Composite
93.6 / 100 percentile
Screener / 675020
D
GREENVILLE HEALTH & REHABILITATION CENTER
snfTX
4910 WELLINGTON ST, GREENVILLE, TX 75402 · CCN 675020 · chain HAMILTON COUNTY HOSPITAL DISTRICT
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 93.6% 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 signals5Components20CHOW radar1Distress radar1Staffing16Penalties6Deficiencies68Licensure0Ownership13Related party4Transactions1Comps12Market rent33
Composite explanation
8| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 94.6 | 92.6 | 0.30 | 0.1714 | 16.22 | in index |
| billing conduct | 90.0 | 59.8 | 0.30 | 0.1714 | 15.43 | in index |
| staffing risk | 93.2 | 93.2 | 0.25 | 0.1429 | 13.31 | in index |
| state reg risk | 63.7 | 15.0 | 0.30 | 0.1714 | 10.92 | in index |
| financial risk | 46.5 | 43.4 | 0.30 | 0.1714 | 7.97 | in index |
| lease risk | 47.5 | 51.9 | 0.15 | 0.0857 | 4.07 | in index |
| chow risk | 21.6 | 30.5 | 0.15 | 0.0857 | 1.85 | in index |
| ownership opacity | 58.4 | 55.2 | 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
5| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +25.1 vs natl | HOOPER GRADY | 61 facilities |
| connection | Owner fleet risk far above national | +21.9 vs natl | SILBERSTEIN ARI | 31 facilities |
| connection | Owner spans multiple chains | 5 chains | SILBERSTEIN ARI | 22 facilities |
| connection | Owner fleet enforcement cluster | 52% fined | SILBERSTEIN ARI | 31 facilities |
| connection | Owner fleet enforcement cluster | 49% fined | HOOPER GRADY | 61 facilities |
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Component scores and registry models
20| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 59.8 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.2 | 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 | 32.5 | B | v0.1-txhhsc | default · in composite | Texas licence reissue timing as an ownership-transfer proxy. |
| chow risk | 34.9 | B | v0.6 | default · in composite | |
| financial risk | 43.4 | B | v0.5 | default · in composite | R18. |
| lease risk | 51.9 | C | v0.5 | default · in composite | |
| ownership opacity | 55.2 | 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 | 0.1 | — | 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 | 0.1 | — | 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 | 92.6 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 93.2 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| state reg risk | 15.0 | A | v0.5 | default · in composite | |
| financial risk | 93.3 | 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 | 73.3 | 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 | 42.0 | 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 | 48.9 | 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 | 92.5 | 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 | 92.5 | 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 | 93.2 | 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 | 93.2 | 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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
17.6
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) | 2.41 | -1.61 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Chain size (log) | 4.04 | +0.46 | |
| Occupancy | 0.54 | +0.44 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Total nurse staffing (HPRD) | 2.41 | +0.13 |
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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
47.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 4.04 | -1.15 | |
| Deficiencies, last 12 months | 2.00 | +1.06 | |
| Occupancy | 0.54 | +0.86 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 2.41 | +0.34 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 2.41 | -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 | 2.41 | 2.67 | 3.28 | 2.90–3.77 |
| RN | 0.30 | 0.24 | 0.39 | 0.25–0.58 |
| Weekend total | 2.22 | 2.56 | 3.11 | — |
| Weekday total | 2.48 | 2.72 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 65.3 | 2.41 | 0.30 | 0.42 | 1.69 | 2.22 | 0.0% |
| 2025Q3 | 92 | 73.8 | 2.30 | 0.28 | 0.52 | 1.50 | 1.98 | 0.0% |
| 2025Q2 | 91 | 74.0 | 2.51 | 0.35 | 0.64 | 1.52 | 2.10 | 0.0% |
| 2025Q1 | 90 | 79.3 | 2.30 | 0.26 | 0.49 | 1.54 | 2.07 | 0.0% |
| 2024Q4 | 92 | 75.9 | 2.74 | 0.34 | 0.50 | 1.91 | 2.67 | 0.0% |
| 2024Q3 | 92 | 76.1 | 2.50 | 0.30 | 0.51 | 1.69 | 2.34 | 0.0% |
| 2024Q2 | 91 | 82.6 | 2.09 | 0.20 | 0.43 | 1.47 | 1.86 | 0.0% |
| 2024Q1 | 91 | 82.0 | 2.33 | 0.20 | 0.48 | 1.65 | 2.01 | 0.0% |
| 2023Q4 | 92 | 83.6 | 2.20 | 0.28 | 0.45 | 1.47 | 1.81 | 0.0% |
| 2023Q3 | 92 | 90.0 | 2.06 | 0.22 | 0.42 | 1.41 | 1.85 | 0.0% |
| 2023Q2 | 91 | 92.6 | 1.98 | 0.19 | 0.41 | 1.37 | 1.71 | 0.0% |
| 2023Q1 | 90 | 83.3 | 2.23 | 0.34 | 0.41 | 1.49 | 1.96 | 0.0% |
| 2022Q4 | 92 | 84.9 | 2.39 | 0.39 | 0.33 | 1.67 | 2.10 | 0.0% |
| 2022Q3 | 92 | 91.2 | 2.18 | 0.31 | 0.32 | 1.55 | 1.95 | 0.0% |
| 2022Q2 | 91 | 84.6 | 2.43 | 0.24 | 0.52 | 1.67 | 2.17 | 0.0% |
| 2022Q1 | 90 | 89.5 | 2.45 | 0.21 | 0.57 | 1.67 | 2.12 | 0.0% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
6fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-05-12 | Fine | $17,345 | CMS provider data |
| 2025-05-12 | Fine | $17,345 | CMS provider data |
| 2025-05-12 | Fine | $17,345 | CMS provider data |
| 2025-05-12 | Fine | $17,345 | CMS provider data |
| 2025-05-12 | Fine | $26,685 | CMS provider data |
| 2023-07-11 | Fine | $53,188 | CMS provider data |
Total fines on record: $149,253
Deficiencies
68D × 35E × 28J × 4K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-01-21 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2026-01-22 |
| 2025-11-21 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-11-24 |
| 2025-05-12 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | J | 2025-05-13 |
| 2025-05-12 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | 2025-05-13 |
| 2025-05-12 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | 2025-02-25 |
| 2025-05-12 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-05-13 |
| 2025-05-12 | Health · complaint | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | 2025-05-13 |
| 2025-03-30 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-04-30 |
| 2025-02-27 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-03-28 |
| 2025-02-27 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2025-03-28 |
| 2025-02-27 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2025-03-28 |
| 2025-02-27 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-03-28 |
| 2024-05-22 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-06-23 |
| 2024-03-27 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-03-28 |
| 2024-03-27 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2024-04-28 |
| 2024-03-27 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2024-03-28 |
| 2024-03-27 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-04-28 |
| 2024-03-27 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | 2024-03-28 |
| 2024-03-27 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2024-03-28 |
| 2024-03-27 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-03-29 |
| 2024-03-27 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2024-03-28 |
| 2024-03-27 | 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 | 2024-03-28 |
| 2024-03-27 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-03-28 |
| 2024-03-27 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-03-28 |
| 2024-03-27 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2024-03-28 |
| 2024-03-27 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2024-04-28 |
| 2024-03-27 | 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. | E | 2024-04-28 |
| 2024-03-27 | 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 | 2024-03-28 |
| 2024-03-27 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-04-28 |
| 2024-03-27 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-03-28 |
| 2024-03-27 | Health | F0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D | 2024-04-28 |
| 2024-03-27 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-04-28 |
| 2024-03-27 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2024-04-28 |
| 2024-03-27 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-03-28 |
| 2024-03-27 | Health | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | 2024-03-29 |
| 2024-03-07 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-04-05 |
| 2024-02-21 | 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 | 2024-03-22 |
| 2024-02-21 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-03-22 |
| 2024-01-10 | Health · complaint | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | 2024-01-27 |
| 2023-10-03 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-10-27 |
| 2023-10-03 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-10-27 |
| 2023-08-18 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-08-19 |
| 2023-08-18 | 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 | 2023-08-19 |
| 2023-08-18 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2023-08-19 |
| 2023-07-11 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | 2023-07-12 |
| 2023-07-11 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2023-07-12 |
| 2023-07-11 | Health · complaint | F0926 | Have policies on smoking. | E | 2023-07-12 |
| 2023-02-08 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2023-03-08 |
| 2023-02-08 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2023-03-08 |
| 2023-02-08 | Health | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | 2023-03-08 |
| 2023-02-08 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2023-03-08 |
| 2023-02-08 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2023-03-08 |
| 2023-02-08 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-03-08 |
| 2023-02-08 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-03-08 |
| 2023-02-08 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-03-08 |
| 2023-02-08 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2023-03-08 |
| 2023-02-08 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2023-03-08 |
| 2023-02-08 | 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 | 2023-03-08 |
| 2023-02-08 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | 2023-03-08 |
| 2023-02-08 | 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 | 2023-03-08 |
| 2023-02-08 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-03-08 |
| 2023-02-08 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-03-08 |
| 2023-02-08 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-03-08 |
| 2023-02-08 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-03-08 |
| 2023-02-08 | Health | F0926 | Have policies on smoking. | D | 2023-03-08 |
| 2021-11-17 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2021-11-18 |
| 2021-11-17 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2021-11-18 |
| 2021-11-17 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2021-11-18 |
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
13| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| GREENVILLE HC LLC | — | — | 2024-03-01 | current | tx_hhsc_directory |
| GREENVILLE HC LLC | ADP OF THE SNF | — | 2025-03-06 | current | pecos_ownership |
| GREENVILLE HC LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | current | pecos_ownership |
| HAMILTON COUNTY HOSPITAL DISTRICT | — | — | 2024-03-01 | current | tx_hhsc_directory |
| HOOPER, GRADY | CORPORATE OFFICER | — | 2024-03-01 | current | pecos_ownership |
| SELVAGGI, THOMAS | ADP OF THE SNF | — | 2024-03-01 | current | pecos_ownership |
| SILBERSTEIN, ARI | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | current | pecos_ownership |
| WOOLVERTON, DIANA | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-07-24 | current | pecos_ownership |
| HAMILTON COUNTY HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-03-01 | ended 2026-05-18 | pecos_ownership |
| GRADY HOOPER | CORPORATE OFFICER | 0% | 2024-03-01 | ended 2026-05-18 | pecos_ownership |
| ARI SILBERSTEIN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | ended 2026-05-18 | pecos_ownership |
| DIANA WOOLVERTON | ADP OF THE SNF | — | 2025-07-24 | ended 2026-05-18 | pecos_ownership |
| THOMAS SELVAGGI | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | 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 |
|---|---|---|---|---|
| 2024-03-01 | — | HAMILTON COUNTY HOSPITAL DISTRICT | GREENVILLE SNF 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
33| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48231 | acs median gross | 0 | $968 | 2024-12-31 | CENSUS_ACS5 |
| county 48231 | fmr | 0 | $1,582 | 2025-10-01 | HUD_USER_FMR |
| county 48231 | acs median gross | 1 | $999 | 2024-12-31 | CENSUS_ACS5 |
| county 48231 | fmr | 1 | $1,648 | 2025-10-01 | HUD_USER_FMR |
| county 48231 | acs median gross | 2 | $1,148 | 2024-12-31 | CENSUS_ACS5 |
| county 48231 | fmr | 2 | $1,931 | 2025-10-01 | HUD_USER_FMR |
| county 48231 | acs median gross | 3 | $1,553 | 2024-12-31 | CENSUS_ACS5 |
| county 48231 | fmr | 3 | $2,431 | 2025-10-01 | HUD_USER_FMR |
| county 48231 | acs median gross | 4 | $2,023 | 2024-12-31 | CENSUS_ACS5 |
| county 48231 | fmr | 4 | $3,091 | 2025-10-01 | HUD_USER_FMR |
| county 48231 | acs median gross | $1,222 | 2024-12-31 | CENSUS_ACS5 | |
| county 48231 | acs recent mover gross | $1,363 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 75402 | acs median gross | 1 | $1,241 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75402 | acs median gross | 2 | $1,372 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75402 | acs median gross | 3 | $1,740 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75402 | acs median gross | 4 | $2,156 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75402 | acs median gross | $1,445 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 75402 | acs recent mover gross | $1,446 | 2024-12-31 | CENSUS_ACS5 | |
| zip 75402 | payment standard 110 | 0 | $1,584 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75402 | payment standard 90 | 0 | $1,296 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75402 | safmr | 0 | $1,440 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75402 | payment standard 110 | 1 | $1,650 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75402 | payment standard 90 | 1 | $1,350 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75402 | safmr | 1 | $1,500 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75402 | payment standard 110 | 2 | $1,936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75402 | payment standard 90 | 2 | $1,584 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75402 | safmr | 2 | $1,760 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75402 | payment standard 110 | 3 | $2,442 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75402 | payment standard 90 | 3 | $1,998 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75402 | safmr | 3 | $2,220 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75402 | payment standard 110 | 4 | $3,102 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75402 | payment standard 90 | 4 | $2,538 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75402 | safmr | 4 | $2,820 | 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.