Composite
92.3 / 100 percentile
Screener / 455915
D
Granbury Care Center
snfTX
301 S Park St, Granbury, TX 76048 · CCN 455915 · chain WEST WHARTON COUNTY HOSPITAL DISTRICT
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
174
Model
v1.2
Reads as: riskier than 92.3% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model7ML signals25Components19CHOW radar1Distress radar1Staffing16Penalties2Deficiencies40Licensure0Ownership37Related party0Transactions1Comps12Market rent33
Composite explanation
7| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 86.2 | 83.3 | 0.30 | 0.1875 | 16.16 | in index |
| staffing risk | 98.2 | 98.2 | 0.25 | 0.1563 | 15.34 | in index |
| billing conduct | 63.5 | 44.9 | 0.30 | 0.1875 | 11.91 | in index |
| state reg risk | 58.7 | 13.5 | 0.30 | 0.1875 | 11.01 | in index |
| financial risk | 47.7 | 44.1 | 0.30 | 0.1875 | 8.94 | in index |
| chow risk | 56.2 | 41.9 | 0.15 | 0.0938 | 5.27 | in index |
| ownership opacity | 87.1 | 77.0 | 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
25| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +26.5 vs natl | SOECHTING PAUL | 37 facilities |
| connection | Owner fleet risk far above national | +26.5 vs natl | STRACK JOE | 37 facilities |
| connection | Owner fleet risk far above national | +26.5 vs natl | BOWERS SEAN | 37 facilities |
| connection | Owner fleet risk far above national | +26.5 vs natl | HARDIN SHERRIE | 37 facilities |
| connection | Owner fleet risk far above national | +26.5 vs natl | KORENEK PATRICIA | 37 facilities |
| connection | Owner fleet risk far above national | +24.6 vs natl | CISNEROS ALFRED | 40 facilities |
| connection | Owner fleet risk far above national | +24.6 vs natl | KERZEE RICHARD | 40 facilities |
| connection | Owner fleet risk far above national | +24.6 vs natl | WILLIG ZACHARY | 82 facilities |
| connection | Owner fleet risk far above national | +24.0 vs natl | COBB TRAVIS | 39 facilities |
| connection | Owner fleet risk far above national | +23.7 vs natl | THOMPSON JOHNNY | 74 facilities |
| connection | Owner fleet risk far above national | +23.5 vs natl | HUGGINS LINDA | 139 facilities |
| connection | Owner fleet risk far above national | +23.4 vs natl | BLAKE MALISA | 137 facilities |
| connection | Owner fleet risk far above national | +23.4 vs natl | BLAKE GARY | 137 facilities |
| connection | Owner fleet risk far above national | +20.2 vs natl | COOPER STEPHEN | 43 facilities |
| connection | Owner spans multiple chains | 15 chains | WILLIG ZACHARY | 81 facilities |
| connection | Owner spans multiple chains | 13 chains | HUGGINS LINDA | 139 facilities |
| connection | Owner spans multiple chains | 13 chains | BLAKE MALISA | 137 facilities |
| connection | Owner spans multiple chains | 13 chains | BLAKE GARY | 137 facilities |
| connection | Owner fleet enforcement cluster | 49% fined | BLAKE GARY | 137 facilities |
| connection | Owner fleet enforcement cluster | 49% fined | BLAKE MALISA | 137 facilities |
| connection | Owner fleet enforcement cluster | 48% fined | HUGGINS LINDA | 139 facilities |
| connection | Owner fleet enforcement cluster | 48% fined | WILLIG ZACHARY | 82 facilities |
| connection | Owner fleet enforcement cluster | 45% fined | THOMPSON JOHNNY | 74 facilities |
| connection | Owner fleet enforcement cluster | 41% fined | HARDIN SHERRIE | 37 facilities |
| connection | Owner fleet enforcement cluster | 41% fined | KORENEK PATRICIA | 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
19| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 44.9 | 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 | 69.2 | D | v0.1-txhhsc | default · in composite | Texas licence reissue timing as an ownership-transfer proxy. |
| chow risk | 1.4 | A | v0.6 | default · in composite | |
| financial risk | 44.1 | B | v0.5 | default · in composite | R18. |
| ownership opacity | 77.0 | D | v0.1-txhhsc | default · in composite | Texas HHSC directory ownership structure: chain size, absentee owner, management company, entity form, owner closure history. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.0 | — | 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 | 83.3 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 98.2 | 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 | 13.5 | A | v0.5 | default · in composite | |
| financial risk | 75.4 | D | 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 | 55.4 | 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 | 45.9 | 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 | 48.9 | 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 | 83.2 | 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 | 83.2 | 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 | 98.2 | 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 | 98.2 | 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
1.1
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) | 4.33 | -1.43 | |
| For-profit ownership | 0.00 | -1.24 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| Chain size (log) | 4.58 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Total nurse staffing (HPRD) | 1.95 | +0.22 | |
| Facility size (log beds) | 5.16 | -0.13 |
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 | |
|---|---|---|---|
| For-profit ownership | 0.00 | +1.62 | |
| Chain size (log) | 4.58 | -1.47 | |
| Total nurse staffing (HPRD) | 1.95 | +0.53 | |
| Fine amount, 12m (log) | 9.70 | -0.53 | |
| Deficiencies, last 12 months | 10.00 | -0.43 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
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 | 1.95 | 2.67 | 3.28 | 2.90–3.77 |
| RN | 0.25 | 0.24 | 0.39 | 0.25–0.58 |
| Weekend total | 1.87 | 2.56 | 3.11 | — |
| Weekday total | 1.98 | 2.72 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 122.2 | 1.95 | 0.25 | 0.66 | 1.04 | 1.87 | 0.0% |
| 2025Q3 | 92 | 116.8 | 2.11 | 0.19 | 0.74 | 1.18 | 2.01 | 0.0% |
| 2025Q2 | 91 | 121.1 | 2.07 | 0.10 | 0.79 | 1.18 | 1.98 | 0.0% |
| 2025Q1 | 90 | 126.4 | 2.16 | 0.07 | 0.90 | 1.20 | 2.10 | 0.0% |
| 2024Q4 | 92 | 126.8 | 2.23 | 0.08 | 0.92 | 1.23 | 2.14 | 0.0% |
| 2024Q3 | 92 | 132.2 | 2.25 | 0.09 | 0.84 | 1.32 | 2.14 | 0.0% |
| 2024Q2 | 91 | 140.2 | 2.10 | 0.10 | 0.76 | 1.24 | 1.97 | 0.1% |
| 2024Q1 | 91 | 139.4 | 2.04 | 0.14 | 0.65 | 1.25 | 1.90 | 0.0% |
| 2023Q4 | 92 | 135.5 | 2.03 | 0.12 | 0.68 | 1.23 | 1.94 | 0.5% |
| 2023Q3 | 92 | 130.9 | 2.15 | 0.16 | 0.71 | 1.28 | 1.96 | 0.0% |
| 2023Q2 | 91 | 128.5 | 2.06 | 0.13 | 0.73 | 1.20 | 1.86 | 0.1% |
| 2023Q1 | 90 | 134.4 | 2.01 | 0.05 | 0.78 | 1.18 | 1.77 | 18.4% |
| 2022Q4 | 92 | 124.4 | 2.50 | 0.08 | 0.91 | 1.51 | 2.28 | 51.7% |
| 2022Q3 | 92 | 123.4 | 2.29 | 0.11 | 0.75 | 1.42 | 2.15 | 38.0% |
| 2022Q2 | 91 | 125.8 | 2.21 | 0.08 | 0.65 | 1.48 | 1.88 | 28.8% |
| 2022Q1 | 90 | 132.4 | 2.18 | 0.03 | 0.68 | 1.47 | 1.97 | 30.3% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
2fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-09-12 | Fine | $16,394 | CMS provider data |
| 2024-02-21 | Fine | $21,107 | CMS provider data |
Total fines on record: $37,501
Deficiencies
40D × 17E × 21J × 1K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-30 | Health · complaint | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2026-04-01 |
| 2026-02-19 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2026-02-20 |
| 2026-02-19 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2026-02-20 |
| 2026-02-19 | Health | F0700 | Try 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. | D | 2026-02-20 |
| 2026-02-19 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | E | 2026-02-20 |
| 2026-02-19 | Health | 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 | 2026-02-20 |
| 2026-02-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2026-02-20 |
| 2026-02-19 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2026-02-20 |
| 2026-02-19 | Health | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | 2026-02-20 |
| 2025-09-12 | Health · complaint | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | — |
| 2025-07-03 | 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. | E | 2025-07-04 |
| 2025-07-03 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2025-07-04 |
| 2025-05-02 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2025-05-27 |
| 2025-03-24 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-03-25 |
| 2025-01-10 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-01-11 |
| 2024-12-04 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | 2024-12-05 |
| 2024-12-04 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | 2024-12-05 |
| 2024-12-04 | Health | 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 | 2024-12-05 |
| 2024-12-04 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-12-05 |
| 2024-12-04 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-12-05 |
| 2024-10-16 | 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 | 2024-10-17 |
| 2024-10-16 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-10-17 |
| 2024-07-29 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-07-27 |
| 2024-07-29 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-07-30 |
| 2024-07-23 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-07-24 |
| 2024-05-05 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-05-06 |
| 2024-02-21 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | E | 2024-02-22 |
| 2024-02-21 | 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. | E | 2024-02-22 |
| 2024-02-21 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2024-02-22 |
| 2024-02-21 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | 2024-02-22 |
| 2024-02-21 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | 2024-02-22 |
| 2023-11-16 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2023-11-17 |
| 2023-11-16 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-11-17 |
| 2023-11-16 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2023-11-17 |
| 2023-11-16 | Health | 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 | 2023-11-17 |
| 2023-11-16 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-11-17 |
| 2023-10-03 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-10-04 |
| 2023-06-09 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2023-06-10 |
| 2023-06-09 | Health · complaint | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2023-06-10 |
| 2023-06-09 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2023-06-10 |
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
37| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BLAKE, GARY | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-09-01 | current | pecos_ownership |
| BLAKE, MALISA | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-09-01 | current | pecos_ownership |
| BOWERS, SEAN | MANAGING CONTROL - GOVERNING BODY | — | 2024-07-01 | current | pecos_ownership |
| CISNEROS, ALFRED | MANAGING CONTROL - GOVERNING BODY | — | 2008-02-18 | current | pecos_ownership |
| COBB, TRAVIS | MANAGING CONTROL - GOVERNING BODY | — | 2022-10-05 | current | pecos_ownership |
| COOPER, STEPHEN | MANAGING CONTROL - GOVERNING BODY | — | 2022-11-11 | current | pecos_ownership |
| CREATIVE SOLUTIONS IN HEALTHCARE AT GRANBURY LLC | ADP OF THE SNF | — | 2025-05-30 | current | pecos_ownership |
| CREATIVE SOLUTIONS IN HEALTHCARE AT GRANBURY LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-09-01 | current | pecos_ownership |
| CREATIVE SOLUTIONS IN HEALTHCARE AT GRANBURY, LLC | — | — | 2025-04-01 | current | tx_hhsc_directory |
| HARDIN, SHERRIE | MANAGING CONTROL - GOVERNING BODY | — | 2024-09-04 | current | pecos_ownership |
| HUGGINS, LINDA | CORPORATE DIRECTOR | — | 2022-04-01 | current | pecos_ownership |
| KERZEE, RICHARD | MANAGING CONTROL - GOVERNING BODY | — | 2007-09-24 | current | pecos_ownership |
| KORENEK, PATRICIA | MANAGING CONTROL - GOVERNING BODY | — | 2018-05-05 | current | pecos_ownership |
| MESSINA, LYDIA | ADP OF THE SNF | — | 2025-04-15 | current | pecos_ownership |
| SOECHTING, PAUL | MANAGING CONTROL - GOVERNING BODY | — | 2024-11-22 | current | pecos_ownership |
| STRACK, JOE | MANAGING CONTROL - GOVERNING BODY | — | 2022-02-11 | current | pecos_ownership |
| THOMPSON, JOHNNY | CORPORATE OFFICER | — | 2024-01-01 | current | pecos_ownership |
| WEST WHARTON COUNTY HOSPITAL DISTRICT | — | — | 2025-04-01 | current | tx_hhsc_directory |
| WILLIG, ZACHARY | CORPORATE DIRECTOR | — | 2022-04-01 | current | pecos_ownership |
| WUSTERHAUSEN, KRIS | ADP OF THE SNF | — | 2025-01-01 | current | pecos_ownership |
| WEST WHARTON COUNTY HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-04-01 | ended 2026-05-18 | pecos_ownership |
| GARY BLAKE | OPERATIONAL/MANAGERIAL CONTROL | 50% | 2022-09-01 | ended 2026-05-18 | pecos_ownership |
| MALISA BLAKE | OPERATIONAL/MANAGERIAL CONTROL | 50% | 2022-09-01 | ended 2026-05-18 | pecos_ownership |
| JOHNNY THOMPSON | CORPORATE OFFICER | 0% | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| LINDA HUGGINS | CORPORATE DIRECTOR | 0% | 2022-04-01 | ended 2026-05-18 | pecos_ownership |
| ZACHARY WILLIG | CORPORATE DIRECTOR | 0% | 2022-04-01 | ended 2026-05-18 | pecos_ownership |
| ALFRED CISNEROS | MANAGING CONTROL - GOVERNING BODY | — | 2008-02-18 | ended 2026-05-18 | pecos_ownership |
| JOE STRACK | MANAGING CONTROL - GOVERNING BODY | — | 2022-02-11 | ended 2026-05-18 | pecos_ownership |
| KRIS WUSTERHAUSEN | ADP OF THE SNF | — | 2025-01-01 | ended 2026-05-18 | pecos_ownership |
| LYDIA MESSINA | ADP OF THE SNF | — | 2025-04-15 | ended 2026-05-18 | pecos_ownership |
| PATRICIA KORENEK | MANAGING CONTROL - GOVERNING BODY | — | 2018-05-05 | ended 2026-05-18 | pecos_ownership |
| PAUL SOECHTING | MANAGING CONTROL - GOVERNING BODY | — | 2024-11-22 | ended 2026-05-18 | pecos_ownership |
| RICHARD KERZEE | MANAGING CONTROL - GOVERNING BODY | — | 2007-09-24 | ended 2026-05-18 | pecos_ownership |
| SEAN BOWERS | MANAGING CONTROL - GOVERNING BODY | — | 2024-07-01 | ended 2026-05-18 | pecos_ownership |
| SHERRIE HARDIN | MANAGING CONTROL - GOVERNING BODY | — | 2024-09-04 | ended 2026-05-18 | pecos_ownership |
| STEPHEN COOPER | MANAGING CONTROL - GOVERNING BODY | — | 2022-11-11 | ended 2026-05-18 | pecos_ownership |
| TRAVIS COBB | MANAGING CONTROL - GOVERNING BODY | — | 2022-10-05 | 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 |
|---|---|---|---|---|
| 2022-04-01 | — | WEST WHARTON COUNTY HOSPITAL DISTRICT | CREATIVE SOLUTIONS IN HEALTHCARE AT GRANBURY 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
33| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48221 | fmr | 0 | $1,098 | 2025-10-01 | HUD_USER_FMR |
| county 48221 | acs median gross | 1 | $1,188 | 2024-12-31 | CENSUS_ACS5 |
| county 48221 | fmr | 1 | $1,237 | 2025-10-01 | HUD_USER_FMR |
| county 48221 | acs median gross | 2 | $1,296 | 2024-12-31 | CENSUS_ACS5 |
| county 48221 | fmr | 2 | $1,412 | 2025-10-01 | HUD_USER_FMR |
| county 48221 | acs median gross | 3 | $1,684 | 2024-12-31 | CENSUS_ACS5 |
| county 48221 | fmr | 3 | $1,693 | 2025-10-01 | HUD_USER_FMR |
| county 48221 | acs median gross | 4 | $2,038 | 2024-12-31 | CENSUS_ACS5 |
| county 48221 | fmr | 4 | $2,196 | 2025-10-01 | HUD_USER_FMR |
| county 48221 | acs median gross | 5 | $1,863 | 2024-12-31 | CENSUS_ACS5 |
| county 48221 | acs median gross | $1,428 | 2024-12-31 | CENSUS_ACS5 | |
| county 48221 | acs recent mover gross | $1,537 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 76048 | acs median gross | 1 | $1,175 | 2024-12-31 | CENSUS_ACS5 |
| zcta 76048 | acs median gross | 2 | $1,248 | 2024-12-31 | CENSUS_ACS5 |
| zcta 76048 | acs median gross | 3 | $1,732 | 2024-12-31 | CENSUS_ACS5 |
| zcta 76048 | acs median gross | 4 | $2,073 | 2024-12-31 | CENSUS_ACS5 |
| zcta 76048 | acs median gross | $1,308 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 76048 | acs recent mover gross | $1,480 | 2024-12-31 | CENSUS_ACS5 | |
| zip 76048 | payment standard 110 | 0 | $1,111 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76048 | payment standard 90 | 0 | $909 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76048 | safmr | 0 | $1,010 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76048 | payment standard 110 | 1 | $1,254 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76048 | payment standard 90 | 1 | $1,026 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76048 | safmr | 1 | $1,140 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76048 | payment standard 110 | 2 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76048 | payment standard 90 | 2 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76048 | safmr | 2 | $1,300 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76048 | payment standard 110 | 3 | $1,716 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76048 | payment standard 90 | 3 | $1,404 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76048 | safmr | 3 | $1,560 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76048 | payment standard 110 | 4 | $2,222 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76048 | payment standard 90 | 4 | $1,818 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76048 | safmr | 4 | $2,020 | 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.