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 16:15 UTC
Screener / 676266
B

LONGHORN VILLAGE

snfTX
12001 LONGHORN PARKWAY, AUSTIN, TX 78732 · CCN 676266
Composite
37.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
60
Model
v1.2
Reads as: riskier than 37.6% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.

Composite explanation

6
ComponentPercentileRawWeightWeight shareContributionCounts
financial risk98.993.40.300.206920.46in index
chow risk94.776.70.150.10349.80in index
billing conduct29.131.20.300.20696.02in index
staffing risk16.416.50.250.17242.83in index
regulatory risk13.58.70.300.20692.79in index
lease risk18.741.60.150.10341.93in index
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.

Component scores and registry models

17
Score typeScoreGradeModelStatusRegistry model notes
billing conduct31.2Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk55.0Cv0.1-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 risk98.3Fv0.6default · in composite
financial risk93.4Fv0.5default · in compositeR18.
lease risk41.6Bv0.5default · in composite
p adverse action 12m17.9v0.1default · 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 12m0.8v0.1default · 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 risk8.7Av0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk16.5Av0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk97.5Fv0.1supersededPre-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 risk77.5Dv0.2supersededPre-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 risk80.2Fv0.3supersededPre-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 risk92.4Fv0.4supersededPre-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 risk8.6Av0.1supersededPre-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 risk8.6Av0.2supersededPre-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 risk16.5Av0.1supersededPre-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 risk16.5Av0.2supersededPre-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)
0.8%
model v0.1 · computed 2026-07-29
Percentile among SNFs
58.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership0.00-1.24
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
Occupancy0.51+0.53
No PBJ staffing report0.00+0.42
Chain size (log)0.00-0.40
Contract staffing share0.21+0.23
Ownership changes, last 5 years0.00+0.20
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.

Distress radar — 12-month termination probability

full board →
p(termination, 12m)
17.9%
model v0.1 · computed 2026-07-29
Percentile among SNFs
99.8
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
For-profit ownership0.00+1.62
Deficiencies, last 12 months0.00+1.43
Chain size (log)0.00+1.20
Occupancy0.51+0.99
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)4.04-0.35
Fine amount, 12m (log)0.00+0.18
Staffing trend, last 4 quarters0.43+0.17
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 nurse4.042.673.282.90–3.77
RN0.680.240.390.25–0.58
Weekend total4.332.563.11
Weekday total3.922.723.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49230.84.040.680.652.714.3321.4%
2025Q39229.54.230.680.872.684.4524.1%
2025Q29131.53.930.510.912.514.1832.2%
2025Q19028.94.130.520.972.654.4836.5%
2024Q49227.83.610.630.882.103.3441.8%
2024Q39228.34.840.431.333.085.0750.3%
2024Q29126.84.830.401.313.124.7944.7%
2024Q19128.14.630.590.963.094.4051.6%
2023Q49228.04.720.591.143.004.6745.5%
2023Q39227.24.260.401.272.604.2647.0%
2023Q29127.83.880.441.032.413.9047.8%
2023Q19028.04.340.561.172.604.5044.4%
2022Q49227.04.690.461.252.984.7533.5%
2022Q39231.74.040.521.062.464.1935.4%
2022Q29128.74.080.381.382.324.2528.6%
2022Q19028.23.650.301.182.173.7417.4%
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

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

Deficiencies

7
D × 5E × 2
deficiencies by survey year
532425
SurveyTypeTagDeficiencyScopeCorrected
2025-03-06Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-03-31
2025-03-06Health · complaintF0610Respond appropriately to all alleged violations.D2025-03-31
2024-12-19Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2024-07-12
2024-08-26Health · complaintF0880Provide and implement an infection prevention and control program.E2024-09-10
2024-01-26HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-02-16
2024-01-26HealthF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D2024-02-16
2024-01-26HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-02-16
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

21
OwnerRolePctFromStatusSource
BLURTON, JERRYADP OF THE SNF2024-01-01currentpecos_ownership
HAAS, LARRYCORPORATE DIRECTOR2026-01-01currentpecos_ownership
HARTMAN, DONALDCORPORATE DIRECTOR2025-01-01currentpecos_ownership
HIBMA, STACYOPERATIONAL/MANAGERIAL CONTROL2022-03-18currentpecos_ownership
KINSEY, DEIDREOPERATIONAL/MANAGERIAL CONTROL2024-09-01currentpecos_ownership
LIST, TIMOTHYOPERATIONAL/MANAGERIAL CONTROL2022-03-18currentpecos_ownership
NASH, JEFFREYCORPORATE DIRECTOR2023-01-01currentpecos_ownership
PHILIP, ANJANAADP OF THE SNF2016-02-01currentpecos_ownership
ULRICH, NICHOLEOPERATIONAL/MANAGERIAL CONTROL2023-04-10currentpecos_ownership
WILMINGTON TRUST, NATIONAL ASSOCIATION5% OR GREATER SECURITY INTEREST2013-03-15currentpecos_ownership
WINDHAM, DARRELLCORPORATE DIRECTOR2024-01-01currentpecos_ownership
ANJANA PHILIPADP OF THE SNF2016-02-01ended 2026-05-18pecos_ownership
DARRELL WINDHAMADP OF THE SNF2024-01-01ended 2026-05-18pecos_ownership
DEIDRE KINSEYOPERATIONAL/MANAGERIAL CONTROL2024-09-01ended 2026-05-18pecos_ownership
DONALD HARTMANADP OF THE SNF2025-01-01ended 2026-05-18pecos_ownership
JEFFREY NASHADP OF THE SNF2023-01-01ended 2026-05-18pecos_ownership
JERRY BLURTONADP OF THE SNF2024-01-01ended 2026-05-18pecos_ownership
LARRY HAASCORPORATE DIRECTOR2026-01-01ended 2026-05-18pecos_ownership
NICHOLE ULRICHADP OF THE SNF2023-04-10ended 2026-05-18pecos_ownership
STACY HIBMAOPERATIONAL/MANAGERIAL CONTROL2022-03-18ended 2026-05-18pecos_ownership
TIMOTHY LISTOPERATIONAL/MANAGERIAL CONTROL2022-03-18ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

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

Comparable trades — TX snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-10-01ST. ANTHONY'S CARE CENTER120SOUTH LIMESTONE HOSPITAL DISTRICT
2025-10-01Avir at New Braunfels154821 US HIGHWAY 81 W OPCO LLC
2025-09-01Avir at Texarkana110GUADALUPE COUNTY HOSPITAL BOARD
2025-09-01PARKS HEALTH CENTER90WEST COKE COUNTY HOSPITAL DISTRICT
2025-09-01WINDMILL VILLAGE REHABILITATION & CARE CENTER120FANNIN COUNTY HOSPITAL AUTHORITY
2025-08-31Las Ventanas De Socorro126SOCORRO HEALTH CARE LLC
2025-08-01Avir at Mineola115HOPKINS COUNTY HOSPITAL DISTRICT
2025-08-01Avir at Orem1203730 W OREM DR OPCO LLC
2025-08-01Avir at Courtyard1207499 STANWICK DR OPCO LLC
2025-08-01HILLSIDE MEDICAL LODGE128CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
2025-08-01Avir at Pasadena1314300 VISTA RD OPCO LLC
2025-07-01Highland Meadows120NOCONA HOSPITAL DISTRICT
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

35
GeoKindBRAmountAs ofSource
county 48453acs median gross0$1,4162024-12-31CENSUS_ACS5
county 48453fmr0$1,4742025-10-01HUD_USER_FMR
county 48453acs median gross1$1,5532024-12-31CENSUS_ACS5
county 48453fmr1$1,5622025-10-01HUD_USER_FMR
county 48453acs median gross2$1,8492024-12-31CENSUS_ACS5
county 48453fmr2$1,8522025-10-01HUD_USER_FMR
county 48453acs median gross3$2,1952024-12-31CENSUS_ACS5
county 48453fmr3$2,3472025-10-01HUD_USER_FMR
county 48453acs median gross4$2,4632024-12-31CENSUS_ACS5
county 48453fmr4$2,7602025-10-01HUD_USER_FMR
county 48453acs median gross5$2,9582024-12-31CENSUS_ACS5
county 48453acs median gross$1,7442024-12-31CENSUS_ACS5
county 48453acs recent mover gross$1,8452024-12-31CENSUS_ACS5
zcta 78732acs median gross1$1,6712024-12-31CENSUS_ACS5
zcta 78732acs median gross2$2,3782024-12-31CENSUS_ACS5
zcta 78732acs median gross3$3,1322024-12-31CENSUS_ACS5
zcta 78732acs median gross4$3,3642024-12-31CENSUS_ACS5
zcta 78732acs median gross5$3,5012024-12-31CENSUS_ACS5
zcta 78732acs median gross$1,9492024-12-31CENSUS_ACS5
zcta 78732acs recent mover gross$3,2422024-12-31CENSUS_ACS5
zip 78732payment standard 1100$1,7382025-10-01HUD_USER_SAFMR
zip 78732payment standard 900$1,4222025-10-01HUD_USER_SAFMR
zip 78732safmr0$1,5802025-10-01HUD_USER_SAFMR
zip 78732payment standard 1101$1,8482025-10-01HUD_USER_SAFMR
zip 78732payment standard 901$1,5122025-10-01HUD_USER_SAFMR
zip 78732safmr1$1,6802025-10-01HUD_USER_SAFMR
zip 78732payment standard 1102$2,1892025-10-01HUD_USER_SAFMR
zip 78732payment standard 902$1,7912025-10-01HUD_USER_SAFMR
zip 78732safmr2$1,9902025-10-01HUD_USER_SAFMR
zip 78732payment standard 1103$2,7722025-10-01HUD_USER_SAFMR
zip 78732payment standard 903$2,2682025-10-01HUD_USER_SAFMR
zip 78732safmr3$2,5202025-10-01HUD_USER_SAFMR
zip 78732payment standard 1104$3,2672025-10-01HUD_USER_SAFMR
zip 78732payment standard 904$2,6732025-10-01HUD_USER_SAFMR
zip 78732safmr4$2,9702025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.