Composite
63.5 / 100 percentile
Screener / 676250
C
PECAN VALLEY REHABILITATION AND HEALTHCARE
snfTX
3838 E SOUTHCROSS BLVD, SAN ANTONIO, TX 78222 · CCN 676250 · chain THE ENSIGN GROUP INC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
124
Model
v1.2
Reads as: riskier than 63.5% 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 signals8Components20CHOW radar1Distress radar1Staffing16Penalties0Deficiencies25Licensure0Ownership48Related party5Transactions1Comps12Market rent35
Composite explanation
8| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| staffing risk | 85.1 | 85.1 | 0.25 | 0.1429 | 12.16 | in index |
| billing conduct | 62.4 | 44.4 | 0.30 | 0.1714 | 10.70 | in index |
| regulatory risk | 52.1 | 41.6 | 0.30 | 0.1714 | 8.93 | in index |
| financial risk | 50.4 | 45.7 | 0.30 | 0.1714 | 8.64 | in index |
| state reg risk | 27.3 | 6.0 | 0.30 | 0.1714 | 4.68 | in index |
| lease risk | 53.3 | 53.4 | 0.15 | 0.0857 | 4.57 | in index |
| chow risk | 43.9 | 35.9 | 0.15 | 0.0857 | 3.76 | in index |
| ownership opacity | 0.7 | 10.0 | 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
8| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +30.1 vs natl | AZIZ WESAM | 8 facilities |
| connection | Owner fleet risk far above national | +21.8 vs natl | ASHTON ANDREW | 6 facilities |
| connection | Owner spans multiple chains | 18 chains | ENSIGN SERVICES INC | 286 facilities |
| connection | Owner spans multiple chains | 17 chains | KEETCH CHAD | 283 facilities |
| connection | Owner spans multiple chains | 17 chains | BURNAM SOON | 335 facilities |
| connection | Owner spans multiple chains | 12 chains | THE ENSIGN GROUP INC | 123 facilities |
| connection | Owner spans multiple chains | 11 chains | STANDARD BEARER HEALTHCARE OP LP | 83 facilities |
| connection | Owner spans multiple chains | 5 chains | AZIZ WESAM | 6 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 | 44.4 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 55.0 | C | 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 | 15.8 | A | v0.1-txhhsc | default · in composite | Texas licence reissue timing as an ownership-transfer proxy. |
| chow risk | 36.8 | B | v0.6 | default · in composite | |
| financial risk | 45.7 | C | v0.5 | default · in composite | R18. |
| lease risk | 53.4 | C | v0.5 | default · in composite | |
| ownership opacity | 10.0 | A | 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 | 0.1 | — | 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 | 41.6 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 85.1 | 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 | 6.0 | A | v0.5 | default · in composite | |
| financial risk | 84.7 | 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 | 64.7 | C | 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 | 45.3 | 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 | 50.6 | 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 | 41.5 | B | 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 | 41.5 | B | 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 | 85.1 | 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 | 85.1 | 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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
33.3
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) | 6.74 | -1.19 | |
| Chain size (log) | 5.46 | +0.76 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.81 | -0.34 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Contract staffing share | 0.00 | -0.10 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 5.46 | -1.98 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Occupancy | 0.81 | -0.27 | |
| Total nurse staffing (HPRD) | 2.69 | +0.22 | |
| Current owner tenure (years) | 6.74 | -0.19 | |
| Fine amount, 12m (log) | 0.00 | +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 | 2.69 | 2.67 | 3.28 | 2.90–3.77 |
| RN | 0.27 | 0.24 | 0.39 | 0.25–0.58 |
| Weekend total | 2.41 | 2.56 | 3.11 | — |
| Weekday total | 2.79 | 2.72 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 100.9 | 2.69 | 0.27 | 0.80 | 1.61 | 2.41 | 0.0% |
| 2025Q3 | 92 | 101.3 | 2.75 | 0.28 | 0.82 | 1.66 | 2.54 | 0.0% |
| 2025Q2 | 91 | 101.5 | 2.86 | 0.32 | 0.77 | 1.78 | 2.59 | 0.0% |
| 2025Q1 | 90 | 104.8 | 2.73 | 0.29 | 0.72 | 1.72 | 2.56 | 0.0% |
| 2024Q4 | 92 | 105.4 | 2.77 | 0.25 | 0.87 | 1.64 | 2.54 | 0.0% |
| 2024Q3 | 92 | 98.4 | 2.76 | 0.30 | 0.79 | 1.67 | 2.71 | 0.0% |
| 2024Q2 | 91 | 92.9 | 2.62 | 0.26 | 0.83 | 1.52 | 2.66 | 0.0% |
| 2024Q1 | 91 | 96.8 | 2.49 | 0.24 | 0.77 | 1.47 | 2.32 | 0.0% |
| 2023Q4 | 92 | 92.0 | 2.48 | 0.20 | 0.76 | 1.52 | 2.45 | 0.0% |
| 2023Q3 | 92 | 88.3 | 2.62 | 0.21 | 0.75 | 1.65 | 2.73 | 5.4% |
| 2023Q2 | 91 | 90.8 | 2.70 | 0.18 | 0.80 | 1.72 | 2.71 | 6.3% |
| 2023Q1 | 90 | 98.6 | 2.49 | 0.17 | 0.82 | 1.50 | 2.40 | 3.6% |
| 2022Q4 | 92 | 92.7 | 2.67 | 0.15 | 0.92 | 1.60 | 2.65 | 6.2% |
| 2022Q3 | 92 | 95.3 | 2.60 | 0.18 | 0.82 | 1.61 | 2.53 | 14.0% |
| 2022Q2 | 91 | 81.7 | 2.68 | 0.23 | 0.81 | 1.64 | 2.69 | 1.3% |
| 2022Q1 | 90 | 81.4 | 3.06 | 0.19 | 1.04 | 1.83 | 2.92 | 0.1% |
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
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
25C × 1D × 16E × 6F × 1J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-29 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2026-04-30 |
| 2026-04-29 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2026-04-30 |
| 2026-01-30 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2026-02-03 |
| 2026-01-30 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2026-02-03 |
| 2026-01-30 | Health | 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 | 2026-02-03 |
| 2026-01-30 | Health | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | 2026-02-03 |
| 2025-11-24 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2025-11-25 |
| 2025-07-07 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2025-07-07 |
| 2025-05-09 | Health · complaint | 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. | E | 2025-06-04 |
| 2025-05-09 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-06-04 |
| 2025-02-15 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-03-07 |
| 2024-10-31 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-11-22 |
| 2024-10-31 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | D | 2024-11-22 |
| 2024-10-31 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-11-22 |
| 2024-10-31 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-11-22 |
| 2024-10-31 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2024-11-22 |
| 2024-10-31 | Health · complaint | F0814 | Dispose of garbage and refuse properly. | C | 2024-11-22 |
| 2024-10-31 | Health · complaint | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | F | 2024-11-22 |
| 2024-10-31 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-11-22 |
| 2024-10-31 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-11-22 |
| 2023-09-15 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2023-09-22 |
| 2023-09-15 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2023-09-22 |
| 2023-09-15 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2023-09-22 |
| 2023-09-15 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2023-09-22 |
| 2023-09-15 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-09-22 |
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
48| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ABBOTT, SWATI | CORPORATE DIRECTOR | — | 2020-01-01 | current | pecos_ownership |
| AGWUNOBI, JOHN | CORPORATE DIRECTOR | — | 2023-01-01 | current | pecos_ownership |
| ASHTON, ANDREW | CORPORATE OFFICER | — | 2019-08-19 | current | pecos_ownership |
| AZIZ, WESAM | ADP OF THE SNF | — | 2025-04-14 | current | pecos_ownership |
| AZIZ, WESAM | MANAGING CONTROL - GOVERNING BODY | — | 2023-10-09 | current | pecos_ownership |
| BLOUIN, ANN | CORPORATE DIRECTOR | — | 2018-11-28 | current | pecos_ownership |
| BURNAM, SOON | CORPORATE OFFICER | — | 2019-08-19 | current | pecos_ownership |
| BURTON, SPENCER | CORPORATE OFFICER | — | 2015-05-30 | current | pecos_ownership |
| CALAVARAS CREEK HEALTHCARE LLC | — | — | 2023-11-01 | current | tx_hhsc_directory |
| CHRISTENSEN, CHRISTOPHER | CORPORATE DIRECTOR | — | 2014-11-01 | current | pecos_ownership |
| ENSIGN SERVICES INC | ADP OF THE SNF | — | 2019-11-01 | current | pecos_ownership |
| KEETCH, CHAD | CORPORATE OFFICER | — | 2019-11-01 | current | pecos_ownership |
| OLMSTEAD HEALTH HOLDINGS LLC | Corporation, partnership or other organization has financial interest in provider | — | 2024-01-01 | current | hcris_a_8_1 |
| OLMSTEAD HEALTH HOLDINGS LLC | Corporation, partnership or other organization has financial interest in provider | — | 2023-01-01 | current | hcris_a_8_1 |
| OLMSTEAD HEALTH HOLDINGS LLC | ADP OF THE SNF | — | 2022-01-01 | current | pecos_ownership |
| PARKINSON, MARK | CORPORATE DIRECTOR | — | 2024-10-01 | current | pecos_ownership |
| PORT, BARRY | CORPORATE OFFICER | — | 2019-11-01 | current | pecos_ownership |
| SHAW, DAREN | CORPORATE DIRECTOR | — | 2012-03-01 | current | pecos_ownership |
| SMITH, BARRY | CORPORATE DIRECTOR | — | 2014-06-01 | current | pecos_ownership |
| SNAPPER, SUZANNE | CORPORATE OFFICER | — | — | current | pecos_ownership |
| STANDARD BEARER HEALTHCARE OP, LP | ADP OF THE SNF | — | 2022-01-01 | current | pecos_ownership |
| THE ENSIGN GROUP INC | ADP OF THE SNF | — | 2022-01-01 | current | pecos_ownership |
| WINTERS, TESHA | ADP OF THE SNF | — | 2025-04-14 | current | pecos_ownership |
| WINTERS, TESHA | MANAGING CONTROL - GOVERNING BODY | — | 2019-11-01 | current | pecos_ownership |
| WITTEKIND, BEVERLY | CORPORATE OFFICER | — | 2008-09-29 | current | pecos_ownership |
| KEYSTONE CARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-08-19 | ended 2026-05-18 | pecos_ownership |
| THE ENSIGN GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2019-08-19 | ended 2026-05-18 | pecos_ownership |
| ANDREW ASHTON | CORPORATE OFFICER | 0% | 2019-08-19 | ended 2026-05-18 | pecos_ownership |
| ANN BLOUIN | CORPORATE DIRECTOR | 0% | 2018-11-28 | ended 2026-05-18 | pecos_ownership |
| BARRY PORT | CORPORATE OFFICER | 0% | 2019-11-01 | ended 2026-05-18 | pecos_ownership |
| BARRY SMITH | CORPORATE DIRECTOR | 0% | 2014-06-01 | ended 2026-05-18 | pecos_ownership |
| BEVERLY WITTEKIND | CORPORATE OFFICER | 0% | 2008-09-29 | ended 2026-05-18 | pecos_ownership |
| CHAD KEETCH | CORPORATE OFFICER | 0% | 2019-11-01 | ended 2026-05-18 | pecos_ownership |
| CHRISTOPHER CHRISTENSEN | CORPORATE DIRECTOR | 0% | 2014-11-01 | ended 2026-05-18 | pecos_ownership |
| DAREN SHAW | CORPORATE DIRECTOR | 0% | 2012-03-01 | ended 2026-05-18 | pecos_ownership |
| JOHN AGWUNOBI | CORPORATE DIRECTOR | 0% | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| MARK PARKINSON | CORPORATE DIRECTOR | 0% | 2024-10-01 | ended 2026-05-18 | pecos_ownership |
| SOON BURNAM | CORPORATE OFFICER | 0% | 2019-08-19 | ended 2026-05-18 | pecos_ownership |
| SPENCER BURTON | CORPORATE OFFICER | 0% | 2015-05-30 | ended 2026-05-18 | pecos_ownership |
| SUZANNE SNAPPER | CORPORATE OFFICER | 0% | — | ended 2026-05-18 | pecos_ownership |
| SWATI ABBOTT | CORPORATE DIRECTOR | 0% | 2020-01-01 | ended 2026-05-18 | pecos_ownership |
| OLMSTEAD HEALTH HOLDINGS LLC | Corporation, partnership or other organization has financial interest in provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| OLMSTEAD HEALTH HOLDINGS LLC | Corporation, partnership or other organization has financial interest in provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| OLMSTEAD HEALTH HOLDINGS LLC | Corporation, partnership or other organization has financial interest in provider | — | 2019-11-01 | ended 2020-12-31 | hcris_a_8_1 |
| TESHA WINTERS | ADP OF THE SNF | — | 2025-04-14 | ended 2026-05-18 | pecos_ownership |
| TESHA WINTERS | MANAGING CONTROL - GOVERNING BODY | — | 2019-11-01 | ended 2026-05-18 | pecos_ownership |
| WESAM AZIZ | ADP OF THE SNF | — | 2025-04-14 | ended 2026-05-18 | pecos_ownership |
| WESAM AZIZ | MANAGING CONTROL - GOVERNING BODY | — | 2023-10-09 | 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 |
|---|---|---|---|---|
| 2019-11-01 | — | CALAVARAS CREEK HEALTHCARE LLC | PECAN VALLEY SCC 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 78222 | acs median gross | 0 | $864 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78222 | acs median gross | 1 | $835 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78222 | acs median gross | 2 | $1,098 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78222 | acs median gross | 3 | $1,719 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78222 | acs median gross | 4 | $1,671 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78222 | acs median gross | $1,205 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 78222 | acs recent mover gross | $1,059 | 2024-12-31 | CENSUS_ACS5 | |
| zip 78222 | payment standard 110 | 0 | $1,155 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78222 | payment standard 90 | 0 | $945 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78222 | safmr | 0 | $1,050 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78222 | payment standard 110 | 1 | $1,265 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78222 | payment standard 90 | 1 | $1,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78222 | safmr | 1 | $1,150 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78222 | payment standard 110 | 2 | $1,529 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78222 | payment standard 90 | 2 | $1,251 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78222 | safmr | 2 | $1,390 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78222 | payment standard 110 | 3 | $1,958 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78222 | payment standard 90 | 3 | $1,602 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78222 | safmr | 3 | $1,780 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78222 | payment standard 110 | 4 | $2,288 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78222 | payment standard 90 | 4 | $1,872 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78222 | safmr | 4 | $2,080 | 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.