Composite
76.4 / 100 percentile
Screener / 676431
C
Avir at El Paso
snfTX
7441 Paseo Del Norte, El Paso, TX 79911 · CCN 676431 · chain WEST WHARTON COUNTY HOSPITAL DISTRICT
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
124
Model
v1.2
Reads as: riskier than 76.4% 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 signals11Components20CHOW radar1Distress radar1Staffing16Penalties4Deficiencies98Licensure0Ownership22Related party1Transactions1Comps12Market rent34
Composite explanation
8| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 98.5 | 97.6 | 0.30 | 0.1714 | 16.89 | in index |
| staffing risk | 85.2 | 85.2 | 0.25 | 0.1429 | 12.17 | in index |
| billing conduct | 64.9 | 45.4 | 0.30 | 0.1714 | 11.13 | in index |
| state reg risk | 63.7 | 15.0 | 0.30 | 0.1714 | 10.92 | in index |
| chow risk | 53.2 | 36.7 | 0.15 | 0.0857 | 4.56 | in index |
| lease risk | 24.1 | 44.9 | 0.15 | 0.0857 | 2.07 | in index |
| financial risk | 6.3 | 15.4 | 0.30 | 0.1714 | 1.08 | 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
11| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 35 chains | WELLTOWER INC | 135 facilities |
| connection | Owner spans multiple chains | 33 chains | WELLTOWER OP LLC | 147 facilities |
| connection | Owner spans multiple chains | 28 chains | FREUND NOCHUM | 109 facilities |
| connection | Owner spans multiple chains | 28 chains | TRAVITSKY AARON | 106 facilities |
| connection | Owner spans multiple chains | 27 chains | GOLDBERGER ABRAHAM | 100 facilities |
| connection | Owner spans multiple chains | 27 chains | DAGAN AMITAI | 101 facilities |
| connection | Owner spans multiple chains | 27 chains | WELLTOWER NNN GROUP LLC | 102 facilities |
| connection | Owner fleet risk far above national | +23.7 vs natl | THOMPSON JOHNNY | 74 facilities |
| connection | Owner fleet risk far above national | +20.0 vs natl | TRAVITSKY AARON | 153 facilities |
| connection | Owner fleet enforcement cluster | 46% fined | WELLTOWER NNN GROUP LLC | 111 facilities |
| connection | Owner fleet enforcement cluster | 45% fined | THOMPSON JOHNNY | 74 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 | 45.4 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 27.0 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 48.9 | C | v0.1-txhhsc | default · in composite | Texas licence reissue timing as an ownership-transfer proxy. |
| chow risk | 34.3 | B | v0.6 | default · in composite | |
| financial risk | 15.4 | A | v0.5 | default · in composite | R18. |
| lease risk | 44.9 | B | v0.5 | default · in composite | |
| 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 | 0.1 | — | 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 | 97.6 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 85.2 | 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 | 15.0 | A | v0.5 | default · in composite | |
| financial risk | 86.4 | 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 | 66.4 | D | 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 | 26.4 | B | 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 | 20.2 | A | 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 | 97.6 | 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 | 97.6 | 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 | 85.2 | 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 | 85.2 | 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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
25.3
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) | 6.41 | -1.22 | |
| For-profit ownership | 1.00 | +0.69 | |
| Chain size (log) | 4.58 | +0.57 | |
| Occupancy | 0.89 | -0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 3.00 | -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) | 4.58 | -1.47 | |
| Deficiencies, last 12 months | 3.00 | +0.87 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.89 | -0.61 | |
| Fine amount, 12m (log) | 9.69 | -0.53 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Total nurse staffing (HPRD) | 2.69 | +0.22 |
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 | 0.33 | 0.24 | 0.39 | 0.25–0.58 |
| Weekend total | 2.51 | 2.56 | 3.11 | — |
| Weekday total | 2.75 | 2.72 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 110.7 | 2.69 | 0.33 | 0.55 | 1.80 | 2.51 | 0.0% |
| 2025Q3 | 92 | 132.9 | 2.38 | 0.24 | 0.51 | 1.64 | 2.30 | 0.0% |
| 2025Q2 | 91 | 124.2 | 2.43 | 0.12 | 0.59 | 1.72 | 2.25 | 0.0% |
| 2025Q1 | 90 | 126.3 | 2.26 | 0.15 | 0.62 | 1.49 | 2.04 | 0.0% |
| 2024Q4 | 92 | 116.5 | 2.16 | 0.10 | 0.67 | 1.39 | 2.04 | 0.0% |
| 2024Q3 | 92 | 136.2 | 2.25 | 0.07 | 0.67 | 1.52 | 2.25 | 0.0% |
| 2024Q2 | 91 | 117.9 | 2.43 | 0.09 | 0.70 | 1.64 | 2.30 | 0.0% |
| 2024Q1 | 91 | 115.9 | 2.53 | 0.10 | 0.72 | 1.71 | 2.43 | 0.0% |
| 2023Q4 | 92 | 110.9 | 2.55 | 0.09 | 0.69 | 1.77 | 2.40 | 0.0% |
| 2023Q3 | 92 | 115.9 | 2.51 | 0.01 | 0.78 | 1.72 | 2.26 | 0.0% |
| 2023Q2 | 91 | 118.1 | 2.28 | 0.05 | 0.78 | 1.45 | 2.09 | 0.0% |
| 2023Q1 | 90 | 111.6 | 2.45 | 0.06 | 0.78 | 1.60 | 2.09 | 0.0% |
| 2022Q4 | 92 | 104.1 | 2.33 | 0.09 | 0.69 | 1.55 | 2.17 | 0.0% |
| 2022Q3 | 92 | 107.0 | 2.48 | 0.05 | 0.93 | 1.50 | 2.41 | 0.0% |
| 2022Q2 | 91 | 105.0 | 2.52 | 0.11 | 1.02 | 1.39 | 2.43 | 0.0% |
| 2022Q1 | 90 | 101.2 | 2.51 | 0.07 | 0.96 | 1.48 | 2.41 | 0.0% |
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
4fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-08-18 | Fine | $16,153 | CMS provider data |
| 2024-11-08 | Fine | $155,988 | CMS provider data |
| 2024-07-27 | Fine | $20,540 | CMS provider data |
| 2023-07-12 | Fine | $6,900 | CMS provider data |
Total fines on record: $199,581
Deficiencies
98C × 1D × 50E × 42J × 5
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-21 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-05-21 |
| 2026-04-02 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2026-05-01 |
| 2025-08-18 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2025-08-12 |
| 2025-07-01 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2025-08-01 |
| 2025-07-01 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2025-08-01 |
| 2025-07-01 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-08-01 |
| 2025-05-22 | 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 | 2025-06-22 |
| 2025-05-22 | Health · complaint | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2025-06-22 |
| 2025-04-10 | 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 | 2025-05-10 |
| 2025-03-06 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-04-06 |
| 2025-03-06 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2025-04-06 |
| 2025-03-06 | Health | F0687 | Provide appropriate foot care. | E | 2025-04-06 |
| 2025-03-06 | 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 | 2025-04-06 |
| 2025-03-06 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-04-06 |
| 2025-03-06 | Health | F0814 | Dispose of garbage and refuse properly. | D | 2025-04-06 |
| 2025-03-06 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-04-06 |
| 2025-03-06 | Health · complaint | F0908 | Keep all essential equipment working safely. | E | 2025-04-06 |
| 2024-11-08 | 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 | 2024-11-09 |
| 2024-11-08 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | E | 2024-11-09 |
| 2024-11-08 | 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 | 2024-11-09 |
| 2024-11-08 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | J | 2024-11-09 |
| 2024-11-08 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2024-11-09 |
| 2024-11-08 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2024-11-09 |
| 2024-11-08 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-11-09 |
| 2024-08-14 | Health · complaint | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-08-15 |
| 2024-08-14 | 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 | 2024-08-15 |
| 2024-07-27 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2024-07-28 |
| 2024-07-27 | Health · complaint | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | E | 2024-07-28 |
| 2024-07-27 | 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. | E | 2024-07-28 |
| 2024-07-27 | 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. | D | 2024-07-28 |
| 2024-07-27 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2024-07-28 |
| 2024-07-27 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-07-28 |
| 2024-07-27 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | E | 2024-07-28 |
| 2024-07-27 | Health · complaint | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | 2024-07-28 |
| 2024-07-27 | 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 | 2024-07-28 |
| 2024-07-27 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-07-28 |
| 2024-07-27 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2024-07-28 |
| 2024-07-27 | Health · complaint | 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 | 2024-07-28 |
| 2024-07-27 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-07-28 |
| 2024-07-27 | Health · complaint | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | E | 2024-07-28 |
| 2024-07-27 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-07-28 |
| 2024-05-09 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-05-13 |
| 2024-05-09 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2024-05-13 |
| 2024-05-09 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-05-13 |
| 2024-05-09 | Health · complaint | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2024-05-13 |
| 2024-05-09 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-05-13 |
| 2024-05-09 | Health · complaint | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | 2024-05-13 |
| 2024-05-09 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-06-14 |
| 2024-04-24 | 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 | 2024-04-25 |
| 2024-04-24 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-04-25 |
| 2024-04-24 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-04-25 |
| 2024-04-24 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-04-25 |
| 2024-04-24 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-04-25 |
| 2024-04-24 | 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 | 2024-04-25 |
| 2024-04-24 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-04-25 |
| 2024-04-02 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-04-04 |
| 2024-04-02 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-04-04 |
| 2024-02-29 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-03-20 |
| 2024-02-29 | 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 | 2024-03-20 |
| 2024-02-29 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-03-20 |
| 2024-02-29 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-03-20 |
| 2024-02-29 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-03-20 |
| 2024-02-29 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-03-20 |
| 2024-02-29 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-03-20 |
| 2024-01-12 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-02-08 |
| 2024-01-12 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2024-02-08 |
| 2024-01-12 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-02-08 |
| 2024-01-12 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2024-02-08 |
| 2024-01-12 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-02-08 |
| 2024-01-12 | Health | F0687 | Provide appropriate foot care. | D | 2024-02-08 |
| 2024-01-12 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | 2024-02-08 |
| 2024-01-12 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-02-08 |
| 2024-01-12 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | 2024-02-08 |
| 2024-01-12 | 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 | 2024-02-08 |
| 2024-01-12 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | 2024-02-08 |
| 2024-01-12 | Health | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | 2024-02-08 |
| 2024-01-12 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-02-08 |
| 2024-01-12 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-02-08 |
| 2024-01-12 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-02-08 |
| 2023-12-01 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-12-15 |
| 2023-09-06 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-09-08 |
| 2023-09-06 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-09-08 |
| 2023-09-06 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2023-09-08 |
| 2023-07-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2023-07-13 |
| 2023-07-12 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2023-07-13 |
| 2022-11-10 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2022-12-10 |
| 2022-11-10 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2022-12-10 |
| 2022-11-10 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2022-12-10 |
| 2022-11-10 | Health | F0693 | Ensure 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. | E | 2022-12-10 |
| 2022-11-10 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2022-12-10 |
| 2022-11-10 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2022-12-10 |
| 2022-11-10 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2022-12-10 |
| 2022-11-10 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2022-12-10 |
| 2022-11-10 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2022-12-10 |
| 2022-11-10 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | 2022-12-10 |
| 2022-11-10 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2022-12-10 |
| 2022-11-10 | Health | F0814 | Dispose of garbage and refuse properly. | C | 2022-12-10 |
| 2022-11-10 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2022-12-10 |
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
22| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| 7441 PASEO DEL NORTE OPCO LLC | — | — | 2025-03-01 | current | tx_hhsc_directory |
| 7441 PASEO DEL NORTE OPCO, LLC | ADP OF THE SNF | — | 2025-06-03 | current | pecos_ownership |
| 7441 PASEO DEL NORTE OPCO, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-01 | current | pecos_ownership |
| 7441 PASEO DEL NORTE PROPERTY OWNER, LLC | ADP OF THE SNF | — | 2025-03-01 | current | pecos_ownership |
| DAGAN, AMITAI | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-04-24 | current | pecos_ownership |
| FREUND, NOCHUM | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-01 | current | pecos_ownership |
| GOLDBERGER, ABRAHAM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-04-24 | current | pecos_ownership |
| SQUARE, JAIME | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-01 | current | pecos_ownership |
| THOMPSON, JOHNNY | CORPORATE DIRECTOR | — | 2024-05-15 | current | pecos_ownership |
| TRAVITSKY, AARON | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-01 | current | pecos_ownership |
| WELCH, KENNETH | ADP OF THE SNF | — | 2025-03-01 | current | pecos_ownership |
| WELLTOWER INC | 5% OR GREATER SECURITY INTEREST | — | 2025-03-01 | current | pecos_ownership |
| WELLTOWER NNN GROUP, LLC | ADP OF THE SNF | — | 2025-03-01 | current | pecos_ownership |
| WELLTOWER OP, LLC | ADP OF THE SNF | — | 2025-03-01 | current | pecos_ownership |
| WEST WHARTON COUNTY HOSPITAL DISTRICT | — | — | 2025-03-01 | current | tx_hhsc_directory |
| HCCF MANAGEMENT GROUP XI LLC | 5% OR GREATER SECURITY INTEREST | 100% | 2025-03-01 | ended 2026-04-01 | pecos_ownership |
| JOHNNY THOMPSON | CORPORATE DIRECTOR | 100% | 2024-05-15 | ended 2026-05-18 | pecos_ownership |
| WEST WHARTON COUNTY HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2020-03-01 | ended 2026-05-18 | pecos_ownership |
| AARON TRAVITSKY | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-01 | ended 2026-05-18 | pecos_ownership |
| JAIME SQUARE | ADP OF THE SNF | — | 2025-03-01 | ended 2026-05-18 | pecos_ownership |
| KENNETH WELCH | ADP OF THE SNF | — | 2025-03-01 | ended 2026-05-18 | pecos_ownership |
| NOCHUM FREUND | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-01 | 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 |
|---|---|---|---|---|
| 2020-03-01 | — | WEST WHARTON COUNTY HOSPITAL DISTRICT | MPD OPERATORS EL PASO 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
34| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48141 | acs median gross | 0 | $725 | 2024-12-31 | CENSUS_ACS5 |
| county 48141 | fmr | 0 | $821 | 2025-10-01 | HUD_USER_FMR |
| county 48141 | acs median gross | 1 | $852 | 2024-12-31 | CENSUS_ACS5 |
| county 48141 | fmr | 1 | $1,013 | 2025-10-01 | HUD_USER_FMR |
| county 48141 | acs median gross | 2 | $1,030 | 2024-12-31 | CENSUS_ACS5 |
| county 48141 | fmr | 2 | $1,191 | 2025-10-01 | HUD_USER_FMR |
| county 48141 | acs median gross | 3 | $1,287 | 2024-12-31 | CENSUS_ACS5 |
| county 48141 | fmr | 3 | $1,633 | 2025-10-01 | HUD_USER_FMR |
| county 48141 | acs median gross | 4 | $1,596 | 2024-12-31 | CENSUS_ACS5 |
| county 48141 | fmr | 4 | $1,998 | 2025-10-01 | HUD_USER_FMR |
| county 48141 | acs median gross | 5 | $1,405 | 2024-12-31 | CENSUS_ACS5 |
| county 48141 | acs median gross | $1,079 | 2024-12-31 | CENSUS_ACS5 | |
| county 48141 | acs recent mover gross | $1,188 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 79911 | acs median gross | 1 | $1,425 | 2024-12-31 | CENSUS_ACS5 |
| zcta 79911 | acs median gross | 2 | $1,190 | 2024-12-31 | CENSUS_ACS5 |
| zcta 79911 | acs median gross | 3 | $1,925 | 2024-12-31 | CENSUS_ACS5 |
| zcta 79911 | acs median gross | 4 | $2,244 | 2024-12-31 | CENSUS_ACS5 |
| zcta 79911 | acs median gross | $1,453 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 79911 | acs recent mover gross | $1,852 | 2024-12-31 | CENSUS_ACS5 | |
| zip 79911 | payment standard 110 | 0 | $1,265 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79911 | payment standard 90 | 0 | $1,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79911 | safmr | 0 | $1,150 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79911 | payment standard 110 | 1 | $1,562 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79911 | payment standard 90 | 1 | $1,278 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79911 | safmr | 1 | $1,420 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79911 | payment standard 110 | 2 | $1,837 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79911 | payment standard 90 | 2 | $1,503 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79911 | safmr | 2 | $1,670 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79911 | payment standard 110 | 3 | $2,519 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79911 | payment standard 90 | 3 | $2,061 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79911 | safmr | 3 | $2,290 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79911 | payment standard 110 | 4 | $3,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79911 | payment standard 90 | 4 | $2,520 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79911 | safmr | 4 | $2,800 | 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.