Composite
96.9 / 100 percentile
Screener / 455762
F
SAN ANTONIO WELLNESS & REHABILITATION
snfTX
ONE HEARTLAND DR, SAN ANTONIO, TX 78247 · CCN 455762 · chain FRIO HOSPITAL DISTRICT
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
0
Model
v1.2
Reads as: riskier than 96.9% 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 signals25Components20CHOW radar1Distress radar1Staffing16Penalties2Deficiencies47Licensure0Ownership30Related party4Transactions1Comps12Market rent35
Composite explanation
8| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 89.8 | 87.4 | 0.30 | 0.1714 | 15.39 | in index |
| billing conduct | 88.7 | 58.7 | 0.30 | 0.1714 | 15.21 | in index |
| financial risk | 72.8 | 61.1 | 0.30 | 0.1714 | 12.48 | in index |
| staffing risk | 81.1 | 81.1 | 0.25 | 0.1429 | 11.59 | in index |
| state reg risk | 63.7 | 15.0 | 0.30 | 0.1714 | 10.92 | in index |
| lease risk | 71.1 | 59.1 | 0.15 | 0.0857 | 6.09 | in index |
| chow risk | 29.6 | 33.8 | 0.15 | 0.0857 | 2.54 | in index |
| ownership opacity | 35.1 | 52.3 | excluded |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
25| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +39.9 vs natl | MILLENNIAL ACQUISITIONS LLC | 6 facilities |
| connection | Owner fleet risk far above national | +38.6 vs natl | SCOOPER REALTY LLC | 6 facilities |
| connection | Owner fleet risk far above national | +38.6 vs natl | WINDSOR SQUARE REALTY LLC | 6 facilities |
| connection | Owner fleet risk far above national | +33.8 vs natl | HAGINS ELIZABETH | 52 facilities |
| connection | Owner fleet risk far above national | +32.4 vs natl | GIBRALTAR TRUST | 28 facilities |
| connection | Owner fleet risk far above national | +32.1 vs natl | GARETZ DAVID | 66 facilities |
| connection | Owner fleet risk far above national | +32.0 vs natl | MINDLE ADAM | 56 facilities |
| connection | Owner fleet risk far above national | +30.5 vs natl | KAPLAN ESTHER | 55 facilities |
| connection | Owner fleet risk far above national | +30.0 vs natl | KAPLAN MORDECHAI | 38 facilities |
| connection | Owner fleet risk far above national | +29.0 vs natl | OPCO CA SKILLED MGMT INC | 41 facilities |
| connection | Owner fleet risk far above national | +28.9 vs natl | UNGER JEFFREY | 46 facilities |
| connection | Owner fleet risk far above national | +28.8 vs natl | GURWITZ SOLOMON | 42 facilities |
| connection | Owner fleet risk far above national | +28.3 vs natl | MONTGOMERY SKY TRUST | 17 facilities |
| connection | Owner fleet risk far above national | +28.2 vs natl | CONTINUUM REHAB GROUP LLC | 36 facilities |
| connection | Owner fleet risk far above national | +27.6 vs natl | RUFF MICHAEL | 23 facilities |
| connection | Owner fleet risk far above national | +27.5 vs natl | FRIO HOSPITAL DISTRICT | 22 facilities |
| connection | Owner fleet risk far above national | +25.7 vs natl | MAGNOLIA REALTY LLC | 9 facilities |
| connection | Owner fleet risk far above national | +24.6 vs natl | OREGON REALTY LLC | 11 facilities |
| connection | Owner fleet risk far above national | +24.4 vs natl | OPCO TEXAS SKILLED MGMT LLC | 21 facilities |
| connection | Owner spans multiple chains | 12 chains | GARETZ DAVID | 61 facilities |
| connection | Owner spans multiple chains | 11 chains | HAGINS ELIZABETH | 48 facilities |
| connection | Owner spans multiple chains | 11 chains | MINDLE ADAM | 52 facilities |
| connection | Owner spans multiple chains | 11 chains | KAPLAN ESTHER | 54 facilities |
| connection | Owner spans multiple chains | 10 chains | GURWITZ SOLOMON | 41 facilities |
| connection | Owner spans multiple chains | 9 chains | KAPLAN MORDECHAI | 37 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 | 58.7 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | 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 | 35.9 | B | v0.1-txhhsc | default · in composite | Texas licence reissue timing as an ownership-transfer proxy. |
| chow risk | 40.1 | B | v0.6 | default · in composite | |
| financial risk | 61.1 | C | v0.5 | default · in composite | R18. |
| lease risk | 59.1 | C | v0.5 | default · in composite | |
| ownership opacity | 52.2 | 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 | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 87.4 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 81.1 | 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 | 51.4 | C | 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 | 31.4 | B | 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 | 58.1 | C | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 63.7 | 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 | 87.3 | 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 | 87.3 | 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 | 81.1 | 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 | 81.1 | 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
7.0
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) | 2.57 | -1.59 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.26 | +0.29 | |
| Occupancy | 0.75 | -0.16 | |
| Facility size (log beds) | 5.04 | -0.11 |
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
27.7
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) | 3.26 | -0.69 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 4.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 2.57 | -0.26 | |
| Ownership changes, last 5 years | 1.00 | +0.23 | |
| Total nurse staffing (HPRD) | 2.78 | +0.18 |
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 | 2.78 | 2.67 | 3.28 | 2.90–3.77 |
| RN | 0.26 | 0.24 | 0.39 | 0.25–0.58 |
| Weekend total | 2.66 | 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 | 115.8 | 2.78 | 0.26 | 0.95 | 1.57 | 2.66 | 0.0% |
| 2025Q3 | 92 | 125.1 | 2.69 | 0.26 | 0.94 | 1.49 | 2.42 | 0.0% |
| 2025Q2 | 91 | 125.4 | 2.60 | 0.22 | 0.95 | 1.43 | 2.39 | 0.0% |
| 2025Q1 | 90 | 119.5 | 2.79 | 0.29 | 1.09 | 1.42 | 2.49 | 0.0% |
| 2024Q4 | 92 | 108.2 | 2.69 | 0.31 | 1.08 | 1.31 | 2.40 | 0.0% |
| 2024Q3 | 92 | 105.8 | 2.54 | 0.29 | 0.96 | 1.29 | 2.25 | 0.8% |
| 2024Q2 | 91 | 119.6 | 2.17 | 0.23 | 0.80 | 1.14 | 1.94 | 0.0% |
| 2024Q1 | 91 | 136.2 | 2.02 | 0.25 | 0.73 | 1.04 | 1.77 | 0.0% |
| 2023Q4 | 92 | 123.4 | 2.22 | 0.21 | 0.75 | 1.26 | 2.04 | 0.0% |
| 2023Q3 | 92 | 133.2 | 2.38 | 0.21 | 0.83 | 1.34 | 2.19 | 0.0% |
| 2023Q2 | 91 | 122.4 | 2.67 | 0.21 | 0.97 | 1.50 | 2.41 | 0.1% |
| 2023Q1 | 90 | 120.1 | 2.95 | 0.23 | 1.07 | 1.66 | 2.59 | 0.4% |
| 2022Q4 | 92 | 118.3 | 3.13 | 0.21 | 1.16 | 1.75 | 2.82 | 2.4% |
| 2022Q3 | 92 | 115.5 | 2.96 | 0.25 | 1.20 | 1.51 | 2.60 | 13.0% |
| 2022Q2 | 91 | 112.3 | 3.10 | 0.27 | 1.27 | 1.56 | 2.58 | 14.2% |
| 2022Q1 | 90 | 113.8 | 2.90 | 0.30 | 1.21 | 1.38 | 2.45 | 3.2% |
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
2| Date | Type | Fine | Source |
|---|---|---|---|
| 2023-12-03 | Fine | $104,627 | CMS provider data |
| 2023-12-03 | Payment Denial | — | CMS provider data |
Total fines on record: $104,627
Deficiencies
47D × 34E × 12K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-01-16 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-01-17 |
| 2025-09-11 | Health · complaint | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | 2025-09-12 |
| 2025-09-11 | Health · complaint | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | 2025-09-12 |
| 2025-09-11 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-09-12 |
| 2025-07-02 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-07-03 |
| 2025-07-02 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-07-03 |
| 2025-07-02 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2025-07-03 |
| 2024-11-08 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-11-09 |
| 2024-11-08 | Health | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2024-11-09 |
| 2024-11-08 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-11-09 |
| 2024-11-08 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2024-11-09 |
| 2024-11-08 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-11-09 |
| 2024-10-18 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-10-19 |
| 2024-01-16 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-01-17 |
| 2024-01-16 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-01-17 |
| 2024-01-16 | 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 | 2024-01-17 |
| 2024-01-16 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2024-01-17 |
| 2024-01-16 | Health · complaint | F0791 | Provide or obtain dental services for each resident. | E | 2024-01-17 |
| 2024-01-16 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-01-17 |
| 2023-12-03 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-01-10 |
| 2023-12-03 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | K | 2023-12-04 |
| 2023-12-03 | 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 | 2023-12-04 |
| 2023-12-03 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-01-10 |
| 2023-10-06 | 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 | 2023-11-10 |
| 2023-10-06 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-11-10 |
| 2023-10-06 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-11-10 |
| 2023-10-06 | 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 | 2023-11-10 |
| 2023-10-06 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2023-11-10 |
| 2023-10-06 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-11-10 |
| 2023-10-06 | 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 | 2023-11-10 |
| 2023-10-06 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2023-11-10 |
| 2023-10-06 | 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 | 2023-11-10 |
| 2023-10-06 | Health · complaint | 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 | 2023-11-10 |
| 2023-10-06 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-11-10 |
| 2023-10-06 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-11-10 |
| 2023-10-06 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2023-11-10 |
| 2023-10-06 | Health · complaint | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | 2023-11-10 |
| 2023-10-06 | Health · complaint | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | 2023-11-10 |
| 2023-10-06 | Health · complaint | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | 2023-11-10 |
| 2023-10-06 | Health · complaint | F0946 | Provide training in compliance and ethics. | E | 2023-11-10 |
| 2023-10-06 | Health · complaint | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | 2023-11-10 |
| 2023-09-21 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2023-10-13 |
| 2023-08-23 | Health · complaint | F0732 | Post nurse staffing information every day. | D | 2023-08-24 |
| 2023-08-23 | 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 | 2023-08-24 |
| 2022-08-26 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-08-27 |
| 2022-08-26 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2022-08-27 |
| 2022-08-26 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2022-08-27 |
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
30| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| FRIO HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-01-01 | current | pecos_ownership |
| 1 HEARTLAND DRIVE TX, LLC | ADP OF THE SNF | — | 2024-01-01 | current | pecos_ownership |
| CONTINUUM REHAB GROUP LLC | ADP OF THE SNF | — | 2024-01-01 | current | pecos_ownership |
| FRIO HOSPITAL DISTRICT | — | — | 2024-07-10 | current | tx_hhsc_directory |
| GARETZ, DAVID | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 | current | pecos_ownership |
| GIBRALTAR TRUST | ADP OF THE SNF | — | 2024-01-01 | current | pecos_ownership |
| GONZALES, JAVIER | ADP OF THE SNF | — | 2023-12-06 | current | pecos_ownership |
| GURWITZ, SOLOMON | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-06-25 | current | pecos_ownership |
| HAGINS, ELIZABETH | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-03-31 | current | pecos_ownership |
| HEARTLAND POST ACUTE LLC | — | — | 2024-07-10 | current | tx_hhsc_directory |
| HEARTLAND POST ACUTE LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 | current | pecos_ownership |
| KAPLAN, ESTHER | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-06-25 | current | pecos_ownership |
| KAPLAN, MORDECHAI | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-03-31 | current | pecos_ownership |
| MAGNOLIA REALTY, LLC | ADP OF THE SNF | — | 2024-01-01 | current | pecos_ownership |
| MILLENNIAL ACQUISITIONS, LLC | ADP OF THE SNF | — | 2024-01-01 | current | pecos_ownership |
| MINDLE, ADAM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-06-25 | current | pecos_ownership |
| MONTGOMERY SKY TRUST | ADP OF THE SNF | — | 2024-01-01 | current | pecos_ownership |
| OPCO CA SKILLED MGMT INC. | ADP OF THE SNF | — | 2024-01-01 | current | pecos_ownership |
| OPCO TEXAS SKILLED MGMT LLC | ADP OF THE SNF | — | 2024-01-01 | current | pecos_ownership |
| OREGON REALTY, LLC | ADP OF THE SNF | — | 2024-01-01 | current | pecos_ownership |
| RUFF, MICHAEL | CORPORATE OFFICER | — | 2024-01-01 | current | pecos_ownership |
| SCOOPER REALTY, LLC | ADP OF THE SNF | — | 2024-01-01 | current | pecos_ownership |
| SILVA, LUIS | ADP OF THE SNF | — | 2010-03-11 | current | pecos_ownership |
| UNGER, JEFFREY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-06-25 | current | pecos_ownership |
| WINDSOR SQUARE REALTY, LLC | ADP OF THE SNF | — | 2024-01-01 | current | pecos_ownership |
| MICHAEL RUFF | CORPORATE OFFICER | 0% | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| DAVID GARETZ | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| HANSEN HUNTER LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-01 | ended 2026-04-01 | pecos_ownership |
| JAVIER GONZALES | ADP OF THE SNF | — | 2023-12-06 | ended 2026-05-18 | pecos_ownership |
| LUIS SILVA | ADP OF THE SNF | — | 2010-03-11 | 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 |
|---|---|---|---|---|
| 2024-01-01 | — | FRIO HOSPITAL DISTRICT | HEARTLAND POST ACUTE 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
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48029 | acs median gross | 0 | $1,088 | 2024-12-31 | CENSUS_ACS5 |
| county 48029 | fmr | 0 | $1,077 | 2025-10-01 | HUD_USER_FMR |
| county 48029 | acs median gross | 1 | $1,145 | 2024-12-31 | CENSUS_ACS5 |
| county 48029 | fmr | 1 | $1,177 | 2025-10-01 | HUD_USER_FMR |
| county 48029 | acs median gross | 2 | $1,389 | 2024-12-31 | CENSUS_ACS5 |
| county 48029 | fmr | 2 | $1,426 | 2025-10-01 | HUD_USER_FMR |
| county 48029 | acs median gross | 3 | $1,668 | 2024-12-31 | CENSUS_ACS5 |
| county 48029 | fmr | 3 | $1,830 | 2025-10-01 | HUD_USER_FMR |
| county 48029 | acs median gross | 4 | $1,909 | 2024-12-31 | CENSUS_ACS5 |
| county 48029 | fmr | 4 | $2,132 | 2025-10-01 | HUD_USER_FMR |
| county 48029 | acs median gross | 5 | $2,324 | 2024-12-31 | CENSUS_ACS5 |
| county 48029 | acs median gross | $1,354 | 2024-12-31 | CENSUS_ACS5 | |
| county 48029 | acs recent mover gross | $1,427 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 78247 | acs median gross | 0 | $1,321 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78247 | acs median gross | 1 | $1,287 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78247 | acs median gross | 2 | $1,483 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78247 | acs median gross | 3 | $1,731 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78247 | acs median gross | 4 | $2,280 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78247 | acs median gross | $1,563 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 78247 | acs recent mover gross | $1,653 | 2024-12-31 | CENSUS_ACS5 | |
| zip 78247 | payment standard 110 | 0 | $1,364 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78247 | payment standard 90 | 0 | $1,116 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78247 | safmr | 0 | $1,240 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78247 | payment standard 110 | 1 | $1,485 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78247 | payment standard 90 | 1 | $1,215 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78247 | safmr | 1 | $1,350 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78247 | payment standard 110 | 2 | $1,804 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78247 | payment standard 90 | 2 | $1,476 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78247 | safmr | 2 | $1,640 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78247 | payment standard 110 | 3 | $2,310 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78247 | payment standard 90 | 3 | $1,890 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78247 | safmr | 3 | $2,100 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78247 | payment standard 110 | 4 | $2,695 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78247 | payment standard 90 | 4 | $2,205 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78247 | safmr | 4 | $2,450 | 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.