12-18 | current | pecos_ownership |
| BEAUMONT HOLDINGS BH, LLC | 5% OR GREATER MORTGAGE INTEREST | — | 2024-12-15 | current | pecos_ownership |
| BEAUMONT OPERATING LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-18 | current | pecos_ownership |
| BEAUMONT OPERATING LLC | — | — | 2024-12-15 | current | tx_hhsc_directory |
| BODANSKY, HERSHEL | 5% OR GREATER MORTGAGE INTEREST | — | 2024-12-15 | current | pecos_ownership |
| BODANSKY, HERSHEL | ADP OF THE SNF | — | 2024-12-18 | current | pecos_ownership |
| DH BEAUMONT OPERATIONS, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-18 | current | pecos_ownership |
| ELITE HC INVESTORS LLC | ADP OF THE SNF | — | 2024-12-18 | current | pecos_ownership |
| ELITE HC INVESTORS LLC | 5% OR GREATER MORTGAGE INTEREST | — | 2024-12-15 | current | pecos_ownership |
| FRIO HOSPITAL DISTRICT | — | — | 2024-12-15 | current | tx_hhsc_directory |
| HELLER, YESHAYA | ADP OF THE SNF | — | 2024-12-15 | current | pecos_ownership |
| JIAN, PETER | ADP OF THE SNF | — | 2024-12-15 | current | pecos_ownership |
| PARKER, TERESA | ADP OF THE SNF | — | 2024-12-15 | current | pecos_ownership |
| PAWLIK, DANNY | MANAGING CONTROL - GOVERNING BODY | — | 2022-05-01 | current | pecos_ownership |
| RUFF, MICHAEL | CORPORATE OFFICER | — | 2024-12-15 | current | pecos_ownership |
| VINTON, VICTOR | MANAGING CONTROL - GOVERNING BODY | — | 2024-06-05 | current | pecos_ownership |
| WEISS, CHAIM | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-18 | current | pecos_ownership |
| WEISS, CHAIM | 5% OR GREATER MORTGAGE INTEREST | — | 2024-12-15 | current | pecos_ownership |
| CHAIM WEISS | 5% OR GREATER MORTGAGE INTEREST | 45% | 2024-12-15 | ended 2026-05-18 | pecos_ownership |
| HERSHEL BODANSKY | 5% OR GREATER MORTGAGE INTEREST | 45% | 2024-12-15 | ended 2026-05-18 | pecos_ownership |
| YESHAYA HELLER | 5% OR GREATER MORTGAGE INTEREST | 10% | 2024-12-15 | ended 2026-05-18 | pecos_ownership |
| MICHAEL RUFF | CORPORATE OFFICER | 0% | 2024-12-15 | ended 2026-05-18 | pecos_ownership |
| CHAIM WEISS | ADP OF THE SNF | — | 2024-12-18 | ended 2026-05-18 | pecos_ownership |
| DANNY PAWLIK | MANAGING CONTROL - GOVERNING BODY | — | 2022-05-01 | ended 2026-05-18 | pecos_ownership |
| HERSHEL BODANSKY | ADP OF THE SNF | — | 2024-12-18 | ended 2026-05-18 | pecos_ownership |
| PETER JIAN | ADP OF THE SNF | — | 2024-12-15 | ended 2026-05-18 | pecos_ownership |
| TERESA PARKER | ADP OF THE SNF | — | 2024-12-15 | ended 2026-05-18 | pecos_ownership |
| VICTOR VINTON | MANAGING CONTROL - GOVERNING BODY | — | 2024-06-05 | 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 |
|---|---|---|---|---|
| 2024-12-15 | — | FRIO HOSPITAL DISTRICT | BEAUMONT OPERATING LLC | 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
34| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48245 | acs median gross | 0 | $977 | 2024-12-31 | CENSUS_ACS5 |
| county 48245 | fmr | 0 | $892 | 2025-10-01 | HUD_USER_FMR |
| county 48245 | acs median gross | 1 | $872 | 2024-12-31 | CENSUS_ACS5 |
| county 48245 | fmr | 1 | $898 | 2025-10-01 | HUD_USER_FMR |
| county 48245 | acs median gross | 2 | $1,130 | 2024-12-31 | CENSUS_ACS5 |
| county 48245 | fmr | 2 | $1,103 | 2025-10-01 | HUD_USER_FMR |
| county 48245 | acs median gross | 3 | $1,424 | 2024-12-31 | CENSUS_ACS5 |
| county 48245 | fmr | 3 | $1,446 | 2025-10-01 | HUD_USER_FMR |
| county 48245 | acs median gross | 4 | $1,627 | 2024-12-31 | CENSUS_ACS5 |
| county 48245 | fmr | 4 | $1,732 | 2025-10-01 | HUD_USER_FMR |
| county 48245 | acs median gross | 5 | $3,423 | 2024-12-31 | CENSUS_ACS5 |
| county 48245 | acs median gross | $1,117 | 2024-12-31 | CENSUS_ACS5 | |
| county 48245 | acs recent mover gross | $1,167 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 77703 | acs median gross | 0 | $99 | 2024-12-31 | CENSUS_ACS5 |
| zcta 77703 | acs median gross | 1 | $943 | 2024-12-31 | CENSUS_ACS5 |
| zcta 77703 | acs median gross | 2 | $1,033 | 2024-12-31 | CENSUS_ACS5 |
| zcta 77703 | acs median gross | 3 | $959 | 2024-12-31 | CENSUS_ACS5 |
| zcta 77703 | acs median gross | $992 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 77703 | acs recent mover gross | $1,082 | 2024-12-31 | CENSUS_ACS5 | |
| zip 77703 | payment standard 110 | 0 | $869 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77703 | payment standard 90 | 0 | $711 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77703 | safmr | 0 | $790 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77703 | payment standard 110 | 1 | $869 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77703 | payment standard 90 | 1 | $711 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77703 | safmr | 1 | $790 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77703 | payment standard 110 | 2 | $1,067 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77703 | payment standard 90 | 2 | $873 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77703 | safmr | 2 | $970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77703 | payment standard 110 | 3 | $1,408 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77703 | payment standard 90 | 3 | $1,152 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77703 | safmr | 3 | $1,280 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77703 | payment standard 110 | 4 | $1,683 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77703 | payment standard 90 | 4 | $1,377 | 2025-10-01 | HUD_USER_SAFMR |
| zip 77703 | safmr | 4 | $1,530 | 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.