CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT 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: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · 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 noticeENFFACO HEALTHCARE SERVICES INCTX · 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 noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · 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)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT 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: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · 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 noticeENFFACO HEALTHCARE SERVICES INCTX · 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 noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · 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 04:50 UTC
Screener / 676437
D

Accel at College Station

snfTX
1500 Medical Avenue, College Station, TX 77845 · CCN 676437 · chain WINNIE STOWELL HOSPITAL DISTRICT
Composite
92.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
116
Model
v1.2
Reads as: riskier than 92.0% 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 signals4Components19CHOW radar1Distress radar1Staffing16Penalties8Deficiencies50Licensure0Ownership46Related party2Transactions1Comps12Market rent36

Composite explanation

7
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk98.197.00.300.187518.39in index
financial risk81.468.20.300.187515.26in index
staffing risk83.083.00.250.156312.97in index
billing conduct47.538.40.300.18758.91in index
state reg risk40.29.00.300.18757.54in index
chow risk56.541.80.150.09385.30in index
ownership opacity64.456.4excluded
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

4
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+20.9 vs natlHMG SERVICES LLC12 facilities
connectionOwner spans multiple chains15 chainsCIBC BANK USA155 facilities
connectionBuyer assembling a chain (5+ takeovers/24mo)6 facilitiesWINNIE-STOWELL HOSPITAL DISTRICT6 facilities
connectionOwner fleet enforcement cluster46% finedMURRELL EDWARD76 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 typeScoreGradeModelStatusRegistry model notes
billing conduct38.4Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk27.5Bv0.1-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 risk14.4Av0.1-txhhscdefault · in compositeTexas licence reissue timing as an ownership-transfer proxy.
chow risk83.5Fv0.6default · in composite
financial risk68.2Dv0.5default · in compositeR18.
ownership opacity56.4Cv0.1-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 12m0.2—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 risk97.0Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk83.0Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
state reg risk9.0Av0.5default · in composite
financial risk84.0Fv0.1supersededPre-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 risk64.0Cv0.2supersededPre-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 risk68.3Dv0.3supersededPre-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 risk67.6Dv0.4supersededPre-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 risk97.0Fv0.1supersededPre-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 risk97.0Fv0.2supersededPre-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 risk83.0Fv0.1supersededPre-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 risk83.0Fv0.2supersededPre-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)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
43.2
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)5.33-1.33
For-profit ownership1.00+0.69
Chain size (log)4.34+0.52
No PBJ staffing report0.00+0.42
Ownership changes, last 5 years0.00+0.20
Occupancy0.63+0.20
Contract staffing share0.00-0.10
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
DriverValuePull on odds
Chain size (log)4.34-1.33
For-profit ownership1.00-0.69
Fine amount, 12m (log)10.81-0.61
Occupancy0.63+0.51
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)5.33-0.21
Total nurse staffing (HPRD)2.74+0.20
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 nurse2.742.673.282.90–3.77
RN0.420.240.390.25–0.58
Weekend total2.462.563.11—
Weekday total2.852.723.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49272.92.740.420.761.552.460.0%
2025Q39286.32.430.230.781.422.220.0%
2025Q29173.13.170.371.031.772.700.0%
2025Q19083.52.990.260.991.742.640.0%
2024Q49288.72.810.240.821.742.400.0%
2024Q39286.53.100.280.891.932.630.0%
2024Q29186.83.350.271.012.082.998.2%
2024Q19199.43.260.241.101.922.8524.2%
2023Q492114.22.200.180.811.211.9416.9%
2023Q39296.92.510.310.661.542.222.8%
2023Q291105.92.590.180.811.602.186.7%
2023Q190102.42.930.170.871.902.508.4%
2022Q49299.32.910.180.931.802.512.1%
2022Q39298.82.630.190.861.582.249.3%
2022Q29184.13.010.131.231.652.6312.3%
2022Q19083.33.300.351.181.772.771.5%
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

8
fines by year
$76.6k$38.3k23242526
DateTypeFineSource
2026-04-08Fine$22,895CMS provider data
2026-01-29Fine$26,685CMS provider data
2025-03-19Fine$20,791CMS provider data
2025-03-19Payment Denial—CMS provider data
2023-11-10Fine$35,906CMS provider data
2023-11-10Payment Denial—CMS provider data
2023-08-03Fine$40,674CMS provider data
2023-08-03Payment Denial—CMS provider data
Total fines on record: $146,951

Deficiencies

50
D × 27E × 12G × 1J × 9K × 1
deficiencies by survey year
201023242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-08Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2026-04-09
2026-01-29Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2026-01-30
2026-01-29Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2026-01-30
2026-01-29Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J2026-01-30
2026-01-29Health · complaintF0880Provide and implement an infection prevention and control program.D2026-01-30
2025-12-14Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2025-12-15
2025-12-14Health · complaintF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.E2025-12-15
2025-09-04Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-09-05
2025-05-21HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2025-05-22
2025-05-21HealthF0578Honor 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.D2025-05-22
2025-05-21HealthF0638Assure that each resident’s assessment is updated at least once every 3 months.D2025-05-22
2025-05-21HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2025-05-22
2025-05-21HealthF0679Provide activities to meet all resident's needs.E2025-05-22
2025-05-21HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-05-22
2025-05-21HealthF0761Ensure 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.D2025-05-22
2025-05-21HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-05-22
2025-05-21HealthF0880Provide and implement an infection prevention and control program.D2025-05-22
2025-04-10Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.J2025-04-11
2025-04-10Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2025-04-11
2025-03-19Health · complaintF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.K2025-04-24
2025-02-21Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-02-24
2025-02-21Health · complaintF0624Prepare residents for a safe transfer or discharge from the nursing home.D2025-02-24
2025-01-09Health · complaintF0585Honor 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.D2025-01-24
2025-01-09Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2025-01-24
2025-01-09Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-01-24
2024-11-05Health · complaintF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2024-11-21
2024-08-23Health · complaintF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2024-10-07
2024-03-21HealthF0551Give the resident's representative the ability to exercise the resident's rights.D2024-03-25
2024-03-21HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-03-27
2024-03-21Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2024-03-27
2024-03-21HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-03-27
2024-03-21HealthF0699Provide care or services that was trauma informed and/or culturally competent.D2024-03-22
2024-03-21HealthF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.D2024-03-22
2024-03-21HealthF0814Dispose of garbage and refuse properly.E2024-03-22
2024-03-21HealthF0880Provide and implement an infection prevention and control program.E2024-03-27
2023-11-20Health · complaintF0880Provide and implement an infection prevention and control program.D2023-11-23
2023-11-10Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.J2023-12-19
2023-11-10Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2023-12-19
2023-09-13Health · complaintF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.D2023-09-14
2023-09-13Health · complaintF0679Provide activities to meet all resident's needs.D2023-09-14
2023-08-25Health · complaintF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.J2023-08-28
2023-08-25Health · complaintF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D2023-08-28
2023-08-03Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.J2023-08-08
2023-08-03Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J2023-08-08
2023-01-23HealthF0585Honor 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.E2023-01-24
2023-01-23HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2023-01-24
2023-01-23HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.J2023-01-24
2023-01-23HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2023-01-24
2023-01-23HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2023-01-24
2023-01-23HealthF0880Provide and implement an infection prevention and control program.E2023-01-24
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

46
OwnerRolePctFromStatusSource
BALSAMO, KRYSTALOPERATIONAL/MANAGERIAL CONTROL—2021-04-01currentpecos_ownership
CIBC BANK USAADP OF THE SNF—2021-04-01currentpecos_ownership
CULP, ROLANDADP OF THE SNF—2021-04-01currentpecos_ownership
DASPIT, LAURENCEOPERATIONAL/MANAGERIAL CONTROL—2021-04-01currentpecos_ownership
DOHN, WILLIAMADP OF THE SNF—2021-04-01currentpecos_ownership
HMG PARK MANOR OF COLLEGE STATION, LLC——2024-04-01currenttx_hhsc_directory
HMG PARK MANOR OF CYPRESS STATION LLCOPERATIONAL/MANAGERIAL CONTROL—2021-04-01currentpecos_ownership
HMG SERVICES LLCADP OF THE SNF—2021-04-01currentpecos_ownership
MURRELL, EDWARDCORPORATE OFFICER—2012-11-01currentpecos_ownership
MURRELL, EDWARDOPERATIONAL/MANAGERIAL CONTROL—2018-04-01currentpecos_ownership
PICO, ANAADP OF THE SNF—2021-04-01currentpecos_ownership
PRINCE, DEREKADP OF THE SNF—2021-04-01currentpecos_ownership
PRINCE, DEREKINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2025-07-29currentpecos_ownership
REINARZ, CHRISTIANADP OF THE SNF—2021-04-01currentpecos_ownership
ROLLO, JEFFERYCORPORATE OFFICER—2012-11-01currentpecos_ownership
ROLLO, JEFFERYOPERATIONAL/MANAGERIAL CONTROL—2021-04-01currentpecos_ownership
STANBRIDGE, NORMAADP OF THE SNF—2021-04-01currentpecos_ownership
STRAMECKI, ANTHONYCORPORATE DIRECTOR—2016-11-01currentpecos_ownership
STRAMECKI, ANTHONYOPERATIONAL/MANAGERIAL CONTROL—2021-01-01currentpecos_ownership
VRATIS, KACEYCORPORATE DIRECTOR—2018-11-01currentpecos_ownership
VRATIS, KACEYOPERATIONAL/MANAGERIAL CONTROL—2021-04-01currentpecos_ownership
WAY, GEORGEOPERATIONAL/MANAGERIAL CONTROL—2021-04-01currentpecos_ownership
WAY, GEORGECORPORATE OFFICER—2013-01-01currentpecos_ownership
WINNIE STOWELL HOSPITAL DISTRICT——2024-04-01currenttx_hhsc_directory
ZALESKY, CELESTEOPERATIONAL/MANAGERIAL CONTROL—2024-12-16currentpecos_ownership
ZIONS BANCORPORATIONADP OF THE SNF—2021-04-01currentpecos_ownership
ANTHONY STRAMECKICORPORATE DIRECTOR100%2016-11-01ended 2026-05-18pecos_ownership
EDWARD MURRELLCORPORATE OFFICER100%2012-11-01ended 2026-05-18pecos_ownership
GEORGE WAYCORPORATE DIRECTOR100%2013-01-01ended 2026-05-18pecos_ownership
JEFFERY ROLLOCORPORATE OFFICER100%2012-11-01ended 2026-05-18pecos_ownership
KACEY VRATISCORPORATE DIRECTOR100%2018-11-01ended 2026-05-18pecos_ownership
ANA PICOADP OF THE SNF—2021-04-01ended 2026-05-18pecos_ownership
ANTHONY STRAMECKIOPERATIONAL/MANAGERIAL CONTROL—2021-01-01ended 2026-05-18pecos_ownership
CELESTE ZALESKYOPERATIONAL/MANAGERIAL CONTROL—2024-12-16ended 2026-05-18pecos_ownership
CHRISTIAN REINARZOPERATIONAL/MANAGERIAL CONTROL—2021-04-01ended 2026-05-18pecos_ownership
DEREK PRINCEADP OF THE SNF—2021-04-01ended 2026-05-18pecos_ownership
EDWARD MURRELLOPERATIONAL/MANAGERIAL CONTROL—2018-04-01ended 2026-05-18pecos_ownership
GEORGE WAYOPERATIONAL/MANAGERIAL CONTROL—2021-04-01ended 2026-05-18pecos_ownership
JEFFERY ROLLOOPERATIONAL/MANAGERIAL CONTROL—2021-04-01ended 2026-05-18pecos_ownership
KACEY VRATISOPERATIONAL/MANAGERIAL CONTROL—2021-04-01ended 2026-05-18pecos_ownership
KRYSTAL BALSAMOOPERATIONAL/MANAGERIAL CONTROL—2021-04-01ended 2026-05-18pecos_ownership
LAURENCE DASPITOPERATIONAL/MANAGERIAL CONTROL—2021-04-01ended 2026-05-18pecos_ownership
NORMA STANBRIDGEADP OF THE SNF—2021-04-01ended 2026-05-18pecos_ownership
ROLAND CULPOPERATIONAL/MANAGERIAL CONTROL—2021-04-01ended 2026-05-18pecos_ownership
WILLIAM DOHNOPERATIONAL/MANAGERIAL CONTROL—2021-04-01ended 2026-05-18pecos_ownership
WINNIE-STOWELL HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTEREST—2022-04-01ended 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
2021-04-01—WINNIE-STOWELL HOSPITAL DISTRICTHMG PARK MANOR OF CYPRESS STATION 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 48041acs median gross0$9872024-12-31CENSUS_ACS5
county 48041fmr0$1,0252025-10-01HUD_USER_FMR
county 48041acs median gross1$1,0742024-12-31CENSUS_ACS5
county 48041fmr1$1,0822025-10-01HUD_USER_FMR
county 48041acs median gross2$1,1092024-12-31CENSUS_ACS5
county 48041fmr2$1,1862025-10-01HUD_USER_FMR
county 48041acs median gross3$1,6312024-12-31CENSUS_ACS5
county 48041fmr3$1,6492025-10-01HUD_USER_FMR
county 48041acs median gross4$1,7742024-12-31CENSUS_ACS5
county 48041fmr4$1,9282025-10-01HUD_USER_FMR
county 48041acs median gross5$1,0362024-12-31CENSUS_ACS5
county 48041acs median gross$1,1932024-12-31CENSUS_ACS5
county 48041acs recent mover gross$1,3222024-12-31CENSUS_ACS5
zcta 77845acs median gross0$1,5922024-12-31CENSUS_ACS5
zcta 77845acs median gross1$1,2272024-12-31CENSUS_ACS5
zcta 77845acs median gross2$1,1802024-12-31CENSUS_ACS5
zcta 77845acs median gross3$1,7492024-12-31CENSUS_ACS5
zcta 77845acs median gross4$2,0402024-12-31CENSUS_ACS5
zcta 77845acs median gross5$7652024-12-31CENSUS_ACS5
zcta 77845acs median gross$1,4312024-12-31CENSUS_ACS5
zcta 77845acs recent mover gross$1,8622024-12-31CENSUS_ACS5
zip 77845payment standard 1100$1,2322025-10-01HUD_USER_SAFMR
zip 77845payment standard 900$1,0082025-10-01HUD_USER_SAFMR
zip 77845safmr0$1,1202025-10-01HUD_USER_SAFMR
zip 77845payment standard 1101$1,3092025-10-01HUD_USER_SAFMR
zip 77845payment standard 901$1,0712025-10-01HUD_USER_SAFMR
zip 77845safmr1$1,1902025-10-01HUD_USER_SAFMR
zip 77845payment standard 1102$1,4302025-10-01HUD_USER_SAFMR
zip 77845payment standard 902$1,1702025-10-01HUD_USER_SAFMR
zip 77845safmr2$1,3002025-10-01HUD_USER_SAFMR
zip 77845payment standard 1103$1,9912025-10-01HUD_USER_SAFMR
zip 77845payment standard 903$1,6292025-10-01HUD_USER_SAFMR
zip 77845safmr3$1,8102025-10-01HUD_USER_SAFMR
zip 77845payment standard 1104$2,3212025-10-01HUD_USER_SAFMR
zip 77845payment standard 904$1,8992025-10-01HUD_USER_SAFMR
zip 77845safmr4$2,1102025-10-01HUD_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 · Accel at College Station (676437) · 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