CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 07:34 UTC
Screener / 745058
A

THE HEIGHTS OF MAGNOLIA

snfTX
150 CORPORATE WOODS DRIVE, MAGNOLIA, TX 77354 · CCN 745058 · chain UVALDE COUNTY HOSPITAL AUTHORITY
Composite
3.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
moderate
Certified beds
138
Model
v1.2
Reads as: riskier than 3.4% 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.

Composite explanation

3
ComponentPercentileRawWeightWeight shareContributionCounts
chow risk82.635.00.150.200016.52in index
state reg risk11.21.50.300.40004.48in index
regulatory risk0.00.10.300.40000.00in index
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
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains18 chainsPLANTE MORAN PLLC55 facilities
connectionOwner spans multiple chains15 chainsAEGIS THERAPIES INC 32 facilities
connectionOwner spans multiple chains9 chainsFELLBAUM ERNEST26 facilities
connectionOwner spans multiple chains9 chainsTRIDENT HEALTHCARE SERVICES INC24 facilities
connectionOwner spans multiple chains9 chainsSTUDER STANLEY26 facilities
connectionOwner spans multiple chains8 chainsTOUCHSTONE COMMUNITIES INC23 facilities
connectionOwner spans multiple chains8 chainsZUROVEC DARRELL23 facilities
connectionOwner spans multiple chains8 chainsNUTRITIOUS LIFESTYLES INC 18 facilities
connectionOwner spans multiple chains8 chainsSEHLKE BRYON22 facilities
connectionOwner spans multiple chains8 chainsCASTILLO LYNNEA23 facilities
connectionOwner spans multiple chains8 chainsCARVAJAL PHARMACY LTC22 facilities
connectionOwner spans multiple chains7 chainsCAMPBELL LESLIE22 facilities
connectionOwner spans multiple chains4 chainsOOMMEN BIJU7 facilities
connectionOwner fleet enforcement cluster44% finedBOENING CHRISTOPHER9 facilities
connectionOwner fleet enforcement cluster41% finedCAMPBELL LESLIE22 facilities
connectionOwner fleet enforcement cluster41% finedSEHLKE BRYON22 facilities
connectionOwner fleet enforcement cluster41% finedSTUDER STANLEY27 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

7
Score typeScoreGradeModelStatusRegistry model notes
chow risk35.0Bv0.1-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.
p adverse action 12m0.0v0.1default · 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 12m1.4v0.1default · 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 risk0.1Av0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
state reg risk1.5Av0.5default · in composite
regulatory risk0.1Av0.1supersededPre-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 risk0.1Av0.2supersededPre-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.
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)
1.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
63.7
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
No PBJ staffing report1.00-3.61
Occupancy0.00+2.02
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Total nurse staffing (HPRD)0.00+0.60
Current owner tenure (years)25.00+0.57
Chain size (log)3.56+0.35
Ownership changes, last 5 years0.00+0.20
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
No PBJ staffing report1.00-7.43
Occupancy0.00+3.15
Total nurse staffing (HPRD)0.00+1.35
Deficiencies, last 12 months1.00+1.24
Chain size (log)3.56-0.87
For-profit ownership1.00-0.69
Fine amount, 12m (log)0.00+0.18
Never sold on record1.00+0.12
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.

Penalties

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

Deficiencies

1
D × 1
SurveyTypeTagDeficiencyScopeCorrected
2026-04-29Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
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

28
OwnerRolePctFromStatusSource
AEGIS THERAPIES, INC.ADP OF THE SNF2025-05-01currentpecos_ownership
APOLINAR, ADAMCORPORATE OFFICER2015-08-01currentpecos_ownership
BLAKE, JORDANOPERATIONAL/MANAGERIAL CONTROL2025-04-01currentpecos_ownership
BOENING, CHRISTOPHERADP OF THE SNF2020-01-13currentpecos_ownership
CAMPBELL, LESLIEADP OF THE SNF2020-04-01currentpecos_ownership
CARVAJAL PHARMACY LTCADP OF THE SNF2025-05-01currentpecos_ownership
CASTILLO, LYNNEAINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF2026-01-23currentpecos_ownership
FELLBAUM, ERNESTADP OF THE SNF2025-05-01currentpecos_ownership
NUTRITIOUS LIFESTYLES, INC.ADP OF THE SNF2024-05-01currentpecos_ownership
OOMMEN, BIJUADP OF THE SNF2025-05-01currentpecos_ownership
PLANTE & MORAN PLLCADP OF THE SNF2025-05-01currentpecos_ownership
SEHLKE, BRYONINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF2025-04-22currentpecos_ownership
STUDER, STANLEYADP OF THE SNF2025-05-01currentpecos_ownership
TOUCHSTONE COMMUNITIES INCADP OF THE SNF2025-04-22currentpecos_ownership
TOUCHSTONE REALTY - MC3 LLCADP OF THE SNF2025-05-01currentpecos_ownership
TOUCHSTONE STRATEGIES - MC3 LLCADP OF THE SNF2025-04-22currentpecos_ownership
TOUCHSTONE STRATEGIES - MC3 LLCOPERATIONAL/MANAGERIAL CONTROL2025-05-01currentpecos_ownership
TRIDENT HEALTH SERVICES INCADP OF THE SNF2025-05-01currentpecos_ownership
ZUROVEC, DARRELLADP OF THE SNF2017-08-01currentpecos_ownership
UVALDE COUNTY HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTEREST100%2025-05-01ended 2026-05-18pecos_ownership
ADAM APOLINARCORPORATE OFFICER2015-08-01ended 2026-05-18pecos_ownership
BIJU OOMMENADP OF THE SNF2025-05-01ended 2026-05-18pecos_ownership
CHRISTOPHER BOENINGADP OF THE SNF2020-01-13ended 2026-05-18pecos_ownership
DARRELL ZUROVECADP OF THE SNF2017-08-01ended 2026-05-18pecos_ownership
ERNEST FELLBAUMADP OF THE SNF2025-05-01ended 2026-05-18pecos_ownership
JORDAN BLAKEADP OF THE SNF2025-04-01ended 2026-05-18pecos_ownership
LESLIE CAMPBELLADP OF THE SNF2020-04-01ended 2026-05-18pecos_ownership
STANLEY STUDERADP OF THE SNF2025-05-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

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

Comparable trades — TX snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-10-01ST. ANTHONY'S CARE CENTER120SOUTH LIMESTONE HOSPITAL DISTRICT
2025-10-01Avir at New Braunfels154821 US HIGHWAY 81 W OPCO LLC
2025-09-01Avir at Texarkana110GUADALUPE COUNTY HOSPITAL BOARD
2025-09-01PARKS HEALTH CENTER90WEST COKE COUNTY HOSPITAL DISTRICT
2025-09-01WINDMILL VILLAGE REHABILITATION & CARE CENTER120FANNIN COUNTY HOSPITAL AUTHORITY
2025-08-31Las Ventanas De Socorro126SOCORRO HEALTH CARE LLC
2025-08-01Avir at Mineola115HOPKINS COUNTY HOSPITAL DISTRICT
2025-08-01Avir at Orem1203730 W OREM DR OPCO LLC
2025-08-01Avir at Courtyard1207499 STANWICK DR OPCO LLC
2025-08-01HILLSIDE MEDICAL LODGE128CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
2025-08-01Avir at Pasadena1314300 VISTA RD OPCO LLC
2025-07-01Highland Meadows120NOCONA 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

35
GeoKindBRAmountAs ofSource
county 48339acs median gross0$1,2902024-12-31CENSUS_ACS5
county 48339fmr0$1,2802025-10-01HUD_USER_FMR
county 48339acs median gross1$1,3202024-12-31CENSUS_ACS5
county 48339fmr1$1,3232025-10-01HUD_USER_FMR
county 48339acs median gross2$1,5602024-12-31CENSUS_ACS5
county 48339fmr2$1,5732025-10-01HUD_USER_FMR
county 48339acs median gross3$1,7832024-12-31CENSUS_ACS5
county 48339fmr3$2,1162025-10-01HUD_USER_FMR
county 48339acs median gross4$2,4752024-12-31CENSUS_ACS5
county 48339fmr4$2,6392025-10-01HUD_USER_FMR
county 48339acs median gross5$2,6212024-12-31CENSUS_ACS5
county 48339acs median gross$1,5322024-12-31CENSUS_ACS5
county 48339acs recent mover gross$1,6492024-12-31CENSUS_ACS5
zcta 77354acs median gross0$1,1832024-12-31CENSUS_ACS5
zcta 77354acs median gross1$1,2262024-12-31CENSUS_ACS5
zcta 77354acs median gross2$1,7332024-12-31CENSUS_ACS5
zcta 77354acs median gross3$2,1062024-12-31CENSUS_ACS5
zcta 77354acs median gross4$2,7322024-12-31CENSUS_ACS5
zcta 77354acs median gross$1,8512024-12-31CENSUS_ACS5
zcta 77354acs recent mover gross$2,1232024-12-31CENSUS_ACS5
zip 77354payment standard 1100$1,6722025-10-01HUD_USER_SAFMR
zip 77354payment standard 900$1,3682025-10-01HUD_USER_SAFMR
zip 77354safmr0$1,5202025-10-01HUD_USER_SAFMR
zip 77354payment standard 1101$1,7272025-10-01HUD_USER_SAFMR
zip 77354payment standard 901$1,4132025-10-01HUD_USER_SAFMR
zip 77354safmr1$1,5702025-10-01HUD_USER_SAFMR
zip 77354payment standard 1102$2,0572025-10-01HUD_USER_SAFMR
zip 77354payment standard 902$1,6832025-10-01HUD_USER_SAFMR
zip 77354safmr2$1,8702025-10-01HUD_USER_SAFMR
zip 77354payment standard 1103$2,7722025-10-01HUD_USER_SAFMR
zip 77354payment standard 903$2,2682025-10-01HUD_USER_SAFMR
zip 77354safmr3$2,5202025-10-01HUD_USER_SAFMR
zip 77354payment standard 1104$3,4542025-10-01HUD_USER_SAFMR
zip 77354payment standard 904$2,8262025-10-01HUD_USER_SAFMR
zip 77354safmr4$3,1402025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.