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 2026-08-04 18:56 UTC
Screener / 675967
D

Northgate Plaza

snfTX
2101 Northgate Dr, Irving, TX 75062 · CCN 675967 · chain HAMILTON COUNTY HOSPITAL DISTRICT
Composite
87.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 87.7% 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 signals7Components19CHOW radar1Distress radar1Staffing16Penalties2Deficiencies65Licensure0Ownership24Related party3Transactions1Comps12Market rent35

Composite explanation

7
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk90.588.10.300.187516.97in index
staffing risk96.296.20.250.156315.03in index
financial risk74.862.60.300.187514.03in index
billing conduct54.341.20.300.187510.18in index
state reg risk27.36.00.300.18755.12in index
chow risk39.341.00.150.09383.68in index
ownership opacity58.455.2excluded
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

7
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+25.1 vs natlHOOPER GRADY61 facilities
connectionOwner spans multiple chains18 chainsENSIGN SERVICES INC 286 facilities
connectionOwner spans multiple chains17 chainsBURNAM SOON335 facilities
connectionOwner spans multiple chains17 chainsKEETCH CHAD283 facilities
connectionOwner spans multiple chains12 chainsTHE ENSIGN GROUP INC 123 facilities
connectionOwner spans multiple chains11 chainsSTANDARD BEARER HEALTHCARE OP LP83 facilities
connectionOwner fleet enforcement cluster49% finedHOOPER GRADY61 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 conduct41.2Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-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.
chow risk47.0Cv0.1-txhhscdefault · in compositeTexas licence reissue timing as an ownership-transfer proxy.
chow risk51.0Cv0.6default · in composite
financial risk62.6Cv0.5default · in compositeR18.
ownership opacity55.2Cv0.1-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 12m0.4—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 risk88.1Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk96.2Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
state reg risk6.0Av0.5default · in composite
financial risk94.2Fv0.1supersededPre-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 risk74.2Dv0.2supersededPre-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 risk49.2Cv0.3supersededPre-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 risk66.9Dv0.4supersededPre-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 risk88.0Fv0.1supersededPre-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 risk88.0Fv0.2supersededPre-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 risk96.2Fv0.1supersededPre-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 risk96.2Fv0.2supersededPre-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)
0.4%
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
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)7.24-1.14
For-profit ownership1.00+0.69
Occupancy0.50+0.58
Chain size (log)4.04+0.46
No PBJ staffing report0.00+0.42
Ownership changes, last 5 years0.00+0.20
Deficiencies, last 12 months15.00+0.19
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
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months15.00-1.35
Chain size (log)4.04-1.15
Occupancy0.50+1.06
For-profit ownership1.00-0.69
Total nurse staffing (HPRD)2.20+0.42
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Staffing trend, last 4 quarters-0.38-0.21
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 nurse2.202.673.282.90–3.77
RN0.150.240.390.25–0.58
Weekend total2.152.563.11—
Weekday total2.232.723.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49259.62.200.150.681.372.155.2%
2025Q39258.02.290.180.731.382.1510.2%
2025Q29159.52.510.400.601.512.3014.8%
2025Q19058.72.520.300.761.452.329.2%
2024Q49251.72.590.240.891.462.3424.4%
2024Q39257.32.500.131.131.242.3910.2%
2024Q29166.52.400.091.031.282.268.1%
2024Q19167.32.380.101.021.262.266.1%
2023Q49268.22.440.071.091.282.423.7%
2023Q39264.92.490.081.081.332.409.3%
2023Q29162.82.350.140.931.282.0817.4%
2023Q19057.72.210.110.841.261.9320.0%
2022Q49252.42.070.090.811.171.846.0%
2022Q39256.92.590.180.971.442.359.8%
2022Q29165.13.080.370.961.752.599.7%
2022Q19079.03.050.261.001.782.6416.7%
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
fines by year
$49.7k$24.9k232425
DateTypeFineSource
2025-03-28Fine$49,730CMS provider data
2023-08-04Fine$5,967CMS provider data
Total fines on record: $55,697

Deficiencies

65
D × 37E × 25F × 1G × 1K × 1
deficiencies by survey year
1892223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-14Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2026-04-30
2026-03-31Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.E—
2026-03-31Health · complaintF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E—
2026-03-31Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D—
2026-03-31Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.E—
2026-03-31Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E—
2026-03-31Health · complaintF0880Provide and implement an infection prevention and control program.E—
2026-02-13Health · complaintF0583Keep residents' personal and medical records private and confidential.D2026-02-14
2025-11-25Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-10-09
2025-11-25Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.E2025-10-09
2025-11-25Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-10-09
2025-11-25Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-10-09
2025-11-25Health · complaintF0761Ensure 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.D2025-10-09
2025-11-25Health · complaintF0880Provide and implement an infection prevention and control program.D2025-10-09
2025-08-07Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-08-08
2025-05-14Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.E2025-06-04
2025-05-14Health · complaintF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.E2025-06-04
2025-05-14Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-06-04
2025-03-28Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.K2025-04-21
2025-03-28Health · complaintF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.E2025-04-21
2025-03-28Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2025-04-21
2024-12-18HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-01-17
2024-12-18HealthF0727Have 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.E2025-01-17
2024-12-18HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-01-17
2024-12-18HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-01-17
2024-10-31Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2024-11-25
2024-10-31Health · complaintF0583Keep residents' personal and medical records private and confidential.E2024-11-25
2024-10-31Health · complaintF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E2024-11-25
2024-10-31Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-11-25
2024-10-31Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-11-25
2024-10-31Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.E2024-11-25
2024-10-31Health · complaintF0761Ensure 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.D2024-11-25
2024-10-31Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-11-25
2024-10-31Health · complaintF0880Provide and implement an infection prevention and control program.D2024-11-25
2024-10-28Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-11-15
2024-09-19Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-10-01
2024-09-19Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-10-01
2024-09-19Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2024-10-01
2024-01-19Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-03-04
2023-11-09Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2023-12-09
2023-11-09Health · complaintF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E2023-12-09
2023-11-09Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-12-09
2023-11-09Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2023-12-09
2023-11-09Health · complaintF0680Ensure the activities program is directed by a qualified professional.E2023-12-09
2023-11-09Health · complaintF0692Provide enough food/fluids to maintain a resident's health.D2023-12-09
2023-11-09Health · complaintF0693Ensure 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.D2023-12-09
2023-11-09Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2023-12-09
2023-11-09Health · complaintF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.D2023-12-09
2023-11-09Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2023-12-09
2023-11-09Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2023-12-09
2023-11-09Health · complaintF0880Provide and implement an infection prevention and control program.D2023-12-09
2023-09-07Health · complaintF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D2023-09-10
2023-08-22Health · complaintF0761Ensure 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.D2023-08-25
2023-08-04Health · 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.E2023-08-10
2023-08-04Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.G2023-08-10
2023-06-16Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2023-06-19
2023-06-16Health · complaintF0880Provide and implement an infection prevention and control program.D2023-06-19
2022-09-28HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2022-10-23
2022-09-28HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2022-10-22
2022-09-28HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2022-10-23
2022-09-28HealthF0687Provide appropriate foot care.D2022-11-11
2022-09-28HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2022-10-23
2022-09-28HealthF0759Ensure medication error rates are not 5 percent or greater.D2022-10-24
2022-09-28HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2022-10-03
2022-09-28HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E2022-10-24
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

24
OwnerRolePctFromStatusSource
BARNES, MARCUSMANAGING CONTROL - GOVERNING BODY—2022-07-01currentpecos_ownership
BURNAM, SOONCORPORATE OFFICER—2022-07-01currentpecos_ownership
COIL, RYANMANAGING CONTROL - GOVERNING BODY—2025-06-23currentpecos_ownership
ENSIGN SERVICES INCADP OF THE SNF—2022-04-19currentpecos_ownership
HAMILTON COUNTY HOSPITAL DISTRICT——2025-05-01currenttx_hhsc_directory
HOOPER, GRADYCORPORATE OFFICER—2015-12-01currentpecos_ownership
KEETCH, CHADCORPORATE OFFICER—2011-03-01currentpecos_ownership
STANDARD BEARER HEALTHCARE OP, LPADP OF THE SNF—2022-07-01currentpecos_ownership
SWEET BAY HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROL—2022-07-01currentpecos_ownership
SWEET BAY HEALTHCARE LLC——2025-05-01currenttx_hhsc_directory
SWEET BAY HEALTHCARE LLCADP OF THE SNF—2025-10-30currentpecos_ownership
THE ENSIGN GROUP INCADP OF THE SNF—2022-07-01currentpecos_ownership
VALLEY RANCH HEALTH HOLDINGS LLCADP OF THE SNF—2022-07-01currentpecos_ownership
VALLEY RANCH HEALTH HOLDINGS LLCCorporation, partnership or other organization has financial interest in provider—2022-10-01currenthcris_a_8_1
VALLEY RANCH HEALTH HOLDINGS LLCCorporation, partnership or other organization has financial interest in provider—2023-10-01currenthcris_a_8_1
GRADY HOOPERCORPORATE OFFICER100%2015-12-01ended 2026-05-18pecos_ownership
HAMILTON COUNTY HOSPITAL DISTRICTOPERATIONAL/MANAGERIAL CONTROL50%2019-05-01ended 2026-05-18pecos_ownership
DENA MCGREGORCORPORATE DIRECTOR20%2016-12-15ended 2026-05-18pecos_ownership
NEIL MUXWORTHYCORPORATE DIRECTOR20%1996-05-20ended 2026-05-18pecos_ownership
ROBERT WITZSCHECORPORATE DIRECTOR20%1998-12-28ended 2026-05-18pecos_ownership
WILLIAM FORRESTCORPORATE DIRECTOR20%1992-05-20ended 2026-05-18pecos_ownership
MARCUS BARNESOPERATIONAL/MANAGERIAL CONTROL0%2022-07-01ended 2026-05-18pecos_ownership
SOON BURNAMCORPORATE OFFICER0%2022-07-01ended 2026-05-18pecos_ownership
VALLEY RANCH HEALTH HOLDINGS LLCCorporation, partnership or other organization has financial interest in provider—2021-10-01ended 2022-09-30hcris_a_8_1
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2019-05-01—HAMILTON COUNTY HOSPITAL DISTRICTHMG IRVING SNF, LPchow

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

35
GeoKindBRAmountAs ofSource
county 48113acs median gross0$1,3852024-12-31CENSUS_ACS5
county 48113fmr0$1,5822025-10-01HUD_USER_FMR
county 48113acs median gross1$1,4002024-12-31CENSUS_ACS5
county 48113fmr1$1,6482025-10-01HUD_USER_FMR
county 48113acs median gross2$1,6382024-12-31CENSUS_ACS5
county 48113fmr2$1,9312025-10-01HUD_USER_FMR
county 48113acs median gross3$1,8232024-12-31CENSUS_ACS5
county 48113fmr3$2,4312025-10-01HUD_USER_FMR
county 48113acs median gross4$2,2412024-12-31CENSUS_ACS5
county 48113fmr4$3,0912025-10-01HUD_USER_FMR
county 48113acs median gross5$2,4322024-12-31CENSUS_ACS5
county 48113acs median gross$1,5652024-12-31CENSUS_ACS5
county 48113acs recent mover gross$1,7452024-12-31CENSUS_ACS5
zcta 75062acs median gross0$1,3252024-12-31CENSUS_ACS5
zcta 75062acs median gross1$1,2232024-12-31CENSUS_ACS5
zcta 75062acs median gross2$1,5852024-12-31CENSUS_ACS5
zcta 75062acs median gross3$1,9602024-12-31CENSUS_ACS5
zcta 75062acs median gross4$2,6522024-12-31CENSUS_ACS5
zcta 75062acs median gross$1,4782024-12-31CENSUS_ACS5
zcta 75062acs recent mover gross$1,6922024-12-31CENSUS_ACS5
zip 75062payment standard 1100$1,6392025-10-01HUD_USER_SAFMR
zip 75062payment standard 900$1,3412025-10-01HUD_USER_SAFMR
zip 75062safmr0$1,4902025-10-01HUD_USER_SAFMR
zip 75062payment standard 1101$1,7052025-10-01HUD_USER_SAFMR
zip 75062payment standard 901$1,3952025-10-01HUD_USER_SAFMR
zip 75062safmr1$1,5502025-10-01HUD_USER_SAFMR
zip 75062payment standard 1102$2,0022025-10-01HUD_USER_SAFMR
zip 75062payment standard 902$1,6382025-10-01HUD_USER_SAFMR
zip 75062safmr2$1,8202025-10-01HUD_USER_SAFMR
zip 75062payment standard 1103$2,5192025-10-01HUD_USER_SAFMR
zip 75062payment standard 903$2,0612025-10-01HUD_USER_SAFMR
zip 75062safmr3$2,2902025-10-01HUD_USER_SAFMR
zip 75062payment standard 1104$3,2012025-10-01HUD_USER_SAFMR
zip 75062payment standard 904$2,6192025-10-01HUD_USER_SAFMR
zip 75062safmr4$2,9102025-10-01HUD_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 · Northgate Plaza (675967) · generated 2026-08-04 · 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