Composite
95.7 / 100 percentile
Screener / 675444
F
Reunion Plaza Senior Care and Rehabilitation Cente
snfTX
1401 Hampton Rd, Texarkana, TX 75503 · CCN 675444 · chain FANNIN COUNTY HOSPITAL AUTHORITY
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
129
Model
v1.2
Reads as: riskier than 95.7% 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 signals25Components19CHOW radar1Distress radar1Staffing16Penalties3Deficiencies85Licensure0Ownership29Related party0Transactions1Comps12Market rent33
Composite explanation
7| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 99.5 | 99.0 | 0.30 | 0.1875 | 18.66 | in index |
| billing conduct | 93.5 | 63.6 | 0.30 | 0.1875 | 17.53 | in index |
| staffing risk | 80.7 | 80.7 | 0.25 | 0.1563 | 12.61 | in index |
| state reg risk | 63.7 | 15.0 | 0.30 | 0.1875 | 11.94 | in index |
| chow risk | 65.3 | 53.6 | 0.15 | 0.0938 | 6.12 | in index |
| financial risk | 29.7 | 33.6 | 0.30 | 0.1875 | 5.57 | in index |
| ownership opacity | 82.0 | 75.2 | 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
25| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +37.6 vs natl | PRESERVATION FREEHOLD COMPANY | 24 facilities |
| connection | Owner fleet risk far above national | +37.6 vs natl | SANCTUARY LTC LLC | 24 facilities |
| connection | Owner fleet risk far above national | +36.8 vs natl | LANGDON THOMAS | 24 facilities |
| connection | Owner fleet risk far above national | +36.8 vs natl | MCGEHEE WILLIAM | 24 facilities |
| connection | Owner fleet risk far above national | +36.8 vs natl | STONEGATE SENIOR LIVING LP | 24 facilities |
| connection | Owner fleet risk far above national | +36.8 vs natl | CAMPBELL SCOTT | 24 facilities |
| connection | Owner fleet risk far above national | +36.8 vs natl | CHANCE JAMES | 24 facilities |
| connection | Owner fleet risk far above national | +36.8 vs natl | FISHER JAMES | 24 facilities |
| connection | Owner fleet risk far above national | +36.3 vs natl | MARTUS FINANCIAL SERVICES INC | 23 facilities |
| connection | Owner fleet risk far above national | +36.3 vs natl | LIFETIME WELLNESS LTD | 23 facilities |
| connection | Owner fleet risk far above national | +36.3 vs natl | REHAB PRO LP | 23 facilities |
| connection | Owner fleet risk far above national | +32.6 vs natl | TAYLOR JOHN | 28 facilities |
| connection | Owner fleet risk far above national | +24.8 vs natl | UMB BANK NATIONAL ASSOCIATION | 31 facilities |
| connection | Owner fleet risk far above national | +22.4 vs natl | SANDERSON CLARK | 58 facilities |
| connection | Owner fleet risk far above national | +21.5 vs natl | FANNIN COUNTY HOSPITAL AUTHORITY | 54 facilities |
| connection | Owner spans multiple chains | 10 chains | UMB BANK NATIONAL ASSOCIATION | 30 facilities |
| connection | Owner spans multiple chains | 9 chains | FERGUSON CLAY | 12 facilities |
| connection | Owner spans multiple chains | 9 chains | PHARMERICA DRUG SYSTEMS LLC | 32 facilities |
| connection | Buyer assembling a chain (5+ takeovers/24mo) | 8 facilities | FANNIN COUNTY HOSPITAL AUTHORITY | 8 facilities |
| connection | Owner spans multiple chains | 6 chains | TAYLOR JOHN | 26 facilities |
| connection | Owner spans multiple chains | 5 chains | STONEGATE SENIOR LIVING LP | 24 facilities |
| connection | Owner spans multiple chains | 5 chains | PRESERVATION FREEHOLD COMPANY | 24 facilities |
| connection | Owner spans multiple chains | 5 chains | MARTUS FINANCIAL SERVICES INC | 23 facilities |
| connection | Owner spans multiple chains | 5 chains | MCGEHEE WILLIAM | 24 facilities |
| connection | Owner spans multiple chains | 5 chains | LIFETIME WELLNESS LTD | 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 | 63.6 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 75.0 | D | 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 | 83.6 | F | v0.1-txhhsc | default · in composite | Texas licence reissue timing as an ownership-transfer proxy. |
| chow risk | 2.2 | A | v0.6 | default · in composite | |
| financial risk | 33.6 | B | v0.5 | default · in composite | R18. |
| ownership opacity | 75.2 | D | 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 | 0.4 | — | 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 | 99.0 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 80.7 | 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 | 85.6 | 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 | 65.6 | 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 | 39.6 | 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 | 39.4 | B | 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 | 98.9 | 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 | 98.9 | 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 | 80.7 | 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 | 80.7 | 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)
0.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
50.8
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) | 9.33 | -0.94 | |
| For-profit ownership | 1.00 | +0.69 | |
| Chain size (log) | 4.01 | +0.45 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Deficiencies, last 12 months | 22.00 | +0.36 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Occupancy | 0.65 | +0.15 |
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 | 22.00 | -2.65 | |
| Chain size (log) | 4.01 | -1.13 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 10.57 | -0.60 | |
| Occupancy | 0.65 | +0.43 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| High-severity deficiencies, 12m | 3.00 | -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 HPRD | This facility | TX median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.79 | 2.67 | 3.28 | 2.90–3.77 |
| RN | 0.32 | 0.24 | 0.39 | 0.25–0.58 |
| Weekend total | 2.68 | 2.56 | 3.11 | — |
| Weekday total | 2.83 | 2.72 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 83.3 | 2.79 | 0.32 | 0.71 | 1.76 | 2.68 | 0.0% |
| 2025Q3 | 92 | 87.3 | 2.79 | 0.26 | 0.76 | 1.77 | 2.70 | 0.0% |
| 2025Q2 | 91 | 84.4 | 3.13 | 0.20 | 0.79 | 2.14 | 2.99 | 0.0% |
| 2025Q1 | 90 | 91.6 | 2.78 | 0.09 | 0.87 | 1.83 | 2.65 | 5.3% |
| 2024Q4 | 92 | 88.9 | 2.46 | 0.15 | 0.89 | 1.42 | 2.37 | 4.3% |
| 2024Q3 | 92 | 86.7 | 2.88 | 0.14 | 1.07 | 1.67 | 2.82 | 1.9% |
| 2024Q2 | 91 | 90.3 | 3.10 | 0.20 | 0.96 | 1.94 | 3.12 | 7.7% |
| 2024Q1 | 91 | 87.4 | 3.34 | 0.14 | 1.06 | 2.14 | 3.11 | 0.0% |
| 2023Q4 | 92 | 94.2 | 3.03 | 0.20 | 0.92 | 1.91 | 2.89 | 1.8% |
| 2023Q3 | 92 | 107.3 | 2.73 | 0.07 | 0.81 | 1.85 | 2.59 | 0.7% |
| 2023Q2 | 91 | 107.8 | 2.76 | 0.08 | 0.82 | 1.87 | 2.45 | 0.0% |
| 2023Q1 | 90 | 105.5 | 2.60 | 0.18 | 0.76 | 1.66 | 2.31 | 0.0% |
| 2022Q4 | 92 | 97.8 | 2.43 | 0.18 | 0.67 | 1.58 | 2.13 | 0.0% |
| 2022Q3 | 92 | 101.7 | 1.98 | 0.15 | 0.69 | 1.14 | 1.80 | 0.0% |
| 2022Q2 | 91 | 97.1 | 2.18 | 0.12 | 0.85 | 1.21 | 1.95 | 0.2% |
| 2022Q1 | 90 | 98.5 | 2.12 | 0.08 | 0.97 | 1.07 | 2.10 | 13.3% |
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
3fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2026-02-26 | Fine | $39,140 | CMS provider data |
| 2024-12-05 | Fine | $16,801 | CMS provider data |
| 2023-11-02 | Fine | $227,145 | CMS provider data |
Total fines on record: $283,086
Deficiencies
85B × 1D × 48E × 25F × 4G × 1H × 1J × 4K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-26 | Health | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | 2026-03-26 |
| 2026-02-26 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2026-03-26 |
| 2026-02-26 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2026-03-26 |
| 2026-02-26 | Health · complaint | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | 2026-03-26 |
| 2026-02-26 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | 2026-03-26 |
| 2026-02-26 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2026-03-26 |
| 2026-02-26 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | B | 2026-03-26 |
| 2026-02-26 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2026-03-26 |
| 2026-02-26 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-03-26 |
| 2026-02-26 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2026-03-26 |
| 2026-02-26 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2026-03-26 |
| 2026-02-26 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | J | 2026-03-26 |
| 2026-02-26 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2026-03-26 |
| 2026-02-26 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2026-03-26 |
| 2026-02-26 | 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 | 2026-03-26 |
| 2026-02-26 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2026-03-26 |
| 2026-02-26 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2026-03-26 |
| 2026-02-26 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2026-03-26 |
| 2026-02-26 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-03-26 |
| 2026-02-26 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2026-03-26 |
| 2026-02-26 | Health | F0908 | Keep all essential equipment working safely. | D | 2026-03-26 |
| 2025-09-24 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | — |
| 2025-07-15 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2025-08-11 |
| 2025-07-15 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-08-11 |
| 2024-12-05 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-01-06 |
| 2024-12-05 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-01-06 |
| 2024-12-05 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | 2025-01-06 |
| 2024-12-05 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2025-01-06 |
| 2024-12-05 | 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 | 2025-01-06 |
| 2024-12-05 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-01-06 |
| 2024-12-05 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-01-06 |
| 2024-12-05 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-09-19 |
| 2024-12-05 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-01-06 |
| 2024-12-05 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-01-06 |
| 2024-12-05 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-01-06 |
| 2024-12-05 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2025-01-06 |
| 2024-12-05 | Health | 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. | D | 2025-01-06 |
| 2024-12-05 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2025-01-06 |
| 2024-12-05 | 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 | 2025-01-06 |
| 2024-12-05 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-01-06 |
| 2024-12-05 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2025-01-06 |
| 2024-12-05 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-01-06 |
| 2024-12-05 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-01-06 |
| 2024-08-15 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-09-06 |
| 2024-08-15 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-09-06 |
| 2024-08-15 | 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 | 2024-09-06 |
| 2024-08-15 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2024-09-06 |
| 2024-08-15 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-09-06 |
| 2024-08-15 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-09-06 |
| 2023-12-01 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-12-02 |
| 2023-12-01 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-12-02 |
| 2023-12-01 | 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. | E | 2023-12-02 |
| 2023-12-01 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2023-12-02 |
| 2023-11-02 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2023-12-01 |
| 2023-11-02 | Health | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2023-12-01 |
| 2023-11-02 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-12-01 |
| 2023-11-02 | 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 | 2023-11-03 |
| 2023-11-02 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-12-01 |
| 2023-11-02 | Health · complaint | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2023-12-01 |
| 2023-11-02 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2023-12-01 |
| 2023-11-02 | 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 | 2023-12-01 |
| 2023-11-02 | Health · complaint | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2023-12-01 |
| 2023-11-02 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-12-01 |
| 2023-11-02 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | H | 2023-12-01 |
| 2023-11-02 | 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 | 2023-12-01 |
| 2023-11-02 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-12-01 |
| 2023-11-02 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2023-12-01 |
| 2023-11-02 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-12-01 |
| 2023-11-02 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | J | 2023-11-03 |
| 2023-11-02 | 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 | 2023-12-01 |
| 2023-11-02 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-12-01 |
| 2023-11-02 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-12-01 |
| 2023-11-02 | Health | 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 | 2023-12-01 |
| 2023-11-02 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2023-12-01 |
| 2023-11-02 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-12-01 |
| 2023-11-02 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2023-12-01 |
| 2023-11-02 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2023-12-01 |
| 2023-11-02 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | 2023-12-01 |
| 2023-10-05 | 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 |
| 2023-10-05 | Health · complaint | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2023-10-27 |
| 2023-10-05 | Health · complaint | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2023-10-27 |
| 2023-10-05 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-10-27 |
| 2023-10-05 | 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 | 2023-10-27 |
| 2023-10-05 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-10-27 |
| 2023-10-05 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-10-27 |
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
29| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-03-31 | current | pecos_ownership |
| BLUE, CHRISTOPHER | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-28 | current | pecos_ownership |
| BROCK, CLARISSA | ADP OF THE SNF | — | 2024-09-01 | current | pecos_ownership |
| CAMPBELL, SCOTT | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-12-05 | current | pecos_ownership |
| CHANCE, JAMES | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-12-05 | current | pecos_ownership |
| FANNIN COUNTY HOSPITAL AUTHORITY | — | — | 2026-03-31 | current | tx_hhsc_directory |
| FERGUSON, CLAY | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-01 | current | pecos_ownership |
| FISHER, JAMES | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-12-05 | current | pecos_ownership |
| LANGDON, THOMAS | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-12-05 | current | pecos_ownership |
| LIFETIME WELLNESS, LTD. | ADP OF THE SNF | — | 2021-09-23 | current | pecos_ownership |
| MARTUS FINANCIAL SERVICES, INC. | ADP OF THE SNF | — | 2023-12-31 | current | pecos_ownership |
| MCGEHEE, WILLIAM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-12-05 | current | pecos_ownership |
| PF REUNION SNF OPS, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-09-23 | current | pecos_ownership |
| PF REUNION SNF OPS, LLC | — | — | 2026-03-31 | current | tx_hhsc_directory |
| PF REUNION SNF OPS, LLC | ADP OF THE SNF | — | 2025-12-05 | current | pecos_ownership |
| PHARMERICA DRUG SYSTEMS LLC | ADP OF THE SNF | — | 2017-08-27 | current | pecos_ownership |
| PRESERVATION FREEHOLD COMPANY | ADP OF THE SNF | — | 2021-09-23 | current | pecos_ownership |
| REHAB PRO LP | ADP OF THE SNF | — | 2021-09-23 | current | pecos_ownership |
| SANCTUARY LTC, LLC | ADP OF THE SNF | — | 2021-09-23 | current | pecos_ownership |
| SANDERSON, CLARK | CORPORATE OFFICER | — | 2012-10-29 | current | pecos_ownership |
| STONEGATE SENIOR LIVING, LP | ADP OF THE SNF | — | 2025-12-05 | current | pecos_ownership |
| STONEGATE SENIOR LIVING, LP | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-06-22 | current | pecos_ownership |
| TAYLOR, JOHN | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-12-05 | current | pecos_ownership |
| UMB BANK NATIONAL ASSOCIATION | 5% OR GREATER MORTGAGE INTEREST | — | 2021-09-23 | current | pecos_ownership |
| UMB BANK NA | 5% OR GREATER MORTGAGE INTEREST | 100% | 2021-09-23 | ended 2026-05-18 | pecos_ownership |
| CLARK SANDERSON | CORPORATE OFFICER | 0% | 2012-10-29 | ended 2026-05-18 | pecos_ownership |
| CHRISTOPHER BLUE | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-28 | ended 2026-05-18 | pecos_ownership |
| CLARISSA BROCK | ADP OF THE SNF | — | 2024-09-01 | ended 2026-05-18 | pecos_ownership |
| CLAY FERGUSON | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-01 | 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 |
|---|---|---|---|---|
| 2017-03-31 | — | FANNIN COUNTY HOSPITAL AUTHORITY | REUNION SNF, LP | 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 48037 | acs median gross | 0 | $650 | 2024-12-31 | CENSUS_ACS5 |
| county 48037 | fmr | 0 | $859 | 2025-10-01 | HUD_USER_FMR |
| county 48037 | acs median gross | 1 | $732 | 2024-12-31 | CENSUS_ACS5 |
| county 48037 | fmr | 1 | $868 | 2025-10-01 | HUD_USER_FMR |
| county 48037 | acs median gross | 2 | $971 | 2024-12-31 | CENSUS_ACS5 |
| county 48037 | fmr | 2 | $1,101 | 2025-10-01 | HUD_USER_FMR |
| county 48037 | acs median gross | 3 | $1,194 | 2024-12-31 | CENSUS_ACS5 |
| county 48037 | fmr | 3 | $1,369 | 2025-10-01 | HUD_USER_FMR |
| county 48037 | acs median gross | 4 | $1,493 | 2024-12-31 | CENSUS_ACS5 |
| county 48037 | fmr | 4 | $1,657 | 2025-10-01 | HUD_USER_FMR |
| county 48037 | acs median gross | 5 | $1,367 | 2024-12-31 | CENSUS_ACS5 |
| county 48037 | acs median gross | $988 | 2024-12-31 | CENSUS_ACS5 | |
| county 48037 | acs recent mover gross | $1,195 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 75503 | acs median gross | 1 | $978 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75503 | acs median gross | 2 | $1,232 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75503 | acs median gross | 3 | $1,453 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75503 | acs median gross | $1,251 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 75503 | acs recent mover gross | $1,540 | 2024-12-31 | CENSUS_ACS5 | |
| zip 75503 | payment standard 110 | 0 | $1,111 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | payment standard 90 | 0 | $909 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | safmr | 0 | $1,010 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | payment standard 110 | 1 | $1,133 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | payment standard 90 | 1 | $927 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | safmr | 1 | $1,030 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | payment standard 110 | 2 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | payment standard 90 | 2 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | safmr | 2 | $1,300 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | payment standard 110 | 3 | $1,782 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | payment standard 90 | 3 | $1,458 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | safmr | 3 | $1,620 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | payment standard 110 | 4 | $2,156 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | payment standard 90 | 4 | $1,764 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75503 | safmr | 4 | $1,960 | 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.